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Seattle Mortgage Pros

SMP Doctor Hub

Medical professional mortgage options for physicians, dentists, veterinarians, residents and fellows buying in Washington.

Why medical professionals use this program

Program benefits

  • No mortgage insurance

    No mortgage insurance is required under this program, for qualified borrowers.

  • Built for medical income

    An employment contract or offer letter may document income before you start, subject to program requirements.

  • Student debt considered, not ignored

    Residents and fellows have specific student-loan calculation provisions that may help.

  • Condos near the hospital

    Attached, detached and non-warrantable condominiums may be eligible where most lenders decline.

  • Reviewed by an underwriter

    Manually underwritten, so an unusual income picture is read by a person rather than scored by a system.

  • Visa pathways

    Non-permanent residents may be eligible where the property will be their principal residence.

How much could you finance?

For qualified borrowers with a 720+ credit score.

Maximum financing by purchase price for qualified borrowers
Purchase priceFinancing available
Up to $1,000,000Up to 100% financing
$1,000,001 – $1,750,000Up to 95% financing
$1,750,001 – $2,500,000Up to 89.99% financing

For qualified borrowers. Other financing tiers are available for qualified borrowers with lower credit scores. Program requirements apply.

Keep more of your cash working for you

Financing a larger share of the purchase leaves more of your savings where you choose to put it — an emergency fund, a practice buy-in, retirement contributions, or paying down higher-cost debt. That is the trade this program is built around, for qualified borrowers.

It is a trade, not free money. Financing more means borrowing more. The right answer depends on what your cash earns elsewhere and how long you expect to hold the property, and that is a conversation worth having before you write an offer.

Starting your medical career?

Residents and fellows may qualify subject to program guidelines, including specific student-loan calculation provisions. A fully executed employment contract or offer letter may be used to document income, so a signed match or a countersigned offer can be enough to start.

You must meet reserve and income requirements for the period between closing and your start date, and additional reserves are required when qualifying on future or projected employment income.

Medical school debt? Don't automatically count yourself out

Student loan payments are not ignored and student loan obligations must be considered in your debt-to-income calculation. What is different is how residents and fellows are treated: the program has specific student-loan calculation provisions, and debt-to-income generally goes up to 50% under manual underwriting.

Plenty of physicians assume a six-figure loan balance ends the conversation. It often does not. It is worth checking rather than assuming.

D.D.S. or D.M.D.? This program may be built for you too

Dentists holding a D.D.S. or D.M.D. may qualify on the same terms as physicians, whether you are an associate, buying into a practice, or already an owner. Veterinarians holding a D.V.M. may qualify as well.

Buying a condo near the hospital?

Physicians buy near where they work, and much of that inventory in Seattle is condo — a meaningful share of it non-warrantable, which many lenders decline outright. Attached, detached and non-warrantable condominiums may be eligible under this program, with non-warrantable projects carrying a lower maximum financing tier.

Condominiums with hotel amenities are treated as non-warrantable and reviewed case by case. Condotels, co-ops and leasehold properties are not eligible.

More on non-warrantable condos

On a visa? You may still have options

Washington residency programs include a substantial number of J-1 and H-1B physicians who assume homeownership is not available to them. Non-permanent residents may be eligible where the property will be their principal residence.

Acceptable work visas, an Employment Authorization Document, DACA status, and refugee or asylee status are among the pathways. A valid Social Security Number or ITIN may be acceptable. Documentation requirements apply and vary by status.

Straight talk: when this program isn't the right fit

This program is specific, and it is not the best answer for everyone. Rather than find out three weeks in, here is where it does not fit:

  • Chiropractors are not eligible
  • Primary residence only — not available for investment properties or second homes
  • Cash-out refinance is not available
  • Manufactured homes (single-wide and double-wide) are not eligible
  • Co-ops, condotels, leasehold properties, community land trusts and timeshares are not eligible
  • Minimum 680 FICO; the strongest tiers require 720+
  • Subordinate financing is not permitted

Seattle Mortgage Pros is an independent brokerage with access to many other programs. A borrower who does not fit this program may still have strong options. Link to the relevant existing loan program pages — this turns a disqualification into a retained lead.

Conventional loansHome equityBank statement loansITIN loansAll loan programs

What clients say about Seattle Mortgage Pros

These are general reviews from clients across all of our loan programs, published verbatim. None of them refers to this program specifically.

  • Nothing but professionalism and results when working with the team.

    J. Cox

    Google review

  • Very knowledgeable and helpful!

    Cally Brown

    Google review

  • Extremely knowledgeable!

    Aimee Madrigrano

    Google review

Who you'd be working with

Seattle Mortgage Pros is a branch of NEXA Mortgage, the largest wholesale mortgage broker in the country, with access to 190+ wholesale lenders. We are an independent brokerage rather than a retail bank selling its own products, which means this program is one option we can compare against many others rather than the only thing we have.

NEXA Mortgage, LLC NMLS #1660690, Lynnwood Branch NMLS #2150669. Austin Sodorff, NMLS 1916659.

Check what may be available

A few questions about your situation — no income, no Social Security number, no credit pull, and no approval or denial at the end. It tells us enough to review your scenario properly.

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Doctor mortgage questions

Who is eligible for a medical professional mortgage?

Physicians (M.D. and D.O.), dentists (D.D.S. and D.M.D.) and veterinarians may qualify, along with residents, fellows and practising professionals. Ophthalmologists hold an M.D. and are covered by that designation. Chiropractors are not eligible for this program.

Career stage is not a barrier on its own — residents, fellows, someone starting a new position, newly practising professionals, established professionals and practice owners may all qualify, subject to program requirements.

Do I need a down payment?

It depends on the loan amount and your credit profile. For qualified borrowers with a 720 or higher credit score, financing up to 100% may be available on loan amounts up to $1,000,000. Larger loan amounts and lower credit scores carry lower maximum financing.

See the financing tiers above for the full picture. Program requirements apply and all financing is subject to credit approval.

Does 100% financing mean I need no money at closing?

No. This is the most important thing to understand about the program. Reserve requirements and closing costs still apply and are not financed. You will need funds available at closing even where financing covers the full purchase price.

Reserves are typically two months for conforming loan amounts and six months for non-conforming amounts. Additional reserves are required when qualifying on future or projected employment income.

Is mortgage insurance required?

No mortgage insurance is required under this program. That is one of the main reasons medical professional financing can compare favourably with a conventional loan at a similar loan amount, for qualified borrowers.

What credit score do I need?

The program floor is a 680 credit score. The strongest financing tiers require 720 or higher. Other financing tiers are available for qualified borrowers with lower credit scores; program requirements apply.

How are my student loans treated?

Student loan payments are not ignored. Student loan obligations must be considered in your debt-to-income calculation. Residents and fellows have specific student-loan calculation provisions that may help, which is why significant medical school debt does not automatically rule you out.

Can I use this program before I start my job?

Possibly. A fully executed employment contract or offer letter may be used to document income, subject to program requirements. You must meet reserve and income requirements for the period between closing and your employment start date.

Additional reserves are required when qualifying on future or projected employment income.

Can I buy a condo near the hospital?

Often yes. Attached, detached and non-warrantable condominiums may be eligible. Non-warrantable condos carry a lower maximum financing tier than standard properties. Condotels, co-ops and leasehold properties are not eligible.

Much of the inventory near Seattle's hospital corridors is condo, and a meaningful share of it is non-warrantable. Many lenders decline those outright.

Non-warrantable condos

Can I take cash out with this program?

No. Purchase and limited cash-out — rate and term — refinance only. Cash-out refinance is not available under this program. If accessing equity is your goal, other programs may fit and we can compare them with you.

Home equity options

Can I waive escrows?

No. Escrow accounts cannot be waived under this program. This question comes up frequently with higher-income borrowers, so it is worth knowing before you plan around it.

Can I use a second mortgage or a HELOC alongside it?

No. Subordinate financing is not permitted under this program. That means no piggyback second lien and no concurrent home equity line of credit at closing.

Can I buy an investment property or a second home?

No. This program is for primary residences only. One to two unit properties are eligible, so a qualified medical professional buying a duplex and occupying one unit may be eligible.

I am on a visa. Can I still buy?

Possibly. Non-permanent residents may be eligible where the property will be their principal residence. Acceptable work visas, an Employment Authorization Document, DACA status and refugee or asylee status are among the pathways. Documentation requirements vary by status.

Visa physicians

How is this underwritten?

Manually. A real underwriter reviews the full picture rather than an automated system returning a decision. That is an advantage for borrowers whose income is unusual, and it means the process is more document-intensive than a standard automated approval.

What is the maximum loan amount?

Up to $2,500,000, subject to the financing tiers and program requirements. Aggregate mortgage obligations are capped at $2,000,000, and limits count across all parties on a joint application rather than per borrower.

Doctor mortgage resources

A guide series for medical professionals is in progress. In the meantime, these cover ground physicians ask about most often:

Reading a Loan EstimateComparing lendersCurrent rates

Talk to someone who has done this before

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