ER Doc Advisor - Financial Planning & Taxes for Emergency Physicians

Ep 41: The Real Work Behind Wealth: Serving the Humans Who Run MedSpas

There’s a version of this job that would be a lot simpler. The kind where you manage portfolios, check performance once a quarter, and call it a day. No tax forms, no life events, no late-night texts — just markets and models.

It sounds peaceful, almost efficient… until you realize that real people don’t live their lives in neat, quarterly increments. That’s why today we’re talking about what it really means to do this work — the human side of financial advising that no spreadsheet or benchmark can ever capture.

WHAT YOU’LL LEARN:

  • Why portfolio-only advising falls short for MedSpa owners.
  • The hidden tax, payroll, and cash-flow decisions that impact your year-round financial health.
  • How expansions, hiring, equipment financing, and new income streams influence real-time planning.
  • Why fiduciary guidance requires full context, not just investment selection.
  • How lender requests, P&Ls, and last-minute documentation become part of the job.
  • What truly builds trust between an advisor and a MedSpa owner.
  • Why long-term partnership (not transactions) creates better outcomes.

Tags:

medspa finance, fiduciary advisor, comprehensive planning, tax strategy, business cash flow, medspa growth, investment planning, financial advisor relationship, emotional side of money, medspa tax planning

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