., our family's) health insurance premiums and out-of-pocket medical expenses as a tax free employee benefit.  

Anything creative that would work like possibly transferring to a trust or LLC this year to establish gain in 2017 rather than 2018?  

Get established in a carrier to generate solid income history, save by living frugally and get your credit score into the high 700s. 

And even then some title searching would need to be completed to establish what will survive.

Hello Denise-Dave Foster is correct above that 1031 exchanges are federally mandated under IRS taxcode Section 1031 and any qualified QI with a national presence should be able to handle your transaction.Several items for consideration:  choose a QI that has experience working outside a defined geographic area and has proper bonding & escrow accounts established to protect your funds.Feel free to pm me if you have additional questions.

Most traveling medical professionals are working for one of the big companies such as Medical Solutions, Aya Healthcare, or one of their subsidiaries.

If you haven't had much luck with other applicants, it is worth a shot.A 19 years old has not had much time to establish credit so I wouldn't be surprised that you have an applicant with no credit. 

@Brian Tisler the only reason this is a predicament is because you have not established standards.

Late payments are never acceptable and you need to establish that up front.

If not, I would like to give them a form and require them to get it filled by their licenced medical provider, like a lot of people mentioned in forums.