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Side-by-side financial comparison of Healthcare Realty Trust Inc (HR) and MEDICAL PROPERTIES TRUST INC (MPW). Click either name above to swap in a different company.

Healthcare Realty Trust Inc is the larger business by last-quarter revenue ($279.0M vs $270.3M, roughly 1.0× MEDICAL PROPERTIES TRUST INC). MEDICAL PROPERTIES TRUST INC runs the higher net margin — 6.5% vs -0.0%, a 6.5% gap on every dollar of revenue. On growth, MEDICAL PROPERTIES TRUST INC posted the faster year-over-year revenue change (16.6% vs 5.9%). Over the past eight quarters, MEDICAL PROPERTIES TRUST INC's revenue compounded faster (-0.2% CAGR vs -6.1%).

Duke Realty was a real estate investment trust (REIT) based in Indianapolis, Indiana, that invested in industrial properties. As of December 31, 2021, it owned or jointly controlled 548 primarily industrial properties containing 162.7 million rentable square feet. In October 2022, it was acquired by Prologis.

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...

HR vs MPW — Head-to-Head

Bigger by revenue
HR
HR
1.0× larger
HR
$279.0M
$270.3M
MPW
Growing faster (revenue YoY)
MPW
MPW
+10.7% gap
MPW
16.6%
5.9%
HR
Higher net margin
MPW
MPW
6.5% more per $
MPW
6.5%
-0.0%
HR
Faster 2-yr revenue CAGR
MPW
MPW
Annualised
MPW
-0.2%
-6.1%
HR

Income Statement — Q1 FY2026 vs Q4 FY2025

Metric
HR
HR
MPW
MPW
Revenue
$279.0M
$270.3M
Net Profit
$-56.0K
$17.6M
Gross Margin
95.8%
Operating Margin
9.7%
Net Margin
-0.0%
6.5%
Revenue YoY
5.9%
16.6%
Net Profit YoY
104.3%
EPS (diluted)
$0.00
$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
HR
HR
MPW
MPW
Q1 26
$279.0M
Q4 25
$286.3M
$270.3M
Q3 25
$297.8M
$237.5M
Q2 25
$297.5M
$240.4M
Q1 25
$299.0M
$223.8M
Q4 24
$309.8M
$231.8M
Q3 24
$315.4M
$225.8M
Q2 24
$316.3M
$266.6M
Net Profit
HR
HR
MPW
MPW
Q1 26
$-56.0K
Q4 25
$14.6M
$17.6M
Q3 25
$-57.7M
$-77.7M
Q2 25
$-157.9M
$-98.4M
Q1 25
$-44.9M
$-118.3M
Q4 24
$-108.2M
$-412.3M
Q3 24
$-93.0M
$-801.2M
Q2 24
$-143.8M
$-320.6M
Gross Margin
HR
HR
MPW
MPW
Q1 26
Q4 25
95.8%
Q3 25
Q2 25
91.8%
Q1 25
63.6%
Q4 24
90.9%
Q3 24
96.5%
Q2 24
98.4%
Operating Margin
HR
HR
MPW
MPW
Q1 26
Q4 25
9.7%
Q3 25
-28.0%
Q2 25
-36.7%
Q1 25
-48.5%
Q4 24
-173.7%
Q3 24
-350.7%
Q2 24
-114.5%
Net Margin
HR
HR
MPW
MPW
Q1 26
-0.0%
Q4 25
183.4%
6.5%
Q3 25
-19.4%
-32.7%
Q2 25
-53.1%
-40.9%
Q1 25
-15.0%
-52.8%
Q4 24
-1924.1%
-177.8%
Q3 24
-29.5%
-354.8%
Q2 24
-45.5%
-120.3%
EPS (diluted)
HR
HR
MPW
MPW
Q1 26
$0.00
Q4 25
$0.04
$0.03
Q3 25
$-0.17
$-0.13
Q2 25
$-0.45
$-0.16
Q1 25
$-0.13
$-0.20
Q4 24
$-0.34
$-0.68
Q3 24
$-0.26
$-1.34
Q2 24
$-0.39
$-0.54

Balance Sheet & Financial Strength

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

Metric
HR
HR
MPW
MPW
Cash + ST InvestmentsLiquidity on hand
$26.2M
$540.9M
Total DebtLower is stronger
$9.7B
Stockholders' EquityBook value
$4.4B
$4.6B
Total Assets
$9.1B
$15.0B
Debt / EquityLower = less leverage
2.11×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
HR
HR
MPW
MPW
Q1 26
$26.2M
Q4 25
$26.2M
$540.9M
Q3 25
$43.3M
$396.6M
Q2 25
$25.5M
$509.8M
Q1 25
$25.7M
$673.5M
Q4 24
$68.9M
$332.3M
Q3 24
$22.8M
$275.6M
Q2 24
$41.8M
$606.5M
Total Debt
HR
HR
MPW
MPW
Q1 26
Q4 25
$3.9B
$9.7B
Q3 25
$4.5B
$9.6B
Q2 25
$4.7B
$9.6B
Q1 25
$4.7B
$9.5B
Q4 24
$4.7B
$8.8B
Q3 24
$5.0B
$9.2B
Q2 24
$5.1B
$9.4B
Stockholders' Equity
HR
HR
MPW
MPW
Q1 26
$4.4B
Q4 25
$4.6B
$4.6B
Q3 25
$4.7B
$4.7B
Q2 25
$4.8B
$4.8B
Q1 25
$5.1B
$4.8B
Q4 24
$5.2B
$4.8B
Q3 24
$5.5B
$5.4B
Q2 24
$5.9B
$6.2B
Total Assets
HR
HR
MPW
MPW
Q1 26
$9.1B
Q4 25
$9.2B
$15.0B
Q3 25
$9.9B
$14.9B
Q2 25
$10.2B
$15.2B
Q1 25
$10.5B
$14.9B
Q4 24
$10.7B
$14.3B
Q3 24
$11.2B
$15.2B
Q2 24
$11.8B
$16.2B
Debt / Equity
HR
HR
MPW
MPW
Q1 26
Q4 25
0.85×
2.11×
Q3 25
0.96×
2.06×
Q2 25
0.97×
2.00×
Q1 25
0.93×
1.99×
Q4 24
0.89×
1.83×
Q3 24
0.90×
1.69×
Q2 24
0.87×
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
HR
HR
MPW
MPW
Operating Cash FlowLast quarter
$230.8M
Free Cash FlowOCF − Capex
FCF MarginFCF / Revenue
Capex IntensityCapex / Revenue
9.7%
Cash ConversionOCF / Net Profit
13.11×
TTM Free Cash FlowTrailing 4 quarters

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
HR
HR
MPW
MPW
Q1 26
Q4 25
$457.1M
$230.8M
Q3 25
$113.8M
$18.6M
Q2 25
$163.2M
$51.7M
Q1 25
$47.8M
$384.0K
Q4 24
$501.6M
$245.5M
Q3 24
$119.3M
$59.2M
Q2 24
$168.2M
$35.3M
Capex Intensity
HR
HR
MPW
MPW
Q1 26
9.7%
Q4 25
Q3 25
Q2 25
Q1 25
Q4 24
Q3 24
Q2 24
Cash Conversion
HR
HR
MPW
MPW
Q1 26
Q4 25
31.33×
13.11×
Q3 25
Q2 25
Q1 25
Q4 24
Q3 24
Q2 24

Financial Flow Comparison

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

Revenue Breakdown by Segment

HR
HR

Rental income$267.6M96%
Other$11.4M4%

MPW
MPW

Segment breakdown not available.

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