Care Home Accounting: Occupancy, Fee Income and the Agency Staff Problem
Introduction A 64-bed nursing home’s September management accounts show occupancy at 91% and the best month of the year. Then the reviewer reconciles the council remittance. Two residents who died in August are still being accrued at the full weekly fee. It gets worse. A resident who moved from residential to nursing care in July […]
Healthcare VAT: Exempt Supplies, Partial Exemption, and Where the Boundary Sits
Introduction A private GP clinic opens with consultations, health screening and travel vaccines. Two years in, it starts writing medico-legal reports for a firm of personal injury solicitors. Then a nurse prescriber begins Botox and fillers on Thursday evenings. Nobody registers for VAT, because medical services are exempt. By the time the accountant looks, the […]