Build your Arizona dream home with financing designed around how physicians actually earn. Low down payment, no PMI, employment contract accepted — combined with a single-close construction-to-permanent structure.
Physician borrowers do not always fit neatly into standard mortgage underwriting. Residents, fellows, and newly signed attendings may have strong earning potential, but their current pay history, contract-based income, and student loan obligations often require a more specialized review.
Our physician construction loan is designed to evaluate qualified medical professionals with that full picture in mind. Employment contracts may be considered, eligible student loan payments may receive program-specific treatment, and the single-close construction-to-permanent structure allows borrowers to close once before the build begins.
Student loan debt is still a real obligation, and every file is fully underwritten. This program does not ignore risk or encourage borrowers to overextend. It simply gives qualified physicians a lending path that better reflects their career stage, income structure, and long-term earning profile.
This program is available to a broad range of licensed medical professionals — MD, DO, DDS, DMD, OD, DP, PDM, and PharmD — at every stage of their career. Whether you are in training, newly practicing, or well established, qualified borrowers access the same flexible construction-to-permanent structure.
Qualified residents may use physician construction financing with low-down-payment options and contract-based qualifying where eligible.
Fellows can access the same physician construction structure, including low-down-payment options and flexible review of future income.
Whether W-2, contract-based, or self-employed, qualified physicians can access construction financing sized to their income profile and project scope.
Unlike some banks, we do not restrict physician construction financing only to those within the first 10 years of practice. Qualified physicians remain eligible well beyond early career.
The physician construction loan layers the favorable physician mortgage terms onto a single-close construction-to-permanent structure. Here's the sequence.
We review your employment contract or offer letter, student loan balances, and project scope. You receive a pre-approval before your builder breaks ground — often before you've even started your new position.
One closing before construction starts. Your rate is locked. Physician terms apply from day one — no PMI, favorable DTI treatment, contract-based income documentation.
Interest-only payments on drawn funds during the 12-month construction period. As a physician, your income typically grows during this window — your permanent payment will be well within reach.
Your loan converts automatically when the Certificate of Occupancy is issued. No second closing. If rates dropped during your build, the float-down option may lower your permanent rate.
Arizona's major hospital systems are concentrated in the Phoenix metro and Tucson. Here's where physicians in each system tend to build, and what the local construction market looks like.
Top destination for physicians building luxury custom homes
Largest medical employment base in the state
UA Health Sciences creates strong physician demand
East Valley growth corridor, excellent schools
West Valley expansion, more affordable land
Mountain retreat builds for physicians seeking lifestyle change
The documentation requirements vary by career stage. Here's what to gather based on your situation.
Yes. Our physician construction loan combines the favorable terms of a physician mortgage (low/no down payment, no PMI, employment contract accepted) with a construction-to-permanent structure. You get one closing, one rate lock before construction starts, and automatic conversion to a permanent mortgage when your home is complete.
Yes. We can accept a signed employment contract or offer letter from your new employer in place of pay stubs. This is one of the most important features of the physician program — you don't have to wait until you've received your first paycheck to start the process.
Standard mortgage underwriting counts your full student loan payment in your debt-to-income ratio, which can disqualify physicians with $200,000+ in student debt. Our physician program uses a more favorable treatment — typically 0.5–1% of the outstanding balance per month rather than the actual payment, which significantly improves your qualifying DTI.
Up to $3,000,000 on our physician construction program.
Yes, but the documentation requirements are more involved. We'll need two years of tax returns, a year-to-date profit and loss statement, and potentially a CPA letter. Our portfolio underwriting handles self-employed physician income structures that standard lenders often reject.
No. You can start the pre-approval process before selecting a builder. In fact, having your pre-approval in hand makes it easier to negotiate with builders and gives you a clear budget to work with. We'll need builder documentation before final loan approval, but not at the pre-approval stage.
Ready to get started?
Our flagship single-close program for all borrowers. Rates locked before ground breaks.
Learn MoreSecure your Arizona land now. Build when your contract starts and plans are finalized.
Learn MoreWhere physicians in Phoenix, Scottsdale, and Tucson are building — and what to expect.
Learn More