Aaron and Ada
Financial Health Assessment · Published October 21, 2026
Aaron, 27, is a first year pediatrics resident in New York, and Ada, 28, is a social worker. They earn $130,000 between them, rent a two bedroom apartment for $2,700 a month, and their first baby, a boy, is on the way. The assessment scores them 38 out of 100, in the Needs a workup band.
38
FHA score out of 100 · Needs a workup
$0
Debt of any kind · none at all
$225,000
Taxable stock account · grandfather funded, no job assigned
$12,000/yr
Roth IRAs · both maxed, about 9.2 percent of gross
Start with what is rare: there is no debt. No student loans, no cards, no car note, in a New York residency, and the Transition framework earns the full 10 of 10. Both Roth IRAs are maxed at $500 a month each, and individual term life is in force on both spouses, $1,500,000 on him and $1,000,000 on her.
Then the workup list. There is no umbrella and no estate documents with a baby coming, and the disability claim in the intake turns out to describe the term life policies. The Roth 403(b)s sit open and unfunded, the savings rate runs about 9.2 percent against the household's own stated goal of 30 to 50 percent, and $225,000 sits in a stock account with no job assigned to it.
Financial Health Assessment score
38 / 100
Needs a workupThe score grades the household on 19 measures across seven frameworks. Aaron and Ada land at 38, in the Needs a workup band, score 0 to 39.
38
FHA score out of 100 · Needs a workup
$130,000
Household income · resident and social worker
$0
Student loans · none
46
Score with the two traced fixes · Corrections band
Key takeaways
- The score: 38 out of 100, in the Needs a workup band. The Transition framework earns the full 10 of 10 and the Decision Filter the full 6 of 6, while the Lifestyle Guardrails earn 2 of 22.
- There is no debt of any kind, in New York, on a resident household income. That is the head start most physician households never get.
- $225,000 sits in a taxable stock account his grandfather funded from his birth. It paid for school all the way through, and what is left has no stated job and no new money going in.
- The baby is coming into a file with no estate documents, no named guardian, and no umbrella, and the disability claim in the intake describes the term life policies instead.
- Two fixes are traced to points, the umbrella and the estate plan with a guardian named: together they move the score 8 points to a 46. Disability coverage and the savings rate are the open items behind them.
No debt is a head start. It is not a plan.
The Household
Aaron is a PGY-1 pediatrics resident in New York, 27, and Ada is a social worker, 28, earning $65,000. His residency salary steps up from here, $65,000 quoted for PGY-2 and $77,000 for PGY-3. Together they earn $130,000, and they state their taxes at about 30 to 35 percent. Their first baby, a boy, is on the way.
Stated monthly expenses run about $5,000: $2,700 of rent on a two bedroom, two bathroom apartment, about $1,300 of groceries and eating out, about $800 of shopping and personal spending, $130 of gas for one shared car, and about $100 of electricity. One combined checking account holding $16,000 pays every bill, about 3.2 months of stated expenses, with no separate emergency fund labeled.
Two Roth IRAs, maxed, in residency, in New York. The habit is not the problem.
The balance sheet holds the story. His grandfather opened an investment account when Aaron was born and added to it his whole life; it paid for school all the way through. What remains is about $225,000 in a taxable account, 100 percent individual stocks, with no new money going in and no purpose assigned. The Roth IRAs hold about $8,000 each and take $500 a month each, maxed. The Roth 403(b)s were just opened for both, with a plan to contribute 3 percent each, and hold nothing yet.
Debt, there is none. No student loans for either spouse, no credit card balances, no car loan.
Protection is half a file. Term life is in force on both spouses: his $1,500,000 thirty year policy at $778 a year, her $1,000,000 thirty year policy at $675 a year. The intake says both have disability insurance and then describes those two term policies; no own occupation disability policy is stated for either earner. There is no umbrella policy and no estate documents, and no will yet, with the baby due before any of it is scheduled.
| Household fact | Where it stands |
|---|---|
| Careers | Pediatrics resident (PGY-1) and social worker |
| Ages | 27 and 28 |
| Household income | $130,000 a year; taxes stated at about 30 to 35 percent |
| Where they live | New York, two bedroom apartment at $2,700 a month |
| Family | Married, first baby (a boy) on the way |
| Student loans | None, for either spouse; a grandfather funded account paid for school |
| Emergency fund | $16,000 in the combined checking account, about 3.2 months of stated expenses; no separate fund labeled |
| Saving | Roth IRAs maxed at $12,000 a year, about 9.2 percent of gross; Roth 403(b)s just opened, plan 3 percent each |
| Largest asset | Taxable stock account of $225,000, grandfather funded, 100 percent stocks, no new money going in |
| Other debt | None of any kind |
| Disability | Claimed in the intake, but only term life policies are described; own occupation type not stated |
| Life insurance | Individual 30 year term in force on both: $1,500,000 on him, $1,000,000 on her |
| Umbrella | None |
| Estate documents | None, and no will yet, with a baby on the way |
| Goals | Financial independence in ten or fewer years, college saving for the baby, save 30 to 50 percent of income, a general pediatrics private practice, freedom to travel and give |
The Score: 38 out of 100
The Financial Health Assessment grades a household across the same seven frameworks and lands the total in a band. Aaron and Ada score 38, in the Needs a workup band. This household is scored on the resident and fellow rubric path.
20
Measures graded
7
Frameworks
38
Aaron and Ada's score
The 3-Bucket Framework earns 8 of 26. Milestones earn 0, because the milestone net cannot be determined from what the intake states. The emergency fund earns 3 at about 3.2 months of stated expenses sitting in the checking account, named lanes earn 2, and goals funded earns 3 with the Roth IRAs filling monthly.
The Physician Wealth Equation earns 0 of 6. Stretch saving earns 0 because deployed wealth saving of about 9.2 percent sits under the 12 percent partial line. The $225,000 taxable account is a stock balance, not a savings flow, and it is not scored as one. Residents are never scored on debt to income.
The Protection Stack earns 8 of 22: health and life at the full 4 each, and nothing else. Disability earns 0, because the intake's disability claim describes the term life policies and no own occupation policy is stated for either earner. Malpractice type and tail are not stated. Umbrella and estate documents earn 0, because neither exists, with a baby on the way.
The Transition framework earns the full 10 of 10: no loan exists to strategize, and there is no other debt. The Tax Ladder earns 4 of 8: 2 for the Roth choice in a low bracket stage, and 2 for a stated tax burden of about 30 to 35 percent, the bracket alone tier, with no deliberate move yet in operation.
The Decision Filter earns the full 6 of 6 on five stated goals. The Lifestyle Guardrails earn 2 of 22: the Savings Floor at 0 on the deployed rate, the leak at 0 because the unaccounted amount is not stated, and wealth first automation at 2 because the Roth IRAs run while the 403(b)s wait.
| Framework | What it covers | Points |
|---|---|---|
| 02 3-Bucket Framework | Milestones 0, emergency fund 3 at about 3.2 months, named lanes 2, goals funded 3 | 8 of 26 |
| 03 Physician Wealth Equation | Stretch saving 0 at about 9.2 percent deployed; residents are not scored on debt to income | 0 of 6 |
| 04 Protection Stack | Health 4, disability 0, life 4, umbrella 0, malpractice 0, estate documents 0 | 8 of 22 |
| 05 Transition | Loan strategy 6, no loan exists; cards and other debt 4, there is no other debt | 10 of 10 |
| 06 Tax Ladder | Roth against pre tax 2, bracket plus moves 2 | 4 of 8 |
| 07 Decision Filter | Goals written 6, five goals stated including independence in ten or fewer years | 6 of 6 |
| 08 Lifestyle Guardrails | Savings floor 0 at about 9.2 percent, the leak 0, wealth first automation 2 | 2 of 22 |
| Total | Needs a workup band | 38 out of 100 |
Read the shape, not just the total. A household with no debt and maxed Roth IRAs lands in the workup band because the remaining boxes are the ones a baby grades: protection documents, a savings rate, and a job for the largest asset they own.
The Two Frameworks Behind the Score
The score grades 19 measures across seven frameworks. Two of them carry this case: the Protection Stack, which scores 8 of 22 because half of it is missing with a baby coming, and the Lifestyle Guardrails, which score 2 of 22 because the rate has not started.
Framework one
The Protection Stack
The Protection Stack grades the coverage that keeps one bad month from ending the plan. Health and life are done. Everything a baby makes urgent is not.
Life insurance
Individual thirty year term is in force on both spouses, $1,500,000 on Aaron at $778 a year and $1,000,000 on Ada at $675 a year. The box earns the full 4.
Disability
The intake claims disability insurance and then describes the two term life policies. No own occupation disability policy is stated for either earner, so the box earns 0 of 4.
Umbrella and estate documents
There is no umbrella policy, no will, and no guardian named, with the first baby on the way. Both boxes earn 0.
Framework two
The Lifestyle Guardrails
The Guardrails grade whether today's lifestyle leaves room for the plan: the savings floor, the leak, and whether wealth is paid first. The stated goal is 30 to 50 percent. The measured rate is about 9.2.
The savings floor
Deployed wealth saving is $12,000 a year of Roth contributions on $130,000 of gross income, about 9.2 percent, under the 10 percent line. The box earns 0 of 12.
The leak
Expenses are stated at about $5,000 a month but the unaccounted amount is never given, so the box earns 0 of 6.
Wealth first automation
The Roth IRAs fill monthly without a decision. The Roth 403(b)s are open, planned at 3 percent each, and unfunded, so the system is half wired. The box earns 2 of 4.
What They Did Right
A workup band with these bones is a short workup. This is the head start.
No debt, of any kind, in New York
No student loans for either spouse, no card balances, no car loan. The Transition framework earns the full 10 of 10, and every future dollar has no servicer waiting for it.
Both Roth IRAs maxed in residency
$12,000 a year, $500 a month each, on a resident household income in a high cost of living area. The contribution habit most attendings struggle to build is already built.
Term life in force on both spouses
$1,500,000 on Aaron and $1,000,000 on Ada, individual thirty year term policies in force before the baby arrives. The life box earns the full 4 of 4.
The goals are stated at attending scale
Financial independence in ten or fewer years and saving 30 to 50 percent of income are written down as household goals. The Decision Filter earns the full 6 of 6. The gap is execution, not ambition.
A $225,000 asset most residents do not have
The grandfather funded account is unassigned, and it is also a quarter million dollars of optionality sitting in a PGY-1 household. The raw material for the whole plan is already in the file.
The $225,000 With No Job
The first deep dive is the taxable stock account. His grandfather opened it when Aaron was born and added to it his whole life. It paid for school all the way through, which is why this household has no student debt. About $225,000 remains, in 100 percent individual stocks, with no new money going in and no purpose assigned.
The hosts were direct about the two problems. The first is concentration: a quarter million dollars riding on individual stocks the household never chose as an investment strategy. The second is drift: an account this size, in a household this early, is not an asset yet. It is an errand.
Every dollar has a job. This is $225,000 of unemployment.
The episode's plan unwinds it gradually in these low bracket training years, watching the tax bill as it goes, possibly with a CPA's help and an eye on tax loss harvesting, and routes the proceeds into Roth accounts and the household's stated goals. The account does not move the score, and it is worth saying why: the Wealth Equation grades flows, what share of income is deployed into wealth building on purpose. A balance a grandparent funded is not a flow, and the rubric does not pay for it.
The jobs are obvious once someone assigns them. A real emergency fund in its own account instead of cash parked inside checking. College saving for the baby, already a stated goal. The bridge that lets the Roth 403(b)s start now instead of later.
The Rate That Has Not Started
The second deep dive is the savings rate. The household's own stated goals are to save 30 to 50 percent of income and reach financial independence in ten or fewer years. The deployed rate today is about 9.2 percent: $12,000 a year of Roth contributions on $130,000 of gross.
The pieces of a higher rate are already in the room. The Roth 403(b)s were just opened, with a plan written down: 3 percent each. That plan, funded, plus the maxed Roth IRAs, starts closing the distance to the household's own target. His program offers no match, which is why the Roth IRAs at the bank come first.
The plan is written down. The payroll form is not filed. The score grades the payroll form.
The timing matters more than the math. A baby is arriving inside the year, into a New York rental, on a resident's schedule. Rates do not rise during the newborn months by willpower. They rise now, by automation, or they wait for the attending contract, which is the story this file is trying not to become. The same calendar grades the documents: a will and a named guardian are simple before the birth and complicated after it.
Milestones: Scored on What Is Stated
Inside the 3-Bucket Framework, the milestone checklist tracks the markers a training household has already hit. This checklist earns 0 for Aaron and Ada, because the intake never states a milestone list the net can be computed from. The box pays only for stated milestones.
The rest of the bucket picture: the emergency fund earns 3 at about 3.2 months of stated expenses, named lanes earn 2 of 4, and goals funded earns 3 of 6. The head start is real; the checklist grades stated systems, and the system is what the prescription builds.
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The Prescription
Two traced fixes, and the open items behind them.
1
Obtain umbrella insurance.
This is the Protection Stack, and it gains 4 points, moving umbrella from 0 to 4. It is the hosts' prescription, stated as important for this household: about $225,000 of taxable investments, a car in New York, and two professional incomes ahead.
2
Put an estate plan and will in place before the baby arrives, including guardian naming.
This is the Protection Stack, and it gains 4 points, moving estate documents from 0 to 4. The guardian decision made by the parents instead of a court, while it is still a calm decision.
3
Give the $225,000 taxable account a job.
It sits in individual stocks with no new money going in and no purpose assigned. The episode's plan unwinds it gradually in these low bracket training years and routes the proceeds into Roth accounts and the household's stated goals.
4
Make the disability coverage verifiable, and start the Roth 403(b)s.
The intake claims disability insurance and describes term life policies; no point gain is traced for verifiable own occupation coverage in the target basis, and it is listed because a pediatrics income with a baby coming should not rest on an unverifiable claim. The 403(b)s are open with 3 percent each planned; funding them starts the rate toward the household's own 30 to 50 percent goal.
Run both traced fixes and the arithmetic is 38 plus 8, a score of 46. The gains are 4 for an umbrella policy and 4 for an estate plan with a guardian named before the baby arrives. A score of 46 out of 100 moves the household into the Corrections band.
What This Case Teaches
A head start is not a plan. No debt, maxed Roth IRAs, and a quarter million dollars from a grandfather's lifetime of adding to an account are the raw materials most households would trade their file for. The score still lands at 38, because the plan layer that turns assets into outcomes, protection documents, a savings rate, assigned jobs for idle money, has not been built yet.
The baby will grade the documents. The court is the grader of last resort.
The second lesson is about timing. Estate documents, a guardian, disability coverage, and an umbrella are cheap and simple before the baby arrives and complicated after. The workup band is not a verdict on this household's habits. It is a verdict on its calendar.
Questions this case answers
What score did Aaron and Ada receive on the Financial Health Assessment?
Aaron and Ada scored 38 out of 100, in the Needs a workup band. The Transition framework earns the full 10 of 10 and the Decision Filter the full 6 of 6, while the Lifestyle Guardrails earn 2 of 22.
How does a resident household have no debt at all?
His grandfather opened an investment account when he was born and added to it his whole life. It paid for school all the way through, which is why a PGY-1 pediatrics household carries no student debt, no car loan, and no card balances.
What should Aaron and Ada do with the $225,000 stock account?
Give the $225,000 taxable account a job. It sits in individual stocks with no new money going in and no purpose assigned. The episode's plan unwinds it gradually in these low bracket training years and routes the proceeds into Roth accounts and the household's stated goals.
What do the fixes do to Aaron and Ada's score?
Run both and the arithmetic is 38 plus 8, a score of 46. The gains are 4 for an umbrella policy and 4 for an estate plan with a guardian named before the baby arrives. A score of 46 out of 100 moves the household into the Corrections band.
Sources and Basis
This assessment is built from the household's own intake for the Financial Health Assessment and the episode assessment of it. Every figure on this page comes from that record, and the score is traced box by box under the locked resident and fellow rubric.
The resident and fellow rubric weights the seven frameworks at 26, 6, 22, 10, 8, 6, and 22, for a total of 100. The bands are Needs a workup from 0 to 39, Corrections from 40 to 69, Stable from 70 to 84, and Healthy from 85 to 100. Residents and fellows are scored on the Transition fork: the loan strategy, and the state of cards and other debt.
Written by Ryan Inman, MBA, MAFM. Last updated October 2026.
About
Ryan Inman is a retired financial planner who worked with about 500 physician families. He created the Financial Residency podcast (about 3 million downloads) and is no longer affiliated with it. Financial Fellowship is his sole focus. This guide is educational. Last updated October 2026.
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