I have not been a fan of the larger property management companies who heavily market without a focus on the local markets they handle.

That should be your focus, not how to purchase the land.  

And proximity to hospitals is key, within 15 minutes is what I seek.When I was trying to determine demand for our area, I selected about 20 listings near the location I was focused on, and tracked them for several months.

If you need income from investing than you do need to focus on the cash flow viability, but as you said, both is best.

For example, Pinal County has the highest projected population growth over the next 30 years, but I’m not sure if that necessarily makes it a better market than Phoenix for long-term investments.When evaluating a location, what are the most important things you focus on?

Initially, the properties that I buy in another market don't have to cash flow a lot, my metric is $150, as I'm focused on the long term gain when they're paid off  and I have a W2 and am also a realtor.

It was a tough moment, but it pushed me to focus on preparation and delivering my message with confidence. 

Focus on areas with strong population and job growth—that's usually a good sign of demand.

It sets you up for a more focused, confident, and sustainable start.

My focus is on warehouses and I'm always looking to network with others doing innovative things in this space.