Financial Planning for ER Doctors
ER Doctors Are in A Unique Financial Position.
Your training taught you to handle anything that walks in the door. It probably didn’t teach you how to handle the money you make.
THE ER DOC FINANCIAL REALITY
Your financial life is different. Your advisor should know that.
ER doctors face a unique combination of financial challenges that most advisors don’t understand. We do.
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Late Start, Big Debt
You start earning an attending salary in your early 30s with $200K - $600K in student loans. The decisions you make in your first few years have an outsized impact on your financial future.
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Burnout Risk
ER medicine has a high burnout rate. Sound financial planning gives you the option to cut back, take time off, or retire early — on your terms.
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No Time for This
Between shifts, recovery, and family, you have maybe a few hours a month to think about money. You need an advisor who handles everything and keeps you informed without wasting your time.
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Locums Complexity
Locums work creates a tax and retirement planning puzzle that most doctors (and advisors) can't solve. We are experts in taxes, retirement, and health insurance for locums docs.
WHAT WE DO FOR ER DOCTORS
We handle the financial complexity so you don’t have to.
These are just a few of the common things we help our ER doctor clients with.
Financial Independence Planning
When can you go part-time? What does early retirement look like? We model the numbers so you always know where you stand.
Tax Planning
Income projections, tax withholding and estimates, locums deductions. We plan proactively so you pay the least tax possible and avoid surprises.
Locums Guidance
Pay rate evaluation, tax impact, benefits analysis. We break down the true economics so you can make the right call.
Evidence-Based Investing
Low-cost, tax-efficient portfolios grounded in research, built with funds from DFA, Vanguard, and others. We help you ignore market timing and stay focused on long-term results.
Retirement Accounts
Retirement accounts for W-2 and 1099 income, backdoor and mega backdoor Roth strategies, Health Savings Accounts, and more. We maximize every tax-advantaged dollar available to you.
Student Loan Strategy
PSLF eligibility analysis, refinancing evaluation, repayment optimization. We model every scenario so you make the right call.
HOW IT WORKS
Here’s what working with us actually looks like.
We start with a free introductory call — no pressure, no sales pitch. If we're a good fit, we'll build a comprehensive financial plan tailored to your situation and manage your investments on an ongoing basis.
Our typical ER physician client is mid-career (5–20 years out of residency), earning $300K–$600K+, and juggling some combination of employed and locums work. They want a clear plan, minimal hassle, and an advisor who doesn't need ER medicine explained to them.
We charge a transparent, fee-only advisory fee. No commissions, no product sales, no hidden costs.
Key issues we help ER doctors with include:
✅ Minimizing taxes and avoiding surprises
✅ Managing cash flow, debt, and student loans
✅ Investing with a disciplined, evidence-based approach
✅ Navigating employed vs. locums decisions
✅ Creating the option to cut back, take time off, or retire early
The ER Doc Finance Blog
Concise Money Advice for Busy ER Docs
The Three Types of Investment Accounts
Not all investment accounts are taxed the same way. Here's a clear breakdown of the three types — pre-tax, tax-free, and taxable — and what each one means for your bottom line.
How To Prevent A False Tax Return In Your Name
Someone with your SSN can file a fraudulent tax return in your name — and there's a simple two-step fix to stop them cold.
When Can You Withdraw From Your IRA?
IRA withdrawals aren't as simple as "wait until 59½." Here's exactly when you can withdraw, what you'll owe in taxes, and how to avoid the 10% penalty.
HSA Pro Tips For Retirement
Your HSA can do more than cover medical bills — here's how to maximize it as a retirement account, minimize taxes for your heirs, and squeeze out every dollar of tax-free value.
What You Lose If Your Disability Insurance Is Taxable
If your employer-paid disability policy is taxable, a $180K/year benefit could shrink to $144K overnight. Here's what that actually costs you.
Using An HSA For Retirement
Your HSA isn't just for doctor's bills — it's actually the most tax-efficient retirement account available. Here's how ER docs should be using it.
The Charitable IRA: How to Give More in Retirement Without Running Out of Money
Worried that retirement means cutting back on giving? The Charitable IRA strategy lets you protect your nest egg and potentially leave far more to the causes you care about.
Charitable Giving Strategy: Donating Appreciated Stock
If you're donating cash to charity, you're leaving money on the table. Donating appreciated stock eliminates capital gains tax and gives you a larger deduction — here's exactly how it works.
Is Your Disability Insurance Taxable?
Your disability insurance benefit might be taxable — and it's an easy fix if you know what to look for. Here's the one-question test that tells you everything.
What Is An HSA?
An HSA is one of the few tax tools that works on the way in and the way out — here's how it works and whether an HSA-eligible health plan makes sense for your family.
Managing Federal Student Loans During Residency: What You Should Know
Most residents default to forbearance — but it's usually the wrong move. Here's how to handle your federal loans during residency without leaving money on the table.
When Can You Withdraw From Your 401(k)? Taxes, Penalties, and Rules ER Docs Need to Know
Wondering when you can tap your 401(k) without getting hit with taxes or penalties? Here's the straightforward breakdown for ER docs at every career stage.