- Two foundations, part of a fiscal unity, operated hospitals and collaborated with independent medical specialists organized in Medical Specialists Cooperatives (MSCs).
- Framework agreements outlined cooperation and financial arrangements between the foundations and MSCs.
- Foundations provided liability insurance covering MSCs, who reimbursed their share of the premium.
- Insurance policies covered MSCs and specialists for intramural care activities.
- Production agreements specified that half of the insurance premiums and related costs were charged to MSCs.
- The foundations charged MSCs for half of the insurance premium and included VAT.
- X objected to the VAT payment, but the objection was initially rejected.
- The Court of Appeal in Amsterdam ruled that X provided services to MSCs by securing insurance coverage, qualifying for a VAT exemption.
- The decision was based on EU Court of Justice precedents, indicating that X’s services were exempt from VAT under insurance exemption rules.
Source: futd.nl
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.
