Yes. Therapists and counselors in private practice can qualify for a mortgage with 12 or 24 months of bank statements instead of tax returns. The lender adds up your business deposits, takes out an expense factor for your costs, and uses what is left as your income. Most lenders want about two years in the same line of work.
How the money comes in
Private practices are paid by clients and insurance companies, often through a billing service. Many therapists also contract with group practices.
What the lender looks for in your statements
Insurance payments, billing service deposits and client payments count. Transfers between your own accounts are removed.
Transfers between your own accounts, loan proceeds and other one time money are usually left out. The guide on deposit problems covers how lenders handle large or unusual deposits.

Your costs and the expense factor
A solo practice usually has low costs: office rent or telehealth software, insurance and billing. The 50% default often overstates this, so a CPA letter can raise your income figure.
Most lenders start with a 50% expense factor. A letter from your CPA or enrolled agent, or a profit and loss statement prepared by a tax professional, can show lower costs. See how expense factors work.
Proof that the business is real
Your Florida license through the Department of Health board for your field, such as clinical social work, marriage and family therapy, mental health counseling or psychology. Lenders also accept a CPA or tax preparer letter confirming how long you have been in business.
Common snags, and how to avoid them
- Mixing group practice W-2 pay with private practice deposits. Lenders may count them separately.
- Billing service deposits that combine several months.
- A recent move from agency work to private practice.
What to gather
- 12 or 24 months of business or personal bank statements, every page.
- Proof of your business or license.
- A CPA or enrolled agent letter if your costs are below half of revenue.
- Recent statements for savings or retirement accounts you will use for the down payment or reserves.
Other loans to compare
If you also have W-2 pay, a lender may combine it with bank statement income. Bank statement loans usually cost more than a conventional loan and ask for a larger down payment, so I check whether a standard loan can count your income first.
More jobs: bank statement loans by job · Back to no tax return loans · bank statement loan requirements
Common questions
Can therapists and counselors in private practice get a mortgage without tax returns?
Yes. A bank statement loan uses 12 or 24 months of deposits instead of tax returns. Most lenders want about two years in the same line of work.
What expense factor will the lender use?
Most lenders start at 50% of deposits. A CPA or enrolled agent letter, or a third party profit and loss statement, can support a lower number if your real costs are lower.
Do bank statement loans cost more?
Usually, yes. Expect a higher rate and a larger down payment than a conventional loan. The exact cost depends on your credit, down payment and documents.