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Annex Wealth Management Learning Center

We write about the financial questions that come up when you finish training late, carry education debt, run a practice or earn a high income on an irregular timeline. The pieces cover retirement accounts you may have missed, loans you might pay off early, practice decisions and tax moves that often get overlooked. Pick an article that matches where you are now.

· 9-minute read

Is a backdoor Roth IRA for physicians worth the pro-rata paperwork?

A $60,000 rollover IRA makes $6,667 of a $7,500 conversion taxable.

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· 8-minute read

How much should doctors save after starting late at age 40?

Each $1,000 a month that your savings have to pay for takes about $300,000 saved ($1,000 × 12 × 25).

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· 8-minute read

The Annex Wealth Management Guide to Whether to Pay Off Student Loans or Invest

Whether to pay off student loans or invest depends on two numbers: the loan's rate and the after-tax return you'd assume.

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· 8-minute read

The 30-hour PSLF mistake physicians make before cutting hours

Full-time means at least 30 hours a week or your employer's own full-time definition, whichever is higher; a 30-hour schedule fails at a hospital that sets full-time at 32.

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· 9-minute read

Own-occupation disability insurance: protect the gap in four steps

Own-occupation disability insurance pays a monthly benefit when you can no longer do your specialty's work, even if you earn elsewhere.

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· 7-minute read

How to decide if a physician mortgage loan is worth it

Most doctors think skipping 20% down mostly saves PMI; the larger cost is interest on extra borrowing, about $809 a month of principal and interest on $135,000 at an illustrative 6% over 30 years.

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· 7-minute read

How Annex Wealth Management approaches a dental practice buy-in

The number that frames the decision is the monthly gap between associate pay and owner cash after debt.

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· 7-minute read

403(b) vs. 457(b) for physicians: A Walkthrough from Annex Wealth Management

Rule of thumb: fill the 403(b) to its $24,500 limit for 2026 first, then use the 457(b) only after checking its payout and beneficiary terms.

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· 8-minute read

What are the financial advisor red flags for doctors?

If the person pitching you can't say what the whole arrangement costs per year in dollars, treat that as the first red flag.

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· 7-minute read

Whole life insurance for doctors: a new attending's lunch-pitch decision

On most illustrations, guaranteed cash value does not exceed cumulative premiums until year ten or later, so check the exact crossover year in your own policy.

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· 10-minute read

Annex Wealth Management's Guide to Catch-Up Contributions After 50

In the years you are 60 through 63, it rises to $11,250, making the deadline worth marking well before a practice sale.

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· 8-minute read

The costly assumption about a mega backdoor Roth for doctors

A doctor deferring $24,500 with $14,000 of employer money has $72,000 − $24,500 − $14,000 = $33,500 of after-tax room; catch-up contributions sit outside that cap.

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· 7-minute read

Budget for a new attending physician: Set the spending line first

Rule of thumb: put at least a third of gross pay toward loans plus savings before setting spending; on $25,000 a month, that is about $8,300.

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· 8-minute read

How to judge physician net worth by age against your spending

Being ahead of the averages does not mean you are on track; net worth means little until you divide it by what you spend.

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· 8-minute read

Asset protection for physicians: how Annex Wealth Management reads the rules

A covered 401(k) has no federal dollar cap on creditor protection.

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· 9-minute read

Taxes on selling a dental practice: goodwill, equipment and you (a Walkthrough from Annex Wealth Management)

The exact bill depends on your tax basis, allocation, filing status and closing date.

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· 6-minute read

How much house can a doctor afford on a real monthly budget?

A useful first screen is to keep total housing near 30% or less of monthly take-home pay.

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· 7-minute read

A physician's house budget: the 529 plan or taxable account trade-off

To see how much house a doctor can afford, first confirm that monthly debt payments, planned retirement savings and ordinary spending are covered, then keep total housing costs near 30% of take-home pay.

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· 7-minute read

What Do Financial Advisors Charge? The Math on a Doctor's Portfolio

The usual wrong assumption is that the lowest-looking percentage is automatically cheapest.

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· 7-minute read

The HSA retirement account doctors often misuse

For 2026, family HSA coverage permits $8,750 in contributions, but Medicare enrollment ends HSA eligibility for new contributions; the calendar matters more than the label retirement account.

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· 7-minute read

Emergency fund for doctors: Set a reserve for the income gap

An emergency fund for doctors should cover the longer of six months of core spending or the disability waiting period, with practice costs added separately.

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· 7-minute read

How to set up a solo 401(k) for locum tenens income

The 2026 employee deferral limit is $24,500 across your 401(k) and 403(b) plans combined, not $24,500 per plan.

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· 6-minute read

Employed vs. Private Practice Physician: A Cash Flow Comparison

A partnership decision should include monthly buy-in payments, personally paid benefits, debt service and a reserve for weaker collections.

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· 6-minute read

Taxes on a Physician Signing Bonus and What to Do with the Rest

Payroll may apply a flat supplemental rate to a $50,000 bonus, but your final tax depends on total taxable income, so reserve the estimated difference.

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· 6-minute read

When should you refinance medical school loans?

For most fellows, refinance medical school loans only after federal protections no longer matter.

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· 7-minute read

Retirement planning checklist for dentists with ten years left

At age 65, Medicare becomes a deadline to assess alongside the sale plan.

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· 7-minute read

Money Mistakes Doctors Make in the First Five Years as Attendings

A physician who skips the 2026 employee deferral limit of $24,500 for three years leaves $73,500 of tax-deferred contribution room unused; investment growth is separate.

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· 6-minute read

When to hire a wealth manager: the mistake of waiting for a bigger balance

A physician with automatic index-fund purchases and no pending decisions may not need paid help; one facing a practice buy-in or a loan-forgiveness deadline may have a different answer.

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· 6-minute read

How much do doctors need to retire: A $2.7 million gap at 62

A $14,000 monthly plan leaves a $108,000 gap after part-time pay.

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· 9-minute read

How to weigh Roth vs. traditional 401(k) for high earners in medicine

The number that frames everything is the gap between your rate today and your rate on future income draws.

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