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August 08, 2025
Planning to work in the U.S. as a Canadian nurse? If you're feeling overpowered by cross-border tax regulations, you're probably not alone. Appropriate tax rates and filing requirements are just one of many considerations. Tax concerns can be frightening, especially if you're going overseas for employment. Knowing your responsibilities beforehand can help alleviate a lot of the confusion. Before you start working in the U.S. healthcare system, it's critical to comprehend your tax obligations.
Do Canadian nurses have to file U.S. tax returns? This is a frequently asked issue. Yes, in most circumstances; however, precise requirements vary based on your visa, residency status, and income level.
The good news? With good planning, tax season does not have to be unpleasant. Whether you are heading to the United States for a short-term contract or intend to pursue a career in US healthcare, with a little forethought and research, you may have a good handle on your tax status. Most Canadian nurses work in the U.S. under the TN visa, which allows certain professionals to take up employment legally in the country. Regardless of your Canadian citizenship, if you make money while working in the United States, you must pay taxes there. Filing a tax return in the US is usually a method by which one discloses their income and pays taxes due.
You will probably be required to submit a US tax return to reveal your earnings and pay any taxes that are due if you make money in the US. The Internal Revenue Service (IRS) must receive income reports from all foreign nationals working in the United States. This ensures that any advantages of the US-Canada tax treaty are effectively utilized and that the right amount of tax is withheld.
When there are multiple documents to provide, deadlines to remember, and standards to follow, maintaining two tax systems becomes a challenging task. Completing forms like the 1040NR, comprehending cross-border tax treaties, and determining which state-specific requirements apply could have a big influence on your records. For this reason, a lot of Canadian nurses look for tax advice to make sure they meet all legal obligations while maximizing their possible earnings.
At PPA TAX, we specialise in supporting Canadian professionals, including healthcare workers employed in the US, with their cross-border tax needs. Whether it’s making sure you're meeting all requirements for the tax return for Canadian Nurses Working in USA or helping you benefit from the tax treaty between Canada and the US, we provide personalised guidance to simplify the process and maximise your outcome.