No PMI. Up to 100% financing. Built for doctors, residents, and fellows.
Medical professionals have a unique financial profile — high student debt, limited savings, but strong future earning potential. Physician mortgage programs are designed around that reality. Whether you're starting residency at URMC or joining an attending position at Rochester Regional Health, there's a program structured for where you are right now.
Program Features
Conventional loans penalize the financial profile of most medical professionals. Physician mortgage programs are specifically structured to account for student debt, deferred income, and the career trajectory of doctors.
No down payment required on qualifying programs. Keep your cash for student loans, practice setup, or reserves.
No PMI — ever. Even at 100% financing. This alone saves hundreds per month compared to conventional loans.
Jumbo-level financing available. Covers the full range of Rochester-area home prices, from starter homes to executive properties.
Offer letters accepted. You don't need to be an attending yet. New graduates and those starting residency can qualify.
Contract doctors and self-employed physicians qualify. Flexible income documentation compared to conventional programs.
No AUS required. Complex income situations — multiple positions, moonlighting, fellowship stipends — can be reviewed manually.
Who Qualifies
The program is designed for licensed medical professionals with advanced degrees. Residents, fellows, new graduates, and practicing attendings are all eligible. 1099 and contract physicians qualify.
MD
Medical Doctor
DO
Doctor of Osteopathic Medicine
DDS / DMD
Dentist
PharmD
Doctor of Pharmacy
VMD
Veterinary Doctor
CRNA
Certified Registered Nurse Anesthetist (with DNP/DNAP)
Residents, fellows, and new graduates welcome. Offer letters accepted.
Max Financing
No down payment required
Mortgage Insurance
No PMI at any LTV
Max Loan Amount
Jumbo-level financing available
Min Credit Score
Only 1 tradeline required
Loan Types
Multiple term options
Underwriting
No AUS required
Lender Programs We Use
Orion · New Rez · Sun West — matched to your scenario
Rochester Medical Community
Rochester is home to one of the country's leading academic medical centers and a robust regional health system. If you're training or practicing at any of these institutions, we work with medical professionals at your stage regularly.
The region's largest academic medical center. Home to hundreds of residents and fellows across virtually every specialty.
Residency and fellowship programs in internal medicine, surgery, pediatrics, emergency medicine, neurology, psychiatry, and more.
Part of URMC. Community hospital with its own residency programs in family medicine and NP residency.
Family Medicine Residency, NP Residency Program, Bariatrics Fellowship.
Pediatric specialty center within the URMC complex. Pediatric residents and fellows.
Pediatric residency and subspecialty fellowship programs.
Large regional health system with multiple campuses including Rochester General Hospital and Unity Hospital.
Residency programs across internal medicine, surgery, OB/GYN, and emergency medicine.
Also serving: NPs and CRNAs at URMC's NP Residency Program, Highland Family Medicine, and throughout Monroe County's growing healthcare network. If you hold an eligible advanced degree, contact us to review your specific scenario.
The Process
We confirm your degree, employment status (resident, fellow, attending, contract), and start date. Offer letters are accepted for future positions.
Physician loans handle income differently than conventional. We review your contract, base salary, moonlighting income, and how student loans are treated under each lender's guidelines.
We work with Orion, New Rez, and Sun West — each with slightly different physician loan programs. We match your scenario to the best fit on rate, LTV, and guidelines.
With your credentials and income structure confirmed, we issue a pre-approval. TRU Approval® (fully underwritten) is also available for physicians who want maximum offer strength.
Physician loans close like any other mortgage. The key difference is the structure — no PMI, flexible down payment, and underwriting that accounts for your career trajectory.
Common Questions
No. Residents and fellows qualify using an offer letter or employment contract. You don't need to have started your attending position yet — the program is designed for the trajectory of your career, not just your current income.
Physician loan programs typically treat student loans more favorably than conventional loans. Deferred student loan payments may be excluded or calculated differently, which can significantly improve your qualifying debt-to-income ratio.
Yes. First-time buyers are eligible. The physician mortgage program is specifically designed for medical professionals who may have limited savings due to years of training but strong future earning potential.
Most physician loan programs require a minimum of 680 FICO. Only one tradeline is required, which is helpful for physicians who haven't had time to build extensive credit history during training.
Physician loan programs are generally designed for primary residences. For investment properties, DSCR financing is typically the better fit. Contact us to discuss your specific situation.
We work with multiple wholesale lenders that offer physician mortgage programs, including Orion, New Rez, and Sun West. Each has slightly different guidelines and pricing — we match your scenario to the best fit.
CRNAs with a DNP or DNAP are eligible on most programs. Nurse Practitioners may qualify depending on the lender. Contact us to review your specific credentials and scenario.
Whether you're starting residency at URMC or joining an attending position across Monroe County — let's structure the financing around your actual situation.