Here are the Positives:Upfront Payment: The tenant’s offer to pay the full year of rent upfront, along with the deposit, shows a commitment and provides financial security for you in the immediate future.At least She was Honest in Her Communication: The tenant has been transparent about her situation, which can be a positive sign of reliability and sincerity.My Negative Concerns:Her Future Financial Stability: It's only a one-year lease, if her medical condition and financial condition should worsen (Heaven forbid), you may have to face her wanting out of the lease earlier than the 12 months and eventually you may be faced with having to decide not to renew the lease (after her 1 year contract is expired) based upon the sad news of her condition becoming worse, (Heaven forbid).  

If you were competing against us... a friendly respectful, professional-behaving couple that didn't monthly harass them like a desperate maniac you will lose.4.

Readers are advised to seek professional advice.

Once you have that agent they will be in your corner the whole time, they will have connection to professionals in trades, they will have the experience to guide you through tough decisions and be your second set of eyes on every thing.   

Make sure you have professional photos and your staging/decor is top notch2.

Readers should seek professional advice.

I have read that you can contact  the nearest hospitals  and offer services, so how is this done successfully out if state and what are other means for the example staffing agencies. 

That's why my question was to go ahead all over the USA to see people's suggestions for better locations.The fact that you don't think it's silly to ask a forum to recommend any place in the United States for STR and expect to get answers from people without a funnel to sell you something is silly.Jersey City and surrounding is very good for MTR opportunities because of the proximity to NYC and since you are in residency, you would be MUCH safer focusing on MTR since you have an in to other medical professionals.

Keep it short and professional.

The price per sqft is very high for an office built out for medical use.. however, there is an in place tenant paying strong rent with 3% increases for 10 years (close to 7% cap, NNN)What I don't understand is why the tenant agreed to pay close to 2X market comps in rent in price per sqft per year for this facility.