How the DGT's position has evolved
Current position
The chartering of aircraft for the exclusive use of public entities performing public functions is exempt from IVA (Value Added Tax). The transport of sick or injured persons in adapted vehicles also enjoys an exemption. However, the transport of organs is taxed at 21%, and the transport of medical personnel or transport together with organs is taxed at 10%.
The DGT's position remains stable regarding the application of exemptions for aircraft and vehicles of public entities performing public functions. The limits of the exemption have been specified, clearly distinguishing between the transport of sick persons (exempt) and that of organs or personnel (taxable).
Turning points
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Establishes that the transport of organs is not an exempt healthcare operation, but is taxed at 21% as it does not constitute the transport of sick persons.
Analysis based on 8 of 9 rulings with a stated position. Updated 30 September 2026.