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380.

Salaries & Wages (A & O) Aides and Orderlies salaries, wages, and vacation/holiday/sick pay.

381.

Payroll Taxes -FICA -FUTA -SUTA

382.

Employee Benefits Benefits paid by the employer such as: -Cancer Insurance -Child Day Care -Dental Insurance -Disability Insurance -Health Insurance -Life Insurance -Other Insurance -Retirement -Uniforms -Worker’s Compensation -Employee Appreciation Meals -Pre-employment screening -General and Professional Liability Insurance

383.

Training/Travel/Tuition -Employee training fees -Employee travel expense related to training -Employee tuition expense -Employee training materials

384.

Medical Supplies Nursing supplies such as: -Adhesives -Dressings -Gauze -Gloves -Thermometers -Syringes -Incontinence supplies -Disposable diapers -Underpads

385.

Other (Specify) Other expenses not identified in the above accounts.

33 of 38

Cost Report Line Number

Nursing Facility Chart of Accounts

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