Medium term rentals may be a better option.

The repayment terms for a 401k participant loan are equal monthly/quarterly payments of principal and interest (typically prime plus 1%) over a 5 year term (longer if used to acquire your principal residence).Please note that if you take a full $50,000 and then pay back the loan, you can't take another $50,000 until 12 months after the first loan was fully paid back.Per the loan offset rules that went into effect with the 2018 Tax and Job Act: if you leave your job and the loan is current at the time you leave your job but then the loan goes into default because you left your job, you will have until your tax return deadline (including any timely filed extension) to make the loan current by depositing the outstanding balance into an IRA (and thereby avoid the taxes and penalties that would otherwise apply).Please keep in mind the multiple loan rules:Under those rules, the sum of the balances of a participant's outstanding 401k loans under a single 401k plan (using the highest outstanding balance of each loan over the last 12 months) can't exceed 50% or $50,000 whichever is less.

Other local lenders I have used recently do not have very favorable terms. 

Account Closed"Barriers to entry", that's the term.

Long-term rentals are a solid choice, but mid-term rentals in medical hubs (like yours) can offer strong cash flow with less turnover. 

They snuck under the rules by claiming that private individuals had the right to offer other private individuals the service.So again, how do these cities get away with regulating people's abilities to rent their homes on a short term basis? 

But I recommend you study it much more extensively before diving in. 

Even if it was a short term rental before, it'll only take one neighbor to complain to cause you trouble.

Investment also spiked in Class A Short-Term Rentals (STR) and investors started paying higher and higher prices based upon anticipated STR rental rates, that exceeded sustainability based upon Long-Term Rental rates (LTR).

I am considering converting to a long term rental but thought that mid term might also be a good approach as well considering the home is fully furnished.