My recommendation is to find a landlord attorney who is also very familiar with property management process and procedure.

There is an opportunity to acquire a medical building ( owner is MD who sold business to a Hugo MSO two years ago and still working part time ) at 8 cap NNN lease.

Tighten up your policies and procedures and stick to them.

My fiancé is applying to medical schools and would start school in the fall of 2025.

OP  Stuart is highly experienced in Philly I would listen to what he has to say as well as Chris.this is pretty standard from what I see in big cities.. its why i will no longer build in the City of Portland.. every building permit application comes back with a check sheet EVERYONE its standard procedure i think for these large municipalities..

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).  

It may be frustrating but check your state and local landlord tenant laws regarding this because it could be an expensive lesson for you if they’ve followed required procedures.

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.

No detailed trainings as to specific documentations and exact procedures.

It's ridiculous, 1 mill a year167 props,  with 50k in saving and credit of 8k, come on , I am saying this post reads like a FB post, Mr/Ms Admin,Bob may be suffering from dementia or some other kind of medical issue.