Grand Rapids has solid fundamentals — job growth, schools, medical hubs — and the appreciation trend you mentioned isn’t hype.

Medical debt is one thing.

As long as no “healthcare” services are provided (like medication or personal care), it’s not regulated by the Department of Health.

I look at the report to see why the score is low - sometimes it's a medical issue or a divorce or something similar.

I would also make sure there’s steady tenant demand (solid job base, universities, medical centers, etc.).Once you narrow down a few areas, start running numbers on real listings, plug them into the BiggerPockets calculator, look at your projected rents, expenses, and financing terms.

In 2026, they should focus on launching the wife’s business (potentially electing S-Corp status), setting up a Health Reimbursement Arrangement (HRA) for tax-free medical reimbursements, and shifting family income strategically.

Helped several clients, specifically physicians this year along with @Jason Wray's medical program acquire STR's and take huge advantage of this. 

I have a friend who spent six figures on a medical degree because he was interested in biology and anatomy, only to discover he hates working in hospitals.

However, in my experience (and I manage a lot of MTRs in Florida), a very small percentage of our MTR guests end up being traveling medical professionals.

Ours were close to hospitals and medical staff or family of people receiving long term treatment were our best/ longer term guests.