Services Who we serve About Us Downloads Contact Request an engagement
Trades and construction Transport and logistics Hospitality and personal services Doctors and health professions Liberal professions Creative work and media Property and letting Polish businesses in Germany Private individuals and employees
Tax adviser in Hamburg/Who we work for/Doctors and health professions

Doctors · Practices · Health professions

Doctors and health pro­fes­sions

Medical treatment is generally exempt from VAT under § 4 no. 14 UStG. Whether reports, self-pay services or letting rooms trigger VAT depends on the purpose of the service and the conditions of the relevant exemption. We check this for each service and record taxable sales separately.

Services for this group

Our focus

Sectors in this group

  • Doctors

Separating exempt and taxable turnover

So that input VAT on equipment, fittings and refurbishment is apportioned correctly.

Cash basis accounts for the practice

Freelancers do not prepare a balance sheet. The date of payment decides which year income falls into, which leaves some room to plan.

Practice sharing or a joint practice

Two forms with markedly different tax consequences. The choice has effects for years.

Exemption from state pension insurance

If you belong to a professional pension scheme. The application form is in the downloads section.

De­pre­ci­a­tion of practice equipment

Equipment, fittings and improvements to leased premises, each with its own useful life.

Taking over or handing over a practice

Allocation of the purchase price, treatment of the patient base and the question of when a reduced tax rate applies to the gain on disposal.

Common questions

Questions we hear often

Are all of my services really exempt?

Not necessarily. Medical treatment, meaning a service with a therapeutic purpose, is exempt. For reports and self-pay services, that purpose decides. Cosmetic procedures without a medical indication are usually taxable, while letting rooms is usually exempt under a separate rule. We check this for each service.

I am in a pro­fes­sional pension scheme. Do I still pay into the state scheme?

As an employee, yes at first, until the exemption application is granted. The application does not apply retrospectively without limit, so it should be filed early.

When is a balance sheet better than cash basis accounts?

For freelancers, as a rule not. Cash basis accounting is simpler and lets you place payment dates deliberately.

Request an engagement

Let us get to know each other

Write briefly what the matter is. The questionnaire takes a few minutes and your answers go straight to Marek Hejzel. We then arrange a first meeting, at the practice or by phone.

Kanzleischild an der Schloßstraße 108 in Hamburg Wandsbek
Call Request an engagement