Advertiser disclosure

Terms and Restrictions Apply
Physician on FIRE has partnered with CardRatings for our coverage of credit card products. Physician on FIRE and CardRatings may receive a commission from card issuers. Some or all of the card offers that appear on the website are from advertisers. Compensation may impact on how and where card products appear on the site. POF does not include all card companies or all available card offers. Credit Card Providers determine the underwriting criteria necessary for approval, you should review each Provider’s terms and conditions to determine which card works for you and your personal financial situation.
Editorial Disclosure: Opinions, reviews, analyses & recommendations are the author’s alone, and have not been reviewed, endorsed, or approved by any of these entities.

FIRE Crossroads 029: Two CRNAs Seeking Work-Life Balance

All work and no play makes Jack a dull boy.

Striking that elusive perfect balance between your job and career and your personal life continues to be a struggle for folks not yet retired. Indeed getting closer to one’s personal tolerance for that balance is often a strong motivator for the FIRE movement.

In today’s interview, we meet a couple of CRNAs who have diligently saved and eliminated debt, which has now given them the opportunity to both take a step back in hours worked per week and find for them that balance.

Learn more about their journey, and if you’re interested in participating in one of three interview series, please download the most appropriate form for your life situation: FIRE Starter, FIRE Crossroads, or Post-FI Notes. To see other posts in the series, visit our Q&A archive.



Where are you on your financial independence journey? Have you crossed the halfway point in terms of net worth and/or passive income?

We are just about midway through our financial independence journey.  We are starting to build our net worth and have just recently become debt-free.  Without any debt eating away at our income, I expect that our ability to invest will increase exponentially, along with our net worth.


Tell us about your household. How many people and at what ages? Are you supporting anyone outside of your home? Where do you live?

My household consists of my wife (32) and myself (33).  We have one son (2) and a daughter due in April 2022.  We live in the suburbs of a city in the southeastern USA.


 In what field are you working? How is your career going? What do you like best and least about your chosen profession?

My wife and I are both nurse anesthetists.  Our career is going well overall.  We are fortunate to be in a field that is in high demand and one that pays well also.

Ambitious and drawn to leadership, I climbed the ladder to middle management rather quickly and just as quickly learned the downside of middle management.

My wife broke away from standard W2 employment about a year ago and opened her own business in order to begin independently contracting her anesthesia services.  This has provided more flexibility and a higher earning potential.

I will be joining her soon in her venture and we will be adding the service of staffing healthcare providers to our list of services.  We’ve learned that we are good at both networking and creating relationships. We’ve also learned that businesses have difficulty recruiting people for various reasons and that we can help them fill their needs.

There is much that we enjoy about our career and also plenty that we don’t enjoy, but it balances out pretty evenly most of the time.  Overall, we have found our profession to be rewarding.  We help people and are in a career that is continuously evolving, which allows us to keep learning and growing.  It also provides for good variety as all patients and surgeries are unique in one way or another.

The things we don’t enjoy with healthcare are the typical things that lead to burnout that most healthcare professionals experience at some point in their careers: reimbursement, insurance companies, production pressure, increasingly high acuity patients, politics, bureaucracy, and the like.


Do you feel you’ve come to a crossroads of sorts? If so, tell us about it. What options are you contemplating?

The crossroads that we have arrived at is that we recently paid off our mortgage and do not have any consumer debt.  We’ve worked hard to earn a good income and we’ve recently crossed over the millionaire threshold.   We have one small child and another on the way.  We are torn between frugality–continuing to push on with earning, saving, and investing–and slowing down to spend time with our kids while they aren’t in school and actually want to spend time with us.

My wife decreased her schedule to around 20 hours per week when our son was born and she will continue to work that amount.   That amount of work has provided her with a good balance for now.  I will likely decrease my hours to around 30 per week from the 50-70 I’ve worked the last few years.  With no debt and fewer financial obligations, it should be easy for us to continue to invest heavily and live life, all while working less.




How is your nest egg invested? Approximately what percentage is allocated to stocks, bonds, real estate, and alternatives?

Our nest egg is currently invested in Vanguard index funds, with most of that being in stocks.

Our mid-term plan is that we will max out tax-advantaged retirement accounts and then we will put the excess into brokerage accounts to eventually fund the purchase of 100% cash real estate.  I’m not sure what we will do beyond tax-advantaged accounts and real estate.

Are your investments primarily in tax-deferred, Roth, or “taxable” post-tax accounts?

Our investments are almost entirely (95%) in Roth accounts.

Do you have investments in an HSA? How about 529 Plans?

We started an HSA this last year after my wife left her W2 job.  We will likely continue forward with an HSA plan once I join her in her business.

We have started a 529 plan for my son and will start another for my daughter soon.  We currently contribute $10,000 per year to my son’s plan, and we plan to do the same for our daughter.


What has been your best investment?

Our best investment has been each other and being on the same page with our goals and finances.

Our next best investment has been our choice of career and our income.

Also, our decision to invest early and eliminate debt has been one of our best investment decisions.  Early investments allowed for more time compounding and eliminating debt released us from many financial obligations, giving us the freedom to invest more and only select the highest paying positions.  These strategies have also directly allowed us to work less while keeping income high and have more time to invest in our family.


Your worst investment?

Our worst investment (kind of) was on me.  I began my undergraduate education in pre-med and went to a prestigious and expensive private university without much of a plan.  I didn’t have much guidance and didn’t know anyone in the medical field, so I basically racked up a bunch of student loans (to the tune of $120,000 in two years), got scared, and switched paths.   Luckily, I had worked hard and earned good grades, and perhaps even luckier, found a good career alternative.  Had it not been for those two years and a large balance of student loans, we’d be much further ahead on our journey.  My mom would argue that I still learned a lot during that experience and she is probably right.  I took some high-level sciences that helped me later on, and also gained a healthy fear of debt. Ha!

We didn’t make many mistakes beyond that.  There are some other things we could have been more patient with, or done in a different order to make our lives easier, but nothing substantial that got us off track.


Into the FIRE


Numerically, what is your FI goal?

If we based it on the 4% rule, we would need to get our tax-advantaged accounts to around $1.5 million.  I think we will hit that fairly easily, so a more lofty goal would be to get to $10 million, but there isn’t a good reason for us to select that number.


 When do you suspect you will achieve financial independence? Will you retire from your career once you’re comfortably FI?

I think we will likely hit financial independence in the next five years.   I don’t think that we will fully retire when we hit our FI goal.  We believe there is dignity in work, along with purpose, and that there are plenty of other solid reasons to continue working.  I do imagine we will work even less than we are planning in the upcoming year and would likely only work a couple of days a week.  We enjoy what we do, and with the overall shortage of anesthesia providers in America, we think we have a valuable skillset and an opportunity to help people in ways that others are not able to help.


What are your post-FI plans? How will your life change? What do you look forward to the most?

We plan to travel more and spend more time with family and friends.  We plan to increase travel in the upcoming year and even more so as we become more financially independent and work less.

We plan to take a couple of pages from PoF’s book. Haha.  We’ve very much enjoyed following along with your story and your FI journey.  It’s been so beneficial to read about the way you did things, especially considering the similar careers and shared interest in travel.  You’ve provided us with a road map of sorts.

We haven’t mentioned this, but we’ve also done multiple, high-level surgical missions in Africa.  It was a life-changing experience for us.  We were able to help so many people that would have been unable to receive the help otherwise   We’d love to use our time, skills, and resources to do more of this in the future.


Have you made any major changes in your lifestyle or investments to accelerate your FI path?

We’ve lived frugally, worked a lot, and sacrificed some of the finer things in order to completely get rid of debt and invest as much as we could.

Are you facing any unique challenges making FI or RE more difficult?

Nothing unique.  Childcare has been a hefty expense.  We knew it would be a lot but probably didn’t appreciate how much. After a couple of years of childcare, we’ve basically calculated that we are paying similar costs as we would be for a college education.  The cost of health insurance is always a concern.


What advice do you have for others who are seeking financial independence?

Work hard; your income will be your best wealth-building tool.  Stay out of debt, as debt steals from your income and your ability to invest heavily.  Get on the same page as your spouse.

Find contentment.  It is easy to fall into the trap of thinking we deserve to have all of these materialistic things.  It’s also easy to think those are the things that will make us happy and content, but it’s not.  When you find contentment with life, relationships, and experiences, the material things lose importance.  Contentment allows you to grow your money and use it on things that can create real change in the world.


Finally, is there anything under the sun that you’d like some help with? The hive mind would be happy to weigh in.

This one is for you, PoF.  How and when did you know it was time for you to fully retire from being an anesthesiologist? Was it hitting your FI number?

Did your other interests outweigh your interest in anesthesia?  Was it all of the non-anesthesia variables that come with being in practice?  Or did you just not enjoy it as much as you once did or as much as you thought you should?

Also, what do you or others do for health insurance coverage with slow travel to different locations across the US and abroad?


PoF: Catch all the future interviews from those just getting started, at a crossroads, or at the end of their FI journey with a free subscription to Physician on FIRE.




I thank today’s interviewee for sharing their story, and I’ve shared my feedback privately with them. I wouldn’t want my opinions to influence yours. Please give your take and answer any questions they have had in the space below!

Again, if you’d like to partake in a future Q&A, please download a FIRE Starter, FIRE Crossroads, or Post-FI Notes interview form.


Share this post:

13 thoughts on “FIRE Crossroads 029: Two CRNAs Seeking Work-Life Balance”

  1. Thank for for posting this story. I’d love to hear more stories from providers like CRNAs. You guys have done a great job saving and I’m impressed you are even able to save for college on top of the childcare expenses. I get incredibly frustrated paying so much for insurance especially since I’ve been a nurse and CRNA for over 24 years. I’m working on state benefit pension plan with retiree health insurance if I can get 8 more years in. I thought I would be FIREd by now but I want to make sure I have insurance covered. Plus the pension should cover my property tax. Keep up the good work and if I could offer one suggestion, plan on working more when you kids are younger. Mine are teens with one still in grade school and not one of them remembers me working full time or taking call and missing events and they don’t remember having a nanny. They need you more when they are older to help them navigate into becoming young adults. Personally I like that my children see me working and balancing my time now that they are older. Also, make time to invest in your marriage as you navigate the crazy world of having two. Best of luck!

  2. Subscribe to get more great content like this, an awesome spreadsheet, and more!
  3. What an excellent article. I am a successfully retired CRNA ( at age 59 1/2 ) who was with one group for my entire career, which provided low cost retiree medical insurance. Our first born daughter graduates from her CRNA program next week. She and her husband are making the correct financial decisions already. I’m sharing your article with them and encouraging them to subscribe to the blog for frequent “ doses of wisdom” from your site. Many thanks to all contributors. Dan

    • Thanks, Dan!

      As you may know, I am/was an anesthesiologist, so I know very well what the job and career of a CRNA entails. In the right situation, the mix of compensation and schedule can be tough to beat.


    • That’s great Dan! It was such an inspiration for us to find this website and learn from someone in a similar career and someone who we seem to share similar goals with!

  4. I’m also a CRNA heading towards FIRE. Happy to read about two CRNAs on this blog.
    A family health insurance is not exorbitant. I pay roughly $1500 per month ($18K for 2022). It’s a high deductible health plan with an HSA. Premiums are tax deductible and the HSA gains me access to $7300 of turbocharged savings.

    My wife is a homemaker and I’m self-employed with 2 kids ages 7 & 5 in the Boston area.

    Go for that work-life balance! I’m down to 1400-1500hours a year and it seems like a good fit. Time off whenever I feel like it. We won’t get back these younger years with our kids.

    • Erik,

      That’s great that you’ve found balance. You are completely correct, once we started to have kids, it almost immediately made me realize that we can’t get back these younger years with them! Thanks for the info on health insurance!

  5. Long time reader here too. I, too, would be interested in people’s response for health insurance options from early retirement until Medicare age. That, if anything, is our biggest concern with early retirement expenses. Thank you!

    • That’s part of my Early Retirement Checklist.

      Basically, you buy it, just like millions of working people that don’t have employer-provided healthcare coverage.

      We chose a Bronze HSA plan on the exchange. You might consider a healthcare sharing ministry if you understand the risks and are willing to play by their rules.


  6. Wow, paying off your mortgage in your early 30s, that right there will bolster your progress towards FI! What will we do when we need a nurse anesthetist but they’ve all hit their number and retired? 🙂

    Impressive work, you’ll find your rhythm and balance soon. Can’t emphasize enough how being on the same page as your partner is crucial to work towards FI.

  7. POF! Long time reader, second time commenter. I think this series would be much better if more detailed numbers and information were provided. Similar to the “millionaire” series on ESI. Providing people’s income through the years, savings rates, real estate or side hustle income, etc., etc., would make it more intriguing.

    • Thanks for the feedback, JoyfulMD.

      I do encourage interviewees to share as much as they’re willing to share and to be specific. But I could tweak the questions.

      I do what I can to ensure anonymity, but there’s always a chance that some detail or even writing style or choice of words could give them away to someone who knows them.


    • Joyful MD,

      5 years ago our income was $250k with us both FT. Today it has grown to $500k with me transitioning to PT and my wife already PT. While paying down 200k in student loans (in the first 18 months) we didn’t contribute to retirement. After we paid those off, we contributed 15% of our gross income to Roth 401k, Roth IRA, 529’s and brokerages. Our goal is to eventually move into real estate now that we don’t have a mortgage and have more income available.


Leave a Comment


Doctor Loan up to 100% Financing

Related Articles

Join Thousands of Doctors on the Path to FIRE

Get exclusive tips on how to reclaim control of your time and finances.