They tend to have worked with a lot of PM's in the area and can help you weed out the good and bad options. 

Always evaluate your options based on ROI and the impact on tenants to find the best path forward.Good luck!

And this leaves you with some interesting options because you can allocate your proceeds any way you want. 

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 had a tenant that wanted to renew a lease, but only for 6 months - which would have left us in the middle of January (in Michigan :) Apparently they may inherit a somewhat run down house, and wanted to keep their options open.

If you can't qualify, DSCRs are a good option but I normally advise to stick with a 3-year prepay (or less, depending on pricing).

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

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.

I’d love to share my knowledge and experiences with anyone interested in learning more about VA assumptions or other creative financing options. 

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