Ruby Ruth Hospital had the following transactions during the year ended December 31: 1. The hospital provided services to patients insured by third-party payer A amounting to $9.0 million at its established billing rates. The hospital’s prospective billing arrangement with this third party stipulates payment to the hospital of 70 percent of its established rates for services performed. All billings were paid during the year.

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Chapter1: Financial Statements And Business Decisions
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Accounting for patient service revenue

Ruby Ruth Hospital had the following transactions during the year ended December 31:
1. The hospital provided services to patients insured by third-party payer A amounting to $9.0 million
at its established billing rates. The hospital’s prospective billing arrangement with this third party
stipulates payment to the hospital of 70 percent of its established rates for services performed.
All billings were paid during the year.
2. The hospital provided services to patients insured by third-party payer B amounting to $5.4 million
at its established billing rates. Its retrospective billing arrangement with this third party stipulates
that the hospital should receive payment at an interim rate of 90 percent of its established rates,
subject to retrospective adjustment based on agreed-upon allowable costs. By year-end, B had paid
all the billings. Before issuing its financial statements, the hospital estimated that the probable
amount it will need to refund to B is $450,000, based on allowable costs.
3. The hospital provided services to charity patients amounting to $1.8 million at its established
billing rates.

a) Prepare journal entries to record these transactions.
If no adjustment is necessary, select 'No debit (or credit) entry needed' in the account fields
and enter 0 in the amount fields.

 

Accounts
Debit
Credit
Patient accounts receivable
9,000,000
Patient service revenues
9,000,000
la. To record services provided to Payer A patlents.
Provision for contractual adjustments
2,700,000
Patient accounts recelvable
2,700,000 v
1b. To record adjustment for contractual rate.
No deblt entry required
No credit entry required
1. To record payment recelved from Payer A.
Patlent accounts recelvable
5,400,000
Patlent service revenues
5,400,000
2a. To record services provided to Payer B patlents
Provision for contractual adjustments
450,000
Estimated third-party payer settlement payables
450,000 x
2b. To record adjustment for contractual rate.
2c. To record payment recelved from Payer B.
2d. To record retrospective adjustment.
3a. To record services provided to charity patlents.
1,800,000
1,800,000 x
3b. To record adjustment for charity services.
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Transcribed Image Text:Accounts Debit Credit Patient accounts receivable 9,000,000 Patient service revenues 9,000,000 la. To record services provided to Payer A patlents. Provision for contractual adjustments 2,700,000 Patient accounts recelvable 2,700,000 v 1b. To record adjustment for contractual rate. No deblt entry required No credit entry required 1. To record payment recelved from Payer A. Patlent accounts recelvable 5,400,000 Patlent service revenues 5,400,000 2a. To record services provided to Payer B patlents Provision for contractual adjustments 450,000 Estimated third-party payer settlement payables 450,000 x 2b. To record adjustment for contractual rate. 2c. To record payment recelved from Payer B. 2d. To record retrospective adjustment. 3a. To record services provided to charity patlents. 1,800,000 1,800,000 x 3b. To record adjustment for charity services. >> > > > > > >
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