The capital is hiring clinicians — and the housing math works.
Physician programs give medical professionals up to 100% financing with no PMI, up to $2 million — and across the Sacramento region, that ceiling reaches the neighborhoods where new attendings actually want to live. The same program that barely covers a starter condo in Santa Clara County buys a real house on this side of the Bay Area line.
The demand side is just as real. Greater Sacramento is one of Northern California's densest concentrations of hospitals and health systems, and they recruit accordingly: UC Davis Medical Center, the region's academic medical center and Level I trauma hospital; Kaiser Permanente across South Sacramento, Roseville, and Elk Grove; Sutter Health and Dignity Health anchoring the midtown and suburban campuses; Shriners Children's and the Sacramento VA Medical Center at Mather; plus the private practices and the training pipeline at the UC Davis School of Medicine. Every year, residents and fellows finish training at UC Davis and Bay Area programs, sign attending contracts here, and discover the part nobody tells you in residency: in this market, the first attending paycheck and the first mortgage payment can belong to the same season.
This page covers how the program works, who qualifies, and why the Sacramento version of this move is one of the strongest in the state. For the region-wide picture — loan limits, borrower types, every program — start with our Sacramento mortgage guide.
Why lenders offer doctors 100% financing.
This isn't charity, and it isn't a gimmick. Lenders compete for physician borrowers because the risk math works in your favor: a medical license anchors a steep, durable earning trajectory, employment demand for clinicians stays strong through economic cycles — nowhere more visibly than in a healthcare hub the size of greater Sacramento — and physicians have historically been among the least likely borrowers to default. When the long-run picture is that reliable, a lender can lend against the career instead of the savings account.
Compare that with the standard path. On a conventional loan, avoiding PMI typically takes 20% down — a six-figure check on most homes a new attending would actually want, right when student loans are at their peak. A physician program removes both halves of that problem at once: up to 100% financing, and no PMI on top of it. The years you'd otherwise spend saving a down payment become years of owning instead of renting.
No down payment ≠ no underwriting
Physician loans are fully underwritten — income, credit, debts, and the property all get reviewed, and programs are subject to underwriting approval. What the program removes is the down-payment and mortgage-insurance barrier, not the diligence. No rates or payments are promised on this page; pricing depends on your file and on which lenders compete for it.
Eligibility, in plain terms.
"Physician loan" is too narrow a name. The medical professional program in our network covers eight designations:
The program parameters, all in one place:
| Parameter | Program terms |
|---|---|
| Eligible designations | MD, DO, DDS, DMD, DPM, DVM, PharmD, CRNA |
| Loan amount | Up to $2,000,000 |
| Financing | Up to 100% LTV — no PMI |
| Minimum credit score | 680 |
| Future income | Signed contract with a start date within 150 days |
| Occupancy | Primary residence, 1-unit only |
| Purpose | Purchase or rate/term refinance |
Source: wholesale medical professional program sheet, July 2026. Programs subject to underwriting approval. Reserve requirements vary by file.
One boundary worth naming: this is a primary-residence program. A rental house in Elk Grove or Roseville would go through an investor program instead — and a physician in private practice whose income arrives on 1099s or K-1s may pair or compare this with self-employed qualifying paths.
Buy before your first paycheck.
The most powerful clause in the program is future income qualifying: the lender can underwrite you on the income in a signed employment contract, as long as your start date is within 150 days of closing. Not your resident salary. Not a pay stub you don't have yet. The contract itself.
That maps almost perfectly onto the academic medicine calendar — and onto the capital region's recruiting pipeline. Training years end in June, attending contracts commonly start in midsummer, and offers are often signed months earlier. A resident finishing at a Bay Area program — or right here in UC Davis's own residency and fellowship programs — who signs in February for a summer start has a window of several months to shop, go under contract, and close, timed so the new job begins inside the 150-day mark. Arriving with financing already arranged is also what makes your offer credible against the Bay Area equity buyers flooding into Roseville, Folsom, and Elk Grove.
Sequence it like a discharge plan
Signed contract in hand → get matched and priced → preapproval before you shop → close with your start date inside 150 days. Get the order right and the transition from resident to attending and from renter to owner can happen in the same season.
Where $2M lands on the Sacramento price ladder.
At the top of it — and then some. Sacramento County's 2026 conforming limit is $832,750, and much of the local market transacts below that line. The physician program's $2 million ceiling doesn't just cover the neighborhoods where clinicians tend to buy — the Fabulous Forties and East Sacramento, Land Park, Sierra Oaks, and the newer estate tiers in Folsom, El Dorado Hills, and Granite Bay — it reaches well past the everyday market. Contrast that with the Bay Area, where the same ceiling gets crossed by ordinary family homes.
That is the recruiting pitch, stated plainly: an attending's compensation is roughly the same whether the hospital sits in Sacramento or across the causeway in the Bay Area, but what it buys is not. Housing costs here sit well below Bay Area price points, and most hospital commutes are measured in minutes rather than freeway hours — UC Davis Medical Center and the midtown Sutter and Dignity campuses are close to East Sacramento and Land Park, Kaiser Roseville sits amid the Placer County suburbs, and buying in Folsom or El Dorado Hills keeps you near the eastern job centers. A physician who trains in the Bay Area and practices here often trades a rental for a house in one move. Shopping past the program's boundaries, or buying an estate that pushes beyond $2 million? That's Sacramento jumbo territory, where our network prices bank and non-agency programs against each other the same way.
And because physician programs are lender-specific — each wholesale lender decides whether to offer one and on what terms — the difference between a good deal and a mediocre one is which lenders you let look at your file. A single bank shows you its one doctor product, if it has one. VegaFi's job is to make the whole network show its hand, then let the CounterOffer engine push lenders to beat whatever offer you're holding. If you're watching the market while you wait on a contract, check today's mortgage rate for context — but your program terms will come from competition, not a headline number.
- 01 Tell us your scenario. Designation, contract start date, price range. About sixty seconds — no documents, no credit pull.
- 02 SmartMatch runs the network. Your file is priced across 50+ wholesale lenders, surfacing which ones offer medical professional terms on your scenario.
- 03 Already have a quote? Make lenders beat it. Upload your Loan Estimate to the CounterOffer engine. We redact your identity and lenders bid against your existing offer.
- 04 Close with a licensed loan officer. A real human runs your file to closing — accountable, reachable, and licensed to serve you right across California.
Physician loan questions, answered.
Can residents buy a house in Sacramento before starting their attending job?
Yes, through future income qualifying. Physician loan programs can qualify you on the income from a signed employment contract as long as your start date is within 150 days of closing. A resident or fellow with a signed offer from UC Davis Medical Center, Kaiser Permanente, Sutter Medical Center, Dignity Health, or the Sacramento VA Medical Center can close on a home before the first paycheck arrives. Programs are subject to underwriting approval.
Do physician loans require PMI?
No. The medical professional program in our network allows up to 100% financing with no PMI. On a standard conventional loan, borrowers typically need 20% down to avoid PMI. Physician programs waive both the down payment and the mortgage insurance because lenders treat medical professionals as strong long-term borrowers.
How much can doctors borrow with no down payment?
The medical professional program in our network goes up to $2 million in loan amount, with financing up to 100% of the purchase price. Across the Sacramento region, that ceiling covers the neighborhoods where clinicians actually buy — the Fabulous Forties and East Sacramento, Land Park, Folsom and El Dorado Hills — with room to spare. Every program is subject to underwriting approval.
What credit score do you need for a physician home loan?
The program requires a minimum credit score of 680. That is the floor for eligibility — a stronger score generally helps pricing, which is one more reason to have multiple lenders compete on the same file instead of accepting the first quote.
Do dentists, veterinarians, and pharmacists qualify for physician loans?
Yes. Eligible designations under the medical professional program are MD, DO, DDS, DMD, DPM, DVM, PharmD, and CRNA. If you hold one of these designations and the home will be your primary residence, you can be considered for the program. In a region anchored by the UC Davis School of Veterinary Medicine and a pharmacy school in Elk Grove, the DVM and PharmD designations are anything but an afterthought here.
Why would a doctor choose Sacramento over the Bay Area?
Compensation goes much further against Sacramento prices than against Bay Area prices, and the commute is measured in minutes rather than freeway hours. The capital region is a major healthcare hub with several systems recruiting at once, and it is the leading landing spot for households leaving the Bay. Many physicians train at UC Davis or Bay Area programs and start their attending careers here for exactly that combination of pay, price, and lifestyle.
Can I use a physician loan for a rental property or a cash-out refinance?
No. The program is limited to a one-unit primary residence, for a purchase or a rate/term refinance. Investment properties go through other programs, such as DSCR loans, and cash-out needs are handled outside this program. VegaFi prices all of those paths across its lender network as well.