Sàrl incorporation for medical practices in Cama: what every SME should know
Sàrl incorporation for medical practices in Cama rests on three pillars: federal law that applies across Switzerland, cantonal deadlines worth knowing, and tools that eliminate re-keying. This guide puts it all in order, fact by fact.
Choosing the structure: Sàrl, SA or sole proprietorship
Chronologically, incorporation follows a precise thread: choose the form and the company name, pay the capital into an escrow account (Sàrl/SA), notarised deed, entry in the commercial register, then AHV affiliation and the VAT check. The Confederation's online desk (EasyGov) walks founders through these steps.
Settling in Cama also means thinking about insurance from incorporation: professional liability, property, business interruption — the accounts keep track of them and the closing allocates them correctly.
Salaries and social contributions: the rates to know
A Swiss salary reads in three columns: gross, employee social deductions, employer contributions. Confusing them distorts cost prices — and quotes from businesses in Cama.
For Sàrl incorporation, the gap between agreed gross and paid net surprises every new employer: simulate it BEFORE hiring to avoid misunderstandings with the future employee.
The Swiss legal frame for Sàrl incorporation
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.
The annual accounts (art. 958 CO) consist of the balance sheet, the income statement and the notes; they must be drawn up within six months of the year-end so the general meeting can approve them. A delay here cascades into the tax return and the final social insurance settlements.
Swiss VAT: rates, threshold and filings
Registration happens with the Federal Tax Administration and yields a VAT number based on the business identifier (format CHE-xxx.xxx.xxx VAT). From then on, every invoice must state that number, the rate applied and the tax amount — three details Sàrl incorporation should lock down from day one to avoid retroactive fixes.
For an SME in Cama, electronic filing of VAT returns has been mandatory since 1 January 2025; the tax administration's online portal is also where extensions are requested and past periods consulted. Combined with accounts that prepare the return automatically, Sàrl incorporation stops being a quarterly chore.
Cama: what changes, what does not
Sole proprietorship, Sàrl or SA in Cama: the AHV contact remains the competent compensation office, and taxes follow the scales of the canton Grisons.
For a business in Cama, that means VAT returns identical to anywhere in Switzerland, but a tax return and family allowances governed by the canton Grisons.
Frequently asked questions
What is the difference between a limited and an ordinary audit?
The ordinary audit applies to companies exceeding, for two consecutive years, two of three thresholds: CHF 20 million balance sheet total, CHF 40 million revenue, 250 full-time positions. Others fall under the limited audit, and those with no more than ten full-time positions on annual average can opt out with all shareholders' consent. These federal thresholds do not depend on the registered seat — in Cama as anywhere.
Do you need a fiduciary for Sàrl incorporation, 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 Cama.
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 Cama, family allowances follow the canton's rates.
What are the legal obligations for Sàrl incorporation in Switzerland?
The foundation is the Code of Obligations: proper bookkeeping (art. 957a CO), annual accounts (balance sheet, income statement, notes) and 10-year retention of books and records (art. 958f CO). VAT applies from CHF 100,000 of turnover, and social insurance settlements from the first employee. Nothing is different in Cama: federal law applies.
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