Since you are 1099 meaning you're self employed so in theory one year of your tax returns should be sufficient to use income to qualify@Carlos Valencia

In order to refinance from an FHA to a conventional loan, you'll need at least 20% equity and sufficient debt-to-income ratios.

There might be sufficient economic gain to warrant hiring a tax accountant and dealing with potential audits. 

Is this sufficient or is this a red flag?

We always pro-rate rent to the last day of possession, without sweating over which specific day they will be out (as long as we did get the minimum required written notice (text messages are not acceptable, and likely not "sufficient notice" per local law) of their expected move date, and their existing term has been completed).

The Self-Sufficiency Test does not pass the requirement (PITI ≤ appraised rent x 75%).I got in contact with another Lender B who is telling me the self-sufficiency test is required only when you need the rent pay back to supplement your income as qualification for the loan.I confirmed with the Lender A that my income alone does qualify me for the loan but they are telling me the self-sufficiency test is required regardless of your income qualifications.Who is correct on this?

The Self-Sufficiency Test does not pass the requirement (PITI ≤ appraised rent x 75%).I got in contact with another Lender B who is telling me the self-sufficiency test is required only when you need the rent pay back to supplement your income as qualification for the loan.I confirmed with the Lender A that my income alone does qualify me for the loan but they are telling me the self-sufficiency test is required regardless of your income qualifications.Who is correct on this?

Currently many hospitals in our area are being completely rebuilt or replaced as the cost was sufficient to warrant instead getting a new state of the art facility and increasing capacity instead of retrofitting an outdated hospital.2) A requirement to install fire alarms and sprinklers in some cases.

The big question I have is, does it meet FHA's self-sufficiency rule? 

Research the areas you're considering investing in to determine whether there is a high demand for rental properties and whether the rental income will be sufficient to cover your expenses.Secondly, you'll need to consider the logistics of managing a property from overseas.