10 first deals by doctors like you
The real numbers. The purchase price, the rate they locked, the cashflow, the tax result, and the part nobody puts on a testimonial: what went wrong.
Summary: Ten first properties bought by physicians, laid out with the actual figures. Not the highlight reel. Every case shows what they paid, what they put down, what it cashflows, what it did to their tax bill, and the mistake they made getting there.
An adjective is worthless.
"Life-changing." "Amazing returns." "Best decision we ever made." You have read a hundred of those, and not one of them told you whether the deal actually worked.
A number is different. A number you can check. You can set it next to your own income, your own market, your own down payment, and see whether the math holds for you or falls apart.
So that is what these are. No adjectives. The purchase price, the down payment, the interest rate, the monthly cashflow, the first-year tax result. And one more field most people leave out: what went wrong.
One honest thing before you read them.
The fast stories are outliers. The doctor who bought 31 doors in nine months is real, and she is not the median. Most first deals are quieter than that. One property. A modest check every month. A tax return that finally works in your favor instead of against you. That quieter story is the one that actually repeats, and it is the one worth planning around.
We include the outliers because they show the ceiling. We lead you toward the median because that is where you will probably live.
Think of your first deal like residency. Your mentor is the attending. The property is your first patient. You are not supposed to already know everything. You are supposed to learn on it, with someone watching, and come out the other side able to do the next one on your own.
And no, none of this is passive from day one. Toilets exist. Every case below has a "what went wrong" line because every deal has one. We would rather you see the friction now than be surprised by it later.
Case 01 — Kevin & Heather
Two physicians who came in skeptical about whether the tax piece was real. They ran a short-term rental strategy in their first year and their CPA confirmed a $100,500 VERIFY member data refund on the return. Later they scaled into a 12-unit building that cashflows about $5,000 a month VERIFY member data. The refund funded the momentum. The building is what turned it into an income stream instead of a one-time tax event.
| Field | First deal |
|---|---|
| Specialty | TBD — collect from member VERIFY member data |
| Market | TBD — collect from member VERIFY member data |
| Purchase price | TBD — collect from member VERIFY member data |
| Down payment | TBD — collect from member VERIFY member data |
| Interest rate | TBD — collect from member VERIFY member data |
| Monthly cashflow | ~$5,000/mo on the later 12-unit building VERIFY member data |
| First-year tax result | $100,500 refund via the short-term-rental strategy VERIFY member data |
| Hours spent during purchase | TBD — collect from member VERIFY member data |
| Hours/month now | TBD — collect from member VERIFY member data |
| What went wrong | TBD — collect from member (mandatory) VERIFY member data |
| What they'd do differently | TBD — collect from member VERIFY member data |
Case 02 — Regan & Rachel
They started with 10 doors and a goal: $100K a year VERIFY member data in cashflow. Inside a year they were at 66 doors VERIFY member data and past the goal. The number that matters here is not 66. It is the pace. Once the first few deals were underwritten and the team was in place, the next ones stopped feeling like starting over each time. That is the snowball, and it is the least glamorous, most reliable part of this.
| Field | First deal |
|---|---|
| Specialty | TBD — collect from member VERIFY member data |
| Market | TBD — collect from member VERIFY member data |
| Purchase price | TBD — collect from member VERIFY member data |
| Down payment | TBD — collect from member VERIFY member data |
| Interest rate | TBD — collect from member VERIFY member data |
| Monthly cashflow | Past $100K/yr across the portfolio inside 12 months VERIFY member data |
| First-year tax result | TBD — collect from member VERIFY member data |
| Hours spent during purchase | TBD — collect from member VERIFY member data |
| Hours/month now | TBD — collect from member VERIFY member data |
| What went wrong | TBD — collect from member (mandatory) VERIFY member data |
| What they'd do differently | TBD — collect from member VERIFY member data |
Case 03 — Jennifer
The outlier. 31 doors VERIFY member data and a six-figure tax refund VERIFY member data inside nine months. We put her here on purpose, because you are going to see numbers like this and wonder if you are behind. You are not. Jennifer moved fast because her situation let her move fast. Read her deal for the ceiling. Do not read it as the schedule you are supposed to keep.
| Field | First deal |
|---|---|
| Specialty | TBD — collect from member VERIFY member data |
| Market | TBD — collect from member VERIFY member data |
| Purchase price | TBD — collect from member VERIFY member data |
| Down payment | TBD — collect from member VERIFY member data |
| Interest rate | TBD — collect from member VERIFY member data |
| Monthly cashflow | TBD — collect from member VERIFY member data |
| First-year tax result | Six-figure refund inside nine months VERIFY member data |
| Hours spent during purchase | TBD — collect from member VERIFY member data |
| Hours/month now | TBD — collect from member VERIFY member data |
| What went wrong | TBD — collect from member (mandatory) VERIFY member data |
| What they'd do differently | TBD — collect from member VERIFY member data |
Cases 04–10 — Awaiting member data
Seven more first deals go here. We are filling these from real member interviews, not composites. Below is the exact set of fields we collect for every case, so a reviewer can see the shape before the stories land. The "what went wrong" line is mandatory. A case without one is not finished.
Case 04 — Awaiting member data
| Field | To collect |
|---|---|
| Specialty | Awaiting member data VERIFY member data |
| Market | Awaiting member data VERIFY member data |
| Purchase price | Awaiting member data VERIFY member data |
| Down payment | Awaiting member data VERIFY member data |
| Interest rate | Awaiting member data VERIFY member data |
| Monthly cashflow | Awaiting member data VERIFY member data |
| First-year tax result | Awaiting member data VERIFY member data |
| Hours spent during purchase | Awaiting member data VERIFY member data |
| Hours/month now | Awaiting member data VERIFY member data |
| What went wrong | Awaiting member data (mandatory) VERIFY member data |
| What they'd do differently | Awaiting member data VERIFY member data |
Case 05 — Awaiting member data
Same 11 fields as the collection template above. Slot reserved for a real member's first deal. What went wrong is mandatory. VERIFY member data
Case 06 — Awaiting member data
Same 11 fields as the collection template above. Slot reserved for a real member's first deal. What went wrong is mandatory. VERIFY member data
Case 07 — Awaiting member data
Same 11 fields as the collection template above. Slot reserved for a real member's first deal. What went wrong is mandatory. VERIFY member data
Case 08 — Awaiting member data
Same 11 fields as the collection template above. Slot reserved for a real member's first deal. What went wrong is mandatory. VERIFY member data
Case 09 — Awaiting member data
Same 11 fields as the collection template above. Slot reserved for a real member's first deal. What went wrong is mandatory. VERIFY member data
Case 10 — Awaiting member data
Same 11 fields as the collection template above. Slot reserved for a real member's first deal. What went wrong is mandatory. VERIFY member data
How to read these numbers
Two ways to read this casebook badly, and one way to read it well.
The first bad way is to anchor on the outlier. Jennifer's 31 doors in nine months is exciting and it is not your benchmark. If you use the fastest story as your measuring stick, you will feel behind on day one, and feeling behind is how people talk themselves out of the first deal entirely.
The second bad way is to only read the wins. That is why every case here carries a "what went wrong" line, on purpose. A property that never had a problem is a property nobody actually owned. The friction is not a warning sign. It is the normal texture of owning an asset instead of renting your income out one shift at a time.
The good way is to read for the median and steal the mechanics. What price relative to income. What down payment. What the first-year tax move actually was. What broke, and what they did about it. That is the part you can copy.
You will have a question these ten cases do not answer. Everybody does. Yours is probably specific to your specialty, your market, or the number sitting in your savings account right now.
Bring it to our free community and ask the unfiltered version. Not the polished version you would post publicly. The real one, with your actual numbers in it. That is the question worth answering, and it is the one these cases exist to earn.
Live where you want, invest where it makes sense. Your future self will thank you.
Whenever you're ready, 3 ways we can help
- Curious what real estate could do to your tax bill? Run the REPS Savings Estimator. Two minutes, and you'll have a number. Run it →
- Not sure where you'd fit this into an already-full life? Take the Make Medicine Optional quiz and see your fastest path. Take the quiz → VERIFY existing quiz URL
- Want to talk it through with a real person? Reply "TALK" to any of our emails and someone on our team (a real one, not a bot) will reach out.
Semi-Retired MD provides education, not tax, legal, or investment advice. Run everything here past your own licensed professionals. Draft prepared 2026-07-06 for internal review; all numbers marked VERIFY must be confirmed before publication.