VAT in the care sector

As a healthcare institution, you deal with VAT every day - consciously or unconsciously. You purchase supplies, establish partnerships, second your personnel, sell products and services to clients, visitors and employees and receive various subsidies and contributions. We help your organisation deal with VAT with more awareness, limit (unconscious) risks as much as possible and embed VAT in your standard business processes.

In the Netherlands, VAT is an important resource for the treasury. Healthcare institutions contribute their share. The question is: what part must your healthcare organisation contribute? To answer that question, your VAT position must be outlined and VAT levying embedded in your business processes. We can help you with this.

Outline your VAT position

Most activities of healthcare institutions are exempt from VAT. This means that no VAT is paid on money received and VAT on purchasing is part of the costs. For a number of activities, however, it is not clear whether these are or are not exempt from VAT and whether or not VAT on purchases is deductible. In addition, legislation and regulations change regularly. We outline your VAT position so that you can respond appropriately to these changes and have control over your obligations to the tax authorities. By means of a Tax Control Framework, this can be embedded in your business processes.

Tax Control Framework

Of course, a Tax Control Framework can include all taxes. By means of a VAT scan and a number of interviews, we outline your current VAT position (actual position). We then discuss your goals and wishes with regard to fiscal management and jointly formulate the proverbial dot on the horizon (target position). We prepare a plan (TCF) to work from the actual position to the target position where work can be done in phases on an (overall) fiscal management of your organisation.

Increasing and updating your knowledge of VAT

Because many different people in your organisation have to deal with VAT, training courses are an effective way to increase the knowledge of VAT within your organisation. Our in-house training courses are tailor-made for you whereby we work with examples from your own practice.


Curious about recent changes in Dutch law and regulations, tips for international companies in the Netherlands, our Baker Tilly International network and much more? Read the latest articles on a variety of topics here and stay up-to-date.

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Baker Tilly Berk turnover increases by 12.7% to € 99.4 million

Strongest growth was recorded in audit and in tax consultancy.

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Fraud leads European Commission to announce a new VAT regime for intra-Community trade in goods

Fraud leads European Commission to announce a new VAT regime for intra-Community trade in goods

A new VAT regime will be introduced in order to reduce fraud. How will this affect your business?

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Possible European VAT impact for intermediaries in chain transactions!

Recently the VAT working group of the European Commission published a document in which they provide their opinion about the VAT treatment of ABC-transactions as a result of the European Court of Justice (ECJ) judgement 'Fast Bunkering'.

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Approval of VAT-system Gulf area

Last month the introduction of a VAT-system in in the Gulf area has been approved.

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New web application for your intrastat return

As of January 1 Dutch intrastat authorities, will introduce a new program for filing the intrastat returns. The web application Intrastat Data Entry Package (IDEP) will replace the current program called CBS-IRIS.

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Register now for new VAT rules E-Commerce

Because of new VAT rules for E-commerce services, companies can register in the MOSS system as of October 1, 2014.

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New VAT rules for E-commerce services: Are you ready?

As from 1 January 2015 new VAT rules for E-commerce services supplied to non-taxable customers within the EU are applicable.

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EU VAT refund

Entrepreneurs established all over the world are in principle entitled to a refund of EU VAT that has been charged to them. This newsletter explains how this EU VAT can be reclaimed.

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New rules for tax representation

The Dutch State Secretary of Finance has just released new guidelines for tax representatives. In particular, the rules for calculating the required security (for example a bank guarantee or cash deposit) have changed.

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