The 1099 Surprise — why moonlighting income hits differently than a W-2 A resident earning $30,000 in moonlighting 1099 income owes $4,590 in self-employment tax on top of ordinary income taxes — a bill that…
What OBBBA 2026 Changed — the New $40,400 SALT Cap and Who Benefits The One Big Beautiful Bill Act (OBBBA) has introduced a significant change in 2026: a $40,400 cap on State and Local Tax…
Same Income, Two Very Different Tax Bills — the $380k side-by-side Two physicians both earning $380,000 — one W-2 at a hospital, one running a private practice — will end the year with a $50,000…
What Tail Insurance Is and Why It Is Required An interventional radiologist leaving hospital employment faces a tail insurance premium of $40,000 to $80,000 — a cost that is fully deductible as a business expense…
The Stack — How 401k, Cash Balance Plan, and HSA Layer Together in 2026 A private practice physician aged 52 earning $600,000 can contribute up to $310,000 in pre-tax income across a solo 401k, cash…
Where IR Physicians Stand Financially Right Now In 2026, the median net worth for interventional radiologists (IRs) stands at approximately $3.5 million, reflecting the ongoing evolution in reimbursement models and procedural volumes. This figure is…
Why This Wealth Strategy Matters for Physicians Right Now As of 2026, the median net worth for physicians in the United States varies significantly by specialty, with dermatologists and orthopedic surgeons leading the pack at…
Why This Tax Strategy Matters Right Now As of 2026, the IRS allows a maximum contribution of $66,000 to a solo 401(k), effectively offering a substantial tax shield for high-income physicians. With the recent adjustments…
Why This Retirement Strategy Matters Right Now In 2026, the IRS has increased the contribution limit for retirement accounts to $23,000, a crucial adjustment for physicians planning their financial futures. This change directly impacts how…
Why This Matters Right Now The current average reimbursement for CPT code 49440 has increased by 3% in 2026, now standing at $1,800 per procedure, according to the CMS Machine Readable Files. This uptick is…
