
Accounting for other paramedical activities without the stress: how it works
NOGA code 869005 · HUMAN HEALTH AND SOCIAL WORK ACTIVITIES
Swiss accounting law (art. 957 ff. of the Code of Obligations) sets a precise frame, yet day-to-day practice often stays fuzzy. This guide walks through what actually matters for a business based in Switzerland.
The Swiss legal frame for accounting
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 good news: the Swiss frame is stable and predictable. Structure accounting once — chart of accounts, document flow, calendar — and the same organisation pays off for years.
A well-structured SME chart of accounts
Account labels deserve as much care as numbers: “Third-party fees” says nothing, “Fiduciary fees” and “IT fees” say everything. Meaningful labels cut posting errors and make dashboards readable without a glossary.
For accounting, the right granularity is decisive: enough accounts to steer the business (margins by activity, expenses by nature), few enough that every entry finds its place without hesitation. The VAT accounts (input VAT, VAT due) deserve special care — they are the basis of the annual reconciliation.
Digitalising accounting: what actually works
Automation is judged on the exceptions: what happens when the document is unreadable, the supplier unknown, the amount divergent? A good tool isolates those cases and lets a human decide fast.
For accounting, migrating history must not block the start: begin on day one of the current financial year and import the history later if needed.

Outsource accounting 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 accounting lowers fees more surely than any negotiation.
For accounting, the internal-external duo works when both sides see the same file: same entries, same documents, same deadlines. Misunderstandings are born from parallel copies.
A Swiss SME's accounting calendar
The professionals' trick: handle every deadline at D-30, not D-1. A VAT return prepared a month early leaves time to chase a missing document without penalty.
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
What are the legal obligations for accounting 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.
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.
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.
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.
Professions in the same sector
- General care hospitals
- Special clinics
- General medical practice activities
- Specialists medical practice activities
- Dental practice activities
- Psychotherapy and psychology
- Physiotherapy
- Nursing, district nursing
- Midwifery
- Medical laboratories
- Other human health activities n.e.c.
- Residential nursing care activities
This guide by municipality
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Switch to accounting that keeps itself up to date
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Source: NOGA 2008 nomenclature, Swiss Federal Statistical Office (FSO). A statistical nomenclature: it describes an activity and is not a commercial register entry.