A high-balance financing program designed to reflect the earning trajectory and unique career timelines of doctors, dentists, nurses, and other licensed medical professionals — available through my network of lenders.
- Purchase or rate-and-term refinance on a primary residence
- Available even with limited employment history — residents and fellows included
- No monthly private mortgage insurance (PMI) on qualifying loans.
- Financing up to 100% (zero down payment) on select programs, with loan amounts up to $2,000,000.
Zero-down financing tiers
| Option | Max loan amount | Min. credit score | Feature |
|---|---|---|---|
| 100% LTV / CLTV | Up to $1,500,000 | 680 | Zero down payment |
| 100% LTV / CLTV | Up to $2,000,000 | 720 | Zero down payment |
| 95% LTV / CLTV | Up to $2,000,000 | 680 | High-balance option |
Tiers shown are illustrative of current program offerings and vary by lender.
No PMI, flexible terms
Even at high LTV, borrowers avoid the added monthly PMI cost that comes standard on most conventional high-LTV loans — which can mean real monthly savings and more buying power. This applies to qualifying loans at both 100% and 95% financing. Physician loan rates may be higher than on a conventional loan with PMI, so we’ll compare the full cost of each option.
- Debt-to-income (DTI): up to 50% on 20- and 30-year fixed terms (680+ credit score); up to 45% across other eligible tiers and ARM products
- Fixed rates: 15-, 20-, 25-, and 30-year terms
- SOFR ARMs: 5/6, 7/6, and 10/6 structures
Who qualifies
Eligible professions vary by lender and loan tier, and can include:
- Medical Doctor (MD) and Doctor of Osteopathy (DO)
- Doctor of Ophthalmology and Doctor of Psychiatry (MD or DO)
- Doctor of Veterinary Medicine (DVM or VMD)
- Certified Registered Nurse Anesthetist (CRNA with DNAP or DNP)
- Clinical Nurse Specialist (CNS)
- Medical residents, fellows, and interns (with an eligible medical degree)
- Doctor of Dental Science/Surgery (DDS) and Doctor of Dental Medicine (DMD)
- Doctor of Pharmacy (PharmD)
- Doctor of Podiatric Medicine (DPM)
- Registered Nurse (RN)
- Chiropractor (DC)
Property and transaction details
- Transaction types: primary residence (owner-occupied); purchase and rate/term refinance
- Eligible properties: 1-unit single-family homes, Fannie Mae warrantable condos, PUDs, and modular homes
- Minimum loan amounts: $100,000 for fixed-rate loans; $350,000 for ARMs
- States: no state restrictions within my licensed states
An illustrative comparison
On a hypothetical $700,000 purchase price (for illustration only, not a rate or payment quote), a conventional loan with 5% down plus PMI would require roughly $35,000 down, versus $0 down with this program, and this program has no monthly PMI. Rates and total costs differ between loan types, so we’ll compare the full picture before you decide.
One relationship, many lender options
I shop this program — and overlapping ones — across several wholesale lending partners to find the right fit. Overlapping programs mean more professions and more scenarios can qualify than a single lender may offer alone, and I guide you from pre-approval through closing, with a process built around non-traditional income and employment timelines.
Next steps
- Confirm your eligible profession and credit score tier
- Gather income documentation (an offer letter may be accepted for residents and fellows, depending on the lender).
- Get a pre-approval letter, often within days of receiving your documents.
Program terms vary by lender, profession, property, loan size, occupancy, credit, and reserves, and can change without notice. All loans are subject to credit approval, underwriting, and property review. This is not a commitment to lend. Equal Housing Opportunity. Contact me at (510) 655-2868 or vic@vicjoshi.com for a current, no-obligation review of your situation.