Like you, I thought property management was the only option but there are others and you need the right immigration attorney to help you because not all believe you can get an E2 as a real estate investor, but they're incorrect. 

I hurts a lot in my chest when I am shopped or left because I could not provide the best option.

Sometimes the cheapest option isnt the best option, and most over-the-phone rate quotes (saying "I have 800 credit and 20% down, what's your best rate?")

These properties often come with fewer competitors, less pressure, and the potential for creative financing options.

It’s a bit scary looking at these options but I’ve started scoping out multifamily in the PNW.  

Here are the details of the property:Property Overview:Location: Texas2 lots, 2 warehouse buildingsFinancials:Mortgage: $4,897/month (balance: $530,000)Insurance: $830/monthProperty Tax: $1,800/monthBuilding 1:1 tenantRent: $7,570/month12,000 square feetBuilding 2:3 tenantsTenant 1: $2,850/month (5,000 square feet)Tenant 2: $1,793/month (2,500 square feet)Tenant 3: $895/month (1,250 square feet)The property was appraised for $2,200,000 three years ago.Given the current rental income and expenses, the cash flow is decent, but my family friend is looking to explore options that could potentially yield better returns.Would it make sense to:Sell the property outright and invest in higher cash-flow opportunities?

From your options, #1 is a big sink of cash and I can't tell how much that increases you rent. #2 is a no due to cash flow negative. #3 is the way to go.

Also there is a special tax abatement for office conversions but requires the developer to retain 15% as commercial use.So we have the option to stack them and consolidate.

One option to try is to identify the hospitals that are close to your property and try to reach out directly to their HR departments.

Feel free to reach out if you need help with financing options or advice!