Sheridan recruits physicians to two distinct institutions with very different characters and patient populations. Sheridan Memorial Hospital is an 88-bed community hospital that has earned the CMS 5-star quality rating — placing it in the top 13.6% of all rated hospitals in the United States — and has appeared on the Becker’s Top 100 Rural and Community Hospital list nine consecutive years. SMH holds an Area Trauma Hospital designation from the Wyoming Department of Health, maintained continuously since 2001, and serves the community with over 100 providers across 25 specialty areas. In 2022, SMH became only the sixth hospital in Wyoming to earn the Pediatric Receiving Facility designation from the Wyoming Department of Health’s Emergency Medical Services for Children program. The American College of Cardiology has awarded SMH both Heart Failure Accreditation and Cardiac Cath Lab v2 Accreditation with PCI — reflecting cardiac program quality that distinguishes Sheridan from peer rural markets.
The Sheridan VA Medical Center, located at 1898 Fort Road, has served Wyoming’s veterans since April 1922. The 171-bed facility employs 31 physicians across 16 specialty areas and serves over 11,000 patients spread across nearly 70,000 square miles of Wyoming. It is the parent facility for eight community-based outpatient clinics across the state and provides primary care, physical rehabilitation, neurology, podiatry, dentistry, mental health, and audiology services. VA physicians recruited to the Sheridan facility work within a federal healthcare infrastructure that serves the entire state — a scope of practice opportunity rarely available in a community of Sheridan’s size.
Physicians recruited to either institution find a housing market where the median sits around $367,000 and Wyoming’s zero state income tax means their full compensation goes further than it would in neighboring states. Physician loan programs that eliminate PMI, accommodate student debt, and accept employment offer letters before a first shift make the transition from residency or prior employment to a Sheridan practice genuinely seamless.
Ryan Lehrman, NMLS #235295, structures physician mortgage loans for Sheridan Memorial Hospital and VA Medical Center physicians across all eligible specialties — including residents, fellows, and attending physicians in income transition.
No Private Mortgage Insurance (PMI). Physician loans eliminate PMI even with down payments below 20%. On a $400,000 Sheridan purchase, that's typically $130–$220 per month in savings from day one of ownership.
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 weighted at reduced DTI rather than the full monthly payment.
Employment Offer Letters Accepted. SMH and VA recruits can close on a home using a signed offer letter or employment contract. No two-year employment history in the current role required.
Jumbo Configurations Available.Most Sheridan physician purchases fall within the standard conforming limit, but physicians purchasing in Powder Horn Golf Community or building in Vista West Estates can access Jumbo physician programs scaled to those transactions.
Residents and Fellows Eligible. Physicians in training programs with signed employment contracts are eligible, even at current trainee income levels.
MD
DO
DDS
DMD
DVM
OD
DPM
PharmD
PA-C
APRN
Residents and Fellows with signed employment contracts
For Sheridan Memorial and VA physicians purchasing within the Sheridan County $832,750 conforming limit — the right program for the majority of Sheridan physician purchases. Minimal down payment, no PMI, favorable student loan treatment, employment offer letters accepted.
For physicians purchasing in Powder Horn Golf Community, building on acreage in Fox Hollow or Vista West Estates, or otherwise transacting above the conforming limit. Full Jumbo physician program with the same favorable terms as the standard physician loan.
For physicians who prefer to build rather than purchase existing inventory. One close, one rate lock before construction begins, automatic conversion at certificate of occupancy. Available in standard and Jumbo configurations for Sheridan County builds.
Physician loan programs matched to both SMH and VA recruitment timelines — we understand the credentialing and onboarding processes at both institutions
Student loan debt handled correctly from the first conversation — no underwriting surprises
Employment offer letters accepted for both federal VA positions and private SMH contracts
VA physician federal employment contracts understood — the documentation differs from private hospital offers and we handle it correctly
Wyoming no-income-tax benefit quantified for every physician relocating from a taxable state
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 from SMH or the VA; two-year employment history in current role not required
Student Loan Debt: Excluded or calculated at reduced rate depending on repayment plan and program
Credit: Typically 700+ for standard programs; residents with limited credit histories accommodated on select programs
Consultation — Review employment timeline at SMH or the VA, student loan structure, start date, and target property range. Most Sheridan physician purchases are in the $350,000–$550,000 range.
Documentation — Employment offer letter or contract, license documentation, asset and credit information. Federal VA employment contracts require specific documentation handling distinct from private hospital offers.
Pre-approval — Full underwriting review. Sheridan's market moves at a moderate pace but well-positioned properties require pre-approval before offer submission.
Property Search and Offer — We coordinate with your agent on timeline and any relocation-specific closing requirements.
Close — Typically 30–45 days from accepted offer, aligned with your SMH or VA start date and credentialing completion.
Yes. Federal employment as a VA physician qualifies for physician mortgage programs the same way a private hospital employment contract does. The documentation differs — federal employment verification and offer letters follow VA HR protocols rather than private hospital formats — but eligibility is the same. We handle federal employment documentation correctly from the start, which prevents the confusion that arises when a lender unfamiliar with VA employment tries to process the file.
SMH's combination of credentials — CMS 5-star quality rating, nine consecutive Top 100 Rural Hospital appearances, ACC Heart Failure and Cardiac Cath Lab accreditation, Area Trauma Hospital designation since 2001 — reflects institutional quality that most rural hospitals can't match. For physicians who want a high-functioning small-hospital environment, Sheridan's Big Horn Mountain access, top-ranked schools, and no-income-tax structure create a package that increasingly competes with offers from larger markets.
The VA's geographic service area doesn't affect physician mortgage loan availability. What matters for mortgage qualification is the employment offer letter or contract, the physician's professional designation, and their personal financial profile — not which VA district or service area they're assigned to. The VA physician mortgage path is straightforward once the documentation is correctly assembled.
Ready to finance your Sheridan 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.
Who we are
Our website address is: https://loansbylehrman.com/
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