The Operating Room Has Protocols.
Why Doesn't Your Wealth?
Your finances need what the OR already has: protocols, checklists, and one person responsible when things go wrong.
Right now, your CPA files returns. Your advisor allocates portfolios. Your attorney drafts docs.
Nobody is running the code.
Trusted by anesthesiologists, surgeons, and high-income medical professionals
Let Me Guess Your Current Situation
You make $350K-$500K annually
You pay $120K-$180K in taxes (and suspect you are overpaying)
Your advisor put you in a "balanced portfolio" of stocks and bonds
Your CPA files your returns but never calls with strategies
You have $2M-$4M in assets but feel no closer to "retirement on the job"
You have thought about oil & gas or real estate but do not know who to trust
Sound familiar? That is not your fault. That is the system working exactly as designed.
The Silent Bleed in Your Financial Plan
In critical care, we have a saying: "The patient died because nobody was in charge."
In wealth management, the same thing happens—just slower. These four gaps are where high-income professionals hemorrhage six figures annually.
Tax Drag
Missing Augusta rule, cost segregation, oil & gas deductions
$80K-$150K
Lost annually in avoidable taxes
Passive Income Void
100% dependent on active income, no asset income
$40K-$100K
Missed passive cash flow annually
Volatility Penalty
Overexposed to one market, one career, no alternatives
$30K-$80K
Lost to unnecessary risk annually
Total Annual Leak: $150K-$350K
Over 10 years, that is $1.5M-$3.5M left on the table
From Fragile to Resilient
Most high-income professionals have all their eggs in two baskets: their job and the stock market. We build a diversified portfolio that actually protects you.
❌ Before: The Fragile Portfolio
- •100% dependent on W-2 income
- •90% in stocks/bonds (one market)
- •No tax optimization strategies
- •Advisors working in silos
✅ After: The Resilient Portfolio
- Multiple income streams (passive + active)
- 20-30% in alternatives (oil & gas, PE, real estate)
- Tax-efficient structures saving $80K+ annually
- Coordinated strategy with one quarterback
The Four Hidden Six-Figure Gaps
Most high-income professionals are leaving money on the table in these four areas. Each one costs you five to six figures annually.
1. Tax Drag
You have never had a serious, coordinated conversation about tax strategies
Your CPA processes returns but does not bring proactive strategies. Meanwhile, you are missing:
- →Augusta Rule: $14K-$30K tax-free income annually
- →Cost Segregation: $50K-$150K in year-one deductions
- →Oil & Gas IDC: 70-85% first-year deductions
- →GP/LP Structures: Active + passive tax benefits
Typical Annual Cost: $80,000-$150,000
2. Passive Income Void
High W-2/1099 income but no durable streams that replace shifts
You are 100% dependent on showing up to work. If you cannot work for 3-6 months, your income stops. You need:
- →Commercial real estate distributions
- →Oil & gas producing well income
- →Private credit/debt investments
- →Royalties and asset income
Typical Annual Cost: $40,000-$100,000 in missed cash flow
3. Volatility Penalty
Portfolio tied to one market + one career
A 30% market drawdown or forced early retirement would derail your plans. You need diversification across:
- →Alternative investments (private equity, oil & gas, real estate)
- →Uncorrelated asset classes
- →Inflation-protected assets
Typical Annual Cost: $30,000-$80,000 in unnecessary risk exposure
4. Coordination Gap
CPA files. Advisor allocates. Attorney drafts. No one is responsible for the whole picture
When your advisors do not talk to each other, you get:
- →Missed opportunities (CPA says no without exploring options)
- →Conflicting advice from different professionals
- →No Investment Policy Statement tying it all together
- →Reactive decisions instead of proactive strategy
Typical Annual Cost: $50,000-$100,000 in drift and misalignment
Why This Hits Anesthesiologists Harder
You did not go into medicine to become a tax expert. But your income structure puts you in the crosshairs.
High W-2 Income, Limited Deductions
Most tax strategies do not work for employees. You need access to alternative investments that unlock powerful deductions like oil & gas IDC, cost segregation, and GP structures.
No Equity in the Practice
You cannot sell your "business" at retirement. Every dollar must come from assets you build outside of work. That means you need passive income streams—now, not later.
Liability + Burnout Risk
One lawsuit or one surgery too many, and your income stops. You need a financial structure that protects you even if you cannot (or do not want to) work full-time.
Time-Starved Decision Making
You are making $400K/year decisions between cases. That is when expensive mistakes happen. You need a system that works while you focus on medicine.
"You delegate airway management to protocols. Why not delegate wealth management the same way?"
You became an anesthesiologist because you are good under pressure and you trust systems. We build financial systems with the same rigor you apply in the OR.
The Solution: A Financial Quarterback
You do not need more advisors. You need someone coordinating the ones you have—and taking responsibility for the whole picture.
What We Do Differently
- Coordinate Your Team: We make your CPA, attorney, and advisors work together
- Proactive Strategies: Augusta rule, cost segregation, oil & gas, alternatives
- Build Passive Income: Replace shifts with cash-flowing assets
- Investment Policy Statement: Written plan that ties everything together
- Take Responsibility: One person accountable for your whole financial picture
What This Looks Like in Practice
Real results from coordinating the whole picture (names changed for privacy)
Dr. K., Anesthesiologist, Age 43
The Problem: High income, high taxes, zero passive income
Before:
- •$420K income, $140K in taxes
- •100% stock/bond portfolio (no alternatives)
- •Zero passive income, working 60+ hour weeks
- •CPA never mentioned tax strategies beyond 401(k)
After 12 Months:
Tax Savings
$87,000
Augusta rule + cost seg + oil & gas IDC
Passive Income
$3,200/mo
From vetted real estate & energy operators
Alternatives Allocation
22%
Was 0% before
Peace of Mind
Priceless
Stopped checking portfolio during crashes
"His CPA did not know about oil & gas deductions. His advisor did not offer alternatives. Nobody was coordinating. We became the quarterback."
Dr. M., Anesthesiologist, Age 51
The Problem: Wanted to retire in 5 years but the numbers did not work
The Diagnosis:
- •Massive tax drag ($130K/year going to IRS)
- •No passive income (100% dependent on shifts)
- •Over-concentrated in tech stocks (former employer RSUs)
- •Would need to work 10+ more years to hit target
The Treatment Protocol:
- Year 1: $94K in tax savings through strategic deductions
- Years 1-3: Built $8K/mo passive income from real estate & energy
- Year 4: Hit "retirement on the job" number—now works 2 days/week by choice
"I did not need more money. I needed someone to coordinate the money I already had."
— Dr. M.
I Paid $374K in Tuition So You Do Not Have To
Paramedic → ER Nurse → Fire Lieutenant → LP Investor → GP → Family Office Coordinator
Lost as LP Investor
Every strategy I recommend, I have vetted with my own money first. I have lost money in real estate (2019), oil & gas (2020), and private credit (2021). You learn more from losses than wins.
Deals Reviewed Annually
We review over 100 alternative investments each year and pass on most. Our 100-point operator scorecard ensures we only recommend cycle-tested sponsors.
Years Combined Experience
Healthcare + Finance + Emergency Response. We understand how to coordinate experts under pressure—because lives (and livelihoods) depend on it.
"I have watched patients die because three brilliant specialists could not coordinate."
The cardiologist saw the heart. The neurologist saw the brain. The intensivist saw the labs.
Nobody saw the patient.
Your finances? Same problem. Different stakes. That is why I exist in this space—to be the one person accountable for the whole picture.
Find Out Exactly Where You Are Bleeding
The Freedom Index takes 10 minutes and shows you precisely where the six-figure gaps are in your financial plan.
You Will Get:
- Your specific tax drag score (most score 35-50 out of 100 here)
- Whether you are over-concentrated in public markets
- How far you are from "retirement on the job"
- Where the low-hanging fruit is (some save $60K+ in year one)
Most anesthesiologists score 40-70 out of 100. That means there is $150K-$300K in annual optimization potential.
No sales call required. No pressure. No products. Just a PDF scorecard showing exactly where to focus first.