I don't have income verification or returns available and my Fico Mortgages 5, 4 and 2 scores are 616, 560 and 621 at Equifax, Transunon and Experian respectively.I have up to 180K cash for a down and $50k in additional reserves.

There are a lot of other things you do for temporary health care travelers but in your situation that is the one additional thing I could see as being useful with a brand new health care location.   

In those cases, buyers either had to renegotiate, bring additional cash, or walk away.

Something like:- A percentage of the acquisition fee at closing (so my bonus scales with deal size), plus- An additional kicker tied to reposition/value-add success when targets are achieved.That way, my incentives are directly aligned with both getting deals closed and making sure they perform over the long term.My questions for the group:1.

Additionally if the investor is reporting rental income and depreciating the asset on his income tax returns, wouldn't it be fairly easy to check via a title search to see that there is a mortgage recorded?  

Since the building is 100+ years old, there are probably items that were grandfathered in, so building an addition might trigger forced compliance with the current code. 

Does the subcontracted labor provide warranties and additional insured certificates?

I own 1 SFR in addition to my primary home that I live in.

Unfortunately I can't provide additional assistance to that really. 

There are deals that pencil but flipping in this market there are just additional factors you have to consider.