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  • Retirement Plans for Physicians: Are You Making the Most of Yours? with Nick Gizzarelli, CPFA™, CBS™, QPA™, QKA®

    Retirement Plans for Physicians: Are You Making the Most of Yours? with Nick Gizzarelli, CPFA™, CBS™, QPA™, QKA®
    2026/10/14
    Host David Mandell welcomes Earned retirement plan specialist Nick Gizzarelli to discuss how retirement plan decisions fit into a physician's broader wealth and tax strategy. Nick explains why plan design should reflect retirement savings goals, income, career stage, and the makeup of a practice's workforce. The conversation explores fiduciary responsibilities for practice owners, the costs and funding commitments that can accompany different plans, and the value of reviewing an existing plan's fees, investment options, and administration. David and Nick also discuss why retirement plans should be revisited as a practice grows and a physician's circumstances change. For employed physicians, Nick outlines questions to ask about 401(k) and 403(b) plans, Roth contributions, and employer contributions. They also explore how 1099 side income may create additional retirement planning opportunities and discuss potential policy developments affecting plan sponsors and participants. Key Takeaways Plan design starts with the full picture. Savings goals, taxes, workforce demographics, and anticipated income changes all influence which retirement plan structure may be appropriate. Practice owners need to understand their fiduciary responsibilities. Reviewing administration, fees, investments, and funding requirements can help identify concerns and opportunities for improvement. Employed physicians may have opportunities beyond their workplace plan. Understanding employer benefits and coordinating any separate plan for eligible side income with a retirement specialist and CPA can support a more complete strategy. Insights Nick explains the retirement plan credentials and fiduciary focus that inform his work with medical practices.Qualified retirement plans connect long-term savings goals with tax planning for physicians and practice owners.Employers sponsoring retirement plans should understand the responsibilities they take on and seek qualified support where needed.Workforce size and demographics can affect employer contribution requirements and the overall cost of a plan.401(k), profit-sharing, and cash balance plan decisions should account for funding commitments and projected income.A retirement plan should be reviewed as earnings, business structure, savings needs, and tax rules evolve.A plan review may examine its platform, administrative fees, investment expenses, funding design, and participant outcomes.Employed physicians should ask which plans are available, when they become eligible, and how to receive the full employer contribution.Roth 401(k) contributions and Roth IRA contributions have different eligibility rules, a distinction Nick highlights for high-income physicians. Resources: After-Tax Alpha: Quantifying the Value of Integrated Wealth and Tax Management for Doctors | Get Your Free ReportFree Copy of Wealth Strategies for Today's Physician | Get Your Free CopyFor more information and access to any offers, please visit earned.com/wpmp.To connect with Nick and the retirement plan specialists team at Earned, please email rps@earned.com. About the Guest Nick Gizzarelli, CPFA™, CBS™, QPA™, QKA® is a retirement plan specialist at Earned with approximately 15 years of experience in the retirement industry. He works with private practices, self-employed clinicians, and medical groups on retirement plan design, administration, and fiduciary considerations. He is an active member of the American Retirement Association. About the Host David Mandell, JD, MBA brings deep expertise in asset protection and wealth management, shaped by decades of experience advising physicians and co-authoring leading financial resources for the profession. His articles have appeared in many national publications, reflecting his standing as a thought leader in physician wealth strategy. As a recognized speaker and host of his own podcast, he regularly shares actionable guidance with audiences across the medical community, and his work with Earned Institute offers insight focused on helping doctors build, protect, and preserve long-term wealth.
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    45 分
  • Independent Practice, Value-Based Care & Physician Advocacy with Dr. Eric Hansen

    Independent Practice, Value-Based Care & Physician Advocacy with Dr. Eric Hansen
    2026/09/30
    Watch or listen in as host David Mandell welcomes Dr. Eric Hansen, an independent physician, clinical professor and physician advocate who has spent more than two decades building his own practice while working to strengthen the environment for independent doctors. Eric begins by sharing the personal story that inspired him to pursue medicine. Growing up on a ranch near Temecula, California, he expected to work in his family's construction business until the loss of a close childhood friend changed his direction and motivated him to prove to himself that medical school was possible. The conversation then turns to Eric's passion for independent practice. He explains why autonomy, entrepreneurship and control over his own schedule have been central to his career, and why he believes young physicians should continue to view independent or small-group practice as a viable option. David and Eric also discuss side opportunities for physicians, contract review, payer mix and the importance of making deliberate business decisions rather than simply accepting the status quo. Eric then explains how value-based care has changed the economics of Medicare patients in his practice. He describes his participation in an accountable care model, how better tracking and follow-up can improve patient outcomes, and how shared-savings programs can create an additional revenue stream for independent practices already doing the work of delivering strong preventive care. David and Eric also discuss medical office real estate, including Eric's decision to build and own his practice space, as well as his involvement in organized medicine and healthcare policy through the California Medical Association. The episode concludes with Eric offering practical advice for both younger and experienced physicians on overcoming fear, building long-term financial assets, teaching and mentoring, and staying engaged in the profession. Key Insights: Background: Dr. Eric Hansen grew up on a 26-acre ranch near Temecula, California, in a family that worked in construction, and he worked in ceramic tile construction before medical school.Motivation for Medicine: A conversation with a close childhood friend, followed by that friend's death in a car accident, became a defining moment that pushed Eric to work harder academically and pursue medicine.Independent Practice Mindset: Eric says the desire to determine his own path and make his own decisions made independent practice a natural fit for him from the beginning of his career.Teaching the Business of Medicine: He believes medical students and residents often hear that independent practice is no longer realistic, so he makes a point of teaching trainees about practice ownership and the business side of medicine.Using a Medical Education Broadly: Eric encourages physicians to recognize that their training can create opportunities beyond seeing more patients, including teaching, consulting, locums work and other professional side pursuits.Schedule Control: One benefit Eric attributes to independent practice is the ability to design his own schedule and make operational choices that support both practice performance and personal flexibility.Contract and Payer Review: He stresses that independent physicians should regularly review contracts, reimbursement and payer mix rather than signing an agreement and leaving it untouched for years.Value-Based Care: Eric describes value-based care as an important opportunity for physicians who already provide strong preventive care and follow-up, particularly for Medicare patients.Shared Savings: Through an accountable care organization model, physicians can be financially rewarded when strong care coordination and outcomes help reduce overall healthcare costs.Medicare Economics: Eric explains that participation in value-based care changed the economics of Medicare in his own practice and made those patients significantly more valuable to the business than they had been under fee-for-service alone.Owning Practice Real Estate: After years of renting, Eric purchased commercial property, designed his own office building and used an SBA loan to create an asset that also serves as the home of his practice.Long-Term Wealth Building: He views practice real estate as both a way to control occupancy costs and a potential long-term asset that can become part of a physician's retirement nest egg.Physician Advocacy: Eric's involvement in organized medicine grew from a local medical society role into leadership with the California Medical Association, where he advocates for independent physicians and healthcare policy.Supporting Access to Care: He argues that independent physicians remain especially important in smaller and underserved communities where larger health systems may have less incentive to operate.Advice Across Career Stages: For younger physicians, Eric emphasizes overcoming fear, considering ownership and starting a defined benefit plan when appropriate. For ...
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    39 分
  • After-Tax Alpha: Six Strategies for Building Wealth with Bill Martin, CFA

    After-Tax Alpha: Six Strategies for Building Wealth with Bill Martin, CFA
    2026/09/16
    Season 7 of Wealth Planning for the Modern Physician begins with host David Mandell joined by Bill Martin, CFA, Chief Wealth Officer at Earned Wealth and founder of the Earned Institute. Bill shares the career experiences that led him to Earned and explains why he was drawn to building an integrated wealth-management platform specifically for doctors. He and David also discuss the Earned Institute and its education-first mission of bringing together expertise across tax, investing, insurance, asset protection, retirement planning and other areas of a physician's financial life. The conversation then turns to Earned's new white paper, After-Tax Alpha: Quantifying the Value of Integrated Wealth and Tax Management for Doctors. Bill explains why taxes should be viewed as a year-round planning opportunity rather than simply an annual reporting exercise. He and David walk through six key drivers of after-tax wealth: year-round tax-loss harvesting and gain deferral; placing investments in the most appropriate account types; planning ahead of practice sales and other liquidity events; coordinating financial decisions before they are made; allowing tax savings to compound over time; and structuring 1099 and practice income more intentionally. Throughout the discussion, Bill and David emphasize that many doctors do not necessarily have an investment problem as much as a coordination problem. Tax, investment, retirement, insurance, estate and business decisions can each affect the others, and valuable opportunities may be lost when those decisions are made in isolation or too late in the year. The episode offers practical examples of how proactive planning can create meaningful long-term benefits for employed physicians, practice owners and doctors with side income or other entrepreneurial interests. Key Takeaways Tax planning can be most effective when it is treated as a year-round discipline and coordinated with investing, retirement planning and other major financial decisions.For doctors with multiple accounts, advisors or financial professionals, coordination across the entire financial picture can be just as important as the individual strategies being used.Planning well in advance of major events, including a practice sale, investment gain or new source of 1099 income, can create opportunities that may no longer be available once the transaction or tax year is nearly complete. Key Insights Year-round tax-loss harvesting can capture opportunities that a traditional year-end review may miss, particularly during periods of sharp market volatility.A tax-loss "bank" may help offset future capital gains inside or outside an investment portfolio, making tax-loss harvesting relevant beyond the year in which the loss is realized.Asset location matters. Taxable, tax-deferred and tax-free accounts are treated differently, so the placement of investments across those accounts can affect long-term after-tax results.Managing several investment accounts or advisors without a coordinated strategy can lead to duplicated exposures, inefficient asset placement and an overall portfolio that is out of balance.Practice sales and other liquidity events should be planned for well before closing. Tax-loss harvesting, charitable strategies, estate planning and other tools may become more valuable when there is sufficient time to implement them.Financial decisions often cross disciplines. Investment, tax, retirement, insurance, estate and gifting strategies can work against one another when the professionals involved are not coordinating before decisions are made.The long-term impact of tax-efficient planning comes not only from the tax savings themselves, but also from allowing those retained dollars to remain invested and compound over time.Physicians with 1099 income or practice ownership may have access to additional planning opportunities, including retirement-plan design, business deductions and entity-structure considerations.Cash balance and other retirement-plan strategies can be especially significant for physicians with the right income, cash-flow and age profile, but they require advance planning and proper structure.The central theme of the episode is proactive coordination: tax strategy becomes more powerful when it is integrated into the doctor's broader financial plan instead of being addressed as a separate, once-a-year exercise. Resources: Extra Disclosures (Related to this specific topic) | Please View NowAfter-Tax Alpha: Quantifying the Value of Integrated Wealth and Tax Management for Doctors | Get Your Free ReportEarned Institute | View NowFree CPA Consultation | Schedule TodayFree Copy of Wealth Strategies for Today's Physician | Get Your Free Copy For more information, offers and more, please visit earned.com/wpmp.
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    43 分
  • Summer Rewind 2026 #5: From Scalpel to Strategy: Empowering the Next Generation of Physicians with Dr. Mark Figgie and Dr. Joel Press

    Summer Rewind 2026 #5: From Scalpel to Strategy: Empowering the Next Generation of Physicians with Dr. Mark Figgie and Dr. Joel Press
    2026/09/02

    This summer, join host David Mandell as he revisits and highlights episodes from Season 5 of The Wealth Planning for the Modern Physician podcast, in our 2026 Summer Rewind Series.

    "I genuinely believe there is a lot of information to gain from all of our episodes deliver, but for the summer, I've handpicked a few that offer intriguing ideas and a unique perspective for physicians in 2025," says David. "I hope you enjoy this Season encore series. Have a great summer!"

    Episode 5.18 | Originally Released: May 14, 2025

    In this episode of the Wealth Planning for the Modern Physician podcast, host David Mandell sits down with two highly respected medical leaders—Dr. Mark Figgie, Chief Emeritus of the Surgical Arthritis Service at the Hospital for Special Surgery (HSS), and Dr. Joel Press, Physiatrist-in-Chief at HSS—to explore their personal and professional journeys in medicine. Dr. Press shares how his diverse early experiences led him to physiatry, while Dr. Figgie recounts his balance between science, business, and a lifelong pursuit of education, including earning an MBA during his fellowship.

    The conversation shifts into a discussion of mentorship at the Hospital for Special Surgery, where both physicians have played key roles in developing a cross-disciplinary mentorship model to support younger doctors. Their focus extends beyond clinical guidance to include career development, personal financial planning, and wellness—areas often overlooked in traditional medical training. This approach fosters institutional collaboration and a stronger culture at HSS.

    Finally, the episode dives into physicians' relationships with industry. Dr. Figgie offers candid advice on contracts, intellectual property rights, and ethical considerations when working with device manufacturers. He emphasizes the importance of legal review and staying true to what benefits patients. Dr. Press adds insight into personal financial trust, suggesting that doctors build a "board of directors" for trusted guidance. The episode closes with a preview of future initiatives aimed at supporting physicians earlier in their careers through financial education and mentorship.

    Learn more by visiting the original episode page.

    Learn more, including additional show notes, links, and detailed key takeaways, by visiting visiting the original episode page.

    Check out other episodes from our 6 seasons by visiting, physicianswealthpodcast.com.

    Click here to get your FREE copy of our latest book, Wealth Strategies for Today's Physician!
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    45 分
  • Summer Rewind 2026 #4: From West Point to Wine: Success in Career & Retirement, with Dr. Pat St. Pierre

    Summer Rewind 2026 #4: From West Point to Wine: Success in Career & Retirement, with Dr. Pat St. Pierre
    2026/08/19

    This summer, join host David Mandell as he revisits and highlights episodes from Season 5 of The Wealth Planning for the Modern Physician podcast, in our 2026 Summer Rewind Series. "I genuinely believe there is a lot of information to gain from all of our episodes deliver, but for the summer, I've handpicked a few that offer intriguing ideas and a unique perspective for physicians in 2025," says David. "I hope you enjoy this Season encore series. Have a great summer!"

    Episode 5.13 | Originally Released: March 5, 2025

    Host David Mandell speaks with orthopedic surgeon and retired Army Colonel Dr. Pat St. Pierre. Pat shares how his path took him from West Point and infantry service to military medicine, orthopedic surgery and a long-running sports medicine practice in Palm Desert, California. Along the way, he offers practical advice for younger physicians about mentorship, employment contracts, family considerations and the financial realities of private practice.

    The conversation also explores Pat's work with medical-device companies, including his role in developing robotic technology for shoulder replacement surgery. He explains why thoughtful collaboration between physicians and industry is essential to advancing patient care.

    Finally, Pat discusses the importance of retiring to something rather than simply retiring from medicine. He shares how a longtime passion for wine became a challenging and rewarding second chapter, and why physicians should begin planning early for a meaningful life beyond clinical practice.

    Learn more by visiting the original episode page.

    Learn more, including additional show notes, links, and detailed key takeaways, by visiting visiting the original episode page.

    Check out other episodes from our 6 seasons by visiting, physicianswealthpodcast.com.

    Click here to get your FREE copy of our latest book, Wealth Strategies for Today's Physician!
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    38 分
  • Summer Rewind 2026 #3: Surviving Practice Challenges: A Journey Through Dentistry, Bankruptcy, and Reinvention (Part 2)

    Summer Rewind 2026 #3: Surviving Practice Challenges: A Journey Through Dentistry, Bankruptcy, and Reinvention (Part 2)
    2026/08/05

    This summer, join host David Mandell as he revisits and highlights episodes from Season 5 of The Wealth Planning for the Modern Physician podcast, in our 2026 Summer Rewind Series.

    "I genuinely believe there is a lot of information to gain from all of our episodes deliver, but for the summer, I've handpicked a few that offer intriguing ideas and a unique perspective for physicians in 2025," says David. "I hope you enjoy this Season encore series. Have a great summer!"

    Episode 5.8 | Originally Released: December 25, 2024

    Host David Mandell continues his conversation with dentist and coach Dr. Sue Keller.

    Picking up where they left off at the end of Part I, David and Sue discuss the ongoing financial challenges of her specialty dental practice. Here, they tackle Sue's difficult decision to file bankruptcy for the practice after more than 20 years—and the legal, practical and emotional processes involved.

    The discussion then turns to Sue's transition after closing her practice—from working part-time for another dentist, serving patients as part of a non-profit and her eventual interest in, and transition to, coaching.

    David and Sue conclude the conversation chatting about Sue's role as a coach and how physicians and dentists could benefit from this type of advisor.

    Key Takeaways from this Episode:

    1. Bankruptcy does not necessarily mean failure, but it can be a step toward a more balanced life
    2. Regular evaluation of business and life balance is vital
    3. The importance of community and support in times of crisis

    Learn more, including additional show notes, links, and detailed key takeaways, by visiting visiting the original episode page.

    Check out other episodes from our 6 seasons by visiting, physicianswealthpodcast.com.

    Click here to get your FREE copy of our latest book, Wealth Strategies for Today's Physician!
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    34 分
  • Summer Rewind 2026 #2: Surviving Practice Challenges: A Journey Through Dentistry, Bankruptcy, and Reinvention with Dr. Sue Keller (Part 1)

    Summer Rewind 2026 #2: Surviving Practice Challenges: A Journey Through Dentistry, Bankruptcy, and Reinvention with Dr. Sue Keller (Part 1)
    2026/07/22

    This summer, join host David Mandell as he revisits and highlights episodes from Season 5 of the Wealth Planning for the Modern Physician podcast, in our 2026 Summer Rewind Series. "I genuinely believe there is a lot of information to gain from all of our episodes deliver, but for the summer, I've handpicked a few that offer intriguing ideas and a unique perspective for physicians in 2025," says David. "I hope you enjoy this Season encore series. Have a great summer!"

    Episode 5.7 | Originally Released: December 11, 2026

    Listen in or watch as host David Mandell interviews dentist and coach Dr. Sue Keller. David begins with questions he asks all doctor guests to the program—about their initial interest in becoming a doctor, early career journey and more. Sue relates her personal experiences that lead her to dentistry and a shift from an interest in orthodontics to general dentistry.

    Sue explains her initial venture into private practice, purchasing an existing practice from a burned-out dentist, and her initial attempts to grow the practice. She and David discuss her challenges in growing the practice, the positives and negatives to developing a niche practice, to moving the physical location and the difficulties of keeping good staff.

    For the remainder of this first part of a two-part episode, Sue tells David about the challenges of keeping the practice afloat financially. In part two, they discuss Sue's decision to file bankruptcy for the practice after more than 20 years and her career transition thereafter.

    Key Insights:

    • Sue shares her personal journey, mentioning her early interest in dentistry after having her first loose tooth at six years old.
    • Sue had a positive childhood experience with her dentist, which fueled her desire to make dentistry comfortable for others.
    • She discusses the transition in her career, starting her practice after a residency and eventually purchasing an existing practice from a burned-out dentist.
    • In 1995, Sue took over a family practice and started building it up, noting challenges with old technology and financial constraints.
    • She explains that her practice focused on treating anxious adult patients with oral sedation, creating a niche in an underserved area.
    • She moved her practice in 2007, creating a comfortable environment in Northampton but encountered financial challenges in 2008 due to the financial crisis, including losing two-thirds of her patients after the move and facing difficulties hiring motivated staff, leading to constant turnover.
    • Sue reflects on the decision to go fee-for-service and the financial pressures of taking insurance while striving to maintain high-quality care.
    • Despite her advanced education, she struggled to implement complex treatments due to a lack of patients who could afford the care.
    • Sue emphasizes the importance of utilizing specialists, even for bread-and-butter dentistry, to maintain quality and avoid complications.
    • She outlines the ongoing financial struggles from 2008 to 2017, refinancing multiple times to stay afloat amid a tough market.


    Learn more, including additional show notes, links, and detailed key takeaways, by visiting visiting the original episode page.

    Check out other episodes from our 6 seasons by visiting, physicianswealthpodcast.com.

    Click here to get your FREE copy of our latest book, Wealth Strategies for Today's Physician!
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    28 分
  • Summer Rewind 2026 #1: Insights on Bridging Medicine and Business with Consultant Jessica Jones

    Summer Rewind 2026 #1: Insights on Bridging Medicine and Business with Consultant Jessica Jones
    2026/07/08

    This summer, join host David Mandell as he revisits and highlights episodes from Season 5 of The Wealth Planning for the Modern Physician podcast, in our 2026 Summer Rewind Series. "I genuinely believe there is a lot of information to gain from all of our episodes deliver, but for the summer, I've handpicked a few that offer intriguing ideas and a unique perspective for physicians in 2025," says David. "I hope you enjoy this Season encore series. Have a great summer!"

    Episode 5.6 | Originally Released: November 27, 2024

    Listen in or watch as host David Mandell speaks with practice consultant Jessica Jones.

    David begins asking about Jessica's career and how she ended up working with medical and dental practices. Jessica then shares with David the pain points doctors typically have when they contact her—how they want to see their practices—and lives—improved. J

    essica then speaks to David about the importance of finding the doctor's passions and how to align the practice with those passions, along with patient needs—potentially with a cash-based revenue element outside of insurance reimbursement. She then digs into the details around service offerings, equipment purchases, the importance of delegation and other key success factors her experiences has discovered are valuable—in cash-based practices or traditional ones.

    Finally, Jessica stresses the importance of brainstorming and getting out of the daily grind to have perspective on what is working and what could be improved.

    Learn more by visiting the original episode page, here.

    Learn more, including additional show notes, links, and detailed key takeaways, by visiting physicianswealthpodcast.com.

    Click here to get your FREE copy of our latest book, Wealth Strategies for Today's Physician!
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    40 分