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Side-by-side financial comparison of HEALTHCARE SERVICES GROUP INC (HCSG) and MEDICAL PROPERTIES TRUST INC (MPW). Click either name above to swap in a different company.

HEALTHCARE SERVICES GROUP INC is the larger business by last-quarter revenue ($466.7M vs $270.3M, roughly 1.7× MEDICAL PROPERTIES TRUST INC). On growth, MEDICAL PROPERTIES TRUST INC posted the faster year-over-year revenue change (16.6% vs 6.6%). Over the past eight quarters, HEALTHCARE SERVICES GROUP INC's revenue compounded faster (5.0% CAGR vs -0.2%).

Tenet Healthcare Corporation is an American for-profit multinational healthcare services company based in Dallas. Through its brands, subsidiaries, joint ventures, and partnerships including United Surgical Partners International (USPI), the company operates 65 hospitals and over 450 healthcare facilities. Tenet also runs Conifer Health Solutions, which provides healthcare support services to health systems and other clients.

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...

HCSG vs MPW — Head-to-Head

Bigger by revenue
HCSG
HCSG
1.7× larger
HCSG
$466.7M
$270.3M
MPW
Growing faster (revenue YoY)
MPW
MPW
+10.0% gap
MPW
16.6%
6.6%
HCSG
Faster 2-yr revenue CAGR
HCSG
HCSG
Annualised
HCSG
5.0%
-0.2%
MPW

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
HCSG
HCSG
MPW
MPW
Revenue
$466.7M
$270.3M
Net Profit
$17.6M
Gross Margin
15.4%
95.8%
Operating Margin
6.1%
9.7%
Net Margin
6.5%
Revenue YoY
6.6%
16.6%
Net Profit YoY
104.3%
EPS (diluted)
$0.43
$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
HCSG
HCSG
MPW
MPW
Q4 25
$466.7M
$270.3M
Q3 25
$464.3M
$237.5M
Q2 25
$458.5M
$240.4M
Q1 25
$447.7M
$223.8M
Q4 24
$437.8M
$231.8M
Q3 24
$428.1M
$225.8M
Q2 24
$426.3M
$266.6M
Q1 24
$423.4M
$271.3M
Net Profit
HCSG
HCSG
MPW
MPW
Q4 25
$17.6M
Q3 25
$43.0M
$-77.7M
Q2 25
$-32.4M
$-98.4M
Q1 25
$17.2M
$-118.3M
Q4 24
$-412.3M
Q3 24
$14.0M
$-801.2M
Q2 24
$-1.8M
$-320.6M
Q1 24
$15.3M
$-875.6M
Gross Margin
HCSG
HCSG
MPW
MPW
Q4 25
15.4%
95.8%
Q3 25
20.8%
Q2 25
0.6%
91.8%
Q1 25
15.2%
63.6%
Q4 24
13.4%
90.9%
Q3 24
14.8%
96.5%
Q2 24
9.7%
98.4%
Q1 24
15.2%
84.9%
Operating Margin
HCSG
HCSG
MPW
MPW
Q4 25
6.1%
9.7%
Q3 25
12.3%
-28.0%
Q2 25
-9.1%
-36.7%
Q1 25
5.3%
-48.5%
Q4 24
3.4%
-173.7%
Q3 24
4.4%
-350.7%
Q2 24
-0.5%
-114.5%
Q1 24
5.0%
-318.6%
Net Margin
HCSG
HCSG
MPW
MPW
Q4 25
6.5%
Q3 25
9.3%
-32.7%
Q2 25
-7.1%
-40.9%
Q1 25
3.8%
-52.8%
Q4 24
-177.8%
Q3 24
3.3%
-354.8%
Q2 24
-0.4%
-120.3%
Q1 24
3.6%
-322.7%
EPS (diluted)
HCSG
HCSG
MPW
MPW
Q4 25
$0.43
$0.03
Q3 25
$0.59
$-0.13
Q2 25
$-0.44
$-0.16
Q1 25
$0.23
$-0.20
Q4 24
$0.15
$-0.68
Q3 24
$0.19
$-1.34
Q2 24
$-0.02
$-0.54
Q1 24
$0.21
$-1.46

Balance Sheet & Financial Strength

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

Metric
HCSG
HCSG
MPW
MPW
Cash + ST InvestmentsLiquidity on hand
$168.0M
$540.9M
Total DebtLower is stronger
$9.7B
Stockholders' EquityBook value
$510.2M
$4.6B
Total Assets
$794.3M
$15.0B
Debt / EquityLower = less leverage
2.11×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
HCSG
HCSG
MPW
MPW
Q4 25
$168.0M
$540.9M
Q3 25
$177.5M
$396.6M
Q2 25
$134.5M
$509.8M
Q1 25
$114.8M
$673.5M
Q4 24
$107.3M
$332.3M
Q3 24
$103.8M
$275.6M
Q2 24
$105.6M
$606.5M
Q1 24
$104.9M
$224.3M
Total Debt
HCSG
HCSG
MPW
MPW
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
Q1 24
$10.1B
Stockholders' Equity
HCSG
HCSG
MPW
MPW
Q4 25
$510.2M
$4.6B
Q3 25
$496.0M
$4.7B
Q2 25
$477.0M
$4.8B
Q1 25
$514.2M
$4.8B
Q4 24
$499.9M
$4.8B
Q3 24
$488.7M
$5.4B
Q2 24
$471.4M
$6.2B
Q1 24
$474.6M
$6.7B
Total Assets
HCSG
HCSG
MPW
MPW
Q4 25
$794.3M
$15.0B
Q3 25
$804.3M
$14.9B
Q2 25
$802.2M
$15.2B
Q1 25
$823.0M
$14.9B
Q4 24
$802.8M
$14.3B
Q3 24
$805.8M
$15.2B
Q2 24
$799.7M
$16.2B
Q1 24
$803.9M
$17.3B
Debt / Equity
HCSG
HCSG
MPW
MPW
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×
Q1 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
HCSG
HCSG
MPW
MPW
Operating Cash FlowLast quarter
$17.4M
$230.8M
Free Cash FlowOCF − Capex
$16.0M
FCF MarginFCF / Revenue
3.4%
Capex IntensityCapex / Revenue
0.3%
Cash ConversionOCF / Net Profit
13.11×
TTM Free Cash FlowTrailing 4 quarters
$139.2M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
HCSG
HCSG
MPW
MPW
Q4 25
$17.4M
$230.8M
Q3 25
$71.3M
$18.6M
Q2 25
$28.8M
$51.7M
Q1 25
$27.5M
$384.0K
Q4 24
$36.2M
$245.5M
Q3 24
$4.3M
$59.2M
Q2 24
$16.3M
$35.3M
Q1 24
$-26.0M
$74.3M
Free Cash Flow
HCSG
HCSG
MPW
MPW
Q4 25
$16.0M
Q3 25
$70.0M
Q2 25
$27.4M
Q1 25
$25.8M
Q4 24
$34.8M
Q3 24
$2.9M
Q2 24
$15.0M
Q1 24
$-28.2M
FCF Margin
HCSG
HCSG
MPW
MPW
Q4 25
3.4%
Q3 25
15.1%
Q2 25
6.0%
Q1 25
5.8%
Q4 24
7.9%
Q3 24
0.7%
Q2 24
3.5%
Q1 24
-6.7%
Capex Intensity
HCSG
HCSG
MPW
MPW
Q4 25
0.3%
Q3 25
0.3%
Q2 25
0.3%
Q1 25
0.4%
Q4 24
0.3%
Q3 24
0.3%
Q2 24
0.3%
Q1 24
0.5%
Cash Conversion
HCSG
HCSG
MPW
MPW
Q4 25
13.11×
Q3 25
1.66×
Q2 25
Q1 25
1.60×
Q4 24
Q3 24
0.31×
Q2 24
Q1 24
-1.70×

Financial Flow Comparison

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

Revenue Breakdown by Segment

HCSG
HCSG

Dietary Services$255.9M55%
Other$210.8M45%

MPW
MPW

Segment breakdown not available.

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