Medical Properties (MPW) | Financial Analysis & Statements
Medical Properties Trust, Inc. Mid-cap Real Estate
TL;DR: Financial Overview - Revenue, Profits & Key Metrics
Latest Quarterly: Dec 2025Income Metrics
Revenue
270.3M
Gross Profit
260.8M
96.48%
Operating Income
169.1M
62.55%
Net Income
17.6M
6.51%
Balance Sheet Metrics
Total Assets
15.0B
Total Liabilities
10.4B
Shareholders Equity
4.6B
Debt to Equity
2.26
Cash Flow Metrics
Operating Cash Flow
67.2M
Free Cash Flow
160.1M
Revenue & Profitability Trend
Quarter Income Flow
Dec 31, 2025
Annual Income Flow
2025
Medical Properties Income Statement From 2021 to 2025
| Metric | 2025 | 2024 | 2023 | 2022 | 2021 |
|---|---|---|---|---|---|
| Revenue | 972.0M | 995.5M | 871.8M | 1.5B | 1.5B |
| Cost of Goods Sold | 36.4M | 27.3M | 41.6M | 45.7M | 39.1M |
| Gross Profit | 935.6M | 968.3M | 830.2M | 1.5B | 1.5B |
| Gross Margin % | 96.3% | 97.3% | 95.2% | 97.0% | 97.5% |
| Operating Expenses | |||||
| Research & Development | - | - | - | - | - |
| Selling, General & Administrative | 130.4M | 133.8M | 145.6M | 160.5M | 145.6M |
| Other Operating Expenses | - | - | - | - | - |
| Total Operating Expenses | 130.4M | 133.8M | 145.6M | 160.5M | 145.6M |
| Operating Income | 539.8M | 386.8M | 81.3M | 1.0B | 1.0B |
| Operating Margin % | 55.5% | 38.9% | 9.3% | 65.1% | 67.2% |
| Non-Operating Items | |||||
| Interest Income | - | - | - | - | - |
| Interest Expense | - | - | - | - | - |
| Other Non-Operating Income | -263.1M | -2.3B | -357.2M | 324.5M | 87.2M |
| Pre-tax Income | -237.3M | -2.4B | -686.8M | 959.7M | 730.9M |
| Income Tax | 38.6M | 44.1M | -130.7M | 55.9M | 73.9M |
| Effective Tax Rate % | 0.0% | 0.0% | 0.0% | 5.8% | 10.1% |
| Net Income | -275.9M | -2.4B | -556.1M | 903.8M | 656.9M |
| Net Margin % | -28.4% | -241.9% | -63.8% | 58.6% | 42.5% |
| Key Metrics | |||||
| EBITDA | 1.0B | 2.2B | 1.1B | 1.1B | 1.4B |
| EPS (Basic) | - | $-4.02 | $-0.93 | $1.50 | $1.11 |
| EPS (Diluted) | - | $-4.02 | $-0.93 | $1.50 | $1.11 |
| Basic Shares Outstanding | - | 600248000 | 598518000 | 598634000 | 588817000 |
| Diluted Shares Outstanding | - | 600248000 | 598518000 | 598634000 | 588817000 |
Income Statement Trend
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Medical Properties Balance Sheet From 2021 to 2025
| Metric | 2025 | 2024 | 2023 | 2022 | 2021 |
|---|---|---|---|---|---|
| Assets | |||||
| Current Assets | |||||
| Cash & Equivalents | 540.9M | 332.3M | 250.0M | 235.7M | 459.2M |
| Short-term Investments | - | - | - | - | - |
| Accounts Receivable | 900.7M | 737.1M | 681.0M | 954.2M | 784.8M |
| Inventory | - | - | - | - | - |
| Other Current Assets | - | - | - | - | - |
| Total Current Assets | 1.8B | 1.3B | 1.4B | 1.7B | 1.4B |
| Non-Current Assets | |||||
| Property, Plant & Equipment | - | - | - | - | - |
| Goodwill | - | - | - | - | - |
| Intangible Assets | - | - | - | - | - |
| Long-term Investments | - | - | - | - | - |
| Other Non-Current Assets | 376.0M | 336.3M | 284.2M | 268.5M | 237.2M |
| Total Non-Current Assets | 13.2B | 13.0B | 16.9B | 17.9B | 19.1B |
| Total Assets | 15.0B | 14.3B | 18.3B | 19.7B | 20.5B |
| Liabilities | |||||
| Current Liabilities | |||||
| Accounts Payable | - | - | - | - | - |
| Short-term Debt | 638.1M | 361.7M | 1.5B | 929.6M | 1.6B |
| Current Portion of Long-term Debt | - | - | - | - | - |
| Other Current Liabilities | - | - | - | - | - |
| Total Current Liabilities | 1.2B | 845.4M | 2.0B | 1.6B | 2.2B |
| Non-Current Liabilities | |||||
| Long-term Debt | 9.2B | 8.6B | 8.7B | 9.5B | 9.8B |
| Deferred Tax Liabilities | - | - | - | - | - |
| Other Non-Current Liabilities | - | - | - | - | - |
| Total Non-Current Liabilities | 9.2B | 8.6B | 8.7B | 9.5B | 9.8B |
| Total Liabilities | 10.4B | 9.5B | 10.7B | 11.1B | 12.1B |
| Equity | |||||
| Common Stock | 597.0K | 600.0K | 599.0K | 597.0K | 597.0K |
| Retained Earnings | -4.1B | -3.7B | -971.8M | 116.3M | -87.7M |
| Treasury Stock | - | - | - | - | 777.0K |
| Other Equity | - | - | - | - | - |
| Total Shareholders Equity | 4.6B | 4.8B | 7.6B | 8.6B | 8.4B |
| Key Metrics | |||||
| Total Debt | 9.8B | 9.0B | 10.2B | 10.4B | 11.4B |
| Working Capital | 609.4M | 468.3M | -567.2M | 143.6M | -825.4M |
Balance Sheet Composition
Medical Properties Cash Flow Statement From 2021 to 2025
| Metric | 2025 | 2024 | 2023 | 2022 | 2021 |
|---|---|---|---|---|---|
| Operating Activities | |||||
| Net Income | -275.9M | -2.4B | -556.1M | 903.8M | 656.9M |
| Depreciation & Amortization | 272.8M | 453.7M | 616.1M | 345.6M | 333.8M |
| Stock-Based Compensation | 25.7M | 33.0M | 33.2M | 49.4M | 52.1M |
| Working Capital Changes | 12.5M | -39.1M | -120.4M | -120.4M | -40.9M |
| Operating Cash Flow | 20.7M | -1.5B | 131.7M | 973.8M | 811.6M |
| Investing Activities | |||||
| Capital Expenditures | - | - | - | - | - |
| Acquisitions | -142.1M | -94.0M | -222.8M | -1.3B | -5.3B |
| Investment Purchases | -73.8M | -156.1M | -294.2M | -207.4M | -289.2M |
| Investment Sales | - | - | - | - | - |
| Investing Cash Flow | -305.3M | -455.9M | -265.5M | -1.7B | -4.0B |
| Financing Activities | |||||
| Share Repurchases | -23.4M | 0 | 0 | -17.9M | 0 |
| Dividends Paid | -193.3M | -321.1M | -615.4M | -698.5M | -643.5M |
| Debt Issuance | 2.8B | 804.2M | 0 | 128.5M | 3.4B |
| Debt Repayment | -2.3B | -701.8M | -988.2M | -869.6M | -1.4B |
| Financing Cash Flow | 230.6M | -1.5B | -1.0B | -1.3B | 2.9B |
| Free Cash Flow | 230.8M | 245.5M | 505.8M | 739.0M | 811.7M |
| Net Change in Cash | -54.0M | -3.5B | -1.1B | -2.0B | -277.9M |
Cash Flow Trend
Medical Properties Key Financial Ratios
Valuation Ratios
P/E Ratio (TTM)
41.82
Forward P/E
41.83
Price to Book
0.65
Price to Sales
2.99
PEG Ratio
41.83
Profitability Ratios
Profit Margin
-70.08%
Operating Margin
58.18%
Return on Equity
-13.97%
Return on Assets
2.38%
Financial Health
Current Ratio
5.18
Debt to Equity
206.30
Beta
1.46
Per Share Data
EPS (TTM)
$-1.18
Book Value per Share
$7.75
Revenue per Share
$1.68
Peer Financial Comparison
| Company | Market Cap | P/E Ratio | P/B Ratio | ROE | Profit Margin | Debt/Equity |
|---|---|---|---|---|---|---|
| MPW | 2.8B | 41.82 | 0.65 | -13.97% | -70.08% | 206.30 |
| Welltower | 147.1B | 146.65 | 3.44 | 2.54% | 8.64% | 49.49 |
| Ventas | 39.8B | 153.57 | 3.14 | 2.17% | 4.32% | 102.00 |
| American Healthcare | 9.6B | 119.29 | 2.80 | 2.50% | 3.09% | 50.20 |
| CareTrust REIT | 8.5B | 23.76 | 2.06 | 9.17% | 67.28% | 71.95 |
| Healthcare Realty | 6.6B | 39.90 | 1.39 | -5.00% | -20.85% | 88.77 |
Financial data is updated regularly. All figures are in the company's reporting currency.






