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Side-by-side financial comparison of MEDICAL PROPERTIES TRUST INC (MPW) and TransMedics Group, Inc. (TMDX). 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 $160.8M, roughly 1.7× TransMedics Group, Inc.). TransMedics Group, Inc. runs the higher net margin — 65.6% vs 6.5%, a 59.0% gap on every dollar of revenue. On growth, TransMedics Group, Inc. posted the faster year-over-year revenue change (32.2% vs 16.6%). Over the past eight quarters, TransMedics Group, Inc.'s revenue compounded faster (28.8% 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...

TransMedics Group, Inc. develops and commercializes innovative medical technologies for organ transplantation. Its flagship Organ Care System keeps donor organs viable during transport, improving transplant outcomes for heart, lung, liver and kidney recipients. It serves transplant centers and organ procurement organizations across North America, Europe and Asia-Pacific.

MPW vs TMDX — Head-to-Head

Bigger by revenue
MPW
MPW
1.7× larger
MPW
$270.3M
$160.8M
TMDX
Growing faster (revenue YoY)
TMDX
TMDX
+15.6% gap
TMDX
32.2%
16.6%
MPW
Higher net margin
TMDX
TMDX
59.0% more per $
TMDX
65.6%
6.5%
MPW
Faster 2-yr revenue CAGR
TMDX
TMDX
Annualised
TMDX
28.8%
-0.2%
MPW

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
MPW
MPW
TMDX
TMDX
Revenue
$270.3M
$160.8M
Net Profit
$17.6M
$105.4M
Gross Margin
95.8%
58.1%
Operating Margin
9.7%
13.2%
Net Margin
6.5%
65.6%
Revenue YoY
16.6%
32.2%
Net Profit YoY
104.3%
1436.9%
EPS (diluted)
$0.03
$2.59

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
TMDX
TMDX
Q4 25
$270.3M
$160.8M
Q3 25
$237.5M
$143.8M
Q2 25
$240.4M
$157.4M
Q1 25
$223.8M
$143.5M
Q4 24
$231.8M
$121.6M
Q3 24
$225.8M
$108.8M
Q2 24
$266.6M
$114.3M
Q1 24
$271.3M
$96.8M
Net Profit
MPW
MPW
TMDX
TMDX
Q4 25
$17.6M
$105.4M
Q3 25
$-77.7M
$24.3M
Q2 25
$-98.4M
$34.9M
Q1 25
$-118.3M
$25.7M
Q4 24
$-412.3M
$6.9M
Q3 24
$-801.2M
$4.2M
Q2 24
$-320.6M
$12.2M
Q1 24
$-875.6M
$12.2M
Gross Margin
MPW
MPW
TMDX
TMDX
Q4 25
95.8%
58.1%
Q3 25
58.8%
Q2 25
91.8%
61.4%
Q1 25
63.6%
61.5%
Q4 24
90.9%
59.2%
Q3 24
96.5%
55.9%
Q2 24
98.4%
60.6%
Q1 24
84.9%
61.9%
Operating Margin
MPW
MPW
TMDX
TMDX
Q4 25
9.7%
13.2%
Q3 25
-28.0%
16.2%
Q2 25
-36.7%
23.2%
Q1 25
-48.5%
19.1%
Q4 24
-173.7%
7.1%
Q3 24
-350.7%
3.6%
Q2 24
-114.5%
10.9%
Q1 24
-318.6%
12.8%
Net Margin
MPW
MPW
TMDX
TMDX
Q4 25
6.5%
65.6%
Q3 25
-32.7%
16.9%
Q2 25
-40.9%
22.2%
Q1 25
-52.8%
17.9%
Q4 24
-177.8%
5.6%
Q3 24
-354.8%
3.9%
Q2 24
-120.3%
10.7%
Q1 24
-322.7%
12.6%
EPS (diluted)
MPW
MPW
TMDX
TMDX
Q4 25
$0.03
$2.59
Q3 25
$-0.13
$0.66
Q2 25
$-0.16
$0.92
Q1 25
$-0.20
$0.70
Q4 24
$-0.68
$0.19
Q3 24
$-1.34
$0.12
Q2 24
$-0.54
$0.35
Q1 24
$-1.46
$0.35

Balance Sheet & Financial Strength

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

Metric
MPW
MPW
TMDX
TMDX
Cash + ST InvestmentsLiquidity on hand
$540.9M
Total DebtLower is stronger
$9.7B
Stockholders' EquityBook value
$4.6B
$473.1M
Total Assets
$15.0B
$1.1B
Debt / EquityLower = less leverage
2.11×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
MPW
MPW
TMDX
TMDX
Q4 25
$540.9M
Q3 25
$396.6M
Q2 25
$509.8M
Q1 25
$673.5M
Q4 24
$332.3M
Q3 24
$275.6M
$330.1M
Q2 24
$606.5M
$362.8M
Q1 24
$224.3M
$350.2M
Total Debt
MPW
MPW
TMDX
TMDX
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
TMDX
TMDX
Q4 25
$4.6B
$473.1M
Q3 25
$4.7B
$355.2M
Q2 25
$4.8B
$318.1M
Q1 25
$4.8B
$266.3M
Q4 24
$4.8B
$228.6M
Q3 24
$5.4B
$209.9M
Q2 24
$6.2B
$189.9M
Q1 24
$6.7B
$159.5M
Total Assets
MPW
MPW
TMDX
TMDX
Q4 25
$15.0B
$1.1B
Q3 25
$14.9B
$946.0M
Q2 25
$15.2B
$890.5M
Q1 25
$14.9B
$837.5M
Q4 24
$14.3B
$804.1M
Q3 24
$15.2B
$785.6M
Q2 24
$16.2B
$758.6M
Q1 24
$17.3B
$723.8M
Debt / Equity
MPW
MPW
TMDX
TMDX
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
TMDX
TMDX
Operating Cash FlowLast quarter
$230.8M
$34.5M
Free Cash FlowOCF − Capex
$19.0M
FCF MarginFCF / Revenue
11.8%
Capex IntensityCapex / Revenue
9.7%
Cash ConversionOCF / Net Profit
13.11×
0.33×
TTM Free Cash FlowTrailing 4 quarters
$133.6M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
MPW
MPW
TMDX
TMDX
Q4 25
$230.8M
$34.5M
Q3 25
$18.6M
$69.6M
Q2 25
$51.7M
$91.6M
Q1 25
$384.0K
$-2.9M
Q4 24
$245.5M
$19.7M
Q3 24
$59.2M
$6.9M
Q2 24
$35.3M
$25.7M
Q1 24
$74.3M
$-3.4M
Free Cash Flow
MPW
MPW
TMDX
TMDX
Q4 25
$19.0M
Q3 25
$61.9M
Q2 25
$82.5M
Q1 25
$-29.9M
Q4 24
$6.1M
Q3 24
$-41.3M
Q2 24
$2.0M
Q1 24
$-47.6M
FCF Margin
MPW
MPW
TMDX
TMDX
Q4 25
11.8%
Q3 25
43.1%
Q2 25
52.4%
Q1 25
-20.8%
Q4 24
5.0%
Q3 24
-38.0%
Q2 24
1.7%
Q1 24
-49.2%
Capex Intensity
MPW
MPW
TMDX
TMDX
Q4 25
9.7%
Q3 25
5.3%
Q2 25
5.8%
Q1 25
18.8%
Q4 24
11.2%
Q3 24
44.3%
Q2 24
20.8%
Q1 24
45.6%
Cash Conversion
MPW
MPW
TMDX
TMDX
Q4 25
13.11×
0.33×
Q3 25
2.86×
Q2 25
2.62×
Q1 25
-0.11×
Q4 24
2.87×
Q3 24
1.63×
Q2 24
2.11×
Q1 24
-0.28×

Financial Flow Comparison

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

Revenue Breakdown by Segment

MPW
MPW

Segment breakdown not available.

TMDX
TMDX

Liver Product$127.0M79%
Heart Product$26.0M16%
Other$5.9M4%
Lung Product$1.9M1%

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