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Medical Properties Trust, Inc.

MPTReal EstateNASDAQ

REIT - Healthcare Facilities · Last scanned May 30, 2026

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Financials · Annual
Revenue
$972.0M
-2.4% YoY
Net Income
-$277.0M
+88.5% YoY
EBITDA
$812.6M
-3.3% YoY
Free Cash Flow
$782.1M

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About Medical Properties Trust, Inc.

Medical Properties Trust, Inc. is a self-advised real estate investment trust to acquire and develop net-leased hospital facilities. At a $3.06B market cap, Medical Properties Trust, Inc. ranks as a mid-cap company within real estate. From its inception in Birmingham, Alabama, the Company has grown to become one of the world's largest owners of hospital real estate with 388 facilities and approximately 39,000 licensed beds in nine countries and across three continents as of September 30, 2025.

Key stats
Market Cap$3.06B
Fwd P/E30.97
EPS$-0.21
Beta1.46
52W Change+14.1%
Dividend Yield7.05%
ROE-2.7%
Analysis

Medical Properties Trust, Inc. carries $9.66B in total debt against $425.0M in cash reserves — debt is roughly 22.7x the cash position. Managing this leverage effectively will be important for long-term financial stability. Free cash flow comes in at $782.1M, providing flexibility for reinvestment, buybacks, or dividends. Consistent free cash flow generation is often considered a sign of operational health. ROE of -2.7% points to negative capital efficiency, indicating how much profit the company produces per dollar of shareholder equity. ROA of 2.8% is on the lower side, which is common in asset-heavy industries. Revenue has pulled back from $1.54B (2022) to $972.0M (2025), a 37% decline worth watching.

The debt-to-cash ratio suggests meaningful leverage on the balance sheet, a factor worth monitoring if credit conditions tighten. These risk factors are not exhaustive — macroeconomic shifts, regulatory changes, and competitive dynamics can all influence Medical Properties Trust, Inc.'s trajectory.

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