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A public entity under private law has requested a ruling regarding the VAT liability and exemption of its healthcare services and the conduct of clinical trials. The DGT has determined that healthcare assistance is exempt subject to certain requirements, whereas clinical trials are subject to VAT as they constitute a research activity.
Cuestión planteada Sujeción y en su caso exención de las operaciones descritas.
La asistencia médica, quirúrgica o sanitaria está exenta si es para diagnóstico, prevención o tratamiento de enfermedades y es prestada por profesionales sanitarios. Los ensayos clínicos en personas físicas no están exentos porque su finalidad principal es la investigación y no la protección de la salud. La entidad tendrá la condición de empresario o profesional si realiza actividades de forma onerosa asumiendo riesgo y ventura.
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