How a Small Alabama Company Fueled Private Equity’s Push Into Hospitals

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An Alabama property company bet big on buying hospital real estate. What happens when its biggest tenant piles up $800 million in losses?

Private-equity firms have been buying hospitals in increasing numbers over the past decade. Several relied on an Alabama real-estate company to help pay for their purchases.

Medical Properties Trust Inc. was willing to buy the bricks and mortar, and lease the facilities back to the hospital operators. That provided financing for the deals and helped some of the private-equity firms take money out of their investments.

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