@Travis Boyd, 19 of my MTRs are in multifamily properties.

While it might feel like an extra charge to tenants, these packages often provide value that indirectly benefits the property owner as well—like reduced maintenance calls or ensuring the property is better protected.In my experience managing a large portfolio of properties, these fees are becoming more common due to the thin margins in property management.

Unless the medical condition meets the state criteria for early termination and that the medical notice does not appear to suggest that, you cannot terminate the lease outright/immediately but that you will begin to market the property for rental and upon securing an acceptable tenant, the lease can be terminated pending a satisfactory property walkthrough indicating no damages. 

Quote from @Andrew Lawlor: I've been actively investing in short-term rental properties for the past three years, managing one live property and another that will go live in two months.

FInd local meetups to meet other investors, that's where it all comes together.

The tenant wants to stay another 2 years.My other adult properties have often had long-term tenants.

Would a cash out refi be under commercial terms since the property(s) are under LLC?

Better tenants expect better and treat the property so.

There will always be posters who come out of the woodwork who claim to be able to beat terms or meet borrowing expectations.

Rental properties are owned by landlords.