The Millionaires in Medicine Show

The Millionaires in Medicine Show

by Kristin Burton, MPAS, PA-C, CAQ-HM, CPAAPA
InvestingSelf-Improvement
Season 1
20-35%: The Pay Bump You Should Demand Before Going 1099
The PA Millionaire Path is out! If you're earning great income but feel like taxes are quietly eating into your ability to build real wealth, this book gives you the framework to make your income work harder for you. 👉 Buy it here: https://www.millionairesinmedicine.com/pabook W-2 or 1099? Employee or contractor? For a lot of PAs, NPs, pharmacists, and CRNAs, that decision gets made without ever fully understanding what's actually on the table — in terms of pay, taxes, deductions, and risk. In this episode, Kristin sits down with Jason Watson, CEO and partner of WCG CPAs and Advisors and a tax expert who's spent decades working specifically with medical professionals, to break down what most clinicians get wrong about contractor income, tax strategy, and real estate. Jason and Kristin dig into how much more you should actually be earning to make a 1099 contract worth it, why treating your 1099 income "like a business" unlocks a completely different set of tax tools, when an S-Corp election actually saves you money (and when it backfires), and the short-term rental tax strategy that's become one of the most talked-about tools in medicine right now — including exactly what it takes to qualify for it. Inside, you'll hear: The pay increase Jason and Kristin both recommend before accepting 1099 over W-2 work Why 1099 income unlocks deductions W-2 employees lost back in 2017 The income threshold where an S-Corp election starts to actually make financial sense A common, costly mistake medical professionals make with S-Corp timing when switching mid-year How a recent change to SALT limits is reshaping S-Corp tax strategy in 2026 Why long-term rentals are great for building wealth but do almost nothing for your tax bill The short-term rental loophole, what "material participation" actually requires, and how it can offset W-2 income Other advanced (and much riskier) tax strategies Jason sees medical professionals explore, from car washes to oil and gas Why Jason says roughly half of his strategy calls end with a client deciding to do nothing — and why that's actually a win If you've ever wondered whether you're leaving money on the table with your tax strategy, or you're weighing a 1099 opportunity and don't know what questions to ask, this episode will change how you think about your next conversation with a CPA. Ready for a real plan for your income, debt, and investing? Apply to join the MiM Coaching Program here: https://www.millionairesinmedicine.com/coach Resources / links WCG CPAs & Advisors: https://wcginc.com/tax-center/millionaires-in-medicine The PA Millionaire Path: https://www.millionairesinmedicine.com/pabook Disclaimer The Millionaires in Medicine Show is for educational and informational purposes only. The content shared is not intended as medical, legal, financial, or investment advice and should not be relied upon as such.
S1 ¡ E34
Sep 22, 2026
52:01
$16,000 in Flights With Points (Lay Flat Business Class)
Want the exact cards and transfer partners they recommend? Grab our free 2026 Points & Miles Playbook here: https://www.millionairesinmedicine.com/travelhack What if your next international trip (business class included) didn't have to cost you thousands of dollars? In this episode, Kristin sits down with Matt and Michael, two clinical pharmacy specialists who've turned a travel hacking hobby into serious expertise, visiting 40+ countries largely on points and miles. Matt and Michael break down exactly how they approach credit card sign-up bonuses, which cards are actually worth their annual fees, the tools they use to track down elite point deals before they disappear, and how they turned one unforgettable multi-country trip into their proudest travel hacking win yet. They also share how they teach this exact system to medical residents so even people early in their careers (and their income) can travel the world without draining their bank account. Inside, you'll hear: How to evaluate whether a credit card's annual fee and sign-up bonus is actually worth it The tools and websites they use to track down elite points deals before they disappear How to know if a points redemption is actually a "good deal" compared to paying cash The strategy behind choosing which loyalty program to transfer your points into How they track dozens of card categories and credits without losing their minds Why even beginners with just one or two cards can unlock meaningful travel value How this exact system has helped friends, family, and medical residents book major trips they didn't think they could afford If you've ever wondered whether credit card points are actually worth the hassle, or you want to travel more without blowing your budget, this episode lays out a real, tactical system you can start using immediately. Ready for a real plan for your income, debt, and investing? Apply to join the MiM Coaching Program here: https://www.millionairesinmedicine.com/coach Resources / links Michael and Matt help people understand credit card points, travel rewards, award flights, and how to strategically choose cards based on their spending and travel goals. 📧 Michael: MiguelBPCA@hotmail.com 📧 Matt: McKenzie.Matt13@gmail.com Instagram: @mattmck3nzie | @miguelbpca Apply to join the MiM Coaching Program: https://www.millionairesinmedicine.com/coach The PA Millionaire Path: https://www.millionairesinmedicine.com/pabook Disclaimer The Millionaires in Medicine Show is for educational and informational purposes only. The content shared is not intended as medical, legal, financial, or investment advice and should not be relied upon as such.
S1 ¡ E33
Sep 15, 2026
46:10
9 PA Jobs Paying $200K+ With Just 2 Years of Experience
If you're earning a great income but aren't sure your money is actually building toward real wealth, this book gives you the framework to make that income work harder for you. 👉 Buy it here: https://www.millionairesinmedicine.com/pabook Most conversations about the highest paid physician assistant jobs start with locums, surgical first assisting, or building your own aesthetic practice. But there's a whole category of traditional, salaried PA jobs clearing $200,000+ a year that rarely gets talked about. In this solo episode, Kristin pulls real job postings from September 2026 and walks through nine of the highest paid physician assistant positions in the country right now: where they're located, what experience they actually require, and what the schedules really look like. Kristin breaks down which specialties keep showing up at the top of the highest paid physician assistant job postings, why some of these roles require surprisingly little experience, and why comparing salary alone can be misleading once you factor in shift structure and effective hourly rate. She also digs into a few standout postings that combine strong pay with a genuinely reasonable schedule, something a lot of PAs assume doesn't exist at this income level. Inside, you'll hear: The specialties that consistently produce the highest paid physician assistant roles Why several $200K+ jobs on this list only require 2-5 years of experience, not a decade A cardiothoracic surgery posting with a 7-on/7-off schedule and a strong salary range An emergency medicine job with a shift structure that may pay more per hour than jobs with a higher listed salary Why dermatology salaries posted online often understate real earning potential Two orthopedic surgery jobs offering $150K-$230K with Monday-Friday hours, no call, and no evenings Why earning a high income is only step one — and what separates high-earning PAs who build wealth from PAs who stay stuck on the income treadmill If you've ever assumed the highest paid physician assistant jobs require locums work, a side hustle, or a decade of experience, this episode will challenge that assumption with real postings and real numbers. Ready for a real plan for your income, debt, and investing? Apply to join the MiM Coaching Program here: https://www.millionairesinmedicine.com/coach Resources / links The PA Millionaire Path: https://www.millionairesinmedicine.com/pabook Disclaimer The Millionaires in Medicine Show is for educational and informational purposes only. The content shared is not intended as medical, legal, financial, or investment advice and should not be relied upon as such.
S1 ¡ E32
Sep 8, 2026
10:54
Autopay Now Gets You a 1% Rate Cut on Federal Student Loans. Here's the Catch
If you feel like your student loans are one of the biggest question marks in your financial plan, this book gives you the framework to finally get a handle on your full financial picture... loans included. 👉 Buy it here: https://www.millionairesinmedicine.com/pabook There's a deadline sitting on the calendar right now tied to a new student loan repayment plan change that could quietly save federal student loan borrowers thousands of dollars, and almost no one in medicine is talking about it. In this episode, Kristin sits down with Millionaires in Medicine's resident student loan expert, Kaitlin Hile, PharmD, BCCP, to break down what's actually new in federal student loan repayment right now, including a major (and temporary) change to autopay, plus a real, all-too-relatable horror story about what can go wrong even when you're doing everything right. Kaitlin and Kristin walk through exactly what changed with the federal autopay interest rate discount, who actually benefits from this new repayment structure (and who doesn't, mathematically), and what borrowers on Public Service Loan Forgiveness need to know before assuming this helps their bottom line. Then Kaitlin shares a wild personal story involving her own household, a five-figure monthly payment that was never supposed to happen, and hours spent on hold with their loan servicer... plus what it taught her about the risks of setting your loans on autopilot and walking away. Inside, you'll hear: What's actually new with the federal student loan repayment plan and autopay discount, and the exact deadline attached to it Whether this new repayment plan benefit helps standard repayment borrowers, PSLF borrowers, both, or neither Which loans qualify under the new plan (and which older loan types don't) Kaitlin's real story about a recertification error that nearly cost her family thousands in a single month Why administrative errors from loan servicers are becoming more common, not less What to do if your loans are currently in default The truth about the SAVE plan's expiration timeline and how it connects to the new student loan repayment plan rules, plus what happens if you don't make an active choice The specific moments in your student loan journey when you should be paying close attention, and when you can safely step back If you have federal student loans, are pursuing PSLF, or are still sitting on the SAVE plan and trying to understand the new student loan repayment plan landscape, this episode lays out exactly what's changing and what could easily be missed if you're not paying attention. Ready for a real plan for your income, debt, and investing? Apply to join the MiM Coaching Program here: https://www.millionairesinmedicine.com/coach The PA Millionaire Path: https://www.millionairesinmedicine.com/pabook Disclaimer The Millionaires in Medicine Show is for educational and informational purposes only. The content shared is not intended as medical, legal, financial, or investment advice and should not be relied upon as such.
S1 ¡ E31
Sep 1, 2026
16:37
The 60-90 Day Rule: Why You Don't Feel Your Money Habits Working
The PA Millionaire Path is out! If you've ever built a budget that fell apart the second life got busy, this book gives you the framework to build a money system that actually sticks. 👉 Buy it here: https://www.millionairesinmedicine.com/pabook Why do money habits feel so much harder to stick with than a workout routine — and why does automation actually work better for your finances than it does for your fitness? In this solo episode, Kristin breaks down the real reason most people never build lasting money habits, and lays out a five-layer system for automating your way to wealth without relying on willpower, memory, or motivation ever again. Inside, you'll hear: Why building a money habit is a "design problem," not a willpower problem — and what that actually means for your bank account The "60 to 90 day rule" and why you don't feel the results of good (or bad) money decisions nearly as fast as you think Why personal finance requires a type of ongoing learning most people quit way too early The five layers of financial automation — and why most people only ever get to layer one or two The one identity shift Kristin says has to happen before any automation actually works A critical warning about a very specific kind of "automation trap" that can leave you working years longer than you planned, even while feeling totally on track If you've ever set up an automatic transfer and assumed you were "done," or wondered why your budget keeps falling apart every time life changes, this episode will change how you think about money on autopilot — and might reveal a gap in your own system you didn't know was there. Ready for a real plan for your income, debt, and investing? Apply to join the MiM Coaching Program here: https://www.millionairesinmedicine.com/coach Resources / links The PA Millionaire Path: https://www.millionairesinmedicine.com/pabook Disclaimer The Millionaires in Medicine Show is for educational and informational purposes only. The content shared is not intended as medical, legal, financial, or investment advice and should not be relied upon as such.
S1 ¡ E30
Aug 25, 2026
22:15
Millionaires by 34: The Pharmacist Couple Beating the Odds by a Decade
The PA Millionaire Path is out! If you're earning a solid income but aren't sure your money is actually working toward real wealth, this book gives you the roadmap to change that. 👉 Buy it here: https://www.millionairesinmedicine.com/pabook We're kicking off a brand-new segment on the show: real spotlights on actual Millionaires in Medicine... clinicians who've crossed the seven-figure mark and are willing to share exactly how they did it. First up: Chelsea and Peter Moran, two clinical pharmacists who did not have a surgical subspecialty income, did have student loan debt, did have a kid to plan for, and still managed to build a seven-figure net worth years ahead of the national average. In this episode, Kristin sits down with Chelsea and Peter to unpack their entire wealth-building journey: the offhand piece of advice during residency that first got them thinking seriously about their finances, the systems and habits that took them from "just saving for a house" to full-blown early retirement planning, and the exact age they crossed the millionaire mark. They also get honest about the money moves they'd do differently if they could go back — including one tax filing mistake tied to student loan payments that Chelsea still winces about. Inside, you'll hear: What first got this pharmacist couple thinking beyond "just max out your 401k" The exact age they crossed seven figures — and how that compares to national millionaire data How long it actually took from their first intentional money move to hitting millionaire status Why automation became one of their biggest wealth-building tools How having a child changed (and motivated) their financial planning The personal finance books that shaped how each of them thinks about money A costly tax filing mistake tied to student loan repayment that cost them big — and what they'd do differently Their honest take on balancing a house down payment with investing What their current early retirement timeline actually looks like If you've ever felt like becoming a millionaire in medicine is only possible for high-earning specialists, this episode is proof that it's not about your paycheck — it's about the plan. This is a real, unfiltered look at how two everyday clinicians built extraordinary wealth, and it might just change how you think about your own numbers. Ready for a real plan for your income, debt, and investing? Apply to join the MiM Coaching Program here: https://www.millionairesinmedicine.com/coach Resources / links Apply to join the MiM Coaching Program: https://www.millionairesinmedicine.com/coach The PA Millionaire Path: https://www.millionairesinmedicine.com/pabook Disclaimer The Millionaires in Medicine Show is for educational and informational purposes only. The content shared is not intended as medical, legal, financial, or investment advice and should not be relied upon as such.
S1 ¡ E29
Aug 18, 2026
19:38
The 20% Rule: How Much House You Can Actually Afford in 2026
The PA Millionaire Path is out! Buying a home is one of the biggest money decisions you'll ever make, but it's only one piece of the puzzle. If you're earning a great income but aren't sure your overall financial plan is actually working for you, this book is your roadmap for turning your income into real wealth. 👉 Buy it here: https://www.millionairesinmedicine.com/pabook In this solo episode, Kristin breaks down the real math behind home buying for medical professionals in 2026... why mortgage rates sitting in the mid-to-high 6% range have stalled affordability, why the lender's "you qualify for this much" number is often the fastest way to wreck your finances, and the simple rule of thumb that keeps your housing expense in check no matter what you earn. Kristin walks through how to calculate what house you can actually afford using your gross income, when a 0%-down physician/medical professional loan makes sense (and when it becomes a trap), the real opportunity cost of a large down payment early in your career, and how a modest starter home can realistically set you up for your dream house down the line. Inside, you'll hear: The 20% rule: why your total housing expense (principal, interest, taxes, insurance) should never exceed 20% of gross monthly income How to use a free mortgage calculator to determine your ideal purchase price without ever talking to a lender Why 20% down avoids PMI — and why that "rule" doesn't apply the same way to medical professional loans How physician/medical professional loans allow 0-5% down and higher debt-to-income approval, even with $500,000 in student loan debt The real risk of these loan products: how a new grad can end up "house poor" in a $700,000 home Why putting $300,000 down at age 30 instead of investing it could cost you $4.4 million and up to 10 extra working years A real example of a $250,000 starter home appreciating to $407,000 over 10 years — and how that builds your next down payment Regional home price differences (Midwest median around $350,000 vs. Hawaii's $800,000+ median) Why housing decisions made in isolation — instead of tied to your financial independence goals — are often what keeps people working years longer than they need to If you're a medical professional trying to figure out when to buy, how much house you can really afford, and how to avoid the single biggest mistake that could cost you a decade of extra work, this episode lays out the numbers and the framework to get it right. Ready for a real plan for your income, debt, and investing? Apply to join the MiM Coaching Program here: https://www.millionairesinmedicine.com/coach Resources / links Free home-buying checklist: https://www.millionairesinmedicine.com/buyahouse Apply to join the MiM Coaching Program: https://www.millionairesinmedicine.com/coach The PA Millionaire Path: https://www.millionairesinmedicine.com/pabook Disclaimer The Millionaires in Medicine Show is for educational and informational purposes only. The content shared is not intended as medical, legal, financial, or investment advice and should not be relied upon as such.
S1 ¡ E28
Aug 11, 2026
21:04
The $100,000 Contract Mistake: Non-Competes, Tail Coverage & Termination Clauses Explained
The PA Millionaire Path is out! If you've ever signed a contract without fully understanding it — and wondered later what you might have left on the table — this book is your roadmap for turning your income into real, protected wealth. 👉 Buy it here: https://www.millionairesinmedicine.com/pabook "This is just a standard contract, everyone gets the same one." If you've heard that line before signing your employment agreement, this episode is for you. In this session, Kristin sits down with Kyle Claussen, JD, healthcare attorney and CEO of Resolve, to break down exactly what PAs, NPs, and physicians need to look for before signing (or renegotiating) heir employment contract. Kyle has spent 15 years reviewing thousands of healthcare employment contracts, and in this episode he walks through the details most medical professionals miss: non-compete enforceability by state, termination clauses that can quietly lock you in for years, tail malpractice coverage, productivity-based compensation, signing bonus clawbacks, and why "verbal promises" from an interview almost never make it into the actual contract. Inside, you'll hear: Why no two employment contracts are actually "standard" — even within the same organization How non-compete enforceability works state by state, and why the 2024 FTC ban attempt didn't change much The difference between a non-compete measured "as the crow flies" vs. driving distance (and why it matters) Why a 3-year contract term can legally prevent you from leaving your job, even for a spouse's relocation What breach of contract can actually cost you — including real client examples of six-figure lawsuits Why tail malpractice coverage is one of the most overlooked (and expensive) contract details How productivity bonus structures, signing bonuses, and clawback clauses commonly get misused Real client examples, including one professional underpaid by six figures over 10 years due to below-market wRVU rates When in your job search process you should actually bring in a healthcare contract attorney If you've ever wondered whether your contract is actually "fine," or you're preparing for your first job offer, letter of intent, or renegotiation, this episode will change how you read every future contract you're handed. Ready for a real plan for your income, debt, and investing? Apply to join the MiM Coaching Program here: https://www.millionairesinmedicine.com/coach Resources / links Resolve (contract review for medical professionals) Use code MIM15 for 15% off Resolve services Apply to join the MiM Coaching Program: https://www.millionairesinmedicine.com/coach The PA Millionaire Path: https://www.millionairesinmedicine.com/pabook Disclaimer The Millionaires in Medicine Show is for educational and informational purposes only. The content shared is not intended as medical, legal, financial, or investment advice and should not be relied upon as such.
S1 ¡ E27
Aug 4, 2026
48:09
Brandon Turner's $15M Loss: The Real Lesson for PA, NP & Pharmacist Investors
The PA Millionaire Path is officially out! If you've ever felt like you're earning a great income but still don't have a real risk management plan for your investments, this book is your roadmap for turning clinical income into real, protected wealth. 👉 Buy it here: https://www.millionairesinmedicine.com/pabook A few months ago, a $15 million investor loss made headlines when one of real estate's most well-known names, Brandon Turner, saw a single apartment complex syndication deal go south — wiping out real people's retirement savings and kids' college funds. If you're a PA, NP, pharmacist, or physician who has ever considered investing in a private equity syndication, this story probably made your stomach drop. In this solo episode, Kristin breaks down what actually happened in the Brandon Turner syndication collapse — and more importantly, why the operator isn't really the lesson here. The real lesson is about you, the individual investor, and how proper asset allocation and position sizing is the single biggest form of risk mitigation you have when investing in illiquid, leveraged real estate deals. Kristin walks through exactly what a private equity syndication is, why these deals are inherently risky (illiquid, leveraged, dependent on a small team of operators, with real potential for 100% permanent loss of principal), and shares her own personal rules of thumb for how much of a portfolio should ever be allocated to a single syndication, a single operator, or real estate as a whole. Inside, you'll hear: What actually caused the $15 million Brandon Turner syndication loss (hint: it wasn't a scam) What a private equity syndication is and how GP/operator vs. LP investor roles work Why syndications are illiquid, typically locking up capital for 3–5 years Why most syndications require accredited investor status and a $100,000+ minimum buy-in The difference between concentration risk in a syndication vs. a publicly traded stock Why you need roughly $1 million in invested assets to responsibly write a $100,000 syndication check A personal framework for capping real estate and syndication exposure (10% per operator, 40% real estate overall) The key questions to ask yourself before wiring your next syndication check If you've ever thought about investing in a real estate syndication for passive income, this episode will help you understand the real risk behind the "mailbox money" appeal — and how to protect your portfolio before you write that check. Ready for a real plan for your income, debt, and investing? Apply to join the MiM Coaching Program here: https://www.millionairesinmedicine.com/coach Resources / links Apply to join the MiM Coaching Program: https://www.millionairesinmedicine.com/coach The PA Millionaire Path: https://www.millionairesinmedicine.com/pabook Disclaimer The Millionaires in Medicine Show is for educational and informational purposes only. The content shared is not intended as medical, legal, financial, or investment advice and should not be relied upon as such.
S1 ¡ E26
Jul 28, 2026
14:59
How a Nurse Bought a 36-Lot Mobile Home Park for $250,000 (With Almost No Money Down)
If you've ever felt like you're earning a great income but still feel trapped by it (unable to take a month off, unable to slow down) this book is your roadmap for turning clinical income into real wealth and real freedom. 👉 Buy it here: https://www.millionairesinmedicine.com/pabook What if the six-figure paycheck you've worked so hard for is actually the thing keeping you stuck? In this episode, Kristin sits down with Tim Woodbridge, former registered nurse turned mobile home park investor and founder of WCG Investments, to talk about how he went from working 44-hour nursing weeks to building a 30-park, 1,400+ pad portfolio across the Southeast — and why so many high-earning physicians and clinicians still feel like they have zero financial freedom. Tim breaks down exactly how he got started in mobile home park investing with no real estate experience, how he financed his first $250,000 park acquisition, and why he went years without taking a single paycheck from his own deals. He and Kristin also dig into the "golden handcuffs" trap — why clinicians earning $100k or $700k a year can feel equally unable to step away from work, and what it actually takes to build a life where your money works for you instead of the other way around. Inside, you'll hear: How Tim transitioned from bedside nursing into mobile home park investing with zero real estate background The real numbers behind his first mobile home park deal — purchase price, financing, and partner structure Why "imperfect action" beats waiting for the perfect plan when you're starting a new investing venture How long it actually took before his mobile home parks generated real cash flow Why affordable housing and mobile home parks can be a recession-resistant, cash-flowing asset class The difference between owning tenant-occupied vs. park-owned mobile homes How to know whether active investing (like Tim did) or passive LP syndication investing is the right fit for your lifestyle Why high income without financial margin can trap even top-earning physicians in the "golden handcuffs" Ready for a real plan for your income, debt, and investing? Apply to join the MiM Coaching Program here: https://www.millionairesinmedicine.com/coach Resources / links Facebook: https://www.facebook.com/tim.woodbridge.54 Instagram: https://www.instagram.com/tim.woodbridge/ Business Website: https://wcginvestments.com/ Apply to join the MiM Coaching Program: https://www.millionairesinmedicine.com/coach The PA Millionaire Path on Amazon: https://www.millionairesinmedicine.com/pabook Disclaimer The Millionaires in Medicine Show is for educational and informational purposes only. The content shared is not intended as medical, legal, financial, or investment advice and should not be relied upon as such.
S1 ¡ E25
Jul 21, 2026
34:38
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