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Side-by-side financial comparison of MEDICAL PROPERTIES TRUST INC (MPW) and Paymentus Holdings, Inc. (PAY). Click either name above to swap in a different company.
Paymentus Holdings, Inc. is the larger business by last-quarter revenue ($330.5M vs $270.3M, roughly 1.2× MEDICAL PROPERTIES TRUST INC). MEDICAL PROPERTIES TRUST INC runs the higher net margin — 6.5% vs 6.3%, a 0.3% gap on every dollar of revenue. On growth, Paymentus Holdings, Inc. posted the faster year-over-year revenue change (28.1% vs 16.6%). Over the past eight quarters, Paymentus Holdings, Inc.'s revenue compounded faster (33.7% 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...
Paymentus Holdings, Inc. is a leading cloud-based bill payment and customer engagement technology provider. It offers integrated digital payment solutions, billing automation tools, and self-service portals for enterprises across utilities, financial services, government, healthcare, and telecommunications segments, primarily operating in the North American market.
MPW vs PAY — Head-to-Head
Income Statement — Q4 FY2025 vs Q4 FY2025
| Metric | | |
|---|---|---|
| Revenue | $270.3M | $330.5M |
| Net Profit | $17.6M | $20.7M |
| Gross Margin | 95.8% | 25.4% |
| Operating Margin | 9.7% | 7.3% |
| Net Margin | 6.5% | 6.3% |
| Revenue YoY | 16.6% | 28.1% |
| Net Profit YoY | 104.3% | 57.2% |
| EPS (diluted) | $0.03 | $0.16 |
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.
| Q4 25 | $270.3M | $330.5M | ||
| Q3 25 | $237.5M | $310.7M | ||
| Q2 25 | $240.4M | $280.1M | ||
| Q1 25 | $223.8M | $275.2M | ||
| Q4 24 | $231.8M | $257.9M | ||
| Q3 24 | $225.8M | $231.6M | ||
| Q2 24 | $266.6M | $197.4M | ||
| Q1 24 | $271.3M | $184.9M |
| Q4 25 | $17.6M | $20.7M | ||
| Q3 25 | $-77.7M | $17.7M | ||
| Q2 25 | $-98.4M | $14.7M | ||
| Q1 25 | $-118.3M | $13.8M | ||
| Q4 24 | $-412.3M | $13.1M | ||
| Q3 24 | $-801.2M | $14.4M | ||
| Q2 24 | $-320.6M | $9.4M | ||
| Q1 24 | $-875.6M | $7.2M |
| Q4 25 | 95.8% | 25.4% | ||
| Q3 25 | — | 24.1% | ||
| Q2 25 | 91.8% | 25.5% | ||
| Q1 25 | 63.6% | 24.0% | ||
| Q4 24 | 90.9% | 25.6% | ||
| Q3 24 | 96.5% | 26.2% | ||
| Q2 24 | 98.4% | 29.8% | ||
| Q1 24 | 84.9% | 28.5% |
| Q4 25 | 9.7% | 7.3% | ||
| Q3 25 | -28.0% | 6.4% | ||
| Q2 25 | -36.7% | 5.7% | ||
| Q1 25 | -48.5% | 5.7% | ||
| Q4 24 | -173.7% | 5.5% | ||
| Q3 24 | -350.7% | 5.2% | ||
| Q2 24 | -114.5% | 5.2% | ||
| Q1 24 | -318.6% | 4.5% |
| Q4 25 | 6.5% | 6.3% | ||
| Q3 25 | -32.7% | 5.7% | ||
| Q2 25 | -40.9% | 5.3% | ||
| Q1 25 | -52.8% | 5.0% | ||
| Q4 24 | -177.8% | 5.1% | ||
| Q3 24 | -354.8% | 6.2% | ||
| Q2 24 | -120.3% | 4.7% | ||
| Q1 24 | -322.7% | 3.9% |
| Q4 25 | $0.03 | $0.16 | ||
| Q3 25 | $-0.13 | $0.14 | ||
| Q2 25 | $-0.16 | $0.11 | ||
| Q1 25 | $-0.20 | $0.11 | ||
| Q4 24 | $-0.68 | $0.11 | ||
| Q3 24 | $-1.34 | $0.11 | ||
| Q2 24 | $-0.54 | $0.07 | ||
| Q1 24 | $-1.46 | $0.06 |
Balance Sheet & Financial Strength
Snapshot of each company's liquidity, leverage and book value from the latest quarter.
| Metric | | |
|---|---|---|
| Cash + ST InvestmentsLiquidity on hand | $540.9M | $320.9M |
| Total DebtLower is stronger | $9.7B | — |
| Stockholders' EquityBook value | $4.6B | $560.4M |
| Total Assets | $15.0B | $667.9M |
| Debt / EquityLower = less leverage | 2.11× | — |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $540.9M | $320.9M | ||
| Q3 25 | $396.6M | $287.9M | ||
| Q2 25 | $509.8M | $266.4M | ||
| Q1 25 | $673.5M | $245.8M | ||
| Q4 24 | $332.3M | $205.9M | ||
| Q3 24 | $275.6M | $187.5M | ||
| Q2 24 | $606.5M | $188.8M | ||
| Q1 24 | $224.3M | $180.1M |
| 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 | — |
| Q4 25 | $4.6B | $560.4M | ||
| Q3 25 | $4.7B | $537.4M | ||
| Q2 25 | $4.8B | $516.7M | ||
| Q1 25 | $4.8B | $500.4M | ||
| Q4 24 | $4.8B | $485.6M | ||
| Q3 24 | $5.4B | $468.8M | ||
| Q2 24 | $6.2B | $451.6M | ||
| Q1 24 | $6.7B | $439.4M |
| Q4 25 | $15.0B | $667.9M | ||
| Q3 25 | $14.9B | $644.4M | ||
| Q2 25 | $15.2B | $609.5M | ||
| Q1 25 | $14.9B | $590.9M | ||
| Q4 24 | $14.3B | $576.2M | ||
| Q3 24 | $15.2B | $552.9M | ||
| Q2 24 | $16.2B | $527.7M | ||
| Q1 24 | $17.3B | $514.0M |
| 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 | | |
|---|---|---|
| Operating Cash FlowLast quarter | $230.8M | $45.1M |
| Free Cash FlowOCF − Capex | — | $45.0M |
| FCF MarginFCF / Revenue | — | 13.6% |
| Capex IntensityCapex / Revenue | — | 0.0% |
| Cash ConversionOCF / Net Profit | 13.11× | 2.18× |
| TTM Free Cash FlowTrailing 4 quarters | — | $161.8M |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $230.8M | $45.1M | ||
| Q3 25 | $18.6M | $35.1M | ||
| Q2 25 | $51.7M | $31.5M | ||
| Q1 25 | $384.0K | $50.4M | ||
| Q4 24 | $245.5M | $27.9M | ||
| Q3 24 | $59.2M | $6.7M | ||
| Q2 24 | $35.3M | $18.0M | ||
| Q1 24 | $74.3M | $11.0M |
| Q4 25 | — | $45.0M | ||
| Q3 25 | — | $35.0M | ||
| Q2 25 | — | $31.4M | ||
| Q1 25 | — | $50.4M | ||
| Q4 24 | — | $27.8M | ||
| Q3 24 | — | $6.7M | ||
| Q2 24 | — | $17.8M | ||
| Q1 24 | — | $10.8M |
| Q4 25 | — | 13.6% | ||
| Q3 25 | — | 11.3% | ||
| Q2 25 | — | 11.2% | ||
| Q1 25 | — | 18.3% | ||
| Q4 24 | — | 10.8% | ||
| Q3 24 | — | 2.9% | ||
| Q2 24 | — | 9.0% | ||
| Q1 24 | — | 5.9% |
| Q4 25 | — | 0.0% | ||
| Q3 25 | — | 0.0% | ||
| Q2 25 | — | 0.0% | ||
| Q1 25 | — | 0.0% | ||
| Q4 24 | — | 0.0% | ||
| Q3 24 | — | 0.0% | ||
| Q2 24 | — | 0.1% | ||
| Q1 24 | — | 0.1% |
| Q4 25 | 13.11× | 2.18× | ||
| Q3 25 | — | 1.98× | ||
| Q2 25 | — | 2.14× | ||
| Q1 25 | — | 3.65× | ||
| Q4 24 | — | 2.12× | ||
| Q3 24 | — | 0.47× | ||
| Q2 24 | — | 1.93× | ||
| Q1 24 | — | 1.52× |
Financial Flow Comparison
Revenue → gross profit → operating profit → net profit for each company.
Revenue Breakdown by Segment
MPW
Segment breakdown not available.
PAY
| Payment Transaction Processing Revenue | $326.9M | 99% |
| Other | $3.5M | 1% |
