Annex Wealth Management, a wealth advisor for physicians and dentists
What a physician or dentist gets from the first meeting on:
A monthly spending plan built before anyone touches your portfolio
A student loan payoff schedule weighed against your retirement contributions
A cost estimate for buying into a practice versus staying employed
A plan showing which account pays each month's bills, and in what order
clients who plan spending first
and invest second†
†Data reported by Annex Wealth Management as of 10/5/2026 (490,000 clients, $3.9 billion managed).
What makes Annex Wealth Management different for doctors?
The first meeting at Annex Wealth Management covers spending, not funds. You bring three months of bank and card statements, and we sort them into fixed bills, loan payments and everything else. That meeting ends with one monthly number. Every portfolio change after that gets measured against it: before we suggest selling a fund, we write down the tax the sale would trigger and check that the month's bills still get paid.
Who we serve
490,000 clients† trust Annex Wealth Management with a combined $3.9 billion†.
†Data reported by Annex Wealth Management as of 10/5/2026 (490,000 clients, $3.9 billion managed).
Why physicians and dentists work with Annex Wealth Management
Most doctors start saving in earnest about a decade after their college friends did. By then there's a six-figure loan balance, a mortgage sized for an attending salary and maybe a practice buy-in offer on the desk. Annex Wealth Management puts those claims on one paycheck in order: what the month costs, what the loans demand, what retirement accounts can still catch up, and only then what the portfolio should hold.
Reviews happen online or by phone, so where you practice never decides whether we can work together.
Annex Wealth Management: common questions
Your fee is set out in a signed agreement before Annex Wealth Management starts any work, and fees aren't published on this site. For scale, a 1% fee on a $500,000 portfolio is $5,000 a year, which is worth comparing against any quote you get, including ours.
Investable assets usually means retirement accounts, brokerage accounts and cash savings, so a 401(k) or profit-sharing balance generally counts toward the $500K. Home equity and the value of your practice don't. If you're close to the line, put your rough balances in the request form and ask.
The first call covers your monthly spending, your loan balances and what the buy-in will take out of each paycheck, before anyone mentions investments. Afterward, Annex Wealth Management asks for paperwork such as recent pay stubs, loan statements and the buy-in terms, then drafts the spending plan you'll review together.
You talk with an Annex Wealth Management advisor, and reviews happen online or by phone, so they can sit around clinic and OR days. No phone number is published, so the request form is the first point of contact; note your usual free windows there.
Yes. Annex Wealth Management can review a physician's 401(k), IRA, taxable account and practice-related cash needs together, rather than treating the employer plan as a separate problem. The useful question is what each account is meant to fund. The review can also include student loan decisions and the spending plan that supports your household.
Annex Wealth Management can work alongside your CPA and estate attorney when you are considering a large tax or estate decision. The advisor organizes the investment and cash-flow effects, your CPA handles tax reporting and advice, and your attorney handles legal documents. Each professional keeps responsibility for the work that requires their license.
A physician with high income and student debt may need to compare loan payments with retirement contributions, practice cash needs and monthly spending. Annex Wealth Management starts by putting those demands on one cash-flow schedule. The right order depends on the loan terms, employer plan, practice structure and money already saved.
Annex Wealth Management can review a rollover before money moves, including the old plan rules, investment choices, taxes and the paperwork a custodian requires. A rollover is not automatically better because it creates a larger IRA. The account should serve a specific job in the spending and investment plan.
A cash balance plan can create a larger retirement contribution for some practice owners, but the required funding commitment and administration matter. Annex Wealth Management can examine the plan alongside practice cash flow, employee costs and other retirement accounts. A high contribution is not useful if the practice cannot comfortably support the obligation.
Annex Wealth Management wealth advisor for physicians and dentists
Annex Wealth Management is a wealth advisor firm that helps physicians and dentists with high income, late saving starts, student debt and practices to think about.
You may call when a large income still leaves too many competing uses for the money. Annex Wealth Management begins with your monthly spending plan, then asks what the portfolio must pay for, when it must pay and which account should carry the job. The portfolio is there to fund life, not to win a beauty contest on a statement.
A wealth advisor for a complicated financial life
Annex Wealth Management works with clients from coast to coast, using online or phone reviews. The office is at 55 Market Place, Baltimore, MD 21202, United States, but the work is not built around a local service area. Physicians and dentists often arrive with strong income, old student loans, a practice decision and accounts opened at different stages of life.
The firm offers financial planning for doctors, physician student loan planning and cash balance plans for physicians. The client minimum is $500K in investable assets. Fees are set out in a written agreement before work begins, so you can see the arrangement before the work is underway.
The first useful inventory is usually plain: monthly spending, debt payments, practice cash needs, retirement accounts, taxable investments and near-term obligations. Annex Wealth Management then connects those facts to a plan. You receive decisions to consider, the assumptions behind them and the paperwork needed to carry them out.
A review may include a 401(k), an IRA, a spouse's account and a practice account, but the purpose is not to collect accounts into one pile. Each account gets a job. Money needed soon should not depend on a stock market recovery arriving on schedule. Investments can lose value, and you may receive back less than you invested.
As of 10/5/2026, Annex Wealth Management serves 490,000 clients and reports $3.9 billion in client assets. Those figures describe the firm's stated scale; they do not decide whether its process fits your situation.
- Financial planning for doctors
- Physician student loan planning
- Cash balance plans for physicians
- Investable assets of $500K or more
A hypothetical physician with a late saving start
Hypothetical example: Dr. Morgan is 45, earns a high income, owes $280,000 in student loans and owns a growing dental practice. The practice needs a $150,000 cash reserve, personal spending runs at $12,000 each month, and retirement accounts total $600,000. The question is not simply which fund to buy. It is how the accounts support the next five years while saving catches up.
Annex Wealth Management would first place the known demands on one schedule. Twelve months of personal spending equals $144,000. Add the $150,000 practice reserve and the near-term cash requirement is $294,000, before considering loan payments. That number does not dictate a portfolio, but it shows why investing every available dollar may leave the practice short of cash.
Next comes the student loan review: interest rate, payment rules, forgiveness conditions if any, refinancing terms and the effect of a larger payment on practice reserves. The retirement review then asks what the employer plan, IRA and any practice plan can reasonably receive. A higher contribution is useful only if the practice and monthly plan can carry it.
Suppose Dr. Morgan redirects $2,000 each month from discretionary spending into retirement savings. That is $24,000 each year. If the change leaves practice reserves intact and the loan plan remains workable, it creates a measurable saving habit without pretending the debt or cash needs disappeared. The decision would be revisited when practice income or the loan terms change.
The example is hypothetical, not a forecast or a recommendation. Its point is the order of work: identify cash demands, test debt choices, then decide how much risk the invested accounts should take.
- Monthly spending: $12,000
- Student loan payment: $4,000
- Practice reserve: $150,000
- Invested accounts: $600,000
Put the monthly spending plan before the portfolio
The cash-flow position appears in ordinary decisions. Suppose a dentist needs $30,000 for equipment in six months and the portfolio has fallen. Selling investments immediately may lock in a loss; borrowing may carry a cost; delaying the purchase may affect the practice. Annex Wealth Management would first identify the deadline and the dollars already available, then compare the choices against the spending plan.
The same thinking applies to an old 401(k). A rollover can change investment choices, fees, creditor treatment and tax administration. The account should move only after those facts are checked and the destination has a job. An IRA is not automatically the answer, especially when the old plan has useful features or a future tax decision depends on account location.
Before Annex Wealth Management suggests a fund change, it estimates the tax effect of selling in a taxable account and checks whether the change helps fund a real spending need. A portfolio that looks tidy but forces a sale during a bad month has failed its practical test.
The table gives the first question for four common starting points. Notice the sequence: the deadline or cash requirement comes before the investment change.
| Situation | First step |
|---|---|
| Cash-flow shortfall | List bills and deadlines |
| Old employer plan | Check rules and costs |
| Market decline | Separate need from fear |
| Practice purchase | Protect required reserve |
- A cash-flow shortfall
- An old employer plan
- A market decline
- A large practice purchase
Keep the CPA and estate attorney in the right seats
Annex Wealth Management can work beside your CPA and estate attorney without taking over their work. The advisor organizes investments, account ownership questions, spending needs and the effect of a proposed decision. The CPA addresses tax preparation and tax advice, while the estate attorney handles wills, trusts, powers of attorney and other legal instruments.
A physician selling a practice may need all three professionals at the table. The advisor can show how sale proceeds affect cash reserves and future income draws. The CPA can analyze taxable income and reporting. The attorney can prepare or revise the legal documents that carry out the estate decision.
The handoff works better when each person receives the same facts. Useful paperwork may include year-end statements, a 1099-R, loan agreements, the benefits letter, practice financial information and an RMD notice. Annex Wealth Management can identify the investment questions; the appropriate specialist answers the tax or legal question.
No one should treat a shared meeting as permission to blur responsibilities. Annex Wealth Management records the assumptions behind an investment decision and sends the relevant questions to the CPA or attorney. That keeps a tax opinion from being mistaken for an investment opinion, and vice versa.
- Client: supplies account statements
- Advisor: maps account jobs
- CPA: prepares tax advice
- Attorney: handles legal documents
A year that follows your deadlines
Winter usually brings year-end statements, tax paperwork and required distribution notices. Annex Wealth Management reviews what actually happened against the monthly spending plan, checks income draws and flags questions for the CPA. If a rollover or contribution is under consideration, the paperwork gets checked before money moves.
Spring is a useful time to test the year's savings rate. A physician may have a bonus, a partner buy-in or an uneven practice distribution. The plan records what can be saved without weakening the cash reserve. Retirement contributions, loan payments and taxable account funding are considered together, not as three unrelated chores.
Summer often exposes the practical strain. A staffing change, equipment purchase or slow collection month can alter the practice's cash needs. The portfolio may need no change at all; the spending schedule may need a new assumption. That is why the cash-flow review comes before a trade.
Fall is for the next year's decisions: expected practice spending, student loan changes, retirement plan funding and large personal purchases. Annex Wealth Management reviews the account jobs, updates the figures that have changed and writes down the decisions that need the CPA or attorney. A plan that cannot survive an ordinary busy season is not finished.
- Winter: tax and account review
- Spring: spending and contributions
- Summer: practice cash check
- Fall: next-year decisions
Annex Wealth Management services
Financial planning for doctors
A monthly spending plan first, then savings targets and a portfolio set to fund it.
Financial planning for doctors →Physician student loan planning
A payoff, refinance or forgiveness schedule checked against your monthly budget and retirement contributions.
Physician student loan planning →Cash balance plans for physicians
The tax saved and the yearly cash a cash balance plan would take from your practice.
Cash balance plans for physicians →Latest insights
- Is a backdoor Roth IRA for physicians worth the pro-rata paperwork?
- How much should doctors save after starting late at age 40?
- The Annex Wealth Management Guide to Whether to Pay Off Student Loans or Invest
- The 30-hour PSLF mistake physicians make before cutting hours
- Own-occupation disability insurance: protect the gap in four steps
- How to decide if a physician mortgage loan is worth it
Wherever you live in the US, Annex Wealth Management can work with you remotely. Our office: 55 Market Place, Baltimore, MD 21202, United States. Contact Us →
Where Annex Wealth Management starts with a doctor's money
Financial planning for doctors
A monthly spending plan first, then savings targets and a portfolio set to fund it.
Physician student loan planning
A payoff, refinance or forgiveness schedule checked against your monthly budget and retirement contributions.
Cash balance plans for physicians
The tax saved and the yearly cash a cash balance plan would take from your practice.
Financial planning for doctors
A monthly spending plan first, then savings targets and a portfolio set to fund it.
Physician student loan planning
A payoff, refinance or forgiveness schedule checked against your monthly budget and retirement contributions.
Cash balance plans for physicians
The tax saved and the yearly cash a cash balance plan would take from your practice.
- Clients served
- 490,000
- Assets under management
- $3.9 billion
- Account minimum
- $500K
- Services
- 3 focus areas
As of 10/5/2026.
Get in touch with Annex Wealth Management
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