Just like it would be difficult to find a local team member at an average labor price to be a web designer/coder, social media manager, and researcher, it's also difficult to find a VA who can do it all at a quality level.

@Aj Yorkjust to be blunt - out of state is tougher than advertised, and cash flow is difficult in any market, even supposed "lower cost" markets like KC. 

They are in areas that are difficult to make investments work.  

ISpeed want's recording's of calls, which is very difficult to accomplish when, as in this case, I purchased the lead while in the field from my cell phone.    

I exported it to a SS from Steassa, added columns for the dep lifetime and dep already taken, and went from there.Getting it back into QB wasn't that difficult, since it's just the aggregate.

In Columbia, finding a small multi-family property that makes sense numbers-wise can be difficult, but not impossible (low supply).

He will be required to have references and proper insurance but it's not difficult having him approved. 

For a 5 bed, 3 bath house, it may be difficult to get random travel nurses to all share a 5 bedroom place.  

I agree, it is hard to pay the taxes in MA, and now our insurance costs are going up as well, so it is very difficult to make things work

My suggestion: buy a quality small MF that needs paint and carpet, even that is difficult enough if you are remote!