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Case Study 3: Brett Tushingham
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Case Study 3: Brett Tushingham

📘 Case Study #3: Physician Nearing Retirement – Tax Rescue Before the Clock Ran Out
Client: Dr. James Carter (67)
Location: Raleigh, NC
Occupation: Physician (recently retired)

🧑‍⚕️ Profile: Dr. Carter recently retired from a high-income medical career and was focused on simplifying his finances and leaving a smart legacy.

💥 Before: High Income, No Roth, and RMDs Looming

🌤️ After: A Streamlined Plan with Major Tax Savings

🔍 The Problem: Big Accounts, No Exit Strategy

After years of successful practice, Dr. Carter had built over $3M in pre-tax retirement accounts—but no Roth savings. With retirement just a year away, he faced a flood of taxable RMDs and higher Medicare premiums in just a few years. He wanted to clean up his accounts and ensure his children wouldn’t face a heavy tax burden later.

“I was too busy working to think about taxes in retirement. Now it felt urgent—and overwhelming,” he admitted.

💡 The Strategy: Compress Taxes, Expand Legacy

  • Consolidated 401(k) and SEP IRA balances into a single IRA for efficiency
  • Began annual $150K Roth conversions, staying under the 24% bracket limit
  • Delayed Social Security to age 70 to maximize future benefit and control taxable income
  • Implemented trust and estate planning tools to protect and streamline the legacy

✅ The Results: Efficiency and Peace of Mind

  • Reduced projected RMDs by over 40%
  • Saved an estimated $220,000 in lifetime taxes
  • Avoided future IRMAA surcharges
  • Created a Roth-based legacy that’s simple, clean, and tax-efficient

🗣️ Client Review via Wealthtender
“Brett’s personalized attention and expertise with tax planning have given me peace of mind heading into retirement. I can’t thank him enough.”

💬 What Could a Tax-Smart Retirement Look Like for You?

You've seen how thoughtful planning helped others reduce taxes, avoid costly Medicare penalties, and leave a smarter legacy. Now it’s your turn. Let’s build a strategy that puts you in control — with more clarity, more confidence, and fewer surprises.

👉 Schedule Your Free Consultation

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Important Disclosures

This document is for informational purposes only. It is educational in nature and not designed to be taken as advice or a recommendation for any specific investment product, strategy, plan feature or other purpose in any jurisdiction, nor is it a commitment from Farther Financial Advisors, LLC or any of its subsidiaries or related entities to participate in any of the transactions mentioned herein. All sources of information used are deemed reliable and accurate at the time of printing. Advisory services are provided by Farther Finance Advisors LLC, an SEC-registered investment advisor. Investing in securities involves risk, including the potential loss of principal. Before investing, consider your investment objectives, as well as Farther Finance Advisors LLC’s fees and expenses. Farther Finance Advisors, LLC does not provide tax or legal advice; please consult your tax and legal professionals for guidance on these matters.