Mega-Back Door Roth Strategy for Physicians

Jake McCracken CFP®

March 4, 2025

Most physicians know that they are able to save *only* $23,500 into their employer sponsored retirement plan (typically a 401(k) or 403(b)).   However, for many physicians, this is an underwhelming amount of money to save, given their need to save a healthy percentage of their income in tax-favored accounts. For example, a physician making $500,000 per year could save LESS than 5% of their income to their retirement plan.  

What most physicians don’t realize is that the IRS actually limits retirement plan contributions to $70,000 in TOTAL (between employer and employee contributions)!

Most employers will offer some type of match or retirement plan contribution based on income.  For example, an employer may contribute 5% of salary to the retirement plan annually.  It’s important to note that, due to IRS rules, this 5% of income only covers the FIRST $350,000 of income, which would lead to an employer contribution of $17,500 (not the $25,000 one might expect if their income is $500,000). 

This means that for a physician making the maximum contribution to the 403(b) or 401k(k), and getting a 5% contribution from their employer, their total contributions to the retirement plan for that year are $41,000.  

As reference above, however, the IRS limits retirement plan contributions to $70,000 in TOTAL!  So how could a physician contribute that additional $29,000?

This is where the “Mega” Back Door Roth strategy comes into play.  For *some physicians they are able to defer an EXTRA percentage of their income to the after-tax part of the retirement plan. This does NOT count towards the $23,500 “elective” contribution, but does count towards the overall $70,000 annual contribution limit. 

This strategy gives a high-earning physician a critical boost in their savings rate to their retirement plan, AND helps them accumulate more funds that grow-tax free.  But it gets even better.  For a well-designed retirement plan, those after-tax funds can be converted into the Roth part of the retirement plan, allowing funds to grow tax-free, AND be withdrawn tax-free in retirement.  

To determine if you are able to implement this strategy, contact HR at your employer to obtain a summary plan description for your retirement plan.

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Jake McCracken CFP®

Since starting in the financial services industry in 2010, Jake has found the most fulfillment in building reliable and trust-based relationships with his clients by helping them make decisions that serve both their present and future lives. By understanding the values and goals that are most important to each client, Jake seeks to tailor a financial plan that is customized to each client’s unique circumstances and priorities. Jake wanted to operate in an independent and fee-only model because of the values and vision shared by the entire team for serving the sophisticated needs of their clients, and putting clients first always. Jake believes wholeheartedly that together with the team at River’s Edge, greater customization of financial plans and creativity for client solutions will be achieved. Jake is a CERTIFIED FINANCIAL PLANNER™ and he holds the Series 66 license and completed the Executive Certificate in Financial Planning from Duquesne University. Jake graduated Magna Cum Laude from Geneva College with a Bachelor of Science degree in business administration with a concentration in finance. He played collegiate soccer while attending Geneva College. Residing in Beaver with his wife Brianna and daughters Brinley, Reese and Mayla, Jake enjoys spending time with his family, sports and traveling. He also serves as a deacon at his local church. Clients may be surprised to know that Jake can’t successfully grow a beard (even in his 30s!), he still puts sugar in his coffee, and he loves a good powder turn in the Rocky Mountains.