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Side-by-side financial comparison of BILL Holdings, Inc. (BILL) and MEDICAL PROPERTIES TRUST INC (MPW). Click either name above to swap in a different company.

BILL Holdings, Inc. is the larger business by last-quarter revenue ($414.7M vs $270.3M, roughly 1.5× MEDICAL PROPERTIES TRUST INC). MEDICAL PROPERTIES TRUST INC runs the higher net margin — 6.5% vs -0.6%, a 7.1% gap on every dollar of revenue. On growth, MEDICAL PROPERTIES TRUST INC posted the faster year-over-year revenue change (16.6% vs 14.4%). Over the past eight quarters, BILL Holdings, Inc.'s revenue compounded faster (13.3% CAGR vs -0.2%).

BILL Holdings, Inc. is an American company based in San Jose, California, that provides automated, cloud-based software for financial operations for small businesses in the United States. A white-labeled, end-to-end payments automation platform, Bill.com Connect is offered to financial institutions as part of their single sign-on online business banking ecosystem.

Medical Properties Trust, Inc. (MPT) is an international real estate investment trust (REIT) based in Birmingham, Alabama that purchases and invests in healthcare facilities and for-profit healthcare holding companies, primarily in the United States and Europe. Their property acquisitions often come in the form of sale-leaseback agreements, in which the original property owner sells the property to MPT and becomes their tenant. MPT's tenants are generally subject to long-term triple net lease...

BILL vs MPW — Head-to-Head

Bigger by revenue
BILL
BILL
1.5× larger
BILL
$414.7M
$270.3M
MPW
Growing faster (revenue YoY)
MPW
MPW
+2.2% gap
MPW
16.6%
14.4%
BILL
Higher net margin
MPW
MPW
7.1% more per $
MPW
6.5%
-0.6%
BILL
Faster 2-yr revenue CAGR
BILL
BILL
Annualised
BILL
13.3%
-0.2%
MPW

Income Statement — Q2 FY2026 vs Q4 FY2025

Metric
BILL
BILL
MPW
MPW
Revenue
$414.7M
$270.3M
Net Profit
$-2.6M
$17.6M
Gross Margin
79.8%
95.8%
Operating Margin
-4.4%
9.7%
Net Margin
-0.6%
6.5%
Revenue YoY
14.4%
16.6%
Net Profit YoY
-107.7%
104.3%
EPS (diluted)
$-0.03
$0.03

Green = leading value per metric. Periods may differ when fiscal calendars don't align.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.

Revenue
BILL
BILL
MPW
MPW
Q4 25
$414.7M
$270.3M
Q3 25
$395.7M
$237.5M
Q2 25
$383.3M
$240.4M
Q1 25
$358.2M
$223.8M
Q4 24
$362.6M
$231.8M
Q3 24
$358.4M
$225.8M
Q2 24
$343.7M
$266.6M
Q1 24
$323.0M
$271.3M
Net Profit
BILL
BILL
MPW
MPW
Q4 25
$-2.6M
$17.6M
Q3 25
$-3.0M
$-77.7M
Q2 25
$-7.1M
$-98.4M
Q1 25
$-11.6M
$-118.3M
Q4 24
$33.5M
$-412.3M
Q3 24
$8.9M
$-801.2M
Q2 24
$7.6M
$-320.6M
Q1 24
$31.8M
$-875.6M
Gross Margin
BILL
BILL
MPW
MPW
Q4 25
79.8%
95.8%
Q3 25
80.5%
Q2 25
80.8%
91.8%
Q1 25
81.2%
63.6%
Q4 24
81.6%
90.9%
Q3 24
82.0%
96.5%
Q2 24
81.0%
98.4%
Q1 24
83.0%
84.9%
Operating Margin
BILL
BILL
MPW
MPW
Q4 25
-4.4%
9.7%
Q3 25
-5.2%
-28.0%
Q2 25
-5.8%
-36.7%
Q1 25
-8.1%
-48.5%
Q4 24
-6.0%
-173.7%
Q3 24
-2.1%
-350.7%
Q2 24
-6.5%
-114.5%
Q1 24
-8.6%
-318.6%
Net Margin
BILL
BILL
MPW
MPW
Q4 25
-0.6%
6.5%
Q3 25
-0.7%
-32.7%
Q2 25
-1.8%
-40.9%
Q1 25
-3.2%
-52.8%
Q4 24
9.3%
-177.8%
Q3 24
2.5%
-354.8%
Q2 24
2.2%
-120.3%
Q1 24
9.8%
-322.7%
EPS (diluted)
BILL
BILL
MPW
MPW
Q4 25
$-0.03
$0.03
Q3 25
$-0.03
$-0.13
Q2 25
$0.02
$-0.16
Q1 25
$-0.11
$-0.20
Q4 24
$-0.06
$-0.68
Q3 24
$0.08
$-1.34
Q2 24
$0.37
$-0.54
Q1 24
$0.00
$-1.46

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
BILL
BILL
MPW
MPW
Cash + ST InvestmentsLiquidity on hand
$1.1B
$540.9M
Total DebtLower is stronger
$1.8B
$9.7B
Stockholders' EquityBook value
$3.8B
$4.6B
Total Assets
$10.1B
$15.0B
Debt / EquityLower = less leverage
0.48×
2.11×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
BILL
BILL
MPW
MPW
Q4 25
$1.1B
$540.9M
Q3 25
$1.1B
$396.6M
Q2 25
$1.0B
$509.8M
Q1 25
$1.0B
$673.5M
Q4 24
$1.6B
$332.3M
Q3 24
$853.5M
$275.6M
Q2 24
$985.9M
$606.5M
Q1 24
$952.5M
$224.3M
Total Debt
BILL
BILL
MPW
MPW
Q4 25
$1.8B
$9.7B
Q3 25
$1.9B
$9.6B
Q2 25
$1.7B
$9.6B
Q1 25
$1.7B
$9.5B
Q4 24
$1.7B
$8.8B
Q3 24
$914.8M
$9.2B
Q2 24
$914.0M
$9.4B
Q1 24
$1.1B
$10.1B
Stockholders' Equity
BILL
BILL
MPW
MPW
Q4 25
$3.8B
$4.6B
Q3 25
$3.9B
$4.7B
Q2 25
$3.9B
$4.8B
Q1 25
$3.9B
$4.8B
Q4 24
$3.8B
$4.8B
Q3 24
$4.0B
$5.4B
Q2 24
$4.1B
$6.2B
Q1 24
$4.1B
$6.7B
Total Assets
BILL
BILL
MPW
MPW
Q4 25
$10.1B
$15.0B
Q3 25
$10.2B
$14.9B
Q2 25
$10.1B
$15.2B
Q1 25
$9.6B
$14.9B
Q4 24
$9.7B
$14.3B
Q3 24
$9.0B
$15.2B
Q2 24
$9.2B
$16.2B
Q1 24
$9.1B
$17.3B
Debt / Equity
BILL
BILL
MPW
MPW
Q4 25
0.48×
2.11×
Q3 25
0.48×
2.06×
Q2 25
0.44×
2.00×
Q1 25
0.43×
1.99×
Q4 24
0.44×
1.83×
Q3 24
0.23×
1.69×
Q2 24
0.22×
1.51×
Q1 24
0.28×
1.51×

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
BILL
BILL
MPW
MPW
Operating Cash FlowLast quarter
$105.3M
$230.8M
Free Cash FlowOCF − Capex
$103.8M
FCF MarginFCF / Revenue
25.0%
Capex IntensityCapex / Revenue
0.4%
Cash ConversionOCF / Net Profit
13.11×
TTM Free Cash FlowTrailing 4 quarters
$378.8M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
BILL
BILL
MPW
MPW
Q4 25
$105.3M
$230.8M
Q3 25
$96.9M
$18.6M
Q2 25
$83.8M
$51.7M
Q1 25
$99.5M
$384.0K
Q4 24
$78.7M
$245.5M
Q3 24
$88.6M
$59.2M
Q2 24
$78.6M
$35.3M
Q1 24
$66.8M
$74.3M
Free Cash Flow
BILL
BILL
MPW
MPW
Q4 25
$103.8M
Q3 25
$95.6M
Q2 25
$81.0M
Q1 25
$98.4M
Q4 24
$78.3M
Q3 24
$88.6M
Q2 24
$78.4M
Q1 24
$66.8M
FCF Margin
BILL
BILL
MPW
MPW
Q4 25
25.0%
Q3 25
24.1%
Q2 25
21.1%
Q1 25
27.5%
Q4 24
21.6%
Q3 24
24.7%
Q2 24
22.8%
Q1 24
20.7%
Capex Intensity
BILL
BILL
MPW
MPW
Q4 25
0.4%
Q3 25
0.3%
Q2 25
0.7%
Q1 25
0.3%
Q4 24
0.1%
Q3 24
0.0%
Q2 24
0.1%
Q1 24
0.0%
Cash Conversion
BILL
BILL
MPW
MPW
Q4 25
13.11×
Q3 25
Q2 25
Q1 25
Q4 24
2.35×
Q3 24
9.94×
Q2 24
10.35×
Q1 24
2.10×

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

Revenue Breakdown by Segment

BILL
BILL

Accounts Payable And Accounts Receivable Solutions$185.9M45%
Spend And Expense Interchange Revenue$166.5M40%
Interest On Funds Held For Customers$39.5M10%
Embedded And Other Solutions$22.8M5%

MPW
MPW

Segment breakdown not available.

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