MoneyRx for CRNAs and NPs

Most nurses retiring in their early sixties think they face one decision when it comes to ACA subsidies and Roth conversions: pick one or the other. But there’s another way. In this episode, Brett walks through the story of Renata, a 60-year-old CRNA retiring after 28 years with $1.78 million in her 403(b). She spent six months researching the ACA-versus-Roth question, talked to two CFPs, and was leaning toward skipping every conversion. What she discovered in a planning meeting changed everything. The cost of the question she had been asking, run across twelve years of her household's life, came to $280,000.In this episode, Brett walks through the three reasons this mistake keeps repeating, and introduces The Conversion Calendar: a 12 to 15-year framework that lets nurse households capture ACA subsidies and do Roth conversions at the same time, by placing each type of move on the right years of the retirement runway.Brett covers:- Why the ACA-versus-Roth binary is a false choice, and why 2026 makes it far more costly as enhanced credits expire- The shadow tax that adds 10 to 19 percent on top of your federal bracket without showing up on your tax return- How a household can go $3,000 over the cliff line and lose $14,000 in subsidies while saving only $300 in federal tax- The three-step Conversion Calendar built around Renata and Ben's 13-year runway- How this household saved $420,000 in lifetime federal taxes while capturing $45,000 in ACA subsidies#CRNAs #NursePractitioners #RothConversion #RetirementPlanning #ACASubsidyKey Timestamps:(0:18) Trade-off between ACA subsidies and Roth conversions(1:39) Case study of Renata and Ben’s early retirement transition(2:54) Risks of the false binary approach in tax planning(4:26) Reappearance of the hard 400% FPL cliff in 2026(6:07) Hidden shadow tax impact on real marginal rates(7:29) Actual cost of conversions compared to federal tax brackets(8:58) Shifting the planning focus to the multi-year retirement runway(10:33) Benefits of using a conversion calendar for long-term sequencing(11:33) Visual mapping of retirement into distinct tax environments(12:53) Strategy for pairing ACA years with measured conversions(14:53) Impact of sequencing on future required minimum distributions(16:08) Lifetime tax savings achieved through strategic decision orderingFor more information and resources related to this episode, please visit the show notes. 

You've worked for decades, maxed your 403(b) every year, and built a solid balance. But what if the structure of those savings is quietly setting you up for a six-figure tax problem in retirement?This episode follows Dana, a CRNA with 22 years at the same hospital and $1.4 million saved. She did everything the articles told her to do. What she found out in the first planning meeting was that doing everything right in a single account is still a problem.Brett walks through the three reasons high-earning nurses arrive at retirement with a tax structure they can't control, and the three concrete moves any nurse can make in the next 90 days to get back on track.Brett explores:Why having 96% of savings in one pre-tax account creates a retirement tax rate the IRS sets for youThe hospital plan features most nurses never use, including a 457(b) that could have added $200,000 in contributionsThe eight-year window between retirement and Social Security that is the cheapest tax opportunity of a high-earner's lifeHow to audit your hospital plan, redirect future dollars, and draw a conversion calendarWhat the Tax Diversification Reset looked like for Dana and Marcus, and how it saved their household $190,000 in lifetime federal taxesIf you have a growing balance in your plan and no real strategy for how it gets taxed in retirement, this episode is for you.Key Timestamps:(0:18) Risks of long-term concentration in a single pre-tax account (1:23) Shift of financial control from the retiree to the IRS (2:32) Distinction between missed contributions and missed financial flexibility (3:38) Financial exposure of households with large pre-tax balances (4:54) Institutional incentives that promote the default retirement structure (6:03) Impact of Medicare IRMAA surcharges on retirement cash flow (7:38) Unlocking overlooked features in complex hospital plan documents (9:13) Identifying the low-tax planning window before required distributions hit (10:58) Gaining control through tax-aware ordering and account types (12:53) Three concrete steps to audit hospital plans for new options (14:53) Mapping the conversion runway to minimize future tax brackets (16:08) Lifetime tax savings achieved through strategic asset repositioning For more information and resources related to this episode, please visit the show notes. 

Most retirement budgets are built around a method that almost guarantees an error. You sit down with a spreadsheet, write out every category you can think of, and estimate a number for each line. Research shows people who go through that exercise estimate what they think they can live on, not what they spend. Real retiree spending can run 20 to 30% higher than those estimates. On a $75,000 target, that's $15,000 to $22,000 per year, the plan never accounted for.In this episode, Brett walks through a different approach: the Subtract-and-Replace Budget. Two halves, eight lines, and a starting point that's already in your paycheck.Brett covers:Why the line-item budget fails: The psychology behind underestimating, and what a $500 error in your monthly estimate does to your plan's success probability.The Subtract side: Four expenses that disappear the day you stop working: payroll taxes, retirement contributions, debt service, and invisible work costs.The Replace side: Four categories that expand or appear at retirement: taxes in their retirement form, healthcare, go-go lifestyle spending, and healthcare inflation.David and Karen: Two CRNAs in their late 50s who thought their line-item budget was solid, until the Subtract-and-Replace method revealed the real number.If you're within five years of retirement, this framework is worth understanding before you build the plan.#CRNAs #NursePractitioners #RetirementPlanning #RetirementIncome #FinancialPlanningKey Timestamps:(0:18) Probability of success based on retirement spending accuracy(2:03) Ineffectiveness of the traditional line item approach for future budgeting(3:08) Discrepancy between imagined discipline and real retiree spending habits(4:53) Identification of major work expenses that disappear after retirement(6:06) Determining a real lifestyle baseline using current paycheck data(7:39) Average total healthcare expenditures for retired couples over a lifetime(9:03) Impact of healthcare inflation on long-term retirement planning(10:33) Financial value of strategic tax control and withdrawal timing(11:33) Moving from guessing to financial clarity with the paycheck method For more information and resources related to this episode, please visit the show notes. 

If you retired with $2.5 million and were still afraid to spend it, you would not be alone. Many CRNAs and nurse practitioners have worked so hard for so long, but nobody ever taught them how to switch gears.In this episode, Brett walks through a sample client household, Chris and Heather, a CRNA and NP couple who retired with $2.5 million in pre-tax accounts and were only spending $6,800 a month when their plan could safely support $10,500. Brett names the three reasons that happened, and the three-part retirement spending blueprint he built to fix it, including a Roth conversion strategy on track to save them over $180,000 in lifetime taxes.Brett Covers:Why retirees spend 80% of their guaranteed income but only 50% of their portfolio assetsThe psychology behind treating savings as untouchableHow underspending creates a compounding future tax problemThe three-bucket retirement spending blueprintHow to build a monthly "retirement paycheck" from your portfolioLong-term care: the real data on who actually needs itHow to use the Roth conversion window before RMDs kick inWhy IRMAA surcharges cost some couples $18,740 a year in Medicare alone#CRNAs #NursePractitioners #RetirementPlanning #FinancialPlanning #MoneyRxKey Timestamps:(0:18) Challenges transitioning from saving to spending money(1:20) Comprehensive financial planning services for high-earning nurses(2:54) Potential tax liabilities of underspending in retirement(4:44) Psychological differences between monthly income and portfolio assets(6:36) Statistical data regarding long-term care cost risks(8:06) Benefits of using the Roth conversion window after retirement(9:08) Medicare surcharges and their relationship to required distributions(10:39) Three components of the retirement spending blueprint(12:33) Executing a Roth conversion strategy to minimize taxes(14:18) Summary takeaways and link to free retirement assessment For more information and resources related to this episode, please visit the show notes. 

Many CRNAs and nurse practitioners are already financially ready to retire… they just don’t know it. And yet, they keep working three, five, sometimes ten years longer than they need to. Not because they have to, but because no one has shown them clearly that they’re okay to stop.In this episode, Brett Fellows CFP® discusses four specific financial markers that show retirement readiness.Brett covers:Sign 1: Your portfolio can cover your income gap at a safe withdrawal rate, even if the market doesn’t cooperate.Sign 2: Your tax-deferred accounts are large enough that you’d benefit from starting Roth conversions now.Sign 3: You have, or can build, two years of living expenses in cash or short-term bonds outside of equities.Sign 4: Your plan still works under the widow’s penalty scenario, when one spouse is gone.If two or three of these apply to you, you may not be years away from retirement. You may already be there.#CRNAs #NursePractitioners #RetirementPlanning #FinancialIndependence #WealthManagementKey Timestamps:(0:18) Retirement readiness for CRNAs and nurse practitioners.(0:46) Overview of Oak Capital Advisors comprehensive planning.(1:47) Introduction to four specific financial signals.(2:14) Sign 1: Replacing your paycheck and the 4% rule.(4:39) Sign 2: Tax problems within pre-tax retirement accounts.(6:33) Power of Roth conversions during low-income years.(8:19) Sign 3: Protecting against the sequence of returns risk.(9:48) Sign 4: Stress testing for the widow's penalty.(11:28) Summary of the four markers for retirement.(12:36) Scheduling a complimentary discovery meeting.For more information and resources related to this episode, please visit the show notes. 

Making the jump from employee to business owner can feel scary for NPs and CRNAs, but it can be done successfully. In this episode, Brett Fellows sits down with Dr. Michelle Cuevas, DNP, FNP-C, a family nurse practitioner, entrepreneur, and self-described explorer who made the leap from W2 employee to 1099 business owner and has not looked back.Michelle built the NP Specialist Nursing Inc., her own clinical 1099 company, and then launched the NP Travel Specialist, a travel business that gives her flexible income and the freedom to explore the world with her family. Brett and Michelle share insights for anyone considering a similar move.In this episode, they explore:What finally pushed Michelle to leave the W2 world after nearly three decadesThe costly legal and financial mistakes she made going 1099, and what she wishes she had knownHow to evaluate a side business or second income stream as a nurse practitionerWhy the DNP did not necessarily increase her direct income, but absolutely opened doorsHer approach to managing student loan debt with intentionHow full practice authority and state-level legislation directly impact NP income and opportunityWhat a solo 401(k) looks like for a self-employed NPThe one piece of money advice she would give her younger selfWhether you are a nurse practitioner dreaming of going 1099, considering a side business, or trying to figure out what financial freedom looks like in practice, this episode is for you.#NursePractitioner #1099Life #NurseEntrepreneur #FinancialFreedom #MoneyRxKey Timestamps:(0:18) Welcome and Introduction to Dr. Michelle Cuevas(5:18) How Diverse Clinical Experience Impacted Her Earning Power(7:18) Why Michelle Chose Nursing and Pursued Her Doctorate(11:18) The Catalyst for Transitioning from W2 to 1099 Clinical Work(21:18) Lessons Learned: Legal Mistakes and Business Structure Errors in California(26:18) The Reality of Financial Complexity and Choosing Retirement Accounts(31:18) Diversifying Income: Launching "The NP Travel Specialist" Business(35:18) Evaluating the ROI of a DNP Degree(36:18) Managing Student Loans: What Nurse Practitioners Often Get Wrong(39:18) Managing a Large Family and Long-Term Financial PlanningFor more information and resources related to this episode, please visit the show notes. 

A CRNA or nurse practitioner can save consistently, build a $1.5 to $2 million portfolio, and be just a few years from retirement and STILL lose tens of thousands of dollars a year without knowing why. The answer? Because of these three specific decisions that got made quietly in the background right before retirement.In this episode, Brett Fellows walks through the story of Sandra, a 58-year-old CRNA with $1.9 million saved. Two of those decisions had already been made wrong. The third she didn't know existed. Brett covers:Why the account you pull from in early retirement can create a $12,900 per year difference in health insurance premiums for the exact same plan and coverageHow the ACA subsidy cliff works and why crossing it by $1 can wipe out more than $10,000 in subsidiesWhy Medicare looks at income from two years ago and how high-earning nurses get hit with IRMAA surcharges they never planned forThe overlap between Roth conversions, ACA premiums, and future Medicare costs that most advisors don't model togetherWhat tail coverage is, why most APRNs don't know it exists, and why the negotiation window closes the moment you give noticeThe Healthcare Retirement Clearance: three checkpoints that need to be addressed two and a half to five years before your target retirement dateIf you are within five years of retirement, these decisions are already in motion whether you have planned for them or not.Visit oakcapitaladvisor.com to schedule a call. We work specifically with CRNAs and NPs.#CRNAs #NursePractitioners #RetirementPlanning #EarlyRetirement #HealthcareCostsKey Timestamps:(0:18) Intro(1:25) Meet Sandra: CRNA, 58, $1.9M, two years from retirement(2:05) Decision 1: Which accounts fund your life before Medicare?(2:48) Two nurses, same plan, $12,000 difference in premiums(3:46) The ACA subsidy cliff and how income triggers it(5:18) Decision 2: The Medicare surcharge tied to income you no longer earn(6:16) IRMAA explained, and the appeal most nurses never file(6:55) The overlap: Roth conversions, ACA subsidies, and Medicare costs(8:28) Decision 3: The charge hiding in your exit paperwork(9:20) Tail coverage: what it costs and when you can negotiate it(11:22) The Healthcare Retirement Clearance(12:05) Sandra's corrected plan and outcomes(13:35) These decisions are already in motionFor more information and resources related to this episode, please visit the show notes. 

Where will your paycheck come from once you stop working, and which account do you pull from first? You saved well, maxed out your 403(b), and built a $2 million portfolio, but haven’t found clear answers to your retirement questions. In this episode, Brett Fellows talks through the three hidden issues that were quietly setting up a CRNA named Janie for $80,000 to $150,000 in taxes she did not have to pay, and the three-act retirement paycheck framework that changed her outcome.Brett covers:Why the 4% rule understates your real take-home by design when every dollar is pre-taxThe age 73 collision: what happens when a $2 million 403(b), Social Security, and forced RMDs all hit in the same yearWhy the window between retirement and RMDs is the highest-leverage tax planning period of a CRNA's entire financial life (and why most people waste it)How Roth conversions done at $75,000 per year from age 62 to 70 reduced Janie's 20-year federal tax bill by $170,000The three-act retirement paycheck framework: the bridge, the window, and the forced yearsWhat Janie's monthly paycheck looked like at age 70 after stopping work at 62 with a structured, tax-efficient sequenceIf your numbers raise more questions than they answer, get your retirement pre-op assessment: https://oakcapitaladvisor.com/schedule-a-call/  Click here to download the Free Retirement Checklist https://oakcapitaladvisor.com/retirement-checklist/#CRNAs #RetirementPlanning #RothConversion #TaxStrategy #RetirementPaycheckKey Timestamps:(0:18) Why retirement feels unclear with $2M(2:44) Janie: CRNA case study at age 58(4:10) The 4% rule and the age 73 collision(6:51) IRMAA and the conversion window(9:30) Filling your tax brackets on purpose(11:57) The three act retirement paycheck framework(13:06) Act 1: Funding the bridge years(15:15) Final results: Janie's $170,000 savings For more information and resources related to this episode, please visit the show notes. 

Most nurses arrive at retirement having done everything right for 30 years. The problem is not what they built. It is that nobody explained what happens when you have to start pulling money out.In this episode, Brett Fellows walks through five retirement mistakes that look responsible from the outside and only reveal their cost much later. Most nurses are making at least two of them. Some are making all five. And the window to correct them is closing.Brett covers:Why building only one tax bucket sets nurses up for forced income they never asked for at age 73The 457(b) that sits right next to the 403(b) at most hospitals and why it almost never gets usedWhy claiming Social Security early without a bridge account locks in a permanent 30% reduction worth $259,000 over 20 yearsHow a taxable brokerage account can cut healthcare premiums by $12,000 to $18,000 per year before Medicare startsWhat it means to shift from accumulation thinking to distribution architecture and why that shift changes everythingSandra's story: the same NP, same income, two completely different retirement outcomes based on six years of intentional decisionsIf you want to see what a distribution architecture looks like for your specific situation, visit oakcapitaladvisor.com to schedule a call. We work specifically with CRNAs and NPs.#CRNAs #NursePractitioners #RetirementPlanning #TaxStrategy #457bKey Timestamps:(0:18) The problem no one warned nurses about(2:24) Mistake 1: Building only one tax bucket(3:32) IRMAA explained: the cliff most nurses never see coming(4:36) Mistake 2: Not using the 457(b)(6:55) Mistake 3: Claiming Social Security too early(7:28) The $259,000 gap between 62 and 70(8:39) Mistake 4: No taxable brokerage account(9:50) Mistake 5: Staying in accumulation mode(12:22) What a well-structured retirement actually looks like(13:22) Meet Sandra: Path A vs. Path B(16:22) Same person, same income, six years of intentional decisions For more information and resources related to this episode, please visit the show notes. 

Most nurse practitioners trying to answer the retirement question are using benchmarks that were never designed for them. The 4% rule. The 80% income replacement rule. Healthcare cost estimates built on worst-case assumptions. Used together, they can make a completely achievable retirement look years out of reach.In this episode, Brett Fellows walks through an example, a 55-year-old NP named Diane with $1.2 million saved, to show exactly how three common planning beliefs were pointing her toward the wrong answer and how replacing them with the right framework changed everything.Brett covers:Why the 4% rule was designed for someone retiring at 65 with Social Security starting immediately, and why applying it to an early retirement overstates what you needHow the 80% income replacement rule nearly doubled Diane's perceived retirement cost by ignoring NP-specific work expenses that disappear at retirementWhy healthcare costs before Medicare are almost entirely a function of taxable income, not health status, and how to use that to your advantageThe account sequencing strategy that kept Diane's ACA premiums at $4,800 to $7,200 per year instead of $20,000How the years between retirement and Social Security can become the lowest-tax years of your adult life if you plan them correctlyWhy Diane retired at 60 instead of 65 with a 3.5% withdrawal rate and a portfolio still on track at age 85 and 90If you want to know whether your number actually works for your retirement, visit oakcapitaladvisor.com to schedule a call. We work specifically with CRNAs and NPs.#NursePractitioners #CRNAs #RetirementPlanning #EarlyRetirement #TaxStrategyKey Timestamps:(0:18) The question most NPs can't answer with confidence(1:10) Meet Diane: NP, 55, $1.2M saved, no debt(1:38) Why she believed she needed $2 million(2:25) The 4% rule and why it was built for someone else(4:19) The 80% income replacement myth(5:32) NP work expenses that vanish at retirement(6:07) Healthcare cost catastrophizing before Medicare(7:18) How taxable income, not health status, drives ACA premiums(8:09) Three beliefs, one wrong answer(9:15) The three questions that actually matter(10:22) The Nurse Retirement System: Step 1, map your real spend(11:00) Step 2: Income sequencing and account order(12:10) Roth conversions in the low-tax gap years(12:35) Social Security at 67 drops withdrawal to 3.5%(13:41) What the wrong benchmarks were really costing her For more information and resources related to this episode, please visit the show notes. 

Most CRNAs and nurse practitioners treat their HSA like a checking account for medical bills. They put money in, pay bills, and move on. But the HSA is the ONLY account in the U.S. tax code that gives you 3 tax benefits at the same time, and when used correctly, it translates to hundreds of thousands of dollars in tax-free wealth.In this episode, Brett Fellows walks through how to turn your HSA into a serious retirement savings tool, including the investment strategy most nurses skip, the shoebox receipt strategy for tax-free cash in retirement, and the Medicare timing mistake that triggers a penalty most people never see coming.Brett covers:Why you must be enrolled in a high deductible health plan to contribute, and what the 2026 IRS thresholds actually areThe 2026 HSA contribution limits, catch-up contributions, and the FICA tax savings W-2 employees get that most people overlookHow the triple tax advantage works and why the HSA outperforms both the traditional 401(k) and the Roth IRA for medical expensesThe key differences between an HSA, FSA, and HRAWhy investing your HSA balance instead of spending it is the move that separates a $2,000 balance from a $340,000 oneThe shoebox receipt strategy and how to use old medical receipts for tax-free withdrawals in retirementThe Medicare look-back rule and exactly when to stop contributing to avoid a 6% excise taxWhat happens to your HSA after age 65, and why it functions as a traditional IRA for non-medical expensesIf you want to see how an HSA fits into your full retirement plan, visit oakcapitaladvisor.com to schedule a call. We work specifically with CRNAs and NPs.#CRNAs #NursePractitioners #HSA #HealthSavingsAccount #RetirementPlanning #TaxStrategy Key Timestamps:(0:18) The HSA secret most nurses are missing(1:17) Lisa vs. Kevin: same income, $340,000 apart(2:35) What is an HSA, and who qualifies?(3:05) 2026 HDHP thresholds and contribution limits(4:15) The FICA tax savings most W-2 nurses overlook(04:45) The triple tax advantage explained(6:45) HSA vs. FSA: key differences (Note: HRA is not mentioned in the transcript)(07:40) How to invest your HSA and why it matters(08:25) The shoebox receipt strategy(09:55) The Medicare timing trap and the look-back rule(11:15) What happens to your HSA after age 65(12:05) Action plan and next stepsFor more information and resources related to this episode, please visit the show notes. 

Do you have a retirement tax bomb? Many CRNAs and nurse practitioners spend 30 years following traditional financial advice: max out your 403(b), live below your means, and defer taxes as long as possible. However, this strategy often leads to a "retirement tax bomb" where required minimum distributions (RMDs) and Social Security push you into a higher tax bracket than when you were working. AKA your tax bill might be jaw-dropping in your Golden Years. In this episode, Brett Fellows, CFP®, explains how to avoid this expensive mistake through strategic tax bracket filling. He shares real-world case studies of nurses who saved over $130,000 in lifetime taxes by utilizing the 0% capital gains rate and well-timed Roth conversions. See how to manage your three tax buckets and why asset location is just as important as asset allocation.Brett Covers:How RMDs and Social Security create the retirement tax bomb.The three tax buckets: tax-deferred, tax-free, and taxable.A strategy to pay 0% federal tax on capital gains during early retirement.How to execute Roth conversions without triggering Medicare surcharges.The four biggest tax mistakes nurses make.A three-phase framework for tax-efficient retirement withdrawalsWhether you are a decade away from retirement or already considering your exit date, these strategies can help ensure your savings remain in your pocket rather than going to the IRS.#CRNAs #NursePractitioners #RetirementPlanning #TaxStrategy Key Timestamps:(0:18) David and Karen’s $1.4 Million Tax Mistake(2:37) Defining the Retirement Tax Bomb(3:27) Tax Bracket Filling and the Three Buckets(4:35) Case Study: Saving $130,000 in Lifetime Taxes(5:34) How the 0% Capital Gains Rate Works(6:25) Strategic Roth Conversions and Social Security(7:20) Asset Location: Where to Put Your Investments(8:30) Managing IRMAA and Medicare Surcharges(9:10) The Three Phases of a Tax-Efficient Retirement(10:10) The Four Biggest Tax Mistakes APRNs Make(11:24) Angela’s Example: A Plan for Single Providers For more information and resources related to this episode, please visit the show notes. 

If you're a CRNA or nurse practitioner earning over the Roth IRA income limits, you're locked out of one of the best retirement accounts available. But there's a legal workaround. In this episode, Brett Fellows explains two powerful tax strategies that can save you hundreds of thousands of dollars over your career.In this episode, Brett covers:How the backdoor Roth IRA works and why it's been IRS-approved since 2010The exact step-by-step process to execute a backdoor Roth conversionWhat the pro-rata rule is and how to avoid the biggest mistake that trips people upHow the mega backdoor Roth lets you contribute up to $72,000 annually to tax-free accountsWhether your employer plan allows mega backdoor Roth contributions (and what to ask HR)Real-world examples showing how nurses can accumulate $4.5 million tax-freeCommon mistakes to avoid when executing these strategiesTax reporting requirements and which forms you need to fileHow self-employed CRNAs can maximize these strategies with a solo 401(k)Whether you're just starting out or nearing retirement, these strategies can help you build millions in tax-free savings and potentially save over $1 million in taxes throughout your career.Key Timestamps:(0:45) Why "High-Earners" Are Locked Out of Roth IRAs(2:54) The Backdoor Roth IRA: A Simple 2-Step Process(4:54) The Pro-Rata Rule: Avoiding the #1 Backdoor Mistake(7:09) Step-by-Step: How to Execute a Clean Backdoor Conversion(8:59) What is a Mega Backdoor Roth?(11:49) Two Must-Have Features Your 401(k) Plan Needs(15:44) Common Mistakes: From Missing Conversions to Paperwork Messes(17:49) The $43,000 Strategy: Can You Do Both?(21:19) Case Study: Saving $1 Million in Taxes Over a Career(24:49) What to Do if Your Plan Doesn't Allow the "Mega" Strategy#CRNA #TaxStrategies #RothIRA #NurseFor more information and resources related to this episode, please visit the show notes. 

"I've been earning $200,000 or more a year for most of my career. Social Security is going to be a drop in the bucket." If that's what you're thinking, you could be leaving hundreds of thousands of dollars on the table.In this episode, Brett Fellows walks through nine critical Social Security strategies specifically for high-earning CRNAs and nurse practitioners. Using a real-world example of David and Sarah, both age 62 CRNAs with $1.8 million saved, he explains how to maximize lifetime benefits while minimizing taxes.Brett Covers:Know your full retirement age and how early claiming permanently reduces benefitsUnderstand why delaying gives you a guaranteed 8% annual return (worth $216,000 over 20 years)Maximize Your 35-Year CalculationCoordinate spousal benefits strategically when one spouse earns significantly moreUse the bridge strategy to retire early while delaying Social Security to 70Don't forget survivor benefits (delaying can mean $162,000 more for your surviving spouse)Watch out for IRMAA surcharges that could cost $10,000+ per year in Medicare premiumsConsider Roth conversions and QCDs during your low-income "gap years"Understand the earnings test if you plan to work while claiming earlyWhether you're planning to retire at 62, 65, or 70, this episode shows you how to turn Social Security from an afterthought into a strategic anchor for your retirement income.#CRNAs #NursePractitioners #SocialSecurity #RetirementPlanning #FinancialPlanning #MoneyRxKey Timestamps:(0:18) Welcome to Money RX: Social Security for High-Earning CRNAs and NPs(1:28) Case Study: David and Sarah’s $200,000 Income Strategy(2:44) #1: Know Your Full Retirement Age(3:51) #2: Why Delaying Pays Off (The Guaranteed 8% Return)(4:17) #3: Maximize Your 35-Year Calculation(7:11) #4: Coordinate Spousal Benefits Strategically(8:13) #5: Use the Bridge Strategy(9:33) #6: Do Not Forget Survivor Benefits(11:01) #7: Watch Out for IRMAA Surcharges(12:16) #8: Consider Roth Conversions and QCDs(14:09) #9: Understand the Earnings Test(15:18) Summary: How a Strategy Adds Hundreds of Thousands in Value For more information and resources related to this episode, please visit the show notes. 

The five-year window before you stop working is the most critical period for your financial future. While many CRNAs and nurse practitioners (NPs) focus solely on saving, the transition to retirement requires a shift toward strategy. In this episode, Brett Fellows, CFP®, shares a 10-point checklist designed specifically to help both CRNAs and NPs manage health insurance gaps, mitigate IRMAA surcharges, and turn decades of savings into a sustainable retirement paycheck.Brett covers:Why strategy matters more than accumulation when you are five years outHow to calculate your true retirement spending instead of just replacing your incomeThe hidden Medicare cost shock (IRMAA) that high-earning nurses need to understandWhy your 403(b) might be a tax time bomb and how Roth conversions can helpHow to bridge the health insurance gap if you retire before age 65The guaranteed 8% return from Social Security and how to decide when to claimA smarter withdrawal strategy to stay in lower tax bracketsWhy your beneficiary designations matter more than your willYour retirement paycheck should include your hard-earned money, without the tax trap. #Retirement #NP #CRNA #RetirementPlanningKey Timestamps:(0:20) The Critical Five-Year Window(2:19) Step 1: Set Your Target Retirement Date(3:19) Step 2: Know Your True Retirement Expenses(4:44) Step 3: Take Inventory of Your Accounts(5:50) Step 4: Health Insurance Before Medicare(6:54) Step 5: Start Learning About Medicare & IRMAA(8:19) Step 6: Understand Your Social Security Options(9:33) Step 7: Consider Roth Conversions(11:11) Step 8: Create a Withdrawal Strategy(12:18) Step 9: Simplify Your Accounts(13:06) Step 10: Get Your Estate Documents in Order(13:58) Case Study: The Five-Year TransformationFor more information and resources related to this episode, please visit the show notes. 

The 4% rule is a staple of retirement planning, but for high-income CRNAs and nurse practitioners, it is often the wrong tool for the job. Relying on a rigid, one-size-fits-all percentage can lead to psychological stress, tax blindness, and the mistake of underspending during your healthiest years.In this episode, Brett Fellows, CFP®, explains why APRNs should move away from static rules of thumb in favor of a "Work Optional" guardrails plan. This approach replaces spreadsheet fantasies with a dynamic system that accounts for changing life seasons, tax sequencing, and the unique ability of clinicians to use income levers if markets get rough.Brett explains how to:- Identify the 5 core problems with the 4% rule, from linear spending assumptions to ignoring Medicare surcharges.- Build a retirement paycheck timeline that maps out income sources like Social Security and RMDs as distinct seasons.- Implement dynamic guardrails to know exactly when it is safe to increase spending or when to briefly cut back.- Leverage the "Clinician Advantage" by using PRN or consulting work as a strategic buffer against market volatility.- Master the tax window between stopping full-time work and starting forced distributions.This episode can help you avoid costly mistakes while understanding how to adjust your spending without feeling stuck. #CRNAs #NursePractitioners #RetirementPlanningKey Timestamps:(0:18) Why the 4% Rule is the Wrong Tool(3:24) What the 4% Rule Is (and Is Not)(5:19) The Comfort Trap: Why We Use Rigid Rules(7:47) 5 Core Problems with the 4% Rule(12:30) Reframing Retirement as "Work Optional"(14:30) Step 1: Your Retirement Paycheck Timeline(15:52) Step 2: Finding Your Baseline Lifestyle Number(16:48) Step 3: Using Dynamic Spending Guardrails(17:52) Step 4: The Clinician Advantage (Optional Levers)(19:54) Case Study: Alicia and Jordan’s Guardrails Plan(22:14) The Elephant in the Room: Tax Strategy & RMDs(26:14) The Truth About Annuities For more information and resources related to this episode, please visit the show notes. 

You've worked long shifts, held everything together in high-stress situations, and saved diligently for 25 years. You think you're on track for retirement. But what if investment mistakes you don't even know you're making could force you to work five to seven more years?In this episode, Brett Fellows reveals the shocking truth about a CRNA couple with nearly $2 million in their 403(b) accounts who discovered they'd need to work an extra five to seven years because of investment decisions they'd made over the years. That's five to seven more years of night shifts, five to seven more years of being on call, all because of mistakes that could have been avoided..Today's episode walks through the 10 biggest investment mistakes that cost nurses real years of their lives. Brett covers::Mistake #1: Trying to time the market (costs 3-4% annually, nearly $1M over 30 years)Mistake #2: Letting emotions drive your decisionsMistake #3: Not having proper diversificationMistake #4: Paying excessive fees and costs (a 1% fee difference costs $600,000+ over 30 years)Mistake #5: Chasing past performanceMistake #6: Not reinvesting dividendsMistake #7: Ignoring tax efficiencyMistake #8: Active stock picking instead of evidence-based investingMistake #9: Not rebalancing your portfolioMistake #10: Investing before addressing financial basicsIf you're making these mistakes, you might be adding years to your working life without even realizing it. This episode will show you exactly what to fix and how to get your retirement back on track. #CRNAs #NursePractitioners #RetirementPlanning #InvestmentMistakes Key Timestamps:(0:18) Welcome and Introduction(4:18) Mistake #1: Trying to time the market(5:50) Mistake #2: Letting emotions drive your decisions(7:20) Mistake #3: Not having proper diversification(8:55) Mistake #4: Paying excessive fees and costs(10:20) Mistake #5: Chasing past performance(11:40) Mistake #6: Not reinvesting dividends(12:41) Mistake #7: Ignoring tax efficiency(14:08) Mistake #8: Active stock picking instead of evidence-based investing(15:30) Mistake #9: Not rebalancing your portfolio(16:40) Mistake #10: Investing before addressing financial basics(18:40) Actionable steps and conclusionFor more information and resources related to this episode, please visit the show notes. 

If you are a high-earning nurse making $120,000 as NP or over $200,000 as a CRNA, you probably think Medicare will be simple and affordable because you have paid your taxes for decades. However, many nurses are shocked to receive premium notices for $649 per month instead of the standard $202. This episode breaks down the "IRMAA" surcharge and why your income from two years ago dictates what you pay for Medicare today.Brett explores:The definition of IRMAA and why it treats high-earning nurses as if they haven't paid their fair share.Why your 2026 Medicare premiums are based on your 2024 tax returns.The specific 2026 income thresholds for single and married filers.Five specific strategies to potentially reduce or eliminate these surcharges.How to use the appeals process if you have recently retired or seen a drop in income.By the end of this episode, you will have a roadmap to avoid the "tax bomb" in retirement that triggers these expensive surprises.#CRNAs #NursePractitioners #Medicare #IRMAA #RetirementPlanningKey Timestamps:(0:38) Welcome to Money RX for CRNAs and NPs(1:22) The $10,000 Medicare surprise: A real-life case study(2:25) What is IRMAA? The income-related surcharge explained(4:03) Why the two-year look back catches nurses off guard(6:10) 2026 Medicare Part B premium brackets and thresholds(7:49) Strategy 1: Appealing due to life-changing events(8:21) Strategy 2: Using Qualified Charitable Distributions (QCDs)(8:50) Strategy 3: Strategic Roth conversions in gap years(9:25) Strategy 4: Leveraging 403(b) and 457 plan contributions(9:39) Strategy 5: Donor Advised Funds for tax deductions(11:05) Conclusion: Integrating Medicare into your retirement strategy For more information and resources related to this episode, please visit the show notes. 

If you're a nurse around age 50 thinking you can do this for about 10 more years, then this episode is for you. Burnout from nursing changes the game. When you're tired, you don't want more complexity in your life. You want a plan that creates options.Today, we're talking about five money moves to make in 2026. Not theory, not vague motivation, but real moves that you can implement. Each of these moves is designed for someone who is already responsible and a saver, but feels like the finish line keeps moving away from them.Brett explores:The "qualified rich, cash poor" trap and why maxing out retirement accounts can accidentally limit your flexibilityHow to use a "match first, then flexibility funding" strategy to build options before age 59.5Why Social Security isn't just a check but longevity insurance, and how to model your claiming strategyThe five year paycheck buffer framework that protects you from sequence of returns riskAsset location strategies that give you the same risk with better tax efficiencyHow to win the tax game during your gap years with Roth conversions and capital gains harvestingBy the end of this episode, you'll have a roadmap for making work optional in the next 10 years without being too afraid to spend what you've saved.#CRNAs #RetirementPlanning #FinancialFreedom #TaxPlanning #MoneyRXKey Timestamps:(0:37) Welcome to Money RX for CRNAs and NPs(2:35) Move 1: Avoiding the "Qualified Rich, Cash Poor" trap(4:40) The Flexibility Funding Plan: Building a second bucket(7:10) Move 2: Strategic Social Security planning beyond the "vibe"(9:20) Estimating benefits at age 62, FRA, and 70(10:19) Move 3: Building your retirement paycheck first(11:15) The five-year paycheck buffer framework(14:25) Move 4: Using asset location for better tax efficiency(18:05) Move 5: Winning the tax game in your "gap years"(19:30) Selective Roth conversions and ACA healthcare planningFor more information and resources related to this episode, please visit the show notes. 

What if the biggest risk to your retirement isn't running out of money, but spending too little? When you've accumulated $3 million through decades of hard work and discipline, the fear shifts from "Can we afford to retire?" to "How much can we spend without getting this wrong?"Brett covers:Why identical portfolios can lead to completely different retirement outcomesHow to calculate your true baseline spending (hint: it's more than you think)The role Social Security plays in reducing portfolio pressureSequence of returns risk: why timing matters more than disciplineThe hidden dangers of both lifestyle inflation and accidental underspendingWhy flexibility beats precision in retirement planningHow to build a resilient plan that adapts without panicFind out why the most successful retirements aren't built on rigid withdrawal rates but on intentional decisions that align your money with your values. Your portfolio is a tool (not a limiter) for the life you want to live.#RetirementPlanning #FinancialPlanning #CRNA #PortfolioManagement Key Timestamps: (0:38) Welcome to Money RX for CRNAs(2:23) Case Study: David and Anne’s $3M Portfolio(3:38) Determining True Baseline Lifestyle Spending(5:03) How Social Security Reduces Portfolio Pressure(5:37) Reframing Retirement as an Annual Cashflow Problem(7:27) Introducing Susan: Sequence of Returns Risk(10:03) Karen’s Story: The Risk of Structural Lifestyle Inflation(12:02) Tom’s Story: The Cost of Accidental Underspending(14:22) Kevin and Laura: Building a Resilient vs. Precise Plan(15:58) Retirement as a System of Behavior and Alignment(20:13) Conclusion: $3 Million is a Tool for Choice, Not a LimitFor more information and resources related to this episode, please visit the show notes. 

"I can't retire early because of healthcare." If this is the voice holding you back, this episode changes everything.Healthcare costs terrify so many CRNAs approaching early retirement. You've saved enough money, you're burned out, and these are your good health years. But one fear keeps you working: what if healthcare costs blow up your plan?In this episode, Brett reveals why healthcare shouldn't delay your early retirement and shows you the one number that simplifies everything. Once you know how MAGI (Modified Adjusted Gross Income) works, healthcare becomes predictable math instead of an expensive mystery.We explore:The one number that controls your health insurance costs before Medicare.What counts as taxable income and what doesn't in retirement.Real-life case studies showing couples retiring before 65, spending six figures, and keeping healthcare affordable.How the healthcare subsidy cliff works and recent rule changes you need to know.Why being "qualified rich, cash poor" limits your healthcare options.The three biggest levers you can pull during the retirement gap years.A simple framework to decide if healthcare should keep you working or if you're more ready to retire than you think.Two people can spend $100,000 per year, but one pays full price for healthcare while the other receives massive subsidies. Same lifestyle, completely different premiums. The difference? Understanding MAGI and structuring withdrawals correctly.Whether you're in your late 50s or early 60s, this episode gives you the roadmap to make healthcare planning manageable and stop letting it delay the retirement you've earned.#CRNAs #EarlyRetirement #HealthcarePlanning #MAGI #AffordableCareActKey Timestamps:(0:45) Brett explains why healthcare shouldn't delay your retirement goals.(2:55) Why the ACA cares about your reported income rather than savings.(5:10) Breaking down taxable vs. tax-free money buckets for spending.(7:10) Example of maintaining a six-figure lifestyle with high subsidies.(10:35) How crossing the subsidy cliff "light switch" can cost thousands.(11:50) Stress-testing a retirement portfolio against high premium estimates.(14:15) The danger of maxing pre-tax accounts without tax diversification.(16:05) Top three levers to pull during the early retirement gap.(17:15) A practical checklist to evaluate your current retirement readiness.(20:30) Closing thoughts on taking control of your healthcare math.For more information and resources related to this episode, please visit the show notes. 

Many CRNAs hit the $1 million savings mark and assume they are automatically ready to retire.While reaching that milestone is a huge achievement, retiring well isn't just about the balance in your accounts. It is about timing, flexibility, and protecting yourself from the hidden dangers that appear in the final decade of your career.In this episode, Brett Fellows, CFP®, shares five powerful moves you should make before you retire if you have saved over $1 million. These aren't generic tips; they are strategies derived from real-life case studies and years of planning with CRNAs.Brett explores:Why two retirees with the exact same portfolio can have completely different outcomes based on "sequence of returns risk"Why the 4% rule is outdated and what to use insteadThe "Freedom Account" strategy that allows CRNAs to retire years before age 59½Why you should lock in liquidity (like a HELOC) while you still have W2 incomeHow to handle the "Fragile Decade" and guard against lifestyle inflation in your "go-go" yearsKey Timestamps:(0:37) Intro: When does work become optional? (2:00) Step 1: Run your numbers early (The Fine-Tuning Stage) (2:35) Sequence of Returns Risk explained (3:35) Why the 4% Rule is outdated (5:30) Step 2: Build a Brokerage Account (The Freedom Account) (7:30) Step 3: Lock in liquidity before you retire (9:15) Step 4: Tackle big expenses during the "Fragile Decade" (11:15) Step 5: Guard against lifestyle inflation (12:50) Creating intentional spending guardrails (13:25) Recap of the 5 stepsFor more information and resources related to this episode, please visit the show notes. 

What if you’re making a Social Security benefits mistake that could cost you 5 figures?It almost happened to a CRNA.Brett Fellows recently reviewed a retirement plan with a couple where the wife had worked full-time as a CRNA for 25 years while her husband worked part-time to raise their children. They assumed that because he had his own earnings history, he could not claim spousal benefits. That single assumption was a mistake that could have cost them tens of thousands of dollars over their lifetime.In this episode, Brett Fellows, CFP®, breaks down exactly how Social Security spousal benefits work and why they are critical for CRNA couples to understand.Brett explores:The fundamental rules of claiming 50% of a spouse's benefitWhy CRNAs with "gap years" or early retirement dates are specifically affectedThree real-world scenarios: The Traditional Family, The Dual High-Earner Couple, and The Career Gap SituationThe "Social Security Tax Tsunami" and how spousal benefits impact provisional incomeThe four biggest mistakes couples make, including claiming too early and failing to coordinate with tax planningKey Timestamps:(0:45) The costly mistake Sarah and Mark almost made (2:05) Fundamentals: How spousal benefits actually work (2:53) The 50% cap and full retirement age rules (4:05) Why the primary earner must claim first (5:35) Why this matters specifically for CRNAs (8:00) Scenario 1: The Traditional CRNA Family (9:45) Scenario 2: The Dual High-Earner Couple (10:35) Scenario 3: The Career Gap Situation (11:40) The Social Security Tax Tsunami (14:15) 4 common mistakes CRNA couples makeFor more information and resources related to this episode, please visit the show notes. 

We constantly hear headlines about how Americans are undersaving for retirement. While that is often true, there is a side of the story that rarely gets discussed. What happens if you never stop saving?For many high-income CRNAs, over-saving can quietly cost you in unexpected ways. You might find yourself with less time, fewer experiences, and missed opportunities with your family.In this episode, Brett Fellows, CFP®, shares the surprising truth about when you should stop saving for retirement. He breaks down two powerful financial principles: compound growth and opportunity cost. He also names the five clear signs that it is time to stop saving and start living.Brett explores:Why money should be viewed as a tool rather than the ultimate goalHow compound growth shifts the heavy lifting from you to your portfolioThe real opportunity cost of maxing out retirement accounts year after yearThe "moving goalpost" trap that leads to regretFive specific instances when stopping contributions makes financial sense#CRNAs #RetirementPlanning #FinancialFreedom #Podcast #WealthManagementKey Timestamps:(0:35) Intro: The surprising truth about saving (2:35) Two principles: Compound Growth and Opportunity Cost (4:10) The Snowball Effect: When your money takes over (6:40) Opportunity Cost: What you are giving up today (12:20) Sign #1: You are already in a position to retire (13:15) Sign #2: You are on track to hit your number (14:35) Sign #3: You are sacrificing the most important things today (15:55) Sign #4: Legacy goals are not a priority (17:05) Sign #5: You no longer need the tax benefits (18:10) The Aligned Life: A new goal for your moneyFor more information and resources related to this episode, please visit the show notes. 

You may have heard the general rule of thumb for retirement withdrawals: Spend your taxable accounts first, then tax-deferred accounts, and save your Roth IRAs for last.While there IS truth to that logic because it preserves tax-favored money, it fails to address how to minimize your overall tax bracket throughout retirement.In this episode, Brett Fellows, CFP®, explains why the conventional withdrawal sequence can accidentally push you into higher tax brackets year after year.Brett explores:The three deeply ingrained beliefs that cause CRNAs to fall into a tax trapWhy account preservation is the wrong metric for successA real-world example of how a single withdrawal can double your tax rateThe three "buckets" of money you need to understand: taxable, tax-deferred, and tax-freeA 4-step strategic approach to managing your withdrawalsHow to manage long-term impacts like RMDs and Medicare surchargesKey Timestamps: (0:00) The problem with the "general rule of thumb" (1:02) Three beliefs that create a retirement tax trap (1:31) Example: How to accidentally double your tax bracket (2:45) Creating your own paycheck in retirement (4:20) The ideal approach: Managing tax brackets (4:40) The three buckets of money (Taxable, Deferred, Tax-Free) (5:35) Step 1: Identify your fixed income sources (6:02) Step 2: Calculate your shortfall (6:27) Step 3: Strategic withdrawal planning (7:35) Step 4: Consider long-term impacts (RMDs and Surcharges) (10:14) Tax gain harvesting and Roth conversionsFor more information and resources related to this episode, please visit the show notes. 

You've likely heard the advice: wait until age 70 to claim Social Security for the biggest check and safest retirement. But is that really the best choice for CRNAs?In this episode, Brett Fellows, CFP®, dives into the overlooked risks of delaying Social Security, proving the decision is far more personal than a break-even chart suggests. It's about maximizing dollars yes, but it’s also about your freedom, health, and peace of mind in retirement.In this episode, Brett explores the overlooked risks of delaying Social Security:Mortality Risk: What if you pass away before the break-even point?Sequence of Returns Risk: How delaying can magnify portfolio damage during a market downturn.Policy Risk: The chance of future benefit cuts or changes to taxation.Opportunity Risk: The potential returns your portfolio could have earned while waiting.Regret Risk: The emotional cost of waiting too long and giving up healthy retirement years.Health Span Risk: Why a dollar at 62 often buys richer memories than a dollar at 95.Spending Flexibility/Optionality Risk: Why preserving a flexible portfolio might be more valuable than a maximized Social Security check.Key Timestamps:(0:45) The 7 overlooked risks of delaying Social Security (2:01) Mortality Risk: What if you die before the break-even? (4:55) Sequence of Returns Risk: The danger of market downturns in early retirement (6:42) Policy Risk: Are future cuts a concern? (7:50) Opportunity Risk: The true cost of delaying (9:58) Regret Risk: Why emotions matter more than math (11:55) Health Span Risk: Living well, not just living long (13:59) Spending Flexibility Risk: The value of optionality (15:45) Underspending Risk: Why claiming early helps you enjoy your healthiest years (18:20) Real-world examples: Why claiming early made sense for Mark and JenFor more information and resources related to this episode, please visit the show notes. 

Cole Dill and Tanner Hulin, co-founders of Core Anesthesia, join the podcast to share the unexpected story of how their study conversations turned into a leading educational platform used by 75% of current CRNA students nationwide.Cole and Tanner discuss the raw, scrappy start of their business, from recording terrible quality audio in their car to cashing out almost everything they made to fuel product development. They also detail the strategic acquisition by Archer Review in 2025, which provided the financial and mental capital to take their business to the next level.Brett and the founders discuss:The organic origin of Core Anesthesia from simply trying to help themselves get through school.The early financial strategy of pricing their premium content at $4.99 a month and fueling growth by continually reinvesting cash flow.The challenge of running a business while being "broke college students" and the need to fuel the business before paying themselves.The experience of going through the Archer Review acquisition and why they chose to stay involved rather than make a complete exit.The importance of a business partnership being like a marriage, built on shared goals and mutual grace.Cole's most important financial advice: adopt the mindset of an investor, not a consumer, after graduation.Their exciting Q4 2025 partnership with Global Blade 3D, a nonprofit sending low-cost, 3D-printed video glidescopes to underserved communities.#CRNAs #Entrepreneur #FinancialAdvisor(0:45) Welcome & Meet Core Anesthesia Co-founders(2:15) The Organic Start: From Car Study Sessions to Spotify(4:50) Launching the Podcast & Naming the Business(7:32) Early Financial Strategy: Pricing at $4.99/month(9:49) Advice to Their Younger Selves: Take the Step, Even if It's Not Perfect(15:18) The Archer Review Acquisition (May 2025)(19:30) Why They Didn't Make a Complete Exit(22:23) 3-Year Vision: Reaching CRNAs and Program Directors(25:42) How to Handle a Business Partnership (Like a Marriage)(34:42) Financial Advice: Be an Investor, Not a ConsumerFor more information and resources related to this episode, please visit the show notes. 

Jenny Finnell, CRNA, founder and CEO of CRNA School Prep Academy (CSPA) and Teach RN, joins the Money RX for CRNAs podcast to discuss her journey from clinical CRNA to building a dual-business enterprise. Jenny shares the organic, passion-driven story behind CSPA, which has mentored almost 10,000 ICU nurses pursuing CRNA school in just five years, and explains how she launched the scalable peer-to-peer marketplace, Teach RN, to support the broader nursing profession. This special episode offers candid advice on the hard financial realities, business lessons, and unique challenges of juggling a family, clinical work, and two growing businesses by prioritizing being "fulfilled" over "busy".Brett and Jenny discuss:The accidental founding of CRNA School Prep Academy and its massive, organic growth.The shift to Teach RN, a scalable peer-to-peer marketplace, to meet nurse demand for support.The business model for both ventures and the future potential for institutional partnerships.Key business lessons, including the risk of scaling a team too quicklyThe current trends in CRNA education.Financial advice for new CRNAs on managing debt and living conservatively.The power of community and its role in achieving an 80% acceptance rate for Academy members.Jenny's biggest piece of advice to her past self and to all aspiring entrepreneurs: "Don't be so afraid".If you found this episode inspiring, please leave a review and share it with your colleagues.#CRNAs #Entrepreneur #FinancialAdvisorKey Timestamps: (0:46) Welcome & Meet Jenny Finnell, CRNA(1:45) The Journey to CRNA School Prep Academy & Her "Why" Story(3:48) CRNA School Prep Academy Business Model & Future Institution Partnerships(6:02) Business Milestones & The Importance of Support and Coaching(8:05) 3-Year Vision for CRNA School Prep Academy(9:15) Expanding into Broader Nursing Education with Teach RN(14:40) Biggest Financial Lessons Learned as an Entrepreneur(17:44) Advice to Intimidated CRNA Entrepreneurs: "Don't be so afraid"(28:34) Measuring Success: The 80% Acceptance Rate for Academy Members(37:09) The Massive Impact of Building CommunityFor more information and resources related to this episode, please visit the show notes. 

Download your Retirement Readiness Checklist here: https://moneyrxforcrnasnewslettersignup.kit.com/4764a9941dHow much money do you really need to retire as a CRNA? If you've got savings but still feel uncertain about when you can safely stop working, this episode is for you.Brett explores:The three retirement spending levels every CRNA needs to understand (survival, comfortable, and premium)Why retiring at 55 versus 65 can mean a $1.75 million difference in required savingsThe asset location strategy that could save you $300,000 in retirement costsThe healthcare gap problem and how to bridge the 10 years before MedicareThe Rule of 55 versus the 59½ penalty wallA systematic approach to calculate your true spending needs and portfolio requirementsThe tax trap of massive Required Minimum Distributions and how to avoid itTax-diversified withdrawal strategies including the 0% capital gains bracketRealistic retirement ranges for CRNAs at different spending levelsWhether you're sitting on $800,000 or $2.1 million, you'll see why the amount you've saved might not be the real issue and what you should focus on instead.#CRNAs #RetirementPlanning #FinancialFreedom #HealthcareProfessionalsKey Timestamps:(0:47) How much money do I really need to retire?(1:49) The reality of CRNA career demands and early retirement(2:53) The three retirement spending levels(4:22) Retirement numbers for $\$10,000$ per month after taxes(5:27) The asset location strategy most CRNAs miss(6:08) The healthcare gap problem before Medicare(6:33) The Rule of 55 vs. the 59-and-a-half penalty wall(7:48) Systematic approach: Calculate your true spending and portfolio needs(9:48) The tax issue and massive Required Minimum Distributions (RMDs)(10:50) Tax-diversified withdrawal strategy (0% capital gains bracket)(12:09) Realistic retirement ranges for CRNAs(13:48) The goal: Accumulate enough money to retire on your termsFor more information and resources related to this episode, please visit the show notes. 

Download your Retirement Readiness Checklist here: https://moneyrxforcrnasnewslettersignup.kit.com/4764a9941dIf you're a CRNA, chances are a big part of your retirement nest egg is tied up in your 401(k) or 403(b). But many healthcare professionals have no idea what to do with that money once they retire to make sure it works best for them.Here's the problem: There are three critical decision points that will either maximize your retirement wealth or quietly drain it away over the next 20 to 30 years. These decisions seem simple on the surface, but they're loaded with hidden traps that most people never see coming. Getting even one of these wrong could easily cost you six figures in unnecessary fees, taxes, or lost opportunities.In this episode, Brett walks through the strategic rollover framework that addresses all three critical decision points and helps you navigate the choices about your old retirement accounts without making costly mistakes.Brett explores:The hidden cost trap that's draining thousands from your retirement accounts each yearWhy control and flexibility matter just as much as low feesThe consolidation challenge facing CRNAs who have worked for multiple employersThe strategic rollover framework for optimizing your 401(k) or 403(b)Two critical considerations before making any moves with your moneyHow to evaluate your options carefully and make the choice that aligns with your goalsThese decisions can have a huge impact on your taxes, your flexibility, and your peace of mind in retirement. Don't rush the process.Have questions about your retirement accounts? Reach out through the link in the show notes, and download the free Retirement Readiness Checklist.#CRNAs #RetirementPlanning #401k #403b #WealthManagementKey Timestamps:(0:44) Welcome: The Six-Figure Risk of Making the Wrong Rollover Decision(1:43) The Three Critical Decision Points (Cost, Control, Consolidation)(2:22) Decision 1: The Cost Trap (The $15,000 Annual Fee Example)(3:36) Decision 2: The Control Dilemma (Ease of Access and Flexibility)(4:56) Decision 3: The Consolidation Challenge (Collectors of Accounts)(6:05) The Strategic Rollover Framework (Three Steps)(8:52) Critical Consideration: The Age 55 Rule (Penalty Free Access)(9:27) Conclusion: The Framework Addresses the Three ChallengesFor more information and resources related to this episode, please visit the show notes. 

You survived the grueling school years, mastered one of healthcare's most demanding roles, and saved diligently for decades. Now you're staring at your account statements showing seven figures and asking yourself the million-dollar question: Can I finally retire at 60?But when many CRNAs with substantial savings seek answers to retirement planning, they often fall into the million-dollar retirement trap. This is where high-earning professionals become paralyzed by the gap between having a lot of money and knowing whether their savings can sustain their lifestyle for potentially 40-plus years of retirement.In this episode, we walk through Jennifer's transformation. A CRNA who came to me convinced she needed to work until age 65 despite having $1.2 million saved at age 60. What she discovered about her retirement readiness completely shifted her perspective on when she could step away from clinical practice.Brett explores:The three fundamental misconceptions that keep CRNAs trapped in the million-dollar retirement trap.Why the 4% rule doesn't work for CRNAs retiring at 60.How to map your actual lifestyle instead of chasing arbitrary savings targets.The strategic withdrawal approach allowed Jennifer to retire at 61 instead of 65.The three key components of CRNA Retirement Reality Planning.How to confidently answer whether you can retire at 60 with $1 million.The answer for many CRNAs is yes, but it requires moving beyond generic advice to a personalized strategy that respects both your financial realities and your professional achievements.Click here to download the Retirement Readiness Checklist: https://moneyrxforcrnasnewslettersignup.kit.com/4764a9941dKey timestamps:(1:00) Welcome and the million-dollar question(2:10) The million-dollar retirement trap explained(3:40) Jennifer's story(4:20) Three fundamental misconceptions(4:40) Misconception #1: Magic number obsession(6:00) Misconception #2: Withdrawal rate paralysis(7:20) Misconception #3: Healthcare cost catastrophizing(9:45) CRNA Retirement Reality Planning(10:05) Jennifer's transformation(13:50) Free retirement readiness checklist(15:05) Final message and closingFor more information and resources related to this episode, please visit the show notes. 

Dr. Joe Rodriguez, co-founder of Guide Anesthesia (managing over 150 providers) and a respected voice in the CRNA community, joins the podcast for a candid discussion on CRNA entrepreneurship, advocacy, and the true meaning of career success. Joe shares the origin story of his company, built from a single negative experience, and offers important lessons learned from operating in the complex healthcare market.This special episode covers what most CRNAs miss about building and securing a long-term career.Brett and Joe discuss:The experience that led to the creation of his 150-provider anesthesia group.The financial realities of starting your own business: why you must be prepared to fail and why there is "no work-life balance."The unique advantages of the 1099 model for autonomous CRNAs and the importance of hiring financial professionals.Why current regulatory advocacy is asking the "wrong questions" and how control should be handled at the local level.The two most important financial and career decisions a CRNA should make today.How to find long-term personal and professional purpose.If this episode helps you rethink your career, please leave a review and share it with a colleague who is considering entrepreneurship or a leadership role.Key Timestamps:(0:45) Welcome & Meet Dr. Joe Rodriguez(1:35) Why I Started Guide Anesthesia(8:25) The Anesthesia Group Business Model(14:35) Building CRNA Ownership and Long-Termism(16:20) Future Goals: Operating in the Mid-Cap Lane(20:05) Financial Realities of Starting Your Own Group(24:17) Regulatory Advocacy: Asking the "Wrong Questions"(28:08) 1099 vs. W2: Key Financial Factors(31:03) Leadership: The Power of Communication(43:03) The Most Important Financial Decision You Can Make#CRNAs #CRNAEntrepreneur #1099CRNA #AnesthesiaBusiness #AdvocacyFor more information and resources related to this episode, please visit the show notes. 

You should be proud of yourself for saving $2 million for retirement, but instead, you're terrified. The problem? You don't know how much you can spend. A couple, Sarah and Mike, found that their initial plan with a 12% withdrawal rate would have left them broke by age 75. With a few strategic changes, their retirement plan not only worked, but it also allowed them to retire years earlier than they thought.In this episode, we use their example as a case study to show you how three key changes can mean the difference between struggling and living the lifestyle you've earned.Brett explores:Why a high withdrawal rate can decimate a portfolio in the first few years.How a realistic look at your expenses can extend your retirement savings.The importance of optimizing your portfolio allocation for a long retirement.The power of tax optimization and Roth conversions during your early retirement "gap years".A spending framework for CRNAs with $2M in savings.A bonus scenario showing how a sensible plan can make early retirement possible.Have questions about your own retirement plan? Let us know, and please share this episode with a friend or colleague who needs to hear it. Key Timestamps:(0:53) The $2 million question(3:02) Their flawed first retirement plan(4:40) The three strategic changes(6:02) Change #2: Optimizing portfolio allocation(8:35) The new successful plan(10:28) What this means for you: spending framework(12:24) Unique advantages and challenges for CRNAs(14:49) Final message and outro#CRNAs #RetirementPlanning #FinancialFreedom #RetirementSavings #WealthManagementFor more information and resources related to this episode, please visit the show notes. 

You've worked for decades, saved a solid nest egg, and achieved financial independence. But what if that's not enough? While most people focus on the financial side of retirement, the real work happens after you stop working. This is the story of Matthew, a retiree who did everything right financially, but is now terrified. He missed the other parts of retirement planning, and his story is a common one. The reality is, most people spend years focusing on the money, only to retire and have reality set in.In this episode, we cover the five important things most people miss about retirement planning, and they aren't about money.Brett explores:How your professional identity and social network change after retirement.The psychology of shifting from accumulating wealth to spending it.The importance of finding a new balance between structure and freedom.The essential link between your health and your wealth.Practical strategies like creating a "license to spend" and a "health calendar" to design a life of purpose.Key Timestamps:(0:45) Welcome and the story of Matthew(1:55) The 5 things people miss about retirement(2:30) 1. Your identity(4:05) 2. Your social networks(5:35) 3. The psychology of spending(7:30) 4. The balance between structure and freedom(9:23) 5. The connection between health and wealth(10:55) Putting the five areas together(12:00) The bottom line: retirement is about designing a life(12:55) The real work of retirement planningBy the end of this episode, you’ll have a roadmap for handling a retirement filled with purpose, relationships, health, and joy, not just money.#CRNAs #RetirementPlanning #FinancialFreedom #RetirementGoalsFor more information and resources related to this episode, please visit the show notes. 

You’re 58, ready to retire, and your 401k is solid. But then reality hits: Medicare doesn't start until age 65. That's up to seven years of needing health insurance on your own. This "healthcare gap" could cost you over $30,000 a year, threatening to derail your early retirement dreams.In this episode, we provide a clear roadmap for navigating healthcare costs before Medicare eligibility.Brett explores:The surprisingly high costs of COBRA coverage without an employer subsidy.Three key options for coverage: COBRA, health sharing plans, and the ACA marketplace.How premium tax credits on the marketplace can dramatically lower your monthly premiums.The importance of Health Savings Accounts (HSAs) and long-term care planning.Special considerations for veterans and TRICARE.A clear takeaway message: Healthcare costs don’t have to be a barrier to early retirement with the right plan.By the end of this episode, you’ll have the tools to protect both your health and your wealth.Key Timestamps:(0:45) The early retirement healthcare problem(3:04) The high cost of the healthcare gap(4:25) Option 1: COBRA coverage(6:15) Option 2: Health sharing plans(7:53) Option 3: The Health Insurance Marketplace(11:18) The power of Health Savings Accounts (HSAs)(12:35) The long-term care elephant in the room(13:40) Special considerations for veterans(14:45) Your early retirement strategy(18:18) Final message and outro#CRNAs #EarlyRetirement #Healthcare #Medicare #FinancialPlanningFor more information and resources related to this episode, please visit the show notes. 

What if what worked for your parents' retirement could be a financial disaster for yours? For many CRNAs, traditional pre-tax retirement savings could be a ticking time bomb. With the Secure Act, historically low tax rates, and a massive wealth transfer on the horizon, the old rules of retirement planning have changed dramatically.In this episode, we reveal why traditional pre-tax contributions are essentially an IRS loan that you'll pay back at unknown future tax rates.Brett explores:Why a traditional pre-tax contribution is not a real deduction, but rather a "fake deduction."How the Secure Act eliminated the "stretch IRA," making traditional accounts the worst asset for wealth transfer.The QBI deduction problem that uniquely affects 1099 CRNAs.The $37 trillion wealth transfer from baby boomers and why it's a "tax time bomb" for beneficiaries.A real-world case study showing how Roth conversions created an "$868,000 swing" in a CRNA couple's wealth.Why Roth accounts give you the control and certainty you need in retirement.By the end of this episode, you’ll have the knowledge to build a tax-efficient retirement plan on your terms, not the government’s.Key Timestamps:(0:52) Welcome and the potential disaster of traditional savings(2:30) The overview of a solo 401k and Roth contributions(4:30) The "fake deduction" argument - why pre-tax is an IRS loan(10:00) The problem with employer contributions and historical tax rates(15:00) The QBI deduction problem for 1099 CRNAs(19:30) Why "lower rates in retirement" thinking is flawed(21:30) The $37 trillion wealth transfer tax time bomb(25:30) How Roth conversions create certainty and control(28:30) A real-world case study with Reggie and Regina(34:30) Key takeaways and action steps(35:30) The final message on control and certainty#CRNAs #RetirementPlanning #Roth #TaxStrategy #Solo401kFor more information and resources related to this episode, please visit the show notes. 

Did you know the government has a legal way to tax the same dollar twice? This happens to thousands of people every year through something most have never heard of called "provisional income." You may assume Social Security is tax-free, but for most CRNAs with decent retirement savings, up to 85% of your benefits will become taxable.In this episode, we're showing you how to avoid this "Social Security tax tsunami," including the three biggest mistakes CRNAs make and how you can protect your retirement income.Brett explores:How "provisional income" triggers Social Security taxation with outdated thresholds from 1984.The three pitfalls: claiming early, ignoring Medicare premiums, and not planning for RMDs.A strategic solution using tax planning, asset location, and Social Security timing.A real-world example comparing two CRNA couples to show how smart planning can save you over $180,000 in taxes.Why Social Security tax planning isn't just for retirement—it needs to start years before.By the end of this episode, we hope you’ll be more prepared to handle the complexities of Social Security and retirement planning#CRNAs #SocialSecurity #RetirementPlanning #TaxStrategy #FinancialFreedomKey Timestamps:(0:51) The government's legal way to tax the same dollar twice(2:40) Social Security taxation explained(3:44) How "provisional income" works(5:10) A real-world example with Mike and Sarah(6:15) Mistake #1: Claiming Social Security early(7:25) Mistake #2: Ignoring the Medicare premium penalty (IRMAA)(8:37) Mistake #3: Not planning for RMDs(9:45) The solution: Strategic tax planning(11:05) A real-world example of two couples(12:08) Why Social Security planning starts years before retirement(13:00) The biggest mistake of allFor more information and resources related to this episode, please visit the show notes. 

Melissa is a CRNA who thinks she’s doing everything right, but she’s missing out on a powerful retirement savings tool. She’s been walking past what we call the "triple tax advantage" because she dismissed high-deductible health plans. This oversight could cost her hundreds of thousands of dollars in taxes over her lifetime.In this episode, we're talking about Health Savings Accounts (HSAs) and revealing why they are one of the most overlooked retirement vehicles for healthcare professionals.Brett explores:The common misconception that makes CRNAs avoid HSAs.The "triple tax advantage" that no other account can match.How a "supercharged strategy" can turn small medical expenses into significant tax-free retirement wealth.A real-world case study of a CRNA who used their HSA to create a tax-free "bridge" to Social Security.The five biggest mistakes CRNAs make with HSAs and how to avoid them.How your career pattern as a CRNA makes this strategy particularly powerful.Practical tips on choosing an HSA provider and tracking your receipts.Watch now to learn how to use an HSA to build a dedicated, tax-free healthcare fund that could last your entire retirement.Key Timestamps:(0:50) Welcome and the costly mistake Melissa made (2:10) Why CRNAs typically avoid HSAs (3:05) The huge retirement expense most don't plan for (3:59) The triple tax advantage explained (5:03) The "supercharged strategy" for HSAs (7:20) A real-world case study with John (9:16) How CRNA "gap years" make this strategy even better (10:40) The five biggest mistakes CRNAs make with HSAs (13:14) The big-picture vision for CRNAs (14:00) A final message: Don't make Melissa's mistake (18:55) Closing message and outro#CRNAs #HSA #RetirementPlanning #TaxStrategy #FinancialFreedomFor more information and resources related to this episode, please visit the show notes. 

You've worked for decades as a CRNA, built a solid nest egg, and retirement day has finally arrived. The paycheck you depended on for 30 years is gone. Now what? Choosing the wrong retirement account to withdraw from first could cost you hundreds of thousands of dollars over your retirement.In this episode, we share everything you need to know about building a tax-efficient, sustainable retirement withdrawal strategy designed specifically for the unique situation CRNAs find themselves in.Brett explores:The three types of retirement accounts you need to understand: taxable, tax-deferred, and tax-free.The flaw in "conventional wisdom" for high-earning CRNAs.A strategic withdrawal framework that focuses on filling up tax brackets efficiently.How to leverage your taxable account for 0% federal capital gains taxes.The impact of Social Security and Required Minimum Distributions (RMDs) on your tax rate.The importance of a "bucket strategy" to protect your portfolio from market downturns.A real-world case study of a retired CRNA to illustrate a strategic withdrawal plan.By the end of this episode, you’ll have a clear framework for turning your retirement savings into a reliable income stream that lasts.#CRNAs #RetirementPlanning #WithdrawalStrategy #TaxPlanning #FinancialFreedomKey Timestamps :(0:52) The post-retirement paycheck problem (2:27) Your income foundation: Social Security and pensions (4:10) The three types of retirement accounts (5:53) The flaw in conventional wisdom (6:20) A new, strategic withdrawal framework (8:39) The impact of Social Security and RMDs (11:45) The importance of a bucket strategy (13:20) A real-world case study with Emily (15:00) Why this is not a "set it and forget it" strategy (15:30) The ultimate goal of retirement planningFor more information and resources related to this episode, please visit the show notes. 

Is a W2 salary always better than a 1099 contract? This episode of the "Money Rx for CRNA's" podcast, hosted by Brett Fellows, breaks down a critical career decision many CRNAs face. Using a framework for confident decision-making, the episode compares the real financial differences and tax implications between traditional W2 employment and independent 1099 contracting. It also helps CRNAs determine which path fits their career stage and personality.Brett explores:The increasing trend of CRNAs working as independent contractors.The importance of comparing total compensation, not just salary versus hourly rate.The benefits of W2 employment, such as predictability, simplicity, and employer-provided benefits.The limitations of W2 employment, including fewer tax deductions and limited schedule flexibility.The advantages of 1099 contracting, such as higher earning potential, tax benefits, and schedule control.The responsibilities and risks of 1099 work, including self-employment taxes and income variability.A step-by-step example of how to compare a W2 and a 1099 offer.Red flags to watch out for in both W2 and 1099 arrangements.By the end of this episode, you will have the tools to analyze any W2 versus 1099 opportunity that comes your way and make an informed decision based on facts, not assumptions.Key Timestamps:(0:00) Welcome to the podcast(0:50) The big career decision: W2 vs. 1099(1:10) Amy's hypothetical job offers(2:40) The basics of W2 vs. 1099(3:12) The increase of CRNAs as independent contractors(3:53) The myth of comparing salary to hourly rate(4:26) The benefits and limitations of W2 employment(7:25) The benefits and responsibilities of 1099 contracting(10:40) How to compare the two options(12:48) Deciding which path is right for you(13:25) A framework for decision-making(14:00) How career stage and personality matter(15:43) Red flags to watch for in both arrangements(16:35) Your next steps(17:37) Thanks for listening For more information and resources related to this episode, please visit the show notes. 

Homeownership is often the most complex and emotional financial decision we make. In this episode, we're joined by Becky Sims, a mortgage loan officer with over 30 years of experience, to clarify the home-buying process for CRNAs. Becky shares her expertise on the unique challenges and opportunities CRNAs face, from student loan debt considerations to securing their first home.Brett explores with Becky:Her journey into the mortgage industry and her passion for helping people find their dream home.The power of the physician loan program in Michigan, a specialized mortgage for CRNAs with no down payment and no PMI.Why student loan debt doesn't have to be a barrier to homeownership for new graduates.The importance of being a "conservative" buyer and avoiding the temptation to buy more than you can afford.Her advice on what documents CRNAs need to prepare for the mortgage process.The difference between a W2 and a 1099 CRNA when applying for a home loan.Her definition of success and how homeownership can contribute to a happy life.Key Timestamps: (0:00) Welcome and intro to Becky Sims (1:43) Becky's career journey into mortgage lending (2:57) The excitement of helping people with their first home (7:33) Her connection to CRNAs and the physician loan program (9:10) The mindset of CRNAs approaching homeownership (10:05) The difference between W2 and 1099 CRNAs (11:03) How her personal life led her to specialize with CRNAs (13:40) Financial advice for first-time homebuyers (15:35) The timeline for the home-buying process (16:53) The unique features of her credit union's loans (19:35) Misconceptions about mortgages and prepayment (21:48) Limitations of the physician loan program (27:01) Becky's personal definition of success#CRNAs #Homeownership #Mortgage #PhysicianLoan #FinancialPlanningFor more information and resources related to this episode, please visit the show notes. 

Welcome to the Money RX for CRNA's podcast! Is the new tax law creating confusion or an opportunity for your retirement? This episode discusses the "One Big Beautiful Bill Act" (OBBBA) and what CRNAs need to know to optimize their financial future. Learn how recent legislative changes could impact your Roth conversions, RMDs, and more, helping you keep more of your hard-earned money.Brett explores:Key provisions of the OBBBA and its relevance to CRNAs.Updates on Roth 401(k) and 403(b) rollover rules.Changes to Required Minimum Distribution (RMD) ages.New opportunities with 529 plan rollovers to Roth IRAs.How these tax law changes can enhance or alter your existing financial strategies.Mistakes to avoid when navigating new tax legislation.Actionable steps CRNAs can take to adapt their planning.Why professional guidance is importantKey Timestamps: (0:00) Welcome and overview of the One Big Beautiful Bill Act (1:00) Understanding the new tax law for CRNAs (2:11) Key provisions and their impact on your finances (3:33) Updates on Roth 401(k)/403(b) direct rollover rules (5:00) Important changes to Required Minimum Distribution (RMD) rules (6:44) New opportunities for 529 plan rollovers to Roth IRAs (8:22) Implications for your existing backdoor Roth strategies (9:56) Common pitfalls to avoid with evolving tax legislation (11:36) Actionable steps for CRNAs to adapt their tax planning (13:02) The essential role of expert financial guidance (14:26) Final thoughts on taking control of your financial futureIf you found value in this episode, please subscribe and share.#CRNAs #TaxLaw #RetirementPlanning #FinancialFreedom #NewTaxBillFor more information and resources related to this episode, please visit the show notes. 

Jennifer did everything right: she worked for 25 years, maxed out her 403(b), and saved over a million dollars. But she made a $200,000 mistake she didn't even know about until she turned 65. Her required minimum distributions (RMDs) and Social Security pushed her into a higher tax bracket in retirement than she was while working.This is not uncommon for CRNAs to run into this tax trap.In this episode, we’ll be talking about strategies to avoid this situation and other things you can do to lower taxes in retirement.  Brett explores:The common "CRNA tax trap" that can lead to higher taxes in retirement than when working.The solution: strategic tax bracket filling to smooth out tax liability.Understanding your three money buckets: tax-deferred, tax-free, and taxable.How to leverage the 0% capital gains rate in early retirement.Real examples of Roth conversion strategies that can save over $100,000 in lifetime taxes.The power of "asset location" for tax efficiency.Mistakes CRNAs commonly make and how to avoid them, including ignoring RMDs and Medicare surcharges (IRMAA).Actionable steps to calculate your tax diversification and evaluate Roth conversion opportunities today.Why professional guidance can often save you more than it costs.Key Timestamps:(0:55) Introduction to Jennifer's $200,000 tax mistake(2:07) The unique CRNA tax problem in retirement(3:09) Understanding the CRNA tax trap and its solution: tax bracket filling(3:45) The three money buckets: tax-deferred, tax-free, and taxable(4:15) Real-life example of Tom and Lisa saving $150,000+ in taxes(5:05) How the 0% capital gains thing works(6:47) Asset location: where to put your investments for tax efficiency(8:25) Three phases of retirement planning(9:25) Biggest mistakes CRNAs make in retirement planning(10:21) What you should do right now: action steps for tax planning(11:38) Tom and Lisa's detailed tax savings numbers(13:43) Why tax planning is about peace of mind#CRNAs #RetirementPlanning #TaxStrategy #MoneyRX #FinancialFreedomFor more information and resources related to this episode, please visit the show notes. 

Dr. Jason Bolt is a CRNA who has masterfully built a personal brand and private practice, all while seeing the humor in the profession and inspiring others to take control of their financial future.In this episode, Jason shares his unique journey from pre-med to becoming a CRNA. Plus, we discuss his adventures as a travel nurse, and how he cultivated financial freedom and a "semi-retired" lifestyle at a young age.We explore:The defining moment in nursing school that shifted his path to CRNA.His incredible travel nursing experiences and how he used them to learn new skills and see the world.Why financial independence was a key driver from a young age, influenced by his parents' money habits.How he cultivated strong money habits, focusing on stopping spending and investing wisely.The evolution of his content creation, from cringey vlogs to impactful mentorship for aspiring CRNAs.The challenges and lessons learned from starting his own private practice, Bolt Nursing Anesthesiology, including navigating taxes and CPAs.His "semi-retired" work-life balance, typically working three 8-hour days and dedicating other days to creative pursuits and personal life.His perspective on AI's impact on the CRNA profession.His powerful advice for CRNAs feeling stuck: identify what you want, simplify your life, and take control of your financial destiny.Key Timestamps:(0:00): Welcome & Jason's impressive brand (1:55): Journey to becoming a CRNA (3:45): Travel nursing and learning new skills (5:55): Financial challenges and habits in nursing/CRNA school (10:35): Accidental start of content creation and mentorship (14:50): Deciding to start Bolt Nurse Anesthesiology (20:20): Biggest entrepreneurship mistakes and learning experiences (CPAs, taxes) (22:30): Balancing CRNA work, content creation, and personal life (27:00): AI's impact on the CRNA profession (28:50): Retirement and financial independence goals ("semi-retired") (32:45): Jason's definition of success#CRNAs #Entrepreneurship #MoneyRX #CRNALifeFor more information and resources related to this episode, please visit the show notes. 

Most CRNAs think they need to replace their entire income in retirement. That's not true. Brett breaks down the exact three-step framework he uses with CRNA clients to calculate their real retirement number.As a CRNA, you're earning $200,000+ annually, which puts you in a unique position to build substantial wealth. But you also face intense career demands that can lead to burnout and earlier retirement than originally planned.Brett explores:Why you don't need to replace your entire $200,000 salary in retirementThe three-step framework to calculate your true retirement expensesHow to subtract expenses that disappear when you retire (payroll taxes, 403b contributions, work expenses)The CRNA tax advantage most don't know about during early retirement yearsReal examples of Roth conversion strategies that can save $100,000+ in lifetime taxesThree retirement scenarios: Comfortable ($120k/year), Lean FIRE ($80k/year), and Fat FIRE ($200k+/year)Why CRNAs should plan for 3.5% to 4.5% withdrawal rates instead of the standard 4% ruleHow to turn your million-dollar savings into a sustainable retirement incomeKey Timestamps:(0:00) Welcome & why CRNAs have unique retirement advantages and challenges(2:00) The three-step framework to calculate your retirement number(4:05) Step 1: Calculate your true retirement expenses, not your salary(6:00) Real example: From $200K salary to $130K actual retirement need(7:10) Step 2: Subtract your non-portfolio income (Social Security estimates)(8:25) Step 3: Calculate your required portfolio size using withdrawal rates(9:00) The CRNA tax advantage: Roth conversions during early retirement(11:30) Three retirement scenarios: Comfortable, Lean FIRE, and Fat FIRE(13:20) Action steps you can take this week to get started(14:20) Where you stand based on your current savings levelWhether you're just starting to think about retirement or you're getting close to stepping away from clinical practice, this episode gives you the framework to know exactly how much you need based on your specific situation.#CRNAs #RetirementPlanning #MoneyRX #CRNALife #FinancialPlanningFor more information and resources related to this episode, please visit the show notes. 

Sarah Wild proves you can build a thriving career as a CRNA while staying true to your values and priorities.In this special CRNA Spotlight episode, Sarah shares her journey from being number 9 of 11 kids in a small town to becoming a successful CRNA, entrepreneur, content creator, and mother of three. All while maintaining what she calls "wildly authentic" living.We explore:How Sarah and her husband lived on less than $30,000 during CRNA school without going into debt for living expensesThe defining moment that made her want to become a CRNA (spoiler: it involved a code blue)Why she chose lifestyle flexibility over maximum income when selecting her first CRNA positionHer approach to social media and content creation that prioritizes authenticity over quick monetizationThe business mistakes that nearly led to lawsuits and what she learned about contractsHow she and her husband Lance make financial decisions together, including their unconventional approach to investing in their dream homeHer advice for burned-out CRNAs: "Go back to the drawing board and write down what you want in life"Key Timestamps:(0:00) Welcome & Sarah's background(2:05) Growing up as #9 of 11 kids and early work ethic(3:09) The code blue moment that changed everything(3:53) Living simply through CRNA school on $30K/year(6:23) The accidental journey into social media and entrepreneurship(8:44) Building an authentic platform vs. chasing quick money(10:39) Choosing lifestyle over maximum salary(14:15) The business mistakes that taught expensive lessons(17:53) Building their dream home as an investment in family(20:40) Financial partnership with her husband Lance(27:31) The Wildly Authentic Podcast(31:36) Advice for burned-out CRNAs seeking authentic successWhether you're a CRNA looking to diversify beyond clinical work or anyone seeking to build an authentic, values-driven career, Sarah's story offers practical wisdom and inspiration.#CRNAs #WildlyAuthentic #Entrepreneurship #MoneyRX #CRNALifeFor more information and resources related to this episode, please visit the show notes. 

Host Brett Fellows interviews Dr. Rick Tennesen, the Regional Anesthetist Director for TeamHealth's Southeast Division. Dr. Rick provides valuable insights on leadership, mentorship, and the future of anesthesia, offering practical advice for both new and seasoned CRNAs.[04:27] Rick Tennesen’s Educational and Career Path[07:25] Transition to Leadership and Philosophy[12:45] Challenges and Opportunities in Anesthesia Services[14:55] TeamHealth's Culture and Support Systems[22:58] Future of CRNA Practice and TeamHealth's ApproachFor more information and resources related to this episode, please visit the show notes. 

Host Brett Fellows addresses the common anxieties faced by Certified Registered Nurse Anesthetists (CRNAs) about retirement planning, emphasizing the importance of turning savings into a sustainable income stream and the dangers of not having a strategic plan. [00:58] The Million Dollar Question: Is It Enough?[02:19] The Importance of a Retirement Strategy[05:36] Client Story: Lisa's Retirement Planning Challenges[07:37] The Value of Professional GuidanceFor more information and resources related to this episode, please visit the show notes. 

Host Brett Fellows discusses the importance of maintaining a disciplined investment strategy amidst market volatility. Drawing on personal anecdotes and expert insights, Brett explores how emotional decision-making can sabotage long-term financial success. [00:58] The Importance of Staying the Course in Investing[02:46] Emotional Decision Making in Investing[03:56] Personal Story: Lessons from My Grandfather[07:44] Understanding the Brain's Role in Investment Decisions[11:01] The Value of Professional Financial GuidanceFor more information and resources related to this episode, please visit the show notes. 

This episode is a re-release of host Brett Fellows’ inspiring interview with Alicia Quinte, CRNA and founder of the 1099 Success Academy. Originally aired in 2024, this episode delves into Alicia’s journey from a W-2 employee to a flourishing 1099 freelancer while living an adventurous life aboard a sailboat. [02:46] Alicia's Journey to 1099 Work[06:00] Navigating the Transition from W-2 to 1099[10:28] Building and Growing the 1099 Success Academy[21:59] Expanding Opportunities for CRNAs[24:13] Benefits of 1099 for CRNAs[32:44] Financial Planning Strategies for CRNAsFor more information and resources related to this episode, please visit the show notes.