Healthcare careers break conventional underwriting in predictable ways: six-figure student balances distort debt ratios, a residency ending in a signed attending contract isn't "two years of history," travel nurses stack agency 1099s and stipends, and practice owners write off exactly the income they need to qualify. Each of these has a program-level answer, if your lender knows where to look.
How Jackie solves healthcare files
- Student loan treatment, programs that use income-driven payments, or exclude deferred loans, instead of punishing you with a hypothetical payment
- Future income contracts, closing on a signed offer or new attending contract before your first paycheck, where guidelines allow
- Travel & agency income, documenting stipends, overtime, and multi-facility 1099 income so it actually counts
- Practice owners, bank statement and P&L programs that see past the write-offs
- High-balance needs, jumbo options from 10% down for California medical corridors
Frequently asked questions
Do my student loans disqualify me?
Rarely, when the file is placed correctly. The difference between counting your actual income-driven payment versus a percentage of the full balance can swing your qualification by hundreds of thousands of dollars. This is placement, not luck.
I'm finishing residency. Can I buy before my attending job starts?
Often, yes, several programs close on a signed employment contract with a start date within a defined window. Timing matters, so bring the contract to Jackie as early as you can.
How does travel nursing income count?
With the right documentation, assignment history, stipends, and continuity of work, travel income can qualify. Some files fit conventional guidelines; others fit better on bank statement programs. Jackie prices both.
I own my practice and my tax returns look small. Options?
This is the classic self-employed physician file: strong deposits, efficient returns. Bank statement and P&L programs qualify you on the business's real cash flow. Start here.