Healthcare GST Compliance at a Glance
📌 TL;DR - GST Returns for Healthcare Services at a Glance
Healthcare services by clinical establishment, authorised medical practitioner, or paramedics are exempt under Entry 74 of Notification 12/2017-CTR (Heading 9993). Room rent above INR 5,000 per day attracts 5% GST without ITC (ICU/CCU/ICCU/NICU always exempt). Doctor fees and retention by hospital are exempt per CBIC Circular 32/06/2018-GST. In-patient food per doctor advice is composite-exempt; canteen food and pharmacy retail are taxable. Cosmetic surgery and hair transplant are 18% (except reconstruction). Common ITC reversal under Section 17(2) and Rule 42/43. Patron Accounting starts from INR 1,499 per month.
Healthcare is one of the few sectors where the GST default is exemption. Entry 74 of Notification 12/2017-CTR exempts healthcare services provided by clinical establishments, authorised medical practitioners, and paramedics under Heading 9993. CBIC Circular 32/06/2018-GST dated 12 February 2018 confirms that doctor fees (whether employee, contract, or visiting), hospital retention money, and food supplied to in-patients per doctor advice are all part of the composite healthcare supply and remain exempt. The corresponding IGST exemption is Entry 77 of Notification 9/2017-IT(R).
Exemption is not the end of compliance. Notification 4/2022-CT(R) dated 13 July 2022, effective 18 July 2022, brought room rent above INR 5,000 per day under 5% GST without ITC (with ICU, CCU, ICCU, and NICU rooms always exempt regardless of charges). Pharmacy retail counters serving outsiders, food canteens not linked to doctor dietary orders, cosmetic and plastic surgery, hair transplant, medical equipment leasing to other establishments, and ambulance services to non-patients all carry their own rates. Patron Accounting LLP runs monthly healthcare GST compliance starting from INR 1,499 per month per facility - covering exempt supply reporting, taxable stream identification, Rule 42/43 common ITC reversal, TPA / insurance reconciliation, and DRC-01C mismatch defence.
Content is reviewed quarterly for accuracy.



