
Advertise on podcast: MoneyRx for CRNAs and NPs
Rating
5from
This podcast has
75 episodes
Language
EnglishPublisher
Brett Fellows, CFP®Explicit
No
Date created
2024/02/28
Latest episode
2026/02/10
Average duration
23 min.
Release period
8 days
Description
Go behind the scenes with host Brett Fellows, CFP®, as he explores the unique opportunities and challenges facing Certified Registered Nurse Anesthetists and Nurse Practitioners along the path to financial independence. In each episode, Brett shares expert financial insights and actionable advice to help you lower taxes, invest smarter, and retire on your terms.
Unlock MoneyRx for CRNAs and NPs podcast Email contact info,
Listeners & Audience details
Email contact information
Direct podcast contact details

Listeners
Audience numbers & engagement insights

Audience details
Podcast Insights

Podcast episodes
Check latest episodes from MoneyRx for CRNAs and NPs podcast
Social Security Strategies for High Earning CRNAs & NPs
2026/02/10
"I've been earning $200,000 or more a year for most of my career. Social Security is going to be a drop in the bucket." If that's what you're thinking, you could be leaving hundreds of thousands of dollars on the table.
In this episode, Brett Fellows walks through nine critical Social Security strategies specifically for high-earning CRNAs and nurse practitioners. Using a real-world example of David and Sarah, both age 62 CRNAs with $1.8 million saved, he explains how to maximize lifetime benefits while minimizing taxes.
Brett Covers:
Know your full retirement age and how early claiming permanently reduces benefitsUnderstand why delaying gives you a guaranteed 8% annual return (worth $216,000 over 20 years)Maximize Your 35-Year CalculationCoordinate spousal benefits strategically when one spouse earns significantly moreUse the bridge strategy to retire early while delaying Social Security to 70Don't forget survivor benefits (delaying can mean $162,000 more for your surviving spouse)Watch out for IRMAA surcharges that could cost $10,000+ per year in Medicare premiumsConsider Roth conversions and QCDs during your low-income "gap years"Understand the earnings test if you plan to work while claiming earlyWhether you're planning to retire at 62, 65, or 70, this episode shows you how to turn Social Security from an afterthought into a strategic anchor for your retirement income.
#CRNAs #NursePractitioners #SocialSecurity #RetirementPlanning #FinancialPlanning #MoneyRx
Key Timestamps:
(0:18) Welcome to Money RX: Social Security for High-Earning CRNAs and NPs
(1:28) Case Study: David and Sarah’s $200,000 Income Strategy
(2:44) #1: Know Your Full Retirement Age
(3:51) #2: Why Delaying Pays Off (The Guaranteed 8% Return)
(4:17) #3: Maximize Your 35-Year Calculation
(7:11) #4: Coordinate Spousal Benefits Strategically
(8:13) #5: Use the Bridge Strategy
(9:33) #6: Do Not Forget Survivor Benefits
(11:01) #7: Watch Out for IRMAA Surcharges
(12:16) #8: Consider Roth Conversions and QCDs
(14:09) #9: Understand the Earnings Test
(15:18) Summary: How a Strategy Adds Hundreds of Thousands in Value
For more information and resources related to this episode, please visit the show notes.
Pre-Retirement Checklist: 10 Action Steps for Nurses 5 Years Before You Retire
2026/02/03
The five-year window before you stop working is the most critical period for your financial future. While many CRNAs and nurse practitioners (NPs) focus solely on saving, the transition to retirement requires a shift toward strategy. In this episode, Brett Fellows, CFP®, shares a 10-point checklist designed specifically to help both CRNAs and NPs manage health insurance gaps, mitigate IRMAA surcharges, and turn decades of savings into a sustainable retirement paycheck.
Brett covers:
Why strategy matters more than accumulation when you are five years outHow to calculate your true retirement spending instead of just replacing your incomeThe hidden Medicare cost shock (IRMAA) that high-earning nurses need to understandWhy your 403(b) might be a tax time bomb and how Roth conversions can helpHow to bridge the health insurance gap if you retire before age 65The guaranteed 8% return from Social Security and how to decide when to claimA smarter withdrawal strategy to stay in lower tax bracketsWhy your beneficiary designations matter more than your willYour retirement paycheck should include your hard-earned money, without the tax trap. #Retirement #NP #CRNA #RetirementPlanning
Key Timestamps:
(0:20) The Critical Five-Year Window
(2:19) Step 1: Set Your Target Retirement Date
(3:19) Step 2: Know Your True Retirement Expenses
(4:44) Step 3: Take Inventory of Your Accounts
(5:50) Step 4: Health Insurance Before Medicare
(6:54) Step 5: Start Learning About Medicare & IRMAA
(8:19) Step 6: Understand Your Social Security Options
(9:33) Step 7: Consider Roth Conversions
(11:11) Step 8: Create a Withdrawal Strategy
(12:18) Step 9: Simplify Your Accounts
(13:06) Step 10: Get Your Estate Documents in Order
(13:58) Case Study: The Five-Year Transformation
For more information and resources related to this episode, please visit the show notes.
Why CRNAs and NPs Should Say NO to the 4% rule
2026/01/27
The 4% rule is a staple of retirement planning, but for high-income CRNAs and nurse practitioners, it is often the wrong tool for the job. Relying on a rigid, one-size-fits-all percentage can lead to psychological stress, tax blindness, and the mistake of underspending during your healthiest years.
In this episode, Brett Fellows, CFP®, explains why APRNs should move away from static rules of thumb in favor of a "Work Optional" guardrails plan. This approach replaces spreadsheet fantasies with a dynamic system that accounts for changing life seasons, tax sequencing, and the unique ability of clinicians to use income levers if markets get rough.
Brett explains how to:
- Identify the 5 core problems with the 4% rule, from linear spending assumptions to ignoring Medicare surcharges.
- Build a retirement paycheck timeline that maps out income sources like Social Security and RMDs as distinct seasons.
- Implement dynamic guardrails to know exactly when it is safe to increase spending or when to briefly cut back.
- Leverage the "Clinician Advantage" by using PRN or consulting work as a strategic buffer against market volatility.
- Master the tax window between stopping full-time work and starting forced distributions.
This episode can help you avoid costly mistakes while understanding how to adjust your spending without feeling stuck.
#CRNAs #NursePractitioners #RetirementPlanning
Key Timestamps:
(0:18) Why the 4% Rule is the Wrong Tool
(3:24) What the 4% Rule Is (and Is Not)
(5:19) The Comfort Trap: Why We Use Rigid Rules
(7:47) 5 Core Problems with the 4% Rule
(12:30) Reframing Retirement as "Work Optional"
(14:30) Step 1: Your Retirement Paycheck Timeline
(15:52) Step 2: Finding Your Baseline Lifestyle Number
(16:48) Step 3: Using Dynamic Spending Guardrails
(17:52) Step 4: The Clinician Advantage (Optional Levers)
(19:54) Case Study: Alicia and Jordan’s Guardrails Plan
(22:14) The Elephant in the Room: Tax Strategy & RMDs
(26:14) The Truth About Annuities
For more information and resources related to this episode, please visit the show notes.
Top 10 Investing Mistakes That Keep CRNAs & NPs Working Longer Than They Need To
2026/01/20
You've worked long shifts, held everything together in high-stress situations, and saved diligently for 25 years. You think you're on track for retirement. But what if investment mistakes you don't even know you're making could force you to work five to seven more years?
In this episode, Brett Fellows reveals the shocking truth about a CRNA couple with nearly $2 million in their 403(b) accounts who discovered they'd need to work an extra five to seven years because of investment decisions they'd made over the years. That's five to seven more years of night shifts, five to seven more years of being on call, all because of mistakes that could have been avoided..
Today's episode walks through the 10 biggest investment mistakes that cost nurses real years of their lives.
Brett covers::
Mistake #1: Trying to time the market (costs 3-4% annually, nearly $1M over 30 years)
Mistake #2: Letting emotions drive your decisions
Mistake #3: Not having proper diversification
Mistake #4: Paying excessive fees and costs (a 1% fee difference costs $600,000+ over 30 years)
Mistake #5: Chasing past performance
Mistake #6: Not reinvesting dividends
Mistake #7: Ignoring tax efficiency
Mistake #8: Active stock picking instead of evidence-based investing
Mistake #9: Not rebalancing your portfolio
Mistake #10: Investing before addressing financial basics
If you're making these mistakes, you might be adding years to your working life without even realizing it. This episode will show you exactly what to fix and how to get your retirement back on track.
#CRNAs #NursePractitioners #RetirementPlanning #InvestmentMistakes
Key Timestamps:
(0:18) Welcome and Introduction
(4:18) Mistake #1: Trying to time the market
(5:50) Mistake #2: Letting emotions drive your decisions
(7:20) Mistake #3: Not having proper diversification
(8:55) Mistake #4: Paying excessive fees and costs
(10:20) Mistake #5: Chasing past performance
(11:40) Mistake #6: Not reinvesting dividends
(12:41) Mistake #7: Ignoring tax efficiency
(14:08) Mistake #8: Active stock picking instead of evidence-based investing
(15:30) Mistake #9: Not rebalancing your portfolio
(16:40) Mistake #10: Investing before addressing financial basics
(18:40) Actionable steps and conclusion
For more information and resources related to this episode, please visit the show notes.
Medicare Part B Premiums, IRMAA - What Nurses Need to Know
2026/01/13
If you are a high-earning nurse making $120,000 as NP or over $200,000 as a CRNA, you probably think Medicare will be simple and affordable because you have paid your taxes for decades. However, many nurses are shocked to receive premium notices for $649 per month instead of the standard $202. This episode breaks down the "IRMAA" surcharge and why your income from two years ago dictates what you pay for Medicare today.
Brett explores:
The definition of IRMAA and why it treats high-earning nurses as if they haven't paid their fair share.Why your 2026 Medicare premiums are based on your 2024 tax returns.The specific 2026 income thresholds for single and married filers.Five specific strategies to potentially reduce or eliminate these surcharges.How to use the appeals process if you have recently retired or seen a drop in income.By the end of this episode, you will have a roadmap to avoid the "tax bomb" in retirement that triggers these expensive surprises.
#CRNAs #NursePractitioners #Medicare #IRMAA #RetirementPlanning
Key Timestamps:
(0:38) Welcome to Money RX for CRNAs and NPs
(1:22) The $10,000 Medicare surprise: A real-life case study
(2:25) What is IRMAA? The income-related surcharge explained
(4:03) Why the two-year look back catches nurses off guard
(6:10) 2026 Medicare Part B premium brackets and thresholds
(7:49) Strategy 1: Appealing due to life-changing events
(8:21) Strategy 2: Using Qualified Charitable Distributions (QCDs)
(8:50) Strategy 3: Strategic Roth conversions in gap years
(9:25) Strategy 4: Leveraging 403(b) and 457 plan contributions
(9:39) Strategy 5: Donor Advised Funds for tax deductions
(11:05) Conclusion: Integrating Medicare into your retirement strategy
For more information and resources related to this episode, please visit the show notes.
New Year, New Financial Strategy: 5 Money Moves Advanced Practice Nurses Should Make in 2026
2026/01/06
If you're a nurse around age 50 thinking you can do this for about 10 more years, then this episode is for you. Burnout from nursing changes the game. When you're tired, you don't want more complexity in your life. You want a plan that creates options.
Today, we're talking about five money moves to make in 2026. Not theory, not vague motivation, but real moves that you can implement. Each of these moves is designed for someone who is already responsible and a saver, but feels like the finish line keeps moving away from them.
Brett explores:
The "qualified rich, cash poor" trap and why maxing out retirement accounts can accidentally limit your flexibilityHow to use a "match first, then flexibility funding" strategy to build options before age 59.5Why Social Security isn't just a check but longevity insurance, and how to model your claiming strategyThe five year paycheck buffer framework that protects you from sequence of returns riskAsset location strategies that give you the same risk with better tax efficiencyHow to win the tax game during your gap years with Roth conversions and capital gains harvestingBy the end of this episode, you'll have a roadmap for making work optional in the next 10 years without being too afraid to spend what you've saved.
#CRNAs #RetirementPlanning #FinancialFreedom #TaxPlanning #MoneyRX
Key Timestamps:
(0:37) Welcome to Money RX for CRNAs and NPs
(2:35) Move 1: Avoiding the "Qualified Rich, Cash Poor" trap
(4:40) The Flexibility Funding Plan: Building a second bucket
(7:10) Move 2: Strategic Social Security planning beyond the "vibe"
(9:20) Estimating benefits at age 62, FRA, and 70
(10:19) Move 3: Building your retirement paycheck first
(11:15) The five-year paycheck buffer framework
(14:25) Move 4: Using asset location for better tax efficiency
(18:05) Move 5: Winning the tax game in your "gap years"
(19:30) Selective Roth conversions and ACA healthcare planning
For more information and resources related to this episode, please visit the show notes.
We Have a $3 Million Portfolio. How Much Can We Spend?
2025/12/29
What if the biggest risk to your retirement isn't running out of money, but spending too little? When you've accumulated $3 million through decades of hard work and discipline, the fear shifts from "Can we afford to retire?" to "How much can we spend without getting this wrong?"
Brett covers:
Why identical portfolios can lead to completely different retirement outcomesHow to calculate your true baseline spending (hint: it's more than you think)The role Social Security plays in reducing portfolio pressureSequence of returns risk: why timing matters more than disciplineThe hidden dangers of both lifestyle inflation and accidental underspendingWhy flexibility beats precision in retirement planningHow to build a resilient plan that adapts without panicFind out why the most successful retirements aren't built on rigid withdrawal rates but on intentional decisions that align your money with your values. Your portfolio is a tool (not a limiter) for the life you want to live.
#RetirementPlanning #FinancialPlanning #CRNA #PortfolioManagement
Key Timestamps:
(0:38) Welcome to Money RX for CRNAs
(2:23) Case Study: David and Anne’s $3M Portfolio
(3:38) Determining True Baseline Lifestyle Spending
(5:03) How Social Security Reduces Portfolio Pressure
(5:37) Reframing Retirement as an Annual Cashflow Problem
(7:27) Introducing Susan: Sequence of Returns Risk
(10:03) Karen’s Story: The Risk of Structural Lifestyle Inflation
(12:02) Tom’s Story: The Cost of Accidental Underspending
(14:22) Kevin and Laura: Building a Resilient vs. Precise Plan
(15:58) Retirement as a System of Behavior and Alignment
(20:13) Conclusion: $3 Million is a Tool for Choice, Not a Limit
For more information and resources related to this episode, please visit the show notes.
Once I Show Early Retirees This, Healthcare Becomes Easy
2025/12/23
"I can't retire early because of healthcare." If this is the voice holding you back, this episode changes everything.
Healthcare costs terrify so many CRNAs approaching early retirement. You've saved enough money, you're burned out, and these are your good health years. But one fear keeps you working: what if healthcare costs blow up your plan?
In this episode, Brett reveals why healthcare shouldn't delay your early retirement and shows you the one number that simplifies everything. Once you know how MAGI (Modified Adjusted Gross Income) works, healthcare becomes predictable math instead of an expensive mystery.
We explore:
The one number that controls your health insurance costs before Medicare.What counts as taxable income and what doesn't in retirement.Real-life case studies showing couples retiring before 65, spending six figures, and keeping healthcare affordable.How the healthcare subsidy cliff works and recent rule changes you need to know.Why being "qualified rich, cash poor" limits your healthcare options.The three biggest levers you can pull during the retirement gap years.A simple framework to decide if healthcare should keep you working or if you're more ready to retire than you think.Two people can spend $100,000 per year, but one pays full price for healthcare while the other receives massive subsidies. Same lifestyle, completely different premiums. The difference? Understanding MAGI and structuring withdrawals correctly.
Whether you're in your late 50s or early 60s, this episode gives you the roadmap to make healthcare planning manageable and stop letting it delay the retirement you've earned.
#CRNAs #EarlyRetirement #HealthcarePlanning #MAGI #AffordableCareAct
Key Timestamps:
(0:45) Brett explains why healthcare shouldn't delay your retirement goals.
(2:55) Why the ACA cares about your reported income rather than savings.
(5:10) Breaking down taxable vs. tax-free money buckets for spending.
(7:10) Example of maintaining a six-figure lifestyle with high subsidies.
(10:35) How crossing the subsidy cliff "light switch" can cost thousands.
(11:50) Stress-testing a retirement portfolio against high premium estimates.
(14:15) The danger of maxing pre-tax accounts without tax diversification.
(16:05) Top three levers to pull during the early retirement gap.
(17:15) A practical checklist to evaluate your current retirement readiness.
(20:30) Closing thoughts on taking control of your healthcare math.
For more information and resources related to this episode, please visit the show notes.
Do These 5 Things Before You Retire if You've Saved Over $1 Million
2025/12/16
Many CRNAs hit the $1 million savings mark and assume they are automatically ready to retire.
While reaching that milestone is a huge achievement, retiring well isn't just about the balance in your accounts. It is about timing, flexibility, and protecting yourself from the hidden dangers that appear in the final decade of your career.
In this episode, Brett Fellows, CFP®, shares five powerful moves you should make before you retire if you have saved over $1 million. These aren't generic tips; they are strategies derived from real-life case studies and years of planning with CRNAs.
Brett explores:
Why two retirees with the exact same portfolio can have completely different outcomes based on "sequence of returns risk"Why the 4% rule is outdated and what to use insteadThe "Freedom Account" strategy that allows CRNAs to retire years before age 59½Why you should lock in liquidity (like a HELOC) while you still have W2 incomeHow to handle the "Fragile Decade" and guard against lifestyle inflation in your "go-go" yearsKey Timestamps:
(0:37) Intro: When does work become optional?
(2:00) Step 1: Run your numbers early (The Fine-Tuning Stage)
(2:35) Sequence of Returns Risk explained
(3:35) Why the 4% Rule is outdated
(5:30) Step 2: Build a Brokerage Account (The Freedom Account)
(7:30) Step 3: Lock in liquidity before you retire
(9:15) Step 4: Tackle big expenses during the "Fragile Decade"
(11:15) Step 5: Guard against lifestyle inflation
(12:50) Creating intentional spending guardrails
(13:25) Recap of the 5 steps
For more information and resources related to this episode, please visit the show notes.
How to Maximize Social Security Spousal Benefits as a CRNA
2025/12/09
What if you’re making a Social Security benefits mistake that could cost you 5 figures?
It almost happened to a CRNA.
Brett Fellows recently reviewed a retirement plan with a couple where the wife had worked full-time as a CRNA for 25 years while her husband worked part-time to raise their children.
They assumed that because he had his own earnings history, he could not claim spousal benefits. That single assumption was a mistake that could have cost them tens of thousands of dollars over their lifetime.
In this episode, Brett Fellows, CFP®, breaks down exactly how Social Security spousal benefits work and why they are critical for CRNA couples to understand.
Brett explores:
The fundamental rules of claiming 50% of a spouse's benefitWhy CRNAs with "gap years" or early retirement dates are specifically affectedThree real-world scenarios: The Traditional Family, The Dual High-Earner Couple, and The Career Gap SituationThe "Social Security Tax Tsunami" and how spousal benefits impact provisional incomeThe four biggest mistakes couples make, including claiming too early and failing to coordinate with tax planningKey Timestamps:
(0:45) The costly mistake Sarah and Mark almost made
(2:05) Fundamentals: How spousal benefits actually work
(2:53) The 50% cap and full retirement age rules
(4:05) Why the primary earner must claim first
(5:35) Why this matters specifically for CRNAs
(8:00) Scenario 1: The Traditional CRNA Family
(9:45) Scenario 2: The Dual High-Earner Couple
(10:35) Scenario 3: The Career Gap Situation
(11:40) The Social Security Tax Tsunami
(14:15) 4 common mistakes CRNA couples make
For more information and resources related to this episode, please visit the show notes.
Why Saving Too Much For Retirement Could Be a Mistake!
2025/12/02
We constantly hear headlines about how Americans are undersaving for retirement. While that is often true, there is a side of the story that rarely gets discussed. What happens if you never stop saving?
For many high-income CRNAs, over-saving can quietly cost you in unexpected ways. You might find yourself with less time, fewer experiences, and missed opportunities with your family.
In this episode, Brett Fellows, CFP®, shares the surprising truth about when you should stop saving for retirement. He breaks down two powerful financial principles: compound growth and opportunity cost. He also names the five clear signs that it is time to stop saving and start living.
Brett explores:
Why money should be viewed as a tool rather than the ultimate goalHow compound growth shifts the heavy lifting from you to your portfolioThe real opportunity cost of maxing out retirement accounts year after yearThe "moving goalpost" trap that leads to regretFive specific instances when stopping contributions makes financial sense#CRNAs #RetirementPlanning #FinancialFreedom #Podcast #WealthManagement
Key Timestamps:
(0:35) Intro: The surprising truth about saving
(2:35) Two principles: Compound Growth and Opportunity Cost
(4:10) The Snowball Effect: When your money takes over
(6:40) Opportunity Cost: What you are giving up today
(12:20) Sign #1: You are already in a position to retire
(13:15) Sign #2: You are on track to hit your number
(14:35) Sign #3: You are sacrificing the most important things today
(15:55) Sign #4: Legacy goals are not a priority
(17:05) Sign #5: You no longer need the tax benefits
(18:10) The Aligned Life: A new goal for your money
For more information and resources related to this episode, please visit the show notes.
Where Should I Pull Funds From First in Retirement
2025/11/25
You may have heard the general rule of thumb for retirement withdrawals: Spend your taxable accounts first, then tax-deferred accounts, and save your Roth IRAs for last.
While there IS truth to that logic because it preserves tax-favored money, it fails to address how to minimize your overall tax bracket throughout retirement.
In this episode, Brett Fellows, CFP®, explains why the conventional withdrawal sequence can accidentally push you into higher tax brackets year after year.
Brett explores:
The three deeply ingrained beliefs that cause CRNAs to fall into a tax trapWhy account preservation is the wrong metric for successA real-world example of how a single withdrawal can double your tax rateThe three "buckets" of money you need to understand: taxable, tax-deferred, and tax-freeA 4-step strategic approach to managing your withdrawalsHow to manage long-term impacts like RMDs and Medicare surcharges
Key Timestamps:
(0:00) The problem with the "general rule of thumb"
(1:02) Three beliefs that create a retirement tax trap
(1:31) Example: How to accidentally double your tax bracket
(2:45) Creating your own paycheck in retirement
(4:20) The ideal approach: Managing tax brackets
(4:40) The three buckets of money (Taxable, Deferred, Tax-Free)
(5:35) Step 1: Identify your fixed income sources
(6:02) Step 2: Calculate your shortfall
(6:27) Step 3: Strategic withdrawal planning
(7:35) Step 4: Consider long-term impacts (RMDs and Surcharges)
(10:14) Tax gain harvesting and Roth conversions
For more information and resources related to this episode, please visit the show notes.
62-65-70, When Should CRNAs Claim Social Security?
2025/11/18
You've likely heard the advice: wait until age 70 to claim Social Security for the biggest check and safest retirement. But is that really the best choice for CRNAs?
In this episode, Brett Fellows, CFP®, dives into the overlooked risks of delaying Social Security, proving the decision is far more personal than a break-even chart suggests. It's about maximizing dollars yes, but it’s also about your freedom, health, and peace of mind in retirement.
In this episode, Brett explores the overlooked risks of delaying Social Security:
Mortality Risk: What if you pass away before the break-even point?Sequence of Returns Risk: How delaying can magnify portfolio damage during a market downturn.Policy Risk: The chance of future benefit cuts or changes to taxation.Opportunity Risk: The potential returns your portfolio could have earned while waiting.Regret Risk: The emotional cost of waiting too long and giving up healthy retirement years.Health Span Risk: Why a dollar at 62 often buys richer memories than a dollar at 95.Spending Flexibility/Optionality Risk: Why preserving a flexible portfolio might be more valuable than a maximized Social Security check.
Key Timestamps:
(0:45) The 7 overlooked risks of delaying Social Security
(2:01) Mortality Risk: What if you die before the break-even?
(4:55) Sequence of Returns Risk: The danger of market downturns in early retirement
(6:42) Policy Risk: Are future cuts a concern?
(7:50) Opportunity Risk: The true cost of delaying
(9:58) Regret Risk: Why emotions matter more than math
(11:55) Health Span Risk: Living well, not just living long
(13:59) Spending Flexibility Risk: The value of optionality
(15:45) Underspending Risk: Why claiming early helps you enjoy your healthiest years
(18:20) Real-world examples: Why claiming early made sense for Mark and Jen
For more information and resources related to this episode, please visit the show notes.
Core Anesthesia: How Cole Dill & Tanner Hulin Built a Successful Business Empowering CRNAs
2025/11/11
Cole Dill and Tanner Hulin, co-founders of Core Anesthesia, join the podcast to share the unexpected story of how their study conversations turned into a leading educational platform used by 75% of current CRNA students nationwide.
Cole and Tanner discuss the raw, scrappy start of their business, from recording terrible quality audio in their car to cashing out almost everything they made to fuel product development. They also detail the strategic acquisition by Archer Review in 2025, which provided the financial and mental capital to take their business to the next level.
Brett and the founders discuss:
The organic origin of Core Anesthesia from simply trying to help themselves get through school.The early financial strategy of pricing their premium content at $4.99 a month and fueling growth by continually reinvesting cash flow.The challenge of running a business while being "broke college students" and the need to fuel the business before paying themselves.The experience of going through the Archer Review acquisition and why they chose to stay involved rather than make a complete exit.The importance of a business partnership being like a marriage, built on shared goals and mutual grace.Cole's most important financial advice: adopt the mindset of an investor, not a consumer, after graduation.Their exciting Q4 2025 partnership with Global Blade 3D, a nonprofit sending low-cost, 3D-printed video glidescopes to underserved communities.#CRNAs #Entrepreneur #FinancialAdvisor
(0:45) Welcome & Meet Core Anesthesia Co-founders
(2:15) The Organic Start: From Car Study Sessions to Spotify
(4:50) Launching the Podcast & Naming the Business
(7:32) Early Financial Strategy: Pricing at $4.99/month
(9:49) Advice to Their Younger Selves: Take the Step, Even if It's Not Perfect
(15:18) The Archer Review Acquisition (May 2025)
(19:30) Why They Didn't Make a Complete Exit
(22:23) 3-Year Vision: Reaching CRNAs and Program Directors
(25:42) How to Handle a Business Partnership (Like a Marriage)
(34:42) Financial Advice: Be an Investor, Not a Consumer
For more information and resources related to this episode, please visit the show notes.
Jenny Finnell, CRNA: From Facebook Group to 7-Figure Business - Mentoring 8,000+ Future CRNAs
2025/11/04
Jenny Finnell, CRNA, founder and CEO of CRNA School Prep Academy (CSPA) and Teach RN, joins the Money RX for CRNAs podcast to discuss her journey from clinical CRNA to building a dual-business enterprise. Jenny shares the organic, passion-driven story behind CSPA, which has mentored almost 10,000 ICU nurses pursuing CRNA school in just five years, and explains how she launched the scalable peer-to-peer marketplace, Teach RN, to support the broader nursing profession.
This special episode offers candid advice on the hard financial realities, business lessons, and unique challenges of juggling a family, clinical work, and two growing businesses by prioritizing being "fulfilled" over "busy".
Brett and Jenny discuss:
The accidental founding of CRNA School Prep Academy and its massive, organic growth.The shift to Teach RN, a scalable peer-to-peer marketplace, to meet nurse demand for support.The business model for both ventures and the future potential for institutional partnerships.Key business lessons, including the risk of scaling a team too quicklyThe current trends in CRNA education.Financial advice for new CRNAs on managing debt and living conservatively.The power of community and its role in achieving an 80% acceptance rate for Academy members.Jenny's biggest piece of advice to her past self and to all aspiring entrepreneurs: "Don't be so afraid".If you found this episode inspiring, please leave a review and share it with your colleagues.
#CRNAs #Entrepreneur #FinancialAdvisor
Key Timestamps:
(0:46) Welcome & Meet Jenny Finnell, CRNA
(1:45) The Journey to CRNA School Prep Academy & Her "Why" Story
(3:48) CRNA School Prep Academy Business Model & Future Institution Partnerships
(6:02) Business Milestones & The Importance of Support and Coaching
(8:05) 3-Year Vision for CRNA School Prep Academy
(9:15) Expanding into Broader Nursing Education with Teach RN
(14:40) Biggest Financial Lessons Learned as an Entrepreneur
(17:44) Advice to Intimidated CRNA Entrepreneurs: "Don't be so afraid"
(28:34) Measuring Success: The 80% Acceptance Rate for Academy Members
(37:09) The Massive Impact of Building Community
For more information and resources related to this episode, please visit the show notes.
Podcast reviews
Read MoneyRx for CRNAs and NPs podcast reviews
Simsb6 2025/06/10
Great information!
Helpful for CRNA’s at any stage in their career!
Podcast sponsorship advertising
Start advertising on MoneyRx for CRNAs and NPs relevant audience podcasts
You may also like to advertise on these Podcasts

4.8661413
No Hay Tos (Real Mexican Spanish)
Sonoro | Roberto Andrade & Héctor Libreros

4.9716383
That Aged Well
That Aged Well Podcast

4.72029324
Clutterbug - Real-Life Hacks and Tips to Declutter, Organize and Clean your Home Fast
Clutterbug

4.62924142
Girls Gone Bible
Girls Gone Bible

4.7463113
God's Country
The Brothers Hunt

4.97360
The Scottish Rugby Podcast
The Scottish Rugby Blog

4.783478
The Stories of Mahabharata
Sudipta Bhawmik

4.8680879
Daily Seahawks Podcast: HB Mornings & Real Hawk Talk
Brian Nemhauser

4.8223861673
The Andrew Klavan Show
The Daily Wire

4.57941308
FloWrestling Radio Live
FloWrestling