Should physicians hire their spouses? Fishy or fine?

Should physicians hire their spouses? Fishy or fine?

Author: Nate Reineke June 25, 2025 Duration: 28:58

Some tax strategies are fishier than others. This week, you’ll hear about how things are going with Nate and his son’s development as a fisherman, and we’ll also tackle a somewhat fishy 401(k) question: can you, or SHOULD you, hire your spouse for your 401(k)? Like a fresh-caught fish, it’s a slippery question with a tricky answer. You can also catch answers to your colleagues' questions from Ben Utley and Nate Reineke. 

Practice Buy-in: An Orthopedic surgeon in Oregon is anticipating a cash call buy-in and wants to know where they should get the funds from. 

Social Security: An Oregon Urologist is turning 70 in about 6 months (Happy early birthday). He wants to know if he can apply for Social Security even though he is still working. 

401 (k) changes: A listener emailed with a 401 (k) question. Their 401(k) is changing from the more typical ETFs to a collective trust fund, and they want to know the pros and cons of this.

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

 

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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
#164 Extra, Extra: Hear All About Where Docs Can Keep Extra Savings [not-audio_url] [/not-audio_url]

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Building on the momentum of your high-earning years can sometimes feel like a puzzle with missing pieces. When it comes to finding a home for your extra savings, it can seem like there are a million account types, and it…
#160 Taxes are a drag. How can physicians cut the weight? [not-audio_url] [/not-audio_url]

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If you have a tax-inefficient portfolio, it can be like swimming with a giant t-shirt on. You can do it, but there is a lot of unnecessary drag. Nate Reineke and Kyle Hoelzle break down what tax drag in a portfolio means…
#159 How Do Doctors Know When To Break Their ARM? [not-audio_url] [/not-audio_url]

Duration: 22:26
Mortgage rates are on the move once again, and if you have an ARM that is coming up on a variable rate period, it may be time to consider changing your mortgage type. The answer to knowing if you should is easier than yo…
#158 What Should Doctors Upgrade Right Before Moving [not-audio_url] [/not-audio_url]

Duration: 26:17
The housing market seems to be heating up again as mortgage rates start to come down. If you’re planning a move, it can be hard to determine what upgrades to do on a house that will actually have a good return on investm…
#156 What is a Mega Backdoor Roth, And When Should Doctors Use One? [not-audio_url] [/not-audio_url]

Duration: 27:16
If you plan to hit your 401K contribution limit for the year, but see that you can still add money through “after-tax contributions,” you may be wondering if that is a Mega Backdoor Roth and, more importantly, if you sho…