Depends on price I'd say. in columbus you can get new builds for under 400k right now. compare that to a 100 old duplex that needs 50k and is 350k it starts to add up. house hacking is a great strategy but make sure you take location, age, maintenance, and other considerations into your first property. remember you can build anything you want anywhere you want too. 

Louis has some areas that do have good cash flow but some of those areas have challenges, whether it be crime, municipality, etc.

I am in health care and have looked in areas around mayo but unable to find property that cash flows.  

The residual value of the property is not going to be more than any other single family in similar condition in 11 yrs, if the tenant does not renew.From there, I would look at that estimated value, less any costs it will take to make it a "normal" SF home, assuming the medical treatment center has done some custom work to the house, factor in my cash flow that I can get for the next 11 years, and back into a value for the property.Another thing I would consider: the deal is NNN during their lease term, but assuming they leave, what are your estimated capex bills?  

If that can work with your city ordinances you might cash-flow upon moving out.

When I first started out I was in a more expensive market where I as having to put down closer to $80,000 but my average cash flow was $175/unit.

Add both of the payments together ( the assumable loan and the new payment your financing from the lady at whatever interest rate) Does it cash flow? 

GET A QUOTE ON Hazard Insurance- rural may be a struggle.So if the property has 3 comps and can cash flow rates today are in the 7-8 range for 30 year fixed APR 8.119- 8.411  depends on your FICO score and the DSCR number. 

I have been doing research to determine the best place for me to start buying rentals and to hold long-term for cash flow.

Purchase price: $349,000 Expired listing pre-foreclosure purchased subject to the existing mortgageTurned into a $4k per month cash flowing MTRAsk me for more info What made you interested in investing in this type of deal?