Playbook For the Best Physician Mortgage: An Interview with Darick Hensel (Wintrust Mortgage)
November 17, 2025
TLDR
Physician mortgages exist because a medical career doesn’t run on a normal timeline—start dates shift, credentialing drags, and you’re making big financial decisions while juggling relocation and a brutal schedule. Darick Hensel at Wintrust Mortgage frames his approach as “education first, strategy second,” shaped by being “married to medicine” and seeing the real-world friction doctors deal with. He emphasizes physician-loan advantages like contract-based qualifying before your first paycheck, smarter student-loan treatment, and not automatically defaulting to 20% down if it drains cash you need for real life.
He also pushes back hard on the “lowest rate” question—because rate without context can mean expensive points, bloated origination fees, and a worse overall deal. Timing-wise, he watches the 10-year Treasury and mortgage spreads more than Fed headlines, and he focuses on break-even math so you don’t lose dollars chasing pennies. The process he describes is simple: quick goal/timeline call, streamlined pre-approval, scenario breakdowns (payment, taxes, insurance, cash-to-close), tight execution around your start date, and a post-close plan to refi or recast when it actually makes sense.
If you’re a physician, you’ve probably realized something by now: your career doesn’t fit neatly into “normal” mortgage boxes. Start dates move. Credentialing takes longer than anyone promised. Call schedules make it hard to answer emails, let alone gather paperwork. And right when life is busiest, you’re expected to make a huge financial decision while sorting out a relocation, a new job, and a family timeline.
That’s exactly why physician mortgages exist, and it’s also why Darick Hensel (Senior Mortgage Banker at Wintrust Mortgage) approaches lending differently. Darick often says he’s “married to medicine,” and he means it literally and practically. His spouse is a physician, and he’s watched firsthand how medicine and real life collide. That perspective shapes how he advises doctors: education first, strategy second, and only then a recommendation that makes sense for your timeline and goals.
Q: Darick, you have mentioned being “married to medicine.” Why does that matter?
Darick: It means I live the reality my clients live—call schedules, credentialing delays, start dates that move, relocations with a thousand moving parts. I’m married to a physician, so I see how the job and life collide. That perspective shapes how I advise doctors on mortgages. I see first hand the financial concerns and stress that physicians have that most people have no idea exists.
Q: We have spoken to some of your past clients when verifying your experience. They mentioned “ you educate and advocate” How does that show up in a call?
Darick: I start with the why. We’ll cover fixed vs. ARM in plain English, rate vs. APR, points, and break-even math. The goal is simple: you should understand the tradeoffs so the choice fits your timeline and financial goals. You will hear me talk about rates vs exchange rate. Let's be honest, the bank is going to make money. How can we keep more of your money in your pocket?
Q: What’s different about a physician mortgage compared to a conventional loan?
Darick: It’s designed around a medical career. Think future-dated employment contracts, nuanced treatment of student loans, and the ability to qualify before your first paycheck. Just because you have the money to put down 20% doesn’t mean it is the best financial strategy for your goals. Diving into mortgage math isn’t exactly something you learn in medical school. I enjoy breaking that down and developing a plan that yields you the best results.
Q: Everyone wants “the lowest rate.” You focus on strategy. Why?
Darick: Oy! “What’s your lowest rate” is such a loaded question. I can quote you the lowest rate you have heard all year. But that probably comes with a cost that would be stupid to pay. I get that rate matters. But I have also seen closing disclosures with 30k in origination fees because they wanted the “lowest rate” and made a horrible financial decision. Again it goes back to strategy and understanding mortgage math. Most people don’t realize that a quarter point difference (0.25) in rate on 500k is around $80/month, equally an ⅛ on 1M is $80/month. People can get lost in the rate and miss the larger financial picture.
Q: What do you watch when advising on timing—especially with the Fed moving rates?
Darick: The 10-year Treasury and mortgage spreads matter more to day-to-day mortgage pricing than a single Fed headline. I translate that market noise into “What does this mean for your lock, your payment, and your break-even?” Going back to what a quarter lower rate means. If you could save $800/month today but want to wait for a lower rate, you still are paying that extra $800 every month. So waiting 1 month to save $80 more means you cost yourself 10 months of savings. Not exactly the smartest financial call.
Q: What documents move the needle most for underwriters on pre-start purchases?
Darick: The fully executed contract with start date, any guaranteed comp language, and a credentialing letter or timeline from the employer. The final employment question comes down to “Have you meet your employment contingencies”. The HR contact needs to be able to say yes. This can be difficult if you are trying to close 90 days before your start date. So that communication is incredibly important upfront with your employer and they need to understand why it is important to you. Start early, be clear, it will work out.
Q: What about physicians with 1099 or mixed income?
Darick: Totally doable. The trick is clean documentation—K-1s, contracts—and setting expectations with underwriting early. I front-load that work so we don’t get surprise conditions later. Often getting the green light from underwriting before you sign a purchase agreement.
Q: Top mistakes you help doctors avoid?
Darick:
Overfunding the down payment and draining cash needed for real life.
Locking a rate without understanding points, APR, or break-even.
Ignoring timing—credentialing, start dates, and relocations drive the whole calendar.
Q: What does a typical process look like with you? Darick:
10–15 min call: We cover goals, budget, timeline. Really just going as deep into the process as you would like.
Smart pre-approval: only the docs we actually need.
Scenario breakdowns: reviewing homes, payments, taxes, insurance, cash to close.
Execution: appraisal, conditions, closing—timed to your start date.
Post-closing strategy: monitor rates and pivot to refi or recast.
Q: If a physician is reading this and unsure where to start, what should they do today? Darick: Call me, I mean, a conversation about possibly buying a house or a refinance isn’t a commitment. Bring me your questions, I have countless analogies that will help you better understand all aspects of the process. The same way a doctor looks at imaging or blood work and knows exactly what is happening. The same applies for me and mortgages. I’ll map options, explain the tradeoffs, and help you pick the structure that protects cash now and lowers total cost over time—without pressure. Editor’s note: Darick Hensel is a Senior Mortgage Banker at Wintrust Mortgage who has extensive experience working with physician-specific financing. He advocates for clinicians through education first, then tailored strategy—so decisions make sense both on day one and years later.
