Financial Health Assessment
Theodore and Penelope: Pediatrics Household Scores 44 Out of 100
PediatricsResident · PGY-2Couple, no children stated
Financial Health Assessment score
44 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. Theodore and Penelope lands at 44, in the Corrections band, score 40 to 69.
Theodore is a university fundraising professional earning $85,000 a year, with take home pay of $5,000 a month. Penelope is a second year pediatrics resident earning $56,000 a year, with take home pay of $3,400 a month. The household earns $141,000 and takes home $8,400 a month, renting at $1,900 a month, with no children yet. The assessment scores the household 44 out of 100, in the Corrections band.
The saving system runs ahead of the protection. The household saves about $41,100 a year, about 29 percent of the $141,000 gross: $1,000 a month to two Roth IRAs, both maxed, about $425 a month to a defined benefit pension, and $2,000 a month of the Ally buckets (the house, emergency and general savings buckets). Roth balances stand at $12,000 apiece and the pension at a little over $10,000.
The open items are the two covers the caller names himself: he states he is lagging on disability insurance and on life insurance, and neither is in place. There is no umbrella policy and there are no estate documents, both stated. The traced path runs from 44 to a target of 54, in a set order: disability for Penelope first, life cover after it, and the documents once cash flow allows.
$119,000
Student debt · two loans, two strategies
About 29 percent
Saved of gross income · about $41,100 a year
$0
Disability and life cover · neither placed yet
$141,000
Household income · fundraiser plus resident
About $41,100
Saved a year · about 29 percent of gross
54
Score with the three traced fixes · Corrections band
The short version
- The score: 44 out of 100, in the Corrections band. The Physician Wealth Equation earns the full 6 of 6 and the Decision Filter the full 6 of 6, while the Protection Stack earns 4 of 22.
- Saving runs at about 29 percent of gross income: both Roth IRAs maxed, a pension contribution, and $2,000 a month of the Ally buckets (house, emergency and general savings), $41,100 a year in all.
- The two student loans run on opposite strategies: his $21,000 federal loan on income based repayment, overpaid at $800 a month, and her $98,000 refinanced privately through SoFi at 5 percent, overpaid at $500 a month.
- Health cover is the only full box in the Protection Stack. Disability and life cover are absent, and the caller states he is lagging on both.
- Three traced fixes in a set order are worth 10 points and take the score to 54: disability for Penelope (+2), life cover (+4), and the estate documents (+4).
The buckets are full. The cover is a to do list.
What They Did Right
This is the machinery already running.
- About 29 percent saved About $41,100 a year across Roth IRAs, a pension and $2,000 a month of the Ally buckets (house, emergency and general savings), on $141,000 of gross income. The stretch box and the floor both grade full.
- Both Roth IRAs maxed $1,000 a month combined, $12,000 standing in each, maxed during residency.
- Both loans overpaid $800 a month against a $250 minimum on his, $500 against a $100 minimum on hers. Neither loan runs at its minimum.
- Named buckets for the goals House, emergency, vacation, general and car buckets take $2,400 a month inside Ally, each with a stated purpose or amount.
- No card or car debt Cards paid in full monthly and both cars owned outright. Cards and other debt earn the full 4.
The Score: 44 out of 100
The Financial Health Assessment grades a household across the same seven frameworks and lands the total in a band. Theodore and Penelope scores 44, in the Corrections band. This household is scored on the resident and fellow rubric path, driven by Penelope's residency.
19
Measures graded
7
Frameworks
44
Theodore and Penelope's score
The 3 Bucket Framework earns 5 of 26. Milestones earn 0, because the milestone net cannot be determined from what the intake states. The emergency fund earns 0: its balance and months are not stated, only a $500 a month flow. Named lanes earn 2, on named Ally buckets, with the purpose of the $500 general savings line unstated. Goals funded earns 3, with house and emergency flows running while the future children education and philanthropy goals carry no stated flow.
The Physician Wealth Equation earns the full 6 of 6 on the resident stretch box: counted wealth and goal saving of about $41,100 a year is about 29 percent of the $141,000 gross, above the 25 percent full bar. Residents are never scored on debt to income. The two loans are graded through the loan strategy box instead.
The Protection Stack earns 4 of 22. Health earns the full 4, on employer cover for both spouses deducted from pay. Disability earns 0, stated absent. Life earns 0, stated absent. Umbrella earns 0, stated absent. Malpractice earns 0, type and tail not stated. Estate documents earn 0, stated absent.
The Transition framework earns 7 of 10. The loan strategy box earns 3: Theodore's loan is federal on income based repayment, and Penelope's is private through SoFi, a mixed strategy that grades partial. Cards and other debt earn the full 4: cards are paid in full monthly and both cars are owned outright.
The Tax Ladder earns 2 of 8, at 2 and 0: supplemental pre tax plans are deliberately declined for fees and debt priority 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 five stated goals.
The Lifestyle Guardrails earn 14 of 22: the Savings Floor at the full 12 on a rate of about 29 percent, the leak at 0 because the unaccounted amount is not stated, and wealth first automation at 2, on stated monthly flows with automation not stated.
| Framework | What it covers | Points |
|---|---|---|
| 02 3 Bucket Framework | Milestones 0, emergency fund 0 (balance not stated), named lanes 2, goals funded 3 | 5 of 26 |
| 03 Physician Wealth Equation | Stretch saving 6 at about 29 percent. Residents are not scored on debt to income | 6 of 6 |
| 04 Protection Stack | Health 4, disability 0, life 0, umbrella 0, malpractice 0, estate documents 0 | 4 of 22 |
| 05 Transition | Loan strategy 3, mixed federal and private. Cards and other debt 4, cards paid in full | 7 of 10 |
| 06 Tax Ladder | Roth against pre tax 2, bracket plus moves 0 | 2 of 8 |
| 07 Decision Filter | Goals written 6, five goals stated | 6 of 6 |
| 08 Lifestyle Guardrails | Savings floor 12, the leak 0, wealth first automation 2 | 14 of 22 |
| Total | Corrections band | 44 out of 100 |
Read the shape, not just the total. The earning and saving side is finished work: a full stretch box, a full savings floor, both Roth IRAs maxed and five goals written on a resident and a staff salary. The other side is one stack: the Protection Stack holds a single full box, health, and five zeros, four of them stated absences the caller names himself.
The Prescription
Three traced fixes in the record's order, and the open items behind them.
- Place disability cover for Penelope first. This is the Protection Stack, and it gains 2 points, moving disability from 0 to 2. An individual own occupation policy on the resident's line is the record's top priority. The box reaches partial only, because Theodore remains uncovered.
- Place life cover after disability. This is the Protection Stack, and it gains 4 points, moving life from 0 to 4. Life cover in force, placed after the disability cover, per the record's order (+4).
- Write the estate documents once cash flow allows. 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 complete the box for a couple with no minors.
- State the emergency fund balance and the malpractice cover. The emergency fund's balance and months are not stated, and malpractice type and tail are not stated. No point gain is traced for this item.
Run all three traced fixes and the arithmetic is 44 plus 10, a score of 54. The gains are 2 for Penelope's disability cover, 4 for life cover, and 4 for the estate documents. A score of 54 out of 100 keeps the household in the Corrections band.
What This Case Teaches
Deferred cover is a decision, and the score prices it as one. The saving came first: a saving rate near 29 percent in training, two Roth IRAs maxed, buckets named and funded. The caller's own word for the state of the covers is lagging. The stack grades at 4 of 22 until the applications are filed.
The saving is built. The cover is a sentence about the future.
The second lesson is order. The record does not trace these fixes as a bundle. It traces a sequence, disability for the trainee first, life cover second, documents third, each with its own price. A household that knows its order can finish a stack one landing at a time, and the score moves as each one lands.
Behind the score
The Household
Theodore works in university fundraising at $85,000 a year, with take home pay of $5,000 a month. Penelope is a second year pediatrics resident at $56,000 a year, with take home pay of $3,400 a month, planning a fellowship in pediatric emergency medicine. The household earns $141,000 and takes home $8,400 a month. There are no children yet, and the household rents at $1,900 a month.
Saving is the built side of this file. Two Roth IRAs take $1,000 a month combined, maxing both, and stand at $12,000 apiece. Theodore's defined benefit pension takes 6 percent of his salary, about $425 a month, and stands a little over $10,000. Ally savings buckets take $2,400 a month: $1,000 to a house down payment, $500 to the emergency fund, $250 to vacations, $500 to general savings and $150 to car and miscellaneous costs. The emergency fund's balance and months are not stated.
Twenty nine percent saved, and the cover still on the list.
Counted together, the wealth and goal saving is about $41,100 a year: the Roth IRAs at $12,000, the pension at about $5,100, the house bucket at $12,000, the emergency fund at $6,000 and general savings at $6,000, about 29 percent of gross income. That rate earns the stretch box and the savings floor at full marks on the resident scale.
Debt is two student loans run two ways. Theodore carries $21,000 of federal loans at 4.5 percent on income based repayment, a $250 minimum, paying $800 a month. Penelope carries $98,000 refinanced privately through SoFi at 5 percent, a $100 in training minimum, paying $500 a month. The hosts flag one sequence: Theodore kept paying his federal loan through the CARES pause at 0 percent while Penelope's 5 percent loan kept accruing. Both cars are owned outright, credit cards are paid in full monthly, and no other debts are stated. Total stated debt is $119,000.
Protection is the deferred side. Health cover stands on both spouses through their employers, deducted from pay, the one full box in the stack. Disability insurance is absent: the caller states he is lagging on it and needs to get it. Life insurance is absent: the caller states he is lagging on it as well. The household states it has no umbrella policy and no estate planning documents. Malpractice type and tail are not stated.
| Household fact | Where it stands |
|---|---|
| Careers | University fundraising professional. Pediatrics resident, PGY-2, pediatric emergency medicine fellowship planned |
| Household income | $85,000 plus $56,000. Household $141,000. Take home $5,000 and $3,400 a month |
| Family | Couple, no children yet. Renting at $1,900 a month |
| Student loans | His $21,000 federal at 4.5 percent on income based repayment, minimum $250, paying $800. Hers $98,000 through SoFi at 5 percent, minimum $100 in training, paying $500 |
| Other debt | None stated. Both cars owned outright. Credit cards paid in full monthly. Total stated debt $119,000 |
| Emergency fund | Balance and months not stated. $500 a month flows to the emergency bucket inside $2,400 of Ally buckets |
| Saving | About $41,100 a year, about 29 percent of gross: Roth IRAs $1,000 a month maxing both, pension about $425 a month, and $2,000 a month of the Ally buckets (house, emergency and general savings) |
| Balances | Roth IRAs $12,000 apiece. Defined benefit pension a little over $10,000 |
| Disability | Absent. The caller states he is lagging on disability insurance and needs to get it |
| Life insurance | Absent. The caller states he is lagging on life insurance and needs to get it |
| Umbrella | None. The household states it carries no umbrella policy |
| Estate documents | None. The household states it has no estate planning documents |
| Goals | Five stated goals |
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 4 of 22 on health cover alone, and the Transition framework, which scores 7 of 10 on two loans run on opposite strategies.
Framework one
The Protection Stack
The Protection Stack grades the coverage that keeps one bad month from ending the plan. Health cover stands. Every other layer is absent or unstated: 4 of 22.
- Health cover, in place Built
- Both spouses carry employer health cover deducted from pay. The box earns the full 4 of 4.
- Disability and life, absent Missing
- Neither cover is placed, and the caller states he is lagging on both. Both boxes earn 0, and both are traced fixes in a set order.
- Umbrella and estate documents Missing
- No umbrella policy and no estate documents, both stated. Both boxes earn 0. The documents are the third traced fix.
Framework two
The Transition Framework
The Transition framework grades the loan strategy and the state of cards and other debt. The cards are clean. The two loans run on opposite strategies: 7 of 10.
- Cards and other debt Built
- Credit cards are paid in full monthly and both cars are owned outright. The box earns the full 4 of 4.
- His loan, federal on a plan Partial
- $21,000 of federal loans at 4.5 percent on income based repayment, overpaid at $800 a month against a $250 minimum.
- Her loan, private at 5 percent Partial
- $98,000 refinanced through SoFi at 5 percent, overpaid at $500 a month against a $100 in training minimum. The mixed strategy earns the loan box 3 of 6.
Two Loans Run on Opposite Strategies
The first look is the pair of loans. Theodore's is $21,000 of federal debt at 4.5 percent, on income based repayment with a $250 minimum, and he pays $800 a month. Penelope's is $98,000 refinanced privately through SoFi at 5 percent, with a $100 minimum during training, and she pays $500 a month. One loan kept its federal protections. The other traded them for a rate.
The loan strategy box grades the pair together and lands at 3 of 6: a federal loan on an income driven plan beside a private refinance is a mixed strategy. Cards and other debt take the full 4 in the same framework, because the cards are paid in full and the cars are owned.
One loan kept its options. The other took the rate.
The hosts flag the sequence inside the overpayments. During the CARES pause, Theodore's federal loan sat at 0 percent, and he kept paying it, while Penelope's 5 percent loan kept accruing interest. The dollars were real in both directions. The order of them is the part the episode questions.
Both loans are being overpaid, and that fact stands on its own side of the ledger. What the strategy box prices is the structure: a household carrying one federal loan with its forgiveness and pause options intact, and one private loan with none of them, at the higher stated rate of the two.
The Cover the Caller Says He Is Lagging On
The second look is the caller's own sentence: he is lagging on disability insurance and needs to get it, and he is lagging on life insurance too. Neither cover is placed. On a file where the resident's income is the one in training and the household saves about 29 percent, the two covers that pay when an earner cannot are the empty boxes.
The record's traced path puts them in order. Disability comes first, for Penelope, as the record's top priority: an individual own occupation policy on her line moves the box from 0 to 2, partial, because Theodore remains uncovered. Life cover follows, in force after the disability cover is placed, per the record's order, and it moves that box from 0 to 4.
He names the gap himself: lagging on both covers.
The estate documents come third in the traced order, once cash flow allows, at the full 4: a will, a power of attorney and a healthcare directive complete the box for a couple with no minors. The umbrella stands stated absent beside them, and health cover is the stack's one finished layer, employer cover on both spouses.
The caller's reason for building all of it stands in the record: financial stress contributed to his father's early death when he was 20, and he is building a household without it. The cover is the half that waits, and the traced path prices finishing it at 10 points.
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 Theodore and Penelope, 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 balance and months unstated, named lanes earn 2 on named buckets with one purpose unstated, and goals funded earns 3 of 6 on house and emergency flows that run while the education and philanthropy goals carry no stated flow. The framework earns 5 of 26.
Questions this case answers
What score did Theodore and Penelope receive on the Financial Health Assessment?
Theodore and Penelope scored 44 out of 100, in the Corrections band. The Physician Wealth Equation earns the full 6 of 6 and the Decision Filter the full 6 of 6, while the Protection Stack earns 4 of 22.
Why does the loan strategy earn only 3 of 6?
The two loans run on opposite strategies. Theodore's $21,000 is federal, at 4.5 percent on income based repayment, and Penelope's $98,000 is a private refinance through SoFi at 5 percent. A federal loan on a plan beside a private loan grades as a mixed strategy. Both loans are overpaid, his at $800 a month against a $250 minimum and hers at $500 against a $100 minimum.
What is missing for Theodore and Penelope?
Disability insurance and life insurance, both absent, with the caller stating he is lagging on both. The household also states it has no umbrella policy and no estate planning documents. The emergency fund's balance and months are not stated, and malpractice type and tail are not stated.
What do the fixes do to Theodore and Penelope's score?
Three traced fixes in a set order move the score 10 points, from 44 to 54. The gains are 2 for individual own occupation disability cover for Penelope, 4 for life cover in force, placed after the disability cover, per the record's order, and 4 for the estate documents once cash flow allows. A score of 54 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.