
Annual closing for medical practices in Genève without the stress: how it works
Annual closing for medical practices in Genève raises the same questions for most Swiss SME owners: which obligations apply, which deadlines are running, which documents to prepare. This page covers the federal rules in force — without unnecessary jargon.
Year-end closing: how the mechanics work
Accrual accounting is the technical heart of the closing: every income and every expense belongs to the year it economically concerns, regardless of the payment date. Rents paid in advance, insurance premiums straddling the date, supplier invoices arriving in January: all flow through accrual accounts.
The notes complete the figures: valuation principles, liabilities towards pension institutions, contingent liabilities, or the number of full-time positions. Careful notes reduce questions from the auditor and the banks.
A Swiss SME's accounting calendar
Extensions exist and can be requested: cantonal deadlines for the tax return, deferral of the VAT filing on a reasoned request. But an extension does not stop interest: on VAT, default interest runs from the ordinary due date even when more time has been granted.
The useful reflex: date every obligation the moment it arises. An employee hired means AHV/LPP deadlines created; VAT registration means a filing cycle set; a closing date fixed means backward planning of the close. Well organised, the annual closing calendar fills itself.
Outsource annual closing or keep it in-house?
A fiduciary's cost depends first on the quality of the data received: digitised, filed, reconciled documents are processed fast; a box of loose receipts is billed by the hour. Improving the internal preparation of annual closing lowers fees more surely than any negotiation.
A business in Genève can combine the models: internal day-to-day entry, monthly external supervision, closing and taxes with the specialist — annual closing splits very well.

A well-structured SME chart of accounts
Shareholder current accounts demand strict hygiene: every private withdrawal documented, interest at the rates accepted by the tax administration, and a clean-up at closing.
Suspense accounts (to clarify) are useful provided they are emptied monthly: a swelling “miscellaneous” account is the classic symptom of a chart that no longer fits the activity.
Genève: what changes, what does not
Genève (postal code 1201, canton Geneva) applies the same federal rules as the rest of the country: what changes in Genève are the cantonal counterparts — tax administration, compensation office, commercial register.
For a business in Genève, that means VAT returns identical to anywhere in Switzerland, but a tax return and family allowances governed by the canton Geneva.
Frequently asked questions
Do you need a fiduciary for annual closing, 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. With a shared platform, the fiduciary does not even need to be in Genève.
Which social contributions does a Swiss employer pay?
AHV/IV/APG: 5.3% employer share (the same is withheld from the employee); unemployment insurance: 1.1% each up to CHF 148,200 a year; occupational pension (LPP) by age and plan (employer at least 50%); occupational accident insurance paid by the employer; family allowances by canton. For an employer in Genève, family allowances follow the canton's rates.
Which documents should be prepared for the year-end closing?
Bank and cash statements at the closing date, the inventory of stock and work in progress, final AHV/LPP/accident settlements, contracts signed or amended during the year, invoices straddling two years and the detail of accruals. With an up-to-date document archive, most of it is already there. The list is identical in Genève: the CO dictates it, not the commune.
How much does annual closing cost in Genève?
It depends on document volume, the number of salaries and VAT complexity — no serious figure can be quoted without examining the file. Two levers cut the bill everywhere: digitised, well-filed receipts and software that prepares entries instead of having them re-keyed.
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Switch to accounting that keeps itself up to date
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