Common use of Paid Time Off (PTO) Clause in Contracts

Paid Time Off (PTO). 2 A. Definition: PTO is the Medical Center's program of time earned by full-time and 3 part-time employees that can be used to meet their needs for paid time off from 5 which shall no longer accrue or be payable. 7 B. Use: PTO permits employees to utilize their paid time off as it best fits their own 8 personal needs or desires. PTO days, with the exception of illness, will be self- 9 scheduled by employees according to departmental policy and guidelines. It may 10 be used in increments of one hour as it accrues. The Nurse shall be responsible 11 for notifying the department manager of the number of PTO hours to be used in 12 each pay period by payroll exception form. 14 C. Registered Nurses shall be accountable for the management of their PTO 15 accruals. The nurse must have sufficient accrued PTO to actually take self 16 scheduled time off. Self scheduled PTO may be rescinded at any point if 17 sufficient PTO cannot be accrued to cover the requested absence. Once 18 scheduled, the Medical Center may not rescind PTO if sufficient PTO accrual 19 exists to cover the requested time off. 20 1. A nurse may self-schedule PTO at least four (4) weeks, but not more than 21 six (6) months, prior to the date when the earliest schedule covering such 22 time off is to be published. PTO which would occur during the week 23 containing Thanksgiving and the pay periods containing Christmas and 24 New Years will be arranged according to departmental policy and nurses 25 will be notified no later than four (4) weeks prior to the publishing of the 26 schedule which contains this time frame. 28 2. Home Health Nurse may request scheduled time off by giving notice in 29 writing to the appropriate scheduler at least three (3) weeks, but no more 30 than six (6) months, prior to the date when the earliest schedule covering 31 such time off is to be posted. The Medical Center will respond in writing 32 with a grant or denial of the request no later than ten (10) days after 33 receipt of the request. If no such response is given within that time, the 34 nurse shall provide a second notice of the request to the appropriate 1 scheduler, and if there is no response to the second request within five (5) 2 business days, the request for leave shall be deemed approved. 4 3. A nurse may ask to rescind a scheduled PTO prior to the date when the 5 schedule covering such time off is posted. Such a request for rescission 6 may be granted if the Department Manager consents. If unforeseen 7 circumstances occur that cause the nurse to have insufficient accrued 8 PTO, the case may be reviewed by the Vice-President Patient Care 11 4. PTO requests above established unit quotas may be accomplished by 12 “shift swaps” following the established guidelines. A senior nurse may 13 request preference, provided that: 14 a. They request such seniority preference in writing, dated, with 15 signature to the Staffing Office not later than five (5) days after 16 being unable to self-schedule PTO and 17 b. They shall not be eligible to exercise such right of seniority if they 18 exercised it during the preceding year. 19 c. Seniority preference shall not be allowed during Spring Break, on 20 Thanksgiving, Christmas Eve, Christmas, New Years Eve, and

Paid Time Off (PTO). 2 A. Definition: PTO is the Medical Center's program of time earned by full-time and 3 part-time employees that can be used to meet their needs for paid time off from 5 work. PTO is a consolidation of, and in lieu of, sick leave, holidays, and vacation, which shall no longer accrue or be payable. 7 B. Use: PTO permits employees to utilize their paid time off as it best fits their own 8 personal needs or desires. PTO days, with the exception of illness, will be self- 9 scheduled by employees according to departmental policy and guidelines. It may 10 be used in increments of one hour as it accrues. The Nurse shall be responsible 11 for notifying the department manager scheduler of the number of PTO hours to be used in 12 each pay period by the payroll exception formprocess. If a regular RN finds coverage from a Per Diem RN that has signed up for the required minimum shifts, uneven trades shall be granted. 14 C. Registered Nurses shall be accountable for the management of their PTO 15 accruals. The nurse must have sufficient accrued PTO to actually take self 16 self- scheduled time off. Self Self-scheduled PTO may be rescinded at any point if 17 sufficient PTO cannot be accrued to cover the requested absence. Once 18 scheduled, the Medical Center may not rescind PTO if sufficient PTO accrual 19 exists to cover the requested time off.if 20 1. A nurse may self-schedule PTO at least four up to three (43) weeks, but not more than 21 six twelve (612) months, prior to the date when the earliest schedule covering such 22 time off is to be published. PTO which would occur during the week 23 containing Thanksgiving and the pay periods containing Christmas and 24 New Years Year’s will be arranged according to departmental policy and nurses 25 will be notified no later than four (4) weeks prior to the publishing of the 26 schedule which contains this time frame. 28 2. Home Health Nurse may request scheduled time off by giving notice in 29 writing to the appropriate scheduler at least three (3) weeks, but no more 30 than six (6) months, prior to the date when the earliest schedule covering 31 such time off is to be posted. The Medical Center will respond in writing 32 with a grant or denial of the request no later than ten (10) days after 33 receipt of the request. If no such response is given within that time, the 34 nurse shall provide a second notice of the request to the appropriate 1 scheduler, and if there is no response to the second request within five (5) 2 business days, the request for leave shall be deemed approved. 4 3. A nurse may ask to rescind a scheduled PTO prior to the date when the 5 schedule covering such time off is posted. Such a request for rescission 6 may be granted if the Department Manager consents. If unforeseen 7 circumstances occur that cause the nurse to have insufficient accrued 8 PTO, the case may be reviewed by the Vice-President Patient CareCare Services. 11 4. PTO requests above established unit quotas may be accomplished by 12 “shift swaps” ”. 5. Employees who are not able to report to work because of an illness or an emergency should advise their nursing supervisor at the earliest possible time, but not less than three (3) hours before their shift begins when feasible. 6. When an employee elects to take PTO for a day when also receiving Workers' Compensation, state or federal disability, or disability benefits to which the Medical Center contributes, the amount of PTO payment shall be reduced by the amount of such benefit payments so that the total payment for such day does not exceed nurse’s regular work hours at the employee's regular straight-time rate of pay. The nurse shall be responsible for notifying the department manager of the number of PTO hours to be used each pay period by the appropriate payroll notification process. 7. Employees have the option of taking a day off without pay instead of using PTO under the following the established guidelines. A senior nurse may 13 request preference, provided thatconditions: 14 a. They request such seniority preference in writing, dated, with 15 signature During periods of low workload when the employee's supervisor requests that an employee not come to work or go home early; b. When a department is temporarily closed or staff is reduced on a holiday; c. During a military service which will be paid according to Federal Law; d. For contract negotiations 8. Employees must complete the Staffing Office not later than five (5) days after 16 being unable to self-schedule PTO and 17 b. They shall not be eligible to exercise such right of seniority appropriate payroll notification process if they 18 exercised it during the preceding yearelect not to use PTO for a Mandatory Absence or Holiday if unit not open on holidays, otherwise PTO will be added. 19 c. Seniority preference shall not be allowed during Spring Break, on 20 Thanksgiving, Christmas Eve, Christmas, New Years Eve, and

Paid Time Off (PTO). 2 A. Definition: PTO is the Medical Center's The Hospital shall provide a program of earned time earned by full-time and 3 part-time employees that off, for regular nurses, which can be used to meet their the nurses' needs or desires for paid time off from 5 which shall no longer accrue or be payablework. The Paid Time Off program is a consolidation of, and in lieu of, sick leave, paid holidays, and vacation leave. 7 B. Use: PTO permits employees to utilize their paid For time off as it best fits their own 8 personal needs or desires. PTO days, with the exception of other than for in illness, will be self- 9 scheduled by employees according a nurse must submit a request to departmental policy and guidelines. It may 10 be used the immediate supervisor as far in increments of one hour advance as it accrues. The Nurse shall be responsible 11 for notifying the department manager of the number of PTO hours to be used in 12 each pay period by payroll exception form. 14 C. Registered Nurses shall be accountable for the management of their PTO 15 accrualspossible. The nurse must have sufficient accrued PTO to actually take self 16 scheduled request time off. Self scheduled Scheduled PTO may be rescinded at any point if 17 sufficient PTO cannot be accrued to cover the requested absence. Once 18 scheduled, the Medical Center Hospital may not rescind PTO if sufficient PTO accrual 19 exists to cover the requested time off. 20 1. C. A nurse may self-request PTO prior to the posting of the schedule PTO at least four (4) weeks, but not more than 21 six twelve (612) months, months prior to the date when the earliest schedule covering such 22 time off is to be published. PTO which would occur during the week 23 containing Thanksgiving and the pay periods containing Christmas and 24 New Years will be arranged according to departmental policy and nurses 25 will be notified no later than four (4) weeks prior to the publishing of the 26 schedule which contains this time frame. 28 2. Home Health Nurse may request scheduled time off by giving notice in 29 writing to the appropriate scheduler at least three (3) weeks, but no more 30 than six (6) months, prior to the date when the earliest schedule covering 31 such time off is to be posted. Requests for PTO shall be considered on a first-come-first-served basis. If two or more requests are submitted on the same date for the same time off and granting both of them would result in critical staffing shortage, the senior nurse will be given the time off. The Medical Center will respond staff member shall be notified of approval or denial within two weeks of the submission of a request. All requests shall be made in writing 32 with or electronically. Requests will not be unreasonably denied. Seniority preference may be exercised only once every other year. D. PTO which would occur during the pay period(s) containing Spring Break, Thanksgiving, Christmas, Christmas Eve and New Year’s will be arranged according to departmental staffing practices. Requests for these time periods will be granted by the manager on a grant or denial of the request rotational basis. Nurses will be notified no later than ten (10) days after 33 receipt of the request. If no such response is given within that time, the 34 nurse shall provide a second notice of the request weeks prior to the appropriate 1 scheduler, and if there is no response to the second request within five (5) 2 business days, the request for leave shall be deemed approved. 4 3above mentioned holidays. A nurse may ask to rescind a scheduled PTO prior to the date when the 5 schedule covering such time off is posted. Such After schedule is posted, such a request for rescission 6 may be granted if the Department Manager department manager consents. 1. Once a schedule has been posted under 5.5.1, or if a PTO request exceeds the unit quota and a nurse wants PTO time off in that schedule period, a request for the time off will be considered only if the nurse has arranged for a trade or a qualified replacement who is eligible to work at the straight-time rate of pay. E. For time off due to illness, a nurse must notify the immediate supervisor as soon as possible of the illness and the need for time off. If unforeseen 7 circumstances occur that cause the illness extends beyond one day, daily calls must be made to keep the supervisor informed. F. Nurses must indicate using the appropriate payroll process the number of PTO hours for which payment is requested. The combined total of hours worked and PTO hours cannot exceed the nurse's normal working time in any given pay period, except for authorized overtime. 1. Nurses have the option of taking a day off without pay instead of using PTO when the nurse to have insufficient accrued 8 PTO, is released from work under the case may be reviewed by the Vice-President Patient Care 11 4. PTO requests above established unit quotas may be accomplished by 12 “shift swaps” following the established guidelines. A senior nurse may 13 request preference, provided thatconditions: 14 a. They request such seniority preference in writing, dated, with 15 signature to the Staffing Office not later than five (5) days after 16 being unable to self-schedule PTO and 17 b. They shall not be eligible to exercise such right of seniority if they 18 exercised it during the preceding year. 19 c. Seniority preference shall not be allowed during Spring Break, on 20 Thanksgiving, Christmas Eve, Christmas, New Years Eve, and

Paid Time Off (PTO). 2 A. DefinitionSection 1: Paid Time Off (PTO) is accrued upon hire or transfer into a benefits-eligible position. Eligible employees must be scheduled to work at least 30 hours per week on a regular basis. PTO is accruals are available for use in the Medical Centerpay period following completion of 90 days of employment. All hours thereafter are available for use in the pay period following the pay period in which they are accrued. Accruals are based upon paid hours up to 2,080 hours per year, excluding overtime. Employees who work less than 40 hours per week and at least 30 hours per week will earn PTO hours on a prorated basis, according to the accrual rate per hour (see table below). Length of service determines the rate at which the employee will accrue PTO. PTO does not accrue on unpaid leaves of absence or PTO cash outs upon termination. Part time employees are not eligible for cash out of PTO upon termination. Full Time employees become eligible for the higher accrual rate on the first day of the pay period in which the employee's program of time earned by anniversary date falls. Section 2: All full-time and 3 part-time employees that can Employees shall be used entitled to meet their needs for Paid Time Off (PTO) at the rate listed on the following schedule: Employees hired prior to 07/01/84 will accrue PTO leave at rate of 0.16 (42 days) *Annual PTO Accruals are based on an employee having 2,080 paid hours per year (40 hours per week). **No PTO hours will accrue beyond the maximum accruals listed. Section 3: Employees are required to use available PTO when taking time off from 5 which shall no longer accrue or be payable. 7 B. Use: PTO permits employees to utilize their paid time off as it best fits their own 8 personal needs or desires. PTO days, work with the exception of illness, will a company-required absence due to low workload or absences occasioned by the company. PTO may be self- 9 scheduled by employees according to departmental policy and guidelines. It may 10 be used taken in increments of as low as one hour as it accrueshour. However, PTO may not be used for missed time because an employee reports late to work, except during inclement weather. Whenever possible, PTO must be scheduled in advance. PTO is subject to supervisory approval, department staffing needs, and established departmental procedures. Unscheduled absences will be monitored. An employee will be counseled when the frequency of unscheduled absences adversely affects the operations of the department. The Nurse shall be responsible 11 supervisor may request that the employee provide a statement from a health care provider concerning the justification for notifying the department manager of the number an unscheduled absence. Section 4: When PTO is used, an employee is required to request payment of PTO hours according to his or her regularly scheduled workday. For example, if an employee works a six-hour day, he or she would request six hours of PTO when taking that day off. PTO is paid at the employee's straight time rate. PTO is not part of any overtime calculation. Employees may not borrow against their PTO banks; therefore, no advance leave will be granted. Section 5: The PTO plan will replace the current vacation and medical leave benefits and future time off will be categorized as Paid Time Off (PTO) and will accrue at the higher rates listed above. At the time of transition from vacation and medical leave to PTO, employees will have one- half of the hours in their medical leave bank paid out on a one -time basis. The remainder medical leave hours will be placed in a separate account labeled Extended Medical Leave Bank (EMLB). These medical hours will not accrue and will not be paid out at termination. EMLB hours may be accessed following the third consecutive day of absence attributable to the employee 1s illness and/or disability. EMLB hours may also be used in 12 each pay period by payroll exception form. 14 C. Registered Nurses following the third consecutive day of absence attributable to the serious illness or injury of an employee's immediate family. Immediate family, for the purpose of this section, shall be accountable for limited to the management employee's spouse, children, parent, step parent, step children and grandchildren of the employee or their PTO 15 accrualsspouse when no other person is available to provide the necessary nursing care. The nurse must have sufficient accrued PTO to actually take self 16 scheduled time off. Self scheduled PTO may be rescinded at any point if 17 sufficient PTO cannot be accrued to cover the requested absence. Once 18 scheduled, the Medical Center may not rescind PTO if sufficient PTO accrual 19 exists to cover the requested time off. 20 1. A nurse may self-schedule PTO at least four (4) weeks, but not more than 21 six (6) months, prior to the date when the earliest schedule covering such 22 time off is to be published. PTO which would occur during the week 23 containing Thanksgiving and the pay periods containing Christmas and 24 New Years will be arranged according to departmental policy and nurses 25 will be notified no later than four (4) weeks prior to the publishing of the 26 schedule which contains this time frame. 28 2. Home Health Nurse may request scheduled time off by giving notice in 29 writing to the appropriate scheduler at least three (3) weeksday eligibility waiting period, but no more 30 than six (6) monthsonce satisfied, prior does not apply to recurring absences relating to the date original illness or injury when the earliest schedule covering 31 such time off return to work period is less than thirty (30) days. Section 6: PTO Leave Transfer Employees may transfer accrued PTO from the account of one employee to be posted. the account of another employee only if all the following circumstances are met. A. The Medical Center will respond in writing 32 with a grant employee is unable to work due to the illness or denial injury of the request no later than ten (10) days after 33 receipt employee. Verification of the request. If no such response illness or injury may be required before any leave transfer is given within that time, the 34 nurse shall provide a second notice of the request to the appropriate 1 scheduler, and if there is no response to the second request within five (5) 2 business days, the request for leave shall be deemed approved. 4 3B. The employee has exhausted, or it is apparent will soon exhaust, all of their own paid leave time including PTO and EMLB. C. The employee is not receiving workers' compensation payments for the absence. D. If receiving short term disability payments, the combination of short-term disability and donated time may not exceed normal pay. A nurse An employee may ask not transfer EMLB hours to rescind another employee under any circumstances. The Agency reserves the right to determine eligibility for PTO transfer on a scheduled PTO prior case-by case basis. An employee requesting leave donations will complete the donation request form and submit to his/her department head for review and approval. If approved the donation request is forwarded to the date when Human Resource Director for review and approval. The employee may appeal to the 5 schedule covering such time off is posted. Such a request Executive Director for rescission 6 may be granted review and consideration if the Department Manager consentsrequest was denied. If unforeseen 7 circumstances occur that cause The decision of the nurse to have insufficient accrued 8 PTO, Executive Director shall be final. Exercise of the case may be reviewed by the Vice-President Patient Care 11 4. PTO requests above established unit quotas may be accomplished by 12 “shift swaps” following the established guidelines. A senior nurse may 13 request preference, provided that: 14 a. They request such seniority preference in writing, dated, with 15 signature to the Staffing Office transfer policy shall not later than five (5) days after 16 being unable to self-schedule PTO and 17 b. They establish a precedent or practice and shall not be eligible subject to exercise such right of seniority if they 18 exercised it during the preceding yeargrievance procedure. 19 c. Seniority preference shall Section 7: Full Time employees will be paid upon resignation, separation, or retirement for all PTO hours accumulated but not be allowed during Spring Breakused. Employees whose positions are eliminated through a reduction in force or reorganization or whose hours drop below 30 hours per week are paid PTO on the effective date of the termination. Section 8: An employee may request a PTO cash pay-out up to one pay period per year/80 hours maximum provided they have completed one year of employment, on 20 Thanksgivingthey have taken at least 40 hours of PTO that year, Christmas Eve, Christmas, New Years Eve, andand request would not put the employee below 80 hours remaining PTO. Cash pay- outs will be

Paid Time Off (PTO). 2 7 A. Definition: PTO is the Medical Center's program of time earned by full-time and 3 8 part-time employees that can be used to meet their needs for paid time off from 5 10 which shall no longer accrue or be payable. 7 12 B. Use: PTO permits employees to utilize their paid time off as it best fits their own 8 13 personal needs or desires. PTO days, with the exception of illness, will be self- 9 14 scheduled by employees according to departmental policy and guidelines. It may 10 15 be used in increments of one hour as it accrues. The Nurse shall be responsible 11 16 for notifying the department manager scheduler of the number of PTO hours to be used in 12 17 each pay period by the payroll exception formprocess. If a regular RN finds coverage 18 from a Per Diem RN that has signed up for the required minimum shifts, uneven 19 trades shall be granted. 14 21 C. Registered Nurses shall be accountable for the management of their PTO 15 22 accruals. The nurse must have sufficient accrued PTO to actually take self 16 self- 23 scheduled time off. Self Self-scheduled PTO may be rescinded at any point if 17 24 sufficient PTO cannot be accrued to cover the requested absence. Once 18 25 scheduled, the Medical Center may not rescind PTO if sufficient PTO accrual 19 26 exists to cover the requested time off. 20 27 1. A nurse may self-schedule PTO at least four (4) weeks, but not more than 21 28 six (6) months, prior to the date when the earliest schedule covering such 22 29 time off is to be published. PTO which would occur during the week 23 30 containing Thanksgiving and the pay periods containing Christmas and 24 31 New Years Year’s will be arranged according to departmental policy and nurses 25 32 will be notified no later than four (4) weeks prior to the publishing of the 26 33 schedule which contains this time frame. 28 1 2. Home Health Nurse may request scheduled time off by giving notice in 29 2 writing to the appropriate scheduler at least three (3) weeks, but no more 30 3 than six (6) months, prior to the date when the earliest schedule covering 31 4 such time off is to be posted. The Medical Center will respond in writing 32 5 with a grant or denial of the request no later than ten (10) days after 33 6 receipt of the request. If no such response is given within that time, the 34 7 nurse shall provide a second notice of the request to the appropriate 1 8 scheduler, and if there is no response to the second request within five (5) 2 9 business days, the request for leave shall be deemed approved. 4 11 3. A nurse may ask to rescind a scheduled PTO prior to the date when the 5 12 schedule covering such time off is posted. Such a request for rescission 6 13 may be granted if the Department Manager consents. If unforeseen 7 14 circumstances occur that cause the nurse to have insufficient accrued 8 15 PTO, the case may be reviewed by the Vice-President Patient Care 11 18 4. PTO requests above established unit quotas may be accomplished by 12 19 “shift swaps” ”. 21 5. Employees who are not able to report to work because of an illness or an 22 emergency should advise their nursing supervisor at the earliest possible 23 time, but not less than three (3) hours before their shift begins when 24 feasible. 26 6. When an employee elects to take PTO for a day when also receiving 27 Workers' Compensation, state or federal disability, or disability benefits to 28 which the Medical Center contributes, the amount of PTO payment shall 29 be reduced by the amount of such benefit payments so that the total 30 payment for such day does not exceed nurse’s regular work hours at the 31 employee's regular straight-time rate of pay. The nurse shall be 32 responsible for notifying the department manager of the number of PTO 33 hours to be used each pay period by the appropriate payroll notification 34 process. 1 7. Employees have the option of taking a day off without pay instead of using 2 PTO under the following the established guidelines. A senior nurse may 13 request preference, provided thatconditions: 14 3 a. They request such seniority preference in writing, dated, with 15 signature During periods of low workload when the employee's supervisor 5 b. When a department is temporarily closed or staff is reduced on a 6 holiday; 7 c. During a military service which will be paid according to the Staffing Office not later than five (5) days after 16 being unable to self-schedule PTO and 17 b. They shall not be eligible to exercise such right of seniority if they 18 exercised it during the preceding year. 19 c. Seniority preference shall not be allowed during Spring Break, on 20 Thanksgiving, Christmas Eve, Christmas, New Years Eve, andFederal

Paid Time Off (PTO). 2 A. Definition: PTO is the Medical Center's program of time earned by full-time and 3 part-time employees that can be used to meet their needs Paid Time Off The Employer provides for paid time away from work through a Paid Time Off (PTO) system. PTO provides regular status employees with an FTE of 0.50 and greater with an established number of paid hours off per year for personal use. The number of accrued PTO hours per year is intended to include all aspects of time away from 5 work, for example, holidays, vacation, sick, bereavement, medical appointments and personal days. All time off granted whether paid, unpaid, vacation or holiday must be approved by the manager to ensure that the needs of the Hospital are met. Nothing in this article guarantees approval of any time off which shall no longer has been requested. The number of hours earned is proportionate to the number of hours worked and the number of years employed. The maximum number of hours allowed to accumulate is in proportion to the number of continuous years of service based on adjusted hire date. The PTO model is built with consideration to vacation hours, holiday hours, personal hours and sick hours. PTO hours will accrue or according to the following schedule: Years Employed Accrual Rate per worked hour Maximum Hours Allowed to Accrue in Account 1. PTO hours begin accruing on the first day of regular status employment and may be payabletaken after satisfactory completion of the one month waiting period. 7 B. Use: 2. PTO permits employees hours must be accrued before they are taken. The PTO hours available are shown on the pay voucher or Employee Self Service every pay period. 3. PTO hours are to utilize be used for scheduled and unscheduled time away from work. Employees will be paid up to their paid FTE with time worked and PTO hours. Employees are required to use PTO hours if available when taking time off as it best fits their own 8 personal needs or desires(this does not apply to System Requested Absences) even if the employee works additional hours in the week. 4. Use of PTO dayshours, with the exception of those due to illness, must be scheduled in advance with the employee’s manager to ensure that the staff needs of the Hospital are met. 5. PTO hours may be taken by employees for scheduled days not worked at the request of the Hospital (System Requested Absence, SRA). Extra shifts that are SRA’d/cancelled are not eligible for PTO. If a nurse elects not to utilize PTO for SRA hours, PTO benefits shall accrue on the SRA hours. A RN will be self- 9 scheduled by employees according allowed to departmental policy and guidelines. It may 10 be used in increments of one hour as it accrues. The Nurse shall be responsible 11 for notifying the department manager of the number of utilize PTO hours to be used for periods of SRA if sufficient hours have been accrued in 12 each pay period by payroll exception formthe one month waiting period. 14 C. Registered Nurses shall be accountable 6. Employees may receive PTO pay for a holiday not worked within the management of their PTO 15 accrualsone month waiting period if the holiday falls on a regularly scheduled shift. The nurse must If sufficient hours have sufficient accrued PTO to actually take self 16 scheduled time off. Self scheduled PTO may be rescinded at any point if 17 sufficient PTO cannot be yet accrued to cover the requested absencehours for the observed holiday, new employees within their first one month of employment will be allowed to draw on their future PTO accruals. Once 18 scheduled, the Medical Center may not rescind PTO if sufficient PTO accrual 19 exists to cover the requested time offThe negative withdrawal will be deducted from future accruals. 20 17. A nurse may self-Employees are encouraged to plan and schedule PTO time off from work. Employees will plan at least four (4) weeks, but not more than 21 six (6) months, prior one consecutive vacation equivalent to the date when number of hours regularly scheduled for them in a two-week period. Employees will take the earliest schedule covering such 22 time equivalent of another week off is to be published. PTO which would occur during on a weekly or daily basis throughout the week 23 containing Thanksgiving and the pay periods containing Christmas and 24 New Years will be arranged according to departmental policy and nurses 25 will be notified no later than four (4) weeks prior to the publishing of the 26 schedule which contains this time frame. 28 2. Home Health Nurse may request scheduled time off by giving notice in 29 writing to the appropriate scheduler at least three (3) weeks, but no more 30 than six (6) months, prior to the date when the earliest schedule covering 31 such time off is to be posted. The Medical Center will respond in writing 32 with a grant or denial of the request no later than ten (10) days after 33 receipt of the request. If no such response is given within that time, the 34 nurse shall provide a second notice of the request to the appropriate 1 scheduler, and if there is no response to the second request within five (5) 2 business days, the request for leave shall be deemed approved. 4 3. A nurse may ask to rescind a scheduled PTO prior to the date when the 5 schedule covering such time off is posted. Such a request for rescission 6 may be granted if the Department Manager consents. If unforeseen 7 circumstances occur that cause the nurse to have insufficient accrued 8 PTO, the case may be reviewed by the Vice-President Patient Care 11 4. PTO requests above established unit quotas may be accomplished by 12 “shift swaps” following the established guidelines. A senior nurse may 13 request preference, provided that: 14 a. They request such seniority preference in writing, dated, with 15 signature to the Staffing Office not later than five (5) days after 16 being unable to self-schedule PTO and 17 b. They shall not be eligible to exercise such right of seniority if they 18 exercised it during the preceding year. 19 c. Seniority preference shall 8. PTO hours are accrued on a maximum of eighty (80) worked hours per pay period. PTO will not accrue on non-productive hours (PTO-vacation, PTO-sick leave, extended leave, bereavement, call back guarantee and non-mandatory education hours). In addition, no time is accrued on an unpaid leave of absence, during a suspension without pay, or while an employee is on a layoff status. 9. PTO will accrue on SRA related time. 10. Compensation of PTO hours will be paid at the employee’s base rate of pay. The employee must indicate PTO hours on their time record. 11. PTO hours may not be allowed used as the required notice for termination of employment. 12. Benefit hours paid are not counted as hours worked for purposes of computing overtime. 13. After satisfactory completion of the one (1) month waiting period, accrued PTO will be paid upon termination. 14. If vacation is denied or rescheduled at the request of Xxxxxxxx Clinic, employee will work with their manager and Human Resources so the employee does not forfeit PTO time. 15. PTO may be used to off-set a loss incurred during Spring Breaka scheduled vacation for the following: Night, on 20 ThanksgivingPermanent Night, Christmas EveCharge Nurse, Christmasand Nursing Resources Float differentials. It is the nurse’s responsibility to add in the electronic timekeeping system or by exception sheet, New Years Eve, andthe hours to off-set differential loss up to a maximum of twelve (12) hours in a week. All the following criteria must be met: • The nurse needs to work at least one of the above listed differentials for at least 50% of the FTE. • Applies to a request of a minimum of one (1) week vacation equal to the FTE. • Request must be made PRIOR to the time off in the electronic timekeeping system or by exception sheet.

Paid Time Off (PTO). 2 8 A. Definition: PTO is the Medical Center's program of time earned by full-time and 3 9 part-time employees that can be used to meet their needs for paid time off from 5 11 which shall no longer accrue or be payable. 7 12 B. Use: PTO permits employees to utilize their paid time off as it best fits their own 8 13 personal needs or desires. PTO days, with the exception of illness, will be self- 9 14 scheduled by employees according to departmental policy and guidelines. It may 10 15 be used in increments of one hour as it accrues. The Nurse shall be responsible 11 16 for notifying the department manager of the number of PTO hours to be used in 12 17 each pay period by payroll exception form. 14 18 C. Registered Nurses shall be accountable for the management of their PTO 15 19 accruals. The nurse must have sufficient accrued PTO to actually take self 16 20 scheduled time off. Self scheduled PTO may be rescinded at any point if 17 21 sufficient PTO cannot be accrued to cover the requested absence. Once 18 22 scheduled, the Medical Center may not rescind PTO if sufficient PTO accrual 19 23 exists to cover the requested time off. 20 24 1. A nurse may self-schedule PTO at least four (4) weeks, but not more than 21 25 six (6) months, prior to the date when the earliest schedule covering such 22 26 time off is to be published. PTO which would occur during the week 23 27 containing Thanksgiving and the pay periods containing Christmas and 24 28 New Years will be arranged according to departmental policy and nurses 25 29 will be notified no later than four (4) weeks prior to the publishing of the 26 30 schedule which contains this time frame. 28 1 2. Home Health Nurse may request scheduled time off by giving notice in 29 writing to the appropriate scheduler at least three (3) weeks, but no more 30 than six (6) months, prior to the date when the earliest schedule covering 31 such time off is to be posted. The Medical Center will respond in writing 32 with a grant or denial of the request no later than ten (10) days after 33 receipt of the request. If no such response is given within that time, the 34 nurse shall provide a second notice of the request to the appropriate 1 scheduler, and if there is no response to the second request within five (5) 2 business days, the request for leave shall be deemed approved. 4 3. A nurse may ask to rescind a scheduled PTO prior to the date when the 5 2 schedule covering such time off is posted. Such a request for rescission 6 3 may be granted if the Department Manager consents. If unforeseen 7 4 circumstances occur that cause the nurse to have insufficient accrued 8 5 PTO, the case may be reviewed by the Vice-President Patient Care 11 4. PTO requests above established unit quotas may be accomplished by 12 “shift swaps” following the established guidelines. A senior nurse may 13 request preference, provided that: 14 a. They request such seniority preference in writing, dated, with 15 signature to the Staffing Office not later than five (5) days after 16 being unable to self-schedule PTO and 17 b. They shall not be eligible to exercise such right of seniority if they 18 exercised it during the preceding year. 19 c. Seniority preference shall not be allowed during Spring Break, on 20 Thanksgiving, Christmas Eve, Christmas, New Years Eve, and

Paid Time Off (PTO). 2 A. Definition18.1 Paid Time Off (PTO) benefits are based on full‐time service commencing with the date of hire. Regular part‐time Registered Nurses shall accrue PTO commencing with date of hire on a pro‐rated schedule based on their authorized hours. Temporary and Per Diem Registered Nurses shall receive no benefits. PTO cash out is limited to no more than one (1) time per quarter. Employees must maintain a total of 80 hours in their PTO bank before cash out is approved. The total PTO hours cashed out may not exceed 40 hours per quarter per calendar year unless the maximum accrual amount will be exceeded. Any request for PTO cash out that is outside these stated limits may be granted at the discretion of the Human Resources Director and CFO, if the employee can establish an unforeseen emergency need. A "Request for PTO Cash Out" form must be submitted and approved by the department manager prior to submission to the Human Resource Department. PTO cash outs will be included in the employee's pay check. This policy is to reduce the number of manual checks necessary to process cash out requests. Employees should plan their requests with payroll periods to avoid delay in payment. The cash out form must be submitted to the Human Resources Department prior to the deadline for submittals of timecards or the cash out will not be processed until the following pay period. 18.2 PTO accrues each pay period based upon all hours paid up to a maximum of eighty (80) hours and upon length of service. Eligible Registered Nurses will accrue PTO as follows: PTO accrual includes the former paid holidays: New Year’s Day, Presidents’ Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, Christmas Day, the Registered Nurse’s birthday, and floating holiday. 18.3 Unused PTO may be carried forward from one year to the next. The maximum benefits a Registered Nurse may have at any time shall equal two (2) year’s PTO at the Registered Nurse’s annual accrual rate. If the Registered Nurse’s earned, but unused, PTO reaches the maximum the Registered Nurse will not accrue any additional benefits. When the Registered Nurse later uses enough PTO to fall below the maximum, he/she will resume earning PTO from that date forward. Registered Nurses do not earn PTO while on leave of absence. 18.4 Paid Time Off (PTO) hours shall be used for vacation, holidays, short‐term illness, family emergencies, religious observances, preventative health care, dental care, personal business, dependent’s school visitation, and other excused elective absences. PTO may be used in a minimum of one (1) hour increments. Approved educational leave, bereavement leave and jury duty are paid in addition to PTO days, and the PTO account is the Medical Center's program of not charged with this time earned by full-time and 3 part-time employees that off. PTO hours can be used for incidents when employee is placed on call due to meet their needs for paid time off from 5 which shall no longer accrue or be payablelow census to supplement and keep the employees whole. 7 B. Use: PTO permits employees to utilize their paid time off as it best fits their own 8 personal needs or desires. PTO days, with the exception of illness, will be self- 9 scheduled by employees according to departmental policy and guidelines. It may 10 be used in increments of one hour as it accrues. The Nurse shall be responsible 11 for notifying the department manager of the number of PTO hours to be used in 12 each pay period by payroll exception form. 14 C. 18.5 Registered Nurses shall be accountable are eligible for the management a maximum of their PTO 15 accruals. The nurse must have sufficient accrued PTO to actually take self 16 scheduled time off. Self scheduled PTO may be rescinded at any point if 17 sufficient PTO cannot be accrued to cover the requested absence. Once 18 scheduled, the Medical Center may not rescind PTO if sufficient PTO accrual 19 exists to cover the requested time off. 20 1. A nurse may self-schedule PTO at least four (4) weeks, but not more than 21 six (6) months, prior to the date when the earliest schedule covering such 22 time off is to be published. PTO which would occur during the week 23 containing Thanksgiving and the pay periods containing Christmas and 24 New Years will be arranged according to departmental policy and nurses 25 will be notified no later than four (4) weeks prior to the publishing of the 26 schedule which contains this time frame. 28 2. Home Health Nurse may request scheduled time off by giving notice in 29 writing to the appropriate scheduler at least three (3) weeks, but no more 30 than six (6) months, prior to the date when the earliest schedule covering 31 such time off is to be posted. The Medical Center will respond in writing 32 with a grant or denial of the request no later than ten (10) days after 33 receipt of the request. If no such response is given within that time, the 34 nurse shall provide a second notice of the request to the appropriate 1 scheduler, and if there is no response to the second request within five (5) 2 business days, the unpaid days per year and a maximum of ten unpaid emergency leave days per year. Registered Nurses must request for leave shall be deemed approvedthese days off in advance from their supervisor. 4 3. A nurse may ask to rescind a scheduled PTO prior to the date when the 5 schedule covering such time off is posted. Such a request for rescission 6 may be granted if the Department Manager consents. If unforeseen 7 circumstances occur that cause the nurse to have insufficient accrued 8 PTO, the case may be reviewed by the Vice-President Patient Care 11 4. PTO requests above established unit quotas may be accomplished by 12 “shift swaps” following the established guidelines. A senior nurse may 13 request preference, provided that: 14 a. They request such seniority preference in writing, dated, with 15 signature to the Staffing Office not later than five (5) days after 16 being unable to self-schedule PTO and 17 b. They shall not be eligible to exercise such right of seniority if they 18 exercised it during the preceding year. 19 c. Seniority preference shall not be allowed during Spring Break, on 20 Thanksgiving, Christmas Eve, Christmas, New Years Eve, and