Way better returns on the cost seg than you'd ever cash flow from an LTR. 

You have to include the cost of your time and the work, especially on a "scary house" is daunting indeed. 

Renting out your current home could provide steady income, helping offset the new property's costs. 

You need the backup option in case the mid-term rental market changes.Minimizing turn costs and downtime is critical.

The concept makes a lot of sense but paying $700 a month to network is quite the cost/commitment.

The market between the 2 locations & resident class (Especially if you plan to self mange or find a PM company), Your future goals and the costs associated with moving and transferring to a new hospital. 

You also have to ask about delivery costs and more.LABORLabor charges are trickier to understand, but Google AI to the rescue! 

If they don't show up, projects get very delayed and become unprofitable, even costly.

The key is making sure the deal’s numbers work, your profit should justify the higher cost of capital. 

You can also gain valuable experience virtually and offer low or no cost "co-hosting" services.