But we owned a huge house.And every time someone would come over and do work on something on the house, they would ask, “Wow are you a doctor?”

Approach it like a doctor.

Most of our properties are commercial (medical offices) and I've been having some trouble finding options for a replacement.I've looked into some facilities management companies but it seems like a bit of overkill.

Our paychecks stubs enough to verify you or can those be doctored?

Not only do you have their doctor bills to potentially worry about, but also the cost of legal fees if they decide to sue you.

@Bosko MijatovicIf you get a single family, consider renting it out by the room to the medical students at COMP. renting by the door will increase your cash flow.

I recently was advised by my broker that in order to purchase an additional property in the future I had to pay down more debt (I have great credit, I work in the medical profession with great W2 income, etc etc). 

@Ethan Spielvogel A lot of my clients use Realty Medics and are pleased with them.

@Matthew McNeilThe BEST books on Cash Flow which tells you exactly what it is, how to use it, and why you should really study the Internal Rate of Return (IRR) and it's derivatives, is this one: What Every Real Estate Investor Needs to Know About Cash Flow..However, you will need to understand Excel Functions and how general spreadsheets work.The other issue is that the Author, Frank Gallinelli, probably makes the assumption that most of the readers of this book have at least High School Math.I will tell you from my own teaching of Adults, there is NO WAY the average American Adult, including Doctors, Lawyers, etc. remembers Math to the extent of High School.Yes, you don't need to know Pre-Calc, but people get so confused with Math.

Some scammers are pretty smart and likable.Did the state have a medical claim on the house that is not recorded yet?