Physicians get share rules almost no other profession gets. Here is what Ontario Regulation 665/05 actually permits, what the College requires, and where the tax advice you have probably heard is out of date.
Physicians in Ontario can incorporate their practice as a professional corporation, and the rules that apply to them are not the rules that apply to most other professionals. Medicine is one of only two professions — dentistry is the other — that Ontario treats differently on the question of who may own shares.
The general rule in the Business Corporations Act is that every issued share of a professional corporation must be owned by a member of the same profession. Physician corporations are expressly exempt from that rule. Under Ontario Regulation 665/05, section 2, a different structure applies:
Family member has a precise meaning here: spouse, child or parent. Not siblings. Not nephews. The definition does reach a person you have demonstrated a settled intention to treat as a child of your family, which matters in blended families more often than people expect.
The ability to issue non-voting shares to family is often described as an income-splitting opportunity. That description is roughly a decade out of date. The federal tax on split income rules restrict dividends paid to family members who are not genuinely active in the business, and the “excluded shares” exception that saves many private companies is unavailable to a professional corporation as a matter of definition.
That does not mean the structure is pointless — tax deferral inside the corporation remains real, and some family situations still qualify under other exceptions. It means the analysis belongs with your accountant before the share structure is built, not after. We structure the corporation; we do not give tax advice, and we will say so plainly rather than guess.
Incorporating does not entitle the corporation to practise. The College of Physicians and Surgeons of Ontario must issue a certificate of authorization first, and the corporate name has to satisfy the College's own naming regulation: it must include the surname of a shareholder who is a College member, indicate the profession being practised, end with “Professional Corporation”, and contain nothing else. A numbered company will not do.
The certificate is not a one-time hurdle either. It carries renewal obligations, and a corporation that falls out of good standing with the College has a problem that is not fixed at the corporate registry.
This is the point most often misunderstood. A medical professional corporation does not shield you from personal liability for your own professional negligence. You remain personally responsible for your clinical work, and your insurance remains what stands between you and a claim. What the corporation can offer is deferral, planning flexibility, and some protection against ordinary business liabilities that have nothing to do with practising medicine.
A structure is only worth having if you understand what it does. Dentists face a near-identical regime with its own College — see dental professional corporations — and every other profession sits under the general Ontario rules.
Every voting share must be legally and beneficially owned by a member of the College of Physicians and Surgeons of Ontario. Non-voting shares are different: under Ontario Regulation 665/05 they may be held by a College member, by a family member of a voting physician shareholder, or by trustees in trust for that shareholder's minor children.
The regulation defines it narrowly: the shareholder's spouse, child or parent. It does not extend to siblings, nieces, nephews or more distant relatives. "Child" and "parent" are defined to include a person the shareholder has demonstrated a settled intention to treat as a child of the family.
Not automatically, and this is where a lot of dated advice goes wrong. The federal tax on split income rules restrict dividends paid to family members who are not genuinely active in the business. The "excluded shares" exception that rescues many other companies is unavailable here, because it requires that the corporation not be a professional corporation. Whether any exception applies to your family is a tax question for your accountant, not a corporate one.
The name must satisfy the Business Corporations Act, include the surname of one or more shareholders who are College members, indicate the health profession being practised, and end with "Professional Corporation". It cannot be a numbered company, and it cannot contain information beyond what the regulation permits.
Yes. Incorporating is only half of it. The corporation cannot practise medicine until the College of Physicians and Surgeons of Ontario issues a certificate of authorization, and that certificate carries ongoing renewal obligations.
No. A professional corporation does not shield a physician from personal liability for their own professional negligence. You remain personally responsible for your clinical work. What the structure can offer is tax deferral and planning flexibility, and some protection against ordinary, non-professional business liabilities.
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