Medical Properties Trust Exposed to Manager Feud at Key Tenant

March 13, 2026, 4:16 PM UTC

Medical Properties Trust Inc., one of the largest hospital landlords in the world, is caught in the middle of a management fight at its third-biggest tenant, threatening a key source of revenue for the real estate investment trust.

Rival managers of Healthcare Systems of America have filed competing lawsuits accusing each other of financial mismanagement and other misdeeds, forcing Medical Properties to intervene in an attempt to oust HSA’s founder, Mike Sarian, from its Florida units, court records show. The trust also sent those units a notice of default in late February after missed payments for millions in unpaid ...

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