Physicians & surgeons: what we charge

For physicians & surgeons: the cross-border filings, the treaty relief and the disclosures, handled end to end on a written fixed fee.

  • 15+Years of cross-border experience
  • 18,000+Clients served
  • 5.0Google rating
  • 4Global offices — India, USA, Canada & UAE

Secure a fixed quote

Whatever documents you hold are enough to begin: we read them and put a fixed price in writing first.

24-hour helpline: +1 (416) 619-0068
  • 24-hour helpline: +1 (416) 619-0068
  • Fixed fee agreed before work starts
  • Offices in India, the USA, Canada and the UAE
In short

Physicians moving between systems carry a professional corporation or practice that does not travel with them: the entity remains taxable where it was resident, while the doctor becomes taxable where they now work.

On this page: the rule that applies here, the questions we are asked first, two finished files with their numbers, how an engagement runs, and the fee it starts from.

The rule that applies to this group and not the one next to it

Physicians moving between systems carry a professional corporation or practice that does not travel with them: the entity remains taxable where it was resident, while the doctor becomes taxable where they now work.

Here is the part that decides your answer. Two people with identical incomes and identical passports can owe completely different amounts because one of them falls inside a provision the other does not. That is the whole reason this page exists as its own page rather than as a paragraph on a general one.

The firm’s founder at his desk in the Delhi office

Transparent, fixed pricing for physicians & surgeons what we charge

What we charge a physician or surgeon is built from a count rather than an impression: how many returns, in how many countries, and whether a professional corporation files alongside the personal one. We read the documents you hold, price each of those pieces, and put the whole figure in writing before preparation begins.

Individual tax filing

From $349

fixed, quoted before work starts

Returns for people whose tax position did not stay in one country, including the years residence itself is in question.
See the fee schedule

Foreign asset & information reporting

From $349

fixed, quoted before work starts

Accounts, property and company interests held outside the country of residence, reported on the schedules that carry penalties whether or not tax is owed.
See the fee schedule

Non-resident & departure filings

From $349

fixed, quoted before work starts

Returns for the year you leave, the year you arrive, and the years you earn rental or pension income from a country you no longer live in.
See the fee schedule

Corporate cross-border filing

From $999

fixed, quoted before work starts

The corporate return and its cross-border schedules as one engagement, so the group files a consistent position everywhere.
See the fee schedule

Transfer pricing documentation

From $2,500

fixed, quoted before work starts

Documentation for transactions between related companies: the method, the comparables and the file an authority asks to see.
See the fee schedule

Catch-up & voluntary disclosure

From $349

fixed, quoted before work starts

Bringing an unfiled history current: which years are still open, which programme applies, and what the exposure is before you commit.
See the fee schedule

Payroll & mobility setup

From $999

fixed, quoted before work starts

Payroll set up for a workforce split across countries, including the relief that stops the same salary being withheld on twice.
See the fee schedule

Estate & trust filing

From $799

fixed, quoted before work starts

For an estate holding property in more than one country, or a trust with beneficiaries who are taxed somewhere else.
See the fee schedule

All published fees on one page — the whole fee schedule in one place, with no from-to bands to decode.

Three things we hear on the first call

  • My professional corporation is in one country and I now practise in another.
  • I have locum income in two countries and a partnership share in a third.
  • My licensing body, my insurer and my tax adviser each assume a different residency.

If any of that sounds familiar, it is because it is the standard experience of anyone in this position. The rules were not written to be read together, and nobody is given a map. See also tax for short-term rental hosts.

The arithmetic, worked through

Put numbers against it and the shape of the answer is obvious.

Splitting one salary between two countries

A salary of C$149,000 for a year with 227 working days, 64 of them performed in the other country. Employment income is generally sourced to where the work was physically done.

Splitting one salary between two countries
ItemAmount
Annual salaryC$149,000
Working days in the year227
Days worked in the other country64
Days worked at home163
Income sourced to the other countryC$42,009
Income sourced at homeC$106,991

C$42,009 is sourced abroad on this split, which is the figure the host country taxes and the figure the home credit is computed on. Reproduce this from a travel record, not from memory — it is the first thing an auditor asks for. Change any one of those inputs and the answer moves, which is why we run it on your own figures rather than on an illustration.

The figures here are an illustration, not an engagement: amounts are picked so the mechanism is easy to follow, and every rate or threshold is an assumption of the example. Before anything is filed for you, each one is confirmed with the issuing authority for your own tax year.

The numbers, end to end

The arithmetic is more persuasive than the description, so:

Credit relief on one stream of income

Take C$158,000 of income taxed in both countries. Assume the other country charged 29% on it and the home country would charge 26% on the same amount.

Credit relief on one stream of income
ItemAmount
Income taxed in both countriesC$158,000
Tax paid abroad (assumed 29%)C$45,820
Home tax on the same income (assumed 26%)C$41,080
Credit available (lesser of the two)C$41,080
Home tax still payableC$0

The credit fully absorbs the home liability on this income, so nothing further is payable at home — but the return still has to be filed and the credit still has to be claimed, by category and by country. That is an illustration of the mechanism, not a prediction about your file — the same computation on your figures is the first thing we do.

Example figures throughout, selected to make the rule visible, with rates and thresholds assumed for the demonstration. Your actual filing uses figures confirmed with the issuing authority for your tax year.

The four steps

  1. 1A first call to map the obligations across every country involved
  2. 2A single fixed fee covering the whole set, agreed before we begin
  3. 3Preparation in the order that makes the relief usable, with a reviewer's sign-off
  4. 4You approve the finished work, and we file it
  • Fixed fees agreed before any work starts, so the number in the quote is the number on the invoice.
  • Documents move through an access-controlled portal rather than email.
  • Your existing accountant keeps the domestic file; we take the cross-border piece, with the boundary in writing.

Where to go from here

Whatever you have is enough to start the conversation, including nothing but the dates.

Reviewed against current guidance for the 2025 and 2026 filing seasons by Udit Gupta, Cross-Border Tax Expert, Legal Quotient Consultants. This is general information rather than advice about your file — a short call is the way to get the second.

International tax accountant — what this page covers

The subject here is physicians & surgeons: what we charge, which is what people mean when they search for international tax accountant. This page covers who it applies to, the filings it produces, and the fixed fee agreed before work begins.

How the engagement runs, phase by phase

  1. Send what you already have

    Slips, statements, prior returns — in any order. We list what is still needed after reading them.

  2. A fee agreed in writing

    Quoted from those documents, before the work starts, and it does not move once you accept it.

  3. Each side drafted against the other

    The returns are built together rather than in sequence, so relief is claimed once and in the right country.

  4. You approve before it is filed

    The finished return comes to you first. Nothing is submitted on your behalf unseen.

How physicians & surgeons what we charge is handled here

Factor Legal Quotient Hourly billing model
Pricing A fixed fee, agreed in writing before work starts Hourly, billed as incurred
Experience 15+ years of cross-border work, 18,000+ clients Varies by file
Both sides of the border Prepared together by one team, so relief is claimed exactly once One country at a time, reconciled later
Who reviews it A named practitioner, published on the page Whoever the queue reaches
Where the work happens Our offices in India, the USA, Canada and the UAE Whichever single office you can travel to

Key terms behind this page, defined

Totalization agreement
A social security agreement assigning coverage to one country and allowing contribution periods to be aggregated for benefits.
FDII
Foreign-derived intangible income — a US deduction for income a US corporation earns from serving foreign markets.
FATCA
The US regime requiring reporting of foreign financial assets by taxpayers and of US accounts by foreign institutions, backed by withholding.
Credit method
A relief method under which the residence country taxes the foreign income and allows the foreign tax against its own, up to its own tax on that income.

The published fees closest to physicians & surgeons what we charge

What lifts a doctor above the published band is usually a year that is already late, or practice income that has never been reported anywhere. Both turn preparation into a disclosure with correspondence attached, so they are scoped and priced as their own piece of work instead of being absorbed quietly into the same fee.

Foreign asset & information reporting

$349fixed, before work starts

Covers: Foreign holdings mapped once — accounts, real property, shareholdings — then reported to each authority in the form it requires.

See this fee page

Non-resident & departure filings

$349fixed, before work starts

Covers: Returns for the year you leave, the year you arrive, and the years you earn rental or pension income from a country you no longer live in.

See this fee page

What working with us on physicians & surgeons what we charge looks like

Every figure on a page is traceable

Where a rate or a threshold appears in our writing it names the tax year it belongs to. Where it could not be confirmed, the page describes the mechanism and quotes no number.

Cross-border is the whole practice

International and cross-border tax is all we do — not a sideline next to domestic work. The edge cases on this page are our ordinary Tuesday.

The reporting penalties get named early

The heaviest exposure on a cross-border file is usually a disclosure form, not the tax. We identify which ones apply before a deadline turns into a penalty.

18,000+ clients served

Individuals, expats and corporations across India, the USA, Canada and the UAE have filed with us — 15+ years of cross-border work.

Two of the firm’s advisers and the team in the open-plan office

From first call to filed return

Step 1

Initial call

A first call to map the obligations across every country involved

Step 2

Scope and fee

A single fixed fee covering the whole set, agreed before we begin

Step 3

Preparation and review

Preparation in the order that makes the relief usable, with a reviewer's sign-off

Step 4

Filing and payment

You approve the finished work, and we file it

The team reviewing a file together at a desk

The engagement, start to finish

  • Step 1: Share your documents – A secure upload link arrives after the first call — send files in any state.
  • Step 2: A written fixed fee – The quote is fixed from what you send; it does not move once accepted.
  • Step 3: Preparation, both sides at once – The returns are drafted together, reconciled line against line.
  • Step 4: Approve, then file – Nothing is filed until you have seen it and approved it.

Quoted up front, in writing.

Contact Us 24-hour helpline +1 (416) 619-0068

Keep reading, sideways

Browse sideways: the pages below answer the neighbouring questions.

Core services for this situation

Form 49A — PAN (residents) (India) Its own page: form 49a India — mechanism, deadlines and published fees.
Form 5713 — international boycott report Everything on form 5713 international boycott report, at the same depth as this page.
Form 8991 — BEAT Form 8991 beat — the guide, the FAQ and the fixed fee.
India ↔ Singapore — DTAA The full guide to India ↔ Singapore — DTAA, with the fee fixed before any work starts.
Cross-border charity and donation relief Its own page: cross-border charity and donation relief — mechanism, deadlines and published fees.
Form 1041 — trust and estate return with foreign assets Everything on form 1041 trust estate return foreign, at the same depth as this page.
Hybrid entities & mismatches Hybrid entities & mismatches — the guide, the FAQ and the fixed fee.
Functional & risk analysis The full guide to functional & risk analysis, with the fee fixed before any work starts.
Form NR5 — reduced Part XIII withholding Its own page: nr5 reduced part xiii withholding — mechanism, deadlines and published fees.

Who we bring this work to

Tax for translators & interpreters Its own page: translators & interpreters tax — mechanism, deadlines and published fees.
Team-sport athletes — what you owe in each country Everything on team-sport athletes what you owe in each country, at the same depth as this page.
Tax for management consultants Management consultants tax — the guide, the FAQ and the fixed fee.
Tax for cabin crew The full guide to cabin crew tax, with the fee fixed before any work starts.
Management consultants — relief you're probably missing Its own page: management consultants relief you're probably missing — mechanism, deadlines and published fees.
Tax for construction workers abroad Everything on construction workers abroad tax, at the same depth as this page.
Technology & SaaS cross-border tax Technology & saas cross border tax — the guide, the FAQ and the fixed fee.
Oil & gas rotational workers — your filing calendar The full guide to oil & gas rotational workers your filing calendar, with the fee fixed before any work starts.
Day traders — relief you're probably missing Its own page: day traders relief you're probably missing — mechanism, deadlines and published fees.

Countries and corridors this work reaches

Cyprus tax for expats — country guide Its own page: Cyprus tax for expats — mechanism, deadlines and published fees.
Canada–India tax corridor Everything on Canada India tax, at the same depth as this page.
Mauritius tax for expats — country guide Mauritius tax for expats — the guide, the FAQ and the fixed fee.
Indonesia tax for expats — country guide The full guide to Indonesia tax for expats, with the fee fixed before any work starts.
Ecuador tax for expats — country guide Its own page: ecuador tax for expats — mechanism, deadlines and published fees.
Iceland tax for expats — country guide Everything on Iceland tax for expats, at the same depth as this page.
Panama tax for expats — country guide Panama tax for expats — the guide, the FAQ and the fixed fee.
Egypt tax for expats — country guide The full guide to Egypt tax for expats, with the fee fixed before any work starts.
Brazil tax for expats — country guide Its own page: Brazil tax for expats — mechanism, deadlines and published fees.

The people on your file

Five named practitioners, each with the part of a cross-border file they carry. Every page on this site says who reviewed it, and the reviewer is one of these people rather than an unnamed team.

Udit Gupta

Udit Gupta

Cross-Border Tax Expert

CA (ICAI), In-Depth Tax Trained

Reviews and signs off the practice's cross-border positions, and carries final responsibility for the treaty analysis on every file that leaves the office.

Abhinav Gupta

Abhinav Gupta

Canada Tax / International Tax

Canada Tax, International Tax, Cross-Border Tax, Transfer Pricing

Canadian returns with foreign income, non-resident filings, and the transfer-pricing documentation that runs alongside intercompany work.

Raghav Gupta

Raghav Gupta

International Tax

International Tax, Transfer Pricing Specialist

Benchmarking, method selection and the local-file and master-file sets that support a group's pricing policy under examination.

Anmol Mittal

Anmol Mittal

Canada and US tax

CPA Canada, CPA USA, CA (ICAI)

Files that have to be right on both sides of the border at once — dual filings, streamlined catch-ups, and the foreign tax credit reconciliation between them.

Vinayak Indolia

Vinayak Indolia

CFO advisory

CPA, CA. Fractional CFO and Senior Advisory Specialist

Groups that need the tax position and the finance function to agree: structure reviews, intercompany policy, and the reporting a board can act on.

Meet the whole team

Cross-border tax case studies

Case study 1

Quoting a surgeon's file before the corporate records arrived

A surgeon approached us during a move between health systems holding last year's personal returns from each country and nothing from the practice company, whose accountant had gone quiet. We priced the engagement from the personal returns and the shareholder correspondence alone, setting out in writing what was included and naming the one corporate document that could change the scope. When the financial statements arrived they confirmed the reading and the fee stood. The engagement produced both personal returns, a corporate filing prepared on the established residence position, and a written note of what each relied on.

Case study 2

Pricing an emergency physician's locum work across both countries

An emergency physician taking shifts on either side of a border asked why the quotes she had received varied so widely. The variation came from scope. Some covered one country only, some assumed the shifts were employment, and none had asked how the payers treated her. We read each payer's paperwork first, characterised the shifts, and then quoted a single written fee covering both filings and the allocation between them. The engagement produced a return in each country prepared on one consistent characterisation, and a schedule she can hand to any payer that asks how her income is reported.

Case study 3

A fixed fee covering the professional corporation and its shareholder

A physician who had moved abroad was billed by the hour by one firm for the corporation and by another for the personal return, and the two files disagreed about what had been paid out and when. We took both, quoted them as one engagement in writing, and rebuilt the shareholder account from the corporation's own records before either return was prepared. The engagement produced a corporate filing and a personal filing that agree line for line on what the company distributed, and a written statement of the position taken on the balance outstanding at the year end.

Case study 4

Re-quoting after a dormant practice company turned out to be active

A doctor told us the practice company she had left behind was dormant and asked for a personal return only. The bank statements she sent to support a foreign credit claim showed the company still receiving fees from a former partner. We stopped, explained what that meant for the corporation, and issued a second written quote for that work rather than absorbing it or proceeding quietly. She accepted it. The engagement produced corporate filings for the years the company had been treated as inactive, and a personal return reporting what those years had actually paid her.

Case study 5

One written price for a consultant anaesthetist's catch-up filings

A consultant anaesthetist had not filed in his country of origin since taking a post abroad, on the understanding that foreign payroll deductions ended the obligation. They did not, because his professional corporation was still resident there. We scoped every open year at once and priced the whole catch-up in writing before starting, so the cost was known rather than accruing. The engagement produced a filed set of years for both the individual and the corporation, and a disclosure covering them, submitted with the schedules supporting the treaty position taken in each year.

Case study 6

Splitting a quote between a partnership share and employment income

A physician held a salaried hospital post in one country and a share of a clinic partnership in another, and wanted to know what each part of the work would cost. We separated them in the quote. The employment side is a reporting exercise; the partnership share required reading the partnership agreement and deciding where the income arises before it could be reported anywhere. She instructed both. The engagement produced her filings in each country and a written note explaining which country every element of her income was allocated to, and why the partnership share was treated as it was.

Case study 7

Indian Rent Collected While Resident Somewhere Else

Rent from Indian property is taxed in India and again where you live, with relief on one side only. The file gets the Indian deduction right first, then claims the credit on the home return against what was actually paid.

Read how this one runs
Case study 8

Unreported Foreign Income Disclosed Before the CRA Asked

A voluntary disclosure has to be genuinely voluntary — once a letter arrives, the route usually closes. The engagement establishes whether the programme is still available, prepares the years, and puts the relief request in with the filing rather than after it.

Read how this one runs

All case studies — every published engagement in one place.

Core International & Cross-Border Tax Services

International Tax Planning & Advisory

Strategy and compliance for income, assets and families spread across borders.

One coordinating team: filings on every side of the border are sequenced so treaty relief and foreign tax credits are claimed once — and in the right country.

U.S. & Cross-Border Tax Returns

Dual filers: U.S. citizens in Canada and Canadians with U.S. income run two parallel systems — we prepare both, in the right order, every year.

Expat & Emigration Tax

The move year is its own project: the elections and valuations filed that year decide the next decade of both countries’ returns.

Non-Resident Canadian Tax

Default withholding is 25% of gross: elective returns routinely turn over-withheld rent and pensions into refunds.

Transfer Pricing & BEPS

Documentation prepared with the return is the cheapest insurance in international tax; reconstructing it during an audit is the most expensive.

Cross-Border Estates & Trusts

Wills drafted for one country routinely misfire in the other — deemed disposition here, estate tax there, credits in between.

Cross-Border Corporate Tax

Expansion raises the same four questions every time — entity, PE, repatriation, payroll. We answer them before the tax authorities do.

India Tax for NRIs & Returning Residents

The deduction is taken on the sale price, not the gain — which is why an NRI property sale strands cash unless the certificate is applied for before closing.

Canadian Tax with a Foreign Element

Residency is decided on facts, not on a form — and the year you arrive or leave is the one where the largest amounts turn on the smallest details.

UAE Tax for Expats & Their Home Country

A zero-tax country is only half the answer — the question that decides the bill is whether the country you came from still treats you as resident.

Industries & Client Types We Serve Worldwide

Global E-commerce & Marketplaces
Technology & SaaS
Professional Services Firms
Cross-Border Real Estate
Importers, Exporters & Manufacturers
Athletes, Artists & Entertainers
Remote Workers & Digital Nomads
Investment Funds & Holding Companies

Global E-commerce & Marketplaces

Cross-border tax for sellers shipping worldwide: marketplace withholding, foreign registrations and inventory nexus handled before they become audits.

Marketplaces withhold, remit and report in their own right, so the tax position of a single sale is decided by where the stock sat, where the buyer was and which platform collected — not by where the company is registered. We reconcile the platform's own filings against the returns before either is submitted.

  • Foreign VAT / GST / sales tax registrations
  • Marketplace withholding reviews
  • Inventory nexus & PE analysis
  • Multi-currency books reconciled
Explore E-commerce & Marketplaces

Technology & SaaS

  • Cross-border revenue sourcing & withholding
  • IP structuring with real substance
  • Equity for cross-border teams
  • U.S. expansion: entity & PE setup
Explore Technology & SaaS

Importers, Exporters & Manufacturers

  • Transfer pricing documentation (s.247)
  • Customs value vs transfer price
  • Foreign affiliate reporting (T1134)
  • Country-by-country reporting
Explore Trade & Manufacturing

Athletes, Artists & Entertainers

  • Reg 105 & U.S. CWA agreements
  • Multi-state & country calendars
  • Touring income allocation
  • Royalty & image-rights withholding
Explore Athletes & Entertainers

Remote Workers & Digital Nomads

  • Residency analysis before moving
  • Employer payroll exposure
  • Totalization & social security
  • Foreign tax credits
Explore Remote Workers

Investment Funds & Holding Companies

  • Treaty access & PPT reviews
  • FAPI & surplus computations
  • Withholding-efficient routing
  • Governance & substance
Explore Funds & Holdcos

Physicians & surgeons — what we charge — questions we are asked

What makes physicians & surgeons different from an ordinary filing?

Physicians moving between systems carry a professional corporation or practice that does not travel with them: the entity remains taxable where it was resident, while the doctor becomes taxable where they now work. An ordinary preparer applies the general rule and stops there, which is how the relief in the specific provision goes unclaimed.

Can you work with my existing accountant?

That is how most of these engagements run. They keep the domestic file, we take the cross-border piece, and the boundary is agreed in writing so nothing is done twice or missed.

How much does a cross-border tax return for a doctor cost?

There is no single figure, and anyone who quotes one before reading your papers is guessing. What moves the price for a doctor is how many countries have a claim on the income, whether a professional corporation sits behind the practice, how many years are open, and whether treaty relief has to be built or simply claimed. We read what you send, decide the scope, and put the fee in writing before any work begins. It does not change afterwards unless the scope does, and a change of scope is something we agree with you first.

Do you charge separately for my professional corporation and personal return?

They are separate filings, so they are separately priced, but they are quoted together because they are one problem. The corporation remains taxable where it is resident even after you begin practising elsewhere, and what it pays you — salary, dividend, or a shareholder balance left outstanding — lands on your personal return in the country where you now live. Pricing them apart and preparing them apart is how the two ends stop matching. You receive one written quote showing each element, and you can instruct us on the corporate side alone if that is all you need.

Will my fee go up if you find unfiled years?

Not without your agreement. An unfiled year sits outside the scope you were quoted for, so we come back to you with what we have found, what filing it would involve, and a separate written price for it before touching it. You are free to leave it, though we will say plainly what that carries. Doctors reach us with unfiled years more often than most groups, usually because the professional corporation kept filing while the individual assumed that payroll deductions abroad settled everything. Finding those years yourself is a better position than having a revenue authority find them.

Can I get a price before sending my full practice records?

Yes. The quote is built from whatever you already hold — last year's returns from each country, the corporation's financial statements, a hospital or clinic contract, a payslip, the licensing correspondence that started the question. We read those, tell you what the engagement actually involves, and price it. Full practice records come later, and only for the parts of the file that need them. If what you send is not enough to scope the work honestly, we say so and name the document that would settle it, rather than quoting a number and revising it once you have committed.

Is treaty relief work quoted separately from the returns themselves?

It depends on how contested it is. Where relief follows from the facts and simply has to be claimed on the return, it is part of that return's price. Where the position has to be built — a professional corporation whose residence is in question, a partnership share both countries want to tax, a claim that will be examined — it becomes its own piece of work with its own written fee, because it is research and correspondence rather than form filling. We tell you which of the two your file is before you commit to anything.

Why is a locum doctor's return priced higher than a salaried one?

Because there are more characterisation questions inside it. A salaried hospital post produces one stream, withheld at source, reported in one place. Locum work produces several, often through different payers, sometimes in different countries, sometimes through your own corporation and sometimes in your own name — and each has to be characterised separately before anything can be allocated between countries. The price reflects the reading and the reconciling, not the typing. If your locum work is all within one country and all through one entity, say so when you send your papers and the quote will show it.

Is the sale of foreign property taxable where I live?

For a resident, yes — worldwide gains are taxable, and the gain is computed in your own currency, so the exchange rate at purchase and at sale changes the number even when the local-currency price did not move. The country where the property sits usually taxes it too, often with a withholding or clearance step before closing, and that tax becomes a credit. A principal residence relief may apply to a home abroad on the same terms as one at home. See principal residence and foreign property.

Do I pay tax when I inherit property abroad?

The inheritance itself is often not income to you, but three other things can create tax: the estate may owe tax where the deceased or the property was situated, some countries tax the recipient directly, and the gain from the date you inherit to the date you sell is yours. Reporting obligations can also attach to holding the asset. See inheriting property abroad.

Fixed fee agreed before we start

A fixed fee for physicians & surgeons filing

One short call, one fixed quote in writing, and your approval before anything is filed.

  • 24-hour helpline, +1 (416) 619-0068
  • Offices in India, the USA, Canada and the UAE
  • Re-quoted, never silently invoiced

Our practitioners are alumni of leading accounting and tax institutions

Where our partners studied — CPA Canada (In-Depth Tax Program), AICPA, the Institute of Chartered Accountants of India and the Malaysian Institute of Accountants.

Request a Quote +1 (416) 619-0068