Financial Health Assessment
Everett and Rosalind: Anesthesiology Household Scores 47 Out of 100
AnesthesiologyResident · First yearCouple, no children stated
Financial Health Assessment score
47 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 19 measures across seven frameworks. Everett and Rosalind lands at 47, in the Corrections band, score 40 to 69.
Everett is a first year anesthesiology resident earning $59,700 a year. Rosalind works remotely in public health, earning $82,000 a year. The household earns $141,700, with stated take home pay of $7,323 a month. They are newlyweds with no children stated, renting at $1,725 a month. The assessment scores the household 47 out of 100, in the Corrections band.
The money system is mapped to the dollar. Retirement flows run $2,550 a month: $800 to her 401k, $750 to his 403b, and $1,000 to two Roth IRAs, both maxed, about $30,600 a year, about 22 percent of gross income. Named buckets take the rest: $1,000 to a house fund, $336 to a car fund, $200 to vacations, and smaller lines for a pet, gifts and fun money. Balances stand at about $47,000 in his 403b, $40,000 in her Roth IRA, about $14,000 in his Roth IRA, and about $3,800 in her 401k.
The open items are two pieces of paper and one definition. The household states plainly that it carries no umbrella policy and no estate documents, with the documents planned for when children arrive. Everett holds an individual disability policy paying $4,000 a month, bought through the AMA at $310 a year, and the hosts question whether its definition of own occupation is the strong one. Health cover is not stated. The traced path runs from 47 to a target of 55, and the prescription section shows the two steps that trace.
$340,000
Student debt · two federal loans on PSLF clocks
$2,000,000
Term life on each spouse · laddered 20 and 10 year
$9,000
Stated emergency fund · under two months of fixed expenses
About $141,700
Household income · resident plus public health
$2,550
Retirement flows per month · both Roth IRAs maxed
55
Score with the two traced fixes · Corrections band
The short version
- The score: 47 out of 100, in the Corrections band. The Lifestyle Guardrails earn 17 of 22 and the Decision Filter the full 6 of 6, while the Protection Stack earns 6 of 22.
- Student debt is $340,000 across two federal loans, hers about $90,000 and his $250,000, both on REPAYE inside PSLF. Hers has an eligible payoff date stated at the intake as May 2026. His is July 2030 if PSLF qualifying employment continues.
- Retirement flows of $2,550 a month are about 22 percent of gross income and about 35 percent of take home pay. Both Roth IRAs are maxed in the first year of residency.
- Life cover is finished on both spouses: $2,000,000 each, laddered as a 20 year policy and a 10 year policy of $1,000,000 apiece. His disability policy pays $4,000 a month.
- No umbrella policy and no estate documents are in place, both stated plainly. The two traced fixes are worth 8 points and take the score to 55: buy the umbrella now, and write the documents now.
Every dollar has a bucket. The paper has a waiting room.
What They Did Right
A first year training household with its flows already built. This is the machinery already running.
- Both Roth IRAs maxed, year one $1,000 a month across the two Roth IRAs, maxed in the first year of residency beside 401k and 403b deferrals.
- Life cover laddered on both spouses $2,000,000 apiece, in 20 year and 10 year layers of $1,000,000 each.
- Every dollar in a named lane The Ally buckets and the monthly allocation map earn named lanes the full 4, the only full box in the bucket framework.
- Two loans, two forgiveness clocks Both federal loans sit on REPAYE inside PSLF with eligible payoff dates tracked: hers to the May 2026 date stated at the intake, his to July 2030.
- Disability with riders An individual policy paying $4,000 a month with a partial disability benefit and a cost of living rider, at $310 a year.
The Score: 47 out of 100
The Financial Health Assessment grades a household across the same seven frameworks and lands the total in a band. Everett and Rosalind scores 47, in the Corrections band. This household is scored on the resident and fellow rubric path, driven by Everett's first year of residency.
19
Measures graded
7
Frameworks
47
Everett and Rosalind's score
The 3 Bucket Framework earns 7 of 26. Milestones earn 0, because the milestone net cannot be determined from what the intake states. The emergency fund earns 0: $9,000 against about $4,851 of itemized fixed expenses is under two months. Named lanes earn the full 4, on an Ally structure where every bucket is itemized with a job. Goals funded earns 3, with dollars flowing to the house and retirement goals while the future college goal carries no stated flow.
The Physician Wealth Equation earns 3 of 6 on the resident stretch box: a savings rate of about 22 percent of gross income sits inside the resident partial band. Residents are never scored on debt to income. The $340,000 of loans is graded through the loan strategy box instead.
The Protection Stack earns 6 of 22. Health earns 0, because cover is not stated. Disability earns 2: Everett holds an individual policy stated as own occupation with riders, Rosalind's cover is not stated, and the hosts question the policy's definition. Life earns the full 4, on individual term in force on both spouses, $2,000,000 apiece. Umbrella earns 0, because the household states it carries none. Malpractice earns 0, type and tail not stated. Estate documents earn 0, because none exist.
The Transition framework earns 6 of 10. The loan strategy box earns the full 6: both loans are federal, on REPAYE, inside PSLF with the dates tracked, hers to May 2026, as stated at the intake, and his to July 2030, at payments of $0 or affordable amounts. Cards and other debt earn 0, because credit card status is not stated.
The Tax Ladder earns 2 of 8, at 2 and 0: Roth IRAs are maxed beside 401k and 403b deferrals with no bracket reason stated, and the bracket and deliberate tax moves are not stated. The Decision Filter earns the full 6 of 6 on six stated goals.
The Lifestyle Guardrails earn 17 of 22: the Savings Floor at the full 12 on a rate of about 22 percent of gross and about 35 percent of take home pay, the leak at 3 because stated take home of $7,323 against the stated allocations and expenses leaves under 3 percent unaccounted, and wealth first automation at 2, on monthly allocations that run to the IRAs, the house fund and the car fund.
| Framework | What it covers | Points |
|---|---|---|
| 02 3 Bucket Framework | Milestones 0, emergency fund 0 at under two months, named lanes 4, goals funded 3 | 7 of 26 |
| 03 Physician Wealth Equation | Stretch saving 3 at about 22 percent. Residents are not scored on debt to income | 3 of 6 |
| 04 Protection Stack | Health 0 (not stated), disability 2, life 4, umbrella 0, malpractice 0, estate documents 0 | 6 of 22 |
| 05 Transition | Loan strategy 6, both loans federal on REPAYE inside PSLF. Cards and other debt 0, card status not stated | 6 of 10 |
| 06 Tax Ladder | Roth against pre tax 2, bracket plus moves 0 | 2 of 8 |
| 07 Decision Filter | Goals written 6, six goals stated | 6 of 6 |
| 08 Lifestyle Guardrails | Savings floor 12, the leak 3, wealth first automation 2 | 17 of 22 |
| Total | Corrections band | 47 out of 100 |
Read the shape, not just the total. The flow side of this file is finished work: lanes at full marks, a floor at full marks, two Roth IRAs maxed in a first residency year, and two loan plans graded at full marks. The drag sits in the Protection Stack, where two boxes the household can close with signatures and one application, the umbrella and the estate documents, stand at zero beside life cover that is already bought and large.
The Prescription
Two traced fixes, and the open items behind them.
- Buy the umbrella policy now. This is the Protection Stack, and it gains 4 points, moving umbrella from 0 to 4. The household states it carries none, and the record traces the cover to now rather than to a net worth target reached later.
- Write the estate documents now. This is the Protection Stack, and it gains 4 points, moving estate documents from 0 to 4. A will, a power of attorney and a healthcare directive: the adult set, complete for a couple with no minors, written now rather than when children arrive.
- State the health cover and test the disability definition. Health cover is not stated, so the box grades 0, and the hosts question whether Everett's $4,000 a month policy carries the strong own occupation definition. No point gain is traced for this item.
- Build the emergency fund to the household's own goal. The fund stands at $9,000, under two months of itemized fixed expenses, against stated goals of $15,000 and then $20,000. No point gain is traced for this item in the record's target.
Run both traced fixes and the arithmetic is 47 plus 8, a score of 55. The gains are 4 for the umbrella policy and 4 for the estate documents. A score of 55 out of 100 keeps the household in the Corrections band.
What This Case Teaches
A map is not the same as cover. This household can account for nearly every dollar it takes home, maxes two Roth IRAs in a first residency year, and runs two forgiveness clocks on schedule. None of that buys an umbrella policy or signs a will. The frameworks grade the flows and the paper separately, and a file can be finished on one side and empty on the other.
Flows are graded. Paper is graded. Neither pays for the other.
The second lesson is the waiting reason. Both empty boxes wait on the same future event, children, and the record prices both fixes in the present tense. A plan that ties cheap paper to a life event years away leaves the intervening years ungraded and uncovered, which is the whole distance between this household's 47 and its traced 55.
Behind the score
The Household
Everett is a first year anesthesiology resident at $59,700 a year. Rosalind works remotely in public health at $82,000 a year. The household earns $141,700, with stated take home pay of $7,323 a month. They are newlyweds, no children are stated, and they rent at $1,725 a month.
Cash and balances are stated in buckets. An Ally account holds about $13,000 in all: a $9,000 emergency fund, a $3,000 start on a house down payment, and smaller funds for travel, the cars, a pet and gifts. Retirement balances stand at about $47,000 in his 403b, $40,000 in her Roth IRA, about $14,000 in his Roth IRA, and about $3,800 in her 401k beside a 4 percent employer match.
Two PSLF clocks, and a job for every dollar.
The stated flows run on a monthly map. Retirement takes $2,550 a month: $800 to her 401k, $750 to his 403b, and $1,000 across the two Roth IRAs, both maxed, about $30,600 a year. The house fund takes $1,000, a car fund $336, vacations $200, a pet line $25, gifts $50, and fun money $800. Itemized fixed expenses run about $4,851 a month, and the $9,000 emergency fund stands under two months of them, against the household's own goal of $15,000 and then $20,000.
Debt is student debt and nothing else stated. Rosalind carries about $90,000 of federal loans on REPAYE inside PSLF, at $300 a month, deferred at the time of the intake, with an eligible payoff date of May 2026. Everett carries $250,000 of consolidated federal loans on REPAYE inside PSLF, at $0 during the CARES pause at the intake, with about $300 a month expected after it, with an eligible payoff date of July 2030. Total stated debt is $340,000. Two old Saturn cars are owned outright, and credit card status is not stated.
Protection is part bought and part deferred. Everett holds an individual disability policy paying $4,000 a month, with a partial disability benefit and a cost of living rider, bought through the AMA at $310 a year. The hosts question whether its own occupation definition is the strong form. Rosalind's disability cover is not stated. Life cover is finished on both: each spouse holds a 20 year $1,000,000 policy and a 10 year $1,000,000 policy, $2,000,000 apiece. The household states that it has no umbrella policy and no estate documents, with the documents planned for when children arrive. Health cover and malpractice type and tail are not stated.
| Household fact | Where it stands |
|---|---|
| Careers | Anesthesiology resident, first year. Public health worker, remote |
| Household income | $59,700 plus $82,000. Household $141,700. Take home $7,323 a month stated |
| Family | Newlyweds, no children stated. Renting at $1,725 a month |
| Student loans | Hers about $90,000 federal on REPAYE inside PSLF, $300 a month, deferred at the intake, with a payoff date stated at the intake as May 2026. His $250,000 consolidated federal on REPAYE inside PSLF, about $300 a month expected, payoff eligible July 2030 |
| Other debt | None stated. Two old Saturn cars owned outright. Credit card status not stated. Total stated debt $340,000 |
| Emergency fund | $9,000 in an Ally account, under two months of about $4,851 of itemized fixed expenses. Household goal $15,000, then $20,000 |
| Saving | Retirement flows $2,550 a month (401k $800, 403b $750, Roth IRAs $1,000 combined), about $30,600 a year. House fund $1,000 a month. Buckets for cars, vacations, a pet and gifts |
| Balances | 403b about $47,000. Her Roth IRA $40,000. His Roth IRA about $14,000. Her 401k about $3,800. Ally cash about $13,000 across named funds |
| Disability | Everett: individual policy, $4,000 a month, partial disability and cost of living riders, $310 a year through the AMA. Own occupation definition questioned by the hosts. Rosalind: not stated |
| Life insurance | $2,000,000 on each spouse, laddered as a 20 year $1,000,000 policy and a 10 year $1,000,000 policy |
| Umbrella | None. The household states it does not carry one |
| Estate documents | None. Planned for when children arrive |
| Goals | Six stated goals |
The Two Frameworks Behind the Score
The score grades 19 measures across seven frameworks. Two of them carry this case: the Lifestyle Guardrails, which score 17 of 22 on a mapped money system, and the Protection Stack, which scores 6 of 22 with the life layer finished and the paper layer empty.
Framework one
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 savings floor Built
- Retirement flows of $2,550 a month are about 22 percent of gross income and about 35 percent of take home pay. The box earns the full 12 of 12.
- The leak Partial
- Stated take home of $7,323 against the stated allocations and expenses leaves under 3 percent unaccounted. The box earns 3 of 6.
- Wealth first automation Partial
- Monthly allocations run to the IRAs, the house fund and the car fund on a stated map. The box earns 2 of 4.
Framework two
The Protection Stack
The Protection Stack grades the coverage that keeps one bad month from ending the plan. Life cover is bought on both spouses. The umbrella and the documents do not exist: 6 of 22.
- Life cover, laddered on both Built
- Each spouse holds $2,000,000 of individual term, a 20 year $1,000,000 policy beside a 10 year $1,000,000 policy. The box earns the full 4 of 4.
- Disability, his bought, hers unstated Partial
- Everett's individual policy pays $4,000 a month with riders, and the hosts question its own occupation definition. Rosalind's cover is not stated. The box earns 2 of 4.
- Umbrella and estate documents Missing
- The household states it carries no umbrella policy and holds no estate documents, with the documents planned for when children arrive. Both boxes earn 0, and both are traced fixes.
Two PSLF Clocks Run the Loan Story
The first look is the debt, because the debt is $340,000 on a $141,700 income. It sits in two federal loans. Rosalind's is about $90,000, on REPAYE inside the Public Service Loan Forgiveness program, its $300 a month payment deferred at the time of the intake and its eligible payoff date stated as May 2026. Everett's is $250,000 consolidated, on REPAYE inside PSLF, at $0 during the CARES pause at the intake, with about $300 a month expected after it, with an eligible payoff date of July 2030.
The loan strategy box grades the plan, and the plan is complete: federal loans, an income driven plan on both, forgiveness tracked on both, and payments that are $0 or affordable on a training income. The box earns the full 6. Residents are not scored on debt to income, so the size of the balance never enters the grade. The strategy does.
The balance is large. The plan for it is finished.
The two clocks run at different speeds, and the household's goals assume both. Her public health work carries the nearer clock, its payoff date stated at the intake as May 2026. His runs through residency and into the attending years, out in July 2030 if the PSLF path holds and the paperwork stays current. The stated goal list carries forgiveness on both loans as a goal.
What the score cannot grade is the wait. A first year resident household carries $340,000 of stated debt for years by design.
The Paper Waits for Children Who Are Not Here Yet
The second look is two empty boxes with a stated reason. The household carries no umbrella policy and holds no estate documents. The documents, the intake states, are planned for when children arrive. There are no children yet, and the rubric grades the file that exists today: 0 for the umbrella, 0 for the documents.
The record's traced path disagrees with the wait. The record traces the full 4 points to buying it now rather than at a net worth target. The estate set is the adult set: a will, a power of attorney and a healthcare directive complete the box for a couple with no minors, and the record traces the full 4 points to writing them now rather than when children arrive.
The plan says children first. The file says paper first.
The contrast inside the same stack is the point of this page. The life layer is finished here: $2,000,000 on each spouse, laddered, in force. The two layers left are an umbrella application and a document set, and both wait on a future event the score does not grade.
Add the two traced items together and the file's path is short: an umbrella policy in force and the adult document set signed, 8 points. The health cover the intake never states and the disability definition the hosts question sit behind them, carried on this page without points attached.
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 Everett and Rosalind, 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 at under two stated months, named lanes earn the full 4 on buckets itemized with a job for each, and goals funded earns 3 of 6 on flows that reach the house and retirement goals while the future college goal carries no stated flow. The framework earns 7 of 26.
Questions this case answers
What score did Everett and Rosalind receive on the Financial Health Assessment?
Everett and Rosalind scored 47 out of 100, in the Corrections band. The Lifestyle Guardrails earn 17 of 22 and the Decision Filter the full 6 of 6, while the Protection Stack earns 6 of 22.
What happens to the $340,000 of student debt?
Both loans are federal and sit on REPAYE inside the Public Service Loan Forgiveness program. Hers, about $90,000, reaches its eligible payoff date, stated at the intake as May 2026, at $300 a month, deferred at the time of the intake. His, $250,000 consolidated, reaches its eligible payoff date in July 2030 if PSLF qualifying employment continues, at about $300 a month expected after $0 payments during the CARES pause at the intake.
What is missing for Everett and Rosalind?
An umbrella policy and estate documents, both stated as absent, with the documents planned for when children arrive. Health cover is not stated, Rosalind's disability cover is not stated, malpractice type and tail are not stated, and credit card status is not stated. The emergency fund stands at $9,000, under two months of itemized fixed expenses.
What do the fixes do to Everett and Rosalind's score?
Two traced fixes move the score 8 points, from 47 to 55. The gains are 4 for buying the umbrella policy now and 4 for writing the estate documents now, the adult set of a will, a power of attorney and a healthcare directive. A score of 55 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 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.