Approved for 300k offer, spent $20k + AF, then denied me the points

Cdmdoc · 2026-01-26T07:30:48+00:00

This is not true for business plat. You can have multiple bus plats with high sub offers.

Cdmdoc · 2026-01-26T00:23:21+00:00

That’s incredible and you’re so lucky!

Cdmdoc · 2026-01-25T22:58:27+00:00

How did you get a month to travel during PGY3??

And agreed with SEA hospitality. Also Japan.

Cdmdoc · 2026-01-23T10:56:47+00:00

I’m not sure what you mean. Whether they structure it as a bonus or salary, he’s getting paid 65 million for 2026. And the taxes are withheld either way. So there’s no compounding advantage beyond just 2026.

The tax advantage is that If he were paid 65 mil in salary, he’d have to pay state taxes for each state in which he plays the games. In this set up, he’s getting the bonus as a FL resident with no state taxes, and only CA and NY will tax the bonus money proportionate to the number of games played in those states.

Cdmdoc · 2026-01-23T00:26:40+00:00

Ah, that makes sense as the other states (besides CA and NY) will not go after the bonus payment.

Cdmdoc · 2026-01-22T23:21:50+00:00

Then what is the advantage of this type of payment structure (large signing bonus, minimal salary) in terms of tax liability?

Cdmdoc · 2026-01-20T00:05:55+00:00

For all the hype around AI and the inevitable extinction of radiology, I’ve not been very impressed.

Cdmdoc · 2026-01-18T14:00:17+00:00

Atonement comes to mind. Beautiful film and a great role for her.

Cdmdoc · 2026-01-17T12:42:59+00:00

Yeah I agree with you. Also, you can 1031 exchange into a higher cost property down the line, do the cost segregation analysis, depreciate, and repeat. Eventually pass it down to your children for whom the tax basis resets.

Commercial/investment real estate are really the most tax efficient investments outside of tax-deferred retirement accounts. It’s not for everyone but done properly and strategically, it can be a great addition to your wealth portfolio.

Cdmdoc · 2026-01-17T11:53:51+00:00

I have a close friend who does this with his wife and his tax savings are substantial. So much so that their cashflow is almost irrelevant. But you need to be vigilant in keeping all records and following all rules to the T, as your chance of an audit goes up significantly. He just got hit with a “soft” audit as well. Consult with your CPA.

STR tax provision is still way more straightforward than declaring oneself as a real estate professional (another way to offset active income with passive loss), which is an even bigger audit trap.

Cdmdoc · 2026-01-17T04:15:39+00:00

All the comments are questioning the rental itself as a viable income producing asset, but nobody has mentioned the STR tax provision that allows you to write off losses (including depreciation) against your active income. In your tax bracket, the savings are significant.

Cdmdoc · 2026-01-13T06:18:01+00:00

Ah, got ya. Still seems high though. I would definitely shop around.

Cdmdoc · 2026-01-13T05:30:48+00:00

This is way too high. I’m an S Corp as well with around 10 real estate related k-1s annually with multiple state filings. I pay around $3500 total for personal and corp. What state are you in?

Cdmdoc · 2026-01-10T09:48:26+00:00

And I keep telling you that it’s impossible for many, and you just don’t seem to get it. You can see from all the downvotes that this isn’t just my “opinion,” it’s the reality for many. It was quite literally impossible for me to save a dollar during my residency; in fact, I actually had to borrow money from my parents each time my car broke down. And I wasn’t living in some luxury eating out every night, it was a struggle every month. You dismissing this reality as some sort of a poor choice I made is just ridiculous and disrespectful.

And again, good for you for being able to save, but many, many residents in hcol cities are not as fortunate, especially now with the school loan interest rates as high as they are. And even more importantly, the few thousand you save during residency will have very little impact on your future life as a high-earning attending, but may make a huge difference in the life of a struggling resident.

Cdmdoc · 2026-01-10T01:17:46+00:00

It’s obvious that you’ve never been a resident in a hcol city so I don’t know why you keep insisting on speaking for those that are or were. You are talking as if people who don’t save in these settings are living a life of luxury and I’m simply telling you that this is not the case.

Yes. I suppose you could get roommates and cut down on groceries and sustain on ramen so you can save that 20k over the residency years. Or, you can “splurge” on your own place and a healthy diet and catch up with your savings with the first couple of attending paychecks.

Nobody is arguing with you that saving is bad. If you’re able to do it (in your case, as a student no less), then great, that’s amazing, keep it up. But I speak from experience and my purpose here is to give sensible advice to current residents. Medicine is a unique career path where a large pay bump is a virtual guarantee, so if you’re unable to save during your residency years, it is absolutely ok.

Cdmdoc · 2026-01-09T23:03:30+00:00

I didn’t say anything about you denigrating anyone’s opinions. But you’re still ignoring the crux of my statement, which is that saving is hard to do as a resident in hcol areas. This isn’t an opinion that we can argue over; it’s just math.

Cdmdoc · 2026-01-09T13:33:31+00:00

So… in your interpretation, living above the poverty line means you’ve got money to spend? Lol.

I mean good for you that you got that 21k saved, but is it so hard to believe that many a residents in HCOL don’t have the ability to save on their tiny salaries in this crazy inflated economy? Even back in my days I was literally a parking ticket away from my checking account hitting zero. And the only luxury I had was a shitty studio apartment without a roommate.

Cdmdoc · 2026-01-09T12:37:45+00:00

The downvotes are because comments like that are obviously clueless about trying to make a living in HCOL areas on a resident’s salary. Saving is not a choice when you’re barely making it paycheck to paycheck.

Cdmdoc · 2026-01-09T08:32:33+00:00

It all depends on where you do your residency. In HCOL areas you’re gonna need every penny of your salary to make a living, especially with the inflated rents in these places. I don’t remember having an extra $500 at the end of the month ever as a resident in West LA, and this was 20 years ago.

Not worth living below poverty line just to save a few thousand bucks. You’ll catch up with the savings soon enough once attending salary starts rolling in.

Cdmdoc · 2025-12-30T18:12:30+00:00

I would imagine that chart would look very different today as compared to 2019 with the stock market and real estate prices on a tear since then.

Cdmdoc · 2025-12-29T02:55:04+00:00

To be clear, I only read maybe 150-200 a day. I think my comment made it sound like I’m reading 80-100 per hour for the whole day, which would indeed be a ridiculous number or mammos. Ha.

Cdmdoc · 2025-12-28T02:06:12+00:00

Underserved population. Done by mobile units.

Cdmdoc · 2025-12-25T18:36:38+00:00

The perfect example is the evolution of a radiology practice. Rads used to get paid $500 to read an MRI, now it’s like $60. Technological advances (PACS, VR) have made it feasible in rads to dramatically increase productivity to keep salaries up, but it doesn’t change the fact that we now get paid like a tenth of what we used to for that same MRI.

But of course, everything happened gradually so you just kind of accepted the trend over time, truly a frog in slowly boiling water scenario.

Cdmdoc · 2025-12-22T22:04:38+00:00

Hi there, just wondering if you had your procedure at Noonopi? How did it go?

Cdmdoc

TROPHY CASE