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Side-by-side financial comparison of MEDICAL PROPERTIES TRUST INC (MPW) and Orion Group Holdings Inc (ORN). 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 $216.3M, roughly 1.2× Orion Group Holdings Inc). MEDICAL PROPERTIES TRUST INC runs the higher net margin — 6.5% vs 2.2%, a 4.3% gap on every dollar of revenue. On growth, MEDICAL PROPERTIES TRUST INC posted the faster year-over-year revenue change (16.6% vs 14.6%). Over the past eight quarters, Orion Group Holdings Inc's revenue compounded faster (6.1% CAGR vs -0.2%).

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...

Orion Corporation, founded in 1917 and headquartered at Espoo, Finland, is a globally operating Finnish company which develops, manufactures and markets human and veterinary pharmaceuticals and active pharmaceutical ingredients for global markets. All of the company's manufacturing sites and the majority of its R&D units are in Finland.

MPW vs ORN — Head-to-Head

Bigger by revenue
MPW
MPW
1.2× larger
MPW
$270.3M
$216.3M
ORN
Growing faster (revenue YoY)
MPW
MPW
+2.0% gap
MPW
16.6%
14.6%
ORN
Higher net margin
MPW
MPW
4.3% more per $
MPW
6.5%
2.2%
ORN
Faster 2-yr revenue CAGR
ORN
ORN
Annualised
ORN
6.1%
-0.2%
MPW

Income Statement — Q4 FY2025 vs Q1 FY2026

Metric
MPW
MPW
ORN
ORN
Revenue
$270.3M
$216.3M
Net Profit
$17.6M
$4.7M
Gross Margin
95.8%
12.0%
Operating Margin
9.7%
Net Margin
6.5%
2.2%
Revenue YoY
16.6%
14.6%
Net Profit YoY
104.3%
435.7%
EPS (diluted)
$0.03
$0.12

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
MPW
MPW
ORN
ORN
Q1 26
$216.3M
Q4 25
$270.3M
$233.2M
Q3 25
$237.5M
$225.1M
Q2 25
$240.4M
$205.3M
Q1 25
$223.8M
$188.7M
Q4 24
$231.8M
$216.9M
Q3 24
$225.8M
$226.7M
Q2 24
$266.6M
$192.2M
Net Profit
MPW
MPW
ORN
ORN
Q1 26
$4.7M
Q4 25
$17.6M
$-240.0K
Q3 25
$-77.7M
$3.3M
Q2 25
$-98.4M
$841.0K
Q1 25
$-118.3M
$-1.4M
Q4 24
$-412.3M
$6.8M
Q3 24
$-801.2M
$4.3M
Q2 24
$-320.6M
$-6.6M
Gross Margin
MPW
MPW
ORN
ORN
Q1 26
12.0%
Q4 25
95.8%
11.6%
Q3 25
13.2%
Q2 25
91.8%
12.6%
Q1 25
63.6%
12.2%
Q4 24
90.9%
14.0%
Q3 24
96.5%
11.9%
Q2 24
98.4%
9.5%
Operating Margin
MPW
MPW
ORN
ORN
Q1 26
Q4 25
9.7%
2.2%
Q3 25
-28.0%
2.4%
Q2 25
-36.7%
1.7%
Q1 25
-48.5%
0.4%
Q4 24
-173.7%
4.4%
Q3 24
-350.7%
3.4%
Q2 24
-114.5%
-1.4%
Net Margin
MPW
MPW
ORN
ORN
Q1 26
2.2%
Q4 25
6.5%
-0.1%
Q3 25
-32.7%
1.5%
Q2 25
-40.9%
0.4%
Q1 25
-52.8%
-0.7%
Q4 24
-177.8%
3.1%
Q3 24
-354.8%
1.9%
Q2 24
-120.3%
-3.4%
EPS (diluted)
MPW
MPW
ORN
ORN
Q1 26
$0.12
Q4 25
$0.03
$-0.00
Q3 25
$-0.13
$0.08
Q2 25
$-0.16
$0.02
Q1 25
$-0.20
$-0.04
Q4 24
$-0.68
$0.22
Q3 24
$-1.34
$0.12
Q2 24
$-0.54
$-0.20

Balance Sheet & Financial Strength

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

Metric
MPW
MPW
ORN
ORN
Cash + ST InvestmentsLiquidity on hand
$540.9M
$6.3M
Total DebtLower is stronger
$9.7B
Stockholders' EquityBook value
$4.6B
$166.7M
Total Assets
$15.0B
$478.7M
Debt / EquityLower = less leverage
2.11×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
MPW
MPW
ORN
ORN
Q1 26
$6.3M
Q4 25
$540.9M
$1.6M
Q3 25
$396.6M
$4.9M
Q2 25
$509.8M
$1.7M
Q1 25
$673.5M
$13.0M
Q4 24
$332.3M
$28.3M
Q3 24
$275.6M
$28.3M
Q2 24
$606.5M
$4.8M
Total Debt
MPW
MPW
ORN
ORN
Q1 26
Q4 25
$9.7B
Q3 25
$9.6B
Q2 25
$9.6B
$33.4M
Q1 25
$9.5B
$23.3M
Q4 24
$8.8B
$23.2M
Q3 24
$9.2B
$28.0M
Q2 24
$9.4B
$60.3M
Stockholders' Equity
MPW
MPW
ORN
ORN
Q1 26
$166.7M
Q4 25
$4.6B
$159.0M
Q3 25
$4.7B
$157.9M
Q2 25
$4.8B
$153.2M
Q1 25
$4.8B
$150.8M
Q4 24
$4.8B
$150.7M
Q3 24
$5.4B
$142.4M
Q2 24
$6.2B
$111.1M
Total Assets
MPW
MPW
ORN
ORN
Q1 26
$478.7M
Q4 25
$15.0B
$414.7M
Q3 25
$14.9B
$422.4M
Q2 25
$15.2B
$432.7M
Q1 25
$14.9B
$416.3M
Q4 24
$14.3B
$417.3M
Q3 24
$15.2B
$430.3M
Q2 24
$16.2B
$414.0M
Debt / Equity
MPW
MPW
ORN
ORN
Q1 26
Q4 25
2.11×
Q3 25
2.06×
Q2 25
2.00×
0.22×
Q1 25
1.99×
0.15×
Q4 24
1.83×
0.15×
Q3 24
1.69×
0.20×
Q2 24
1.51×
0.54×

Cash Flow & Capital Efficiency

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

Metric
MPW
MPW
ORN
ORN
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
MPW
MPW
ORN
ORN
Q1 26
Q4 25
$230.8M
$13.8M
Q3 25
$18.6M
$23.3M
Q2 25
$51.7M
$-5.6M
Q1 25
$384.0K
$-3.4M
Q4 24
$245.5M
$13.4M
Q3 24
$59.2M
$37.5M
Q2 24
$35.3M
$-15.3M
Free Cash Flow
MPW
MPW
ORN
ORN
Q1 26
Q4 25
$454.0K
Q3 25
$13.9M
Q2 25
$-12.7M
Q1 25
$-12.5M
Q4 24
$9.9M
Q3 24
$33.3M
Q2 24
$-20.0M
FCF Margin
MPW
MPW
ORN
ORN
Q1 26
Q4 25
0.2%
Q3 25
6.2%
Q2 25
-6.2%
Q1 25
-6.6%
Q4 24
4.6%
Q3 24
14.7%
Q2 24
-10.4%
Capex Intensity
MPW
MPW
ORN
ORN
Q1 26
Q4 25
5.7%
Q3 25
4.2%
Q2 25
3.5%
Q1 25
4.8%
Q4 24
1.6%
Q3 24
1.8%
Q2 24
2.4%
Cash Conversion
MPW
MPW
ORN
ORN
Q1 26
Q4 25
13.11×
Q3 25
7.05×
Q2 25
-6.61×
Q1 25
Q4 24
1.98×
Q3 24
8.79×
Q2 24

Financial Flow Comparison

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

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