Description

You sacrificed years of training, piled up student loans, and now you’re finally earning real income as a 1099 physician. But instead of clarity, many find themselves overwhelmed—unsure of how to handle taxes, structure their business, or avoid leaving thousands on the table.

In this masterclass-style conversation, James (@JamesNutter), Jeff McPherson, and CPA Matt Barzak share the exact framework they use to help 1099 physicians organize their finances and sidestep the most common traps.

You’ll learn how to:

• Evaluate whether an S-Corp, LLC, or sole proprietorship is right for you
• Compare retirement plan options like SEP IRAs and solo 401(k)s
• Use strategies like the Augusta Rule and family payroll to reduce taxable income
• Avoid hidden pitfalls around QBI deductions and payroll taxes
• Structure your income and expenses to save six figures in taxes over time

Through a fictitious (but realistic) case study of Dr. Maya and Dr. Jordan Ellis, you’ll see how small, intentional changes can transform financial stress into clarity and confidence.

This episode isn’t about jargon or selling products—it’s about giving you the practical playbook to protect your income and build lasting wealth.

You’ll Learn About

• S-Corp vs. LLC pros and cons
• Backdoor Roth IRA and retirement optimization
• Augusta Rule (home rental strategy)
• Family payroll and putting kids to work the right way
• Solo 401(k) vs. SEP IRA planning

Mentioned in This Episode

Simply clickhere to get your free guide to learn how to put your kids on your payroll.

Click here to get your free financial wellness 101 playbook

Resources & Next Steps:

• Download the PSLF Hacks Checklist
• Book a free financial wellness session with James
• Get access to exclusive physician financial tools at www.imwealth.com
• 1% of IM Wealth’s revenue is dedicated to providing scholarship funds to medical students. Learn more about the Meaningful Journeys Scholarship and how you can join the fight here.
• Learn more about the impact IM Wealth is making in the lives of physicians here.
• Gain FREE immediate access to all of IM Wealth’s exclusive physician financial wellness resources here.

About the Show:

This isn’t just another finance podcast—it’s a movement. We’re challenging the status quo, cutting through the noise, and giving physicians real strategies to take control of their money and their future. 

Because true wealth isn’t just about numbers—it’s about freedom.

Find and follow the show on YouTube. 

About James Nutter:

James Nutter is on a mission to help physicians reclaim their financial power. With a deep understanding of the unique challenges doctors face, he provides real-world strategies that cut through the noise and lead to lasting financial freedom.

Follow James on Instagram. 

A Physician’s Guide to Wealth Podcast — Brought to you by IM Wealth: Helping physicians take control of their money so they can live a purposeful life.

For more resources, visit IMWealth.com.

Advisory services offered through Commonwealth Financial Network®, a Registered Investment Adviser.