Article 11A(1)(a) of Sixth Council Directive 77/388/EEC and Article 73 of Council Directive 2006/112/EC must be interpreted as meaning that a lump-sum payment such as the ‘healthcare lump sum' at issue in the main proceedings constitutes the consideration for the healthcare provided for consideration by a residential care home for the elderly to its residents and, on that basis, falls within the scope of VAT.