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

Penumbra Inc is the larger business by last-quarter revenue ($385.4M vs $270.3M, roughly 1.4× MEDICAL PROPERTIES TRUST INC). Penumbra Inc runs the higher net margin — 12.3% vs 6.5%, a 5.8% gap on every dollar of revenue. On growth, Penumbra Inc posted the faster year-over-year revenue change (22.1% vs 16.6%). Over the past eight quarters, Penumbra Inc's revenue compounded faster (17.6% 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...

Penumbra, Inc. is an American medical device company headquartered in Alameda, California. The company was founded by Arani Bose and Adam Elsesser in 2004. It manufactures devices for interventional therapies to treat vascular conditions such as stroke and aneurysm.

MPW vs PEN — Head-to-Head

Bigger by revenue
PEN
PEN
1.4× larger
PEN
$385.4M
$270.3M
MPW
Growing faster (revenue YoY)
PEN
PEN
+5.5% gap
PEN
22.1%
16.6%
MPW
Higher net margin
PEN
PEN
5.8% more per $
PEN
12.3%
6.5%
MPW
Faster 2-yr revenue CAGR
PEN
PEN
Annualised
PEN
17.6%
-0.2%
MPW

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
MPW
MPW
PEN
PEN
Revenue
$270.3M
$385.4M
Net Profit
$17.6M
$47.3M
Gross Margin
95.8%
68.0%
Operating Margin
9.7%
15.4%
Net Margin
6.5%
12.3%
Revenue YoY
16.6%
22.1%
Net Profit YoY
104.3%
40.6%
EPS (diluted)
$0.03
$1.20

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
PEN
PEN
Q4 25
$270.3M
$385.4M
Q3 25
$237.5M
$354.7M
Q2 25
$240.4M
$339.5M
Q1 25
$223.8M
$324.1M
Q4 24
$231.8M
$315.5M
Q3 24
$225.8M
$301.0M
Q2 24
$266.6M
$299.4M
Q1 24
$271.3M
$278.7M
Net Profit
MPW
MPW
PEN
PEN
Q4 25
$17.6M
$47.3M
Q3 25
$-77.7M
$45.9M
Q2 25
$-98.4M
$45.3M
Q1 25
$-118.3M
$39.2M
Q4 24
$-412.3M
$33.7M
Q3 24
$-801.2M
$29.5M
Q2 24
$-320.6M
$-60.2M
Q1 24
$-875.6M
$11.0M
Gross Margin
MPW
MPW
PEN
PEN
Q4 25
95.8%
68.0%
Q3 25
67.8%
Q2 25
91.8%
66.0%
Q1 25
63.6%
66.6%
Q4 24
90.9%
66.8%
Q3 24
96.5%
66.5%
Q2 24
98.4%
54.4%
Q1 24
84.9%
65.0%
Operating Margin
MPW
MPW
PEN
PEN
Q4 25
9.7%
15.4%
Q3 25
-28.0%
13.8%
Q2 25
-36.7%
12.0%
Q1 25
-48.5%
12.4%
Q4 24
-173.7%
13.6%
Q3 24
-350.7%
11.7%
Q2 24
-114.5%
-27.0%
Q1 24
-318.6%
4.3%
Net Margin
MPW
MPW
PEN
PEN
Q4 25
6.5%
12.3%
Q3 25
-32.7%
12.9%
Q2 25
-40.9%
13.3%
Q1 25
-52.8%
12.1%
Q4 24
-177.8%
10.7%
Q3 24
-354.8%
9.8%
Q2 24
-120.3%
-20.1%
Q1 24
-322.7%
3.9%
EPS (diluted)
MPW
MPW
PEN
PEN
Q4 25
$0.03
$1.20
Q3 25
$-0.13
$1.17
Q2 25
$-0.16
$1.15
Q1 25
$-0.20
$1.00
Q4 24
$-0.68
$0.88
Q3 24
$-1.34
$0.75
Q2 24
$-0.54
$-1.55
Q1 24
$-1.46
$0.28

Balance Sheet & Financial Strength

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

Metric
MPW
MPW
PEN
PEN
Cash + ST InvestmentsLiquidity on hand
$540.9M
$186.9M
Total DebtLower is stronger
$9.7B
Stockholders' EquityBook value
$4.6B
$1.4B
Total Assets
$15.0B
$1.8B
Debt / EquityLower = less leverage
2.11×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
MPW
MPW
PEN
PEN
Q4 25
$540.9M
$186.9M
Q3 25
$396.6M
$321.0M
Q2 25
$509.8M
$421.8M
Q1 25
$673.5M
$376.1M
Q4 24
$332.3M
$324.4M
Q3 24
$275.6M
$280.5M
Q2 24
$606.5M
$288.3M
Q1 24
$224.3M
$223.1M
Total Debt
MPW
MPW
PEN
PEN
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
MPW
MPW
PEN
PEN
Q4 25
$4.6B
$1.4B
Q3 25
$4.7B
$1.4B
Q2 25
$4.8B
$1.3B
Q1 25
$4.8B
$1.2B
Q4 24
$4.8B
$1.2B
Q3 24
$5.4B
$1.1B
Q2 24
$6.2B
$1.2B
Q1 24
$6.7B
$1.2B
Total Assets
MPW
MPW
PEN
PEN
Q4 25
$15.0B
$1.8B
Q3 25
$14.9B
$1.7B
Q2 25
$15.2B
$1.7B
Q1 25
$14.9B
$1.6B
Q4 24
$14.3B
$1.5B
Q3 24
$15.2B
$1.5B
Q2 24
$16.2B
$1.5B
Q1 24
$17.3B
$1.6B
Debt / Equity
MPW
MPW
PEN
PEN
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
MPW
MPW
PEN
PEN
Operating Cash FlowLast quarter
$230.8M
$86.5M
Free Cash FlowOCF − Capex
$68.0M
FCF MarginFCF / Revenue
17.7%
Capex IntensityCapex / Revenue
4.8%
Cash ConversionOCF / Net Profit
13.11×
1.83×
TTM Free Cash FlowTrailing 4 quarters
$174.9M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
MPW
MPW
PEN
PEN
Q4 25
$230.8M
$86.5M
Q3 25
$18.6M
$58.3M
Q2 25
$51.7M
$44.9M
Q1 25
$384.0K
$49.0M
Q4 24
$245.5M
$51.1M
Q3 24
$59.2M
$56.5M
Q2 24
$35.3M
$22.6M
Q1 24
$74.3M
$38.3M
Free Cash Flow
MPW
MPW
PEN
PEN
Q4 25
$68.0M
Q3 25
$42.0M
Q2 25
$29.4M
Q1 25
$35.5M
Q4 24
$45.7M
Q3 24
$51.0M
Q2 24
$18.1M
Q1 24
$32.5M
FCF Margin
MPW
MPW
PEN
PEN
Q4 25
17.7%
Q3 25
11.8%
Q2 25
8.7%
Q1 25
11.0%
Q4 24
14.5%
Q3 24
16.9%
Q2 24
6.0%
Q1 24
11.7%
Capex Intensity
MPW
MPW
PEN
PEN
Q4 25
4.8%
Q3 25
4.6%
Q2 25
4.6%
Q1 25
4.2%
Q4 24
1.7%
Q3 24
1.8%
Q2 24
1.5%
Q1 24
2.1%
Cash Conversion
MPW
MPW
PEN
PEN
Q4 25
13.11×
1.83×
Q3 25
1.27×
Q2 25
0.99×
Q1 25
1.25×
Q4 24
1.52×
Q3 24
1.91×
Q2 24
Q1 24
3.48×

Financial Flow Comparison

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

Revenue Breakdown by Segment

MPW
MPW

Segment breakdown not available.

PEN
PEN

Thrombectomy$254.7M66%
Other$130.7M34%

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