NEWS & RESOURCES

Authored by: Jason Underwood, CFP, Wealth Advisor

As a CFP working with physicians in North Central Washington, I’ve seen how different your financial path can look compared to other professions.

Many doctors in Wenatchee–including those with Confluence Health and local private practices –begin their highest earning years later than their peers. By the time income increases, there may still be student loans, growing families, and very little time to focus on long-term financial decisions.

Physician financial planning isn’t just about investing extra income. It’s about building a coordinated, tax-efficient strategy that supports your career, protects your income, and creates long-term flexibility.

Here are the core areas I encourage every physician to evaluate.

1. Have a Clear Student Loan Strategy

For some physicians, federal repayment programs like Public Service Loan Forgiveness (PSLF) may apply if you’re employed by a qualifying nonprofit organization. Others may benefit from refinancing once income stabilizes.

The key is not to leave repayment on autopilot. Your loan strategy should align with your cash flow, retirement savings, and tax planning. Making aggressive payments might feel productive, but it’s important to evaluate whether that capital could be better allocated elsewhere.

2. Be Proactive About Tax Planning

As income rises, tax complexity increases.

Physicians often move into higher federal tax brackets and may encounter additional taxes like the Net Investment Income Tax (IRS overview).

In my experience, effective tax planning for doctors often includes:

• Maximizing 401(k), 403(b), or 457(b) contributions
• Evaluating Backdoor Roth IRA strategies when income exceeds limits (IRS guidance)
• Coordinating estimated tax payments if you receive 1099 income
• Reviewing partnership or production-based compensation structures

Tax strategy should be addressed throughout the year — not just during tax season.

3. Accelerate Retirement Planning

Because many physicians complete training in their early 30s, retirement savings often start later. The advantage is that your earning power allows you to accelerate contributions quickly.

I encourage physicians to:

• Maximize employer-sponsored retirement plans
• Coordinate savings if both spouses are high earners
• Evaluate defined benefit or cash balance plans if you own a practice
• Understand annual IRS contribution limits (https://www.irs.gov/retirement-plans/plan-participant-employee/retirement-topics-contribution-limits)

Consistent, tax-efficient investing over 20–25 years can make a significant impact.

4. Protect Your Income

Your earning ability is one of your most valuable assets.

Own-occupation disability insurance is especially important for medical professionals. I also review term life insurance, umbrella liability coverage, and long-term care considerations with many physician families.

Risk management isn’t exciting, but it’s foundational. Without it, long-term wealth building is exposed to unnecessary risk.

5. Coordinate Everything

Physicians often have multiple advisors — a CPA, an investment manager, an insurance agent. Each plays an important role, but without coordination, opportunities can be missed.

My goal is to bring student loan strategy, tax planning, retirement contributions, insurance, and investment management into one integrated plan. I want my clients to understand not only what they’re doing, but why.

Serving patients in our community is demanding work. Your financial plan should bring clarity and peace of mind — not more complexity.

When your strategy is intentional, financial stability becomes far more predictable.