Cleveland is home to the largest employer in the state of Ohio (the Cleveland Clinic) which is also the second top-rated hospital system in the United States just after the Mayo Clinic.

But the Cleveland Clinic is building new hospitals, which means more nurses, medical techs, ambulance drivers, orderlies - people who RENT and are in a stable industry. 

In my opinion I would imagine finding a quality property management company local to these areas could be of great service at a great value.Rochester is also another great area that will alway have some decent growth and Strong rents, as long as the Mayo Clinic is there.

I am thinking healthcare/medical like clinic, inpatient/outpatient, MedNow to takeover property in a NNN deal so I am get out of daily operations. 

In AZ (where I am), any agent, after 3 years of being licensed can take the Broker clinic classes to become a broker. 

Cleveland is a low cost area, we only have moderate traffic, have the Rock Hall, a world class medical facility in the Cleveland Clinic, World Series contending Indians, Champion Cavaliers and plenty more. 

How did you manage your portfolio while still being clinically busy?

My day job is being Technical Supervisor of a Clinical Laboratory.

I'm also thinking of "BP clinics" where a certain subject like choosing a contractor, analyzing a property, different types and ways to market, etc...can be delved into in detail.  

Monthly Income - monthly expenses = monthly cash flow. 12 months cash flow / total cash investment (down payment, closing costs, rehab expenses) = Annual Cash on Cash return %.You need to make sure you have the appropriate expenses included: Financing, home insurance, property taxes, sewer and water, HOA, landscaping, PM, Vacancy, repairs, capital expenditures.You have to be very clinical about it.