In Canada, physicians can be paid in the following ways:
Fee for service: The physician bills their provincial ministry of health a specified amount for each type of visit or procedure.
Alternative payment plans: Under these arrangements, the province pays physicians directly using a model other than fee for service, such as salary, sessional (payment on an hourly or daily basis), capitation (payment based on the number of patients on a doctor’s roster), or block funding (in which practice groups are paid for services beyond the clinical, like teaching, research or administration).
In the tables below, we show the “gross clinical payment per full-time equivalent.”
Gross clinical payment: This is the amount that the government pays the physician, whether it is fee for service or an alternative payment plan. From this amount, the self-employed physician will need to pay their overhead expenses (e.g., rent, staff salaries, equipment, insurance) and other deductions. The remaining is the physician’s net clinical revenue, from which they will pay personal taxes and/or corporate taxes if their medical practice is incorporated.
Full-time equivalent: Not all physicians work full-time, and part-time earnings can distort the calculation of average income. The “full-time equivalent” metric aims to produce statistics that are comparable between full-time and part-time, across jurisdictions and across specialties.
New Brunswick $403,677
British Columbia $389,716
Prince Edward Island $377,211
Nova Scotia $357,318
Newfoundland and Labrador $355,523