Financial Health Assessment
Amos and Agatha: Surgical Specialty Household Scores 51 Out of 100
By Ryan Inman
Published · Updated
Surgical specialtyEstablished · AttendingCouple, one child
Financial Health Assessment score
51 out of 100
Corrections
- Needs a workup 0 to 39
- Corrections 40 to 69
- Stable 70 to 84
- Healthy 85 to 100
The score grades the household on 20 measures across seven frameworks. Amos and Agatha lands at 51, in the Corrections band, score 40 to 69.
Amos is a surgical specialist, the subspecialty not stated, who earned $630,000 in 2019 and about $610,000 in 2020, a W-2 of about $530,000 plus about $80,000 of 1099 income. Agatha is a pharmacist who earned about $60,000 in 2020. The household's stated 2020 income is about $670,000, with one minor child. The assessment scores the household 51 out of 100, in the Corrections band.
The earning and saving lines grade at full marks. Stated saving ran about $20,000 to $30,000 a month across the prior three months by the household's Mint tracking, at least 25 percent of stated income, and the debt load sits at about 1.59 times income on the established scale. Investable accounts are stated account by account: two Roth 401k accounts at $75,000 and $87,000, backdoor Roth IRAs at $14,000 and $8,000, and an Edward Jones account at $7,600, beside accounts whose amounts are not stated.
What this file grades at zero is the transition layer and parts of the paperwork. Both cars are leased. Her $220,000 of student loans are neither finished nor on an executed forgiveness plan. Health cover is not stated, the emergency fund amount is not stated, and of the estate documents only the wills are stated. Ahead of long term saving, on the caller's own statement, stand a renovation of about $250,000, a backyard project of about $300,000, and a Florida vacation home.
About $670,000
Stated 2020 income · specialist plus pharmacist
$1,068,000
Total stated debt · about 1.59 times income
$20,000 to $30,000
Stated saving a month · prior three months
$1.068 million
Total stated debt · about 1.59 times income
57
Score with the two traced fixes · Corrections band
The short version
- The score: 51 out of 100, in the Corrections band. The Physician Wealth Equation earns the full 14 of 14 and the Decision Filter the full 4 of 4, while the Transition framework earns 0 of 10.
- Stated saving of $20,000 to $30,000 a month ran at least 25 percent of stated income over the prior three months, and total stated debt of $1,068,000 sits at about 1.59 times income.
- The Transition framework grades zero on both boxes: her student loans are neither finished nor on an executed forgiveness plan, and both cars are leased.
- Protection is half stated: his disability and term life are in force and the umbrella is large, while health cover is not stated, her disability is not stated, and only the wills are stated of the estate set.
- Two traced fixes move the score 6 points to a 57: buy the next cars in cash instead of leasing, and switch 401k contributions from Roth to traditional at the stated high bracket. A score of 57 stays in the Corrections band.
About $670,000 of income, and three projects ahead of long term saving.
What They Did Right
An attending household earning and saving at full marks. This is the machinery already running.
- Debt at 1.59 times income $1,068,000 of stated debt against about $670,000 of stated 2020 income, mortgage and HELOC included. The Debt Anchor earns the full 10.
- Saving at $20,000 to $30,000 a month The stated pace over the prior three months, at least 25 percent of stated income. Stretch saving and the savings floor both grade full.
- Disability and term life in force Individual disability of about $21,125 a month combined across two policies, and $3,500,000 of term life, on the specialist earner.
- A $3,000,000 umbrella Stated per incident cover, with $6,000,000 in total, at or above the stated rough assets. The box earns the full 4.
- Cards paid in full No consumer debt stated beyond the leases: the cards are paid off monthly, as stated.
The Score: 51 out of 100
The Financial Health Assessment grades a household across the same seven frameworks and lands the total in a band. Amos and Agatha scores 51, in the Corrections band. This household is scored on the attending rubric, on the established fork of the Transition framework. Years out of training are not stated. The record applies the attending path on stated attending level income and notes that Framework 05 grades zero under either attending fork on the stated facts.
20
Measures graded
7
Frameworks
51
Amos and Agatha's score
The 3 Bucket Framework earns 5 of 20. Milestones earn 0, because the milestone net cannot be determined from what the intake states. The emergency fund earns 0: an Ally bucket is named for it, and its amount and months are not stated. Named lanes earn 2, on Mint tracking for three months and Ally savings buckets that sort most dollars. Goals funded earns 3, with dollars flowing to a renovation sink fund and other goals while the goals are not fully funded.
The Physician Wealth Equation earns the full 14 of 14. The Debt Anchor earns the full 10: total stated debt of $1,068,000 against about $670,000 of stated 2020 income is about 1.59 times, full on the established bar. Stretch saving earns the full 4: stated saving of $20,000 to $30,000 a month is at least 25 percent of stated income.
The Protection Stack earns 10 of 22. Health earns 0, because cover is not stated. Disability earns 2: individual cover stands on Amos, and Agatha's disability cover is not stated. Life earns the full 4, on individual term in force for Amos. Umbrella earns the full 4, at $3,000,000 per incident, at or above the stated rough assets. Malpractice earns 0, type and tail not stated. Estate documents earn 0: only the wills are stated of the required documents.
The Transition framework, on the established fork, earns 0 of 10. Education debt finished earns 0: her loans are neither finished nor on an executed forgiveness plan, and a planned refinance is not yet executed. No lingering consumer or vehicle debt earns 0, because both cars are leased.
The Tax Ladder earns 4 of 8, at 2 and 2: every 401k contribution is Roth, picked without a stated bracket reason, and the effective tax rates are stated with one deliberate move in place, the backdoor Roth IRAs. The Decision Filter earns the full 4 of 4 on five stated goals.
The Lifestyle Guardrails earn 14 of 22: the Savings Floor at the full 12 on a stated saving rate of at least 20 percent, the leak at 0 because the unaccounted amount is not stated, and wealth first automation at 2, on payroll retirement contributions and savings buckets with the pay first order not fully stated.
| Framework | What it covers | Points |
|---|---|---|
| 02 3 Bucket Framework | Milestones 0, emergency fund 0 (amount not stated), named lanes 2, goals funded 3 | 5 of 20 |
| 03 Physician Wealth Equation | Debt anchor 10 at about 1.59 times income, stretch saving 4 at 25 percent or more | 14 of 14 |
| 04 Protection Stack | Health 0 (not stated), disability 2, life 4, umbrella 4, malpractice 0, estate documents 0 | 10 of 22 |
| 05 Transition | Education debt finished 0, loans open. No lingering debt 0, cars leased | 0 of 10 |
| 06 Tax Ladder | Roth against pre tax 2, bracket plus moves 2 | 4 of 8 |
| 07 Decision Filter | Goals written 4, five goals stated | 4 of 4 |
| 08 Lifestyle Guardrails | Savings floor 12, the leak 0, wealth first automation 2 | 14 of 22 |
| Total | Corrections band | 51 out of 100 |
Read the shape, not just the total. The wealth equation is finished work: full marks on debt against income and on the stretch rate, at attending scale. Zeros sit in the transition layer, both boxes, and in the stated paper: health cover, the emergency fund amount, and the estate documents past the wills. A household can earn and save at full marks and still carry an unscored cushion and an unfinished transition, and this file is the shape of that.
The Prescription
Two traced fixes, and the open items behind them.
- Buy the next cars in cash. This is the Transition framework, and it gains 4 points, moving the vehicle box from 0 to 4. Own the cars outright instead of leasing, as prescribed. The current leases, amounts not stated, are what hold the box at zero.
- Switch 401k contributions from Roth to traditional. This is the Tax Ladder, and it gains 2 points, moving Roth against pre tax from 2 to 4. The stated high current bracket is the reason the record attaches to the switch. Today the Roth choice stands with no bracket reason stated.
- State the unstated lines. Health cover, the emergency fund amount, and Agatha's disability cover are not stated, which holds three boxes at zero or partial. No point gain is traced for this item.
- Finish the estate set past the wills. The wills are stated as completed and thoughtful. The power of attorney, the healthcare directive, and a guardian for the minor child are not separately stated. No point gain is traced for this item.
Run both traced fixes and the arithmetic is 51 plus 6, a score of 57. The gains are 4 for buying the next cars in cash and 2 for switching the 401k contributions to traditional. A score of 57 out of 100 keeps the household in the Corrections band.
What This Case Teaches
Full marks on earning do not finish a transition. This household's wealth equation is complete: debt at 1.59 times income and a saving pace of at least 25 percent. Its Transition framework is zero, because the education debt is still open and the cars are leased. The two facts sit in different frameworks, and neither one softens the other.
Grade the engine and the paperwork on separate lines.
The second lesson is what stated means. This file's biggest numbers are stated to the dollar, and its zero boxes include the ones with nothing stated at all: health cover, the emergency fund amount, and a guardian. A score built on stated facts pays for sentences, and the missing points in this file are mostly missing sentences.
Behind the score
The Household
Amos is a surgical specialist. The specific subspecialty is not stated. He earned $630,000 in 2019, with take home pay of $366,000, and about $610,000 in 2020: a W-2 of about $530,000 plus about $80,000 of 1099 income, take home not yet known. Agatha is a pharmacist. Her take home pay was $102,000 in 2019 and her 2020 income about $60,000. The household's stated 2020 income is about $670,000. There is one minor child. Years out of training are not stated, and the record applies the attending path on stated attending level income.
Investable assets are stated account by account: his Roth 401k at $75,000, her Roth 401k at $87,000, backdoor Roth IRAs at $14,000 and $8,000, her Edward Jones mutual fund account at $7,600, and a Canadian account at about $15,000 Canadian dollars. His M1 account is named with its amount not stated. Cash runs through Ally savings buckets, including an emergency fund bucket and a house renovation sink fund. The amounts are not stated, the monthly expense total is not stated, and emergency fund months cannot be calculated from the record.
The income is stated to the dollar. The cushion is not stated at all.
The stated saving is about $20,000 to $30,000 a month over the prior three months, per the household's Mint tracking. The record reads that pace as at least 25 percent of stated income, which is why the savings floor and the stretch box grade full beside an emergency fund that cannot be graded at all.
Debt sits in three stated lines and two leases. Her student loans are $220,000 of federal direct unsubsidized Stafford loans, at 0 percent during the freeze. The mortgage is $598,000 at 3.5 percent on a 30 year fixed loan. A HELOC second mortgage of $250,000 at 4.49 percent over 10 years funds the renovation. Credit cards are paid in full monthly. Both cars are leased, amounts not stated. Total stated debt is $1,068,000, about 1.59 times the stated 2020 income.
Protection is deep on one earner and thin on paper. Amos holds individual disability cover, a Guardian benefit of $17,000 a month plus a Principal benefit of about $4,125 a month, beside employer short and long term disability. His term life is $1,500,000 for 10 years plus $2,000,000 for 20 years. Agatha's disability cover is not stated, and her individual term is in process, beside about $500,000 each of group coverage through her work. The umbrella is stated as large: $3,000,000 per incident and $6,000,000 in total, as transcribed, through the malpractice carrier and Chubb. Health cover is not stated. Malpractice type and tail are not stated. Completed estate planning with thoughtful wills is stated. The power of attorney, the healthcare directive, and a guardian for the minor child are not separately stated.
| Household fact | Where it stands |
|---|---|
| Careers | Surgical specialist, subspecialty not stated. Pharmacist |
| Household income | 2019: $630,000 him (take home $366,000). Take home $102,000 her. 2020: about $610,000 plus about $60,000, household about $670,000 stated |
| Family | Couple, one minor child |
| Student loans | Hers: $220,000 federal Stafford at 0 percent during the freeze. Neither finished nor on an executed forgiveness plan |
| Mortgage | $598,000 at 3.5 percent, 30 year fixed. HELOC $250,000 at 4.49 percent for the renovation |
| Other debt | Two leased cars, amounts not stated. Cards paid in full monthly. Total stated debt $1,068,000 |
| Emergency fund | A bucket in Ally savings. Amount and months not stated |
| Saving | About $20,000 to $30,000 a month over the prior three months per Mint. At least 25 percent of stated income |
| Balances | Roth 401k accounts $75,000 and $87,000. Backdoor Roth IRAs $14,000 and $8,000. Edward Jones $7,600. Canadian account about $15,000 CAD. M1 amount not stated |
| Disability | Amos: Guardian $17,000 a month plus Principal about $4,125 a month, plus employer cover. Agatha: not stated |
| Life insurance | Amos $1,500,000 for 10 years plus $2,000,000 for 20 years. Agatha individual term in process, group about $500,000 each through her work |
| Umbrella | $3,000,000 per incident, $6,000,000 total, as transcribed |
| Estate documents | Wills stated completed. Power of attorney, healthcare directive, and guardian not separately stated |
| Goals | Five stated goals. Renovation and other goals funded in part |
The Two Frameworks Behind the Score
The score grades 20 measures across seven frameworks. Two of them carry this case: the Physician Wealth Equation, which scores the full 14 of 14, and the Transition framework, which scores 0 of 10 with both cars leased and the education debt open.
Framework one
The Physician Wealth Equation
The Wealth Equation grades the two attending numbers: what the household owes against what it earns, and how hard the saving stretches. At this income, both grade full.
- The Debt Anchor Built
- Total stated debt of $1,068,000 against about $670,000 of stated 2020 income is about 1.59 times. The box earns the full 10 of 10.
- Stretch saving Built
- Stated saving of $20,000 to $30,000 a month over the prior three months is at least 25 percent of stated income. The box earns the full 4.
- The Savings Floor, next door Built
- The same stated pace carries the savings floor in the Guardrails at the full 12, on a stated rate of at least 20 percent.
Framework two
The Transition Framework
The Transition framework grades whether the training era is closed out: education debt finished, and no consumer or vehicle debt lingering. Neither box has closed here: 0 of 10.
- Education debt finished Missing
- Her $220,000 of federal loans are neither finished nor on an executed forgiveness plan, and a planned refinance is not yet executed. The box earns 0 of 6.
- No lingering consumer or vehicle debt Missing
- Both cars are leased, amounts not stated. The box earns 0 of 4, and buying the next cars in cash is a traced fix.
A Renovation, a Backyard, and a Vacation Home
The first look is the caller's own project list: a house renovation of about $250,000, a backyard project of about $300,000, and a Florida vacation home. The record reads the list in one line: three projects, two of them priced, standing ahead of long term saving.
The renovation is already financed. The $250,000 HELOC at 4.49 percent is a second mortgage taken for it, and an Ally sink fund carries its name beside the emergency fund bucket. The goals box grades the picture at 3 of 6: dollars flow to the renovation and other goals, and the goals are not fully funded.
Set against the saving pace, the list is a choice the score can see only in part. Stated saving of $20,000 to $30,000 a month is real money at full marks. The boxes that grade where it goes next, goals funded and the transition layer, are the ones standing at partial and zero.
This page carries the projects as stated plans, with their stated prices. It does not grade taste. It grades what is stated: the projects stand ahead of long term saving, and the goals are not fully funded.
Leased Cars and Roth Contributions
The second look is the pair of traced fixes, because they sit in different frameworks and share one shape. Both cars are leased, amounts not stated, which holds the no lingering debt box at 0 on the established reading. And every 401k contribution is Roth, picked without a stated bracket reason, at a stated high current bracket.
The record traces 4 points to owning the next cars outright: buy in cash instead of leasing, and the vehicle box closes. It traces 2 more to the contribution switch: Roth to traditional, with the stated high bracket as the reason, which is the missing half of the tax box today.
Two habits, six points: own the cars, and let the bracket pick the account.
Neither fix asks the household to save more. The saving rate already grades full on both boxes that measure it. The points sit in the form the money takes: leased against owned, Roth against traditional, at an income where the record states the bracket is high.
The rest of the tax picture stands beside them: effective rates are stated, and one deliberate move, the backdoor Roth IRAs, is in place, which is why the second tax box holds 2 of 4 while the first waits on its reason.
Milestones: Scored on What Is Stated
Inside the 3 Bucket Framework, the milestone checklist tracks the markers a household has already hit. This checklist earns 0 for Amos and Agatha, 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 0 with its amount not stated, named lanes earn 2 on three months of Mint tracking and Ally buckets, and goals funded earns 3 of 6 on flows that reach the renovation and other goals below full funding. The framework earns 5 of 20.
Questions this case answers
What score did Amos and Agatha receive on the Financial Health Assessment?
Amos and Agatha scored 51 out of 100, in the Corrections band. The Physician Wealth Equation earns the full 14 of 14 and the Decision Filter the full 4 of 4, while the Transition framework earns 0 of 10.
How does the debt load grade on the established attending scale?
Total stated debt is $1,068,000: a $598,000 mortgage, a $250,000 HELOC taken for the renovation, and $220,000 of federal student loans. Against about $670,000 of stated 2020 household income that is about 1.59 times, so the Debt Anchor earns the full 10.
What stands ahead of long term saving for Amos and Agatha?
A house renovation of about $250,000, funded in part by the HELOC, a backyard project of about $300,000, and a Florida vacation home, on the caller's own statement. Both cars are leased, and the household's stated saving of $20,000 to $30,000 a month runs beside those projects, with the goals not fully funded.
What do the fixes do to Amos and Agatha's score?
Two traced fixes move the score 6 points, from 51 to 57. The gains are 4 for buying the next cars in cash instead of leasing and 2 for switching 401k contributions from Roth to traditional, with the stated high current bracket as the reason. A score of 57 out of 100 keeps the household in 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 attending rubric.
The attending rubric weights the seven frameworks at 20, 14, 22, 10, 8, 4, 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. Attendings are scored on the Transition fork by years since training: for established attendings, whether education debt is finished, and whether consumer or vehicle debt remains.
Written by Ryan Inman, MBA, MAFM. Last updated October 2026.