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You take care of Middle Tennessee. Your money deserves the same standard of care.

Financial planning for physicians, nurses, practice owners, and healthcare professionals in the healthcare capital of the country.

A nurse at the end of a shift
The situation

Good income. No time. Real complexity.

Healthcare careers compress a financial life into strange shapes: a decade of training while classmates in other fields built savings, then strong income arriving alongside six-figure loans, shift schedules that leave no daylight for paperwork, and benefits packages with more moving parts than most industries ever see.

Sound familiar?

You spend your days making high-stakes decisions with good information. Your own finances deserve the same method.

Gabe Adcock meeting with clients
Your guide

Built for exactly this conversation

Genesis serves the people who staff Nashville's defining industry, from bedside nurses to practice owners. Gabe Adcock brings 22 years in banking and financial planning to the specific shape of healthcare careers: the late start, the loan load, the layered benefits, and the income worth protecting above everything else.

The Genesis Stewardship Process™

The five stages, for you

Know

The full picture including the parts unique to your field: loan balances and forgiveness eligibility, every workplace plan you have access to, employer coverage, and any practice or partnership interests. Compressed careers need an accurate starting map more than anyone.

Protect

Income protection first, because in healthcare the income is the asset. Disability coverage that actually matches your specialty and earnings, life insurance sized to your obligations, liability alignment alongside your malpractice coverage, and estate documents that keep pace with your life.

Recognize

Late starters have catch-up opportunities most professionals never get: unusually high savings capacity once loans are managed, plan combinations that allow substantial contributions, and forgiveness or repayment decisions with six-figure consequences. Seeing them in time is the work.

Grow

Coordinating the 403(b), 457(b), IRAs, and taxable investing into one strategy instead of three defaults. High income plus a late start means the strategy has to be efficient, and it can be.

Provide

Retirement on your timeline, which in healthcare sometimes means earlier than the standard script, provision for your family, and a plan for the transition out of clinical work while the plan keeps working.

Why Genesis

Familiar ground

Fluent in healthcare careersThe late start, the loans, and the layered benefits are familiar ground.
Everyone in scrubs is welcomePhysicians, nurses, techs, therapists, and administrators. There is no minimum, and no white-coat requirement.
Built for no-time schedulesA clear process, efficient meetings, virtual options, and follow-through handled for you.
Common questions

Questions we hear from people like you

With savings rate, not risk. A high income aimed deliberately at the gap closes it faster than most people expect, especially in the first five to ten years after training before lifestyle absorbs the raise. The plan sets the rate, the order of accounts, and the guardrails, and time does the rest.

It depends on your rates, your employer, and whether forgiveness is realistically in play, because the answer changes completely between those paths. Aggressive payoff, standard repayment while investing, and forgiveness tracks each win in different situations. This is one of the highest-value decisions we model for healthcare clients.

Count on it carefully. If you work for a qualifying employer and stay on track with the program's requirements, the value can be enormous, but the rules are exacting and your career plans matter as much as the paperwork. We treat forgiveness as a scenario to plan around rather than a promise to lean on, and we keep a fallback in the plan.

Because the definition decides whether the policy actually protects your specialty. Own-occupation coverage pays if you cannot do your specific work, even if you could do some other job, which for a surgeon or proceduralist is the entire point. It costs more and is usually worth it, and the younger and healthier you are when you buy it, the better.

Commonly a 403(b), sometimes a 457(b) alongside it, occasionally a pension, and the combination is where it gets interesting: some employees can contribute substantially to two plans at once. Almost nobody is told this at orientation. A one-hour benefits review often changes a career's trajectory.

It is a deferred compensation plan that can stack with your 403(b), and the type matters because governmental and non-governmental versions carry very different rules about whose money it legally is and what happens when you leave. Before maxing one, know which kind you have. We read the plan documents so you do not have to.

Like the major purchase it is: what exactly you are buying, how the valuation was set, how the debt gets serviced against realistic partner income, and what the buy-sell terms say about getting out. The worst buy-ins are the ones evaluated by excitement. We run the numbers beside you, coordinated with your CPA and attorney.

Almost everything operational: taxes are no longer withheld for you, benefits and retirement plans become yours to build, and your insurance needs shift. The upside is control, including retirement structures with generous limits. The transition rewards a plan made before the first contract, not after the first tax bill.

Malpractice covers the professional side; your personal life needs its own wall, usually an umbrella policy layered over home and auto. Healthcare professionals are visible targets, and umbrella coverage is inexpensive for what it does. We size it to your assets and income rather than a round number.

The pension is a floor of future income; the 403(b) is the flexible layer on top, and the right contribution strategy depends on how solid that floor is. Knowing your projected pension changes how the rest should be invested. We put both on one page and plan them as a set.

Decide the split before the first big paycheck: what percentage goes to the past (loans), the future (investing), and the present (living well, on purpose). Automate it and the creep never gets a vote. The attendings who feel wealthy at fifty are almost always the ones who set the split at thirty-two.

Yes, and you should, because irregular income without structure evaporates. We build around a baseline month, set rules for the strong contracts, and use the retirement structures available to independent earners. Travel careers can out-save staff careers when the plan is deliberate.

The day someone depends on you, and realistically the moment you finish training, because your documents, beneficiaries, and guardianship decisions should exist before life gets busier. It is one afternoon of decisions. We help you prepare for the attorney visit so it takes exactly one.

Everyone who keeps Middle Tennessee's healthcare system running: nurses, techs, therapists, pharmacists, administrators, and physicians. Genesis has no minimum, and a nurse starting a plan at 30 will retire better than a physician who never starts one. The door is the same width for everybody.

It changes it a lot, and it is better said out loud early. Burnout, part-time transitions, and second careers are normal in healthcare, and a plan built for an earlier or softer landing needs higher savings and different positioning. Tell us the honest timeline and we will build for that one.

Genesis Financial Planning does not provide tax or legal advice. Please consult your tax professional or attorney regarding your specific situation.

Start with a conversation

No pressure and no obligation. Just a conversation about where you are and whether we are the right fit to help.