Privatkrankenanstalt Konzession beantragen

If you want to open a private hospital, a private maternity hospital or a private mental hospital, you will need a permit under trade law, a so-called license. You must apply for this.

If you want to operate a private hospital, you need a license under trade law.

A hospital, as defined by commercial law, is an institution that serves to heal and care for patients and in which patients are treated as inpatients, i.e. are also accommodated and fed.

Only private, commercially operated hospitals require such a permit. Public institutions and those operated for non-profit, charitable or scientific purposes do not need a permit. In contrast to these, the entrepreneur who operates the private hospital has the intention of making a profit through the operation.

You can be a doctor, but you do not have to be one. If you are a physician, a distinction must be made between

• facilities that serve the exercise of your freelance activity (e.g. the surgeon's clinic) and

• establishments that are not directly related to your freelance activity and are designed to make a profit.

The permit shall indicate whether it is for the purpose of operating a private hospital, a private maternity hospital, or a private mental hospital (or a combination of these facilities). Homes that house mentally ill or mentally disabled persons and provide only occasional medical care are not private hospitals.

Permission is granted to a specific natural or legal person. If the enterprise is a partnership, each of the managing partners requires a permit. The concession is granted for an unlimited period of time, provided that no changes are made to the clinic premises or the like.

Changes within the scope of the granted concession must be reported to the competent authority without delay.

The concession does not replace other permits and authorizations required by law.

• Identity card or national passport

• Foreign nationals, with the exception of EU nationals, also require a residence permit entitling them to engage in self-employment. In the case of a comparable dependent activity as a managing director of a legal entity or as a deputy of a natural person, the same applies.

An information sheet on the procedure and the required documents is available on the website of the Thuringian State Administration Office:

Provided that the legal requirements are met, a permit shall be granted.

The permit shall be refused only in the following cases:

• If there are facts that show the unreliability of the entrepreneur in relation to the management or administration of the clinic. In addition to a lack of financial capacity, tax debts or relevant criminal records, the fact that a license has already been revoked or that you have operated a private hospital without the necessary license is considered an indication of unreliability.

• If there are facts which make the sufficient medical and nursing care of the patients appear not to be guaranteed. Although you do not have to be a doctor yourself, you must ensure that sufficient medical expertise is available (e.g. by employing doctors and nursing staff) and that a certain minimum standard is guaranteed in the medical-technical equipment.

• If, according to the descriptions and plans to be submitted by the entrepreneur, the structural and other technical facilities of the institution or clinic do not meet the sanitary requirements. The concession is issued for certain premises, it does not replace the building permit.

• If the institution or clinic is to be located only in a part of a building also occupied by other persons and its operation may cause significant disadvantages or dangers for the co-occupants of this building.

• If the asylum or clinic is intended to accommodate persons with contagious diseases or the mentally ill, and its local location may cause significant disadvantages or hazards to the owners or occupants of neighboring properties.

The amount of the fees depends on the scope of the application (basic fee 50,00 Euro + 3,00 Euro per requested bed).

An exact processing time cannot be given, as this depends on the individual case.

The private clinic can only be operated after the corresponding concession has been granted.

The appeal is part of the decision to grant the concession.

• Concession for private hospitals, private maternity hospitals and private mental hospitals Issuance
• A private hospital, maternity hospital and private mental hospital may be operated only with a permit (concession).
• A written application must be submitted by the institution's owner.
• Attachments must be submitted in accordance with the application form.
• Certain requirements must be met.
• Fees are charged.
• Responsible: Department of Public Health Services at the Thuringian State Administration Office (TLVwA).

Contact the Public Health Service Department at the Thuringian State Administration Office (TLVwA).

An informal application with the documents listed in the aforementioned information sheet is sufficient.