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By Katie Bennett, ChFC®

Congrats! After years of hard work, little sleep and lots of determination, you have finished medical school and residency, and your paycheck finally reflects a physician’s salary. The jump from the average residency pay of $67,400 to a full-time physician salary is typically large. It can be overwhelming to determine what do with the income surplus. See below for tips on how to lay a firm financial foundation and avoid potentially damaging mistakes.

Treat Yourself

Surprised we started with this piece of advice? You’ve worked hard to get to this phase in your life. You owe yourself a treat. However, before you go as far as a pricey new sports car or an extravagant trip, read the below to ensure you are appropriately set-up for financial success.

Eliminate Financial Risk

Healthcare costs are at an all time high. Although you may be able to self-treat many of your own health challenges, the unexpected can still wreak havoc on your finances. To financially mitigate medical surprises, secure adequate insurance coverage.

  • Health Insurance: Evaluate high vs. low deductibles and the use of HSA plans. If you are an independent contractor, work with a broker that can help you choose a plan that eliminates unnecessary costs. See here for more information on selecting a policy.
  • Disability Insurance: Your income is your most valuable asset. Just over 1 in 4 of today’s 20 year-olds will become disabled before they retire*. Keep in mind accidents are not usually the culprit. According to the Council for Disability Awareness, back injuries, cancer, heart disease and other illness cause the majority of long-term absences. As you research coverage, be sure to include an “own occupation” rider. See here for more information on shopping rates.
  • Life Insurance: You may want a plan to provide for loved ones if you aren’t there to provide for them. However, finding the right policy – or policies – to meet your exact needs can be difficult. Work with a broker to compare the advantages of term vs. permanent policies to keep your premiums as low as possible while maximizing any future benefits. You can all see more details about various types of life insurance here.
Address Student Loans

Hands down, the question we get most often from new attendings is how to address student loan debt. Spoiler alert: yes, you want to eliminate debt as quickly as possible. Of course, you should research PSLF. However, if you don’t qualify for this kind of loan forgiveness (not many of our clients do), be sure to explore consolidating and refinancing. The recommended timing of consolidating/refinancing has shifted with new legislation related to COVID-19. See this blog for more details. Lastly, when possible, make extra payments. When that unexpected bonus comes along, treat yourself, but also seriously consider putting a significant portion of those earnings towards your debt reduction.

Start Saving for Retirement NOW

We get it – retirement seems like a long way off… At the bare minimum, try to find a way to contribute enough to at least receive any kind of institutional match available to you. If you are an independent contractor, you can save up to $69,000** a year in a retirement account ($23,000 for a W-2 employee). This may seem aggressive, but the positive effect on your tax bill might surprise you (not to mention the jumpstart on achieving financial independence). Work with a financial adviser who can show you hypotheticals to help determine what the right saving strategy is for your specific situation. Your adviser (who should be a fiduciary) should also be able to account for your current debt and incorporate that into your plan as well. Likely you will find it will be most financially efficient if you have a balance that includes both debt pay-off and tax-deductible retirement contributions.

Plan for the Worst AND the Fun

You may have heard the rule of thumb to have enough savings to cover 3-6 months salary should an emergency arise. We couldn’t agree more. This savings account could be used to fund little surprises like your home air conditioner going kaput or an unexpected car repair. It could also be used in more extreme situations like a reduction in shifts due to a pandemic.

What people don’t talk about as often is funding the fun too. You deserve to enjoy your hard-earned paychecks both pre and post retirement. Make monthly contributions to a “vacation” fund and/or a “3-5 year” fund that allows you to do the things you love without having buyer’s remorse. This could be anything from a new car to a trip to Bora Bora to a remodeled kitchen.

Maximize Tax Savings

For W-2 and 1099 physicians, your HSA and retirement contributions are tax deductible. Make sure you are maximizing this benefit.

If you are a 1099 physician (independent contractor), you can also deduct health insurance premiums, business expenses, and you may be eligible to utilize the QBI deduction which is literally saving many physicians thousands more in taxes. Work with a tax professional to make sure you aren’t paying a dime more than you have to.

Lastly, don’t get overwhelmed. We are here to educate and remove financial anxiety. Reach-out for a risk-free discussion on how to tackle your specific financial situation.

* http://disabilitycanhappen.org/overview/

** Independent contractors over the age of 50 can contribute up to $76,500 annually; W2 employees over the age of 50 can contribute up to $30,500 annually (this reflects 2024 limits)

Have questions? Don’t hesitate to call. We are passionate about education at no cost to you.

You can reach us at 888-898-3627 (voice call only)


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