Most physicians think the way to earn more is simple: Work more shifts. Pick up locums. Take another side gig. But what if the real opportunity isn’t working more… it’s stacking income strategically? In this episode, Donovan Miske joins the show to explain how physicians can build multiple income streams that create leverage, ownership, and long-term financial freedom.
Physicians are often told that the path to higher income is simple:
work more hours.
More shifts.
More patients.
More call.
But that approach has limits—and often leads to burnout.
In this episode, Donovan Miske of Kona Medical Consulting explains a different strategy: intentional income stacking.
Instead of pursuing random side hustles, Donovan helps physicians design revenue streams that compound together and create leverage over time.
We discuss how physicians can move beyond trading time for money by exploring opportunities such as ancillary clinics, expert witness consulting, fractional leadership roles, and emerging opportunities like AI model training.
Donovan also introduces the 1.5x rule, a framework physicians can use to evaluate whether a side opportunity is actually worth their time.
This conversation challenges physicians to rethink how they build income—and to realize they often have far more control over their careers than they believe.
Donovan Miske is the founder of Kona Medical Consulting, a managed services organization that helps physicians launch, scale, and structure medical businesses outside of traditional employment.
Through his work, Donovan advises physicians on building ancillary clinics, developing income stacks, structuring ownership opportunities, and creating business systems that allow medical practices to operate more efficiently and profitably.
His focus is helping physicians move beyond trading time for money by identifying opportunities that generate leverage, equity, and long-term financial growth.
Kona Medical Consulting works with physicians across multiple specialties to design sustainable business models, reduce administrative burden, and build healthcare ventures that can operate independently of a physician’s daily clinical workload.
This isn’t just another finance podcast—it’s a movement. We’re challenging the status quo, cutting through the noise, and giving physicians real strategies to take control of their money and their future.
Because true wealth isn’t just about numbers—it’s about freedom.
Find and follow the show on YouTube.
James Nutter is on a mission to help physicians reclaim their financial power. With a deep understanding of the unique challenges doctors face, he provides real-world strategies that cut through the noise and lead to lasting financial freedom.
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The opinions expressed in this podcast are for informational and educational purposes only and do not constitute financial, legal, or tax advice. Any financial decisions should be made in the context of your unique circumstances and in partnership with a trusted financial advisor who understands your personal plan.