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Assessment of VAT Liability for Healthcare Services Provided in Medical House Facilities

  • Assessment is needed to determine if the medical house or individual medical companies provide healthcare to patients.
  • The agreement between the medical house and the medical company is crucial for this assessment.
  • If the agreement indicates the medical company provides services by supplying medical staff, it may be considered staff leasing, subject to tax.
  • If the medical house provides services to the medical company, the nature of these services must be evaluated.
  • In the absence of a clear agreement, other circumstances must be considered to determine who provides the healthcare.
  • This stance replaces a previous one from December 2021 and aligns with new regulations effective July 2023.
  • The Swedish Tax Agency provides guidance on determining who directly provides healthcare to patients in medical house agreements.
  • The term medical company includes both individual practitioners and those operating as taxable entities.
  • The term medical house refers to a company that collaborates with various medical companies to provide healthcare in shared facilities.
  • The issues addressed stem from a 2021 court ruling that identified the individual medical company as the healthcare provider, not the medical house.

Source: www4.skatteverket.se

Note that this post was (partially) written with the help of AI. It is always useful to review the original source material, and where needed to obtain (local) advice from a specialist.

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