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Not all hospitals and nursing homes own the property they sit on, and new research attempts to quantify just how many health care providers are tenants in their own buildings.

Real estate investment trusts, or REITs, own 8% of all health care properties, according to estimates published in JAMA Health Forum.

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This new data provide a fresh look into the world of REITs — which essentially act as landlords to hospitals, nursing homes, and other providers — and underscores how they operate a highly lucrative business that is out of the view of patients but is an inextricable and growing part of the country’s $4.3 trillion health care system.

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