Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

A physician’s advice on extra cash flow

James Turner, MD
Finance
August 8, 2019
Share
Tweet
Share

When it comes to destroying debt, many of us are familiar with the two most common methods to pay down debt. Many choose the debt snowball method where you pay off your smallest debt first while paying the minimum on others. Once that first debt is gone, you roll that payment into the next. Eventually, you gain a ton of momentum as your debt snowball accumulates. This allows you to take down your debt in short order. But what happens after that? What do you do with extra cash flow after paying down your student loans, car payments, or mortgage?

Extra cash flow in our home

When my family and I finished my fellowship in regional anesthesia, we had approximately $300,000 in non-mortgage debt. This included our student loans ($210,000) and two car loans (~$80,000). Over the next 24 months, we would pay off all of that debt and the interest that was continuing to accumulate.

While I previously mentioned the debt snowball method, my wife and I preferred a different approaching to paying off our debt. The debt avalanche method. While maxing out our tax-advantaged retirement space, we paid minimum payments on all of our debt, except for our student loans.

According to the 10% Rule, we enjoyed 10% of our increase in post-tax pay after training. The other 90% went straight towards our student loans after we refinanced them at a great rate. This allowed us to take a sledgehammer to our loans as we averaged a little more than $10,000 a month towards our loans. It took 19 months to get rid of the $200,000 in loans.

After the loans were gone, my wife and I purchased our new home. In other words, my family of five (and our two dogs) lived in the same 1,100 square foot home we lived in during medical school, residency, and fellowship for a year and a half after finishing training. Living like a resident is what allowed us to destroy our loans.

Following the house purchase, we continued our progress and destroyed the rest of our debt over the next six months.

Now that we are faced with extra cash flow each month that no longer goes towards student loans and car payments, we have to determine where to put the extra money. With a desire to be intentional with our financial life, here are several ideas or placed where extra cash flow could be spent.

1. Increase your emergency fund

After finishing training, our first financial step was to create an emergency fund. Since then, we have maintained a three-month emergency fund in case an unexpected expense comes up. By “three month,” I mean that the value of our emergency fund consists of three months worth of monthly expenses. So, if my family spends $10,000 per month, we would need $30,000 to have a three-month emergency fund.

Our three-month emergency fund has served its purpose while we aggressively paid down debt. We have only needed to dip into it once, which happened after we moved and had multiple unexpected expenses. Hint: Buying and selling a house costs a lot of money.

Given the extra cash flow we have after paying off our non-mortgage debt, you could argue that we need an emergency fund less now than we did over the last two years. Yet, I’ve recently learned that dipping into that fund and knocking it below $30,000 causes me financial stress.

So, one of our first moves with our extra cash flow will be to increase our emergency fund to a five or six-month emergency fund.

2. Give more money to charity

ADVERTISEMENT

I am a big believer in giving from a position of strength. That’s the only reason giving more money away isn’t listed as the number 1 option for extra cash flow.

Giving more to charity may mean giving your time or services to those who need it. You could even move to part-time work now that you can afford it to allow you to be more available for these opportunities.

You could also give more to charity in a strictly financial sense. While my wife and I have tithed 10% of our take-home pay since the day we got married, we have recently made a decision to start tithing from our pre-tax income. Our church has relationships with local shelters, food pantries, and other outreach ministries to help those who are in need in our local community.

Not only will our additional charitable giving work towards helping others – and make us feel good – it also decreases our taxes since we itemize our deductions.

3. Increase your savings rate

Increasing your WAR (wealth accumulation rate) is another option for your extra cash flow. Given that your savings rate is the most important determinant of your investing success for the first 10-15 years you invest, this is a wise place for many to put their extra money.

Let’s say you save $50,000 each year, and your financial independence number is $2.5 million. Assuming an 8% interest rate, you would reach your goal in 24 years. What would happen if you started saving an extra $2,000 per month ($74,000 per year)? Well, you would shave seven years and achieve your goal at year 17.

Being able to retire seven years earlier sounds mighty fine to me. Yet, everyone’s situation is different. You might also look at that extra $2,000 and feel that you could find a better use for it. It is up to you!

4. Pay off the mortgage

Even after paying off your student loans, car payments, and any credit card debt, you may still find that there is one other large source of debt that many like to ignore. Your mortgage.

What if you paid two mortgage payments per month instead of just one? You might find that your mortgage will be gone in only 10 to 15 years, if you have a 30-year mortgage.

For the math purists out there, you might argue that your money would be better spent chasing after 6 to 10% market returns rather than paying off low-interest mortgage debt with rates between 2 to 5%.

Where do I stand on the issue? Honestly, I think either approach is fine. Either way, you are doing something smart with your money, which means you are likely way ahead of your peers.

5. Buy more experiences

All of the options above involve giving money away or putting it towards a financial pursuit of some kind. What if you want to spend some of it? After all, you’ve worked really hard to get to the point where you have extra cash flow!

I think spending money is fine. In fact, going forward, my wife and I will probably convert our classic 10% rule into something more like a 15-20% rule. If we are crushing our financial goal, why shouldn’t we spend more money to enjoy today?

If you do decide to find a good use for spending, I recommend that you spend it on experiences (rather than things). Why? Because research has shown that money spent on experiences leads to more sustained happiness.

So, one way that you could spend extra money is to increase your annual vacation fund. That way, you could take a trip to Europe, go to Disney World, or whatever else floats your boat.

Take home

After you put in the hard work to destroy your debt, you have a lot of options for your extra cash flow. Where you put it is up to you. There are many options, though I do encourage you to enjoy some of it.

As for my wife and me, we will probably do a little bit of everything mentioned above. Our first step will be to increase our emergency fund and increase our charitable giving. Then, we will likely invest more through a taxable account, increase our vacation fund, and put extra money towards our mortgage.

James Turner, also known as “The Physician Philosopher,” is an anesthesiologist who blogs at his self-titled site, The Physician Philosopher. He is the author of The Physician Philosopher’s Guide to Personal Finance: The 20% of Personal Finance Doctors Need to Know to Get 80% of the Results.

Image credit: Shutterstock.com

Prev

Why doctors make bad patients

August 8, 2019 Kevin 3
…
Next

The history of antivaccination sentiment

August 8, 2019 Kevin 0
…

Tagged as: Practice Management

Post navigation

< Previous Post
Why doctors make bad patients
Next Post >
The history of antivaccination sentiment

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

More by James Turner, MD

  • The reason every resident must get disability insurance during training

    James Turner, MD
  • Is burnout the wrong word?

    James Turner, MD
  • The benefits of taking more time away from work far outweigh the consequences

    James Turner, MD

Related Posts

  • A physician’s addiction to social media

    Amanda Xi, MD
  • A mother’s advice to her physician son

    June Garen, RN
  • How a physician keynote can highlight your conference

    Kevin Pho, MD
  • Chasing numbers contributes to physician burnout

    DrizzleMD
  • Advice for first-year medical students

    Jamie Katuna
  • Advice for graduating medical students

    R. Lynn Barnett

More in Finance

  • The business lesson new doctors must unlearn

    Stanley Liu, MD
  • The hidden impact of denials on health care systems

    Diana Ortiz, JD
  • Why physicians are unlike the “average” investor

    David B. Mandell, JD, MBA
  • Signing bonuses and taxes: What physicians should know

    Shane Tenny, CFP
  • 5 steps to ride out a non-compete without uprooting your family

    Stanley Liu, MD
  • What every physician should know before buying into a medical practice

    Dennis Hursh, Esq
  • Most Popular

  • Past Week

    • The silent toll of ICE raids on U.S. patient care

      Carlin Lockwood | Policy
    • Why recovery after illness demands dignity, not suspicion

      Trisza Leann Ray, DO | Physician
    • Addressing the physician shortage: How AI can help, not replace

      Amelia Mercado | Tech
    • Why medical students are trading empathy for publications

      Vijay Rajput, MD | Education
    • Why does rifaximin cost 95 percent more in the U.S. than in Asia?

      Jai Kumar, MD, Brian Nohomovich, DO, PhD and Leonid Shamban, DO | Meds
    • How conflicts of interest are eroding trust in U.S. health agencies [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • Make cognitive testing as routine as a blood pressure check

      Joshua Baker and James Jackson, PsyD | Conditions
    • The hidden bias in how we treat chronic pain

      Richard A. Lawhern, PhD | Meds
    • A faster path to becoming a doctor is possible—here’s how

      Ankit Jain | Education
    • Residency as rehearsal: the new pediatric hospitalist fellowship requirement scam

      Anonymous | Physician
    • The broken health care system doesn’t have to break you

      Jessie Mahoney, MD | Physician
  • Recent Posts

    • How conflicts of interest are eroding trust in U.S. health agencies [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why young doctors in South Korea feel broken before they even begin

      Anonymous | Education
    • Measles is back: Why vaccination is more vital than ever

      American College of Physicians | Conditions
    • When errors of nature are treated as medical negligence

      Howard Smith, MD | Physician
    • Physician job change: Navigating your 457 plan and avoiding tax traps [PODCAST]

      The Podcast by KevinMD | Podcast
    • The hidden chains holding doctors back

      Neil Baum, MD | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • The silent toll of ICE raids on U.S. patient care

      Carlin Lockwood | Policy
    • Why recovery after illness demands dignity, not suspicion

      Trisza Leann Ray, DO | Physician
    • Addressing the physician shortage: How AI can help, not replace

      Amelia Mercado | Tech
    • Why medical students are trading empathy for publications

      Vijay Rajput, MD | Education
    • Why does rifaximin cost 95 percent more in the U.S. than in Asia?

      Jai Kumar, MD, Brian Nohomovich, DO, PhD and Leonid Shamban, DO | Meds
    • How conflicts of interest are eroding trust in U.S. health agencies [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • Make cognitive testing as routine as a blood pressure check

      Joshua Baker and James Jackson, PsyD | Conditions
    • The hidden bias in how we treat chronic pain

      Richard A. Lawhern, PhD | Meds
    • A faster path to becoming a doctor is possible—here’s how

      Ankit Jain | Education
    • Residency as rehearsal: the new pediatric hospitalist fellowship requirement scam

      Anonymous | Physician
    • The broken health care system doesn’t have to break you

      Jessie Mahoney, MD | Physician
  • Recent Posts

    • How conflicts of interest are eroding trust in U.S. health agencies [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why young doctors in South Korea feel broken before they even begin

      Anonymous | Education
    • Measles is back: Why vaccination is more vital than ever

      American College of Physicians | Conditions
    • When errors of nature are treated as medical negligence

      Howard Smith, MD | Physician
    • Physician job change: Navigating your 457 plan and avoiding tax traps [PODCAST]

      The Podcast by KevinMD | Podcast
    • The hidden chains holding doctors back

      Neil Baum, MD | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...