Private hospitals; application for a concession.

If you want to operate a private hospital, you need a permit under trade law, a so-called concession.



Permission is required from the entrepreneur, i.e. the person who operates the establishment for his own account and under his own responsibility.

If an establishment is operated by a partnership, each personally liable partner requires permission.

The entrepreneur must demonstrate the above-mentioned reliability in relation to the management or administration of the institution.

A hospital only exists if inpatient or day-care treatment is planned.


The entrepreneur must submit an application for a permit; the district administrative authority then checks whether a prohibition requirement (see above) exists. In addition, the local police and municipal authorities are consulted. Finally, the permit may be issued subject to conditions or other ancillary provisions.

Special notes

Before submitting an application, the responsible district administrative authority should be consulted regarding the documents to be submitted in detail.


Any person who commences operation of the establishment before the permit has been granted shall be deemed to have acted in breach of the regulations and may be fined (Section 144 GewO). It is a criminal offense if the entrepreneur persistently repeats the infringement or if this endangers the life and health of another person or property of significant value (Section 148 GewO).

Required documents

  • Evidence that there are no grounds for refusal of a permit

    (self-disclosure and extracts from the register)

  • Documentation on designated physicians and other personnel for medical and nursing care

  • Plans of the buildings and equipment of the rooms


  • 2,500 to 10,000 EUR

Legal bases


Administrative court proceedings; information

administrative claim


Responsible for editing:Bayerisches Staatsministerium für Gesundheit, Pflege und Prävention

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