The goal of house-hacking is to eventually rent out the unit you live in, when you scale your portfolio by buying the next rental.

So, since you aren't getting anything out of it...how about let someone else use it? 

My guess is after fixing, in this type of investment method, the buyer will refinance  and pays the owner back. 

When we encounter operators or docs who end up exploring or wanting to own the conversation always turns to lease vs own, and generally docs and I'd say dentists are pretty savvy business people but generally get a little tunnel vision around owning the real estate.I can always get behind owning the dirt and the real estate where you operate, if you have the right mindset and intentions behind it.The basic difference of opinion and philosophy break down to the understanding that the value of the commercial real estate, that you operate out of is only valued at the cash flows of your lease on that space. 

If you have $200,000 cash, can't you use that towards the purchase?

Building two  had recently lost its tenant at 8800 square.Mortgage Interest for the two buildings was $175,000, debt service about $200,000, resulting in negative cash flow let alone any cash for tenant buildouts for the vacant building.  

Cash flow is king, especially for landlords.That’s why DSCR and Refinance loans are key to building sustainable income.How do you ensure your properties stay profitable year-round?

This is where most would refi, and pull the 150k out and get their 100k back plus 50k, but I'd let it ride a good 5 - 7 years with no mortgage and try to iterate the process again and then have two with no mortgage where the rent = the cash flow. 

This would save me thousands in interest + not having to pay the closing fees to refinance in 2031.

Identify a few companies you’re interested in, fly out to their markets, and meet their teams in person.