EXCLUSIVELY FOR PHYSICIANS

Your Consigliere
for Life

We bring family office services to physicians. You're the star of the show. We're your general manager, chief of staff, and trusted advisor—coordinating every aspect of your life.

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Interactive Playbook: See how a $300K physician builds $14M net worth by retirement

1:1

Relationship-Focused

100%

Physicians Only

Done

For You Service

What We Coordinate:

Financial Advisory

Comprehensive planning from student loans to retirement strategy

1099 Business Operations

LLC setup, bookkeeping, payroll, tax filing & compliance

Major Life Decisions

Home purchases, career moves, contract negotiations & more

Family Office Services

Estate planning, tax optimization, CPA & attorney coordination

Alternative Investments

Real estate deals, business opportunities, syndications analysis

HOW WE HELP

Comprehensive Services for Physicians

From financial planning to business operations, we coordinate every aspect of your professional and personal life.

Financial Advisory

  • Comprehensive financial planning from residency through retirement
  • Student loan strategy (PSLF vs. refinancing analysis)
  • Investment management and portfolio optimization
  • Retirement account strategies (401k, 403b, backdoor Roth)
  • Tax optimization and quarterly planning
  • Insurance review and optimization
  • CPA and attorney coordination

1099 Business Operations

  • LLC formation and S-Corp election (when beneficial)
  • Monthly bookkeeping and financial reporting
  • Payroll processing and tax withholding
  • Quarterly estimated tax payments
  • Year-end tax filing (included, no CPA bill)
  • Business expense tracking and optimization
  • Typical tax savings: $10,000-$15,000/year

Major Life Decisions

  • Home purchase evaluation and negotiation support
  • Physician mortgage loan coordination
  • Employment contract review and negotiation
  • Partnership track analysis and optimization
  • Career transition financial modeling
  • Major purchase decision analysis

Family Office Services

  • Estate planning blueprint and coordination
  • Will and trust creation (included in Concierge)
  • Advanced tax planning and optimization
  • Tax return preparation (included in Concierge)
  • Professional coordination (CPA, attorney, insurance)
  • White-glove concierge service

Alternative Investments

  • Real estate syndication analysis and evaluation
  • Rental property investment modeling
  • Business partnership opportunity review
  • Private equity and venture deal analysis
  • Medical practice ownership evaluation
  • Unbiased analysis with no commission conflicts
OUR PHILOSOPHY

We Believe in Wise Counsel, Not Transactions

Consigliere MD isn't for everyone. We're selective about who we work with because our model is built on deep, long-term relationships—not one-off transactions. We serve physicians who value having a dedicated chief of staff for their life.

Relationship-Focused

We're not a transaction-based firm. We build decade-long relationships with a select group of physician clients. Your success is our success.

Medical Field Experience

We're not just life advisors—we're intimately connected to the medical field. We understand your unique challenges, schedules, and opportunities.

Done For You

You didn't go to medical school to become a tax expert or investment manager. We handle everything—from optimizing your portfolio to evaluating those real estate deals and business opportunities people keep pitching you. Unbiased analysis, so you can focus on what you do best.

Physicians Only

We exclusively serve physicians. This laser focus means we understand your world—from PSLF decisions to 1099 contracts to physician mortgages.

100% FEE-ONLY

Unbiased Advice. No Products. No Commissions.

We don't sell insurance products, investment funds, or financial vehicles. We don't earn commissions or hidden fees. You pay us directly for advice, which means our only incentive is your success. When someone pitches you a real estate syndication, insurance product, business opportunity, or investment deal, we give you the unbiased analysis you deserve—because we have zero financial stake in whether you say yes or no.

REAL RESULTS

How We Help Physicians Win

Off-Market Home Purchase

Dr. Cahill, Family Medicine Physician

"I was looking at homes in a competitive market and kept getting outbid. Po helped me identify an off-market opportunity, presented detailed comps to the seller, and advised me on the negotiation strategy. We bought the house without competition, negotiated the price down, and saved $30,000 in agent fees."

$30K
Saved in Agent Fees
0
Competing Offers
✓
Price Negotiated Down

This is what a true consigliere does—coordinates major life decisions with expert analysis and unbiased guidance.

INVESTMENT

Transparent Pricing for Every Stage

We believe in transparency. No hidden fees, no surprises. Choose the service level that fits your needs and career stage.

One-Time Financial Plans

Resident Plan

For residents and fellows only

$750

One-time engagement

  • 90-minute discovery meeting
  • Student loan strategy (PSLF analysis)
  • Early career foundations
  • Retirement account basics
  • Insurance essentials review
  • Tax optimization guidance
  • 15-20 page written plan
  • 60-day follow-up call
Get Started

Attending Plan

Comprehensive strategy for physicians

$3,000

One-time engagement

  • 2-hour comprehensive discovery
  • Student loan deep-dive modeling
  • Advanced retirement planning
  • Comprehensive tax strategy
  • Estate planning blueprint
  • Investment portfolio analysis
  • Alternative investment evaluation
  • 40-60 page written plan
  • 90-day follow-up call
  • Upgrade credit: $3,000 toward ongoing advisory
Get Started

Business Setup

1099 structure optimization

$2,500

One-time setup fee

  • LLC formation (Articles filed)
  • EIN application
  • Business bank account guidance
  • S-Corp election (if recommended)
  • QuickBooks setup
  • Payroll system configuration
  • Initial tax consultation
  • Chart of accounts setup
Get Started

Ongoing Advisory Services

Advisory (Standard)

Comprehensive ongoing management

$1,000

per month (or $10,000/year prepaid)

  • Everything from Attending Plan
  • Investment management & rebalancing
  • Quarterly tax planning
  • CPA & attorney coordination
  • Insurance reviews & optimization
  • Alternative investment analysis (ongoing)
  • Quarterly strategy meetings
  • Unlimited questions (2-day response)
  • Financial dashboard access

Setup fee: $1,500 (waived if upgrading from Attending Plan)

Get Started

Concierge (All-Inclusive)

True "done for you" service

$1,500

per month (or $15,000/year prepaid)

  • Everything in Advisory Standard
  • Tax filing INCLUDED (no CPA bill)
  • Will & trust creation INCLUDED (no attorney bill)
  • Monthly check-ins (vs quarterly)
  • Priority response (same/next day)
  • Spouse/partner fully included
  • Advanced tax strategies
  • No surprise bills—everything bundled

Setup fee: $1,500 (waived if upgrading from Attending Plan)

Get Started

Business Management

1099 operations & bookkeeping

$600-900

per month (complexity-based)

  • Monthly bookkeeping & financials
  • Payroll processing (if S-Corp)
  • Quarterly estimated taxes
  • Year-end tax preparation INCLUDED (no CPA bill)
  • Ongoing tax optimization
  • Business expense management
  • Financial performance reports
  • Responsive support (2-day response)

Can be added to Advisory services for $500-700/month (discounted)

Get Started

Not Sure Which Service Fits?

We'll help you choose the right service level based on your specific situation, goals, and career stage. Schedule a free 30-minute consultation to discuss your needs.

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FREE RESOURCES

Educational Content for Physicians

We believe in providing value upfront. Explore our comprehensive library of guides, calculators, articles, and tools designed specifically for physicians navigating their financial lives.

10+ In-Depth Guides

Comprehensive resources on tax planning, student loans, real estate, and more

6 Categories

Organized by topic: tax, loans, real estate, career, business, investments

Visit Our Complete Resources Library

Browse by category, search by keyword, or explore everything we've created to help physicians make informed financial decisions.

Explore All Resources
FAQ

Common Questions

We've answered the most common questions physicians ask about working with Consigliere MD.

Why do you only work with physicians?
Our laser focus on physicians means we deeply understand your unique challenges—from PSLF decisions to 1099 contracts to physician mortgages. We've chosen to be specialists, not generalists. This allows us to provide exceptional value because we know your world inside and out. Every client conversation builds on the last, making us better advisors for the physician community.
What makes you different from other financial advisors?
We're relationship-focused, not transaction-based. We don't take on hundreds of clients—we work with a select group of physicians and provide family office-level service. We're also intimately connected to the medical field, so we understand your schedule constraints, income patterns, and career trajectory. Think of us as your life chief of staff: coordinating everything from student loans to estate planning to 1099 business operations.

Most importantly: We're fee-only advisors. We don't sell products, earn commissions, or have incentives to steer you in any particular direction. You pay us directly for advice, which means our only goal is your success. We're compensated to give you unbiased guidance—not to push investments, insurance products, or financial vehicles that benefit us.
Do I need a certain net worth or income to work with you?
No. We work with residents, fellows, and attending physicians at all income levels. Our Resident Plan starts at $750 for early-career physicians, and we scale services as your career and financial complexity grows. What matters most is fit—we work with physicians who value relationship-based advisory and want a true partner in their life.
Can I keep my existing CPA or attorney?
Absolutely. Our Advisory (Standard) service is designed for clients who prefer to keep their existing CPA and attorney. We coordinate with them on your behalf. If you'd prefer true all-inclusive service where tax filing and estate documents are bundled, our Concierge tier includes everything with no separate bills.
How much will I save with proper tax structuring?
For 1099 physicians making $250,000+, proper S-Corp structuring typically saves $10,000-15,000 per year in self-employment taxes. Beyond entity structuring, we implement strategies like retirement account optimization, tax-loss harvesting, and deduction maximization that often result in additional savings. The exact amount depends on your income, expenses, and situation.
What if I'm not happy with the service?
Our ongoing services have a 12-month initial commitment, then become month-to-month. If at any point you're not getting value, we'll talk about it directly. You can cancel with 30 days' notice after the initial commitment period. That said, we've never had a client leave because they were unhappy with our service—they typically leave because their situation changes (e.g., retirement, career transition).
Can you help me evaluate investment opportunities people pitch to me?
Absolutely. Physicians constantly get approached with investment opportunities—real estate syndications, private businesses, startup ventures, medical practice partnerships. We provide unbiased analysis of these deals: evaluate the financials, identify red flags, explain the tax implications, assess the risk profile, and lay out the details clearly. We have no incentive to push you toward or away from any deal—we're compensated by you, not by commissions. This is included in our comprehensive planning and ongoing advisory services.
What's the time commitment on my end?
Minimal. Initial discovery takes 1.5-2 hours. After that, ongoing clients typically spend 60 minutes per quarter in strategy meetings. Everything else is handled by us. We're built for busy physicians who don't have time to manage financial details—that's why you hired us. Questions via email/text are answered within 2 business days (same/next day for Concierge clients).
SCHEDULE

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Complete the form below to schedule your free 30-minute consultation. No pressure, no obligation—just an honest conversation about whether we're the right fit.

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Select a time that works best for you.

Questions? Email us at contact@consiglieremd.com

CONTACT

Get In Touch

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