Industries

Human health activities (NACE 86)

Latvia has 2,410 active companies whose main activity is in NACE division 86, “Human health activities”, and 22.2% of them are VAT payers. In 2025 annual reports the median company turnover in the industry was €128,918, and the largest was SIA "Rīgas Austrumu klīniskā universitātes slimnīca" (€276.8 million); in 2024 the industry’s companies paid €522.3 million in taxes administered by VID (updated 24/09/2026).

Active companies
2,410 No. 19 by number of companies
VAT payers
536 22.2%
Median turnover 2025
€128,918
Taxes paid 2024
€522.3 million 4.6% of the total across industries

Turnover in 2025 annual reports

A quarter of the companies with turnover took in less than the lower quartile, and a quarter more than the upper one.

Turnover in 2025 annual reports
Lower quartile€44,605
Median€128,918
Upper quartile€276,054
Total turnover€2.06 billion
Annual reports filed2,103
Reports with turnover above zero1,942

Largest companies by turnover

Taxes paid by year

Taxes administered by VID paid by the industry's companies, by year.

2024: 522.3 € million

Taxes administered by VID paid by the industry's companies, by year
YearCompaniesTaxes paid, € millionStaff
20242,482522.349,994
20232,350480.648,574
20222,238459.747,444
20212,268410.146,194
20202,008296.945,530
20191,925272.144,576

The industry's largest taxpayers in 2024

VAT in this industry

Medical care is usually exempt from VAT, while medicines and medical devices are taxed at 12%.

Registering as a VAT payer is mandatory once taxable supplies exceed €50,000 in a calendar year. A smaller business may register voluntarily.

This is general orientation, not tax advice. For a specific transaction, check the rate in the Value Added Tax Law or with your accountant.

Tax rates in Latvia

How the figures are compiled

The industry is the main NACE code VID holds for the company in the newest year of taxes paid. Merchants have one: limited liability companies, joint-stock companies, individual merchants, partnerships and branches of foreign merchants. Farms, associations and foundations are not in the industry counts.

The data mixes NACE Rev. 2.1 codes, used in statistics from 2025, with older NACE Rev. 2 codes. Division numbers mostly match between the two, so the industry is read from the first two digits of the code. Division 45 exists only in Rev. 2.

Turnover is net turnover from the company’s annual report for 2025. Where a company filed both its own report and a consolidated group report, its own is used, and reports filed in thousands of euro are converted to euro. The median and quartiles cover companies with turnover above zero.

The report year is the newest year with at least 90% of the usual number of reports filed, since reports are filed months after the year ends. Some late reports may therefore still be missing.

Taxes paid are VID’s published totals of taxes administered by VID, net of refunds, grouped by the NACE code the company had in each year.

Sources

Fakts compiles these figures from the datasets above, published on data.gov.lv under the CC0 licence. They are not official statistics.

Questions

How many companies work in “Human health activities”?
Latvia has 2,410 active companies whose main NACE code in VID’s data is in division 86. 536 of them are VAT payers.
What is a typical turnover in “Human health activities”?
In 2025 annual reports the median turnover was €128,918: half of the industry’s companies with turnover took in more, half less.
How is a company’s industry determined?
By the main NACE code the company gave VID, as published in VID’s data on taxes paid. The newest year’s code is used.
Why are farms and associations missing from the industries?
VID publishes a NACE code only for merchants. Farms, associations and foundations have none in this data, so they are not in the industry counts.

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