CRNA Locum

Investments without large fees

Investing is not one of our best endeavors and many just don’t take the time to learn. With only a few minutes left in the year, here is some information you might not want to miss.  

I was just listening to the ChooseFI podcast and found out a few things to pass along.  First, I recommend listening to them as you journey through life whether you are planning to retire early or not.  

HSAs or Health Savings accounts for any high deductible insurance plan that is define as 1350 for an individual or 2700 for a family.   You can put away 3450 individual or 6900 for a family in an HSA TAX FREE.   Any medical expenses can be taken out TAX FREE at any time / any year!  This of course means you have to keep your receipts for your accountant for years.  After age 65, it acts like a traditional IRA or can be used for medical expenses later in life.  If your plan started dec 1 you could find the entire amount.  Fidelity now has a zero fee HSA management account (funds or investments places in the account may have some fees).  

This is way different than an FSA as those funds don’t fully roll-over year to year.   these funds are for your yearly medical expenses and are typically use or lose.

We are typically interested in low fees and trying to keep our income in our pockets.  Mutual fund investments are just about the most common across the nation and ChooseFI often touts the Vanguard total stock index fund or VTSAX which had a hefty $10k minimum which has now changed to a $3k minimum for getting started.  This opens the fund up to those who are wanting to get started investing at one of the lowest fee mutual funds on the market at an annual fee of just 0.04%! 

Some of you may know these things but the mutual fund information is pretty new.  If you are thinking of setting up the Solo401k it has to be done and funded by the end of the year and if you are looking at a sep IRA it must be done and funded by April 15.   

It’s time to get your investment on! 

LocumCRNA.com and a new investing page?

I’m thinking it might be interesting to go through investments?  We work hard and make a decent income. What do we do with that income, or how do we invest and protect our investments? 

I’m thinking about using my continuous growth in showing what I have been up to on the investment space.  I can show the websites and what I’m working on in that space.  I can go through real estate holdings and what that looks like.  Not to forget sep IRA V’s Solo 401k and stock market investments.  Then businesses and the different types of investments that I look at and consider. 

I wonder if this is something you would want as a page as it only somewhat relates to our site because locums is the way I finance life and the investments?  

Change is inevitable

It’s Thursday and I’m in my last two days of Massachusetts. This is what I’m doing.  I’ve confirmed my credentials for Texas and started the credentialing in Virginia. Virginia is a different group as the previous took 8 months and came back with telling me I would have to resubmit everything and starting over.  I’ll never deal with a group that does that again.  

So, I’m preparing my luggage and work bags.  I’m making sure copies of hotel bills are sent to the agency.  I’m making sure the final hourly bill is sent tomorrow after work.  I’m slowly packing and getting things ready to go.  I’ll be doing homework the next two nights so more time can be spent with family when I get home.   

I sent in my foreign corporation documents by fax and mail to Texas.  This took 4 minutes from searching the foreign corporation and Texas Secretary of State.   

Min the meantime I’ve been in contact with my accountant.  Talking about the change of location.   

I’ve tracked my route to Texas and planned the day of start in Texas so that all is ready and done for a good and quick start.  I have a badge and person that I’m meeting.  Hotel is set and ready to go.  Seems all I need to do is show up and get started. 

Otherwise we are working on the real estate.  We are offering currently on another potential rental, but we are only getting it if it’s at a deal level. The market is turning again to a buyer level in some environments like where I invest, YouTube for Francisco (growing and getting ready to monetize with ads), and getting Elizabeth set for schools and bank accounts (preparing to pay her annually for work). We are finally hunting for what may be our November vacation as we haven’t done a just Francisco and I vacation in a year or two ;).  The journey continues.   

 

Leveraging Relationships

  you relationship building and keeping up with your previous facilities, colleagues, and friends?  Are you taking opportunity to go to state level CRNA meetings for continuing education?  

Everyday facilities are looking at the cost of anesthesia and if they can keep expenses low.  Groups are turning over, people go on vacation or maternity/sick leave, & independent practitioners are looking for quality people that don’t want their job but can come in and help.   

Update your resume and keep people aware of your ability to help them given your scheduling.  Keep your files up to date so your credentialing would be easy.  Keep some of you appointments at facilities you might like the opportunity to return to.   

Maintain quality interactions and keep your social media up to date and appropriate so that people know your personal and business life are together.   

 

Debt reduction as a locum.

I’ve been so fortunate that Francisco is an amazing parent!  Elizabeth has been at home with Francisco 90% of the time and we found a great babysitter through a friend.  Francisco has been knocking it out-of-the-Park with his YouTube channel/ website ConMuchoSabor.com.   

I looked at our debt 7 months ago and was so stressed that we were over $250k in debt not including our home.  I traded my truck for less than half the cost new SUV.  I went to work on locums and raised my rate while telling the place I needed any hours or call I could get.  I’ve been away from the family returning about every 4 weeks for a few days to a week.  We’ve still had time to visit family and a good “working” vacation.  I’m happy to report that our net worth is positive and debt is below 100K.  I’m going to a 2 week on 2 week off lifestyle with intermittent days on my weeks off that will allow us to keep decreasing our debt and allow me more time at home!  Our rental properties have picked up and are now paying for one new property per year and paying thier own expenses.   

I have approximately 3 more weeks away before getting started on my new locum contract!  I’m 12 weeks into my MBA carrying a 3.8 gpa and learning weekly.  I get to pour over financial reports and am doing better each week with my own reports as well!   

I continue to consider business opportunities and think that with time 1,2 or 3 could become something just like the rentals, YouTube or the websites.   

I just wanted to check in and thank you all for the positivity and thank our Locum professionals for keeping us in great standing so we can work, travel, & provide for our families!  We are so blessed!   

 

Flexibility with Travel, Work, & Vacations

The flexibility & vacation time in working locums drew me in and kept me as a locum nurse Anesthetist.  

Work flexibility with a few facilities around the country has allowed the opportunities to do more with my time. 

Recently, my family visited Costa Rica and extended family!  I was able to speak and although I was a little excited, nervous, & even got a little lost in speaking; it was great to see other CRNAs and have them meet the family.   

We moved to Virginia for surrogacy and failed our first attempts.  It was a true and sad failure but due to locums I’ve been able to pay down the debt that occurred for this attempt.   

We’re paying down our debt load and continued to build the real estate venture over the past 6 months.  It’s been amazing to follow a move and family changes over the past 6 months.  I’ve been able to build on relationships and although working a lot... we are still well on our way to continued financial success in our lives.  Although, I know it’s possible to do this in one location with one job, it’s getting done on a condensed schedule.   

Life, flexibility and continue strong work ethic are leading to change as I continue all the things that are important in our family life.   

Finally, school is just about to finish the first 10 week term toward the MBA.  Nothing game-changing but working on a business mindset continues to be a fun opportunity for change despite my whining and complaining :).   

Totally looking forward to the coming weeks and months!  More to come. 

Happy mother’s day

Today is mother’s day and I must say mine has always pushed me to do better.  It doesn’t matter just how much I put in as far as effort, education, level of understanding or time... Mom has always been there pushing my boundaries to improve.  

I think that is missing in today’s generations and I’m hoping I can instill these values into Elizabeth’s core as she grows.  Not to instill negative worth of perception of never quite being good enough.  That isn’t the intent at all.  I see the amount of knowledge, work, time devoted to projects, continuous education, and effort that is put into every aspect of life.  I think the realization is that there is always someone that can do something differently or better in the results column.  I find an appreciation for the neighbor that has the most gorgeous lawn where mine is lucky to be mowed and have a few less weeds than a few other neighbors.  I think each of us have areas where our practice is not as strong as other.  In this area I hope that each of us would take time to learn and grow.  

Likewise, in this community of locums, business minded professionals and those that aren’t are all coming together and we can all learn.  I think our practice, our business skills, negotiation, and our personal lives have to be continually improved upon.   This is all-encompassing and is why you read so much on my personal life.  You read about my finances and how I’m making strides to have this burden significantly reduced by optimizing business, education, and leveraging my hours of work.  You see Francisco and I consider adoption as we want to build a family and seek opportunities to enrich Elizabeth’s life.  You see my real estate and investing strategies that will one day allow for a more diversified risk and likelihood of retirement or at least significantly reduced need for specific hours= specific dollars.  You read about family, conversations, my continued education, insurance and multiple facets as we continue down the road of life.  My hope is that people gain knowledge of life as a locum but also take from the stories the opportunity to enrich other aspects of their lives from family time to vacations. 

I’m continuing my journey by the FI principles of being just 1% better each time and way I can.  I hope it comes through to all out there.   

Depressed?

I had someway say that I sounded down.  I’m so sorry, I didn’t mean to give a negative impression.  I’m excited 99% of the time.  I stress out now that I’m truly focusing on radical family development.  This involves the adoption or surrogate portion of our lives that will be the coming together of our family.  I am focusing on the bills and trying to get us away from paying interest to companies.  I don’t like the amount in interest I pay.  The focus is the revolving debt but I’m working on making my fixed debts lower as well.  

I enjoy the rentals and I hope to have many able-bodied years to continue the rentals as they are a source of income and throw off 20+% per annum.  There are times I get stressed and it’s usually a mix of buying and working on the houses.  Not with tenant issues.  I could care less if someone moves out and it sits for 3 months until the next moves in ... because I want to be particular in screening and ensuring good tenants will take care of things and pay rent.  I have the luxury of doing this now but in 5 years I may hire a property management group so family doesn’t need to manage but.. that’s a we’ll see thing. 

i start my mba program on Monday.  I have the post 9/11 GI bill for 3 years and am psyched!  It’s free education and housing allowance while I work full time.  I’d have to say that is amazing!  I’m going to see about the reserves and if I can do that in several months but I’m not sure about my history and the ability... but it’s in the back of my brain.  It may be a way we can work less and still get some long term benefits.  there is sooo much I don’t know or understand on the reserves.

i go back to Massachusetts today and I love the people but it’s so hard to leave Elizabeth and Francisco at home.  It’s better for them and stability or I’d just have them go up.  It’ll be something like 5 weeks.  I am pretty sure I’ll miss the first word unless the occasional hi sound counts like a word but it’s not completely intentional.  Elizabeth is so animated and talks to us despite no comprehensible speech yet. I love FaceTime, pictures and video.... I don’t feel I’m missing things and when I’m home... I’m with them as much as humanly possible.  I’m there for the melt-downs, when she just wakes up and is soooo cute and happy.  I’m here to take care of bills, office things, management of the home and supporting every person in the family in ways they need.   

So ... I’m happy, I’ve made my choices that will support my intermediate goals and mission so that we are happier and together more.   

Now I must get the last minute packing done.  We are off to the airport in no less than 2 hours.   

Downsizing or right-sizing

Finances, they are a booger.   Seriously there is no “perfect” way to do anything... if there was we would all be perfect together.  

My car loan... not killing me.  I owe 39k still on my truck.  You know I went into Carnac and they offered 46k and I walked away from that.  The dealership offered 50k which is slightly more reasonable as a trade meaning I have 11k in equity.  Somewhat negative as it’s not exactly equity.  I see dealerships and car people as not exactly liars and cheats but not exactly honest.  Makes it really hard to downsize to something safe, all weather and long lasting once paid off.  Sooo we’ll down size to a 15k loan that I’ll pay on over a shorter time frame and reduce credit card debt by the difference.  So, it’s not perfect... it’s still a new vs used car.  But it’s 2017,  7k below sticker price and has my one requirement of navigation system.   

This is about the time I’ll be bashed by people for not going used or getting a tiny car, lower gas mileage, the base of the base of the base car. Yup, I’m still not perfect.  I looked at these cars.  I spent time contemplating and looking at the amounts the dealerships each offered on different cars and the difference between their quality.  I’ve liked several cars and love the tiny “throw-away” cars that are so small and get you from point A to B. I see Francisco liking the small car and taking our daughter in it more often ... I see an accident that could happen and the very small impact that would total the car.   I can’t buy something I fear a smallish accident would take out my family.  So, I make concessions on not needing the tank I have but I’m not looking for a soapbox derby car.  

I paid off the high interest credit card and now will have decreased my car debt by more than 50% and haven’t lost any quality of life.  I’m going to call this a win for my week off.   

I also received a quote on mowing my lawn... it’s slightly tiny postage stamp... takes less than 20 minutes... they quoted $50 every 2 weeks... I sent them away immediately.  I guess Francisco and EE will be mowing the yard in the coming weeks.  

Thats it for tonight!  Sunday it’s back to Massachusetts and getting ready for awesome!  5 weeks will be soooo long away from home but the end of it comes with a reunion of Francisco and EE seeing her abuelitos... (grandparents from Mexico). It’ll have been nearly 6 years for Francisco.  We’ll be looking for more economical options in the future.... but I’m happy all will enjoy such a beautiful time together.   

Love to all! 

Finances for everything and nothing.

I put my life out there so you can learn from me.  Learn some of the great things and some of the not so great things.  I tell you about my desire to extend my family.  Life is not a solid state and singularly focused.  A financial blog will make it that life has one singular focus of just pay off everything and pay nothing toward anything else... sell everything and know that your life is over. That is not my life.  However...

I have in the past week gone to advocate in Washington DC for our amazing profession!  I have been able to see friends from long ago and meet others that are future colleagues.  I have been able to learn about the political arena in DC and those that work behind the scenes with little to no thanks and with little to no monetary support from our colleagues.  I learned that we are fast attempting to put ourselves out of business by not being active in the community, donating to our own cause and having no interest in helping others understand our profession and differences in providers.  

I have in this time received a decent paycheck to apply to our debt.  So I wanted to update you that the highest interest rate credit card has been paid off!  Thats 22.6% interest that is not being paid!  OK, that means 1/3 of the credit cards are paid off.  I still have a significant amount to go and it'll be weeks before I can make such a significant foray against the debt again as I do have the next check helping to pay taxes, insurance, mortgage, and typical bills.  I would have normally waited on paying down the debt so drastically and saved a bit more just in case I miss something or have a large bill come.  I have a 5K savings backup just in-case and am not going down to my last dollar.  I also put away $9K into my sep IRA for last year which promptly lost 10% of it's value ... freaking stocks.  Also, This week I'm expecting a signed 11 month lease for my college rental home in Kansas.   This will bring rental income up to 2200/month positive cash flow and that will go directly into the improvements of the two newest rentals.  I don't count on the cash flow from the rentals but do make sure they will pay for themselves and the improvements in 5 years.  Granted we did have an unexpected water heater replacement at a property ... that is happening today.  I keep funds in a separate account that is ready for the cost of this expense and won't effect my credit bills or otherwise.... so nice knowing it is covered and not a huge stress.  We also re-bid on the home that needs all plumbing, HVAC, Electric etc... we went from a $14000 bid to a $5500 qualified known quantity bid on doing the bulk of the HVAC and plumbing.  $9000 savings.  I may not have extra money in my pocket but it is keeping it from becoming a sinking ship and money pit.  

This is the current financial picture for this month.  I have given myself until the end of August to get significantly ahead on the finances and save as much as possible for our financial health.  Others are very much ahead of me and to them I would have to say ... AWESOME!  Remember to be active, love family and time home, and enjoy the fruits of your labor!  

I said Finance for everything... because you have to decide what your everything is.  Mine is to not forget family time and what we need for living and someday in building our family.  Nothing, because no matter what you do ... on payday the money goes somewhere and there should be next to nothing left.  REALLY, I mean it.  Your money should go into a trust for your estate, retirement accounts that have an attached succession plan, go into childrens' savings accounts, or pay down the bills so you can set up these accounts.  

Money isn't everything.... but having some available sure helps the world go around.  My ankle is causing me some difficulty and I'm reminded of insurances and disability and all the things that go with this.  I don't think the ankle pain rises to that level but I do know that as life changes and I get older insurance for large things like disability, long-term care, and to cover assets will all be important.  We'll continue to cover things like this as we go.  I hope you like the blog and I know it's all over the place... I'm going to see if I can't get it divided out into sections should someone want to see a specific topic... I have so much to learn.