The National Multifamily Housing Council provided one data point that a lot of people misunderstood and then parroted.

Felt like I misunderstood everything I have learned to this point but all the comments are very reassuring.

I'll try to best answer your question, but if I misunderstood what you were asking just let me know and I'll gladly try to answer it correctly, as I'm not certain if you meant locally or just in general.

I think you misunderstood, I agree that you need to act in the capacity of a principal.

Ideally, the house would appraise for $250k, and I would be able to do a 80% cash out refi to get all the money back and repeat the process (the famous Brrrr). 

I'm not sure if I might have misunderstood the benefit or if something is still missing...

From what I understand (and perhaps I misread/misunderstood) you're happy with the home and the rehab, just not the management of it (and understandably - too little communication and lots of vacancy is not a great state to be in).Can you switch management companies to try and alleviate that challenge, or, are you in a contract with this provider for a fixed period of time to have them manage it, or?

My response is to clarify an item that may have been misunderstood - I never said C/D properties would not cash flow;  I said that C/D neighborhood properties are still quite available, and that properties in any class neighborhood that negatively cash flow are readily available as well. 

Unlike the other famous gurus  they lure you into the bait and later the price tag goes from couple of hundred dollars to $25K - $45K.

Drew, maybe I misunderstood your qustion, but if you are looking at Medical Office Buildings, I have some contacts in the MOB field here in Denver, if you would like I can put you in touch with a company that manages a number of smaller MOBs both here and in other states.