Semi-Retired MD

Puerto Rico (founders reside there and travel frequently). The company also has a presence in the Seattle area, where the founders previously lived and worked.  All United States companies → — Founded 2018 (blog started), 2019 (first course launched)
Emergency Medicine Family Medicine Internal Medicine
Physician Real Estate
Self-funded (implied, as they teach wealth building through real estate and have achieved significant revenue through courses) — Unknown
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Semi-Retired MD
Semi-Retired MD
Physician Real Estate
Semi-Retired MD provides real estate investing education, resources, and tools tailored for doctors to build passive income and achieve financial freedom, founded by physicians Kenji Asakura, MD, and Letizia Alto, MD.
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About Semi-Retired MD

Semi-Retired MD is a company founded by physicians Kenji Asakura, MD, and Letizia Alto, MD, dedicated to helping other doctors and high-income earners achieve financial freedom through real estate investing. They provide education, resources, and coaching to empower medical professionals to build passive income, secure wealth, and gain financial independence. Their core offerings include courses like “Zero to Freedom: Cashflowing Rental Mastery,” “Ignite Your Journey: Introduction to Real Estate Investing,” and “Accelerating Wealth: Short-Term Rental Blueprint.”

The company’s mission stems from the founders’ personal journey, where they transitioned from full-time hospitalists to semi-retired individuals by strategically investing in cashflowing rental properties. They emphasize using real estate to create time-freedom, reduce tax burdens through strategies like Real Estate Professional Status (REPS), and ultimately allow physicians to practice medicine on their own terms. Semi-Retired MD also hosts the “Doctors Building Wealth” podcast, sharing insights and strategies for financial independence.

While the company focuses on real estate investing education, it’s important to note that Semi-Retired MD explicitly states that it does not provide personal, financial, tax, legal, or investment advice. They encourage individuals to seek advice from competent, licensed, and certified professionals.

What Physicians Need to Know

Specialization
Semi-Retired MD specializes in providing education, resources, and tools for physicians and high-income earners to achieve financial freedom through real estate investing, particularly cash-flowing rentals. They focus on strategies like short-term rentals, forced appreciation, and leveraging tax benefits specific to real estate.
Key Differentiators
Their primary differentiator is that the founders, Dr. Kenji Asakura and Dr. Letizia Alto, are physicians themselves who achieved financial freedom through real estate, offering a relatable and expert perspective. They provide coaching and mentorship from experienced physician-investors. They also emphasize a structured, actionable approach through courses like 'Zero to Freedom' and 'Fast Fire'.
Technology Stack
While specific proprietary technology details are not extensively disclosed, Semi-Retired MD leverages AI tools to enhance real estate investing strategies, such as for market research and streamlining processes to save time and money. They also discuss the use of short-term rental software for channel management and guest communication to maximize profitability and reduce property management costs.
What Makes Them Stand Out for Physicians
Semi-Retired MD directly addresses physician burnout and the desire for financial independence, offering a pathway to practice medicine on their own terms. They provide tailored advice on tax advantages particularly beneficial for high-income physicians, such as depreciation, cost segregation, and achieving Real Estate Professional Status (REPS) to offset W-2 income. Their content and community are specifically designed for doctors, fostering a network of like-minded professionals.
Physician Tip

For physicians considering Semi-Retired MD, focus on their educational programs like 'Zero to Freedom' to gain a structured understanding of real estate investing. Leverage their emphasis on tax benefits, particularly Real Estate Professional Status, which can significantly impact your financial planning. Engage with their physician-specific communities and resources to connect with other doctors pursuing financial freedom through real estate. Consider how AI tools, as discussed by Semi-Retired MD, can streamline your real estate ventures and free up valuable time.

Semi-Retired MD offers a referral partner directory, connecting users with trusted lenders and residential agents, and potentially other wealth management and financial planning professionals. While not explicitly stated as 'integrations' in a software sense, these partnerships serve to provide a comprehensive ecosystem for their physician investors.

Products by Semi-Retired MD

1 product in the directory

Semi-Retired MD
Semi-Retired MD
Physician Real Estate
Semi-Retired MD provides real estate investing education, resources, and tools tailored for doctors to build passive income and achieve financial freedom, founded by physicians Kenji Asakura, MD, and Letizia Alto, MD.
Paid

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Press & Coverage

Business Insider
A couple started buying real estate to free themselves from 80-hour workweeks. After scaling to more than 100 units, they work part time and travel half the year.
Letizia Alto and Kenji Asakura, founders of Semi-Retired MD, transitioned from demanding medical careers to semi-retirement by building a real estate portfolio of over 100 units, allowing them to work part-time and travel extensively. They started their blog, Semi-Retired MD, in 2018 to educate other physicians on real estate investing.
2025-08
Business Insider
Doctors turned real estate investors share the strategy they used to 'zero out' income taxes for 7 years
Letizia Alto and Kenji Asakura of Semi-Retired MD explain how they leveraged Real Estate Professional Status (REPS) to significantly reduce their income taxes for seven years, a strategy they teach to other high-income professionals. This involves dedicating over 750 hours annually to real estate activities to offset clinical income with real estate losses.
2025-06
PR Newswire
Semi-Retired MD Launches Bookkeeping Course for Physicians Who Invest in Cashflowing Rentals
Semi-Retired MD launched 'Fast FIRE Bookkeeping for Real Estate Investors,' an online course designed to teach physician real estate investors how to manage their own books, maximize tax deductions, and avoid costly errors. The course was available with a discount for a limited time and included access to a live session with a real estate bookkeeping expert.
2021-07
MillennialEYE
Achieving Financial Freedom
Letizia Alto, MD, and Kenji Asakura, MD, co-founders of Semi-Retired MD, participated in a discussion on financial freedom for physicians, emphasizing the use of investment properties to generate passive cashflow and offering practical steps for doctors to achieve financial independence. The article highlights how additional income can transform physicians' practice styles.
2021-12
Inc. Magazine
Semi-Retired MD is a 2023 Inc. 5000 honoree
Semi-Retired MD was recognized as an Inc. 5000 honoree in 2023 for teaching doctors and other high-income professionals how to invest in income-producing real estate.
2023-08
Everand
Life on Your Terms: Why Doctors Use Real Estate Investments to Set Themselves Free and How You Can Too
This book, co-authored by Kenji Asakura, MD, a co-founder of Semi-Retired MD, discusses how doctors can achieve financial freedom through real estate investments. It highlights strategies for building wealth and reducing burnout in the medical profession.
2023-10
Wealthy Mom MD Podcast
158: Active Real Estate Investment with Letizia Alto
Letizia Alto of Semi-Retired MD discusses active real estate investment strategies for physicians, including financial and tax strategies, and comparing long-term versus short-term rental options to maximize wealth and achieve financial freedom. She shares how she and her husband built a source of income using real estate and sheltered their income from taxes for seven years.
2023-04
YouTube (Business Insider)
How Two Doctors Built a Real Estate Empire
This documentary-style video from Business Insider details the journey of Letizia Alto and Kenji Asakura, who started with two duplexes in 2015 and grew their real estate portfolio to over 100 residential units by 2025, enabling them to step back from full-time hospital work and build the Semi-Retired MD community.
2025-07

Frequently Asked Questions

Based on available information, Semi-Retired MD primarily focuses on educating physicians and high-income earners about real estate investing to achieve financial freedom. While they discuss the broader impact of AI in healthcare and real estate, their core offerings are online courses and resources related to real estate investment strategies, rather than direct healthcare AI products.
Semi-Retired MD's core business is real estate education, not direct patient care or healthcare AI product development. Therefore, direct HIPAA compliance for patient data isn't applicable to their primary offerings. However, for physicians considering AI tools in their practice, it's crucial to understand that healthcare AI compliance is a rapidly evolving field with significant regulatory scrutiny around data privacy and security.
Semi-Retired MD's flagship course, 'Zero to Freedom Through Cash-Flowing Rentals,' has been priced around $4,999, with a money-back guarantee. While they discuss using AI to improve real estate portfolios, specific pricing for AI-focused courses or tools beyond their general real estate education is not explicitly detailed.
Semi-Retired MD offers a strong community and support system for its students, including Facebook groups and Q&A sessions with the founders and physician coaches. While they discuss how AI can be used in real estate, the support is generally focused on real estate investing principles rather than in-depth technical AI implementation support.
The available information does not indicate direct partnerships between Semi-Retired MD and healthcare AI companies or technology providers. Their partnerships and affiliate programs appear to be centered around their real estate education business.
Semi-Retired MD has demonstrated significant growth, generating over eight figures in lifetime revenue and reaching nearly 4,000 students. They are expanding their business to include offerings for high-income earners and entrepreneurs, and they acknowledge the transformative role of AI in both healthcare and real estate. Their long-term vision appears to involve continued growth in education and community building, with an awareness of AI's increasing importance.

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