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St. Simon's Hospital, a non-profit entity had the following data for December 2020: Total services provided at hospital billing rates Covered by insurance carriers with
St. Simon's Hospital, a non-profit entity had the following data for December 2020: | |||||||||||||||
Total services provided at hospital billing rates | |||||||||||||||
Covered by insurance carriers with contracts with hospital | 3,000,000 | ||||||||||||||
Covered by insurance carriers without contracts | 1,000,000 | ||||||||||||||
Private pay not covered by insurance | 500,000 | ||||||||||||||
Charitable care not subject to any billing | 1,000,000 | ||||||||||||||
Total services at billing value | 5,500,000 | ||||||||||||||
All amounts are payable after november | |||||||||||||||
Contracted insurance carriers pay at average of 60% of hospital billing rate but usually have no collection risk other than contractual discount | |||||||||||||||
Insurance carriers without contracts pay at average of 80% of hospital billing rates but has no collection risk other than negotiated discount | |||||||||||||||
Private patients pay at 100% rates (no discount) but generally do not pay 40% due to lack of payment rather than discounts | |||||||||||||||
7 | How much revenue should St Simons report for the month of December | ||||||||||||||
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8 | Ultimately, in 2021 after issuance of December financial statements, insurance carriers without contracts actually wound up paying 70% of hospital billing rates instead | ||||||||||||||
of 80% due to more difficult negotiations on rates. This $100K shortfall from expected collections should be recorded as what income statement account and in what year: | |||||||||||||||
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9 | Ultimately, in 2021 after issuance of December financial statements, insurance carriers with contracts actually wound up agreeing to pay 60% of hospital billing rates. | ||||||||||||||
However, one carrier , Green Cross Insurers, who had agreed to pay at 60% unexpectedly went bankrupt in March 2021 and was unable to pay the $50,000 they owed. | |||||||||||||||
This $50K shortfall from expected collections should be recorded as what income statement account and in what year: | |||||||||||||||
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