My tenant had a medical emergency several months ago and is now in a long term living facility (simply put, she can't be on her own).

That is not an accurate picture you are painting here.All this is just drama overspill from a different post on a different forum:https://www.biggerpockets.com/forums/93/topics/1216921-advic...A college student asked for advice in the wholesaling forum, about trying to wholesale in NYC.His "Constructive Criticism" was:This is not "constructive criticism", this is projecting your own limitations onto others.

Welcoming your suggestions, thoughts comments; and thank you in advance! 

If you are looking to expand to other properties in the future, that option of a cash-out refinance or HELOC on your appreciating asset is always there. 

But that's not your problem. 

What is your flipping experience Lior?

What if you could secure your next property before selling your current one—without the stress?

If you're considering scaling your portfolio, what loan features matter most to you – lower interest rates, flexible terms, or higher loan-to-value ratios?

I wish we could tap into equity as easy as that. let me know if I can help in any way but probably not to answer your question. if you can split the lot and sell half that might be an idea to recapitalize. that's the the only way 

I'd recommend getting multiple quotes from service providers to see what pricing is going to look like per square footage.Without too much information provided and depending on the size of your home it could be anywhere from $5,000-$15,000+