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Author: Justin Nabity

Last updated: November 26, 2024

Debt Management | Manage Your Money

6 Passive Income Ideas For Doctors To Diversify Beyond Medicine

If you’re feeling the pressure of relying solely on your medical practice for income, you’re not alone.

Many doctors face the challenge of securing their financial future while juggling the stressful demands of their profession.

Fortunately, you can help ease that burden thanks to passive income for doctors.

Thanks to their high net worth, doctors seeking passive income sources have the opportunity to invest in diverse streams, such as real estate and dividend stocks.

Read on if you want to build a robust safety net and achieve financial independence.

We will walk you through six passive income opportunities to make your money work for you.


Key Takeaways

  • Passive income strategies help to diversify doctors’ revenue beyond medicine.
  • Real estate investments, dividend stocks, and medical equipment leasing offer lucrative returns.
  • Patents and royalties, practice partnerships provide substantial long-term passive income.
  • Secure financial freedom by diversifying investments to reduce reliance on medical practice.

The Best Sources of Passive Income for Doctors

Establish these passive income sources to focus on what you do best without stress: caring for patients.

1. Real Estate Investments

Real estate investments are the go-to source of passive income for high-net-worth individuals.

They allow doctors to build wealth over time as properties increase their value, keep pace with inflation, and generate consistent passive income over the long term.

However, many risks are involved with investing in real estate, and it’s difficult for beginners to develop the necessary knowledge to break even, let alone guarantee satisfactory returns on investment.

With this means of passive income generation, your three options are to:

  1. Invest in residential properties
  2. Invest in commercial properties
  3. Invest in real estate investment trusts (REITs)

Residential Properties

Residential properties are usually what comes to mind when the topic of real estate investment is brought to the table.

You may invest in single-family homes, which are ideal for beginners and cheaper; multi-family homes, which are larger and require more management and funding; and vacation rentals, which guarantee high returns for particular seasons and locations.

Commercial Properties

Some high-net-worth individuals, including doctors, invest in office spaces and warehouses due to their long-term leases and stability.

Another option is to invest in retail spaces, e.g., properties for stores, businesses, and restaurants to operate from, but their returns heavily depend on the location and the business itself.

Ideally, you want them in high-traffic areas, such as busy shopping districts, commercial centers, and popular tourist attractions.

Real Estate Investment Trusts (REITs)

REITs are companies that own a portfolio of properties across different sectors.

There are equity REITs, which own and manage properties, and mortgage REITs, which focus on financing real estate.

REITs actively invest in real estate and earn income through rent collected from tenants.

However, unlike regular companies, REITs must distribute at least 90% of their profits annually to shareholders in the form of dividends.

In simpler terms, instead of investing in the properties yourself, which comes with a plethora of challenges, you can buy shares in a trusted REIT and enjoy tax advantages, diversification, and high dividend yields.

Sometimes, they outperform the S&P 500 over the long term, too.

Real Estate Investments: Considerations

If you do not invest in REITs, you will have to handle every aspect of property management yourself.

The advantage is that you are no longer relying on dividends alone. With real estate, you will generate income from:

  • Monthly rent collected from tenants
  • The increase in property value over time, in case you plan on reselling it
  • Deductions for mortgage interest, property taxes, and depreciation as tax benefits
  • Equity build-up with consistent mortgage payments

The disadvantage is that you will have to consider many financial aspects.

First, familiarize yourself with the costs involved. Generally, you have to pay attention to:

  • Down payments (typically 20%)
  • Closing costs (typically 2–5% of the purchase price)
  • Renovation and maintenance costs
  • Insurance and property taxes
  • Property management fees (around 10% of the monthly rental income, depending on the management company).

You may ease your way into real estate investing by resorting to loans.

You can resort to conventional loans, Federal Housing Administration (FHA) loans, or borrow from private lenders.

We discuss loans tailored for doctors in depth in our physician loans article.

Consider the risks involved before taking out your first loan:

  • Property values can go up or down depending on supply and demand. They also greatly vary in cost, depending on the location and current state.
  • Factor in repair costs, but consider the advantage of buying properties that require them. Some individuals prefer to invest in houses that need repairs to snatch a lower purchase price and quickly build equity.
  • Tenants are your source of income; so resolve issues regarding non-payments, damage, and vacancies as soon as possible to prevent cutting off your cash flow.
  • Ideally, hire a management company to handle your rental properties—if you have many of them—to delegate management duties and eliminate the associated stress.

If you would like to find success in the field of real estate investment, be thorough in your market analysis.

Find professionals, particularly attorneys and accountants, to work with you, connect with other investors and agents, start small, and consider these helpful tips.

But do remember that real estate is not liquid; it is not easily converted to cash. As such, you may also want to consider diversifying your income sources.

2. Dividend Stocks

A dividend is a portion of a company’s earnings, and dividend stocks are shares of companies that pay regular dividends to their shareholders.

When you buy a company’s dividend stocks, it distributes a portion of its earnings to you on a monthly, quarterly, semiannual, or annual basis, and you may benefit from capital gains when the stock appreciates over time.

Dividend stocks are an important source of passive income for doctors because:

  • They are a consistent, steady stream of income.
  • They are backed by financially stable companies, making them low-risk.
  • You can benefit from stock price appreciation and earn more.
  • You may reinvest your dividends to purchase more shares and compound your returns over time.

If you have researched dividends before, you may have come across the terms common stocks and preferred stocks .

Common stocks are variable and not guaranteed, and some companies may not pay dividends to common stockholders at all.

They are also the last in line during liquidation; they receive payouts after creditors, bondholders, and preferred stockholders.

Preferred stockholders receive fixed dividends, which are usually higher than common stock dividends, before common shareholders.

Companies are focused on prioritizing their income, and they also have a greater claim to a company’s assets and earnings during liquidation.

Dividend Stocks: Considerations

Starting Out

You will need to open a brokerage account to invest in dividend stocks. In the process, consider the method you will follow to choose which dividends to invest in.

Ideally, you want to focus on sustainable yields from companies that have a history of increasing dividends.

High yields often indicate risk and stagnant companies are less reliable.

The same applies to payout ratios; invest in companies that pay out between 35% and 55% of their earnings, as they use the rest for reinvestment, growth, and other strategic purposes, which are great signs of reliability and stability.

This is where research comes in: be prudent with it and spread your investments across various sectors to mitigate risk.

It’s also recommended to reinvest your dividends to maximize results.

Getting Taxed

Be aware of the difference between qualified and nonqualified dividends! We discuss these in detail in our tax worksheet.

In brief, recognize that:

  • Qualified dividends are taxed at 0%, 15%, or 20%, depending on your income level and tax filing status, and they typically come from U.S. corporations and certain foreign companies.
    • For your dividend stocks to be qualified, you have to hold them for a specific duration.
  • Nonqualified dividends are taxed at ordinary income rates of up to 37%. They include dividends from REITs and foreign corporations and are commonly found in taxable brokerage accounts.
    • They are less favorable due to these high rates.
  • Dividends earned in retirement accounts (e.g., 401(k)s, IRAs, or traditional IRAs) are not taxed, and these accounts offer tax-deferred or tax-free growth.
Risks to Consider

During tough economic times, companies can reduce or eliminate dividends, cutting off one of your passive income streams.

To mitigate this risk, diversify your portfolio, invest in preferred stocks, and avoid poorly managed companies altogether.

A fundamental rule of the stock market is price fluctuation. The value of your investment will be affected by changes in stock prices, so monitor them carefully.

In addition, pay attention to rising interest rates; they can make dividend stocks less profitable compared to the alternative means of earning passive income.

3. Medical Equipment Leasing

You will have to buy medical devices when starting a private practice, and the same applies to all other doctors.

If you have access to high-quality equipment, you can lease it to clinics, hospitals, or other healthcare facilities, profiting from the arrangement while saving them the upfront costs of purchasing it.

These basic rules apply:

  1. Invest in medical equipment in high demand.
  2. Understand how your competitors operate and what you can provide that they cannot
  3. Analyze your local healthcare facilities, their needs, and broader market trends.
  4. Make sure you are compliant with federal, state, and local regulations regarding medical equipment, and draft lease agreements that protect your interests.

The equipment you buy must be likely to be leased frequently.

It should also require minimal maintenance and repairs to function for an extended period without breakdowns.

To buy equipment, you can use personal savings or business loans.

If your capital is limited, you can lease the equipment yourself and then sublease it, but be wary of the risks associated with such a practice, as you are still liable for it.

To reduce risks, obtain insurance to cover theft, damage, and liability, and ensure your lease agreements state the responsibilities of both parties regarding maintenance and insurance.

Starting an Equipment Leasing Business

If this is an income source you plan on pursuing, then starting a business and developing a business plan can save you from many frustrations.

Thanks to it, you can:

  • Hire extra personnel to assist with customer service, complaints, and training for the use of leased equipment
  • Set up a system for tracking equipment leases, returns, payments, maintenance, and repairs.
  • Obtain better insurance to reduce your personal liability.
  • Set up competitive, flexible pricing and payment models based on cost, demand, and market rates.
  • Scale your offerings—and profits—with a solid marketing strategy through networking events, digital marketing, and direct mail.

Leasing Medical Equipment: Considerations

Medical equipment is expensive, particularly large MRI machines and scanners. You may have to resort to business loans or subleasing to afford it.

Moreover, keeping it in top-notch condition will drain your savings, particularly if it is not of good quality.

To be successful, it is best that you:

  • Familiarize yourself with the legalities regarding leasing medical equipment in your state.
  • Invest in high-quality equipment to minimize maintenance issues and establish yourself as a reliable authority.
  • Build strong relationships with your clients to secure repeat business and lease-to-own contracts through excellent service and customer support.
  • Develop a strong marketing strategy for outreach.
  • Implement an efficient system for managing leases, payments, and maintenance, as well as a way to counter clients defaulting on lease payments.

4. Royalties From Patents

If you develop and patent an invention, you can license it to an external party for the right to use, manufacture, sell, or distribute.

This way, you can make your product a passive income stream without producing or marketing it yourself.

The United States Patent and Trademark Office (USPTO) is responsible for patent applications.

Once they review and approve your patent, you receive legal protection for your invention for a set period, usually lasting 20 years.

The next step is to target companies willing to use your patented technology, be they manufacturers, pharmaceutical companies, or medical device firms.

Find the major players capable of commercializing it. You need to create a licensing agreement with them that considers:

  • The terms of use, including duration, exclusivity, sublicensing rights, scope of use, and dispute resolution.
  • The royalty rate, which can be anywhere from 2% to 10% of the net sales of the product incorporating your patent, is reflected on quarterly or annual payments.

The rest is handled by the licensee, including manufacturing and marketing.

However, you must ensure that they comply with your licensing agreement and that the invention is not infringed upon in the market.

You will likely need to hire an attorney to assist you with all the legalities.

Royalties From Patents: Considerations

Obtaining a patent is both time-consuming and expensive, but the profits you can make from it are substantial.

To put it into perspective, a licensee who sells $20,000,000 worth of products incorporating your patent in a year, whom you negotiated a royalty rate of 5% with, would bring you $1,000,000 in annual royalty income.

However, to get to that level, you must find licensees willing to employ your invention and monitor their compliance.

Even then, making substantial amounts of money through a single patent is rare, and you will need multiple ones to account for market acceptance.

Here are a few tips:

  • Clearly describe key aspects of your invention to leave no room for open interpretation.
  • Understand the market potential and identify the best companies to license your patents to.
  • Negotiate a favorable royalty rate.
  • Have an experienced patent attorney protect your interests and aid you with legal matters, particularly licensing agreements.
  • Employ different licensing strategies, such as exclusive licensing for higher royalties, non-exclusive licensing for increased total royalty income, and field-of-use licensing for specific industries.

5. Medical Practice Partnerships

Investing in another doctor’s practice is one way to earn passive income without getting involved in day-to-day business operations.

Sometimes, the buy-in involves sweat equity, i.e., contributing your medical knowledge or skills, or financial investment as with any other business.

You receive a share of the profits based on the amount you invest.

Investing in a practice requires due diligence. Generally, you must:

  1. Research the healthcare market to identify high-potential practices, taking note of suggestions from your network of physicians and consulting firms.
  2. Assess a particular practice’s financial statements, growth, and the qualifications of its staff in light of its services, location, and clientele.
  3. Negotiate the terms of your investment, including the ownership ratio, profit-sharing, responsibilities, and the legal structure of the partnership.
  4. Review your documents and agreements with the assistance of legal professionals.
  5. Fund the investment with the help of personal savings, loans, or investors.

You will periodically accrue profits from your partnership according to the percentage you negotiate.

However, you must regularly monitor the practice’s performance and ensure it continues to operate smoothly.

This source of extra income is made excellent by the minimal effort required on your part and the growth potential.

Assuming you invested $200,000 for a 20% ownership stake in a promising practice and it increased its profits to $2,000,000, you would earn $400,000 annually from your investment.

Medical Practice Partnerships: Considerations

However, like any investment, there is much to consider if you plan to create a medical partnership.

Beyond concerns regarding the initial investment, market risks, and liquidity, which are common to such investments, practices’ success highly depends on the skills and management of the doctors and staff running them. You must:

  • Ensure the practice has high potential and offers in-demand services in its locale.
  • Choose practices with experienced and reputable management teams, particularly in terms of regulatory compliance.
  • Implement strategies to manage risks in case trouble looms ahead, including hiring legal professionals and diversifying your investments.
  • Monitor it profusely to protect your interests and remain up-to-date about its strategies and finances.

Achieve Financial Freedom with PhysiciansThrive

Busy doctors with demanding careers should create passive income streams, as they are a smart way to assume greater control of their finances and find peace of mind.

Consider investing in areas like real estate, medical equipment leasing, and dividend stocks to create additional revenue streams that work for you around the clock.

For individually tailored financial advice from experts who recognize the challenges of this profession, visit us at PhysiciansThrive.

Our experienced team of healthcare professionals is ready to help you build a solid financial foundation today!

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