I have done it successfully on my last 2 buildouts, maybe 3, but only because I was able to acquire the properties at a very low price and I did all the work in-house (myself and some hired hands on staff).

I have noted a few medical clinics/hospitals near the property that I was thinking of reaching out to ask if they hire traveling nurses and if my property could be considered for their stay.

If managing it yourself feels unsustainable in the long run, hiring a good property manager could give you more peace of mind.Since a 1031 exchange or like-kind replacement doesn’t seem to be a good fit for your current situation, you could consider a HELOC if you need to tap into the equity for other investments without selling the property, although rates are high so this would eat up your cash flow.

If the partner moves out of state next year they are still a 10% owner, but you simply hire another property manager for that same 8-10%.

Many wholesalers rely on strong leads and can be found through consistent outreach efforts.4.Leveraging Virtual Assistants (VAs):If you’re building your team, think about hiring a VA who specializes in real estate lead generation and research.

Oh, I see, you are not going to hire a plumber.

If you just hire the cheapest or first PMC you speak with and it turns into a bad experience, please don’t assume ALL PMC’s are bad and start trashing PMC’s in general.

I hired a surveyor,  engineer and ran through the process with the city myself. 

Here is my two cents: When hiring a contractor for substantial renovations, start by researching local licensed and insured contractors with solid reviews.

It's most common in the north-east.I assume you'll hire a home inspector.