R Steven Hamner

R. Steven Hamner is a co-founder of Medical Properties Trust, Inc. (MPT), a Birmingham, Alabama–based REIT that pioneered the financing of hospital real estate through net-lease and sale-leaseback structures. He has served as the company's Executive Vice President and Chief Financial Officer since its formation in September 2003, and was elected to the board of directors shortly before MPT's 2005 IPO on the New York Stock Exchange (ticker: MPW). He continues in the EVP/CFO and director roles today, having signed the company's 2025 SEC filings (10-Q and 10-K) as principal financial officer.

Before co-founding MPT, Hamner was Managing Director of Transaction Analysis LLC (October 2001–March 2004), which provided interim and project-oriented accounting and consulting services to commercial real estate owners and their advisors. From June 1998 to September 2001 he was Vice President and Chief Financial Officer of United Investors Realty Trust, a publicly traded REIT. Earlier in his career he spent roughly a decade with the accounting and consulting firm Ernst & Young LLP and its predecessor firms.

Hamner is a certified public accountant (CPA) and earned a B.S. in Accounting from Louisiana State University in 1979. Over two decades at MPT he helped scale the company into one of the world's largest owners of hospital real estate, at its peak holding roughly $10 billion-plus in assets across hundreds of hospital properties in the U.S. and Europe. He is a recurring industry speaker — for example on "The Investment Case for Post-Acute and Specialty Inpatient Real Estate" — at healthcare real estate and investment conferences such as Revista and Healthcare Business International (HBI).

• Invests through MPT's balance sheet, not as a personal angel; the "product" is capital for hospital operators who want to unlock the value of their real estate.
• Core structure is the net-lease / sale-leaseback: MPT buys hospital real estate and leases it back to the operator under long-term, triple-net leases, and also provides mortgage and acquisition financing.
• Sector concentration in hospitals and specialty inpatient facilities — acute care, inpatient rehab, long-term acute care, and behavioral health — rather than diversified commercial real estate.
• Geographic breadth across the U.S. and Europe, having been an early mover in acquiring hospital portfolios in the U.K., Germany, and other markets.
• Underwrites the durability of operator rent coverage and facility-level cash flow; the thesis rests on hospitals being mission-critical, hard-to-replace infrastructure with long lease terms.