Medical Properties (MPW) AI Stock Analysis

• Market Cap: $3.30B
• Dividend Yield: 5.84%
• Average Volume (3M): 7.83M
• Price to Earnings (P/E): ―
• Beta (1Y): 0.94
• Revenue Growth: 45.56%
• EPS Growth: 73.44%
• Country: US
• Employees: 118
• Sector: Real Estate
• Sector Strength: 53
• Industry: REIT - Healthcare Facilities
• EPS (TTM): -0.13
• Shares Outstanding: 601,500,000
• 10 Day Avg. Volume: 5,899,690
• 30 Day Avg. Volume: 7,834,272
• PEG Ratio: >-0.01
• Price to Book (P/B): 0.49
• Price to Sales (P/S): 2.38
• P/FCF Ratio: 9.66
• Enterprise Value/Market Cap: 3.72
• Enterprise Value/Revenue: 13.09
• Enterprise Value/Gross Profit: 16.00
• Enterprise Value/Ebitda: 17.55
• 1Y Price Target: $5.00
• Price Target Upside: -8.76% Downside
• Rating Consensus: Hold
• Number of Analyst Covering: 4
• EPS Forecast (FY): -0.38
• Revenue Forecast (FY): $931.56M

• Rating: 55 Neutral
• Price Target: $6.00 ▲(9.49% Upside)

Medical Properties Trust's overall stock score is driven by mixed financial performance and valuation concerns, offset by positive technical indicators and strategic advancements highlighted in the earnings call. The company's high dividend yield and share repurchase program reflect some confidence in its valuation, but financial challenges and operational inefficiencies remain significant risks.

Positive Factors

Business Model Strength

The triple-net lease model ensures stable rental income, as tenants cover property taxes, insurance, and maintenance, reducing operational risk.

Strategic Partnerships

Partnerships with top healthcare operators enhance occupancy and cash flow reliability, supporting long-term revenue stability and growth.

Share Repurchase Program

The share repurchase reflects management's confidence in the business model and can improve shareholder value by reducing share count.

Negative Factors

High Leverage

High leverage increases financial risk and limits flexibility, potentially impacting the company's ability to invest in growth opportunities.

Declining Revenue

Declining revenue trends indicate potential challenges in maintaining market position and could pressure profitability if not reversed.

Prospect Bankruptcy

The bankruptcy of a major tenant like Prospect can lead to financial impairments and uncertainty in cash flow, affecting overall stability.

Medical Properties Business Overview & Revenue Model

Company Description

Medical Properties Trust, Inc. is a self-advised real estate investment trust formed in 2003 to acquire and develop net-leased hospital facilities. From its inception in Birmingham, Alabama, the Company has grown to become one of the world's largest owners of hospital real estate with 441 facilities and approximately 44,000 licensed beds as of September 30, 2023. Since the end of the third quarter, the Company has sold four facilities and now owns approximately 43,000 licensed beds in nine countries across three continents. MPT's financing model facilitates acquisitions and recapitalizations and allows operators of hospitals to unlock the value of their real estate assets to fund facility improvements, technology upgrades and other investments in operations.

How the Company Makes Money

Medical Properties Trust generates revenue primarily through long-term leases with healthcare operators. The company acquires healthcare facilities and then leases them to operators under triple-net leases, where the tenant is responsible for property taxes, insurance, and maintenance costs. This structure allows MPW to receive stable, predictable rental income. Key revenue streams include rent payments from a diverse portfolio of properties, which includes acute care hospitals and other specialized healthcare facilities. Additionally, MPW may benefit from strategic partnerships with well-established healthcare operators, which can enhance occupancy rates and rental income. The company's revenue is further supported by its ability to acquire properties in attractive markets, providing a solid foundation for sustainable earnings growth.

Medical Properties Financial Statement Overview

Summary

Medical Properties faces significant financial challenges, with declining revenue and profitability, high leverage, and cash flow management issues. While there are some strengths, such as positive operating cash flow, the overall financial health is concerning. The company needs to address its debt levels and improve operational efficiency to stabilize its financial position.

Income Statement

Medical Properties shows declining revenue and profitability. The TTM revenue has decreased compared to the previous year, and the net income remains negative, indicating ongoing financial challenges. The gross profit margin is relatively high, but the net profit margin is negative due to significant net losses. EBIT and EBITDA margins have also deteriorated, reflecting operational inefficiencies.

Balance Sheet

The balance sheet reveals a high debt-to-equity ratio, indicating significant leverage. The equity ratio has decreased over time, suggesting reduced financial stability. However, the company maintains a reasonable level of total assets, which provides some buffer against liabilities. The return on equity is negative due to net losses, highlighting profitability issues.

Cash Flow

Operating cash flow is positive, but free cash flow has declined, indicating cash management challenges. The operating cash flow to net income ratio is favorable, suggesting that cash generation is better than reported earnings. However, the free cash flow to net income ratio is negative, reflecting insufficient cash to cover net losses.

Breakdown	TTM	Dec 2024	Dec 2023	Dec 2022	Dec 2021	Dec 2020
Income Statement
Total Revenue	936.95M	995.55M	871.80M	1.54B	1.54B	1.25B
Gross Profit	766.57M	968.29M	830.23M	1.50B	1.51B	1.22B
EBITDA	699.12M	840.60M	697.41M	1.35B	1.37B	1.10B
Net Income	-707.43M	-2.41B	-556.48M	902.60M	656.02M	431.45M
Balance Sheet
Total Assets	14.92B	14.29B	18.30B	19.66B	20.52B	16.83B
Cash, Cash Equivalents and Short-Term Investments	396.58M	332.33M	250.02M	235.67M	459.23M	549.88M
Total Debt	9.76B	8.98B	10.22B	10.41B	11.37B	9.01B
Total Liabilities	10.26B	9.46B	10.67B	11.06B	12.07B	9.49B
Stockholders Equity	4.66B	4.83B	7.63B	8.59B	8.44B	7.34B
Cash Flow
Free Cash Flow	128.82M	245.48M	505.79M	-801.35M	746.11M	-3.67B
Operating Cash Flow	128.82M	245.48M	505.79M	739.01M	811.66M	617.64M
Investing Cash Flow	-70.00M	1.32B	517.56M	396.06M	-3.86B	-2.95B
Financing Cash Flow	171.72M	-1.48B	-1.02B	-1.34B	2.95B	1.40B

Medical Properties Technical Analysis

• Technical Analysis Sentiment: Positive
• Last Price: 5.48
• 50DMA: Positive
• 100DMA: Positive
• 200DMA: Positive
• MACD: Negative
• RSI: Neutral
• STOCH: Neutral

Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For MPW, the sentiment is Positive. The current price of 5.48 is above the 20-day moving average (MA) of 5.30, above the 50-day MA of 5.22, and above the 200-day MA of 4.85, indicating a bullish trend. The MACD of 0.15 indicates Negative momentum. The RSI at 56.79 is Neutral, neither overbought nor oversold. The STOCH value of 62.85 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for MPW.

Medical Properties Peers Comparison

Name	Overall Rating	Market Cap	P/E Ratio	ROE	Dividend Yield	Revenue Growth	EPS Growth
CTRE	78 Outperform	$8.42B	28.09	8.13%	3.44%	59.25%	88.37%
NHI	77 Outperform	$3.74B	24.72	10.87%	4.62%	8.04%	9.20%
SBRA	74 Outperform	$4.81B	26.52	6.29%	6.22%	8.12%	75.95%
LTC	68 Neutral	$1.68B	48.17	3.49%	6.48%	11.89%	-68.41%
Sector *	65 Neutral	$2.17B	12.19	3.79%	4.94%	3.15%	1.96%
MPW	55 Neutral	$3.30B	―	-14.02%	5.84%	45.56%	73.44%
DHC	54 Neutral	$1.16B	―	-18.84%	0.84%	4.10%	8.96%

Medical Properties Corporate Events

Medical Properties Announces $150 Million Stock Buyback

On October 28, 2025, Medical Properties Trust, Inc. announced a $150 million stock repurchase program, reflecting strategic financial management amid ongoing operational adjustments. The company reported a third-quarter net loss of $78 million, influenced by impairment charges, but highlighted increased cash rent collections and strategic agreements, such as the lease with NOR Healthcare Systems Corp. for California operations. The company’s efforts to stabilize and enhance its portfolio, including settlements and asset sales, indicate a focus on liquidity and debt management, aiming for over $1 billion in annualized cash rent by the end of 2026.