Student Loan Refi: 4.2% APR·Auto Loans from 5.9%·HELOC: Prime − 0.5%·Emergency Fund HYSA: 5.1% APY·Travel Nurse Special: No origination fee·403(b) Rollover: No advisory fee first year·Shift Differential Accepted as Income·Per Diem Recognized — All 50 States·Student Loan Refi: 4.2% APR·Auto Loans from 5.9%·HELOC: Prime − 0.5%·Emergency Fund HYSA: 5.1% APY·Travel Nurse Special: No origination fee·403(b) Rollover: No advisory fee first year·Shift Differential Accepted as Income·Per Diem Recognized — All 50 States·
FINANCIAL VITALS — LIVE ASSESSMENT

Your money doesn't work
like a 9-to-5 schedule.

We built Pulse for nurses comparing refi rates between codes, travelers juggling three agency paychecks, and residents paying student loans on trainee wages. Your financial audit starts here.

Financial Health Score

0/100
ACUITY LEVEL 3

Moderate risk — actionable

Student Loans6.8% APR
0

Federal + private consolidated

Auto Loan9.1% APR
0

Dealership financing — above market

Estimated Monthly Savings via Pulse Refi
0= $4,080/yr freed
Scroll to begin your audit
ACUITY: HIGHVITAL 01/04

Debt-to-Income Ratio

47%
Your DTI
36%
Healthy threshold

📋 Finding

Your debt-to-income ratio is 47% — 11 points above the healthy threshold for a healthcare professional at your income level.

On a $74,000 gross salary (standard RN base + shift diff), $34,780 per year is servicing debt. That leaves limited runway for an emergency, a down payment, or a career pivot. Travel nurses carrying three agency W-2s often see DTI calculations reject them at traditional banks — Pulse uses blended income methodology.

Monthly debt payments$2,898
Gross monthly income$6,167
DTI ratio47%
ACUITY: CRITICALVITAL 02/04

Emergency Fund Status

0.8 mo
Current runway
3–6 mo
Recommended

📋 Finding

You have approximately 3 weeks of expense coverage in liquid savings — far below the 3–6 month buffer recommended for healthcare workers with variable income.

For traveling CNAs or per diem nurses, irregular pay cycles make this gap dangerous. One agency dispute, one contract cancellation, or one unexpected gap between assignments and you're carrying credit card debt at 22% APR. Our High-Yield Emergency Fund earns 5.1% APY with no minimums and same-day access.

Liquid savings$2,100
Monthly expenses$2,640
Months of coverage0.8 mo
ACUITY: MODERATEVITAL 03/04

Retirement Trajectory

$41K
Current balance
$89K
Target for your age

📋 Finding

Your 403(b) balance is $41,000 — roughly 54% of where it should be for a 31-year-old healthcare professional targeting retirement at 62.

The gap is partly structural: your hospital's 403(b) match is 3% of base salary only — shift differentials, on-call pay, and overtime don't count toward match calculations. That's a hidden compensation cut most nurses never see on paper. We can model what a Roth IRA alongside your 403(b) would do to your retirement number.

Employer match rate3% (base only)
Uncaptured match/yr~$1,200
Projected gap at 62$187,000
ACUITY: MODERATEVITAL 04/04

Insurance Gap Analysis

60 days
Coverage gap risk
0 days
Target

📋 Finding

Travel nurses switching contracts face an average 60-day gap in employer-sponsored coverage. Your current plan has no bridge coverage and a $6,500 individual deductible.

A single ER visit during a contract gap — the kind of thing healthcare workers recognize immediately — can generate $8,000–$22,000 in out-of-pocket costs. Our short-term bridge policy costs $87/month and covers the gap between assignments with no deductible for in-network care.

Current deductible$6,500
Bridge policy cost$87/mo
Coverage gap risk60 days
PRESCRIPTION — TARGETED INTERVENTIONS

Your financial diagnosis,
with specific treatments.

Each product below is tied directly to a vital sign identified in your audit. No upsells. No products you don't need.

Rx-01

Healthcare Worker Refi Loan

Targets: Student Loans + Auto

Consolidates your federal and private student loans plus your above-market auto loan into a single payment at 4.2% APR. Shift differentials, per diem, and travel stipends count as income. No origination fee for healthcare workers.

No origination feeShift diff counted as incomeSoft pull pre-qualificationClose in 7 business days
4.2% APR
Saves $340/mo
Rx-02

High-Yield Emergency Fund

Targets: Emergency Fund Gap

A savings account that earns 5.1% APY with no minimum balance requirement and same-day ACH access. Auto-deposit from any payroll system — including multi-agency setups.

No minimum balanceSame-day ACH accessMulti-payroll auto-depositNCUA insured to $250K
5.1% APY
Builds 3-mo buffer in 14 months
Rx-03

Roth IRA + 403(b) Supplement

Targets: Retirement Gap

We model your 403(b) match structure — including what your employer isn't matching on differential pay — and design a Roth IRA contribution schedule that fills the gap without disrupting your cash flow.

Free first-year advisoryDifferential pay modeledRoth ladder planningAnnual audit included
$0 advisory fee yr 1
Closes $187K gap by 62
Rx-04

Travel Contract Bridge Coverage

Targets: Insurance Gap

Short-term health coverage that activates the day your employer plan ends and runs until your next contract's coverage begins. No deductible for in-network care. Designed for 14–90 day gaps.

$0 deductible in-networkActivates same day14–90 day termsNo physical exam required
$87/mo
Zero coverage gap between contracts

Member Outcomes

Real numbers from real healthcare workers.

$412/mo savedStudent loan refi

"Three agencies, two states, one W-2 that looked like a tax nightmare. Every bank I tried said my income was "inconsistent." Pulse looked at my blended earnings and refinanced my $89K in loans in eight days. I'm saving $412 a month."

Danielle Okafor, Travel ICU Nurse, RN-BSN

Danielle Okafor

Travel ICU Nurse, RN-BSN

Currently: Phoenix, AZ

58% → 34% DTIPost-refi projection

"I was making $63,000 a year with $214,000 in med school debt. My DTI was 58%. Pulse structured an income-based refi that drops to market rate the moment I finish residency — and they actually explained what my 403(b) match was missing."

Marcus Tran, PGY-2 Internal Medicine Resident

Marcus Tran

PGY-2 Internal Medicine Resident

Johns Hopkins, Baltimore MD

7 minRate lock to approval

"I compared refinance options between two codes on a Tuesday night. That's not an exaggeration. The Pulse calculator actually works on a phone with one hand. Had a rate locked before my next shift started."

Brianna Castellanos, ER Charge Nurse, CEN

Brianna Castellanos

ER Charge Nurse, CEN

Chicago, IL — Level I Trauma

14,200+
Healthcare members
$4,200
Avg annual savings
4.9★
Member satisfaction
48 hrs
Avg approval time
FREE — NO CREDIT IMPACT UNTIL YOU AUTHORIZE

Run My Free
Financial Audit

You've seen what your vitals look like. Three steps to get your personalized prescription — no credit pull until step 3, and only if you authorize it.

1
2
3

Already know what you need? Just show me rates →