Cheyenne Regional Medical Center is Wyoming’s largest health system by both physician count and employee base: a 222-bed tertiary facility with more than 175 physicians, 1,800 employees, and 200 volunteers serving southeastern Wyoming and western Nebraska. CRMC holds ACS Level III Trauma Center verification — the only ACS-verified trauma center in Wyoming — as well as the state’s Regional Trauma Center designation, the highest tier in Wyoming’s four-level system. The system houses the Wyoming Heart and Vascular Institute, the Wyoming Cancer Institute, and a Cheyenne Regional Medical Group that is the largest medical group in the state, with approximately 70 providers across primary and specialty care. CRMC also serves as the clinical education center for Laramie County Community College, training the next generation of healthcare professionals in southeastern Wyoming.
Physicians recruited to Cheyenne are joining the anchor institution of a region that stretches well beyond city limits — and they’re doing so in a housing market that is, by the standards of most physician relocation markets, genuinely affordable. The Cheyenne median sits around $400,000. That affordability doesn’t make physician loan programs irrelevant — it makes them more powerful. PMI elimination, student loan accommodation, and the ability to close on an employment offer letter produce outsized benefits when the purchase price is within reach but the student debt load and short employment history create friction with conventional financing.
Ryan Lehrman, NMLS #235295, structures physician mortgage loans for CRMC recruits, the Wyoming Heart and Vascular Institute, the Wyoming Cancer Institute, and other Laramie County healthcare employers — with programs that accommodate residents, fellows, and attending physicians.
No Private Mortgage Insurance (PMI). Even with a down payment below 20%, physician loans eliminate PMI. On a $450,000 Cheyenne purchase, that's typically $150–$250/month in savings from day one.
Student Loan Debt Treatment. Medical school debt is calculated favorably — income-driven repayment balances may be excluded entirely on qualifying programs, and standard student loan obligations are handled at reduced DTI weight rather than the full monthly payment.
Employment Offer Letters Accepted. CRMC recruits who haven't yet started their position can close using a signed offer letter or employment contract. No two-year employment history required in the current role.
Loan Amounts That Match the Market. Cheyenne's affordability means most physician purchases fall well within conventional limits — but Jumbo physician options are available for buyers purchasing at the upper end of the market or building custom on Laramie County acreage.
Residency and Fellowship Eligible. Residents and fellows at CRMC or affiliated clinical programs are eligible, even at current trainee income levels, with a signed employment contract.
MD
DO
DDS
DMD
DVM
OD
DPM
PharmD
PA-C
APRN
Residents and Fellows with signed employment contracts
For CRMC physicians purchasing within Laramie County’s $832,750 conforming limit — the appropriate program for most Cheyenne physician purchases. Minimal down payment, no PMI, favorable student loan treatment.
For physicians purchasing at The Pointe, on acreage in Ironhorse or Crown S Ranch, or building custom above the conforming threshold. Full Jumbo program with physician-specific qualification structure.
For physicians who want to build rather than buy into a competitive resale market. One close, one rate lock before construction begins. Available in both standard and Jumbo configurations for Laramie County builds.
Physician loan programs scaled to Cheyenne's actual price range — not overbuilt for a market that doesn't need $5M physician Jumbo
Student loan debt handled correctly from initial consultation through closing — no surprises in underwriting
Employment offer letters from CRMC accepted; no waiting period required to apply
Residents and fellows at CRMC-affiliated programs are eligible
Wyoming no-income-tax context incorporated — particularly relevant for physicians relocating from Colorado
NMLS #235295
Professional Designation: MD, DO, DDS, DMD, DVM, OD, DPM, PharmD, PA-C, APRN; residents and fellows with signed employment contracts
Income Documentation: Offer letter or current pay stubs; two-year employment history in current role not required
Student Loan Debt: Excluded or reduced in DTI calculation depending on repayment plan and program
Credit: Typically 700+ for standard programs; residents with shorter credit histories accommodated on select programs
Consultation — Review employment timeline, start date, student loan structure, and target property range. Most CRMC recruits are purchasing in the $350,000–$550,000 range.
Documentation — Offer letter or contract from CRMC, license documentation, asset and credit information.
Pre-approval — Full underwriting review. Cheyenne moves quickly at mid-tier price points; pre-approval, not pre-qualification, is what listing agents expect.
Property Search and Offer — We coordinate with your agent and the listing side on timeline and any relocation-related closing requirements.
Close — Typically 30–45 days from accepted offer, timed to align with your start date at CRMC.
Yes. CRMC residents and fellows with signed employment contracts or offer letters are eligible for physician mortgage programs. Current trainee income is acceptable, and future attending salary is considered on most programs. Down payment requirements may differ slightly from attending physician programs, but the core benefits — no PMI, favorable student loan treatment — apply equally.
Physician loans provide real benefits regardless of price point. PMI elimination alone saves $150–$250/month on a $450,000 purchase. The student loan accommodation can meaningfully change which properties fall within qualifying debt ratios. And the ability to close on an offer letter — before starting at CRMC — eliminates the timing mismatch between employment start date and purchase close that conventional financing creates.
Wyoming has no state income tax, which means your CRMC salary goes further in Cheyenne than an equivalent salary would in Colorado. For physicians with significant student debt, the combination of physician loan benefits and Wyoming's tax structure creates a materially different financial picture than continuing to practice in a state with 4–5% income tax exposure. We build this context into every consultation for Colorado relocators.
Ready to finance your Cheyenne home with a program designed for your career? Let’s talk through your situation.
Originally from Harrisburg, Pennsylvania, I moved to Phoenix to attend Arizona State University and have proudly called Phoenix home ever since.
My journey into the mortgage industry began with a friend’s encouragement, who saw how my energy and people-first mindset could make a difference. He was right — I found my calling.
I’ve always embraced what makes me different. With ADHD as my secret weapon, I thrive in fast-paced, detail-heavy environments. I’ve built my career on clear communication, creative problem-solving, and putting clients first, always.
Outside of work, my greatest motivation is my wife and three amazing kids. I’d be honored to help guide you through your lending journey with care, clarity, and commitment.
