What I do "save" goes straight into my portfolio.

The process seems much less scary and more straight forward once you break everything down into little steps! 

Just call and be blunt about it and ask straight up, "what are you looking for", or do I need a bit more tact?

Yes, the owner could reach out to me, but my fear is that my letters go straight in the trash because a lot of investors think that everyone is looking to low ball them.

Sometimes it’s difficult to get a straight answer from the hospital HR DEPT regarding if they do.

What is everyone’s thoughts on no 401k just straight real estate?

If you take the cash out when you reFi, you’ll likely pay a higher rate for that loan than you would for a straight ReFi, so you probably won’t save much if anything over paying PMI for a little while. 

It's definitely going to be frustrating, it's a really nice peice of furniture but obviously they can't have it in this small 650sqft unit without it being a hazard.Again, I'm a first timer, I know the solution is pretty straight forward but I'd love some advice.

With a straight-forward MLS-search, buy-and-hold LTR model, that's really a thing of the past.

By the way I’m a big fan of your team, I heard you on the Straight Up Chicago Investor podcast!