Hi Michael,I like your thoughts of building a large portfolio because it's very important in sub $100,000 markets like Ohio.A large portfolio = A safe portfolio.Personally, I've always been a big believer in buying with cash.Less is more.Once you gain experience and understanding the true income vs expenses of your portfolio.Then look at using leverage for faster growth.It takes many years to learn a market along with establishing a solid understanding of it's "in's and out's" from a people/team perspective.As investors we should always reverse engineer and protect the bottom line first and foremost before looking toward expansion and growth.My "cash only" mentality has served me well over the years in my businesses and real estate endeavors.Especially when things turned South and they always eventually do.Start slow, start small, buy with cash and build from there.Just my opinion and wishing you much successps.

Perhaps the stress might then start getting to you and lead to an illness & expensive medical treatments that weren't fully covered by insurance.  

Establish Your Goals: Make sure your objectives for house hacking are clear.

we live in Ontario and invest in Detroit and toledo where the numbers are excellent. we have established teams on the ground in both places working without a great team on the ground is a recipe for disaster. more the willing to share what we do and what we have learnt over the years with anyone who wants to chat.

To navigate, network with local real estate groups, build relationships, use online listings, conduct remote due diligence, hire a good property manager, establish trust, and use resources.

The Establishment Survey (businesses + gov’t) showed that the US added 206,000 jobs in June, slightly above expectations.

Quote from @Jeffrey Abraham: What is the NOI on the facility and how many rooms are you renting I think you could do it as a dscr loan and refi it with a hedge fund and get 65% cash out and close with 14days Established and competently run assisted living facilities aren't ever NOI/DSCR-constrained, so that's not important for the asset class. 

LMHA is relocating residents from Dosker Manor due to mold, rodents, and crime.Dosker Manor will be torn down, and residents will be moved to other accommodations.LMHA surveyed residents; they need help with medical care, groceries, and financial management.Relocations will start in August, with around 600 residents moving over 18 months.The first 100 residents will move to LMHA-owned properties; the rest will go to low-income housing.LMHA is covering moving costs and offering reimbursements up to $1,300 for self-movers.

Also, the medical infrastructure in Cleveland is booming and large hospital systems like the Cleveland Clinic and Metro are pouring billions of dollars into this area and creating tons of great jobs.

Of particular interest are: Multi-Family Complexes, Medical & Industrial Parks, Warehouse & Storage Facilities, RV & Mobile Home Parks, Sale and Triple NNN lease backs, Agricultural and Timber investments.