Question

Following is a trial balance for the Jayce County General Hospital, a governmental hospital. The hospital does not use fund accounting.


During 2012, the following transactions took place: 1. Services provided to patients amounted to $ 3,300,000 at established billing rates. Following is an analysis of the billings: a. Medicare patients were billed for $ 2,000,000 at established rates. However, contractual allowances against these billings were $ 400,000. b. Billings under a retrospective arrangement with a third party were $ 600,000 at the estab-lished rates. However, the interim billing rates called for contractual adjustments of $ 100,000. c. Billings to self- pay patients were $ 500,000 at established rates. Based on experience, the hospital anticipated that $ 25,000 of the billings would not be collected. d. Services to charity patients were $ 200,000 at established rates. 2. Inventories of $ 56,000 were purchased on credit. 3. Operating expenses were incurred as follows: Health care services $ 2,140,000 General expenses $ 200,000 Administrative expenses $ 90,000 Assume that all the expenses were incurred on credit. 4. The board decided to set aside $ 30,000 in cash in a separate account to provide for the continu-ing education of nurses. 5. The hospital entered into a capitation agreement with the county in which it was located, agree-ing to provide hospital services to certain groups of county employees and their dependents. The agreement provided for the county to make a monthly payment for each covered county employee. Cash payments received by the hospital under this agreement were $ 300,000. 6. Collections of patient receivables totaled $ 2,200,000. In addition, $ 13,000 of patient receivables were written off as uncollectible. 7. Payments of accounts payable totaled $ 1,900,000. 8. The use of inventories was recorded as follows: Health care services $ 30,000 General expenses $ 20,000
9. Depreciation was recorded as follows: building, $ 40,000; equipment, $ 50,000.
10. During the year, the hospital paid debt service of $ 220,000 on the outstanding bonds, consist-ing of interest of $ 120,000 and principal of $ 100,000. At year- end, the hospital made an entry to report $ 100,000 of its outstanding long- term debt as current. (Assume the debt was used to finance the purchase of the hospital’s capital assets.)
11. During the year, a self- pay patient instituted legal action in the amount of $ 200,000 against the hospital for medical malpractice. The hospital does not carry insurance. Hospital attorneys have started negotiations with the claimant and believe it is highly probable that the claim can be settled for $ 50,000. (Charge the expense to Health care services.)
12. At year- end, the hospital reviewed its cost accounting records in connection with the retro-spective billing arrangement made with the third- party payer in transaction 1. b. The hospital believes it will need to refund $ 40,000 to that third party in accordance with that agreement. (The third party had paid all the billings made by the hospital in 1. b.)
Use the preceding information to do the following:
a. Prepare all the journal entries necessary to record these transactions.
b. Prepare a statement of revenues, expenses, and changes in net position for 2012.
c. Prepare a balance sheet as of December 31,2012.


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  • CreatedDecember 30, 2014
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