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Medical Properties Trust (MPT) Stock Fundamentals, Analysis & Risk Signals

Health score, price, valuation, risk signals, and key metrics at a glance.

Medical Properties Trust
NYSE•Real Estate•REIT - Healthcare Facilities
$3.39-0.15(-0.04%)Pre-market
Market Cap
$2.03B
P/S
2.0x
P/B
0.5x

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, the Company has grown to become one of the world's largest owners of hospital real estate with 378 facilities and approximately 38,000 licensed beds in nine countries and across three continents as of March 31, 2026. 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. Medical Properties Trust, Inc. is based in Alabama, Birmingham. Medical Properties Trust, Inc. was incorporated in 2003 in Maryland.

D

How this company scores

WeakMetricSide Score: 56/100

Grade capped at D — Interest coverage below 1× (0.1x) — earnings cannot cover interest. Strongest: Growth (20/25); weakest: Balance Sheet & Red Flags (5/25).

Profitability17/25
Growth20/25
Balance Sheet & Red Flags5/25
Cash & Earnings Quality14/25
Strengths
Rising free cash flowLong cash runwayProfit converts from growthImproving margins
Grade capped at D
  • Interest coverage below 1× (0.1x) — earnings cannot cover interest.

Valuation vs. 5-year range

Today's multiple positioned against its own trailing range — a visual premium/discount check.

P/E · 76.8x5y range 5.5x – 76.8x
P/E 76.8x · above its 8-quarter median

Currently above its 8-quarter median.

P/S · 2.0x5y range 2.0x – 9.1x
P/S 2.0x · below its 20-quarter median

Currently below its 20-quarter median.

P/B · 0.5x5y range 0.4x – 1.7x

Watch items

Data-driven signals worth keeping an eye on across the last 8 quarters

High Risk

Margin Pressure

Red Flag

The company posted negative operating margins in recent quarters — core operations are unprofitable.

Earnings Quality

Red Flag

FCF consistently trails net income (avg -2.2x) — earnings may be inflated by non-cash items or aggressive accounting.

Price & Volume
Market Cap $2.03B

Metrics at a Glance

as of June 2026

Revenue & Profit

Revenue, EBITDA, operating income, net income, EPS, and shares

TTM Revenue
$1.02B
4Q
Q. Revenue
$259.28M
8%
TTM EBITDA
$327.00M
3Q
TTM Op. Income
$43.53M
4Q
Q. Op. Income
$8.60M
25%
TTM Net Income
$-30.18M
7Q
Q. Net Income
$-2.60M
97%
EPS
$-0.01
94%
Shares Out.
$597.96M
0%
$1.02B in TTM revenue grew 10.6% YoY, reaching $259.28M last quarter. TTM EBITDA of $327.00M and TTM operating income of $43.53M show growth is flowing through to the bottom line. However, net income is negative at $30.18M — growth is not yet reaching the bottom line. Across the last 8 quarters, TTM revenue has risen for 4 consecutive quarters — an improving trend.

Margins

Gross, EBITDA, operating, and net margin trends

EBITDA Margin
30.1%
2Q
Op. Margin
3.3%
16%
Net Margin
-1.0%
98%
Op. margin of 3.3% is up 0.5% YoY — cost efficiency is improving. Net margin at -1.0% Over the past year, operating margin is up 16% — an improving trend.

Price Ratios

P/E, P/S, P/B, EV/EBITDA, FCF yield, and earnings yield

P/E Ratio
N/A
P/S Ratio
2.0x
3Q
P/B Ratio
0.5x
2Q
P/S of 2.0x and P/B of 0.5x. P/S is low relative to typical market levels.

Assets & Liabilities

Total assets, cash, debt, book value, and leverage

Total Assets
$14.75B
2Q
Cash
$396.56M
2Q
Long-Term Debt
$9.70B
1%
Book Value
$4.50B
4Q
D/E Ratio
2.2
7Q
Debt/EBITDA
124.3
2Q
With $14.75B in assets and $9.70B in long-term debt, D/E is 2.2and book value is $4.50B — elevated leverage, meaning significant financial risk in a downturn. Across the last 8 quarters, debt/equity has risen for 7 consecutive quarters — a weakening trend.

Cash Flow

Operating cash flow, free cash flow, FCF margin, and earnings quality

Op. Cash Flow
$62.44M
21%
TTM Free Cash Flow
$157.74M
84%
FCF Margin
15.5%
67%
FCF / Net Income
-5.2
3Q
TTM FCF of $157.74M on $62.44M in operating cash flow. The FCF / Net Income ratio of -5.2x means the business consumes cash — it is not yet self-funding. Over the past year, free cash flow is up 84% — an improving trend.

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· below its 20-quarter median

Currently below its 20-quarter median.

Leverage Risk

Watch

D/E ratio of 2.2 is elevated. Watch for further debt accumulation.

Cash Burn

Watch

FCF turned negative in 3 of the last 8 quarters — occasional cash consumption.