Physician Home Loan Program
Up to 100% financing, no traditional mortgage insurance, and student loans counted the way you actually pay them. Built for residents, fellows, and attendings buying a primary home.
Soft review first. No credit pull to get a straight answer.
The real blockers
Almost every physician who walks in here was declined for one of these three. None of them say anything about whether you can afford the house.
Standard underwriting often assumes 1% of your outstanding balance as a monthly obligation. On $250,000 of medical school debt that is a phantom $2,500 a month sitting on your debt-to-income ratio, even while you are in an income-driven plan paying a fraction of it, or in deferment paying nothing.
We use your documented payment. Your income-driven statement, or your deferment letter if the loan is deferred past closing. The difference on a typical resident file is enough to move a decline into an approval.
Conventional lenders usually want 30 days on the job and two recent pay stubs. If you are six weeks out from your fellowship end date with an attending offer in hand, you have the income but none of the documents that income normally arrives with.
Your signed employment contract or offer letter counts as income. Projected earnings can qualify you before your first paycheck clears, so you can close ahead of your start date and move in once rather than twice.
Ten years of training does not leave a 20% down payment behind. And the workaround most lenders offer, a low down payment with mortgage insurance bolted on, quietly adds a few hundred dollars a month to a payment you are already stretching for.
Up to 100% financing, and no traditional mortgage insurance at any loan-to-value. Not a reduced premium. None. That is the single biggest monthly difference between this loan and the low-down-payment conventional you were probably offered.
Send us the file. A loan officer reads it and tells you which line is the problem, and whether this program clears it.
Before you start
Same principle as rounds. Everything gathered up front, nothing surprising you at the end. Bring these and your loan officer can give you a real answer instead of a maybe.
If your designation is not listed, ask. Eligible degree lists vary by investor and we will tell you straight away whether yours is covered.
You do not have to wait for your first paycheck. With a signed contract we can work toward a closing that lands before day one, so you unpack once instead of renting for a year first.
Single-family homes and qualifying condos, as your primary residence. Purchase or rate-and-term refinance. Second homes, investment property and manufactured homes fall outside this program.
Applying with someone else
A spouse, partner or family member can come onto the loan with you, and they do not need a medical degree. What they do need is finances that help rather than hurt, because theirs become part of the file too.

Non-occupant co-borrowers are allowed, but their income cannot exceed 50% of total qualifying income. A parent who out-earns you cannot carry the loan for you. They can strengthen it.
A co-borrower brings their credit and their debts with them. Adding someone with a thin score or a car loan and a balance-carrying card can weaken a file that would have been approved on your own. Ask your loan officer to run it both ways before anyone signs anything.
Side by side
Including the part most lenders leave off the page. Physician loans usually carry a slightly higher rate. Here is that trade, in full.
| Featured | Physician home loan | Conventional loan |
|---|---|---|
| Down payment | As little as 0% | 3% to 20%, and the best pricing sits at 20% |
| Mortgage insurance | None at any loan-to-value | Required above 80% loan-to-value, and it comes out of your monthly payment |
| Student loans in your ratio | Your documented income-driven or deferred payment | Often 1% of the balance, whether or not you pay it |
| Proof of income | Signed contract or offer letter accepted before you start | Usually 30 days on the job and two recent pay stubs |
| Loan amount | Up to $2 million, fixed or adjustable | Conforming limit, then jumbo underwriting and a bigger down payment |
| Interest rate | Competitive, typically a small premium of roughly 0.125% to 0.375% | The lowest headline rate, if you can produce the down payment and the pay stubs |
How that trade usually nets out. On most files the mortgage insurance you are not paying is worth more each month than the small rate premium costs you, and the down payment you keep stays invested or stays liquid. Ask us to run both side by side on your actual numbers. If conventional wins on your file, we will tell you that.
Straight answer
No sales pitch. Read the right column honestly, because a loan that fits badly is expensive in a way that does not show up until year three.
A pre-approval sized to your contract and your real student loan payment, not to a formula. Usually back to you the same week.
How it runs
The same person from your first question to your closing table. No handoffs, no re-explaining your contract to somebody new.
Fifteen minutes on your contract, your loans and your timeline. You leave knowing whether this works.
Documents in, a number out, in writing. Strong enough to put in front of a seller.
We handle the student loan documentation and the contract-based income. Most files clear in about 14 days.
Scheduled around your rotation and your start date, not around banking hours.
What working with us gets you
At any loan-to-value, on any term. It never appears in your payment.
Your signed contract qualifies you before your first paycheck arrives.
Room for the house you will still want in ten years.
A lower rate and quicker equity build if the payment is comfortable.
Breathing room in the early attending years when cash is tight.
Steady for the long stay, lower to start if you expect to move.
Rate-and-term options as your income and your plans change.
The same name and number from question one to closing day.
Including a lot that other lenders had already declined.

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Tell your loan officer the day it happens. In most cases a new signed contract with updated terms keeps the application moving, as long as it still meets program guidelines. The risk is not the job change, it is finding out about it late.
Both. Purchase and rate-and-term refinance on your primary residence are covered. If you want a lower rate or a different term as your income changes, we can walk through the options.
Single-family homes and qualifying condos both work. Manufactured homes, investment properties and second homes typically do not, since the program is written for primary residences.
Both are available. A fixed rate keeps the payment steady, which suits a long stay. An adjustable rate can start lower, which can suit you if there is a realistic chance you move or refinance inside the initial period. Your loan officer will price both.
We work toward approval in as little as 14 days from application. Complete documents on day one are what makes that timeline hold.
No traditional mortgage insurance, at any loan-to-value on this program. That is the structural difference from a low-down-payment conventional loan, and on most files it is worth more each month than the small rate premium costs.
Tell us where you are, residency, fellowship, or first attending contract. We will tell you what you can borrow and what is standing in the way, before you spend a weekend at open houses.
Soft review first, no credit pull to get an answer. Straight talk either way.
That is a different product with different underwriting.
Other programs doctors ask us about: Jumbo loans High debt-to-income Self-employed, no tax returns H-1B visa home loans Conventional loans