Medical Professionals Jumbo
Specialized jumbo financing for physicians, dentists, and other medical professionals. Up to 95% LTV with no PMI. Student debt accommodated. Residents and fellows eligible on a future employment contract.
Quick answer
- Who qualifies: physicians (MD, DO, DPM), dentists (DDS, DMD), residents, fellows, and certain other licensed medical professionals (varies by program).
- Loan amount: up to $2,000,000 on standard Medical Professionals programs.
- Max LTV: up to 95% LTV with no PMI on qualifying files.
- Min FICO: typically 680 (sometimes 700+ for highest LTV).
- DTI maximum: 45% above 95% LTV; 50% at or below 95% LTV.
- Student loan accommodation: deferred student loans excluded or under-counted on most programs — a major win for residents and recent grads.
- Reserves: reduced reserve requirements on most programs.
Why doctor loans exist
Physicians and dentists carry an unusual financial profile early in their career: massive student loan balances, but a steep predictable income curve. Standard underwriting reads only the moment-in-time DTI snapshot — which crushes a resident or fellow even though their income trajectory is among the most predictable in the economy.
Medical Professionals programs are a separate jumbo product designed specifically for this profile. The two key adjustments:
- Student loan exclusion or under-counting. Deferred student loans are typically excluded from DTI; income-based repayment plans count at the IBR payment, not the standard amortized payment.
- High LTV with no PMI. Up to 95% LTV without private mortgage insurance — significantly lowering monthly payment vs. an FHA or conventional 95% LTV equivalent.
Eligible borrower types
Programs vary, but typically eligible:
- MD — Medical Doctor
- DO — Doctor of Osteopathic Medicine
- DDS / DMD — Dentist
- DPM — Doctor of Podiatric Medicine
- OD — Doctor of Optometry (some programs)
- PharmD — Doctor of Pharmacy (some programs)
- Residents and Fellows — typically eligible with a future-dated employment contract
- Veterinarians (DVM) — some programs include
How residents and fellows qualify
If you're a resident or fellow with a contracted future position (attending physician, partner-track), most Medical Professionals programs let you qualify based on your future employment contract rather than current resident pay. This means you can buy at attending-level loan amounts before the first paycheck on the new contract arrives — a significant advantage when relocating for a new job.
Required: signed employment contract with start date, salary, and any signing bonus. Start date typically must be within 60–90 days of closing (varies by investor).
LTV / loan amount tiers
Indicative tiers (your file's specific tier depends on FICO, occupancy, and reserves):
| Loan amount | Max LTV | Min FICO |
|---|---|---|
| ≤ $1,000,000 | 95% | 700 |
| $1,000,001 – $1,500,000 | 95% (with 720+ FICO) | 700 |
| $1,500,001 – $2,000,000 | 90% | 720 |
| > $2,000,000 | Crosses to standard Full Doc Jumbo program | — |
Owner-occupied primary residence focus. Second-home eligibility varies; investor properties not eligible on most Medical Professionals programs.
FAQ
Can residents and fellows qualify?
Yes, on most programs, with a signed future employment contract. Start date typically within 60–90 days of closing.
Are deferred student loans excluded from DTI?
Yes on most Medical Professionals programs. Income-based-repayment loans count at the IBR payment instead of standard amortized.
What if I have $300K of student debt?
Common for newly-licensed physicians. The Medical Professionals program is designed for exactly this profile — student debt is accommodated specifically so it doesn't break qualification.
Can I close in a trust?
Yes for primary residence on most programs.
What about pharmacists / NPs / PAs?
Eligibility for non-MD/DO/DDS professionals varies by program. Some include PharmD; very few include NP or PA. We confirm eligibility against the current program guide for your specific credential.
Do you offer interest-only on Medical Professionals?
Some programs do, for higher loan amounts. We'll confirm at consult.
Curious if Medical Professionals Jumbo is the right fit?
Bring your numbers — we'll model real pricing in 20 minutes.