In the end, unless you have staff and assistance you will never implement all of them in an effective manner so that you can monetize the strategy.One of the biggest problems that I had when starting out was that I was chasing too many "rabbits".

The 3 custodial companies that have been around for a long time (Pensco, Equity Trust, Entrust) have well trained staff to assist you.1.

But with private lenders and larger charities who have legal staff at there headquarters to assist in the transactions it can be done.  

Regarding contacting hospitals, keep in mind some hospitals don't provide housing for their staff.

The true multi unit experts I know (full timers, decades of experience etc), are mostly sitting out of the market now, as too much money is chasing multi units and it is a high entry point.I'd be happy to talk if you'd like, just email us at  and my staff can set up a call if you wish.

The house is a 4 minute walk to a good hospital, with other much larger major hospitals that have a hard time with staff housing a 20 and 30 minutes drive away, and staff from those end up commuting.

Tell my staff you met me on BiggerPockets and I will try to take the call.  

He pointed out how many different people had a hand in the deal (from Realtors, to attorneys, closing company, and more, and each of those have support staff, rent and light bills) and noted that "everyone has to get paid".

Custodians are specifically not going to provide tax or legal advice - and yet their un-trained customer service staff do it all the time out of the temptation to want to be "helpful".

A good medical practice with a great staff can see around 4,000 patients a year.