Doctors Building Wealth
Doctors Building Wealth is for physicians drowning in student debt and working endless hours, wondering if your medical career will ever bring true freedom. Despite your six-figure income, the path from successful doctor to financially independent professional feels impossibly complex.
We get it—balancing patient care and financial planning is overwhelming when no one taught you how to invest during medical school. Lucky for you, you don't have to figure it out alone.
Meet Drs. Letizia Alto and Kenji Asakura, physicians who've built a multi-million dollar real estate portfolio while maintaining their medical careers. They've helped hundreds of fellow doctors replace clinical income with passive cash flow—without sacrificing patient care.
Join Leti and Kenji each week as they interview physician investors who've escaped the burnout cycle, share step-by-step strategies to analyze deals, and provide actionable blueprints to build your real estate portfolio with your busy schedule. Learn how to leverage your high income, create tax advantages most doctors miss, and build the time freedom you deserve.
It's time to stop trading your time for money and start building generational wealth. Your patients need you at your best—not burned out and counting the years to retirement.
Doctors Building Wealth
Ep 175: Can Mid-Term Rentals Really Get You 20% Cash-on-Cash Returns?
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What If You Could Get Short-Term Rental Cash Flow Without All the Work?
Mid-term rentals have quietly become one of the most popular strategies in our community, and it's easy to see why. You take a property that would work as a regular long-term rental, furnish it, and rent it to tenants staying 30 to 90 days. The result? Significantly higher cash flow with a fraction of the turnover and management that comes with short-term rentals.
In this episode, we break down everything you need to know to get started with mid-term rentals, from running your first cash-on-cash calculation to finding the right tenants, navigating taxes, and managing the property.
BY THE TIME YOU FINISH LISTENING, YOU'LL DISCOVER:
- Why mid-term rentals can generate 20%+ cash-on-cash returns on properties that would otherwise be standard long-term rentals
- How to use the long-term rental cash-on-cash calculator for mid-term rentals (and the additional expenses you can't afford to miss)
- Which property types and locations work best, and why proximity to hospitals, corporate offices, and good school districts matters so much
- The most common tenant types (traveling nurses, corporate workers, medical students, and insurance displacement renters) and how building relationships keeps your units full
- How mid-term rentals are taxed as long-term rentals (meaning you need Real Estate Professional Status to offset W-2 income with losses)
- What to watch for with city restrictions and how most regulations define short-term vs. mid-term stays
- How to fill vacancy gaps between mid-term stays by listing on Airbnb or VRBO as a short-term rental
- The flexibility to move between long-term, mid-term, and short-term rental strategies as your goals and market conditions change
Mid-term rentals offer a compelling middle ground: higher returns than long-term rentals, less intensity than short-term rentals, and the safety net of knowing your property works as a traditional rental if you ever want to switch back. The key is starting with properties that make sense as long-term rentals, building the right relationships, and developing the skills to flex across strategies.
Listen now and see if mid-term rentals belong in your portfolio.
RESOURCES WE MENTIONED IN THIS EPISODE
Boost Your Cash Flow Course (Mid-Term Rentals): HERE
Accelerating Wealth Course (Short-Term Rentals): HERE
Long-Term Rental Cash-on-Cash Calculator: HERE
Short-Term Rental Cash-on-Cash Calculator: HERE
READY FOR REAL ESTATE SUCCESS? Book your call HERE for your next move.
RESOURCES + LINKS
Work w/ SRMD: HERE
Join our FREE Facebook Groups: HERE
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