
Tax advisory for medical practices without the stress: how it works
Whether you run a Sàrl, an SA or a sole proprietorship, tax advisory eventually lands on your desk. Here are the practical reference points — legal basis, deadlines and common pitfalls — to decide with a clear head.
The Swiss legal frame for tax advisory
In Switzerland, the duty to keep accounts stems from art. 957 ff. of the Code of Obligations. Legal entities (Sàrl, SA) and sole proprietorships with at least CHF 500,000 in revenue keep full accounts: balance sheet, income statement and notes. Below that threshold, a simplified record of income, expenses and assets is sufficient.
Also worth knowing: accounts may be drawn up in the currency most relevant to the business; if that is not the franc, values must additionally be stated in CHF (art. 958d para. 3 CO). Internationally active companies gain books that match their economic reality.
Swiss VAT: rates, threshold and filings
The most frequent VAT mistakes are well known: the wrong rate among 8.1%, 2.6% and 3.8%, forgotten self-supplies, and a rushed annual reconciliation. Corrections are due at the latest in the return for the period containing the 180th day after the year-end — the earlier you correct, the less default interest runs.
Returns are filed quarterly (effective method) or twice a year (net tax rate method). Either way the rule is identical: file and pay within 60 days after the end of the period. An annual reconciliation with the accounts is required — this is where sloppy data entry gets expensive.
Year-end closing: how the mechanics work
Companies exceeding two of three thresholds for two consecutive years — CHF 20 million balance sheet total, CHF 40 million revenue, 250 full-time positions — move to an ordinary audit. Below that, the limited audit applies, and companies with no more than ten full-time positions on annual average can opt out with the consent of all shareholders.
A company that presents clean, punctual annual accounts gains credibility — with its bank, its suppliers and the tax administration.

Outsource tax advisory or keep it in-house?
Outsourcing tax advisory to a fiduciary frees up time and secures compliance; keeping it in-house preserves a continuous view and costs less in fees. The best answer is often hybrid: the company captures and digitises as it goes, the fiduciary supervises, closes the books and represents the company before the authorities.
Changing fiduciary is not a drama: the accounting data belongs to the company, and a clean export (entries, chart of accounts, linked documents) allows a transition at year-end. A provider who locks in a client's data says a lot about how it works.
A Swiss SME's accounting calendar
Three families of deadlines shape the year: federal (VAT within 60 days, salary declaration in January), cantonal (tax return, extensions depending on the canton) and internal (closing, general meeting within six months). Mixing them up is the leading cause of delays.
Handing deadline monitoring to a tool is no luxury: automatic reminders, a status per obligation, and an “all green” view that clears the mind. What matters is not who ticks the box — but that the box exists and everyone can see it.
Frequently asked questions
When must a business register for VAT?
As soon as its worldwide annual turnover reaches CHF 100,000 (CHF 250,000 for non-profit sports or cultural associations). Below that, voluntary registration remains possible and often makes sense to reclaim input VAT on investments.
Do you need a fiduciary for tax advisory, or can you do it yourself?
Both are defensible. Below CHF 500,000 of revenue, a sole proprietorship may keep simplified accounts itself. As soon as payroll, VAT and a closing with tax stakes are involved, professional support prevents mistakes that cost more than the fees.
When is entry in the commercial register mandatory?
A Sàrl and an SA only come into existence with their registration. A sole proprietorship must register from CHF 100,000 of annual revenue; below that, registration stays voluntary but adds credibility and protects the business name.
What are the current Swiss VAT rates?
Since 1 January 2024: 8.1% (standard), 2.6% (reduced — for example food and medicines) and 3.8% (accommodation). Returns must be filed and paid within 60 days after the period ends (quarterly under the effective method, semi-annually under the net tax rate method).
Also worth reading
This guide by municipality
Switch to accounting that keeps itself up to date
MyFiducia.ai automates tax advisory for Swiss SMEs: AI-read documents, posting suggestions, VAT and exports ready for your fiduciary. Try the platform or browse our other guides.
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