Medical Properties Trust, Inc.

Medical Properties Trust, Inc.

MPWยทNYSE

$5.36

+1.5%
Real EstateREIT - Healthcare Facilities

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.

At a Glance

Live Snapshot
Market Cap$3.22B
EPS-4.0200
P/E Ratio-1.33
Earnings Date02/26/2026

Intrinsic Alpha Methodology

Thesis Lenses

Signal ยท Driver ยท Risk

Signal

Medium confidence

Valuation multiple is compressed (P/E -1.3).

Valuation inputs: P/E -1.3, earnings yield N/A, momentum +1.5%.

If multiples stay elevated while momentum fades, downside repricing risk rises.

Driver

High confidence

Return profile is soft (ROE -49.9%, ROIC +2.8%).

Profitability stack: net margin -2.4%, ROE -49.9%, ROIC +2.8%.

Quality deterioration often appears in margins before it shows up in headline EPS.

Risk

High confidence

Risk profile is balanced but has notable pressure points to monitor.

Risk factors: liabilities/assets +66.2%, momentum +1.5%, net margin -2.4%.

Higher leverage with weak momentum and thin margins can amplify drawdown severity.

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Medical Properties Trust, Inc. Market vs Earnings Trajectory

MPW ยท NYSE

Loading price and EPS data...

Medical Properties Trust, Inc.

Medical Properties Trust, Inc. Fair Value Envelope

MPW ยท NYSE

Our analysis suggests that MPW has a fair value of HIDDEN per share in the Base Case projection. With shares currently trading at $5.36, this represents a potential HIDDEN relative to our calculated worth for Medical Properties Trust, Inc..

Intrinsic Value
Current Price: $5.36
3Y-462.0%
5Y-562.0%
10Y-728.0%
3Y-36.0%
5Y+14.0%
10Y+125.0%
3Y-467.0%
5Y-743.0%
10Y-1827.0%
3Y-70.0%
5Y-50.0%
10Y+19.0%
3Y-67.0%
5Y-106.0%
10Y-112.0%
3Y-30.0%
5Y-1.0%
10Y+155.0%
Medical Properties Trust, Inc.

Medical Properties Trust, Inc. Profit Bridge

MPW ยท NYSE
Revenue995.55M
Cost of Goods Sold (27.25M)
Gross Profit968.29M
Operating Expenses (581.45M)
Operating Income386.85M
Interest Expense (422.12M)
Other Income/Expense-2.75B
Pretax Income-2.36B
Income Tax (44.10M)
Net Income-2.41B
Net Income
-2.41B

Profitability Analysis

Gross Margin

97.3%

Exceptional pricing power and cost management. The company retains over half of revenue after direct costs.

Operating Margin

38.9%

Outstanding operational efficiency. The company generates substantial profit from core operations.

Net Profit Margin

-242.1%

Net losses indicate the company is burning cash. Sustainability depends on path to profitability.

Profitability Insight

Interest or tax burden: Strong operational performance but thin net margins indicate high interest expenses or unfavorable tax position eating into profits.

97.26%
Gross Profit Margin
2%
3Y-
5Y-
10Y-2.0%
38.86%
Operating Profit Margin
317%
3Y-42.0%
5Y-43.0%
10Y-35.0%
-242.11%
Net Profit Margin
279%
3Y-670.0%
5Y-652.0%
10Y-866.0%
-49.87%
Return on Equity
584%
3Y-742.0%
5Y-1035.0%
10Y-851.0%
-16.86%
Return on Assets
455%
3Y-627.0%
5Y-751.0%
10Y-778.0%
2.80%
Return on Invested Capital
660%
3Y-40.0%
5Y-32.0%
10Y-40.0%
MPW

Medical Properties Trust, Inc. Cash Conversion Engine

MPW ยท NYSE
Net Income-2.41B
Depreciation & Amortization453.75M
Stock-Based Compensation32.98M
Change in Working Capital-15.60M
Others2.18B
Capital Expenditures0.00
Free Cash Flow245.48M

Cash Flow Quality Analysis

FCF Conversion Rate

-10.2%

Negative free cash flow despite positive earnings raises concerns about cash generation ability or heavy capital requirements.

FCF Growth Trend

-51.5%

Significant FCF decline raises concerns. Urgent review needed of operational performance and capital allocation.

Working Capital Impact

-$15.60M

Minimal working capital impact on FCF. Changes in operating assets and liabilities well-managed.

Cash Flow Quality Insight

Deteriorating cash generation: Both declining FCF and weak conversion rate signal fundamental challenges. Investigate margin pressure, rising costs, or working capital issues.

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Medical Properties Trust, Inc. Funding & Solvency Profile

MPW ยท NYSE
Cash & Cash Equivalents396.58M
Net Receivables1.12B
Inventory0.00
Other Current Assets0.00
Total Current Assets2 B
Property, Plant & Equipment0.00
Goodwill & Intangible Assets0.00
Long-Term Investments1.70B
Other Non-Current Assets11.71B
Total Non-Current Assets13 B
Total Assets
14.92B

Financial Health Analysis

Current Ratio

1.43x

Acceptable liquidity, but monitor closely. Current assets just barely cover current liabilities.

Debt-to-Equity Ratio

2.20x

High financial leverage. Heavy reliance on debt may indicate increased financial risk and potential solvency concerns.

Working Capital

453 M

Positive working capital, but relatively tight. The company should monitor cash flow carefully.

Asset Composition

10% Current

Capital-intensive business with significant long-term investments in property, equipment, or intangibles.

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Medical Properties Trust, Inc. Street Expectations Map

MPW ยท NYSE

Wall Street analysts project that MPW stock may see slight declines over the coming 12 months. The consensus 1-year price target stands at 5.00, with estimates ranging from a low of 5.00 to a high of 5.00.

Lowest Target
5.00
-6.72%
Consensus Target
5.00
-6.72%
Highest Target
5.00
-6.72%

The consensus 1-year price target stands at 5.00, with estimates ranging from a low of 5.00 to a high of 5.00.

Analyst Consensus Analysis

Upside Potential

-6.7%

Downside risk. Current price above analyst targets indicates potential overvaluation. Exercise caution and review catalysts.

Analyst Agreement

0.0% spread

High analyst agreement. Narrow target range indicates strong consensus on valuation, suggesting clear investment thesis and predictable outlook.

Risk-Reward Profile

1.00x

Balanced risk-reward. Upside and downside potential relatively symmetric. Suitable for moderate risk tolerance with conviction in thesis.

Analyst Conviction

Low

Bearish or uncertain outlook. Limited upside or poor consensus suggests challenges ahead or fundamental concerns.

Market Sentiment Insight

Monitor and evaluate: Current analyst consensus suggests limited conviction or near-term catalysts. Stay informed on company developments and reassess positioning as new information emerges.

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Medical Properties Trust, Inc. Insider Positioning

MPW ยท NYSE

During the last 12 months, insiders have sold $306K worth of MPW shares, with no buying activity reported.

3 Months

Bought

0

0.00

Sold

0

0.00

Net Activity

+0

+$0

3-6 Months

Bought

0

0.00

Sold

2.0K

10.00K

Net Activity

-10K

-$10K

6-9 Months

Bought

0

0.00

Sold

59.0K

296.18K

Net Activity

-296K

-$296K

9-12 Months

Bought

0

0.00

Sold

0

0.00

Net Activity

+0

+$0

Top Buyers

No buying activity

Top Sellers

1
SMG

Stewart Michael G

Director

59.0K sharesโ€ข1 transactions

$296K

2
HRH

Hooper Rosa Handley

Officer: Svp Of Operations

2.0K sharesโ€ข1 transactions

$10K

Insider Activity Analysis

Net Insider Sentiment

Bearish

Strong bearish signal with $306K net selling. Heavy insider selling may indicate concerns about valuation or near-term prospects.

Buy/Sell Ratio

0.00:1

Very poor ratio. Heavy selling with minimal buying suggests insiders may be concerned about valuation or outlook.

Insider Participation

High Selling

2 insider sellers vs. 0 buyers. Widespread selling across multiple insiders may signal concerns.

1.59%
Dividend Yield
-15%
3Y-35.0%
5Y+4.0%
10Y-17.0%
ย 

mpw Dividend History

MPW
10Y CAGR 9%
Latest $0.09
Annual $0.41
Dividend growth trend
Last Period: +12%