Physicians
Financial Planning for Physicians & Medical Professionals
Physicians have one of the most complex financial situations in the country: high income that arrives late (after years of training and debt), specific tax-strategy opportunities, malpractice asset-protection considerations, and student loan repayment that interacts with everything else. Ten Point Financial Group works with physicians, dentists, and medical professionals on the integrated picture.
$50K-$200K+
Typical annual tax savings
Free
Strategy session
Coordinated
With your CPA + attorney
Why Physicians
Physician financial planning isn't general financial planning. The high-income, late-start career arc means most physicians have only 20-25 years to save for a 30+ year retirement. Tax strategy opportunities (S-Corp for moonlighting, Cash Balance plans, charitable giving) are larger than most realize. Student loan repayment interacts with PSLF, income-driven plans, and refinancing. Malpractice exposure drives asset-protection considerations. Most generic advisors don't know these dynamics — we do.
How we help
S-Corp for Moonlighting / Side Income
If you have 1099 income beyond your W-2 (locum tenens, expert witness, consulting), S-Corp election can cut self-employment tax by $8K-$20K+ per year.
Cash Balance Plan for Practice Owners
Owners of medical/dental practices can shelter $150K-$280K+ per year tax-deferred via Cash Balance plans. Stacks on top of 401(k). One of the highest-leverage tax strategies for high-income physicians.
Student Loan Strategy
PSLF, income-driven plans, and refinancing each have specific use cases. The right answer depends on employer type, income trajectory, and forgiveness eligibility. We coordinate with a loan specialist for the optimal plan.
Asset Protection from Malpractice
Beyond malpractice coverage, structural decisions (LLC for practice, umbrella liability, asset titling, ERISA-protected accounts) reduce malpractice exposure. We coordinate with attorneys on structure.
Backdoor / Mega Backdoor Roth
Physician incomes typically exceed Roth IRA limits, making Backdoor Roth the primary path. If your 401(k) supports after-tax contributions, Mega Backdoor Roth unlocks $46,500+ more.
Frequently asked questions
Should I do PSLF or refinance my loans?+
Depends on employer type, income trajectory, and forgiveness timeline. PSLF wins for many academic and government-employed physicians. Refinancing often wins for higher-income private-practice physicians. We model both with a student loan specialist.
What's the most tax-efficient way to save for retirement as a physician?+
401(k) match → HSA max → Backdoor Roth → 401(k) max → Mega Backdoor Roth → Cash Balance Plan (if you own the practice) → taxable brokerage. The 'stack' depends on which accounts you have access to.
How does malpractice insurance work with asset protection?+
Malpractice insurance covers most claims, but high-dollar judgments can exceed limits. Asset-protection structures (umbrella liability, ERISA-protected retirement accounts, properly-titled assets) provide additional layers. We coordinate with attorneys on structure.
Should I start an S-Corp for my locum tenens income?+
Usually yes if you're earning $80K+ from 1099 work annually. The S-Corp election saves self-employment tax on the portion above your reasonable salary. We model the specific savings for your situation.
Learn more
Free physician financial planning review
Bring your W-2, any 1099 income, current loan balances, and retirement accounts. We'll map an integrated strategy and identify the top 3 highest-leverage moves.
Educational content only. Not financial, legal, or tax advice. All services are provided by licensed professionals. Coverage decisions depend on individual circumstances.