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German Business Tax Exemption for Home Nursing Services Billed Through a Third Party

  • The German Federal Fiscal Court held that trade tax exemption under Section 3 No. 20(d) GewStG applies to ambulatory nursing income even if billing to social insurance or social welfare bodies is handled through a third party.
  • The exemption depends on the nursing services being actually provided to sick or care-dependent persons and on at least 40% of cases being economically borne in whole or mainly by statutory social insurance or welfare institutions.
  • Direct reimbursement to the nursing provider is not required; the legal structure of the service and billing arrangement does not defeat the exemption.
  • The court therefore dismissed the tax authority’s appeal and upheld the lower court’s ruling in favor of the nursing company.

Source: bundesfinanzhof.de

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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