I would start with all cash and then seek private lending money. 

Would you have any recommendations on how to structure this private money loan that makes sense for the lender?  

He is currently renovating a defunct motel near the Clinic to add even more. 

I have already talked to a private lender of mine that tentatively agreed to lend on the deal.

Not hard money, not private money.

Ill send you a private message prior to my arrival to SA so we can meet.

Quote from @Brandon Croucier: Private investors/lenders do them if theres enough equity. 

Banks like to match short term assets with short term liabilities, and vice versa.I don't believe that DSCR loans are "expensive", but they do require a more thorough underwriting and higher amount of financial documentation other private and hard money loans.It generally helps to have a Fractional CFO or Loan Consultant (not a broker) that will work on your behalf to negotiate better DSCR terms and rates.

When you invest in OH, I've heard some good schools, and some decent employers like Progressive, Cleveland Clinic etc. -- but, which one would you choose and why?

Quote from @Chris Seveney: Disclosure: Yes I am a private lender but we do not provide this type of financing so I wanted to #ASKI have a client who has around $5M in real estate that has properties in GA, FL, NV and texas.