#133 Dependent Care FSA: Time Suck or Tax Saver for Doctors?

#133 Dependent Care FSA: Time Suck or Tax Saver for Doctors?

Author: Nate Reineke September 17, 2025 Duration: 21:26

There are a thousand opinions out there on how to raise kids, but the one thing everyone can agree on is that raising kids is expensive. Luckily, there’s a way that doctors like you can save on taxes and use pretax dollars to pay for childcare. Nate Reineke breaks down how a dependent care FSA can be used to pay for daycare or nannies and how it helps physicians get an easy tax break. We also answered your colleagues’ questions. A Pediatrician in California says, I inherited an IRA from my mom. I plan to work for the next 10 years, and the IRA is subject to the 10-year rule. I am switching jobs to a higher-paying job in 2026. Should I withdraw now or wait? A business owning spouse of a Dermatologist in Virginia opened a group 401 (k) plan with a non-spouse employee who never became eligible for the plan. They want to know if they can close the group plan and roll the funds into a Solo 401 (k). A cardiologist in Oregon says that his wife has an inactive 401 (k) that is changing custodians and is in a blackout period. He wants to know what that means. An Addiction Medication Specialist in Oregon says, according to my plan, I am on track for retirement, and I may decrease my working hours soon. Should I open a cash balance account? Are you ready to turn worries about taxes and investing into all the money you need for college and retirement? It’s time to make a plan and get on track. To find out if we’re a match visit physicianfamily.com and click get started or, you can ask a question of your own by emailing podcast@physicianfamily.com. See marketing disclosures at physicianfamily.com/disclosures


Finding a clear path through financial planning feels uniquely challenging when your career is in medicine and your heart is at home with family. The Physician Family Finances Podcast exists in that specific, demanding space. Host Nate Reineke, alongside co-host Chelsea Jones, brings their experience as Certified Financial Planner™ professionals directly to conversations with physician parents. They understand the dual pressures of managing a practice, caring for kids, and making smart long-term decisions with your earnings. Each episode moves beyond generic advice to tackle the real questions you face, from navigating student loan strategies and investment options tailored to a physician's timeline to planning for retirement without sacrificing your family's present. This isn't about quick tips; it's about building a sustainable framework that aligns with your values and goals. Tune in for a candid, practical discussion that makes complex topics like tax laws and wealth building accessible, so you can gain confidence and clarity with your finances. The entire podcast is built on the principle that securing your future should feel like an achievable part of your life's work, not an overwhelming distraction from it.
Author: Language: English Episodes: 100

Physician Family Finances Podcast
Podcast Episodes
#154 Doctor Dilemma: Pension Plan or Higher Compensation [not-audio_url] [/not-audio_url]

Duration: 29:28
Valentine's Day is right around the corner, and love is in the air! If there’s one thing most people love, it’s receiving a great job offer. Even better is when you get more than one. But job offers aren’t always as simp…
#152 A Physician's PE Dilemma: Cross the Finish Line or Another Lap? [not-audio_url] [/not-audio_url]

Duration: 19:53
After years of building your private practice, the time has come to sell. The business you have poured your time, energy, and money into is being bought by private equity. Should you take the payout in PE shares or cash?…
#150 Should Doctors Wait to Close on a New House? [not-audio_url] [/not-audio_url]

Duration: 23:42
New year, new interest rates? It’s a strong maybe. That isn’t the most helpful answer, but if you are close to closing on a new house, should you wait to see if they drop or lock in now? Nate Reineke and Chelsea Jones di…
#148 New Year, New 401K Catch-Up Contribution Rules for Doctors [not-audio_url] [/not-audio_url]

Duration: 27:58
It’s New Year’s Eve! We hope that you have had a wonderful 2025. As we look ahead to 2026, you may be making resolutions or setting goals for yourself. This is a time we all reflect on what changes we’d like to make. As…
#147 What End-of-Year Tax Breaks Should Physicians Utilize? [not-audio_url] [/not-audio_url]

Duration: 33:35
The holiday season brings many fun traditions, like going to see the lights, opening Advent calendars, baking, or shopping for the perfect gift. Since the holidays also signal the end of the year, it can be a time to thi…
#146 Are Mega Backdoor Roths Mega Awesome for Doctors? [not-audio_url] [/not-audio_url]

Duration: 25:03
That benefits packet you skimmed might hide a major opportunity. When it comes to saving for retirement, it can seem like there are a million account types, and it is becoming more common for employers to offer even more…