YFP 309: Top 10 Tax Blunders Pharmacists Make


Sean Richards, CPA, EA, outlines the ten most common mistakes he saw pharmacists make throughout the most recent tax season. This episode is sponsored by First Horizon.

About Today’s Guest

Sean Richards, CPA, EA, received his undergraduate degree in Corporate Finance and Accounting, as well as his Master of Accountancy, from Bentley University in Waltham, MA. Sean has been a Certified Public Accountant (CPA) since 2015 and received his Enrolled Agent certification earlier this year. Prior to joining the YFP team, Sean was the Senior Treasury Manager at PRA Group, a global debt buyer based in Norfolk, VA. He began his career at American Tower Corporation where, over 10 years, he held several positions in audit, treasury, and accounting. As the Director of YFP Tax, Sean focuses on broadening the company’s existing tax planning and preparation operations, as well as developing and launching new accounting offerings, including bookkeeping, payroll, and fractional CFO services.

Episode Summary

The tax filing deadline is behind us so time to sit back and relax, right?! As YFP Director of Tax, Sean Richards, CPA, EA, tells us today, it’s important we are keeping tax front of mind year-round to avoid common blunders that show up during tax filing season. During this episode, Sean outlines ten of the most common mistakes he saw pharmacists make throughout the tax season including his thoughts on how year-round planning can help mitigate these mistakes.

Key Points From the Episode

  • Sean gives us his tax-season rundown.
  • The award for the most difficult state for tax returns! 
  • Sean takes us through ten of the most common tax mistakes made by pharmacists. 
  • The cause of the ‘unwelcome surprises’ and how to avoid them.
  • Not taking advantage of tax laws: energy credits.
  • Underestimating the power of the HSA; a grossly underutilized tool of the financial plan.
  • A good reminder about over-contribution.
  • Having someone in your court to help you avoid taking nonqualified IRA distributions.
  • Not saving for taxes when earning additional income.
  • Also for our side hustlers: not expecting the FICA tax on self-employment income.
  • Some of the mishaps and mistakes that have to do with employer-dependent care.
  • Not factoring in PSLF when choosing a filing status.
  • Reporting implications: overlooking considerations with cryptocurrency.
  • A bonus mishap: education around extensions.
  • How year-round strategy planning can help pharmacists optimize their tax situation.

Episode Highlights

“I know, taxes aren’t something that people love to think about and want to be excited about but it’s one of those things where if you sweep it under the rug, it’s not going anywhere, it’s only going to grow under there.” — Sean Richards [0:6:55]

“If you’re making money that’s outside of a W2, whether it’s investment income, capital gains, whether it’s a side hustle, really anything where you’re not seeing that federal income tax withheld line, you better be putting taxes aside or being ready to pay that at the end of the year.” — Sean Richards [0:21:45]

“Crypto is treated like an investment as far as the IRS is concerned. It’s like a stock.” — Sean Richards [0:31:39]

Links Mentioned in Today’s Episode

Episode Transcript

[INTRODUCTION]

[0:00:00.4] TU: Hey everybody, Tim Ulbrick here, and thank you for listening to The YFP Podcast, where each week, we strive to inspire and encourage you on your path towards achieving financial freedom.

On today’s episode, I welcome the director of tax, Sean Richards, back onto the show. Now that he has had a chance to take a breath from the last few months, working toward the tax filing deadline, I pick Sean’s brain about some of the most common blunders that he saw pharmacists make throughout the season and how year-round planning can help individuals not only avoid these mistakes but also optimize their tax situation.

If you’re looking to learn more about how YFP’s comprehensive tax planning service can help you and your tax situation, go to yfptax.com. Again, that’s yfptax.com Okay, let’s hear it from today’s sponsor, and then we’ll jump into the show.

[SPONSOR MESSAGE]

[0:00:48.3] TU: Does saving 20% for a downpayment on a home feel like an uphill battle? It’s no secret that pharmacists have a lot of competing financial priorities, including high student loan debt, meaning that saving 20% for a downpayment on a home may take years. We’ve been on a hunt for a solution for pharmacists that are ready to purchase a home loan with a lower downpayment and are happy to have found that option with First Horizon.

First Horizon offers a professional home loan option, AKA, a doctor or pharmacist home loan that requires a 3% downpayment for a single-family home or townhome for first-time home buyers, has no PMI, and offers a 30-year fixed-rate mortgage on home loans up to USD 726,200. The pharmacist home loan is available in all states except Alaska and Hawaii and can be used to purchase condos as well. However, rates may be higher and a condo review has to be completed. 

To check out the requirements for First Horizon’s pharmacist home loan, and to start the pre-approval process, visit yourfinancialpharmacist.com/home-loan. Again, that’s yourfinancialpharmacist.com/home-loan.

[INTERVIEW]

[0:02:00.2] TU: Sean, welcome back to the show.

[0:02:01.8] SR: Thanks for having me. Yeah, it feels like it’s been a while but I think that’s just because tax season tends to you know, slow time down for some of us over here.

[0:02:09.7] TU: You look much more rested than I saw you just a few weeks ago. So here we are on the other side of the tax filing deadline. We’re going to talk all in this episode about some of what you saw this season with the hopes that pharmacists can prevent some of those mishaps as they work throughout the year on their taxes but looks like you’ve been – haven’t had a chance to maybe recharge and refresh on sleep. So how are you feeling post-tax of mine?

[0:02:34.3] SR: Yeah, I’m feeling great. I’ve been catching up on some of the things that have been put on side burners so to speak but definitely getting a little bit of sleep, catching up with the family and stuff. It feels good. I’m well rested, there are still some things to tie up from last year but ready to move forward and look ahead to next year and like you said, try to hopefully get some of these ideas in people’s minds so they can plan now and not have any of this kind of hiccups or roadblocks come up next year.

[0:02:59.5] TU: So give us the rundown. I know there’s still work to be done with some of the individual and business extensions and some of the more complicated returns but how many returns did you and the team do thus far?

[0:03:09.2] SR: We did over 200 federal returns and a similar number on the state side. So I mean, if you think some folks have multiple states, some people are in states that don’t have taxes so you know, you kind of, they work themselves out there but yeah, over 200 federal returns. We did a fair number of extensions, there are some business returns mixed in there, so it’s kind of all over the place but that’s the rough number between the few of us here.

So definitely, it feels like quite an accomplishment here but yup, I mean, definitely have some of those more complex returns that we want to give a little bit more TLC to, those are still hanging out there. So now that we’re past the big push, we can really focus and try to maximize savings for those folks. So excited.

[0:03:48.1] TU: Which state, Sean? Which state wins the award for the most difficult state when it comes to returns?

[0:03:53.3] SR: Boy, I don’t know if I’m going to be getting a misery love company or if I’m going to be jading people because I feel like a lot of our listeners kind of land in this territory where our headquarters are but I had to say, Ohio, probably gets the cake, Pennsylvania right up there, close second but yeah, those two are probably the worst I’d have to say. 

So again, hopefully, people aren’t sitting there saying, “I love those states” and if that’s the case, you know, all the power to you but not for me.

[0:04:20.8] TU: Yeah and one of the opportunities, challenges, depending on how you want to look with it, you know, we’ve got tax clients, financial planning clients all across the country, which is a unique opportunity and challenge when you think about all of the nuances that happen, especially in the tax side, right? On a state basis or even here in Ohio, we have the RITA, Regional Income Tax Authority, did I get that right Sean?

[0:04:43.1] SR: Yup, you got it right.

[0:04:43.9] TU: Which provides another wrinkle. So it’s fun to hear you and the team complain about Ohio and PA and you know, some of the other states perhaps are a little bit easier. So let’s jump into the most common mistakes Sean, that you and the tax team so far is just making and we’ve compiled these on our website, yfptax.com. If you want to download these and read a little bit more information on each one, please do that.

So we’re going to go through this one by one and again, the hope of this is that we really want to shift the perspective around taxes that the only time we think about taxes are April, when we’re filing, right? This really needs to be proactive year-round planning. We’ll talk more about that at the end of the show and that’s why we thought, “Hey, here we are in the month of May, tax season is over but this is not a, ‘Put it up on the shelf, worry about it ‘till next year.’”

This is the prime opportunity to really be learning from the season that just was and looking at the opportunities ahead of how can we best optimize the situation before we get back into the filing next year. Again, If you want to download a copy of the guide where we talk about some of these mistakes, you can go to yfptax.com and do that. So number one on our list Sean, perhaps the most common, I would presume, you can tell me if otherwise is folks that got a surprise bill or a surprise refund when they got to filing. 

So my question here is, tell us more but what is the usual cause of these unwelcomed surprises?

[0:06:14.7] SR: Yeah, I would say that’s the most common and it’s probably purely because if you take a lot of these other things that we’ll talk about, they all sort of work their way into that at the end of the day. You know, if you’re making a mistake, somewhere along the way, you’re probably going to end up with either a large bill or a large refund, so it kind of encapsulates everything.

Yeah, and just to kind of go back to your point before, this really is the best time to be looking at these things. I mean, any time of the year is good but when you’re coming off tax season, you might be disappointed or looking at things saying, “Oh, that didn’t go the way I hoped it would, I had a bill or I had the refund.” You don’t want to just kind of say, “Oh, finally, I’m done with it, we’re passed the 18th, I’m filed” and sort of shake your hands off and say because what’s going to happen is you’ll be in the same spot next year. 

I mean, I know, taxes aren’t something that people love to think about and want to be excited about but it’s one of those things where if you sweep it under the rug, it’s not going anywhere, it’s only going to grow under there. So yeah, the surprise bills and refunds, I mean, that can really be a litany of different things that can cause it. The biggest thing I would say probably by far is really just simply not withholding correctly at your job.

And this one frustrates a lot of folks and I don’t blame people because you know, people will say, “Hey, I’ve been at the same company for a while now” or “You know, my situation’s not that complex, how can they not be withholding properly?” and I have to say as a tax accountant, I don’t love the new W4 that the IRS rolled out a few years ago. If anyone working for the IRS is listening to this and they want to give me their opinion on it, feel free, my line is open because you know, I’m a tax accountant.

[0:07:43.0] TU: I don’t think we have many pharmacists that are IRS agents.

[0:07:44.7] SR: Oh hey, you never know, there’s a little bit of overlap here. You don’t have to be a pharmacist to listen to the pod but no, I mean, with that one, I just, I really wish there was a way as an accountant to be able to say “Hey, withhold 18% from this client, please. Just withhold 20% from this client” but it’s not that simple. I know what they’re trying to do, they want to make it more user-friendly where folks kind of can’t mess that stuff up, or if they don’t know how to come up with that number, it’s supposed to kind of guide you through it. 

So I think the biggest thing there is that the W4 is sort of designed to try to pick up everything else that’s going on in your financial life aside from just that one job that you’re working and typically, what will happen is folks will get married and they won’t update their filing status or they’ll get married or maybe not even get married but say, they already were married, their spouse gets another job. 

They have a side gig and these are all things that you know if your company – your system doesn’t really know that that’s happening, right? So if you’re making money off to the side, doing another job, you work multiple jobs, your spouse works multiple jobs, you know all those things factor into what your tax bill is going to be at the end of the day and if your company doesn’t know what’s going on then it can’t withhold properly and I say, your company, the payroll company was kind of doing all that stuff behind the scenes.

So that one is tough because there’s not a perfect answer. Really, the best way to do it is to take a look in the middle of the year and say, “Okay, where am I at, where was I at last year?” You know obviously if you had any kind of issues last year, you can submit a new W4 and how to change that but doing a projection midyear, take a look at what you’ve already withheld, what you withheld last year, and try to tweak that now, that’s definitely the best time to do it.

[0:09:19.1] TU: Yeah, and we’re going to come back to that topic Sean, of a mid-year projection, why it’s so important on the tax side as we get into the summer months. So stay tuned for more. Again, we’re going to be talking tax all throughout the year as we think it’s certainly an important part of the financial plan. So that’s number one, would be a surprise bill of refund at filing. 

Number two Sean, not taking advantage of tax laws. This makes me think of some of the recent changes that you’ve talked about before on the show surrounding the inflation reduction act, and the electric vehicle credits. I know this seemed to cause a fair amount of confusion and concern this year during tax season, and maybe some surprises as well. So what are you referring to here as it relates to not taking advantage of the tax laws?

[0:10:00.8] SR: Yeah, and with that in particular, I mean, we keep kind of harping on the energy credits but that’s where the tax law tends to be going now. I mean, all these things that are coming out, there are changes sort of across the board but the biggest piece and where the biggest dollar savings are tend to be these renewable energy credits, improvements to your home that are energy efficient, things like that.

And yeah, at the end of last year, the inflation reduction act went in and there was a lot of confusion as to which credits change when those credits change. So some of the electric vehicle stuff happened at the day that the law actually went into effect, whereas some of the other energy credits like home improvements like I mentioned, windows and things like that, didn’t really increase until this year, 2023 going forward. 

So there were folks who spent money last year and were expecting a larger credit for their taxes in 2022 and didn’t see that. So it’s really just, you know, it’s difficult to stay on top of the tax law, especially if you’re not a tax accountant or aren’t familiar with those types of things and especially if you want to stay out of politics too but it’s really challenging because it’s one of those things where if you’re not spending the money in the right timeframe, it’s not something you can go back and change after the fact. 

You know, if you put windows on your house now that’s a 2023 event. When we’re doing your taxes in 2024, we can’t say “Hey, I wish you had not done your windows because they’re already done.” So it’s something where it’s really important to make sure that if you’re spending money, thinking that you’re going to get a credit or you’re hoping you’re going to get a credit, really understanding when those things go into effect, what the dollar value is, and what the limits are. 

That’s another thing that some of these things, they’re increasing their limits but they do still exist. So you know, if you spend, USD 50,000 on an improvement, you’re not necessarily going to get a USD 50,000 credit.

[0:11:42.6] TU: Yeah, and we’ve got some info on this, yfptax.com, we’re going to be updating this throughout the year as well so make sure to check out the information there and Sean, this is just another testament to why the year-round planning is so important, right?

If we’re looking at this in the tax year, so here we are, now in 2023, obviously, next spring, spring 2024, we’ll be filing for 2023. At that point, right? Decisions have been made in terms of what happened during that year.

So are there adjustments that we can be making mid-year or are there tax laws and situations like this that we can make sure we’re up to speed or at least have the right understanding before we make some of these bigger purchases that may or may not have the impact that we’re hoping they’re going to have.

So that’s number two, not taking advantage of the tax laws. Number three, Sean. I have to say this one pained me a little bit because we’ve talked so much about this on the show.

[0:12:34.4] SR: So much.

[0:12:35.1] TU: Which is, underestimating the power of the HSA, the health savings account. You know, we’ve continued to emphasize how this – only has tax advantages but we still see this as an utter underutilized tool in terms of the financial plan. So tell us more about what you’re seeing here.

[0:12:51.8] SR: Yeah, I think with the HSA, it’s one of those things where people think, “Oh, I need to have a lot of medical expenses to take advantage of it. If I’m putting money there and I don’t use it, I’m not going to get the full advantage of it” but really, you need to not have that mindset and really think of it as a secondary retirement vehicle basically where if you do have expenses that you need to take advantage of it, it exists for you. 

But if you think of it almost as a second IRA or something like that, then it kind of shifts that mindset of, “Oh, I need to have these health expenses” but yeah, HSAs, I know, ad nauseum we talk about it but they have the triple tax benefit. You get the deduction for your contributions, you get tax-free growth and you get to take it out tax-free. So you rarely see that triple tax benefit. This is one of those ones where there is a little bit more flexibility. 

I just mentioned some of those credits and having to get the dollar spent during the year. You have a little bit of flexibility with the HSA where you usually have up until the filing deadline to actually make contributions or on the flip side and we saw a lot of this is people who work multiple jobs or got married in kind of weren’t talking to their spouse and over-contributed. So you want to make sure if you did that, you pull that money out so you avoid any penalties there.

And again, you have a little bit of flexibility after year-end to make those changes but to any extent you can avoid that, obviously, it makes sense but yeah, the limits are going up next year. I think 77.50 for a family plan, you have to be on a high deductible plan but if you are and you’re not taking advantage, you’re really just losing out on that benefit honestly.

[0:14:15.5] TU: Sean, I’m glad you mentioned the over-contribution mishap that might happen here and I think it’s a good reminder. Tim Baker was my ear, you know, anytime we talk about backdoor or Roth IRAs, he’s always beaten the drama of you know, really there’s a lot of nuances to consider and we see on the planning side, our planning team works with a lot of folks that you know, are trying to unwind some of the mistakes related to the backdoor Roth IRA contributions.

And I think it’s a good reminder that as there’s more and more information out there, right? We talk about HSAs, it’s readily available, something you can learn about that yeah, we still have to cross out Ts and dot our Is and I think having someone in your corner, right? Financial planners, tax professionals, perhaps both that can help make sure we’re executing this properly, really, really important. 

Number four on the list, Sean, taking nonqualified IRA distributions. We are talking before the show, perhaps maybe even a little bit broader than IRAs, tell us more about this one.

[0:15:09.0] SR: Yeah, IRAs are really just kind of retirement plans in general. I know we just mentioned HSA as they’re a sort of a secondary retirement vehicle but just not taking advantage or properly utilizing IRAs. So we’ll start with the IRA piece, there are a couple of different things there. You can get a deduction for traditional IRA contributions.

Folks typically phase out of that pretty quickly and then the next kind of phase-out level will be your Roth contributions and kind of what you were just alluding to is that folks also kind of pretty quickly phase out of that as well and that’s one of those things where you don’t want to end up at the end of the year saying, “Ah, you made too much money but you already contributed this to your Roth.” 

So now you’re going to go back and pull it out and then try to do the backdoor that Tim was talking about. So yeah, to any extent, again, you can have somebody in your corner where you can say, “Hey, this is what I’ve done so far this year, does this make sense? Am I going to over contribute, am I going to be in a good spot? Do I have room to contribute more?” Definitely make sense to do and again, you know the IRA limits are going up next year.

Again, the contribution limit. So taking advantage of that makes a lot of sense and the other piece that you didn’t really mention there but we kind of alluded to is just retirements in general. I mean, 401(k)s at people’s businesses, not taking advantage of those. You know, having extra cash on hand and not maxing out your 401(k) whether it’s a Roth to get the benefits in the future or a traditional to get that tax benefit now. 

I mean, either way, we saw a lot of situations where folks had a lot of cushion there and could have contributed more and that’s one where that at 1231, you can’t go back. So can’t turn back time, got to get those in before the year and again, having someone in your court to say, “Hey, you know, you’ve only contributed up to 30% of your 401(k) and we’re already in October, you might want to do some catch ups” is really important.

[0:16:47.8] TU: Sean, did you get a feel, I’m just curious, from folks that, if I heard you correctly, it looked like they’re wise margin there. They could have made those contributions or as cash on hand but didn’t. You know is that just a, “Hey, we overlooked it” or do you have a sense of you know, some of the volatility in the market, inflation, what’s going on in the broader economy, that there’s some hesitancy in the contributions into the retirement vehicles and people wanting to hold on to more of that cash.

[0:17:11.2] SR: It could be a lot of different things. I mean, it could also just be an education thing. I mean, I know, even when I first started out at a corporate job coming out of the school, you get all these different paperwork and everything and they say, “Here’s your 401(k), here’s this, here’s that” and you’re just saying, “Okay, I want to get the company match. Great, I’ll put this amount down and everything” and you don’t really realize that you have a limit that you can hit yourself and kind of capitalize on. 

So I think it’s really just a matter of maybe not looking at cash flow, like you were saying, potentially not taking a look at that in the middle of the year. I don’t think there’s a whole lot of hesitancy with the market or anything like that. I think it’s more just a matter of, you kind of set it and forget it and you know, you come to the end of the year and somebody says to you, “Hey, did you know that you could have knocked USD 5,000 off of your taxable income if you’d contributed more to your 401(k)?” and a lot of people just say, “I didn’t know that” so.

[0:17:59.3] TU: Yeah, yup. Seeing the numbers, right? I think in help and hindsight and you know, once you see the impact on the tax situation like, “All right, got it, point made, I’ll make that a correction for next year.” Number five, Sean, I think is one we have not yet talked enough about on this show, which is not employing a bunching strategy for charitable giving.

So here without talking obviously about donations and really looking at how to potentially alternate as you look at the standard deduction and then bunching these and those off year. So tell us more about this one.

[0:18:30.5] SR: Yup. So this one is more of a unique scenario. It’s one that we always take a look at but not everybody’s going to fall into this bucket but if you do, it’s something that if you’re able to take advantage of, it can be very, very powerful. So the idea of bunching is really trying to pull itemized deductions as much as you can into one year and then in the next year, not having as many and taking the standard deduction because it just getting higher and higher nowadays. 

I mean, just the number of folks that we see taking the standard deduction, even though they have things like mortgage interest and taxes that they’re paying for still taking advantage of the standard deduction because it’s so much higher. 

So yeah, if you’re looking at it and you say, “Hey, you know, I was USD 500 away from the standard reduction” or “I itemized USD 500 more than the standard deduction this year” and you had quite a bit of charitable contributions, if you’re able, again, sort of pull those in and say, “Hey, if I’m going to do a thousand dollars over the next two years, I’m going to do a thousand dollars this year and maybe not anything next year” and you can do it on 1231 so you kind of the same feel for giving to them that the charity.

But, if you’re able to do that and take advantage of it, it can be really powerful, and that way you’re not losing out. That was one thing we got a lot of is, “Hey, I have a house and I paid this mortgage interest but I am taking the standard deduction. So am I losing that benefit?” and it’s not the best way to look at it but you’re not really getting the full benefit if you’re doing it that way.

[0:19:50.1] TU: Yeah, as you mentioned, this really applies, not to say that everyone, depending on the amounts of folks are giving but especially for those individuals that are giving additional dollars to various organizations, churches, nonprofits, communities, et cetera, there could be some real benefits to the bunching strategy and I’m you know, one who is victim to this in terms of just behavior, right? 

Where you might have contributions on an automatic monthly payment or you’re planning for it throughout the year and you just don’t take the time to take a step back and say, “Okay, from a strategy standpoint, I’m going to do the standard deduction this year and then we’re going to do the bunching strategy next year.” So again, just some proactive planning to make this happen.

[0:20:31.6] SR: And it doesn’t always work for everybody because I mean, I talk to people who said, “Hey, that doesn’t match my giving strategy” and that’s perfectly fine.

[0:20:37.8] TU: Sure, yup.

[0:20:38.3] SR: It’s really just if you wanted to help out your financial strategy, there are options out there. I’m not saying you should change the way you give to your charities. It just exists, right?

[0:20:48.6] TU: Number six and number seven are specifically for folks out there that are earning some additional income, side hustling, business income. So number six, Sean, not saving for taxes when earning additional income.

It sounds obvious but we see more and more pharmacists that are dabbling in various side hustles, consulting businesses, so I think this is becoming a more prevalent mistake, probably one that maybe you make once and then you don’t make again but talk to us about what you’re saying here.

[0:21:16.4] SR: Yeah. So I mean, it does sound simple on the surface but again, if you’re not used to it or it’s not something that you’ve kind of done before, it’s not second nature, I guess. So right, if you, you know, you work a W2 job, that federal income tax is being taken out, hopefully correctly, although as I mentioned in the first thing here, sometimes it’s not correct but you know, hopefully, your income tax is being taken out at the end of the year.

You sort of do a true-up and maybe owe a little bit, maybe you get a little bit back but that’s that. If you’re making money that’s outside of a W2, whether it’s investment income, capital gains, whether it’s a side hustle, or really anything where you’re not seeing that federal income tax withheld line, you better be putting taxes aside or being ready to pay that at the end of the year and like you said, typically, that’s one where if you make the mistake, you don’t do it again in the future. 

But you know, I think some people are just really excited about making money and they want to pour the money back into their business, which is perfectly fine. You know, we want to encourage people to build their businesses and invest back in but just make sure you’re setting aside enough at the end of the year to kind of make sure you have at least a little bit of a cushion there and having somebody to do that calculation for you. 

Because you know, just because you’re going to – you think you’re going to net this much at the end of the year, doesn’t mean that that’s what your tax bill will be. I mean, there’s lots of ins and outs there, different things you can do. So having somebody to be able to take a look and say, “Hey, you know, as of right now, you’ve made 50k of non-withheld income so you’re going to want to put 20% of that aside, 25% of that aside, just be ready for it.”

[0:22:45.8] TU: Yeah, and I think there’s here, a couple of pieces you’re highlighting, right? Which are the mechanics of where do I save it, how much should I be saving based on how much I’m earning, and then at what point do I need to be making quarterly estimated payments and I do this, right? 

I reached out to you and say, “Hey Sean, we’re coming up on the Q1 estimated payment.” Like based on what we’re seeing in terms of the financial statements like, what’s the plan, and then we’re saving in a tax account along the way to be ready for those payments. So good thing, right? If you’re paying tax, you’re growing the business. 

[0:23:15.0] SR: Exactly and I will admit the IRS estimated payment process, it doesn’t really even feel that natural. I mean, you are kind of doing the math yourself, going onto the website and just saying, “All right, here it is” and they just take it and then at the end of the year, it does. It comes into your play, it’s one of the lines where you basically say, “Okay, what did you withhold? What did you pay in? What did you owe?” and we do the math on it. 

But it just feels like you’re sort of sending money out into the abyss when you make the payments. So I kind of understand that folks are a little apprehensive and would rather hold off but again, I mean, I’m conservative. I’m a tax accountant but at the end of the day, I’d rather get a little bit more money back than owe a lot of money. 

[0:23:55.0] TU: Yeah and Sean, a separate conversation for a separate day. This is a little bit more to the business strategy but one of the things that I like about withholding at least a quarter of it but at least on your own side even on a monthly basis is it forces you to look at the financials of the business a little bit more closely, right? 

So I think there can be a tendency if I am not paying tax and then I get either caught off by a surprise bill or I just wait until the end of the year and pay it, you know, you may fall into the trap of assuming your business is more profitable than it actually is and so really looking at what is the service, what’s the product you’re offering and what’s the true financials if you’re considering the tax. 

[0:24:31.1] SR: Not to go too far off but another big thing is that a lot of people kind of just assume that cash and profit are the same thing. 

[0:24:36.4] TU: Exactly. 

[0:24:37.1] SR: That’s not always the situation, right? So you could have a big profit at the end of the day but if you are pouring that cash back in, you might not have any cash on hand. So they don’t always go one for one and if you get away from that it can really end up causing some problems for sure. 

[0:24:51.7] TU: Preach it, Sean. We need to come back and do an episode on that, the difference between cash on hand and profit of a business, so that’s a good one. 

[0:24:58.3] SR: Yeah, that one, I’ll make a note because that could be like a double episode but yep, I’ll put that one on the back burner for sure. 

[0:25:04.7] TU: So that’s number six, not saving for taxes when you’re earning additional income. Number seven, also for our side hustlers and those that are running a business, not expecting the FICA tax on self-employment income. Tell us more about the FICA tax here. 

[0:25:17.7] SR: Yep, so that’s kind of similar varied, similar vein as to what we were just talking about really just having to kind of put that money aside but again, something that’s not second nature. It’s not something that you’d really be typically thinking about until you get into this and potentially make a mistake, hopefully not but right. When you have these W2 jobs and the money is being taken out, you’re withholding for yourself and you’re paying social security and Medicare, which we call FICA for yourself. 

Your employer is paying half of that for you whether you realize it or not and when you are self-employed, so you have a partnership or your own kind of business and you are getting that money in, you have to pay that portion of FICA yourself. Now, the benefit is that you get that employer portion that the employer typically would be paying for you on a W2. You do get that as a deduction, so it helps a little bit but yeah. 

I mean, that what was it? 15.7% or whatever for FICA is coming out of your bill at the end of the day. So on top of the regular income tax you have to set aside, you should really be saving for that as well. That’s where you’ve heard me say before, you know, 20, 25%, maybe up to 30% depending on what your bracket is, you start to add that FICA in on top of it and you could be looking at quite a bit to be setting aside. 

[0:26:27.6] TU: Yeah Sean, this was one I would add to this as well. You know, the surprise of the cost of health insurance. This is one as well, you put those together and you go from a W2 job to running your own business is like, “Oh, okay.” So again, right? You’re looking at the financials in a very different way. 

[0:26:44.5] SR: Yep, exactly. Things to keep in mind. 

[0:26:46.8] TU: Number eight, Sean, has to do with some of the mishaps and mistakes with employer-dependent care. Tell us more about this one. 

[0:26:53.3] SR: Yeah. So there is a lot of different things with dependent care benefits that you can add to dependent care FSA. So it’s a little bit different than the HSA but with that, that one really is a little bit more of the, you know, I was saying with the mindset within HSA, “Oh, if I don’t have medical expenses and I don’t use it, you know it’s not going to be worth it for me.” It turns into an investment vehicle if you don’t use it. 

Dependent care FSAs, flexible spending accounts, if you have cash in that, that is more of an “if you don’t use it, you lose it” kind of thing. So that is something where if you’re pushing cash aside, they are pre-taxed dollars. You want to make sure you are using that for dependent care expenses during the year and the other thing is that if you are getting benefits from your company, you want to make sure that you are also putting that and actually spending that on dependent care. 

When I say that, I mean a nanny or a daycare or even if it’s a family friend but somebody that you’re putting their social security down and saying, “Hey, I paid this person this much money to watch my children” otherwise, that can become a taxable event. So you want to make sure that if you have kids, you’re getting these benefits, that you are utilizing the cash during the year and not kind of ending up with excess in those accounts at the end of the year exactly. 

[0:27:58.9] TU: Number nine Sean, an oldie but a goodie, one that I think has lots of attention given the three-year loan pause and that is, not factoring in PSLF when choosing a filing status. Tell us more about this one. 

[0:28:11.3] SR: Yeah and this one, I mean, you just eluded to it. It’s been very, very challenging, especially with the client base that we work with having that ambiguity on what’s going on with the loan system and trying to give guidance on this front because it’s really tough when you’re saying, “Hey, we’re not exactly sure if they’re going to turn back on and how all that looks and when we’re going to have to recertify all these things.” 

But yeah, what we’re talking about here is that typically when folks get married, if filing joint tends to be the best approach there and we always do a comparison at least on our side to say, “Okay, you know all else equal from an objective tax standpoint, filing jointly will save you X number of dollars versus filing separately” but when you are talking about PSLF and you get into these income-based repayment plans and are looking at AGI, that can really swing very, very rapidly between what your AGI is as merely filing separate individual versus your combined AGI with your spouse when you’re filing joint. 

So this is one where it’s a classic like you just mentioned Tim Baker, the old “it depends” really depends on your individual circumstances here. You’re going to want to look and say, “Hey, what do I have on my side? What does my spouse have on their side? If you separate us, what does that look like? What is my income base repayment plan? What numbers are they looking at?” and really like we just said, “When do I have to recertify these things?”

“When am I going to have these payments?” because it’s a matter of you could save $200 by filing jointly this year but if you are saving $50 a month on your payment by filing separately, that adds up very quickly. So it’s something where there’s a lot of moving pieces but it is something where if you are not looking at those pieces, you can very, very quickly end up spending a lot more money than you think. 

[0:29:49.3] TU: Yeah and it is so important. You know, we’re talking about PSLF here but the intersection of student loans and the tax strategy is one of many examples where the financial plan and the tax plan need to be jiving, and this example specifically brings us back to the origins of FYP Tax, right? I remember Tim Baker talking about, “Hey, we would develop these beautiful student loan repayment strategies and plans.”

Then they’d be, “Hey, go talk to your accountant” and not all accountants are well-versed in student loans, which is fair, right? Based on how nuanced they are and right now, how rapidly this information is changing. So shoutout to you Sean, the YFP Tax team, you know working with a tax prepare, working with an accountant that understands student loans. Again, this is just one example but really, the intersection of the financial plan and the tax plan is so important that those are jiving in the same direction. 

[0:30:39.8] SR: Yeah and like you said, I mean, not all accountants know about it and I know enough to be dangerous with it but you have to have financial planners that know about that too. I mean, that is something where I could be working with you and say, “Hey, I think from a tax standpoint it looks like this” and you could go bring that to your planner, and if they’re not really thinking about these implications, they can really get away from you quickly, you’re right. 

[0:30:58.3] TU: Number 10 on our list of ten common mistakes, mishaps that pharmacists were making during the most recent tax season is overlooking considerations with cryptocurrency. I mean, what would be a tax episode if we didn’t talk about crypto in digital assets, so what do we see here? 

[0:31:12.4] SR: Well, this one probably is a little bit different than we’ve seen in the past with crypto. It wasn’t so much that we are seeing people with these big gains that they were necessarily expecting. In fact, if anything it might have been the opposite given what kind of happened with the market and everything last year but in that and what I would say with that is you know, if you kind of take the gain-loss implications aside, the biggest thing I would say here is just the reporting aspect of it.

So cryptocurrency again and I feel like I harp on this all the time is crypto is treated like an investment as far as the IRS is concerned. It’s like a stock, so if you go and you’re doing all these microtransactions all the time and you’re using your crypto wallet to buy coffee down the street, that is effectively saying, “Okay, I’m going to sell X number of shares at this price on this day” whatever I bought it for back in the day that same security. 

You need to look at what your basis was and do the math, so if you are doing hundreds and thousands of these transactions every year, the reporting implications are significant and that’s not something where you can say and I am not just saying this because I’m an accountant, I’m biased where you can’t just say to your accountant, “Hey, here is my list of a thousand transactions, you know, figure it out for me.” 

You need to make sure that whatever system you’re using can spit that out in a digestible manner whether it is actually getting a form from the IRS or kind of getting a summary and one thing that we have seen is in a lot of these companies and I don’t blame them necessarily but a lot of them will kind of rope you in and say, “Hey, you know it is going to cost you five dollars a month for the basic crypto wallet” and everything like that. 

Then you get to the end of the year and all the tax forms that you need will be kind of an extra charge and you are not thinking about it and folks will say, “Well, I have an accountant, they can kind of do that for me” but I mean, again, and I am not just saying that because I don’t want to do it. It really is a matter of an accountant simply can’t take thousands of transactions and stick them onto a form. 

It is not a practical thing that can happen. So you want to make sure that whatever you’re doing and again, if you want to do all those transactions, hey, power to you but keep in mind it’s like you’re selling shares. You need to make sure you are getting something out of your system that an accountant can then use and file your taxes with because it’s not like spending money. It’s like selling stocks. 

[0:33:19.6] TU: Yeah, I am hopeful Sean, this is another one you know, where you can make this mistake once and you maybe approach it differently in the future, right? I think this is an education where your explanation is spot on. If we look at this in the eyes of the IRS, which is that we’re making a transaction in terms of like we were selling stock and especially if we’re using it to purchase things on a daily basis, right? 

A store, a cup of coffee, groceries, whatever like we don’t think about our stocks like that typically and so I think that — not to say people may not transact crypto for purchases just like you would dollars out of a brokerage account but maybe not on the frequency that it’s happening if you are able to think of it in that way and understand the reporting and the tax implications there, so great explanation. 

[0:34:04.6] SR: Exactly. I think like I said, that the basis is really the biggest thing and I, you know, people, if you talk to me you’ll hear me say it all the time and you’re probably sick of it but it is really being able to trace back and say again, like it’s like a stock, right? So if I sell XYZ NFT today, I need to make sure I know what I purchase XYZ NFT for in the future, and when you are doing all these things and you’re day trading so to speak, and saying, “All right, I am going to flip this one here and I’m going to go buy crypto with this one” and kind of moving, each one of those things has to be kind of traced back to the origin. 

If you don’t have that information, you could end up paying more, honestly. You know, if you don’t have the basis information and you are just going to end up sell, reporting it on your sale price and not have the basis in there, you can end up either paying more or again, reporting incorrectly. Both of those are not what we’re hoping for in our side at least. 

[0:34:55.9] TU: So if anyone heard Sean correctly as I heard him, all of your handwritten crypto transactions, your reports, your chicken scratch, you can email those to [email protected]. He will gladly – just kidding. 

[0:35:07.8] SR: Yep, I will go through all of it in all of my free time now. Absolutely, I will break it all down for you, please. 

[0:35:14.0] TU: Awesome. So that’s our ten common mistakes that you saw pharmacists making throughout the tax season. Can I add one more? We’re going to do a bonus round here for a moment and – 

[0:35:22.5] SR: Yeah, go for it. 

[0:35:23.2] TU: I think we need to do some education around extensions, right? I think this is an area where I know firsthand the first time I extended several years ago and I have gotten used to that practice now. It can feel uncomfortable, am I doing something wrong, does that mean I’m delinquent? But as you eluded to at the beginning of the show, there are some extensions that are happening with the more complex returns. 

We want to make sure that we have the time that we need. The misperception I think, I could be wrong, that’s out there is extension means bad or extension means delinquent but that’s not the case, right? So tell us more about the use of extensions and why they may be appropriate. 

[0:36:01.9] SR: Yeah, glad you’re giving me the bonus round. I would have had this as 1-A on my list if I would have thought that you would have actually allowed me to record this podcast if I did that. I thought that I came over the top of that one, we might be deferring this recording out to a future date but no, extensions, yeah. So it is actually kind of twofold. I would say that from who I’ve talked to and this could be clients. 

I mean, even family members that I was talking to during the tax season, checking up on how things are kind of going, I would say with the negative connotation, it’s one of two camps. It’s either, “Hey, the extension means bad and delinquent” or extension means, “Hey, I’m this crazy tax guy who has offshore accounts and you know, I make five million dollars and I need to have my accountant spend the extra time to do all of this stuff.” 

Those are really the two mindsets that I got a lot of. I mean, like I said, I talk to people that I know, I’ve known for a long period of time who I consider to be financially sound individuals and they said, “Oh extensions, those must be for your big ticket clients, right?” and the answer is not really. I mean, extensions simply give us, your accountant, and you more time to get your things together to allow us to dedicate the time to find you tax savings, get your things right, and not rush them. 

I mean, I know Paul, my team who I’m sure you’ve heard talk on this pod before but he’ll always say, I mean, if you have a surgeon who needs to do a thousand surgeries in a year, would you rather him do them all in three months or her do them all in three months or have them do it throughout the course of the year, you know, with X number during each month. So you got me all fired up because you know, extensions are near and dear to me. 

But I mean, really what it comes down to is we’re trying to do a lot of different returns and a lot of people have very complex situations but we want to make sure we get it right. We talked about states and local, moving states, and making sure states don’t talk nice to each other even ones that border each other are not – don’t always agree with how things are picked up and everything, and just getting all that information together, making sure we can parse through it, maximize your tax savings and everything, extensions just give you the time to do it. 

Now, the one thing I will say is it does not extend your due date to pay. That’s the biggest thing. So what you want to do is get an estimate, and make your payment if you think you are going to owe or in April or even beforehand but after that’s done, it really is a one-click kind of thing. It’s an automatic extension, once you do it, it’s six months. You get until October and that’s that. It really is not for delinquents. 

It is not for folks who didn’t get their stuff in on time or like I said, are using offshore accounts to do X, Y, and Z. It’s just simply to give your accountant more time to get it right. 

[0:38:41.5] TU: Well, thanks for allowing me to throw some kindling on the fire, so I appreciate that. 

[0:38:45.3] SR: Thank you, I appreciate that. 

[0:38:45.8] TU: You know, I think it is a good reminder not only in the perception of it but also you know, some folks may hear this and say, “Well, you know there is an opportunity cost that if I am getting a refund” and we don’t file that for three months, four months, five months later, whatever that those dollars could have been used elsewhere. True but my counterpoint to that would have been, one, if we are planning correctly throughout the year, we shouldn’t be expecting a massive refund. 

Second to that would be is that most often, extension doesn’t mean we’re buttoned up against the October deadline. It means that maybe instead of April 18th, it’s May 1st or 15th or even the end of April or into later in May or early June, whatever. So you know, it allows kind of that stretching out of the season to make sure that we’re doing the job that needs to be done, be done well, we are optimizing the situation. 

I think that certainly for folks that have more complicated returns, I think what we’re seeing in the industry in my perception even with an accountant we used to work with before building our own practice internally was, “Hey, you’re a small business owner. Hey, you own a bunch of real estate” hey, whatever like you’re automatically extended. You know, that’s just kind of the process of what they do to make sure that they have the time to do those returns well. 

[0:39:55.5] SR: Right and like you said, the idea of year-round tax planning is you’re working with your accountant throughout the course of the year. You are getting the information, you have rentals, you’re getting them, “Hey, I sold this place in November” and you are giving them the information in November so your accountant can already have that stuff ready to go and it’s not a situation of you’re in March and you say, “Hey, I forgot” or “FYI, sold my house back in January of last year. Here’s the 5,000 documents for it. Can we get this filed next week?” 

The answer is, I mean, we probably can but you know if we are thinking about these things ahead of time, we can spend the time that we think it deserves to get everything right, and if you are doing that planning throughout the course of the year, you can get 90, 95% of a tax return effectively done through the conversations that you’re having with your account throughout the year. So yep, absolutely. 

[0:40:40.4] TU: So Sean, let’s wrap up by talking through how the year-round planning can help pharmacists not only prevent these mistakes but again, better yet optimize your tax situation. That really is the focus of what you and the team are doing through the comprehensive tax planning, what we refer to as CTP. Again, not just that transactional return month of April, got to get it done but really that year-round strategy and planning. 

So you know, what is comprehensive tax planning? What do we offer? Why is it needed and who is it for and perhaps, not for as well? 

[0:41:11.3] SR: Yeah. So comprehensive tax planning is designed to really attack everything on this list, right? So it’s where you’re doing proactive planning and thinking about your tax situation now and not at the end or not in the beginning of next year looking back on this year and again saying, “I wish I could have done this” or “How could I have done this differently?” It’s getting ahead of those things now so you don’t have to worry about that. 

So things like mid-year projections, “Hey, let me grab your paystub, let me talk about some of those side gigs you’re doing, give me an updated PNL” or even if we’re doing your books for you, I’ll pull down the updated PNL and we’ll take a look. “Hey, you know you’ve withheld this much money so far, your side gig is going to make this much money we think so far. Have you put that money aside yet? Did you make an estimated payment?” 

“I think you should make a payment of this much” checking in on those things or being able to have the conversations of you know, “Hey, I just bought a rental property. Tell me about the short-term rental loophole” or “Tell me about what it’s going to take for me to be considered a real estate professional and be able to offset some of my active income with this passive income” or “Hey, I just bought the rental and hearing all about all these tax credits.” 

“How does that work? How do those tax credits affect my personal return and then how does it affect my rental property? Are those going to be different? Can I maximize them?” These are the conversations that we’ve been having with folks over the past few months looking back on last year but proactive tax planning is you’re having these conversations now. You are having them in May, June, and July and getting ahead of these things. 

So when we talk about March and April that big push, it is really a matter of, “Hey, did we do what we say we’re going to do? Excellent, great. Okay, what are your tax bills? Zero. As expected. Awesome, file? Done. Food to go.” Just really having that phone-a-friend CPA to ask questions for, “Hey, you mentioned bunching when we looked at my return last year. You said I was close to the itemizing. How can I actually employ that now?” 

Or “Hey, this is what I’ve contributed in my 401(k) so far this year, do I have room to add more?” things like that. Just getting ahead of it now while there’s room to make changes and not looking back and saying, “Ah, I really wish I did that.” 

[0:43:19.9] TU: Great stuff. So you know it’s again, not only that finally and it’s the mid-year projection, it is having an accountant in your corner to make sure you are executing throughout the year, answering those questions as they come up. So folks can learn more at ypftax.com. You can read more about that service, you can book a free discovery call to see whether or not it’s a good fit for your personal situation. 

And again, whether you came off the season and you’re like, “Hey, I did that myself and I never want to do that again” or you were surprised by a refund or a bill or perhaps you have a situation that’s changing, right? It could be moving, a new job, dependents, acquiring real estate, or building a small business, all are these I think there’s a few examples of things that we want to be thinking about in planning throughout the year. 

So again ypftax.com, you can learn more and book a free discovery call to see whether or not that’s a good fit. Sean, thanks so much for taking the time. I appreciate you coming on the post-tax season and looking forward to having you on throughout the year. 

[0:44:15.6] SR: Yeah, thanks, Tim. Glad to be back and hopefully next time, we’ll be able to talk more about some of these backburner items. So I am looking forward to it. 

[0:44:22.1] TU: Awesome. Thanks, Sean. 

[0:44:23.1] SR: Thanks. See you. 

[END OF INTERVIEW]

[0:44:25.3] TU: Before we wrap up today’s show, I want to again thank this week’s sponsor of the Your Financial Pharmacist Podcast, First Horizon. We’re glad to have found a solution for pharmacists that are unable to save 20% for a down payment on a home. A lot of pharmacists in the YFP community have taken advantage of First Horizon’s pharmacist home loan, which requires a 3% down payment for a single-family home or townhome for first-time home buyers and has no PMI on a 30-year fixed-rate mortgage. 

To learn more about the requirements for First Horizon’s pharmacist home loan and to get started with the preapproval process, you can visit yourfinancialpharmacist.com/home-loan. Again, that’s yourfinancialpharmacist.com/home-loan.

[DISCLAIMER]

[0:45:10.4] TU: As we conclude this week’s podcast, an important reminder that the content on this show is provided to you for informational purposes only and it is not intended to provide and should not be relied on for investment or any other advice. Information on the podcast and corresponding materials should not be construed as a solicitation or offer to buy or sell any investment or related financial products. We urge listeners to consult with a financial advisor with respect to any investment. 

Furthermore, the information contained in our archived newsletters, blog post, and podcast is not updated and may not be accurate at the time you listen to it on the podcast. Opinions and analyses expressed herein are solely those of Your Financial Pharmacist unless otherwise noted and constitute judgments as of the dates published. Such information may contain forward-looking statements, which are not intended to be guarantees of future events. Actual results could differ materially from those anticipated in the forward-looking statements. For more information, please visit yourfinancialpharmacist.com/disclaimer. 

Thank you again for your support of the Your Financial Pharmacist Podcast. Have a great rest of your week.

[END]

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Credit Card Rewards: The Ultimate Guide

By Dr. Jeffrey Keimer

The following post contains affiliate links through with YFP or its team members may receive compensation. 

This is a guest post from Dr. Jeffrey Keimer. Dr. Keimer is a 2011 graduate of Albany College of Pharmacy and Health Sciences and pharmacy manager for a regional drugstore chain in Vermont. He and his wife Alex have been pursuing financial independence since 2016. Check out Jeff’s book, FIRE Rx: The Pharmacist’s Guide to Financial Independence to learn how to create an actionable plan to reach financial independence.

When you buy something, would you rather pay full price or get it at a discount?

Well, unless you wear paying full retail as some sort of weird badge of honor, I’m willing to bet you’d rather go with the latter; and to be sure, there are many ways to get stuff for less.  You could shop the clearance rack, buy in bulk, and maybe even haggle.  

But what if, after you’ve tried all those things, you’d still like to pay less?  Enter the credit card reward point.  Ever since the concept was introduced back in the mid 1980s, consumers have been able to get reimbursed for bits of their purchases and do just that, get what’s effectively an additional discount.  And, if you play your cards right (pun fully intended), that discount can be incredible.  

In this post, I’ll teach you how to play the credit card rewards game, and make no mistake, it is a game and the prizes get better as you get more advanced.  At its basic level, credit card rewards can help you pay a bit less overall for the things you buy on a daily basis.  But at the game’s highest level of play, so-called travel hacking, you can exploit these programs to travel the world in luxury for free.

Interested?

Cool.  

In a nutshell, the rewards game comes down to two things: earning and redeeming.  For each, I’ll cover some of the common strategies, broken down by difficulty, that you can use to maximize rewards in a way that works for you.  Don’t want to go down the full travel hacking rabbit hole and start a Tik Tok about free first-class travel?  Then don’t.  The rewards game can be lucrative even at the beginner level with minimal effort.  

Before we get into all that though, we need to talk about the ways you can lose the game.

Ways to Lose

First and foremost, when dealing with credit cards and the reward programs surrounding them, don’t think for a second that the companies offering these benefits are losing money with them.  Just the opposite.  Credit cards represent one of, if not the, most profitable parts of the banking industry and rewards cards are no exception. And while rewards give us the opportunity to take back some of those profits for ourselves, the way you lose here is the same way everybody else loses.

How?  

First and foremost, credit cards charge people exorbitant interest when they carry a balance.  This is even more so with rewards cards since they generally charge higher APR’s and fees than non-rewards cards.  Because of that, it is extremely important that if you plan on playing the rewards game you’re in a position to pay your balance off in full each and every month.  

Have trouble with that or are you currently in credit card debt?  DO NOT PLAY THIS GAME!

Second, people tend to spend more when using credit cards than they do when using cash alone.  Why?  While the jury is still out on the exact cause, recent research suggests that the dopaminergic reward pathways in the brain are involved.  Yeah, those pathways!  Turns out the old phrase “shopaholic” might be pretty spot on.

Once you add in the prospect of other rewards to your shopping, it’s not hard to see why banks push rewards cards.  Rewards cards generally charge merchants a higher fee when you use them and finding ways to get you to spend more is insanely profitable.  Your job, if you decide to play the rewards game, is to resist.  Remember, the point here is to get a discount on your normal spending so you can free up money for other goals, not inflate your lifestyle.  Rewards can be great, but not if they come at the expense of blowing up your budget.

Finally, I wouldn’t recommend playing (at least not aggressively) if you plan on getting a serious loan, like a mortgage in the near future.  Opening up a number of credit cards in a short period of time, as many travel hackers do, might spook a loan officer resulting in a denial of your loan application.

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Earning Rewards

As I said before, the game involves two parts: earning and redeeming.  In this section, I’m going to talk about some of the most common ways people earn points, miles, cash back, even crypto (all of which I’ll refer to as “points” for simplicity’s sake for the rest of the article) and break down each strategy by its relative difficulty in practice.  What follows is by no means an exhaustive list, but should help you get started and decide how deep down the rabbit hole you want to go.

Beginner

Points/Cash Back on Purchases (One Card)

This is probably what most people who dip their toes into the realm of credit card rewards do.  You open a card that earns points on every purchase and put pretty much all your spending on that card.

Simple, right?

It is.  The only complexity here comes down to what card you choose to use.  First, you need to decide if you want your points to pay for travel or act as cash back (typically in the form of a statement credit).  In terms of overall redemption value, travel tends to come out on top here, but like anything, there can be nuance.  Sometimes going for the cash-back card can make more sense depending on your lifestyle.

Second, you need to decide whether or not you’re open to a card with an annual fee.  If your plan is to use the points for travel redemptions, it’s almost certain that you’re going to need one with an annual fee since many of the most lucrative redemption options will be closed off to you in the no-fee tier of cards.  If, on the other hand, you’re going to redeem your points for cash back then a no-fee card can work just fine.

Third, you need to decide what kind of points you’re looking for.  That’s going to depend on how you see yourself redeeming them.  Many points limit what you can do, only letting you use them for cash back or with a particular business.  On the other hand, some points, such as those issued by the various card issuers themselves, can offer a wider range of flexibility.  That flexibility often comes at the cost of an annual fee though, so bear that in mind.

Finally, you need to pick an individual card.  The choice here simply needs to line up the points you want and their earning rates with what you actually spend money on in your budget.  Like to eat out and order food?  Make sure to look for a high earning rate on dining expenses.  Fly a lot?  Find a card that offers a high rate on travel or consider a card with your favorite airline.  It’s not rocket science.  And if nothing in your budget really sticks out as a “bonus category” for you, then look for a card with a high base earnings rate.  These days, there are a number of cards that offer 1.5-2% back on all purchases, usually without an annual fee.

Once you’ve done all this and picked a card, you’re good to go.  You won’t be writing a travel hacking blog, but you’ve gone from zero to something in the rewards game.  And while you may decide to go no further (nothing wrong with that), following these steps to evaluate new cards is fundamental to the higher levels of play.

Sign-Up Bonus (SUB) Targeting

Out of all the point-earning opportunities, the most lucrative BY FAR is the SUB.

And just how lucrative can a SUB be? 

Well, as I’m writing this, I’m finishing up one that offers 80,000 points on $4,000 worth of spending in the first 3 months.  Given my history with these points, I generally get around 2.5 cents worth of value from each of them bringing the total value of the SUB to $2,000.  That’s a 50% return on that spending!

When it comes to the rewards game, SUBs offer the greatest chance to generate value.  Therefore, any strategy approaching the rewards game should take them into account; even if you only plan on opening a single card.

At the beginner level, interacting with SUBs is a little different than the more advanced levels and, paradoxically, requires a lot more thought up front.  This is because you’ll be targeting a SUB on a card you plan to keep versus one you’ll likely close.  As such, when thinking about SUBs at this level, you want to target a specific type of card first, then target the best SUB within the list of cards meeting your criteria.

The benefit to approaching SUBs this way is that you don’t really have to worry about all the other little (and often unsaid) rules that come along with SUBs.  Just open the card you want, meet the SUB criteria (if there are any), then enjoy keeping and using the card. That’s it.

Intermediate

Got your feet wet with a new card and want more?  Cool.  Personally, this is the level where I operate for the most part.  If you like to travel, success at this level can help cover a significant portion of that part of your budget.

Before getting into that, a disclaimer.  At the intermediate level, we’re going to start getting into the weeds regarding some of the “rules” surrounding credit card openings.  I’m going to be a little vague here, and that’s intentional.  Many of these so-called rules are based on guidelines used by credit card companies (often not published publicly) to determine whether or not you’ve run afoul of their terms of service; prompting them to take away all your points and cease doing business with you.  Those terms of service (particularly in areas such as program misuse) tend to be intentionally vague themselves, so I’m going to follow suit here.

Multi-Card Optimization

Let’s say you started off your rewards journey with a single card.  Maybe that first card gave you a dope 6% back on groceries.  Sweet!  But when it comes to dining out, you get a measly 1% back.  Meanwhile, there are cards out there offering at least triple that in the category with no annual fee!  Using one card for all your spending certainly has the perk of simplicity, but I can guarantee you that you won’t be able to maximize your point earnings with just one card.  

Cards are typically good for covering one or two spending categories, but not much more than that.  This is where a strategy of using multiple cards to cover the gaps can come into play, especially if those additional cards don’t carry an annual fee.

In practice, this might mean you have four or so cards, each with a different role to play.  Going out to eat?  Use the card that gets triple points on dining.  Filling up the car?  Pull out the one that gets 5% back at the pump.  You get the picture.

Depending on what cards you use, there can also be some additional synergies here too.  For example, Chase Bank’s in-house reward point, the Ultimate Reward (UR) point, can be earned on a number of their no-fee Freedom cash back cards.  However, the UR point you’d earn with those is the same UR point you’d earn with their premium tier Sapphire cards.  When paired with one of the Sapphire cards, the value of those points can go up significantly.  Given the fact that those no-fee cards can earn significantly higher rates than the Sapphire card in certain places, the multi-card strategy can really bump up your earning potential.

The only real difficulty with a multi-card strategy (and my wife likes to remind me of this) is that it can be tough to juggle multiple cards and remember what to do with all of them at any given time.  This is especially true if you (like me) incorporate one of those cards that have quarterly rotating bonus categories into the mix.  If you are considering this strategy, make yourself a spreadsheet or get a label maker so that it’s easier to keep track of what card pays for what.

SUB Farming (2-4 per year)

In a nutshell, SUB farming is all about getting those sweet SUBs and then saying “thank u, next.”  This can be insanely lucrative for the level of work you’ve got to put in. Those people blogging about how they travel the world in luxury for free all the time?  Yeah, this is how they do it.  The only difference between this level and that one is the degree to which you’re farming bonuses.  At this level, we’re going relatively slow but still looking to cover the expense of flights and/or lodging for a few family vacations a year.

Once you’ve decided that you’d like to farm some SUBs, the first thing you need to do is start a spreadsheet that’s going to detail three things: the card you open, the date you opened it, and the date you received the SUB.  This is important because when it comes to SUBs, the different card issuers have different rules surrounding how often they’ll give you one for a given card or family of cards.  For example, American Express makes it easy, they’ll give you one SUB per card per lifetime.  On the other hand, a bank like Chase might let you get another SUB on a card you’ve previously had after a specified length of time.  How will you know when you’re up for round 2 on a card?  The spreadsheet!

In addition to telling you when you might be up for another go at a card, having a spreadsheet can also inform you when you might be reaching your limit with certain card issuers.  Going back to Chase (just because their rules are better known) you can only open up a certain number of cards in a given time period before they start rejecting your applications.  Currently (it can always change) they have a rule that if you’ve opened up 5 personal cards with any bank in the last 24 months, they’ll generally reject any new credit applications you make with them.  

And that’s just one of the more famous examples.  Each bank or card issuer is going to have its own rules that they generally don’t publish.  The only way to navigate the waters here is to keep tabs on what your activity’s been and use forums to keep up to date with what other people have discovered regarding the various limits issuers impose.

Finally, when SUB farming, you need to consider whether the card you’re opening for the SUB is a keeper or one that’ll become dead weight in your wallet.  This is all the more important when considering a card with an annual fee.  Some cards have cool ongoing benefits that can even make them worth the fee, others not so much.  Your job is to separate the wheat from the chaff and come up with an exit strategy for the ones that don’t make the cut.  

If you decide the card needs to go, there are a couple of ways to go about it.  The first, and obvious one, is to simply close the account, and, believe it or not, there’s a possible downside to this.  If the card is an old one, it can negatively impact your credit score by decreasing the average age of your lines of credit.  Dumb?  Yes, but it’s still a thing.  In addition, if you close that card “too soon” (which is not really defined) after you got the SUB, the card issuer might flag the account for misuse and claw back the SUB.  

On the upside though, if this is a card you’ve had for a while you might be able to milk another bonus out of it called a “retention bonus.”  You will need to actually talk to a human being about this, but it’s possible that in lieu of closing the account, you can get offered the chance for some extra points, a fee waiver, or a statement credit.

What else can you do?  Downgrade it!  Oftentimes, cards are offered in different tiers, some with an annual fee and perks, others with no fee and fewer perks.  Sometimes the better move is to keep the line of credit open with a card that doesn’t have a fee than shutter the account entirely.

2-Player Mode

Do you know what’s better than scoring a nice SUB on a new card?  Having your spouse open the same card under their name and scoring yet another SUB.  Even better than that?  Getting a referral bonus for referring your spouse to the card.  That’s 2-player mode.

If you’re married or otherwise financially entwined with another human being, 2-player mode can be a great way to rack up points while keeping either one of you out of trouble from a card opening point of view.  Incorporating the rewards game into your financial plan can be great, but only if you steer clear of the dangers listed above and craft a strategy that’s sustainable.  2-player mode helps a lot with the latter.

In addition to helping you keep the party going, 2-player mode also has its own opportunity.  Namely, the opportunity to easily take advantage of cardmember referral programs.  Most cards offer these.  Basically, they give you a link to share with others and if others use that link to open up the card themselves, you get paid.  How much you get paid varies, but if the card in question is one of the more premium varieties, the payout is generally larger.  For instance, with that SUB I’m finishing out now, my wife referred me to the card and got an extra 15,000 points (which we’ll use for ~$375 in travel expenses) just for emailing me a link.  Not bad for a little cut and paste.

You can screw this up though.  Ever hear of an “authorized user?”  It’s when you add someone to your account, they get their own card to use, and all their purchases go on your bill.  Heck, you might even get charged an additional fee every year for having them there.  

Don’t do it.

There’s a time and place for making someone an authorized user on your account, but this isn’t it.  When you make someone an authorized user on a card, you generally shut them out of getting SUBs on that card.  Need to have the card in two places at once?  Use a mobile wallet.

Stacking

When you make a purchase, are credit card points the only incentive out there to encourage your spending?  

No!  

Welcome to the wonderful world of stacking!

Aside from store loyalty programs (which can be part of the stack), there’s a whole cottage industry of commission-sharing companies whose business model is all about getting you to shop places in return for some additional cash or points back on your purchase.  Online, these are typically known as shopping portals.  Your card issuer might even have its own.  

Points or cash back you earn through these sites always earn on top of whatever points your card earns, hence the term stacking.  One level of earning through your card might be nice, but add in another (or maybe multiple as we’ll cover later on) and the total rebate you get on your purchases can approach SUB territory.

The way it works is simple.  You go to the shopping portal site you have an account with, link to the store you want to shop at through their site, do your shopping, and a few days later some extra cash or points are deposited in your account with the shopping portal.  All you have to do is pick the best portal you wish to do business with.  And if you think that’s hard, don’t.  The interweb has made it easy as a number of sites aggregate the top portals and you can search by store.  Personally, I’m a fan of the site Cashback Monitor.

Advanced

Now we get to the more difficult ways to earn points.  At this level, your rewards game is more of a side hustle than a hobby.  To be successful here, you’ll need to consistently put in the effort to stay on top of new developments in the rewards space and have strong organizational skills.

SUB Farming (5+ Per Year)

While the overall process is pretty much the same as at the intermediate level, SUB farming at the advanced level requires some different considerations and an even greater need to keep tabs on your cards.  Personally, I’m not a big fan of SUB farming at this level.  But, if you’re wondering how those people with travel-hacking YouTube channels seem to score five-figure plane tickets for free, this is mainly how it’s done.

First off, as you get more aggressive with SUB farming, the closer you get to your business becoming a liability versus an asset for the credit card companies.  And, as it turns out, they don’t care to do business with people who want to eat into their bottom line.  While there’s no red line where your level of SUB farming activity will get you into trouble, it’s always a concern at this level.  Being active in various forums, learning from other people’s experiences, and getting to know intuitively where those lines might have to be central to your strategy here.

Second, this level of SUB farming presents the challenge of picking good cards to target.  More than likely, you’ll burn through the most desirable cards early on, leaving you with second and third-tier choices.  At that point, you really need to think about what kind of redemption strategy you can use (more on that later) to squeeze value from cards you would’ve passed on otherwise.

Third, many cards (including most of the ones with juicy SUBs) require that you spend a certain amount of money in the first few months in order to qualify for the SUB.  This usually isn’t a problem at the intermediate level but can be challenging at the advanced level, especially if you’re making it a point to not inflate your lifestyle.  So what do you do once you’ve exhausted the parts of your budget you’d normally put on a card?  Look into paying for things like your rent or mortgage with a card.  Typically, those types of expenses don’t allow card payments, but there are services that will let you use a card to pay them, usually charging an extra fee to do so.  Under normal circumstances, it’s totally not a good idea to pay bills this way.  But in this instance, the “return on investment” you get from the SUB might make the juice worth the squeeze.

Finally, just like you need to consider at the intermediate level, determining exit strategies for the various cards you open is super important.  If you don’t you’ll soon find yourself buried in annual fees charged by dozens of cards sitting in a drawer.  In addition, those retention bonuses I mentioned earlier can play a much bigger role at this level of play as you may find that they’re the only way to squeeze any type of bonus out of a card past a certain point.

Multi-Stacking

How can you earn SUB level rebates on your purchases without having to farm another SUB?  Stack a bunch of smaller reward rates and discounts on top of one another!  Multi-stacking is kind of like the extreme couponing of the rewards game but you can get similar results without holding up the line at the grocery store.  

In addition, multi-stacking doesn’t share many of the same types of risks that SUB farming can have.  The primary risk here has to do with your data, as that’s what’s generally paying for all the rewards.  Don’t want to share your data with third parties?  Don’t play around with stacking.

So how does it work?  Generally speaking, there are multiple avenues for stacking discounts outside actual coupons.  They are:

  • Credit Card Offers
  • Shopping Portals
    • Active
    • Passive
  • Gift Card Marketplace
  • Brand Loyalty Programs

Each of these things can form part of your stack so let’s talk about each a little more in-depth and then put it together in an example.

When speaking about credit card offers in this context, I’m not talking about the ones that might promise a SUB.  Offers in this context refer to various smaller promos you can take advantage of either with specific retailers or spending categories.  In general, these offers are found on your credit card account’s online dashboard and you need to opt into them.  If used, many of them will give you additional points or a percentage back as a statement credit.

Next, we come back to shopping portals, but this time, I want to break them down into what I call active and passive.  Active portals are like the ones described earlier.  You have to click a link and shop through that link in order to get the bonus.  Passive portals don’t require that.  With a passive portal, you supply the portal with read-only access to your card transaction data and when you make a purchase with an affiliate, the bonus gets deposited automatically.  Make a purchase through an active portal with a passive affiliate?  Yeah, you get both bonuses.  And if you use multiple passive portals that don’t share the same network infrastructure, it’s possible to double, triple, or even quadruple dip on the rebates.

Online gift card marketplaces present yet another opportunity to shave some extra percent off your purchases.  The premise is simple.  People get gift cards that they don’t want all the time and need a place to offload them.  However, a gift card is just a form of currency that can only be used in limited settings.  Because of that, the market value for gift cards is always lower than that of actual, legal tender currency.  So, if someone wants to sell a gift card for, say, dollars, they have to price it at a discount.  And depending on the popularity of that gift card’s issuer, that discount might be small, or incredibly steep.  In addition, many of these marketplaces often take on the role of new gift card retailers as well, offering cash back on their platforms as an incentive.

Finally, we have the individual retailer’s loyalty program.  While many of these might not be worth your time (and data), especially if you don’t shop with them often, it never hurts to consider them.  Sometimes, you might even get a welcome bonus just for signing up.

Here’s a personal example of this using a gas station near me, as I write this in July 2022, and how my thought process went.

Putting it all together, we get this as a total discount (expressed as a percentage) per gallon:

Not bad, right?  That’s the power of multi-stacking.

Redeeming Rewards

Now that we’ve earned a crap ton of points, it’s time to do something with them.  Mercifully, redeeming rewards tends to be a lot less complicated than earning them and it’s not difficult to extract a reasonable amount of value from them.  Still, there are some things to look out for and some techniques you can use to amp up that value.

Beginner

Cash Back

Redeeming your points for cash back is the absolute easiest way to extract value from them, and depending on your card, it might be the only thing you can do with them.  Typically, points redeem at a 1 cent per point value when cashing them out, which isn’t bad; but not great if you can possibly redeem them for travel expenses.

One word of warning here though.  Oftentimes, retailers affiliated with card issuers will give you the option to “pay with points” which sounds nice, but it’s usually a trap meant for people who don’t bother to do the math.  For example, a very popular online retailer will let me do this with my Chase UR points.  But, when you do the math, you find that redeeming them in this way results in a per-point value of $0.008, 20% less than the value I’d get if I just cashed them out!  

In addition, that same retailer offers a card giving 5 points back on purchases made with them and the option to pay for future purchases with those points.  Sounds reasonable.  But, if you pay with the points, you no longer get the 5 points per dollar from the card.  Better to redeem those points for actual cash or a statement credit than pay with them once again.

Book Travel With Points

This is typically the only option available to you if you have a card earning airline miles or hotel points and a potential option if you carry one of the bank-issued (Chase, American Express, Citi, etc.) premium cards.  For this section, I’m going to focus on the bank cards since there can be more advanced considerations with miles and hotel points.

Nowadays, most of the major card issuers operate their own online travel agencies, and to entice you to use those agencies, they tend to give you a guaranteed bump in the value of your points (typically in the 0.25-0.5 cent per point range) if you use your points to pay for your vacation.  Unlike my previous warning about paying with points, in this context, it can be worth it, especially if you’re looking to keep things simple.

Intermediate

Transferring Points

One of the biggest benefits of having a card that earns bank points such as the Chase UR points or American Express Membership Rewards points is the ability to transfer those points to their travel partners.  And while each bank has its own list of airlines and hotels that they partner with, the ability to transfer lets you shop around within that list to find the best redemption value when booking a trip.  

For example, say you’re looking to book a trip and you don’t really care what airline or hotel you’re going to use.  Once you find out how much it’ll cost in points and/or money from each of the options available to you as a transfer partner, you transfer the points to the partner offering the highest value and cost reduction for your trip.  Oftentimes, the value you’ll be able to squeeze out of a point will be quite a bit more than the 1 cent per point you’d get from just cashing them out.  For my family, we’ve gotten a lot of value from transferring our points out to hotels where we’ve averaged about 2.5 cents per point in value.

One word of warning here.  When you transfer points, the process is typically irreversible.  Found a better redemption after you transferred a bunch of points to that hotel chain?  Guess what?  You’re using the points at the hotel.  Only transfer points once you are absolutely sure that you’re cool with redeeming them with a given travel partner.

Advanced

Gaming Award Charts

Finally, the last thing we’re going to talk about regarding the rewards game is how some of the pros actually land those ridiculous airline redemptions that seem to pepper social media.  While yes, those people accumulate an ungodly amount of points through aggressive SUB farming and the like, they’re also incredibly conscious about squeezing every last cent of value from those points.  To do that, they have to think out of the box when it comes to where points get sent.

For example, why might a travel hacker living in New York, with absolutely no interest in traveling to Europe, transfer their hard-earned points to British Airways?  

Two reasons: airline alliances and award charts.

Most major airlines today operate in partnerships with other airlines known as alliances.  If you’ve done any air travel at all, you’ve probably heard of the big three: Star Alliance, Skyteam, and Oneworld, each founded in part by a major US airline (United, Delta, and American respectively).  Within each alliance, partner airlines share resources to help travelers get to their destinations and allow travelers with loyalty benefits on one partner, such as miles and elite status, to enjoy them across the alliance.  That last bit is incredibly important to the discussion here.  

Within an alliance, it’s possible to book award travel on airlines that you have no award miles with.

But why would you do that?  First, maybe the airline you have the miles with just doesn’t go where you’re looking to go.  That’s the obvious reason.  The less obvious, and more interesting, reason is, maybe the airline you want to use has a crappy award chart.  

What’s an award chart?  It’s basically the pricing scheme an airline has when you’re looking to book award travel with them.  Many of them use a pretty straightforward algorithm where the amount of miles you need to pay is based on the normal cost of the fare.  Others are…well, complicated.  But that’s where the value tends to be.

For instance, some airlines’ award charts charge a flat rate within a geographic area (like the lower 48 states) while others have a tiered scheme based on distance.  Here, an opportunity might exist for the traveler flying from New York to Los Angeles when using the geographic chart.  But, if the traveler isn’t going very far, say New York to Baltimore, then using the carrier with the distance-based chart might be the better bet.  What’s more, the airline with the better award chart might have nothing to do with the actual flights involved, as long as they’re in an alliance with the carriers that are.  

In my experience, gaming the award chart system can be lucrative, but wins weren’t frequent enough for it to be a major part of my rewards game.  If you live in/near a major city or airline hub and plan on international or luxury travel, it can produce a lot of return.  But, if you live in the country like me, or if your travel is more run-of-the-mill, I wouldn’t expect a ton of value here.

Conclusion

Overall, the rewards game can be well worth playing, as long as you play it responsibly.  Play it right, and you can significantly offset parts of your budget.  Play it wrong, and there are legit consequences.  After all, getting some free flights or vacations means nothing if it means getting yourself in credit card debt or derailing your financial plan with excessive spending.

But if you do think the rewards game can benefit you, I encourage you to try it out.  Even at the beginner levels of play, it can help make a dent in your expenses.  And, sure, as Dave Ramsey likes to point out “no one ever says they got rich off credit card points” (and he’s 100% correct on that), that’s not really what we’re getting at here either.  The rewards game isn’t something that’s ever going to play the lead in your financial plan.  But it can play a fun supporting role.

Interested in checking out some credit cards that offer rewards? Click on the links below!

Featured 2023 Credit Card Offers

Cash Back Credit Cards

Travel Rewards Credit Cards

Airline and Miles Credit Cards

Rewards Credit Cards

YFP 308: YFP Planning Case Study #6: Balancing Retirement Savings With a Major Purchase & Education Planning


The team at YFP Planning discusses a case study that includes balancing retirement savings with a major purchase and education planning.

Episode Summary

If we don’t earmark our cash for specific items, we’re very likely to spend it. In this YFP Planning Case Study, Tim Baker, CFP®, RLP®, Kelly Reddy-Heffner, CFP®, CSLP®, CDFA®, and Angel Melgoza, MS CFP® use a hypothetical couple (Joe and Jane Script) to discuss balancing retirement savings with a major purchase and education planning. After being provided with an overview of the couple’s finances and their goals for the future, Kelly and Angel pick apart their investment approach and offer advice for how they could make it more sound. From the importance of saving with the intention of avoiding getting hit with a surprise tax bill, this episode will make you think more deeply about the way you approach your financial plan!

Key Points From the Episode

  • Setting the scene for the Joe and Jane case study.
  • Joe and Jane’s net worth and their assets and liabilities.
  • Goals that Jane and Joe have for the future.
  • Kelly and Angel share their thoughts on the first steps Joe and Jane should take to optimize their financial situation.
  • How Angel recommends Jane and Joe deal with the funding of their children’s college education.
  • The importance of being open to making adjustments to your financial plan.
  • Working out which elements of your financial plan to prioritize. 
  • Why many people end up saving less money than they could.
  • How to avoid getting hit with a surprise tax bill. 
  • Angel’s approach to insurance. 
  • Documents that you should have in place to protect your family in case of your death or disability.

Episode Highlights

When I talk to clients and I look at their balance sheet, the first thing I want to make sure is that you have a sound emergency fund.” — Angel Melgoza [0:08:15]

We can’t do everything. We have to prioritize and decide what makes the most sense to overall have the best plan for the future.” — Kelly Reddy-Heffner [0:13:16]

We tend to save, but we also tend to spend anything that is not earmarked.” — Kelly Reddy-Heffner [0:19:05]

Links Mentioned in Today’s Episode

Episode Transcript

[INTRODUCTION]

[0:00:00] TB: What is up, everyone? Welcome to our sixth edition of YFP Planning case study. Really excited to get into this one today. We’re going to talk about Joe and Jane Script. It’s a really creative name that we have here. We’re going to do something a little bit different for this particular case study. We’re going to basically set the client up in our planning tool, which is RightCapital. We’re going to stay, not necessarily so much in a spreadsheet, but in the planning tool and outline the details of Joe and Jane Script and their family and what they’re looking for. I am once again joined by our lead planners, Kelly Reddy-Heffner and Angel Melgoza.

[INTERVIEW]

[0:00:36] TB: Really excited for you guys to be here to chat about the scripts. What’s going on? Kelly, first to you, what’s going on in life? 

[0:00:43] KRH: Not too much. End of tax season, doing quarterly meetings and hoping that it stops raining in Pittsburgh at some point. 

[0:00:53] TB: Yeah. Crazy weather. When you guys were out here after tax season it was like spring-esque. Now it’s really cold again. It’s super weird. I put a vote for warmer weather here too. Angel, you’re probably accustomed to some warmer weather. How’s it going where you are? 

[0:01:12] AM: Very warm. Hot and humid actually. We’re preheating to our summer already. Yeah. 

[0:01:18] TB: Awesome. Let’s get into it guys. I’m going to share my screen, so apologies for those listening on the podcast, because this will be very visual. We’re going to talk through some concepts, but if you’re interested, check out the YouTube channel, we will have our beautiful smiling faces on the YouTube with a screen share of what we’re working through with the client. I’m going to work through this. What we’re looking at here is a snapshot and what this tells us at a very high level just what is going on with the client. I’m going to dig into some of the juicy details about Joe and Jane; the job, the balance sheet, some of the goals. 

The first thing I’m going to look at for Joe and Jane is just like where are they at? What are they doing? What’s the family look like? Joe recently accepted a new MSL job based out of Louisville, Kentucky. They’re both Louisville, Kentucky, University of Kentucky grads. That’s where they went to pharmacy school. Joe is an MSL. Jane is an oncology staff utilization pharmacist. They have twins Addison and Sean, age 11. Their home is in Louisville. They filed their taxes jointly, but they’re actually from the Boston area. They have a lot of family in the Boston area. 

The balance sheet really looks like this. I’m going to click into the balance sheet. Their balance sheet at present, their net worth is about, we’ll call it $894,000. They have about $1.3 million in assets with about $386,000 in liability. The assets break out a good amount in cash accounts, so they’re joint checking, they have $35,000, they have 80,000 in joint savings, so that’s 115,000, that’s liquid. Then they have a non-qualified or a joint taxable account that has about 15,000 in it. 

Then most of their investments are in qualified assets. Joe has an old 401k that he’s rolling over to YFP planning for us to manage that has about $196,000 in it. He’s currently contributing to his new 401k with his new MSL job that has 5500. Jane, her 401k is currently at 236,000. Joe has a Roth, it has about 85,000. He also has an HSA that has about 15. Then the kids, they both have 529s that are identical, about 19,000 that they’re currently contributing to. They own their home in Louisville. The property’s worth about 575,000 with a mortgage that has about 281,000 left. 

The other liabilities they have is a joint credit card that has about 15,000 that they normally pay off. They have a HELOC for home improvement that’s hanging out there that has about 19. Jane has a car note at 28. Then Joe still has some lingering student debt that’s about 12,500. One of the surprises that they had when they went to file, we were talking about tax season earlier guys, is they found out that about $30,000 tax bill and those are some surprises that are not fun to get, but they basically have to figure out how to pay off this $30,000 tax bill to the IRS. 

Overall net worth about 893. Now, to pivot to some of the goals that they have, they very much want to make sure they get back to Boston to see family. They want to make sure that they’re supporting the twins’ activities in sports. Between the two of them have more frequent date nights. From a career lifestyle, they want to make sure that in the future, they have the ability to work less if they can. They’d love to be able to purchase a vacation home, maybe pivot into a retirement home in Florida. They’d love to take a domestic, annual big trip with the family. 

One of the big goals that they have is to take the whole family to Australia before the kids go off to college in the next seven-ish years. Then they have some legacy goals where they want to be able to pay 100% of the twins’ college, at least for the four years of undergrad. They want to be able to give back to the University of Kentucky and also some other charities. That’s the picture of where they’re at. I know we have some topics of discussion listed here, but Kelly, what would you say jumps out at them. We didn’t get really too much into some of the insurance stuff, which we can dip into. Obviously, they have some debt that they have to work through, but what are some of the big things that you would tackle first with Joe and Jane? 

[0:05:30] KRH: At first glance, definitely a bit of a large cash position, so trying to figure out what is their spending to see like what the emergency fund should or could be and then seeing if they have some resources left to take care of some of the debt. The little student loan out there would probably be top of mind, making sure the credit card really is paid off each month. Those would be really important things to tackle early on, I would say. 

[0:06:05] TB: Yeah. I think one of the cool things that the tool has shown us is just a liquidity analysis. How much should you keep in that emergency fund? The target that we have here, if you assume current monthly expenses, which I think we should confirm, right? That’s one of the things that sometimes you can put in a box like what we spend, but when we actually connect actual spend accounts, it’s more than that. But their target for their emergency fund is about 40,000 and their actual liquidity between their checking and their savings is about 115. 

There’s probably a scenario that we could peel off some of those extra dollars and potentially pay off the credit card to your point, Kelly, to make sure that that is completely paid off, which the balance is 15,000 at this point. You also have a 19,000-hour home equity, which was one of your highest interest rates. If we look at the interest rates, and again, we didn’t necessarily go through this from the jump, but the mortgage is not bad, 281,000, three and a quarter percent. Home equity, line of credit, 6% which is a little bit higher. 

Jane’s car, which is about 28,000, 4%. Joe’s student loan, three and a half percent, so not terrible. The IRS would have to figure out what the payment plan is for that. I just put in a placeholder of three percent. Then the joint credit card, obviously 24%. Making sure we tackle this first. I agree. I think something along the lines of like right sizing in the cash position to either clear out debt or the conversation that we could have is does it make sense to put dollars towards things like an education goal or retirement? 

Again, I wouldn’t necessarily be sleeping very soundly at night if I knew that I owed the IRS money or if I had a credit card balance hanging over my head. I think a good analysis to go through with the two of them, just to see how do we deploy these extra resources, so to speak? Angel, how about you? When you look at their scenario at a high level, what jumps off the page for you? 

[0:08:12] AM: I have to echo Kelly’s thoughts here. Really, when I talk to clients and I look at their balance sheet, the first thing I want to make sure, because of course you have two little ones, is that you have a sound emergency fund. If you have an excess cash position, I think the second thing I’d like to look at is, of course, any debt that’s over. My rule of thumb is usually 6%. I think credit cards fall within that. Paying down that is just as good as investing. It goes back to the old saying of paying, saved as a penny earned. 

[0:08:43] TB:  Yup. Yeah. I think that’s one of the things is like, if you can guarantee a 6% investment, that’s not terrible. That’s where the S&P is, once you account for inflation over long periods of time. Definitely, looking at the debt would probably be first on the list. How about Angel, when you look at one of the big things that they have that I think is probably not one that we get a lot of in terms of, “Hey, this is my education plan for my kids,” it’s more of, “I’m not really sure how I want to approach the education.”

A lot of pharmacists, again, they feel the pain and the sting of student loans. They would rather not replicate that for the kids, but when you look at, “Hey, we want to send both of them 100% for four years in the next seven years or so,” how would you break that down for them in terms of the feasibility of it? 

[0:09:36] AM: I mean, twins are 11 years old right now. They’re not too far behind on the saving aspect of it, but of course, we want to make sure that we try to meet our clients’ goals as much as possible within the confines of keeping things realistic. When I say realistic, of course there’s so many ways to fund college from student loans to savings and cash flow. But there’s really only one way to fund your own retirement. When I get clients that are adamant and that’s just the number one most important thing to them, I just like to just go back and say, “Okay, well, what happens if you have to work a little longer to do this. Four or five, six more years? Are you okay with that?” 

One of the things that I love about RightCapital that it shows us, is there going to be a shortfall? If there’s a shortfall, how do we right that ship? But from a rule of thumb perspective, I mean, kids are still 11 years old. We don’t know if they’re going to get scholarships. We don’t know if they’re even going to be one to go to college. I would say a good starting point is maybe funding a third of the college tuition. 

[0:10:40] TB:  Yeah. If we look at the analysis on the tool and we messed around with the twins. We basically said, “Hey, both Joe and Jane are University of Kentucky grads so maybe one of their kids will go to Kentucky.” We picked Sean as the recipient of that. When we looked at that and we looked at Sean’s college goal and we basically looked up University of Kentucky, one of the interesting things is we can actually click in and we can choose either in-state or out-of-state. If we assume that we’re going to be in-state, the total cost for in-state tuition is about 35,600 per year. 

If we compare that to Addison’s college goal, it’s actually more. Addison’s college goal, if we use a goal to fund a public four-year in-state, it’s actually a little bit less at 28,000. But the interesting thing is right now what they’re saving, they’re saving about 200 bucks per month. $2,400 per year into the twins’ 529. $400 total, but separate 529s. If you look at the analysis, Sean, if we assume he’s going to the University of Kentucky, they’re not at 100%. They actually have a funding shortfall of about $157,000. That’s about 23% to the goal. 

Now Addison should be a little bit ahead, because if we use the four-year average versus University of Kentucky, she’s at 30%. The funding shortfall is about 112,000. This is probably an exercise, Kelly, in saying, “Hey, this is the reality of where we’re at today.” We know the goal is 100%. We’re pretty well below that. We’re not far from that one third rule that we always talk about. How would you approach it? I mean, Angel talked about affecting retirement, but maybe there are some levers that we can pull today to get closer to that, but how would you approach that with this particular client in terms of looking at the numbers? 

[0:12:47] KRH: Well, I think once you talk through some of those goals, I do think that Angel is right, like that conversation of how it directly impacts other goals. Most people do wish to retire at some reasonable point in time. I think that the next step is to show how retirement’s looking and how on track the household is for that. Often, we can’t do everything. We have to prioritize and decide what makes the most sense to overall have the best plan for the future. This already looks, like you said, Tim, in the range. We’re at 30% for Addison, a little bit lower for Sean with decisions. I would look at retirement and I’d also start laying the groundwork for having conversations with their children as well about what is going to be available and how to make good choices. Yeah, I guess I would look at the retirement numbers next to see, do those look like they’re in great shape? How are investments flowing for that? 

[0:14:00] TB: Yeah. I think that’s a great segue. I do want to come back to the tax bill, because I know we’ve had some discussion about that off-camera and what that looks like. Let’s look at the retirement analysis. Angel, can you set the tone here in terms of what we’re looking at? Right now, what they’re showing is a 54 probability of success, which doesn’t look that great. To Kelly’s point it might be where we’re looking at things like the vacation home that we haven’t yet talked about, sending the kids 100% through college, working longer in retirement and maybe rank order in those things in terms of what’s most important. How would you approach, you know, this is more of a dire outlook in terms of how the probability of success is looking here? 

[0:14:48] AM: One of the things I like to go over with clients is the 30,000 square foot view of it all before we really dive into the details and just let them know, “If we keep on going at the pace you’re going. If we keep your goals the same, that 54% or as I like to say, five out of 10 times you’re going to have to make adjustments. When adjustments need to be made, that’s what we’re here for to help you out with, of course.” That’s what this probability really says. I mean, the software in and of itself runs thousands of simulations of probabilities. Of course, because the clients are a little younger, there’s more than that. But it lays a good foundation to say there needs to be a change done and that’s what we’re here to help you with. 

[0:15:30] TB: Yeah. I think one of the things that we haven’t even talked about is just even like the way that they are invested might be a little bit more conservative compared to maybe what they need to be. I think looking in terms of other levers to pull might be where you don’t necessarily have to save any harder, but they have to maybe take a little bit more risk with their investments. That might be something to look at. 

Yeah. I think one of the things that can be lost here is that if you look at it, it’s like half the time you’re going to fail, half the time you’re going to succeed. It’s not really about that. It’s really, to your point, it’s like, we’re going to make adjustments on the fly meaning like, if we don’t do these things, the idea is that at the end of the rainbow when the plan is over is typically at Joe and Jane’s death, there’s still money there. If there’s not, then that’s what they would say is a failure, so to speak. 

Let’s talk about the Florida home. One of the big things that we were looking at when we were talking about their goals and some of the cash flow, we’re looking at a blueprint of, “Hey, we’re going to take it in annual vacation every year.” I use this nerdy lifestyle cargo, some new vehicle every seven years. Q7Y, so nerdy script shorthand. We have an Australia trip baked in here. What I basically did was just added it to the 10,000 that we’re saving, plus the 15. We’re saying like 25,000 for a family of four to go to Australia. No idea what that costs, so that would be something that we’d have to adjust as we approach that. 

Then the big outflows that really occur at Sean and Addison’s college in 2030 when Joe is 50 and Jane is 46, and really for the next four years. Then what he’s saying, or what they’re saying is that, “Once the kids are out of college, we’d like to be able to move on a vacation home.” I think what we’re seeing is that if we assume a vacation home is half a million and we put 20% down, we just see the plan be a bit exasperated. It’s like, “Hey, we don’t have enough cash money to put towards this.” It’s starting to pull from things like retirement accounts, which we would say probably don’t want to do that, correct? 

[0:17:43] AM: That’s right. 

[0:17:45] KRH: Yes. 

[0:17:46] TB: Then what’s the process here? As again, it goes back to what’s most important? How would you – Kelly, how would you break this down in terms of just prioritizing the goals for the client? 

[0:17:56] KRH: I definitely think part of it is conversation and talking through what is most important, like when you start to see data align that everything may not be possible. This is quite a bit of stress on a budget to have the four years of college for two children at the same time. Then the vacation home to be on the backside of that. The college timing is unlikely to change, but like the vacation home, if it’s done at a different time interval, does that make a difference? But looking at the numbers, the stressor is pretty significant. It pulls quite a bit from the retirement accounts. 

Then it’s looking at savings capacity. If you’re having the conversation that these items are all very important, you’d like to do as many as possible, then it’s looking to see, is there room each year now where you could be saving more if this is really what’s most important? We tend to save, but we also tend to spend anything that is not earmarked. We talk a lot about smart goals like, if college is a goal, if the Florida home is a goal. Really looking at how much you need to be putting into each account and do you have that like, some of the cash flows when we had looked off screen, look like there’s years where there could be some additional resources. Like, can we start there and say, “If you really get a little bit more intentional with saving, like those unsaved cash flows and the second to last, can you take some from there and help better meet the goals?” But we do tend to spend what we make. We tend to spend the extra almost before we’re going into goals a lot of times. 

[0:19:59] TB: Yeah. I think to your point, Kelly, if you look at their cash position, again, they have some debt, but there’s probably per their plan, they’re running a surplus of unsaved cash flows that if you say, “Hey, double your education or double the amount of money.” Right now, they’re putting 200 bucks into a taxable account, which we’re earmarking for a vacation home, 200 bucks to Addison’s 529 per month, 200 bucks to Sean’s 529. If you double that, maybe these numbers are closer to zero, maybe there is more of a shortage, but those are the things I think that, it goes back to one of the things we talk about all the time on the podcast is just like investing or saving with intention. 

I think it’s easier to do that than to put it in a dark hole, which is like a savings account. Now it’s good to have that when you do have a tax bill and things like that, but those would be the things that I would be pressing on. It’s like, can we do more from the aspect of dollars going into those three accounts? Even Joe’s 401k. He’s putting in 10% and he gets a decent match. Jane’s maxing that out. Can we get to 11, 12? What’s the road to get them to max out so we’re not seeing so much of a surplus of cash or basically on spend cash, but we’re directing them more intentionally towards the goals, if that makes sense?

Can we pivot and talk about the surprise tax bill? Like, this does happen, right? How does this happen? What are the ways to get in front of this? Cause this is never fun to go and file your taxes and say, “Hey, congratulations.” It’s better if you have $30,000 back, although we know that having that $30,000 in hand throughout the course of the year is important. When you’re on the other side of that, not many people are just putting money aside to pay the tax man. Why does this happen? Angel, how can we get in front of this? What are your thoughts with regard to the tax bill? 

[0:21:57] AM: One way it happens is that you don’t pay enough taxes during the year. Typically, what we do here is we do tax projections with tax professionals’ mid-year to see, are you on pace to paying your fair share of taxes? If you’re not, of course, we have to adjust that through your employer. Of course, that’s how to get in front of it, just to see, are you on pace to pay your fair share from this year’s taxes? 

[0:22:24] TB: Yeah. Probably what happened, because Joe’s employment is new, he left his old employer, is that the withholding was never set up correctly. Kelly, we know the tax bills, there are things that you can do to reduce that, but at the end of the day, you can’t circumvent that, right? Part of the problem that maybe why they’ve amassed more cash recently if we make that assumption is because we weren’t withholding enough to pay the IRS as we were earning those paychecks. 

[0:22:56] KRH: It’s an excellent first red flag like, “Oh, there’s more in my paycheck than I expected.” That’s probably the first place I would go is withholding. I do think working with the tax professional can be very helpful. I think the purpose of a projection is to minimize that huge surprise like, there’s going to be things that change. Over the course of a year, an average client household might change a job, which we have here, additional family member, the kids going to college, contributing to the 529 accounts can have an impact on the state tax. 

Doing a Roth conversion, at first, I was like, oh, maybe that bill was somebody decided to move a pretax into a taxable account and didn’t have professional advice on what might happen. Lots of things happen over the course of the year. A projection is not going to get to the penny, but it could help eliminate a big unpleasant surprise that would give a couple of months to change the withholding to look at the retirement contributions and get prepared. 

[0:24:09] TB: Yeah. Shout out to Sean Richards at YFP Tax. These are some of the things that he’s going to be doing with clients, a projection to get in front of some of those surprises. The tool that we have here gives a rough number based on last year of like, “Hey, at the end of this, Joe and Jane, we think that you’re going to have to pay about $42,000 in taxes. If we’re halfway through the year and you’ve paid around 20, 21,000, we’re good.” Again, very much broad strokes, but definitely would want to work with a tax professional to make sure that those types of surprises are mitigated because even things can happen at the very end of the year. It could be that Jane got a bonus that was higher than she thought and we have to make sure that the right amount is withheld. 

The other thing that we see for some of these tax surprises is like, if you do have side hustles, you’re making 1099 income and you’re not paying tax on top of that, it might make sense to withhold more from your W2 paycheck just to soften the blow a little bit. That would be one thing that hopefully we’re not going to replicate in the future and get in front of. The last area guys I want to just focus on is the insurance piece. 

We’re not going to get into disability, because I don’t think we have a whole lot of detail on that. But when you look at the life insurance right now, they’re really just showing a life insurance policy through Joe’s employer that’s about 50,000. Jane has 162,000 through her group policy. Obviously, I think with college on the docket, a mortgage, young kids, this is probably insufficient where we probably need to look at policies. Angel, how would you purchase with the client? 

[0:25:49] AM: There are a couple of ways, but I mean, I like to use rules of thumb to begin with. I mean, typically I like to look at our clients’ income, make sure they have either 10 times or 15 times insured, but there’s a formula that we use where it’s very need-based. We look at final expenses, the nationwide average. We look at liabilities that are happening, things like mortgages, things like student loans or other liabilities included in that. Definitely, because you have children, we like to throw in maybe about $100,000 up front if something does happen, if somebody predeceases the other, to make sure that your kids go to college and get educated. Then after that, we just throw in a couple of years of income to make sure that there’s a readjustment period and that any savings that you would have made while you were alive go into an account or your spouse can not take a dip in lifestyle. 

[0:26:46] TB: Yeah. I think you can definitely use the rules of thumb. I would probably sleep more comfortably at night if they had probably a million dollars each at a minimum between the two of them on top of their group policies. I think you can very much break it down by liabilities, adjustment period, all that stuff. I think some work to be done definitely with that. How about Kelly, if we look at the other part of wealth protection, believe it or not, they’re pretty decent. I think when the twins were born, they went through a lot of the state documents. Anything that you would call out here, maybe outside of just updating documents and just making sure that they’re good, that you would want them to work on from a state plan perspective?

[0:27:26] KRH: I’m excited that they have any documents in place, so that was a huge check mark. I don’t know if it’s just our discomfort with this conversation, it slightly surpasses the life insurance in terms of discomfort, but these documents are very important, especially with two young children, but even with a two-person household like, it just makes things so much easier. I’m amazed at the number of stories, I don’t know if it should relate to us, even though it’s famous people that are in the news, just how difficult it is to get through. I feel like there was just a recent article about another famous person in the news who passed away suddenly unexpectedly and his wife has been navigating for months, even though the state laws are friendly for the spouse. 

Always making sure that they’re up to date. Certainly, the guardian is big with having younger children. In this case, they don’t have a trust. That is a conversation with an attorney to see if – oh, actually living trust would be good to add to that. Sorry, I did not see those were not checked off. Yeah, that would probably be the one thing on the list just to make sure if anything is needed there. We are not attorneys at YFP, so we would default to legal expertise, but we can help provide guidance on looking into resources, documents needed, how to have those conversations with each other and with a professional. 

[0:29:07] TB: Yeah. I think this is a phased process, right, Kelly? It’s education of, “Here. These are the things you probably need.” Then bugging clients to get them in place. Then probably the last phase is, I think next level is make sure that you have a legacy folder. It’s all in one spot. The people that know that the people, the guardian, the executor know where to find this stuff. But to your point, it’s a tough one for us to really execute, because unless you have some experience with this, because again, not many of us want to think about our premature death or disability. Definitely the will, the power of attorneys for property, for health, the living will, even a basic beneficiary check, just to make sure that all of the things are where they should be. This tool actually has, I think a pretty good list of the different accounts out there and who’s the beneficiary and who’s the contingent beneficiary. 

Going through that every couple of years, I think is a good, good practice. Probably, just some little bit of touch up to do much more work on the life insurance side from a wealth protection perspective, but pretty okay from the estate plan. We just need to brush it up and make sure it’s current and well-rounded. We’ll leave it there. Kelly, Angel, thank you so much for joining me for this sixth installment of the case study. Hopefully we changed up a little bit. Hopefully this will be meaningful for our listeners out there and really looking forward to doing the next one with you. 

[0:30:37] AM: Thanks for having us. 

[END OF INTERVIEW]

[0:30:40] As we conclude this week’s podcast, an important reminder that the content on this show is provided to you for informational purposes only and is not intended to provide and should not be relied on for investment or any other advice. Information of the podcast and corresponding material should not be construed as a solicitation or offered to buy or sell any investment or related financial products. We urge listeners to consult with a financial advisor with respect to any investment. 

Furthermore, the information contained in our archive, newsletters, blog posts, and podcasts is not updated and may not be accurate at the time you listen to it on the podcast. Opinions and analyses expressed herein are solely those of your financial pharmacists, unless otherwise noted and constitute judgments as of the dates published. Such information may contain forward-looking statements which are not intended to be guarantees of future events. Actual results could differ materially from those anticipated in the forward-looking statements. For more information, please visit yourfinancialpharmacist.com/disclaimer. 

Thank you again for your support of the Your Financial Pharmacists Podcast. Have a great rest of your week.

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YFP 307: Pharmacy Innovators with Dr. Izabella Wentz (The Thyroid Pharmacist)


Best-selling author and entrepreneur Dr. Izabella Wentz (the Thyroid Pharmacist) joins Dr. Corrie Sanders on this segment of The Pharmacy Innovators sponsored by First Horizon.

About Today’s Guest

Izabella Wentz, PharmD, FASCP, is an internationally acclaimed thyroid specialist and a licensed pharmacist who has dedicated her career to addressing the root causes of autoimmune thyroid disease after being diagnosed with Hashimoto’s thyroiditis in 2009. She is the author of three books on Hashimoto’s: Hashimoto’s Thyroiditis Lifestyle Interventions for Finding and Treating the Root Cause, Hashimoto’s Food Pharmacology, and Hashimoto’s Protocol, which became a #1 New York Times bestseller.

Episode Summary

On this episode of The Pharmacy Innovators segment of the YFP podcast, sponsored by First Horizon, Dr. Izabella Wentz (The Thyroid Pharmacist) joins Dr. Corrie Sanders. Izabella is a pharmacist turned business owner and best-selling author. After being diagnosed with Hashimoto’s disease, Izabella took steps to turn her own questions into an answer for others, founding two companies, and writing three books!

Key Points From the Episode

  • Izabella shares her path to working in pharmacy.
  • Life after graduation; Izabella’s first jobs, and how managing her own Hashimoto’s disease influenced her path. 
  • Izabella talks about the process and decisions she made entering into her current business.  
  • How Izabella approached writing and promoting her book. 
  • Reflections on the writing process and the lessons that Izabella has learned along the way.  
  • The practical and financial steps that Izabella took when setting up the business.  
  • Important moments of growth for Izabella’s business with regard to products and personnel.   
  • Izabella lays out her product suite, the different books she has written, and her supplement company.
  • Understanding the momentum and media coverage that Izabella has generated. 
  • Considering how Izabella’s new book can help pharmacists right now.
  • The impact that Izabella’s book has had and some of the amazing interactions she has had with readers!  
  • Izabella talks about entrepreneurship as a way to shape her own destiny. 
  • Advice from Izabella for following a passion and a unique path in the world of pharmacy. 
  • How and where to find Izabella online.

Episode Highlights

“I do this full time. I help people with Hashimoto’s take charge of their own health, and help with all kinds of health issues and manage their lifestyle to get them into remission.” — Izabella Wentz [0:09:54]

“I knew that there was a community of people like me who had been struggling with symptoms.” — Izabella Wentz [0:15:37]

“Hashimoto’s is one of the most common autoimmune conditions in the world, and one in five women might get diagnosed at some point in their lifetime.” — Izabella Wentz [0:16:09]

“I always wanted to write a book. Ever since I was little girl, I would make up books in my head.” — Izabella Wentz [0:19:58]

Links Mentioned in Today’s Episode

Episode Transcript

[INTRODUCTION]

[00:00:00] CS: Hi, guys. Corrie Sanders here, host of the Pharmacy Innovators segment of the YFP Podcast. Pharmacy Innovators is designed for pharmacists navigating the entrepreneurial journey. In this series, we will feature individual founder stories and strategies that will help guide current and aspiring pharmacy entrepreneurs.

Today, we featured Dr. Izabella Wentz, who successfully developed her national brand as the thyroid pharmacist. Dr. Wentz is author of three New York Times or Wall Street Journal best-selling books, and has been featured in places like USA Today, and Men’s Health, and on the Fox News Channel and 700 Club. Our discussion highlights the importance of intentional growth, networking outside of pharmacy, and leveraging experience to find a career that aligns with personal passions. Dr. Wentz recently released her latest book, the Adrenal Transformation Protocol that will be linked in the show notes. Without any further ado, and as our first guest on the Pharmacy Innovators segment, Dr. Izabella Wentz.

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[INTERVIEW]

[0:02:10] CS: Izabella, why don’t we start with a really easy question. Let’s just start with your journey into the profession. Where did you go to pharmacy school and how did you get led into pharmacy in the first place?

[0:02:20] IW: Well, I grew up in Poland and I grew up in a medical clinic. Our residence was actually attached to the medical clinic because my mom was a town doctor. I would go everywhere with my mom. I don’t know, I don’t think they had babysitters back in the day in Poland. I remember I would go to pharmacy runs with her. I stepped into the pharmacy, and the pharmacists were just lovely, and loved looking at all of the medicines on the shelf. My mom told me that pharmacists help people, and they give them medicine to heal them. I thought, I must have been maybe five or six years old, and I thought to myself, “I’d like to be a pharmacist one day, right?” 

As I was going through high school, as I was going through trying to figure out what I wanted to do in life, I was really interested in chemistry, and I was really interested in helping people, and I was hoping to maybe find a cure for disorder. I had this amazing teacher in high school, Mr. Airy, it was called public service curriculum class that I joined, and he would give us all kinds of exposures to – if we were interested as a junior in high school to, you know, in like social work, then he would give us an internship at like a clinic, where we’d be cleaning up the kids’ toys. But we thought it was important as high school students. We got to experience some of these amazing, credible professions. 

I told him that I was interested in pharmacy, and so he’s like, “Oh, okay. Interesting.” Then a week later, he comes back to me with this fax of some sort, and he’s like, “You have to call this pharmacist and they’re a few towns over from where you are, but they’re looking to hire pharmacy technicians. I had just turned 16, and so I went to this job interview, and I got hired as a pharmacy technician. I don’t know if this still holds true, but I was the youngest person that became a certified pharmacy technician in Illinois at age 17. And I started working in the pharmacy at Walgreens, and loved being a pharmacy technician, and really enjoyed it, and really loved learning about medications. I really loved learning about physiology, and biochemistry, and medications. I went to University of Illinois for undergrad, and majored in pre pharmacy, and then — go [inaudible0:04:36].

Then, after that, I applied to Midwestern University College of Pharmacy in Downers Grove, Illinois, and was fortunate enough to be accepted and was in a beautiful class for four years and got my PharmD in 2006.

[0:04:53] CS: Amazing. Amazing. I love that you had such a great read on the profession so early on in your life. That’s really, really an amazing opportunity that just led you to step right into the path of full force, it sounds like.

[0:05:06] IW: Absolutely, I definitely knew what I was getting myself into, and I was excited, and I really enjoyed it. I was super excited to learn more about medications, and all of the things, right?

[0:05:19] CS: That’s right. The never-ending list of things that have to do with pharmacy practice. So you graduated from the University of Illinois. Then, where did you transition from there? What was your first job in pharmacy? Did you stay in the community setting? Or did you ultimately transition out of that space pretty quickly? What that looked like for you?

[0:05:36] IW: When I graduated, my fiancée at the time, who’s now my husband was accepted into graduate school in Arizona. I ended up working for a company that was doing phone consulting. It was like a hospice, Excel RX, an East Coast-based company where I did that for some time, where I was in a clinical position working with hospice patients, and the nurses, and taking phone orders, making some adjustments, and recommendations based on that. Then I ended up wanting to stay a little bit closer to home. I ended up working at a pharmacy at Target Pharmacy in Scottsdale, Arizona.

After that, my husband ended up getting his MBA. It was a master’s program and we moved. At that point, we moved to Los Angeles, California, and I had had a little bit of trouble getting my license over in California. It’s like such a long process. Oh my goodness, right?

[0:06:37] CS: Right. Notoriously difficult.

[0:06:41] IW: So I worked as an intern at Lorena Pharmacy in East Los Angeles, which was a fabulous experience. They filled just a super, super busy neighborhood pharmacy, where people would walk in and everybody spoke Spanish, and got some really great experience with some prescriptive authority, and kind of collaborative practice agreements with physicians in the community. That was a super fun experience. 

Then after that, I, I really wanted to use my clinical skills. We ended up moving again. I wanted to focus on helping people with developmental disabilities because that had been my prior work in my rotations. A big interest of mine in high school, in pharmacy school. I ended up working at a case management company in California in the South Bay Area. I was the clinical consultant pharmacist on staff. I helped social workers to help their patients have the best potential medication outcomes. What that meant is, I was going into group homes a lot of times, and looking at people’s medications, and making sure they weren’t having any adverse drug reactions. I was oftentimes making a lot of recommendations to get people off of drugs or perhaps recommending medications that they should have been on, perhaps recommending some lifestyle changes, looking for alternatives for them. That was a nontraditional route. 

Then, I moved back to Chicago for my husband’s job. At that point, I worked for GlaxoSmithKline in pharmaceutical sales, which was a really fantastic experience as well. I got to see a little bit of how the inner workings of that went. Kind of throughout that process, I was actually diagnosed with Hashimoto’s when I was at the consulting pharmacist job. I was going into different pharmacies as part of my sales rep position, and I remember talking to these brilliant pharmacists. Some of them had their own pharmacies, and they were giving me all this information that I hadn’t really learned about at this point. And they were talking about lifestyle medicine and integrative medicine.

I would come and talk to them about asthma and our asthma drugs. They were like, “Did you know that fish oil can be really helpful for inflammatory conditions?” This was really fascinating. They would talk to me about probiotics, and they would talk to me about adrenal dysfunction and adrenal fatigue. I was like, this is really, really cool. My job was to actually call on pharmacies as a pharmaceutical sales rep, and I got to meet so many brilliant pharmacists in the Chicago land area.

Throughout that process, I really got into like the integrative lifestyle functional medicine. I used to drive a lot in pharmaceutical sales. So I started reading Dr. Mark Hyman’s audiobooks, started listening to them while I was driving. I just started utilizing a lot of these functional medicine things, started doing my own research, and I was able to get my Hashimoto’s into remission while working in pharmaceutical sales, and then later in public health. Ended up writing a book about Hashimoto’s and it’s been 10 years since it’s been released. Right now, I do this full time is I help people with Hashimoto’s take charge of their own health, and help all kinds of health issues manage their lifestyle to get them into remission. I talk about using the right medications. I also talk about all the other preventative measures and lifestyle things. The root causes. 

Kind of a long resume. We moved a lot because of my husband’s job. I felt like I always had to learn a lot of new things and I had to get really good at networking, and kind of finding the right opportunities in every city that I lived in. We lived in Los Angeles, we lived in the South Bay, we lived in Chicago, we lived in Scottsdale. We now live in Austin, Texas. We’ve lived in Colorado. It was always – you really have to as a pharmacist, if you are looking for these opportunities outside of the traditional route, you really I feel like have to get good at connecting with others, and being able to figure out what your own possibilities might be.

[0:10:55] CS: I think you summed that up so, beautifully about being able to thrive in different environments, and being able to work with different groups of people, or being able to find a situation that you can contribute to, even though it might be different than the practice setting that you were in before. I mean, just based off how many times you moved, and what your career path looks like, before you even got diagnosed with Hashimoto’s, and ultimately got put on a little bit of a different trajectory just goes to show the great utility of a pharmacist. If you’re aware of tuning into your environment and the services that you can provide, how you can be successful as you move through different avenues of pharmacy and different areas of practice. Kudos to you, that’s really, really amazing.

That alone, even if we don’t talk about the rest of your career, I feel like it’s pretty inspiring in and of itself. Let’s talk about – and you’ve done a great job of really talking about this on different platforms, different podcasts, and different interviews in all over your website. Your diagnosis with Hashimoto’s, and what that ultimately looked like and where you were in your career during that time. 

I know you mentioned you are working for GSK. At what point did you start really diving into that disease state and thinking about, “Wow, okay. This is something that I want to pick up full time and this is how I’m going to do it”? Can you talk a little bit about kind of that transition, and getting all that information, and really taking control of the market, or doing a market analysis, and in finding where you can provide value?

[0:12:25] IW: Sure. I got diagnosed living in California working in the consultant role. My job was to help people who were not able to advocate for themselves to advocate for their health. A lot of times, I was working with people with developmental disabilities, and people with really complicated health conditions, multiple medications. Some of them had mental health diagnoses as well. Some of them had rare genetic disorders. There wasn’t really a standard of care for them.

A lot of times, I was looking for answers for my clients that weren’t necessarily readily available. I would look for answers on PubMed, I would look at patient forums. I would talk to parents who had children with maybe the same condition or try to get information from the genetic conferences for all of these different conditions to try to figure out like, what can I do for this person that has this rare condition. Can we utilize a different kind of therapy maybe that’s off label use or maybe something, right? Why is this beautiful little girl with cerebral palsy, why is she hitting herself all of a sudden? She’s nonverbal, what can that mean? What could that mean? 

A lot of times, I would learn that people who weren’t able to speak up and advocate for themselves were in pain, and that caused them to be aggressive against themselves, aggressive against others. Just throughout that position, I really had to study and learn a lot, and learn how to be a researcher to help advocate for my patients, and clients. Then when I got diagnosed myself, I was like, by that time I had learned, I had seen that not all doctors are created equally, right? Sometimes the answers are there if you dig deeper enough. One client that we had worked with had all these psychiatric issues that somehow vanished when she went on a gluten free diet. She had celiac disease, right? I was just like, “That’s really interesting.” Of course, there’s a lot of research to support that people with celiac disease, can have other manifestations outside of their gut health. These things can be helped by going gluten free. 

Then, I just got in this rabbit hole searching for answers for Hashimoto’s. First, I was kind of like paralysis by analysis. I was like, “What can I do better?” I ended up finally being able to kind of take charge when I was working at the GlaxoSmithKline, is when I had – just changed my diet around, and started adding some more things into my routine, learning so much from people that I was meeting along my journey. Then, I kind of ended up working in public health where we were looking at like a root cause analysis to healthcare quality improvement. I was like, “Ah, the root cause. What is the root cause?” I kind of took that approach that we utilized with people for health care, like adverse drug events, and things of that nature. I was like, “How can I do that in my own health?” 

I ended up dialing in and figuring out how to get myself really, really well. I didn’t necessarily like do a market analysis, right? So I didn’t do a business plan for Hashimoto’s. But I knew that there was a community of people like me who had been struggling with symptoms. They were Facebook groups that I was a part of, that people had Hashimoto; and they were searching for answers, just like I was. I thought to myself, once I kind of recovered my health, I need to write this down, and I need to get this out into the world so I could help more people.

That’s how I ended up getting started is, really just – I had a huge passion to get the message out to help people, knowing that Hashimoto’s is one of the most common autoimmune conditions in the world, and one in five women might get diagnosed at some point in their lifetime. This is very relevant. Synthroid has been the top prescribed drug like every other year, unless you count opioids. I mean, I wasn’t necessarily worried about people not having it. I know, somebody in my family said, it’s like, “Well, what if you reached everybody in Hashimoto’s?” I’m like, “Well, there’s a lot of people. I’m pretty sure they need my help, right?” “What if you reach every single person with Hashimoto’s?” “Well, that would be amazing if I did, but there’s so many of them.

I’m sure there’s at least a few of them that could benefit from the information. Honestly, it was just passion, and trying to get the message out there that got me started and got me excited about it. But I didn’t quit my job, right? So I wasn’t like, “Okay, I’m going to quit my job, write a book, and just be a full time Hashimoto’s expert.” I use the time after work to work on the book, once I [inaudible 0:17:09]. Then, I had flex time at work. I would do, you know, like a day off every two weeks if I worked an hour extra, right? I utilize that time very wisely to really work on my book. Then, once my book became more popular, and I used a lot of social media to get the word out about it, then I was like, “Okay. How do I replace my salary as a pharmacist?” Then, it was about 33 books a day. I had to sell that many books to replace my salary.

I got to that point, and when I was comfortable that the books were selling, I was able to replace my salary. That’s when I transitioned over to working full time as the thyroid pharmacist, which also coincided with my husband having a new opportunity in Amsterdam, Netherlands. I was not licensed in the Netherlands, nor did I want to become licensed. I was like, “Okay. It’s either this or nothing, right?

[0:18:09] CS: Here we go. Yes. It’s one thing to get licensed in another state, but it’s a whole another thing to try to look at licensure in another country, I’m sure.

[0:18:17] IW: Yes, in a foreign language and I was like – I just – I really need to focus on, this is my passion. I really, really want to help people, I feel like people could really benefit from kind of the dots that I’ve connected along my own journey. So 2014 is when we moved to the Netherlands, and I was doing this full time from that point forward.

[0:18:37] CS: Wow. That is amazing. I just want to highlight. I feel like you’ve said so many important things, just in that journey alone. One about learning that not all doctors are created equal. But you know, not all pharmacy school curriculums are created either and not every curriculum can fit in all the nuances, and intricacies, and off label uses of every single disease. From your own personal experience, really dove into finding that niche, and not even having to do market analysis, because you knew that niche already existed, you understood the need, and you really skipped – I mean, what would be a large amount of business plan steps or steps to create a business just based off your experience alone, which is – I mean, that’s so amazing that you knew that the work you were doing was going to be impactful just right off the bat because you were you were already in that space. Let’s talk a little bit too about when you’re writing your book, and I know you said you were, you were doing it after work and outside of your nine to five.

But what were some of the biggest lessons from that journey, and have you always had a passion for writing. How did you decide that, you know, a book is the best way I’m going to go about. Really creating this resource for my patients, and for people with Hashimoto’s. Why a book, why not a Facebook community, or a different means to engage with an audience? How did that come about?

[0:19:58] IW: I always wanted to write book. Ever since I was little girl, I would like make up books in my head. Fun fact is, my mom is an identical twin, and her daughter, Olivia, who looks like me lives in Poland, and she’s a novelist. She’s published four novels.

[0:20:15] CS: So it’s in your blood?

[0:20:17] IW: You know, they’re like fantasy fiction. The target audience is 17-year-old girls, and we used to be pen pals, right? I’ve always had a passion for writing. I used to write terrible poetry in my teens, and even enjoyed writing projects in undergrad, and in pharmacy school, right? That was always interesting and fun to me. I decided to write a book, because I also had another cousin in Poland that was diagnosed with a condition. I was like, “Okay. If I can write a book, and my mom can translate it, then at least, somebody will have a guide.” Then my husband who started running ultra-marathons, he had written a book about ultra-marathons, and he wrote this book and self-published it. He kind of paved the trail for me, right? Because he figured out how to do the self-publishing, and all of that.

Then I took a course called – what is it called? The Author Within. When I was living in Scottsdale, there’s this lovely gentleman from Sedona, who has crystals, and talks about how you can bird your book. He had a talk at a community college that I went to on my day off of pharmacy school. His method is basically, you just sit down, and you just keep writing, and you can take a little bit of time every day. So you spend an hour a day. If you have writer’s block, then you do editing. If you don’t try editing, then you do researching. But just like, spend an hour a day on this and just work on it.

I started it may be like in 2011. Then, the research, I got diagnosed in 2009. Research took a lot of time, but the book was published in 2013, in May. I was a very cathartic process. It’s like, by the time you’re almost done with your book, you can’t stamp it. It [inaudible 0:22:05] with every four of my books. It’s kind of like – I feel like tort. You know you’re almost done with it, where you just want to be done with and kind of feels like pregnancy when you’re like nine months pregnant, and you’re just like, I just don’t want that baby out, right?

[0:22:21] CS: Yes. Or like musicians, you hear about by the time the final edit is done, and they have to go to a concert, they hate their own music, because they’ve been working on it for so long. I’m sure it’s very, very similar. Izabella, you kind of answered my question. I was going to say, who were mentors in the writing space? How did you kind of navigate your way down that path? It sounds like, you know, it’s in your blood. You had an aunt who was going to help you, and then your husband, of course, had already written a book. But what about business – oh, he hadn’t written a book.

[0:22:50] IW: He had written a book, but my cousin, she actually wrote a book. She wrote books after I wrote my books. I feel like it’s amazing when somebody in your network does something. Because then, it makes it possible for everybody around you, right? I remember telling my friends in the pharmacy space that I was going to write a book about – that I was going to heal my Hashimoto’s, and I was going to write a book about how to heal Hashimoto’s to help other people with Hashimoto’s heal their Hashimoto’s. And I was going to do that full time and not work, and that was going to be my full-time job. They’re like, “Yes, great.”

[0:23:27] CS: Did you have any mentors in business? That’s a whole another thing, right? You’ve got the mentors in the publishing and the writing space. But where did you turn to for guidance, just with business in general, and running your business, what payroll looks like, and how you’re paying yourself, and getting an LLC started, all those business-oriented details. Did you turn to anybody or any resource for guidance in that respect? Or did you just kind of trial by fire, push forward, and see what happens?

[0:23:56] IW: I set up an LLC, like in our local towns. I just went in and I was like, “Okay. I need to have an LLC. My dad has his own business, so I got to ask him a lot of questions. I know in pharmacy school, we had a management class, so that was also very helpful. My husband has a degree in finance, and so that was super helpful, basic budgeting things. A lot of people within the business space, I know a lot of entrepreneurs, like they don’t count their money. I think in pharmacists, like counting is in our blood, right? 

It’s like you set up a spreadsheet and you say like, these are your expenses when you have a business and you count everything. We have a line item for like your pharmacy license renewal, you have a subscription for your website, how much does this professional education course you take? You go through, and you make a list of every single thing that you’re spending money on, and then you also have a list of all of your, you know, where’s the money coming from? Is it coming from consulting? Is it coming from books? Is it coming from so on and so forth?

You want to make sure those numbers are balanced every month. Because if not, if you’re spending more money than you’re making, then you have an expensive hobby, not a business, right? You have to manage that. I’m very fortunate enough. My husband has that degree in finance, and he was working for Morningstar at the time. He was busy with work, and he was so helpful to advise me, but I did go through a lot of working with accountants, and setting things up, and the bookkeepers, and so on and so forth. Then, as far as like setting that up, that’s kind of one part of it, right? As far as the marketing and the business end, I do have an amazing mentor for that.

[0:25:41] CS: Yes, that’s amazing. I so respect your story because it sounds like you were really building this business. Then it just happened where you and your husband needed to move, and it was the right time to jump, and all the stars aligned. And you were like, “Okay, here we go.” There’s a component of do or die at that point in your life, but you had spent so much time really building out your niche, and your product, and it just ended up ultimately working for you to be like, “Okay. I’m going to pull the trigger, and here we go, full steam ahead. We’re moving to Amsterdam.” 

But yes, all those other components can really bog someone down. I think having an idea, and having either that product, or that service in line is one great thing. But it’s so easy to get caught in the details, or analysis paralysis of really getting that business up and running. Thank you for sharing your resources, and just the importance of having people you can tap on within your own network, and the importance of mentors to help kind of fuzz through all the mess that can get caught in your head during a transition like that.

How has your business scaled over time. Let’s first talk about your books, and then I’ll let you elaborate because I know you’ve got a line of products that are actually in the shelf behind you right now, for those of you that are watching. Her books and her supplements are behind us. Let’s talk about how your business evolved in the products, and then also how it evolved with your team, and what that looks like, and what that timeline looked and felt like for you.

[0:27:03] IW: Sure. In 2013, I was working full time. Then, I launched my book in May of 2013. Then right around October is when I left my job, and started working on my business full time. Part of that was focusing on consulting. I would see clients with Hashimoto’s and help guide them on their own health journey. That is part of that. Then, also the book sales, right? Then, in 2014, I transitioned more to work focusing on the business full time. At that point, I had the book sales, and then I had consultations. I also set up an online dispensary where people could buy supplements for me that I was recommending, rather than having them go on like Amazon or try to – initially, I was like mailing them all out from home to people. That was like, “Okay. That’s just not happening, right?”

I set up an online dispensary that allowed people to buy really high-quality supplements from the online dispensary. Then, I collaborated with two amazing people, Andrea Nakayama and Dr. Alan Christianson. We created an educational summit for people with Hashimoto’s called The Hashimoto’s Institute, where we interviewed a whole bunch of experts. So, that was one other part of the business that I focused on in 2014. At that point, I was a solopreneur with my husband coming to help me after work, because that was a lot of work. I was working really, really long days, and having a lot of success, but a lot of things to manage. I was like, “Ugh.” I was writing my website articles, I was consulting, I was building out this platform, I was answering people’s questions through email, I was answering people on Facebook. It was a lot.

We were fortunate enough that our income was able to replace my husband’s salary at that point. So then in 2015, my husband and I moved to Boulder, Colorado, and he came to work for our business full-time. He was like our first employee and that was really fabulous. It was super fun that we both got to work from home and we got to go hiking with our dog. Then we brought on an online business manager to help us manage a lot of the moving pieces of having an online business. With that, she was able to hire a copywriter to take some of the load off of me to write things, and she was able to hire a designer, so these are all contractors. I made like the worst like art. Not my thing. I’m good at a lot of things. Drawing, and art, and web design, not my thing. 

[0:29:49] CS: It’s a different beast. It’s okay.

[0:29:52] IW: We hired somebody to make things look a little bit more pretty at that point. But prior to that, I had screenshots of things, and my drawings and word for our images. We brought on a wonderful team and then some customer service, because I was just getting so many emails with questions, that there was just – I couldn’t keep up, I could answer emails all day long and do nothing else, and I couldn’t get through them all. We ended up creating like a question database, because I realized that a lot of the questions were the same, right? We took some of our top questions, and then created answers, and then we hired people to go and provide those answers. 

Then, for whatever people were asking about, I would start writing articles about that. I hadn’t talked about what happens when you lose hair with Hashimoto’s. I ended up writing an article about that, so that my customer service team would have a resource to send to people asking questions. I think the business was just really built on helping people. People are like, what’s the secret? How did you grow so fast? How did you get to have over 400,000 followers on Facebook? How did you grow so quickly? You came out of nowhere. I was like, “I really just focused on every single person that reached out to me. I would try to help them and give them a little bit of an answer. I can’t provide medical advice over email, but you’re asking me these questions. I’ve written an article that will hopefully help you advocate for yourself, that will give you some tools, or here’s a copy of my book, it has pretty much all the information you need if you have Hashimoto’s.”

That was kind of the process in focusing on that. In 2017, we kind of had a big year, where we created a documentary series that reached over 500,000 people, called The Thyroid Secret. We brought in a lot of awareness about thyroid conditions that way, and then we also released my second book, The Hashimoto’s Protocol, and then a supplement line called Rootcology. In addition to that, I have a cookbook, and then I just am releasing my fourth book called The Adrenal Transformation Protocol in April. Then I have supplements, I have books, and then also online programs where I teach people how to take charge of their own health.

The program that I was trained in when I was working in public health was diabetes self-management program. My job was to go into various clinics, and teach practitioners, teach dietitians, or nurses, or pharmacists to run and try to set up these self-management programs, where it would be essentially like an educational group for patients. These empowered patients usually had better outcomes with diabetes, so I’m like, “I want to do the same thing for Hashimoto’s.” So I have Hashimoto’s self-management program that I created where people can take this online, and it’s 12 modules.

They can go through, learn about what lab tests do they need from a functional medicine perspective, how to make sure your thyroid hormones are optimal, how to reduce your thyroid antibodies, what are some potential triggers. It goes over like pretty much everything you need to know to take charge of your own health with Hashimoto’s. The online program is part of our product suite, as well as supplements.

[0:33:15] CS: Which is amazing. I want to highlight two things you said there, and one is about not really having to recreate the wheel, right? You looked at this diabetes model, and you were like, “Wow, this is something that I can apply to my specialty area, and be able to use that kind of structure and really take it, and run with it in a really meaningful way.” Even though it wasn’t necessarily market analysis specifically for Hashimoto’s, it’s great that you were able to take those lessons, and then apply them to your own business to help kind of streamline and guide where you were going. I think that’s really meaningful and that’s a great takeaway.

Then something else you said is, really staying true to your model of helping people. I think that probably opened a lot of doors for you, and dictated where your business was going, because you were like, “I have to answer all these emails. All these people need my help.” Then, having that constant revolving door of feedback of okay, this is what people need, here’s the articles that they’re looking for. These are the questions that they don’t have answered. I think that’s a really great meaningful way to connect with your audience, and then ultimately be able to provide them with something substantial that they can walk away with, after having an interaction with you. That’s so great.

The next question I want to ask is, you’ve gotten so much attention, and you alluded to this, in 2017, having a really big year, but you’ve been very modest throughout this entire conversation with some of the traction that you’ve had. I mean, you’ve been interviewed on the Wall Street Journal, and New York Times, The 700 Club. How did you ultimately tap in to really those big national conglomerations and really tap into this big national momentum? Where did that start, and then how did that evolve over the last few years?

[0:34:50] IW: I would say I’m a super friendly person, and I love meeting new people. So I would go to different conferences, where I would go to the IFM or A4M, and just try to meet different people. Eventually, one of the people that I met, Dr. Alan Christianson introduced me to a mastermind group that was hosted by, and it still is by JJ Virgin called the Mindshare Collaborative. I ended up meeting a lot of amazing, like- minded individuals there. It was a great kind of networking opportunity where I got to meet my agent, Celeste Fine. She’s my book agent. 

Then, my first book was self-published, but I was able to get a few book deals. HarperOne was a wonderful partner to work with. Then, of course, the publishers have amazing connections. So then, they were able to get me some media exposure. I think it’s just taking advantage of every opportunity too. Whenever I meet people, I’m always offering to help people. I will tell you that like nine out of 10 times, people don’t follow up. When people are always wanting to help others, and especially people that are maybe, you know, they see somebody that is just getting started. They have experience in that, and they’re happy to share, because sometimes it’s like, you go through the process of discovery, and you’re just like, “Oh, wow. I figured this out, and I’m just happy to share with another person how to do, maybe make it a little less, less of a steep of a learning curve.

Whenever people would offer to help me with something, I would always follow up. I would say like, “Hey, we met here, and you said something about this. You gave me your business card.” Hello, it’s me. Let’s follow up. I think a lot of people don’t do that. But at least in my experience, and I think those are some of the things my business coaches have said, as well, as like, most people don’t follow up on the opportunities that are presented to them.

[0:36:44] CS: Mm-hmm. That’s amazing. Amazing. It goes both ways, right? Especially in such a virtual world, I feel like everything can be connected through LinkedIn, or Facebook. But if you’re reaching out one on one in email, with a specific instance in mind, I feel like that connection just holds so much more weight and carries you even further to be able to advocate for your business. That’s really meaningful. Thank you. Thanks for sharing.

The last thing I want to talk about is the book that you have coming up, so you’re talking primarily to an audience of pharmacists, instead of maybe patients or physicians. Hopefully, this is a group that you really connect with? What do you want to talk about with this book? How can this book help pharmacists and patients? And how can pharmacists use this just in their career? Or how can they share this information with those that they help?

[0:37:31] IW: Sure. My new book, adrenal transformation protocol is focused on the stress response, and burnout, and how to get somebody out of that burnout state. When I was going through pharmacy school, I kind of started learning about all these health conditions, and there was always a lifestyle component. I thought to myself, wouldn’t it be great if I was able to reach a person, and really coach them through having a healthy lifestyle, so I could prevent them having illness, and having to prevent taking medications, right? Or really feeling their best, and thriving with medications. 

The book is really focused on a syndrome or condition. It’s not a disease. It’s kind of like what happens when our body gets stuck in survival mode, and people will have really nonspecific symptoms. They’ll be anxious, they’ll be fatigued, they might have brain fog. They’ll feel wired or tired, so they might be – people that are having a hard time falling asleep at night, or they have on a refreshed sleep. These are your people taking Ambien. These are your people taking thyroid meds. These are your people taking antidepressants, anti-anxiety medications, where they don’t have a disease, they don’t have a disorder, they just feel off. Part of that is like, their lifestyle. Their lifestyle is stressful. My protocol focuses on getting them out of that stress response. We utilize this five sending targeted safety signals.

We do things like making sure that they’re connected with a circadian rhythm. Sometimes, taking an Epsom salt bath, and sleeping in a dark room can work better for people, and like they may not need to take Ambien, right? Or people with anxiety issues, sometimes eating more protein and fat throughout their day, that can be really stabilizing for their anxiety. A lot of times people will have these cortisol swings that can make them very, very anxious. That’s kind of the big focus of getting people out of that survival state. If you’re working 12-hour shifts, you’re not sleeping well at night, you’re eating like fast food on the go, and you’re kind of in that work state. There’s a chance that you’re in that survival mode too. And getting something like this worked into your routine, and trying it for your own self is where I would recommend. Then if it works well for you, then consider recommending it your patients. 

[0:39:54] CS: I was going to say, you’re probably actually speaking to a lot of pharmacists right now after COVID, or healthcare professionals in general that are living in this constant state of burnout that we hear about. So, you know, I originally asked the question for the patients, but pharmacists too at any other health care professional. This is going to be something that’s so meaningful to them, that they can hopefully take away a lesson or two. 

But I will kind of wrap things up now. I’ve just got a couple of quick questions just to ask about entrepreneurship in general, and some fun ways for you to reflect on your career journey so far. What has been the most memorable part or thing that has happened to you as a business owner and why?

[0:40:31] IW: I would say the most amazing things has been, when I meet people that have read my books. It’s usually at target when I have no makeup, and –

[0:40:41] CS: Of course.

[0:40:44] IW: And my son’s screaming for more toys. They will say, “Your book really changed my life. I used to be exhausted and overwhelmed. I had a lot of health issues, and your book changed my life.” That to me is so meaningful, to be able to help somebody from a distance, and meet beautiful people that have been helped by my work. That’s the most meaningful for me.

[0:41:12] CS: Yes. That, I mean, just speaks to who you are as a person too, right? It’s not some accolade. It’s not some interview. It’s not a big publication. It’s like at the root core of your business and what you’re looking for, it’s helping people. That’s so beautiful that you share that. That’s what really inspires you to keep going too. What is your favorite part about being an entrepreneur in general?

[0:41:31] IW: I think it’s kind of creating my own destiny and having the opportunity to be creative, and utilizing my talents to help others. Where I feel like I really love researching, and I love connecting the dots. That wasn’t always appreciated and more like, you know, you work at a corporate chain, and I’m like, “I think it would be really great if we restructured the business, and we offer this kind of service, and we did that.” They’re like, “Yes. I don’t think corporate is going to go for that, right?” That’s the thing. So just having that opportunity to be like, you know what, I really think my community needs to have access to something like this and being able to create it. Like being really customer-focused versus being like, I’m so focused on the corporate –

[0:42:19] CS: A metric whatever it is that the business needs. Yes. Yes. Definitely having that control is – you can change that at the drop of a hat when you’re in charge of your own company. It’s nice to be able to have that kind of power so quickly. 

Then the last question I’ve got, one piece of advice for anyone that’s contemplating a non-traditional pharmacy path.

[0:42:38] IW: Huh. I think it’s a great idea to find something that you’re very passionate about, and something that you really, really enjoy. Going in that direction, so perhaps, if you’re like writing, there’s like medical writing opportunities, very traditional ones. But then also like bloggers, so you can become a professional blogger. Some of them make more money than pharmacists, or you can be hired as a writer for professional blog. I know there are blogs that have pharmacist on staff that do their writing for them. Following your passions, and following what kind of sparks for you, I feel like that would be a great direction to go. Because, I mean, if you want it to create your own business, and if you want it to go that direction – people say like, with the pharmacy, you can kind of clock in and clock out. It’s not like that. When you have your own business, you really have to care for it in every aspect of it.

It better be something that you really, truly believe in, and that you’re passionate about. Otherwise, it’s like, if you just kind of focus on like, “Oh, I’m going to do this thing, and it’s going to make me lots of money.” Then you’re like, “Wow, I thought carpet cleaning was going to be the thing. but it turns out that carpet cleaning is just not my thing, or whatever it is.” I feel like pharmacists were very analytical. I think that’s such a huge plus. At the same time, we want to focus on connecting with that other part of our brains too, that helps us realize like, what are we passionate about? Where can we make a difference? And kind of doing the things that maybe other people aren’t willing to do and creating opportunities. 

I think one piece of advice I would give is, when I was first approaching agents with my book, a lot of them were like, “Oh, you’re a pharmacist, you’re not a doctor.” I don’t know if we could publish this. And I was like, “Okay, I’m going to self-publish it.” It’s sold over 100,000 copies. It was the first self-published book to make the New York Times, something to that. I was just like, I just need to get this message out, and I need to get people – I already knew the target audience because it was me. So other people might want to do a better analysis than I did. But definitely, if you’re a part of your target audience, that makes things a lot easier. And if you’re passionate about functional medicine, if you have your own transformational story of how it changed your life, or something that changed your life, that you’re willing to get behind, I think that could be a great opportunity, right?

[0:45:13] CS: Yes. That ultimately is what’s going to carry you throughout the tough times in your business. Because, like you said, it’s not a traditional clocking-in and out anymore. You’re in control of your own destiny, which is so great, but you’re also in control of your own destiny when things are bad. So being able to really go back to the core of why you started what you did will have a really meaningful return in the long run. I’m so happy that you took the time to be with us today. You are so well-rounded, and so well-spoken, and have such an amazing amount of experience to speak from. Where can the audience find you if they want to get in touch with you? What’s the best way to do so?

[0:45:47] IW: Sure. My website is thyroidpharmacist.com. My Instagram is @izabellawentzpharmd. Then, my books are available on Amazon, and Barnes & Noble, wherever fine books are sold.

[0:46:00] CS: Amazing. You can be a household face to anyone who’s in the audience today. You could have Dr. Izabella Wentz’s book in your home at any point in time. So we’re excited for your next book to come out. I just want to say thank you again, for taking the time to speak with us. I think this is really going to resonate with a lot of listeners, not only about the unique opportunities, and niches that are available for you to step into as a pharmacist. But you are just a perfect example of how far you can take your success, and how you can span into different areas of business, and still remain successful, and mentally sane, and still be a normal, great human being. 

That’s really just excelling, I feel like in every aspect of your career. So thank you again for taking the time to be here. We will leave a lot of those connections to Dr. Wentz’s website and her products in the show notes.

[END OF INTERVIEW]

[0:46:48] TU: Before we wrap up today’s show, I want to again thank this week’s sponsor of the Your Financial Pharmacist podcast, First Horizon. We’re glad to have found a solution for pharmacists that are unable to save 20% for a down payment on a home. A lot of pharmacists in the YFP community have taken advantage of First Horizon’s pharmacist home loan, which requires a 3% downpayment for a single-family home or townhome for first-time homebuyers and has no PMI on a 30-year fixed-rate mortgage.

To learn more about the requirements for First Horizon’s pharmacist home loan, and to get started with the pre-approval process, you can visit yourfinancialpharmacists.com/home-loan. Again, that’s yourfinancialpharmacists.com/-loan. As we conclude this week’s podcast, an important reminder that the content on this show is provided to you for informational purposes only and is not intended to provide, and should not be relied on for investment or any other advice. Information in the podcast and corresponding materials should not be construed as a solicitation or offer to buy or sell any investment or related financial products. We urge listeners to consult with a financial advisor with respect to any investment. 

Furthermore, the information contained in our archive, newsletters, blog post, and podcast is not updated and may not be accurate at the time you listen to it on the podcast. Opinions and analyses expressed herein are solely those of your financial pharmacist unless otherwise noted and constitute judgments as of the dates publish. Such information may contain forward-looking statements, which are not intended to be guarantees of future events. Actual results could differ materially from those anticipated in the forward-looking statements.

For more information, please visit yourfinancialpharmacist.com/disclaimer. Thank you again for your support of the Your Financial Pharmacist podcast. Have a great rest of your week.

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YFP 306: Investing in Yourself


Erin Albert, PharmD, JD, MBA joins the YFP podcast to discuss why you should approach your career development like you do your financial investments.

About Today’s Guest

Erin L. Albert, PharmD, JD, MBA is Vice President of Pharmacy Relations and Chief Privacy Officer at Mark Cuban Cost Plus Drug Company, PBC. She is both a pharmacist and an attorney. Prior to joining Mark Cuban, she worked in a variety of pharmacy roles, including pharmacy benefits, taught pharmacy students at Butler University College of Pharmacy and Health Sciences for over a decade, served as a director of content for two different ACPE accredited Continuing Pharmacy Education programs, consulted in both fee for service and managed care Medicaid, worked in the pharmaceutical industry in a variety of roles—(including pharmacovigilance, clinical trials, medical affairs, and medical marketing), and in community practice pharmacy as a staff pharmacist and pharmacist-in-charge. She is also a freelance writer and author of over a dozen books, and podcaster (at The Edutainer Podcast.)

Episode Summary

Investing your money is one thing, but people often overlook the fact that they should also be investing in themselves. An article in the Wall Street Journal in late 2022 suggested that “The Best Investment to Make in 2023 Is in Yourself” and that people should treat their own career development like they do their investment portfolios. To discuss, we are joined by Erin Albert, PharmD, JD, MBA. Erin is the vice president of pharmacy relations and the chief privacy officer at Mark Cuban Cost Plus Drug Company. In addition to being a pharmacist, she’s an attorney, author, and podcaster. She explains the concept of investing in oneself by building a portfolio of how we spend our time and money and how she applies this to her own life. She talks about the five categories that make up her professional development portfolio, how often she revisits this framework, and what it looks like to pay herself dividends along the way. She also talks about what she looks for in education and training programs and how her personal brand and network have accelerated the achievement of her goals.

Key Points From the Episode

  • An introduction to today’s guest Erin Albert, PharmD, JD, MBA and a brief summary of her career journey. 
  • How she came to work at the Mark Cuban Cost Plus Drug Company.
  • The concept of investing in oneself by building a portfolio of how we spend our time and money. 
  • How Erin applies the strategy of developing a long-term vision to her own life. 
  • Why she revisits this framework or portfolio annually.  
  • How she became comfortable with the uncomfortable and was able to jump at the opportunity to work for Cost Plus Drugs.
  • What a “jar of awesome” is and how Erin celebrates the small wins. 
  • The value of traditional and non-traditional education and training programs in the pharmacy profession.
  • Why you should create the course you’re looking for if you cannot find it. 
  • How Erin’s personal brand and network have accelerated her personal and professional goals.

Episode Highlights

“My portfolio looks like a five-way intersection. It’s really your strengths, your values, what you love to do, what the world needs, and what someone will actually pay you to do.” — Erin Albert [0:10:11]

“You have to keep investing in your own personal learning and development so that when you do get that blank piece of paper, you can run with it.” — Erin Albert [0:18:07]

“When I’m looking at different educational opportunities for myself, it’s not so much about formal learning anymore. It’s much more important to me to look at the content and who is teaching it than anything else.” — Erin Albert [0:24:57]

“Whatever your niche is, you should be sharing it because part of the journey in becoming a leader or a thought leader is that you’re sharing what you’re learning along the way.” — Erin Albert [0:30:47]

Links Mentioned in Today’s Episode

Episode Transcript

[INTRODUCTION]

[00:00:00] TU: Hey, everybody. Tim Ulbrich here. Thank you for listening to the YFP Podcast, where each week we strive to inspire and encourage you on your path towards achieving financial freedom. 

This week, I welcome Erin Albert on to the show to talk about investing in yourself. Erin is the vice president of pharmacy relations and chief privacy officer at Mark Cuban Cost Plus Drugs Company. In addition to being a pharmacist, she’s an attorney, author, and podcaster. Prior to joining Mark Cuban, she worked in a variety of roles, including pharmacy benefits, taught pharmacy students at Butler University College of Pharmacy for over a decade, served as a director of content for two different ACPE-accredited CPE programs, consulted in both fee-for-service and managed care Medicaid, worked in the pharmaceutical industry in a variety of roles, and in community practice as a staff pharmacist and pharmacist in charge. 

Before we jump into my interview with Erin, I recognize that many of you may not be aware of the work that the team at YFP Planning does in working one-on-one with more than 280 households in 40-plus days. YFP planning offers fee-only high-touch financial planning that is customized for the pharmacy professional. If you’re interested in learning more about how working one-on-one with a certified financial planner may help you achieve your financial goals, you can book a free discovery call at yfpplanning.com. 

Whether or not YFP Planning’s financial planning services are a good fit for you, know that we appreciate your support of this podcast and our mission to help pharmacists achieve financial freedom. 

[INTERVIEW] 

[0:01:33] TU: Erin, welcome to the show. 

[0:01:34] EA: Thanks, Tim. It’s great to be here. 

[0:01:35] TU: Well, it’s been a long time in the making. I feel like I’ve been following you on social media, LinkedIn in particular for some time. I feel like, I know you at this point in time, which is weird. I guess social media can have that effect, right? 

[0:01:46] EA: Yeah. I think it’s a good effect, though, right? Like, I love podcasting and listening to you as well. A lot of our fellow pharmacist podcasters are doing their thing now, which I think is great. I think we need to have more voices on pharmacy and in pharmacy and in healthcare, because let’s be honest, there’s a lot of work to be done. 

[0:02:06] TU: That’s right. Well, speaking of work to be done, today we’re going to be talking about investing in yourself. A different take than the normal Xs and Os of the financial plan. Erin, before we dig into that topic, give us a brief summary of your career journey, including the current role that you have as the vice president of pharmacy relations, chief pharmacy officer at Mark Cuban Cost Plus Drugs. 

[0:02:29] EA: Yeah. Thanks again, Tim, for having me on the show. My career started right here in Indiana, where I’ve gone full circle and ended back up at. I went to Butler University College of Pharmacy and Health Sciences. I won’t say when because now I’m too old to own up to that. I really always loved chemistry and science and was one of those nerdy little kids that geeked out going to the library. I played some musical instruments in high school, I always had my paws on a lot of different things in a good way. 

When I chose pharmacy, I knew that I was staying in-state. It was between that other pharmacy school, Purdue and Butler. Now we have Manchester here in Indiana. I chose Butler. I loved pharmacy but ran screaming from the building after five years. I had had enough education thinking, “Oh, I’m going to go launch my career and I’m never going to go back to school again.” Well, that was not what happened in a good way, in a good way, right? 

My life took me out to the Philadelphia area back in the late 90s when pharmaceutical manufacturers were having their heyday out there. Had a lot of great experiences on the pharma manufacturer side, working in a lot of roles, but came home here to Indiana, continued to do that in industry. Then somehow, I wound up in academia, taught at Butler University again, right back where I started in the school, the College of Pharmacy and Health Sciences. I did that for 10 years. I had the hair-brained idea to go to law school at night, also went to business school at night. 

All my graduate programs were always when I was a working professional, doing it part-time, either in the evenings or on the side. Lo and behold, I was working for a broker advisor here in Indiana called Apex Benefits, and shout out to them. I love them. They’re still all my peeps. At the time, one of the drug manufacturers was pulling their copay coupon at the beginning of a new plan year. I reached out to, lo and behold, Mark Cuban Cost Plus Drugs, because they had an incredible price on Imatnib. Imatinib as you know is chemo. It is not low cost. 

I was trying to figure out a way to get our patients access to that drug at that low cost. Suddenly, they reached out, the CEO and I had a chat, and all of a sudden, I had a job offer. I do believe that somehow Kismet played a role in all this because each and every day I get the opportunity and the honor to use my pharmacist brain, my lawyer brain, and my MBA marketing brain in a variety of different things that I’m doing here at Mark Cuban Cost Plus. I’ve been here almost a year now, although it feels time is a relative thing post-pandemic. 

Now I serve as our vice president of pharmacy relations and chief privacy officer here at Mark Cuban. My colleagues are fantastic and phenomenal to work with. I work now for the smartest individual, Alex Oshmyansky that I think I’ve ever had the honor to work for. He’s an MD Ph.D. Oxford guy. He’s got a Ph.D. in math, super brilliant. Then of course we can’t leave out Mr. Cuban. He’s been great to work with, as well. He is very entrenched in the business, by the way, in a very good way, because pharmacy benefits are not easy to understand, but he’s a lifelong learner too. I’ll just put it out there that he’s very inspirational because he’s always asking questions and he always wants to know what the ramifications of everything are in our daily operations. 

[0:06:38] TU: I got that vibe. I’m an avid Shark Tank watcher, right? As I suspect many people may be familiar with Mark Cuban through that or through his ownership of a variety of companies, including professional sports teams. I’ve gotten that vibe in watching Shark Tank of that he is constantly asking questions. He’s always wanting to learn, always wanting to grow. I think that’s a sign of not only a good business owner, but that’s a sign of someone who’s looking to stretch themselves, understand more. Of course, as we can have more information, we can make better decisions along the way. It’s really neat, Erin, to see you as a pharmacist representing our profession inside of an organization like Mark Cuban Cost Plus is obviously is having, I think, a positive disruption on our healthcare system. Exciting to see that evolution. 

We’ll talk about some of the behaviors around professional development the educational path you’ve taken, the networking that you’ve obviously done, which has led to an opportunity like this. We talk often on the show about where to put your investments, but we haven’t yet discussed this concept of investing in yourself. To guide this conversation, Erin, you shared an article from the Wall Street Journal back at the end of 2022 that we’ll link to in the show notes, that article is called “The Best Investment to Make is in Yourself in 2023”. 

To set the stage for our conversation, let me read an excerpt from the article and then I’m going to get your input. That expert excerpt is this, “Just as we buy stocks and bonds to generate financial growth, we can build a portfolio of how we spend our time and money now that pays off in the months and years ahead.” Erin, I like to think that I’ve been pretty intentional about professional development, but I honestly can’t say I’ve been as intentional and as structured about it as I have been in building my own long-term investing plan. This feels to me like a big mindset shift and a reframe. Would you agree? 

[0:08:36] EA: I do. I really love that article. We like to focus on our investment portfolios. Now I think more than any other time, maybe. Inflation has gone up or looking to think about retirement in some instances, there’s been huge dips in the stock market, but that whole approach to looking at your bank and your money and dollars in the bank versus treating your own career development like that, having a portfolio, having different educational opportunities, networking with other individuals, and treating it much like you would your own investment portfolio, I think is a really great parallel to what we all should be doing as professionals inside particularly healthcare and pharmacy. 

[0:09:25] TU: Yeah. I think as I read that article, Erin, this concept of setting a long-term vision seems to be a really important piece to then be able to inform the steps that we’re going to take today, right, and in the short-term to get that long-term vision. They talk about in the article some big questions that we want to be thinking about that inform that long-term vision and lead to those shorter-term action items. Questions like, what is my purpose? What is my passion? What am I doing this for? As I’ve mentioned already, I see you as someone who’s very intentional about goal-setting and taking action. Share with us about how you apply this strategy of developing a long-term vision with short-term actionable steps. How do you implement this in your own life and your own professional development? 

[0:10:11] EA: Sure. My portfolio looks like, almost a five-way intersection. It’s really your strengths, your values, what you love to do, what the world needs, and what someone will actually pay you to do. Okay. That’s the framework for my own portfolio. I call it an ikigai or the French call it a raison d’etre. It’s your reason for being, right? That to me is the long-term legacy game that we’re all trying to play, I think. 

We all are incumbent upon ourselves to find out what that meaning is for each of us individually. When I coach students or other professionals, one of the first questions I ask them is, what are your values? What do you personally value and hold above all other values? I think that has to be the starting point for unearthing whatever your ikigai or your raison d’etre is. Understanding what is personally important and valuable to you. 

One of my values, my personal values, is working on the frontiers of knowledge, new knowledge. I am a huge junkie of the future of whatever, XYZ, constantly looking ahead, looking at the best hits, and figuring out how to pull those best ideas into today to make the future happen today. Values are super important. I think the other piece that, frankly, a lot of pharmacy schools, I think, have done a better job in the last few years is assessing your personal strengths, knowing what those are. There are some great tools out there like strengths finder, for example, where you can figure out what your strengths are. 

What you love to do like my favorite question there is thinking about what was the last day that time went by and you didn’t even notice? Like what were you doing that day? Because those are hints and clues for you to figure out what your purpose in life is. Also, things like, what the world needs. Right now we’re constantly trying to fill gaps. What are those gaps? What does the world still need? Let’s be honest, particularly in healthcare, there’s a lot of opportunity there. 

Then what somebody will actually pay you to do? I think, is important too. Because otherwise, it’s a hobby. It’s something that maybe you’re personally interested in, curious about. I just read a recent book called Unicorn Space that talks about this element as well. These might not be in your day job, but by having this curiosity about different things, that actually can be another mechanism by which you invest in your lifelong learning portfolio and drag better ideas for your curiosities into your day job as well. That’s the framework that I utilize when I look at my own purpose or calling. 

[0:13:13] TU: I love that, Erin. I love the visual of the intersection of those things, right? I think so often when I talk with folks, you may see people, “Hey, I’m making a great income, but I’m feeling that dissatisfaction, because of these other things are missing.” Right? That you mentioned as you think about values and some of the impacts forth or we don’t want it to be a hobby. I might be doing those other things, but it’s not paying the bills or it’s not valued in the way that it’s being compensated, so there’s that rub there. 

The intersection of these things coming together is beautiful. One of the things I used to share often with students when I was doing some career development is what you alluded to is, “Hey, what are you doing when you’re spending time and you don’t realize time is passing? What are those things or that you could spend a day, a week, whatever, working on a project and you feel more energized through that work”, right? Then on the other side of the coin, what are those things that you do in a day? obviously, all jobs, all work are going to come with some element, some percentage of these things, but that time can be even limited, but it drains you, right? It pulls the energy away from you.

Being aware and observing those things, aligning those with your strengths, understanding what the market value isn’t going to pay for. I think the intersection of those is a really powerful visual. My follow-up to you with that is how often do you revisit that framework? What is the process for you to look at that portfolio? Is it something you do in an annual goal setting to track your progress to rebalance, if you will, right? If we’re off track. How do you evaluate your progress towards achieving that intersection? 

[0:14:50] EA: Yeah. I think that’s twofold for me. The first point is annually. I know it’s cheesy to set goals or basé to do that this year or any year for that matter, especially post-pandemic, right? Because we never know what tomorrow is going to bring. But still, I need that order and structure in my life, so usually, the month of December preceding the new year, I really sit down, put pen to paper, and start thinking about what do I really want to bring to my portfolio, my learning portfolio, my life portfolio in the coming year? 

The other point in time when I do it is when I change jobs and things derail in a good way, right? Because you weren’t expecting necessarily that great opportunity to come your way, but if you’re offered a seat on a rocket ship, you get on and then you start asking questions later. You don’t ponder things and let the great opportunity pass you by. I mean, with Cost Plus Drugs, I didn’t even have a job description when I rolled in. I basically got keys to the building and they told me to write my job description and it’s changed a couple of times since I’ve been here. 

I think any time you have your life’s work or whatever is really, truly important to you at the time and there’s been radical change, I think that’s always a good time to do a little bit of janitorial, if you will, on your portfolio to make sure that you’re still headed in the right direction for you based upon your new situation. 

[0:16:22] TU: Erin, the example you just gave of coming to Cost Plus, not having a job description, getting the keys, you figure it out as you go. I think for many folks listening, they may not be comfortable with that type of an opportunity, that type of an unknown. Your mindset around that is really interesting to me. Where do you attribute? How have you become comfortable with the uncomfortable that you say yes to an opportunity like that, knowing that there’s certainly going to be some bumps along the way?

[0:16:49] EA: That’s a really good question. I think where your roots came from like, I grew up, I think we were talking off camera a little bit about or before we recorded about the fact that we grew up in entrepreneurial households. I mean, I grew up in an entrepreneurial household. I watch Shark Tank. I’m a junkie when it comes to Shark Tank like I taught a Shark Tank, literally at Butler University. We had an entrepreneurship in healthcare and life sciences course and their final exam in that course was to do a Shark Tank

I am a controlled or conservative risk taker. For me, I think it’s empowering to be able to have a blank piece of paper or a blank slate to create and craft a job description or even your portfolio in life, what you really want to accomplish, what you’re here to do, because we’re all here for a reason. I know that sounds really woo-woo, but it’s true. For me, I love to just get keys to the building and I’ll figure it out one way or the other, but I get that sometimes people can be a little more reserved or conservative and they want the checklist, right? I think post-pandemic, if nothing else, it’s taught us that sometimes there isn’t a roadmap. There isn’t a checklist. You have to keep investing in your own personal learning and development so when you do get that blank piece of paper, you can run with it. 

[0:18:17] TU: Yeah. I would encourage any listeners out there that are managers, supervisors, ask yourself, what could I be doing to create that culture that allows people to figure it out and to get in the messy middle? That’s one of our core values, Erin, at YFP, is that we really want to have the team comfortable with taking some calculated risks, right? Obviously, there’s discernment there. Sometimes that means we get it right. Sometimes that means, we don’t and permission to fail and to fail quickly and to get back up on our feet and move forward. 

I think anything we can do from a management leadership perspective to foster that culture and to role model that is going to allow us to hopefully make the strides that we need to make in pharmacy, but also in healthcare at large. I love that. I love the concept of getting comfortable with the uncomfortable. I want to shift gears. One of the things Erin, this article talks about is how valuable it can be to pay ourselves dividends along the way, as a way to really start to reap some of the rewards and to keep the motivation going. 

Admittedly, I am terrible at this. I’m someone who will set big audacious goals and I’m all in grinding it out, waiting to celebrate until the finish line is achieved. The problem with this approach is that we know that the feelings associated with achievement, right, with getting to that “finish line” are short-lived. We can be spending a significant amount of time grinding and grinding some more only to have that feeling of accomplishment be fleeting right in that moment. One, I’d love to hear your thoughts on that and what strategies you implement for these type of micro rewards along the way, these dividends. 

[0:20:02] EA: I call that the hedonic treadmill, right, like especially pharmacists. There’s something about us that we love to set big, hairy, audacious goals. Then when we get there, it’s like, what’s next? For me, especially later in my career, I started focusing on the tiny wins, because really, that’s what it’s all about at the end of the day. You get to that big picture, final countdown, whether it’s you’re graduating from pharmacy school or you’re getting that new cool job. It’s not about the big wins. It’s about the tiny wins. 

I’ll try to look visually around my day, mentally around my day, every day to sit down and think about, okay, what was the tiny win of the day? What was the best part of my day? Then even keeping what I call a “jar of awesome” around. I have a little 365-day calendar, each day I pull the tag off, and then whatever that was, that particular day, I’ll write it on that calendar posting and I’ll jam it in my “jar of awesome”. Then at the end of the year, I go back and look at it and say, “Wow.” Especially on those bad days, right? When you’re really struggling to find that tiny win, you have something to go back to and say, “Okay, it’s not really that bad after all.” 

We’ve had a tremendous amount of tiny wins along the way, XYZ year, so it’s really about the little things. It’s not about the big picture stuff. I know we all need to have those large goals, those lofty goals to get to, but don’t forget the tiny wins along the way as well, because I think they’re equally, if not more important. 

[0:21:49] TU: Yeah. I really like that. What I’m hearing there is some type of process or system or activity behavior, whatever we want to call it, that really captures those wins, captures the things that we’re grateful for in the moment because it’s easy to lose sight of those. One I started doing recently and shout out to my partner, Tim Baker, who gave me this idea is, I’ll do a morning gratitude exercise five minutes, micro things of the day that I’m grateful for from the day before. I’ve started organizing those by day. I can see it by year. For example, on March 15th, I can see it 2023, 2022, and the goal would be over time you can look back several years. That has been really powerful. 

Even things just one year ago, where it’s like, “Ah, I totally lost sight of that.” Like in that day, that was such an important win. I find it to be very grounding for exactly what you’re saying enjoying those small wins and join the day in the moments and being present in that. Resisting against that urge to be focusing on these massive goals that may or may not come in the future. That to be a fleeting reward when it does come. love what you had to share there. 

I want to pick your brain on disruption and education. You and I both were former academics. I feel like we’re academics at heart always, but considering the disruption we’re seeing in education with expanded accessibility at a lower cost, some really referring to things like the massive online open courses. It feels like we’re stuck between a traditional model that values the more structured training programs defined by degrees and credentials, right, think PharmD, residency board certification. 

All the while, those structured programs may not be as customizable, affordable, or relatable as other learning opportunities that are coming out there. As someone, Erin, who holds four degrees, if I follow the journey correctly, Bachelors, PharmD, MBA, JD, but also values ongoing professional development and learning, right? Books, podcasts, courses, etc. what do you see as the future of the value of traditional and non-traditional education and training programs in our profession? 

[0:24:01] EA: Yeah. I think the MOOCs to your point earlier are a wonderful opportunity to dip your toe into the pool before you go to the deep end with another degree. Okay. I see it as a pool, right? You’ve got all these different lanes in the pool that you can dip into. You can start with a certificate, you could start with an online course, you could talk to your mentor and get their wise advice or sage advice. You should, by the way, have multiple mentors, not just one. 

You could formalize that education and go get a graduate degree if you wanted to, or even shift and get a different bachelor’s degree. You could even go get your Ph.D. if you wanted to. I think the range of opportunity has never been better historically than it is right now. I think we have to seize that opportunity. When I’m looking at different educational opportunities for myself, I got to tell you, it’s not so much about formal learning anymore. It’s much more important to me to look at the content and who is teaching it than anything else. I will pay gobs of money myself. I will invest in myself. No questions asked, if it’s content that I cannot get from other sources and the person or the thought leader that’s teaching that content is truly a leader in their arena. 

Whether that’s pharmacy benefits, that’s a certain therapeutic area like oncology or whatever the case may be, business ownership as an independent pharmacist. We now have more choices than ever. Sometimes that’s a little bit overwhelming, right? That’s why, again, you want to tap back into your mentor network, and your mentors can be peers, too, by the way, which I think is really important and talk to your network and find out, “Hey, well, that’s really the best program out there in XYZ and go from there?” I think it’s actually a beautiful thing, a great thing that we have a range of different types of ways that we can learn, both live and online or on demand. 

[0:26:14] TU: Yeah. I think that’s a great point, right? The access information is greater than it’s ever been, which can be a blessing and a curse. I see it as a blessing, but it can be so overwhelming, whether it’s things we just pick up and read, whether it’s taking online courses, whether it’s more formal certifications or academic degree programs. There are so many different pathways that are out there. I think having a system, having a filter, whether that’s mentors, whether that’s going back to the things you mentioned earlier in the intersection of those five different areas and trying to figure out where do these align and fit in, do they align or do they fit in? But really asking yourself those questions before you make that investment of time and money, right? 

I think that’s the thing I was encouraging people is you’re thinking about, especially a traditional degree, right? MBA, MS, whatever, post-PharmD like, what’s the return on investment of both your time and money? I think with so many options that are now out there having some type of criteria, some type of framework, some type of funnel to be able to really filter those opportunities. 

[0:27:17] EA: Exactly. I use that mindset when I published and wrote all my books, Toni Morrison, who’s another famous author, said, “If I’m trying to find a book that I want to read and it’s not available, that’s the hint from the universe that I need to write it.” An example sometimes means you have to create the course. In that case, I’ll give you a recent example as immediate past president of the American Society for Pharmacy Law, one of the things that I noticed was as a mid-career professional, there is nothing out there for people like me who are passionate about the intersection of pharmacy and law and leveling up on their own leadership. 

We decided to create the diplomat for the American Society for Pharmacy Law program. It is a one-year longitudinal mentor-mentee program that lets you go down a rabbit hole and study an area of pharmacy and law that you are personally passionate about. You present it at the subsequent annual meeting. You get paired with a mentor. You have a leadership seminar series. All those components have swirled together to bring the very best professionals in the realms of pharmacy and law together, to bring along the next generation of leaders in that arena that are mid-career right now. 

That didn’t exist before, but darn it, I wanted it like, I wanted to be part of that. We decided to build it. Now we’re getting ready to launch our second class at our next annual meeting coming this fall. We’ve already got a lot of interest in it. Sometimes I have to say as much as I hate to say it because this extra work, if you’re looking around for something and you cannot find it, maybe that’s the sign that you need to create it. Then, in turn, that’s going to wrap right into your own learning portfolio. 

[0:29:08] TU: It’s a great example, great example. Since we’re talking about professional development, I want to tap in your expertise as someone that I view as a role model in personal branding and networking. I think my observation, Erin, is that you have intentionally yet authentically built a personal brand that has obviously led to networking and other opportunities. My question for you is, how has your ability to develop the personal brand that you’ve built to develop the network that you’ve built? How has that accelerated your personal and professional goals? 

[0:29:43] EA: I mean, that’s everything. I think one of the first touch points that I made with Mark Cuban Cost Plus, I didn’t talk about this earlier, but Mr. Cuban himself was being interviewed by one of the news editors at LinkedIn on a live stream, now that LinkedIn has live stream video. They took one of my posts that I compared and contrasted drug prices that are out in the internet, Cost Plus, and some other sites and integrated it into the live stream. I had no idea that they were going to do that. I was shocked. 

I still don’t know how they figured that out, but I think that was definitely part of the conversation that led me to joining Mark Cuban Cost Plus, as well. I guess, the best advice there is number one, you can’t fake it. If you’re passionate about something, you should be sharing it with the rest of the world, if you can. My world is nerdy. I do pharmacy benefits, pharmacy law and career development. 

Those are my three niches, but whatever your niche is, you should be sharing it, because part of the journey in becoming a leader or a thought leader in that arena is that you’re sharing what you’re learning along the way. There’s always that opportunity, I think. It’s super important to share that. I mean, that’s part of being a good learner. In academia, as you know, we always say, see one, do one, teach one, right? 

[0:31:11] TU: Yup. Absolutely. What a tangible example of personal branding leading to an opportunity. That’s a really neat one. Erin, this has been awesome. I love this topic, investing in yourself. Your passion comes through the microphone, certainly. I’m excited to get this out to our community to be thinking about how does investing in yourself accelerate your personal goals? I do think there’s a return on investment financially, as well. There’s a connection there to the financial plan. As we wrap up, though, where’s the best place for our listeners to go to connect with you and to learn more about the work that you’re doing? 

[0:31:46] EA: Sure. LinkedIn is a great place. Right now, at Cost Plus Drugs, we’re very focused on what we’re calling The Team Cuban Benefits Card and the Cuban Pharmacy Affiliate Network. I’m excited to partner with independent pharmacies across the US, right now to work with them into Brick-and-Mortar pharmacies and get our amazing pricing into their pharmacies, yet offered them a solution where they’re getting paid and reimbursed for their awesome services and our patients can get their prescription drugs closer to home. If you’re an independent pharmacist, I personally love to talk to you. Please connect to me on LinkedIn. 

Every Saturday morning that I am home, I also do a quick 20-minute live stream on LinkedIn. That’s audio only. You do not want to see this camera face. This face is not ready for camera at 9 am, Eastern time on Saturday mornings, but I do, do a quick update there on pharmacy benefits, pharmacy law and career development for the week incoming. Then I do publish a newsletter around that after we have our little morning coffee clutch and chat. If you want to check me out over there, I do that live stream again every Saturday morning at 9 am, Eastern. 

[0:33:04] TU: Awesome. Great stuff. Hopefully, you all connect and follow Erin on LinkedIn. We’ll link to that in the show notes. Erin, this has been fantastic. Thank you so much for taking the time. I appreciate it. 

[0:33:12] EA: Yeah. Best of success to you, Tim. I know it’s hard to leave Academia where it’s seemingly “stable” to go do your own thing, but you’re brave doing it, and kudos to you for that. 

[0:33:23] TU: Thank you, so much. Appreciate that. 

[END OF INTERVIEW]

[0:33:25] TU: As we conclude this week’s podcast, an important reminder that the content on this show has provided you for informational purposes only and is not intended to provide and should not be relied on for investment or any other advice. Information in the podcast and corresponding material should not be construed as a solicitation or offer to buy or sell any investment or related financial products. We urge listeners to consult with a financial advisor with respect to any investment. 

Furthermore, the information contained in our archive, newsletters, blog posts, and podcasts is not updated and may not be accurate at the time you listen to it on the podcast. Opinions and analyses expressed herein are solely those of your financial pharmacists, unless otherwise noted, and constitute judgments as of the dates published. Such information may contain forward-looking statements, which are not intended to be guarantees of future events. Actual results could differ materially from those anticipated in the forward-looking statements. For more information, please visit yourfinancialpharmacist.com/disclaimer. 

Thank you again for your support of the Your Financial Pharmacist Podcast. Have a great rest of your week.

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How I Make 6-Figures a Year as a PharmD Freelance Medical Writer

By Austin Ulrich, PharmD, BCACP

Austin Ulrich is a blogger, entrepreneur, and freelance medical writer. He spent 8 years in the pharmacy profession prior to going full-time with his freelance medical writing business. On his blog austinulrich.com, he writes about creating freedom and time by earning and keeping more income. He enjoys running, music, and traveling with his wife and 4 kids.

If you had told me 5 years ago that I’d be running my own business as a full-time freelance medical writer, I never would have believed you. I was busy finishing up pharmacy school and focusing on what would come next: 2 years of residency and a lifelong career as an ambulatory care pharmacist. 

Maybe you can relate – pharmacists often change career paths, and these days, many pharmacists are looking for nontraditional jobs. Even though I was looking at many possible career directions when I was a pharmacy student, I never came across medical writing. It wasn’t until halfway through my first year of residency that I discovered that medical writing existed and learned what it was.

In any case, through a series of life events and experiences, I started my freelance medical writing business, Ulrich Medical Writing, LLC on the side in 2019 and grew it to a full-time gig, allowing me to quit my ambulatory care pharmacist job in May 2022. And last year (2022), my total income nearly doubled what I would have made working only as a full-time pharmacist.

I strongly believe that freelance medical writing is one of the best ways for pharmacists to make extra money (either on the side or full-time) quickly. And it can be a very lucrative field if you’re a quick learner and efficient and if you produce good quality work.

My Path to Freelance Medical Writing

The turning point in my career happened during my first-year hospital pharmacy residency – I wasn’t accepted into an ambulatory care second-year residency program I had planned my whole career around. I had spent months focusing all my efforts on getting into that program, and it didn’t work out. After that disappointment, I resolved that I was going to future-proof my income so I wouldn’t have to rely on decisions by a single employer or manager to advance my career.

In my search for earning extra income, I tried lots of things – online transcription services, online tutoring, even teaching piano lessons. It was part of the learning process, but none of those pursuits were viable enough to make a decent amount of money on the side. 

After a few months of searching, I discovered medical writing as a path for pharmacists that would use lots of the skills I already had (scientific research, writing documents, creating slide decks). In fact, I had just finished up a few residency projects that were quite similar to medical writing projects. I had the thought, “I’m doing this basically for free … but people are getting paid good money to do this!” At the time, the average hourly rate for freelance medical writers according to the American Medical Writers Association (AMWA) was over $100 per hour.

I launched my freelance medical writing business the same day I started my second year of pharmacy residency (still ambulatory care – but a different program). I had joined AMWA and learned more about the medical writing field, and I had created a basic website for showcasing my work.

I worked on marketing my services and getting some clients, and within a year I had 2 consistent clients and had generated about $20,000 from medical writing. It wasn’t enough to change my career path, but it was definitely “proof of concept”.

I started working full-time as an ambulatory care pharmacist in 2020, and continued medical writing on the side. Over the next 2 years, I got more clients and more freelance work. I focused on delivering high-quality content and being highly reliable. Doing great work was key to keep work coming in from past clients and build strong partnerships. Having steady clients is important for consistency in freelancing, and building up my client base with companies who offer regular, good-paying projects has been the most important factor in growing my business.

Some weeks I’d have to put in 60+ hours between my job and my side gig to get everything done. Eventually it came to the point where I had to choose between the full-time ambulatory care pharmacist job and the freelance medical writing side gig. It wasn’t a choice I treated lightly, but it was an easy choice. On writing projects, I was often making double my pharmacist hourly rate, and I loved the idea of having complete control over my hours and schedule. And the work had been consistent. But it would be a departure from my “planned career path” of working as a pharmacist. I chose freelance medical writing.

I eased into it – first, I went part time at my ambulatory care job. Then, after about 6 months of that, I was getting so much freelance medical writing business, and there was such a solid history of consistent income, that I was able to quit my job completely and focus full time on medical writing.

Today, I freelance “full-time” (25-30 hours a week on average), spend lots of time with my wife and 4 kids, work on other side projects, and make a good income. Although I still do lots of work each week, my schedule is completely flexible, and I have more freedom than ever before.

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What is Medical Writing?

Medical writing is the process of developing medical or scientific materials to communicate information to the general public, patients, researchers, and healthcare professionals. It’s a fairly broad field, and medical writers can work in a variety of different areas such as continuing education, publications, regulatory writing, and digital health.

Anytime you read medical information online, or attend a course to get your required education, there’s a good chance at least some of the content was created by a medical writer. 

Medical writing also includes creating materials like scientific and medical journal articles that are published in peer-reviewed journals, blog posts or online content for health-focused websites, grants and proposals for education companies, and regulatory documents for pharmaceutical companies.

What is a Freelance Medical Writer?

A freelance medical writer is someone who offers medical writing services to companies on a contract basis, not as an employee. Many companies, such as medical communications agencies, continuing education companies, healthcare organizations, and pharmaceutical companies have on-staff writers that take care of most of their content.

But when someone has a project that exceeds the bandwidth of their staff writers, that’s where freelancers come in. Many companies also work with freelance medical writers regularly because it works well with their content process.

Conclusion

Ultimately, medical writing is a great profession for pharmacists, and it’s only going to grow in the coming years. People I talk to tend to be pretty interested after they hear that I work from home with a completely flexible schedule and good income. But, writing isn’t for everyone. In fact, many pharmacists I talk to say, “That sounds horrible!” or “I couldn’t do that” when they find out I spend most of the day sitting at a computer writing.

Pharmacy is a great background to have for getting into medical writing. Many pharmacists have medical writing skills from pharmacy school and/or residency (and that work was for free as a student or resident!). There’s lots of medical writing work out there, and pharmacists are well-suited to be successful as medical writers. So if you know your stuff when it comes to grammar, sentence structure, and writing about science and medicine, I’d encourage you to check out medical writing! 

Interested in hearing how other pharmacists started medical writing businesses? Check out these YFP Podcast episodes: 

YFP 126: Going Beyond Six Figures Through Medical Writing with Brittany Hoffman-Eubanks, PharmD

YFP 256: Building a Medical Writing Business with Megan Freeland, PharmD