It is also near a massive medical campus that is constantly growing in a decent size metropolitan area.

Note: I am under the impression that me material participating in this exercise will fall under the "Real Property Development or Redevelopment" activity, thereby allowing me to cost segregate the home construction cost.

I appreciate it If you decide to approach your tenant about them purchasing the property I recommend you contact a mortgage broker first to let them know what you are considering  Your objective is to get an idea on what the potential rates they may charge your tenant when it's time to exercise the option to purchase. 

You will probably have some sort of limit regarding mold/medical, but thee things can turn into a mess, trust me, I manage a lot of units and have done so for almost 30 years. 

(aside from the very obvious medical/industrial appliances/equipment).

Any RE agent advising to you that this is an option that you should exercise in order to better afford a home should have their RE license revoked for violating their fiduciary responsibility to you as a client.

This step ensures compliance with local regulations.From my experience, when I had an STR in Cleveland, I only did the regular rental registration, so make sure you complete both registrations to avoid any issues.Cleveland is a popular spot for STRs, especially for visitors coming for sporting events and medical purposes.

., a cafe where patients can digest bad news - not a medical service provider or medical support provider, but ancillary nonetheless. 

Where can I purchase the medical tools necessary and how do I make an incision that minimizes bleeding. 

We so have a living trust, will, and advance directives (for medical decision), established in January 2020.