You deal with CNAM, the VAT exemption on medical services, and medicine stock records — each with its own rules. A clinic classified incorrectly ends up paying VAT on services that are exempt; a pharmacy that mixes up the 8% rate on medicines with the 20% rate invites inspections. We keep your records right, based on the documents you send us, so you can focus on patients, not filings.
In Moldova, medical services are exempt from VAT without the right to deduct under art. 103 para. (1) point 10) of the Tax Code, but the exemption does not cover cosmetic services — these are taxed at the standard rate, which means a clinic with mixed activity has to keep separate records. Pharmacies work on a different logic: medicines listed in the State Register of Medicines are sold at the reduced 8% rate alongside goods taxed at 20%. Institutions under contract with CNAM are reimbursed at the tariffs approved by the Ministry of Health and CNAM. Added to this are activity licensing, depreciation of medical equipment, and protection of patient health data — a special category under Law No. 133/2011 (being aligned with GDPR through Law No. 195/2024). We take over the bookkeeping, payroll and documents, based on the records you make available to us.
What we handle and how
VAT exemption applied wrongly on mixed activity
You provide medical consultations that are VAT-exempt, but also cosmetic procedures that fall outside the exemption. If you keep them in the same records, you either pay VAT on what was exempt or miss VAT on what was taxable — and that shows up at the first check.
We apply the VAT exemption for medical services correctly under art. 103 of the Tax Code and separate taxable supplies, such as cosmetic services. We keep records by category, based on your documents, so the classification of each service is clear and defensible.
You work under contract with CNAM, but the reimbursed amounts don't match the services provided and recorded, and when the period closes you no longer know what has been paid and what is still pending.
We record CNAM reimbursements correctly at the approved tariffs, reconcile the amounts received with the services reported, and keep track of receivables, so you clearly see what has been collected and what is in progress. We work from the reports and documents you send us.
In the pharmacy you have medicines at the reduced 8% rate and goods at 20%, plus batches, expiry dates and daily ins and outs. When the rates get mixed in the records, the VAT calculation comes out wrong and the inventory won't close.
We keep records of medicine and consumable stock based on the primary documents you provide, apply the 8% rate to eligible medicines and 20% to the rest, and reconcile inflows with outflows, so the inventory and VAT match.
Expensive medical equipment with no clear depreciation plan
You invested in equipment — ultrasound, dental unit, analyzers — but you don't know over what period it depreciates or how it shows up in expenses, so the tax result doesn't reflect reality.
We record medical equipment as fixed assets and calculate depreciation over the correct useful life, both for accounting and for tax. That way your expenses reflect the real wear on the equipment, and the period's result becomes accurate.
Licensing and patient data protection left for last
Medical and pharmaceutical activity require a license and compliance documents, and patient health data is a special category. Without the paperwork in order, you risk having your activity suspended or facing sanctions in a data inspection.
We assist you with the documents for licensing medical and pharmaceutical activity and with patient data protection under Law No. 133/2011, being aligned with GDPR. We prepare the records and procedures so you're ready for an inspection.
Payroll for medical staff, with on-call duty and bonuses
You have doctors, nurses, pharmacists — with contracts, shifts, on-call duty and mandatory withholdings. A payroll calculated wrongly means CNAS and CNAM contributions reported incorrectly and discontent in the team.
We prepare payroll for medical staff, correctly calculate CNAS contributions and CNAM premiums, manage contracts and withholdings, and file payroll reporting on time. You send us the timesheet, we handle the rest.
How much does accounting cost for a clinic or pharmacy?
It depends on the volume of documents, the number of employees, the relationship with CNAM and the type of activity — a clinic with VAT-exempt services is kept differently from a pharmacy with stock and 8% and 20% rates. We give you a fixed monthly quote after a free consultation where we understand your situation, with no hidden costs.
How do I switch from my current accountant to you?
We take over the records where they left off: we request the trial balance, the ledgers, the stock position and the CNAM reimbursements, check the balances and continue without a pause. We coordinate the handover of documents on your behalf, and you don't lose a single day of activity.
Are my clinic's services exempt from VAT?
Medical services are exempt from VAT without the right to deduct under art. 103 of the Tax Code, but the exemption does not cover cosmetic services, which are taxed at the standard rate. If you have mixed activity, we keep separate records and classify each service correctly, based on your documents.
How do you manage the pharmacy's medicine stock?
We keep stock records based on the primary documents you send us — incoming invoices, receipts, inventories. We apply the correct VAT rate for each category (8% on eligible medicines, 20% on the rest) and reconcile inflows with outflows, so the inventory and the returns match.
Do you help with licensing and patient data protection?
Yes. We prepare the documents for licensing medical and pharmaceutical activity and assist you with the requirements for protecting health data, a special category under Law No. 133/2011, being aligned with GDPR. We work on the paperwork and procedures, not on the medical activity itself.
Do you also calculate medical staff salaries?
Yes. We prepare payroll for doctors, nurses and pharmacists, calculate CNAS contributions and CNAM premiums, manage contracts and withholdings, and file reporting on time. You send us the timesheet and on-call hours, we handle the calculation and the returns.
Hand your books to people who know your industry
Start with a free consultation and a dedicated account manager.