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The British Columbia Medical Professional Corporation: Tax Savings Guide

How British Columbia physicians use a Medical Professional Corporation to defer tax, pay themselves well and protect their small business rate.

By the ZAI Wealth advisory team · Updated September 2026

In short: A British Columbia Medical Professional Corporation pays roughly 11% combined tax (9% federal plus 2% provincial) on small business income, compared with a top personal rate of about 53.5%, leaving roughly 42 cents more of every surplus dollar to compound. This guide from ZAI Wealth Management covers deferral, salary versus dividends, the BC Employer Health Tax and the passive income clawback.

Why incorporate in British Columbia

Practising medicine in British Columbia comes with rising overhead, MSP billing and a fee schedule you don't control. A Medical Professional Corporation (MPC) is the most effective legal tool you have for keeping more of what you earn, once it's set up and run well.

To practise through a corporation, you need a permit from the College of Physicians and Surgeons of British Columbia.

The power of tax deferral in British Columbia

Income you earn personally at the top bracket in British Columbia is taxed at a combined rate of about 53.5%. Inside your MPC, active business income up to the small business limit is taxed at about 11.0% (9% federal + 2% provincial).

Where the dollar is taxedBC rate (approx.)Left to invest
Top personal bracket53.5%46.5¢
Your MPC (small business rate)11.0%89.0¢

That's roughly 42 cents more of every surplus dollar invested and compounding for you. It's a deferral, not a permanent saving: personal tax is paid when money comes out later. The advantage is the extra money growing in the meantime, often for decades.

Run your own numbers with our Physician Tax Savings Calculator.

Salary vs. dividends for British Columbia physicians

  • T4 salary: deductible to the corporation, builds RRSP room and CPP, supports mortgage approval, and is required for an Individual Pension Plan (IPP).
  • Dividends: no payroll or CPP contributions and flexible timing, with a dividend tax credit on the personal side. They don't create RRSP room.
  • The blended approach: most incorporated physicians take enough salary to build RRSP room (or fund an IPP), then top up with dividends. Review the mix every year.

BC Employer Health Tax: EHT applies once total BC payroll passes $1,000,000, with a higher notch rate between $1 million and $1.5 million and 1.95% of total payroll above that. Associated corporations share the exemption, so plan payroll across your group.

Protecting your BC small business rate from the passive income clawback

If your MPC earns more than $50,000 of passive investment income in a year, your federal $500,000 small business limit shrinks by $5 for every $1 over. At $150,000 it's gone, and your practice income is taxed at British Columbia's general corporate rate of about 27%.

Ways physicians stay under the line include tax-efficient corporate investing (growth over annual income), an Individual Pension Plan and corporately owned exempt policies. See our full guide to avoiding the passive income clawback.

Take control of your practice's surplus

Your practice isn't generic, and your corporate plan shouldn't be either. Start with our Physician Tax Savings Calculator, then book a call to go through your real numbers. For the bigger picture, read our physician tax strategy guide.

For illustration and general information only. Tax rules change and every situation is different, so speak with your advisor and accountant before acting on anything here.

Common questions

What is the corporate tax rate for a medical corporation in each province?

Combined small business rates for a Medical Professional Corporation are roughly 10% in Saskatchewan, 11% in Alberta, 11% in British Columbia, 11.2% in Ontario, 10.5% in Nova Scotia and 11% in Newfoundland & Labrador, each being the 9% federal rate plus the provincial rate. Top personal rates range from about 47.5% in Saskatchewan to about 54.8% in Newfoundland & Labrador. ZAI Wealth Management publishes a guide for each province on zaiwealth.ca.

Should a physician pay themselves salary or dividends?

Most incorporated physicians use a blend. A T4 salary creates RRSP contribution room, builds CPP entitlement, supports a mortgage application and makes an Individual Pension Plan possible; dividends are more flexible, avoid payroll administration and can be timed around income. ZAI Wealth Management sets the mix each year with the physician's accountant based on cash needs, registered room and retirement timeline.

See all physician money questions →

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