Psychiatry — Tools, Calculators, and Tax/Investing Resources for Physicians
Cash-pay psychiatry is the highest-margin practice model in medicine.
Cash-pay private psychiatry — concierge, ketamine, TMS, telemedicine — is the most operator-favorable practice model in medicine. Here's the AI tools, practice structure, and finance playbook for psychiatrists building or optimizing a cash practice.
Built by a practicing physician-investor. All tools free unless badged otherwise.
Tools, calculators, and resources for Psychiatry
Free trust-builders first — clinical tools, then practice rates, then physician finance and investing. Click a tab to focus.
Free tools physicians actually use at the bedside, in the reading room, or before procedures. Built around guidelines, not LLM speculation.
Anticoagulation Guidelines for Procedures
Periprocedural anticoagulation reference for procedures and surgeries. SIR-validated. AI chat.
Open Tool →Physician AI Tools Directory
Working directory of 1,000+ medical AI tools for physicians. 41 specialties, searchable, HIPAA/BAA verified.
Browse Tools →Tax planning, loans, PSLF, and CPA matching — calibrated to physician income, entity structures, and OBBBA-era reality.
Physician Finance Hub
Three questions. We show you what matters for your situation — PSLF, taxes, entity structure, OBBBA implications.
Get Your Analysis →Physician CPA Referrals
Matched with a CPA who actually specializes in physician returns. Not a generic accountant.
Find a CPA →Budgeting Calculator
Build a clean monthly budget and cash-flow plan in minutes.
Open Calculator →Real estate, oil & gas, VC/MedTech — DIY decision support and curated white-glove deal flow for physician investors.
Repit — Investment Decision Support (DIY)
ZIP-level housing data, rents, appreciation, vacancy, and investment ratings. The clinical decision support equivalent for real estate — see the data, run the numbers, deal-hunt yourself.
Open Repit →GigHz Capital — Hands-Off Real Estate
Curated deals come to you — Dallas, Los Angeles, New York development and stabilized projects, syndications, and 1031 options. White-glove version of Repit for physicians who want exposure without the hunt.
Talk to Capital →Real Estate Investing Calculator
Model purchase price, rents, expenses, and cash-on-cash assumptions for any deal.
Open Calculator →Graham–Buffett Margin of Safety Calculator
Stress-test value vs. price and build a margin of safety habit before committing capital.
Open Calculator →VC & MedTech Upside vs. Downside Calculator
Model asymmetric outcomes and dilution-aware expectations for early-stage and medtech bets.
Open Calculator →Oil Investment Calculator
Estimate scenarios and understand the shape of outcomes for oil & gas tax-advantaged investments.
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Custom tools, integrations, advisory, or anything you don't see here. Tell us what you're working on.
Talk to Us →Tax & Finance Angles for Psychiatry
Specialty-specific tax and investing topics that apply directly to Psychiatry practice economics. Not generic 'physician tax tips' — these are calibrated to your specialty's actual income mix, equipment requirements, and practice ownership reality.
Cash-Pay Practice 199A Optimization
Cash-pay psychiatry and addiction medicine practices have flexibility on practice structure. Strategic adjusted-gross-income management can keep partners under the Specified Service Trade or Business phase-out for the 20% qualified business income deduction.
S-Corporation for Cash Practices
Concierge psychiatry and addiction medicine practices benefit from S-corporation pass-through treatment — reasonable W-2 salary plus owner distributions, saves on payroll taxes.
Geographic / State Tax Arbitrage
Telemedicine cash-pay practices can move headquarters to no-tax states (Texas, Florida, Nevada, Tennessee, Washington) without losing patient base. Multi-state licensing matters.
Solo 401(k) / SEP-IRA for High-Margin Solo Practice
Solo cash-pay practices easily fund a Solo 401(k) or Simplified Employee Pension IRA up to the annual contribution limit pre-tax.
Universal Physician Tax Strategies
These apply across most specialties — high earners in any clinical field benefit.
The SALT Deduction Cap & Where You Buy Real Estate
The state and local tax (SALT) deduction cap of $10,000 is one of the most consequential decisions for physicians in California, New York, New Jersey, and Illinois. Tied directly to where you buy a primary residence vs. invest in real estate out-of-state for depreciation.
Charitable Bunching & Donor-Advised Funds
The 2017 tax reform doubled the standard deduction and made annual charitable giving less tax-efficient for most. Bunch 3 to 5 years of giving into a single year via a Donor-Advised Fund to clear the itemization threshold and maximize the deduction.
Investment Interest Expense Deduction
Borrowing to fund a real estate syndication, surgery center buy-in, or other partnership-distribution generator? The interest may qualify as deductible investment interest expense against passive income — often missed.
These are educational summaries, not tax advice. Specialty-specific structures interact with your overall income, state, partnership terms, and personal situation — work with a physician-focused CPA before structuring. Find a CPA →
Written and reviewed by Pouyan Golshani, MD, Interventional Radiologist — Last updated May 21, 2026