About the Company
Medical Properties Trust, Inc. (MPT) is an international real estate investment trust (REIT) based in Birmingham, Alabama that purchases and invests in healthcare facilities and for-profit healthcare holding companies, primarily in the United States and Europe. Their property acquisitions often come in the form of sale-leaseback agreements, in which the original property owner sells the property to MPT and becomes their tenant. MPT's tenants are generally subject to long-term triple net leases, in which tenants pay rent as well as the maintenance costs and property taxes usually handled by lessors. These lease types, common among REITs, are often seen by prospective tenants as a source of cash infusion which can allow them to avert bankruptcy, pay debts, or improve their properties. As of December 2024, the company owned 173 properties in the United States and 223 internationally, for a total of 396 properties worth over $14 billion. In addition to real estate, the company also owns equity interest in several healthcare systems. Its three largest tenants by value of assets were Circle Health Group, Priory Group, and Healthcare Systems of America. Past investments have included Steward Health Care and Capella Healthcare. MPT bills itself as the first REIT focused exclusively on healthcare facilities. By nature, trusts like MPT are legally intended to generate profit for investors, some of which according to MPT include retirement funds for firefighters and teachers. However, MPT has come under the spotlight at times in criticism of REITs, particularly in healthcare. MPT has argued that their sale-leaseback strategy has allowed providers to avert bankruptcies and reinvest into operations, and thereby ensure continued care for their communities, which are often low-income or otherwise disadvantaged with more sparse access to healthcare. Critics, largely part of the American health care reform movement, allege that many holding companies utilize REITs to purchase struggling health facilities, extract remaining liquidity for executive bonuses, investor dividends, and company expansion, and then close the facilities–after which MPT resells the properties for further profit. The onus of rent, maintenance, and taxes are often placed on the facility itself rather than the parent company, which can lead to significant negative impact to long-term solvency. Studies of MPT's transactions with healthcare companies and those of other healthcare REITs have correlated the model with higher healthcare costs, lower operating capital, and poor patient outcomes.
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