Medical Properties Trust, Inc. (MPT) Key Metrics

NYSE: MPTValuation, returns, debt and efficiency ratios over 10 years.

MPT valuation today

Trailing 12 months · as of October 18, 2026
Market cap
$1.80B
Enterprise value
$12.60B
P/E (TTM)
—
10-yr median 18.0
Forward P/E
6.7
PEG ratio
1.61
Price / sales
1.6
10-yr median 5.8
Price / book
0.5
10-yr median 1.1
EV / EBITDA
7.0
10-yr median 17.0
Dividend yield
11.96%
$0.36 a year
Beta
1.49

MPT key metrics, 2015–2025

Fiscal year ended December 31, 2025 · U.S. dollars

MPT valuation Price multiples at each fiscal year-end price.

Price / sales+29.8%
3.1
2025 · hover or tap a bar for each year
2015: 5.7 (−24.4%)2016: 5.9 (+4.4%)2017: 6.9 (+15.5%)2019: 10.4 (+51.6%)2020: 9.3 (−10.9%)2021: 9.0 (−2.4%)2022: 4.3 (−52.1%)2023: 3.4 (−22.0%)2024: 2.4 (−29.3%)2025: 3.1 (+29.8%)
20152025
Price / book+32.9%
0.7
2025 · hover or tap a bar for each year
2015: 1.2 (−29.7%)2016: 1.0 (−17.3%)2017: 1.3 (+27.9%)2019: 1.3 (+1.8%)2020: 1.6 (+22.4%)2021: 1.7 (+4.9%)2022: 0.8 (−53.0%)2023: 0.4 (−50.4%)2024: 0.5 (+27.4%)2025: 0.7 (+32.9%)
20152025
EV / EBITDA
22.5
2025 · hover or tap a bar for each year
2015: 16.9 (−21.9%)2016: 12.7 (−24.7%)2017: 14.9 (+16.6%)2019: 19.5 (+31.1%)2020: 18.1 (−6.9%)2021: 17.0 (−6.0%)2022: 10.1 (−40.9%)2023: 37.9 (+276.9%)2025: 22.5
20152025
Price / free cash flow+34.8%
13.0
2025 · hover or tap a bar for each year
2016: 11.02021: 18.72023: 5.82024: 9.7 (+66.3%)2025: 13.0 (+34.8%)
20152025
Free cash flow yield−2.7 pts
7.7%
2025 · hover or tap a bar for each year
2015: −80.1% (−86.5 pts)2016: 9.1% (+89.2 pts)2017: −39.0% (−48.1 pts)2019: −48.3% (−9.3 pts)2020: −31.7% (+16.5 pts)2021: 5.4% (+37.1 pts)2022: −12.0% (−17.4 pts)2023: 17.2% (+29.2 pts)2024: 10.4% (−6.9 pts)2025: 7.7% (−2.7 pts)
20152025

MPT valuation history

Fiscal year-endToday10-year median

MPT returns on capital

ROEROICROA

Net income (ROE, ROA) or after-tax operating income (ROIC) divided by the average of the opening and closing balance.

MPT debt vs cash

Total debtCash & short-term investments

Debt includes short- and long-term borrowings and, where reported, lease liabilities.

MPT cash returned to shareholders

DividendsBuybacksFree cash flow

MPT price vs earnings per share

Share price at year-endEPS (right axis)

MPT key metrics

2015–2025
Medical Properties Trust, Inc. key metrics by fiscal year
2025202420232022202120202019201720162015
Valuation
Market capitalization$3.00B$2.37B$2.94B$6.67B$13.94B$11.56B$9.04B$4.83B$3.21B$2.51B
Enterprise value$12.29B$11.02B$12.91B$16.85B$24.86B$20.02B$14.69B$9.61B$6.07B$5.65B
P/E ratio———7.421.326.824.116.714.318.0
Price / sales3.12.43.44.39.09.310.46.95.95.7
Price / book0.70.50.40.81.71.61.31.31.01.2
Price / free cash flow13.09.75.8—18.7———11.0—
Price / operating cash flow13.09.75.89.017.218.718.313.312.112.1
EV / sales12.611.114.810.916.116.016.913.611.212.8
EV / EBITDA22.5—37.910.117.018.119.514.912.716.9
EV / free cash flow53.344.925.5—33.3———20.8—
Earnings yield−9.2%−101.6%−18.9%13.5%4.7%3.7%4.1%6.0%7.0%5.6%
Free cash flow yield7.7%10.4%17.2%−12.0%5.4%−31.7%−48.3%−39.0%9.1%−80.1%
Dividend yield6.4%13.5%20.9%10.5%4.6%4.9%4.6%6.8%6.8%7.3%
Shareholder yield (dividends + buybacks)7.2%13.5%21.2%10.7%4.6%4.9%4.6%6.8%6.8%7.3%
Share price at fiscal year-end$5.00$3.95$4.91$11.14$23.63$21.79$21.11$13.78$12.30$11.51
Per share
Revenue per share$1.62$1.66$1.46$2.58$2.62$2.36$2.03$2.01$2.07$2.02
Earnings per share−$0.46−$4.02−$0.93$1.51$1.11$0.81$0.87$0.83$0.86$0.64
Operating cash flow per share$0.38$0.41$0.85$1.23$1.38$1.16$1.15$1.04$1.01$0.95
Free cash flow per share$0.38$0.41$0.85−$1.34$1.26−$6.91−$10.19−$5.38$1.12−$9.22
Cash per share$0.90$0.55$0.42$0.39$0.78$1.04$3.41$0.49$0.32$0.90
Book value per share$7.67$8.05$12.75$14.35$14.30$13.83$16.41$10.90$12.44$9.63
Tangible book value per share$6.22$8.05$12.75$14.35$12.14$11.58$15.11$9.64$11.31$8.45
Dividends per share$0.32$0.53$1.03$1.17$1.09$1.07$0.96$0.93$0.84$0.84
Capex per share$0.37$0.31$0.58$2.57$0.11$8.08$11.34$6.41$0.11$10.16
Debt per share$16.35$14.95$17.08$17.39$19.27$16.98$16.59$14.14$11.25$15.28
Shares outstanding600.9M600.3M598.5M598.8M590.1M530.5M428.3M350.4M261.1M218.3M
Change in shares outstanding+0.1%+0.3%−0.1%+1.5%+11.3%+23.9%+22.2%+34.2%+19.6%+28.0%
Returns & profitability
Return on equity (ROE)−5.9%−38.7%−6.9%10.6%8.3%6.0%6.9%8.2%8.4%8.0%
Return on invested capital (ROIC)3.1%2.0%0.4%5.0%5.3%—7.0%6.5%6.0%6.0%
Return on assets (ROA)−1.9%−14.8%−2.9%4.5%3.5%2.8%3.2%3.8%3.7%3.0%
Return on tangible assets−2.0%−16.9%−3.0%4.6%3.4%2.8%2.7%3.4%3.7%2.6%
Free cash flow margin23.7%24.7%58.0%−51.9%48.3%−293.6%−501.5%−267.3%54.0%−455.3%
Income quality (OCF / net income)———0.821.241.431.321.251.181.48
Financial health
Total debt$9.83B$8.98B$10.22B$10.41B$11.37B$9.01B$7.11B$4.96B$2.94B$3.34B
Cash & short-term investments$540.9M$332.3M$250.0M$235.7M$459.2M$549.9M$1.46B$171.5M$83.2M$195.5M
Net debt$9.29B$8.64B$9.97B$10.18B$10.91B$8.46B$5.65B$4.78B$2.85B$3.14B
Debt / equity2.131.861.341.211.351.231.011.300.901.59
Debt / assets0.650.630.560.530.550.540.490.550.460.59
Net debt / EBITDA17.01—29.316.087.487.667.497.395.999.40
Current ratio1.511.550.711.097.499.2015.481.901.131.95
Quick ratio1.511.550.711.097.499.2015.702.141.332.11
Interest coverage1.10.90.22.72.6—3.22.72.12.2
Working capital$609.4M$468.3M−$567.2M$143.6M$3.94B$3.60B$4.22B$206.7M$30.2M$157.9M
Invested capital$13.89B$13.48B$17.60B$18.77B$19.36B$15.80B$12.67B$8.60B$6.10B$5.24B
Tangible asset value$3.74B$4.83B$7.63B$8.59B$7.17B$6.15B$6.47B$3.39B$2.96B$1.85B
Net current asset value−$8.58B−$8.15B−$9.27B−$9.34B−$7.52B−$5.45B−$2.93B−$4.75B−$2.91B−$3.18B
Graham number———$22.06$18.91$15.91$17.97$14.24$15.53$11.77
Graham net-net per share−$15.04−$14.15−$16.19−$16.60−$16.07−$13.24−$9.78−$13.82−$11.39−$14.76
Capital allocation
Dividends paid$193.3M$321.1M$615.4M$698.5M$643.5M$568.0M$411.7M$326.7M$218.4M$183.0M
Share buybacks (net)$23.4M$0$8.1M$17.9M$0—————
Dividend payout ratio———77.4%98.1%131.6%109.9%112.7%97.0%131.1%
Dividends + buybacks / free cash flow93.9%130.8%123.3%—86.2%———74.7%—
Capex / revenue22.8%18.6%40.1%99.8%4.2%343.0%558.3%318.8%5.1%502.1%
Capex / operating cash flow96.2%75.5%69.1%208.4%8.1%693.8%983.3%618.8%10.4%1,071.9%
Capex / depreciation0.810.410.574.460.2015.5331.0317.020.2830.89
Stock-based compensation / revenue2.6%3.3%3.8%3.2%3.4%3.8%3.7%1.4%1.5%2.5%
SG&A / revenue13.4%13.4%16.7%10.4%9.4%10.5%11.1%8.3%9.0%9.9%
Efficiency
Days sales outstanding363.0333.6451.3475.5636.3726.6564.2113.7102.4276.3
Days of inventory on hand——————-889.5-3,123.7-4,798.9-4,120.3
Days payables outstanding————4,625.94,937.13,781.112,114.820,794.711,602.6
Cash conversion cycle (days)————-3,989.6-4,210.5-4,106.4-15,124.7-25,491.2-15,446.6
Receivables turnover1.011.090.810.770.570.500.653.213.561.32
Payables turnover————0.080.070.100.030.020.03
Asset turnover0.070.060.050.080.080.080.070.090.090.09
Average receivables$966.6M$910.0M$1.08B$2.01B$2.69B$2.49B$1.35B$219.6M$151.8M$334.4M
Average payables————$495.5M$336.7M$248.5M$192.9M$154.5M$120.5M
Average inventory——————−$58.5M−$49.7M−$35.7M−$42.8M
Intangibles / total assets5.8%0.0%0.0%0.0%6.2%7.1%3.8%4.9%4.6%4.6%

Computed from MPT's annual financial statements (latest annual report filed February 26, 2026) and the closing share price on each fiscal year-end, adjusted for stock splits. Figures in U.S. dollars; data from EODHD. Averages use the opening and closing balance of each year.

MPT valuation and financial ratios

Medical Properties earned a return on equity of −5.9% and a return on invested capital of 3.1% in fiscal 2025. It ended the year with $9.8 billion of debt and $540.9 million in cash and short-term investments, net debt of $9.3 billion. It returned $216.7 million to shareholders: $193.3 million in dividends and $23.4 million in share buybacks, 94% of free cash flow. The share count rose 175.3% from 218.3M to 600.9M over 9 years.

See the MPT income statement, the MPT chart for price history, or the MPT stock overview for the latest quote and news.

MPT key metrics FAQ

What is Medical Properties's EV/EBITDA?

Medical Properties's enterprise value was 22.5 times EBITDA at the end of fiscal 2025 (enterprise value $12.3 billion, EBITDA $545.9 million); the current EV/EBITDA is 7.0.

What is Medical Properties's return on equity?

Medical Properties's return on equity (ROE) was −5.9% in fiscal 2025: net income of -$277.0 million on average shareholders' equity of $4.7 billion.

What is Medical Properties's ROIC?

Medical Properties's return on invested capital was 3.1% in fiscal 2025, using after-tax operating income divided by average debt plus equity minus cash.

How much debt does Medical Properties have?

Medical Properties had total debt of $9.8 billion at the end of fiscal 2025, a debt-to-equity ratio of 2.13 and $9.3 billion of net debt (17.01 times EBITDA).

What is Medical Properties's dividend yield?

Medical Properties's forward dividend yield is 11.96%. Medical Properties paid $193.3 million in dividends in fiscal 2025 ($0.32 per share), a payout ratio of —.

Does Medical Properties buy back its shares?

Yes. Medical Properties spent $23.4 million on net share repurchases in fiscal 2025 Shares outstanding changed +0.1% over the year, to 600.9M..

What is Medical Properties's free cash flow yield?

Medical Properties generated $230.8 million of free cash flow in fiscal 2025, a free cash flow yield of 7.7% on its market value at year-end ($3.0 billion).

What is Medical Properties's current ratio?

Medical Properties's current ratio was 1.51 at the end of fiscal 2025: current assets were 1.51 times current liabilities.

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