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A non-profit association has requested clarification on whether physiotherapy and psychology services for children with special needs are exempt from VAT. The Directorate General for Taxes (DGT) has ruled that the exemption depends on whether the services qualify as healthcare or social assistance.
Question raised: Taxation of services provided by the association. Applicable exemption.
Medical, surgical, or healthcare assistance services for the diagnosis, prevention, or treatment of diseases are exempt if provided by healthcare professionals, even if acting through a company. Psychology services are only exempt in their clinical branch. On the other hand, social assistance services are exempt if the entity is considered a private establishment of a social nature. Services that do not meet these requirements shall be subject to the general rate of 21%.
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