Executive Summary
Medical Properties Trust Inc (0JZZ.L) reported Q1 2025 revenue of $223.8 million, a 17.5% YoY decline and a 3.5% QoQ decline. The company posted EBITDA of $72.65 million and operating income of $110.28 million, but recorded a net loss of $118.28 million (EPS -0.20) due to a large non-operating charge: total other income/expenses net of -$218.86 million. On the operating line, margins remained strong (gross margin ~96.9% and operating margin ~49.3%), reflecting the hospital real estate rental model, but the bottom line was materially pressured by high interest expense ($115.80 million) and sizable non-operating items. The quarter also showed a substantial improvement in year-over-year net income versus Q1 2024, but negative earnings persisted as of the period.
Key Performance Indicators
QoQ: -3.47% | YoY:-17.51%
QoQ: -2.39% | YoY:-18.66%
QoQ: -14.26% | YoY:-30.01%
Key Insights
Revenue: $223.8m (-YoY -17.5%, QoQ -3.5%)
Gross Profit: $216.764m (YoY -18.7%, QoQ -2.4%)
Operating Income: $110.281m (YoY -30.0%, QoQ -14.3%)
EBITDA: $72.653m (margin 32.5%)
Net Income: -$118.275m (margin -52.8%)
EPS: -$0.20 (Diluted -$0.20)
Cash flow from operations: $0.384m; Free cash flow: $0.384m
Cash and cash equivalents: $673.482m; Net debt: $8.792b; Total debt: $9.466b
Total assets: $14.853b; Total liabilities: $10.092b; Total stockholders’ equity: $4.761b
Current ratio: 3.23; Quick ra...
Financial Highlights
Revenue: $223.8m (-YoY -17.5%, QoQ -3.5%)
Gross Profit: $216.764m (YoY -18.7%, QoQ -2.4%)
Operating Income: $110.281m (YoY -30.0%, QoQ -14.3%)
EBITDA: $72.653m (margin 32.5%)
Net Income: -$118.275m (margin -52.8%)
EPS: -$0.20 (Diluted -$0.20)
Cash flow from operations: $0.384m; Free cash flow: $0.384m
Cash and cash equivalents: $673.482m; Net debt: $8.792b; Total debt: $9.466b
Total assets: $14.853b; Total liabilities: $10.092b; Total stockholders’ equity: $4.761b
Current ratio: 3.23; Quick ratio: 3.23
Debt to capitalization: 0.665; Dividend yield: 1.33%
Income Statement
| Metric |
Value |
YoY Change |
QoQ Change |
| Revenue |
223.80M |
-17.51% |
-3.47% |
| Gross Profit |
216.76M |
-18.66% |
-2.39% |
| Operating Income |
110.28M |
-30.01% |
-14.26% |
| Net Income |
-118.28M |
86.49% |
71.35% |
| EPS |
-0.20 |
86.30% |
71.01% |
Key Financial Ratios
operatingProfitMargin
49.3%
operatingCashFlowPerShare
$0
dividendPayoutRatio
-40.7%
Management Commentary
Transcript highlights not provided in the dataset. No management call quotes are available in the supplied material. If a transcript is provided, quotes should be grouped by themes (strategy, operations, market conditions) with context and significance.
Forward Guidance
No explicit forward guidance appears in the QQ1 2025 data provided. Management commentary (if available) should be consulted for targets on occupancy, rent escalations, capex plans, and refinancing timelines. In the current set, investors should monitor: (1) debt maturities and refinancing risk given total debt near $9.47 billion and net debt of $8.79 billion, (2) rental income stability and occupancy trends across the 431 facilities, (3) our ability to deleverage and optimize interest costs, and (4) any pipeline of acquisitions or divestitures that affect portfolio quality and leverage.