The short answer
An associate can work with a clinic in three common ways: as a contractor paid a percentage of collections (the clinic provides space, staff and supplies), as a contractor who pays the clinic a flat fee and keeps the rest, or as an employee on salary. Each one splits the same collections differently between the associate and the clinic, and each carries different costs: a contractor pays both halves of CPP and sets aside their own tax, while an employer pays CPP, EI, WorkSafeBC and possibly BC Employer Health Tax. This tool compares them side by side. It is not a ruling on whether someone is an employee, because that depends on the facts, so there is a status checklist as well.
Where to find the numbers
| Number | Where it comes from |
|---|---|
| Associate’s collections | The billing or collections report for that provider for the year. |
| Clinic’s cost to support the associate | The share of space, front-desk and support staff, supplies and equipment the clinic provides for that provider. An estimate from the clinic’s income statement. |
| Split percentage or flat fee | The associate agreement or the offer being considered. |
| Clinic’s current BC payroll | Total BC payroll of the clinic and associated companies for the year (salaries, bonuses and taxable benefits), from payroll reports. Needed for Employer Health Tax. |
If this happens, then that
| If… | …then |
|---|---|
| You pay a percentage of collections | The associate shares the risk of slow collections and low volume. The clinic keeps the rest after supporting the associate. It only works as a contractor arrangement if the facts support self-employment. |
| The associate pays a flat fee | The clinic’s income is steady but the associate carries all the volume risk. The fee should cover the clinic’s cost to support them. |
| The associate is an employee | The clinic withholds tax, CPP and EI and pays employer CPP, EI and WorkSafeBC, vacation pay and possibly Employer Health Tax. The clinic carries the volume risk. |
| The clinic’s BC payroll is near or over $1 million | Each new employee can push the clinic into Employer Health Tax. Related companies share one exemption. |
| Most status facts point to employment but the associate is paid as a contractor | The CRA can reclassify the worker. The clinic could owe the missed CPP, EI and tax, plus penalties and interest. Get advice before relying on the arrangement. |
Tax figures use the same simplified 2026 federal and British Columbia estimate as the firm’s other tools (employment or self-employed income only, no other income or deductions). The firm can work out the real numbers for your clinic. See healthcare accounting and the Employer Health Tax guide.
Where this comes from
Links open other websites.
- CRA: RC4110, Employee or self-employed?
- BC government: Employer Health Tax
- WorkSafeBC – employer coverage and rates
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This free tool is a courtesy of HJ Wu & Company Inc. (CPA), a Vancouver CPA firm offering accounting, tax, financial reporting and review assurance. Feedback on the calculators is welcome.