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Side-by-side financial comparison of H2O AMERICA (HTO) and MEDICAL PROPERTIES TRUST INC (MPW). Click either name above to swap in a different company.

MEDICAL PROPERTIES TRUST INC is the larger business by last-quarter revenue ($270.3M vs $199.4M, roughly 1.4× H2O AMERICA). H2O AMERICA runs the higher net margin — 8.1% vs 6.5%, a 1.6% gap on every dollar of revenue. On growth, MEDICAL PROPERTIES TRUST INC posted the faster year-over-year revenue change (16.6% vs 1.5%). Over the past eight quarters, H2O AMERICA's revenue compounded faster (15.3% CAGR vs -0.2%).

H2O Wireless is a United States-based prepaid cell phone service, that utilizes the AT&T network. It is a brand of the mobile virtual network operator (MVNO) Locus Telecommunications, a subsidiary of Telrite Holdings, Inc., since 2019. Locus was formerly a subsidiary of KDDI America corporation, starting in 2010. H2O Wireless is primarily advertised as a non-restrictive phone service for customers to bring or buy unlocked smartphones, although AT&T contract/locked phones may be accepted as well.

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...

HTO vs MPW — Head-to-Head

Bigger by revenue
MPW
MPW
1.4× larger
MPW
$270.3M
$199.4M
HTO
Growing faster (revenue YoY)
MPW
MPW
+15.1% gap
MPW
16.6%
1.5%
HTO
Higher net margin
HTO
HTO
1.6% more per $
HTO
8.1%
6.5%
MPW
Faster 2-yr revenue CAGR
HTO
HTO
Annualised
HTO
15.3%
-0.2%
MPW

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
HTO
HTO
MPW
MPW
Revenue
$199.4M
$270.3M
Net Profit
$16.2M
$17.6M
Gross Margin
95.8%
Operating Margin
16.6%
9.7%
Net Margin
8.1%
6.5%
Revenue YoY
1.5%
16.6%
Net Profit YoY
-29.2%
104.3%
EPS (diluted)
$0.45
$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
HTO
HTO
MPW
MPW
Q4 25
$199.4M
$270.3M
Q3 25
$243.5M
$237.5M
Q2 25
$197.8M
$240.4M
Q1 25
$164.9M
$223.8M
Q4 24
$196.5M
$231.8M
Q3 24
$216.7M
$225.8M
Q2 24
$173.1M
$266.6M
Q1 24
$150.0M
$271.3M
Net Profit
HTO
HTO
MPW
MPW
Q4 25
$16.2M
$17.6M
Q3 25
$45.1M
$-77.7M
Q2 25
$24.7M
$-98.4M
Q1 25
$16.6M
$-118.3M
Q4 24
$22.9M
$-412.3M
Q3 24
$38.7M
$-801.2M
Q2 24
$20.7M
$-320.6M
Q1 24
$11.7M
$-875.6M
Gross Margin
HTO
HTO
MPW
MPW
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%
Q1 24
84.9%
Operating Margin
HTO
HTO
MPW
MPW
Q4 25
16.6%
9.7%
Q3 25
26.5%
-28.0%
Q2 25
22.2%
-36.7%
Q1 25
21.8%
-48.5%
Q4 24
22.2%
-173.7%
Q3 24
26.9%
-350.7%
Q2 24
23.4%
-114.5%
Q1 24
18.6%
-318.6%
Net Margin
HTO
HTO
MPW
MPW
Q4 25
8.1%
6.5%
Q3 25
18.5%
-32.7%
Q2 25
12.5%
-40.9%
Q1 25
10.0%
-52.8%
Q4 24
11.7%
-177.8%
Q3 24
17.8%
-354.8%
Q2 24
12.0%
-120.3%
Q1 24
7.8%
-322.7%
EPS (diluted)
HTO
HTO
MPW
MPW
Q4 25
$0.45
$0.03
Q3 25
$1.27
$-0.13
Q2 25
$0.71
$-0.16
Q1 25
$0.49
$-0.20
Q4 24
$0.70
$-0.68
Q3 24
$1.17
$-1.34
Q2 24
$0.64
$-0.54
Q1 24
$0.36
$-1.46

Balance Sheet & Financial Strength

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

Metric
HTO
HTO
MPW
MPW
Cash + ST InvestmentsLiquidity on hand
$20.7M
$540.9M
Total DebtLower is stronger
$1.9B
$9.7B
Stockholders' EquityBook value
$1.5B
$4.6B
Total Assets
$5.1B
$15.0B
Debt / EquityLower = less leverage
1.23×
2.11×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
HTO
HTO
MPW
MPW
Q4 25
$20.7M
$540.9M
Q3 25
$11.3M
$396.6M
Q2 25
$19.8M
$509.8M
Q1 25
$23.7M
$673.5M
Q4 24
$11.1M
$332.3M
Q3 24
$4.0M
$275.6M
Q2 24
$22.8M
$606.5M
Q1 24
$4.5M
$224.3M
Total Debt
HTO
HTO
MPW
MPW
Q4 25
$1.9B
$9.7B
Q3 25
$9.6B
Q2 25
$9.6B
Q1 25
$9.5B
Q4 24
$1.7B
$8.8B
Q3 24
$9.2B
Q2 24
$9.4B
Q1 24
$10.1B
Stockholders' Equity
HTO
HTO
MPW
MPW
Q4 25
$1.5B
$4.6B
Q3 25
$1.5B
$4.7B
Q2 25
$1.5B
$4.8B
Q1 25
$1.4B
$4.8B
Q4 24
$1.4B
$4.8B
Q3 24
$1.3B
$5.4B
Q2 24
$1.3B
$6.2B
Q1 24
$1.2B
$6.7B
Total Assets
HTO
HTO
MPW
MPW
Q4 25
$5.1B
$15.0B
Q3 25
$5.0B
$14.9B
Q2 25
$4.8B
$15.2B
Q1 25
$4.7B
$14.9B
Q4 24
$4.7B
$14.3B
Q3 24
$4.6B
$15.2B
Q2 24
$4.4B
$16.2B
Q1 24
$4.4B
$17.3B
Debt / Equity
HTO
HTO
MPW
MPW
Q4 25
1.23×
2.11×
Q3 25
2.06×
Q2 25
2.00×
Q1 25
1.99×
Q4 24
1.26×
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
HTO
HTO
MPW
MPW
Operating Cash FlowLast quarter
$63.5M
$230.8M
Free Cash FlowOCF − Capex
FCF MarginFCF / Revenue
Capex IntensityCapex / Revenue
Cash ConversionOCF / Net Profit
3.92×
13.11×
TTM Free Cash FlowTrailing 4 quarters

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
HTO
HTO
MPW
MPW
Q4 25
$63.5M
$230.8M
Q3 25
$77.3M
$18.6M
Q2 25
$60.8M
$51.7M
Q1 25
$43.2M
$384.0K
Q4 24
$41.5M
$245.5M
Q3 24
$53.5M
$59.2M
Q2 24
$49.3M
$35.3M
Q1 24
$51.2M
$74.3M
Cash Conversion
HTO
HTO
MPW
MPW
Q4 25
3.92×
13.11×
Q3 25
1.71×
Q2 25
2.47×
Q1 25
2.61×
Q4 24
1.81×
Q3 24
1.39×
Q2 24
2.38×
Q1 24
4.38×

Financial Flow Comparison

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

Revenue Breakdown by Segment

HTO
HTO

Water Utility Services$191.0M96%
Other$8.4M4%

MPW
MPW

Segment breakdown not available.

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