Key advantages

Buy with little to no money down
Up to 100% financing
Zero down payment options available for qualifying borrowers with a 680+ FICO score.
Higher loan limits, competitive LTVs, and qualification criteria that recognize your unique financial profile.










Your income structure is complex. Your mortgage shouldn't be.

Buy with little to no money down
Zero down payment options available for qualifying borrowers with a 680+ FICO score.

Borrow big for high-value homes
High loan amounts to match home values in the markets where physicians typically practice.

No MI required
Skip private mortgage insurance even at high LTVs, for significant monthly cost savings.

Your term. Your timeline. Your career.
Choose from 15, 20, 25, or 30-year fixed or hybrid ARM products to fit your career stage.
Tell us your specialty, license status, and whether you're employed full-time or in training (residency, fellowship), in residency or have an offer letter. Your career stage shapes your loan structure.

Based on your FICO tier and income trajectory, we identify which of the three loan tiers fits you best and how much home you can confidently afford.

With pre-approval in hand, you compete like a cash buyer. No contingencies are holding you back from the home you want.

We work around your schedule, including evenings and weekends, to close as fast as 15 days, whether you're mid-residency or already practicing.

Know your FICO tier
Understanding whether you're at 680 or 720+ helps you target the right loan amount and LTV before you start shopping.
Use your offer letter
Residents and fellows can close before their start date. Have your signed employment contract ready to maximize your qualification.
Leverage your equity potential
Even at 100% financing, your program is thoughtfully structured to help you build equity quickly as your income steadily grows.
Make large financial changes
Avoid opening new credit accounts, making large purchases, or changing jobs during the loan process. It can affect your DTI and FICO.
Overlook your DTI ratio
ARM and 15-year loans cap at 45% DTI. Know your ratio before selecting a loan type to avoid surprises during underwriting.
Assume all states are the same
Texas equity loans aren’t allowed & New York ARMs have strict floor rules - check your state’s restrictions first.
Compare your options at a glance
Conventional 30yr
FHA Loan
Medical Professional (Altgage)
Min FICO score
620+
580+
680+
Max LTV
97%
96.5%
100%
Max loan amount
Conforming limit
FHA limit
$2,000,000
Mortgage insurance
Required <20% down
Always required
Not required
Down payment
3–20%+
3.5%+
0% available
Everything you need, in one place!
Learn everything you need to know as a first-time homebuyer
You’ve got questions, we’ve got answers
Yes. A signed employment offer letter is accepted in place of current income, allowing you to qualify before your first paycheck.
No. PMI is not required under this program, even at high LTVs - a significant saving compared to conventional loans.
This program uses a favorable DTI calculation that accounts for the unique financial profile of medical professionals, rather than penalizing you at face value.
Absolutely. Many medical professionals purchasing their first home find this program ideal precisely because it removes the two biggest barriers first-time buyers face, the down payment and mortgage insurance.