The property is going to be close to 3 hospital systems with various FSED's around them (I work in the medical field as a radiology manager).

But you wouldnt want the "extremely gifted" medical student to perform brain surgery on you if they have never done an operation before in their life right?

Having worked in and around real estate including loan side for both residential and smaller specialized commercial (medical), renovation and new construction/new build with a broker & brokerage founder (who has since retired) I know from him that in addition to reputable property managers, contractors and architects we had accountants including a forensic accountant on the loan side and a handful of real estate attorneys with one on retainer.

A good deal could be that the upcoming vacancy presents the owner a unique opportunity to reposition and add value the property (basically finding a tenant that pays higher rent and therefore raise the NOI). 

Intel is a great example, who is building the largest chip manufacturing plant in the US right here, and it will be a $20 billion dollar investment that brings a few new thousand jobs.https://www.dispatch.com/story/business/2022/01/21/intel-ohio-building-computer-chip-factories-licking-county-jersey-township/9173472002/ Another example of economic growth is the upcoming Ohio State University Wexner Medical Center Inpatient Hospital which is a 1.9million square foot hospital that will bring over 800 new beds and a thousand new jobs. https://abc6onyourside.com/news/local/new-osu-hospital-expected-to-transform-health-careHere are a few more recent investments https://www.10tv.com/article/money/business/hydrogen-power-company-hyperion-bringing-700-jobs-to-columbus/530-25907aab-5517-4661-a9f3-d2ed2d5be6b0 https://news.wosu.org/news/2022-02-08/rumpke-to-build-50-million-recycling-facility-in-columbus Check out The Complete Guide to the Columbus, Ohio Real Estate Market which goes through the Columbus, Ohio market in depth and will give you a better scope of where the highest levels of growth are taking place and where to look to invest.  

I hope to have personal credit and tax issues resolved but I know that will be at minimum 6 to 8 months' time assuming no more medical emergencies or health issues.

Knowing what they value and what unique experiences they’re willing to pay premium for is key to a successful MTR.

Using them to pay cash to individual contractors seems to work fine, but it appears you cannot use them for a down payment type transaction anymore.It's a shame, that was a unique way to get some quick short-term cash for deals.Good luck on your deal.

that go with that/group of necessaries form/found becaused to) living in/on our property, OR founding/forming a residential care facility for elderly (i don't really get what the difference is btwn the 2 dwellings bcs i would expedite either as: non-medical: household management of operations-having agencies come in and do/multi task, of things-alongside helping mom have care..having agenting help with household actions (a human swiss army knife-springs to mind-as to how resourceful/vast in skills i'd look for her to be expediting for us) i hope that i'm making sense/being congruent with what i'm asking. can you help me?

Hello, I’m sure I do not have a unique situation but it is the first time for me.