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

Evolent Health, Inc. is the larger business by last-quarter revenue ($496.2M vs $270.3M, roughly 1.8× MEDICAL PROPERTIES TRUST INC). MEDICAL PROPERTIES TRUST INC runs the higher net margin — 6.5% vs -5.4%, a 11.9% gap on every dollar of revenue. On growth, MEDICAL PROPERTIES TRUST INC posted the faster year-over-year revenue change (16.6% vs 2.6%). Over the past eight quarters, MEDICAL PROPERTIES TRUST INC's revenue compounded faster (-0.2% CAGR vs -12.4%).

Magellan Health Inc., is an American for-profit managed health care company and subsidiary of Centene that focuses on special populations and other specialty areas of healthcare. Magellan's customers include health plans and other managed care organizations, employers, labor unions, various military and governmental agencies and third-party administrators. It ranked 390 on the Fortune 500 in 2021.

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...

EVH vs MPW — Head-to-Head

Bigger by revenue
EVH
EVH
1.8× larger
EVH
$496.2M
$270.3M
MPW
Growing faster (revenue YoY)
MPW
MPW
+14.0% gap
MPW
16.6%
2.6%
EVH
Higher net margin
MPW
MPW
11.9% more per $
MPW
6.5%
-5.4%
EVH
Faster 2-yr revenue CAGR
MPW
MPW
Annualised
MPW
-0.2%
-12.4%
EVH

Income Statement — Q1 FY2026 vs Q4 FY2025

Metric
EVH
EVH
MPW
MPW
Revenue
$496.2M
$270.3M
Net Profit
$-26.6M
$17.6M
Gross Margin
16.9%
95.8%
Operating Margin
9.7%
Net Margin
-5.4%
6.5%
Revenue YoY
2.6%
16.6%
Net Profit YoY
104.3%
EPS (diluted)
$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
EVH
EVH
MPW
MPW
Q1 26
$496.2M
Q4 25
$468.7M
$270.3M
Q3 25
$479.5M
$237.5M
Q2 25
$444.3M
$240.4M
Q1 25
$483.6M
$223.8M
Q4 24
$646.5M
$231.8M
Q3 24
$621.4M
$225.8M
Q2 24
$647.1M
$266.6M
Net Profit
EVH
EVH
MPW
MPW
Q1 26
$-26.6M
Q4 25
$-429.1M
$17.6M
Q3 25
$-20.9M
$-77.7M
Q2 25
$-19.9M
$-98.4M
Q1 25
$-64.6M
$-118.3M
Q4 24
$-22.8M
$-412.3M
Q3 24
$-23.1M
$-801.2M
Q2 24
$1.6M
$-320.6M
Gross Margin
EVH
EVH
MPW
MPW
Q1 26
16.9%
Q4 25
20.7%
95.8%
Q3 25
20.8%
Q2 25
22.6%
91.8%
Q1 25
21.2%
63.6%
Q4 24
11.7%
90.9%
Q3 24
13.0%
96.5%
Q2 24
16.5%
98.4%
Operating Margin
EVH
EVH
MPW
MPW
Q1 26
Q4 25
-87.1%
9.7%
Q3 25
0.2%
-28.0%
Q2 25
-0.3%
-36.7%
Q1 25
-0.3%
-48.5%
Q4 24
-2.9%
-173.7%
Q3 24
-2.6%
-350.7%
Q2 24
1.2%
-114.5%
Net Margin
EVH
EVH
MPW
MPW
Q1 26
-5.4%
Q4 25
-91.6%
6.5%
Q3 25
-4.4%
-32.7%
Q2 25
-4.5%
-40.9%
Q1 25
-13.4%
-52.8%
Q4 24
-3.5%
-177.8%
Q3 24
-3.7%
-354.8%
Q2 24
0.2%
-120.3%
EPS (diluted)
EVH
EVH
MPW
MPW
Q1 26
Q4 25
$-3.76
$0.03
Q3 25
$-0.24
$-0.13
Q2 25
$-0.44
$-0.16
Q1 25
$-0.63
$-0.20
Q4 24
$-0.26
$-0.68
Q3 24
$-0.27
$-1.34
Q2 24
$-0.06
$-0.54

Balance Sheet & Financial Strength

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

Metric
EVH
EVH
MPW
MPW
Cash + ST InvestmentsLiquidity on hand
$142.0M
$540.9M
Total DebtLower is stronger
$9.7B
Stockholders' EquityBook value
$396.4M
$4.6B
Total Assets
$1.9B
$15.0B
Debt / EquityLower = less leverage
2.11×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
EVH
EVH
MPW
MPW
Q1 26
$142.0M
Q4 25
$151.9M
$540.9M
Q3 25
$116.7M
$396.6M
Q2 25
$151.0M
$509.8M
Q1 25
$246.5M
$673.5M
Q4 24
$104.2M
$332.3M
Q3 24
$96.6M
$275.6M
Q2 24
$101.3M
$606.5M
Total Debt
EVH
EVH
MPW
MPW
Q1 26
Q4 25
$9.7B
Q3 25
$9.6B
Q2 25
$9.6B
Q1 25
$9.5B
Q4 24
$8.8B
Q3 24
$9.2B
Q2 24
$9.4B
Stockholders' Equity
EVH
EVH
MPW
MPW
Q1 26
$396.4M
Q4 25
$415.2M
$4.6B
Q3 25
$842.2M
$4.7B
Q2 25
$896.0M
$4.8B
Q1 25
$935.5M
$4.8B
Q4 24
$1.0B
$4.8B
Q3 24
$1.0B
$5.4B
Q2 24
$1.1B
$6.2B
Total Assets
EVH
EVH
MPW
MPW
Q1 26
$1.9B
Q4 25
$1.9B
$15.0B
Q3 25
$2.5B
$14.9B
Q2 25
$2.5B
$15.2B
Q1 25
$2.7B
$14.9B
Q4 24
$2.5B
$14.3B
Q3 24
$2.5B
$15.2B
Q2 24
$2.5B
$16.2B
Debt / Equity
EVH
EVH
MPW
MPW
Q1 26
Q4 25
2.11×
Q3 25
2.06×
Q2 25
2.00×
Q1 25
1.99×
Q4 24
1.83×
Q3 24
1.69×
Q2 24
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
EVH
EVH
MPW
MPW
Operating Cash FlowLast quarter
$230.8M
Free Cash FlowOCF − Capex
FCF MarginFCF / Revenue
Capex IntensityCapex / Revenue
Cash ConversionOCF / Net Profit
13.11×
TTM Free Cash FlowTrailing 4 quarters

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
EVH
EVH
MPW
MPW
Q1 26
Q4 25
$48.8M
$230.8M
Q3 25
$15.8M
$18.6M
Q2 25
$-30.3M
$51.7M
Q1 25
$4.6M
$384.0K
Q4 24
$-26.2M
$245.5M
Q3 24
$18.7M
$59.2M
Q2 24
$21.4M
$35.3M
Cash Conversion
EVH
EVH
MPW
MPW
Q1 26
Q4 25
13.11×
Q3 25
Q2 25
Q1 25
Q4 24
Q3 24
Q2 24
13.42×

Financial Flow Comparison

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

Revenue Breakdown by Segment

EVH
EVH

Performance Suite$323.3M65%
Specialty Technology and Services Suite$80.8M16%
Administrative Services$49.6M10%
Cases$42.6M9%

MPW
MPW

Segment breakdown not available.

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