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Side-by-side financial comparison of MEDICAL PROPERTIES TRUST INC (MPW) and U S PHYSICAL THERAPY INC (USPH). 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 $202.7M, roughly 1.3× U S PHYSICAL THERAPY INC). MEDICAL PROPERTIES TRUST INC runs the higher net margin — 6.5% vs 2.0%, a 4.5% gap on every dollar of revenue. On growth, MEDICAL PROPERTIES TRUST INC posted the faster year-over-year revenue change (16.6% vs 12.3%). Over the past eight quarters, U S PHYSICAL THERAPY INC's revenue compounded faster (14.1% 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...

U.S. Physical Therapy Inc. operates hundreds of outpatient physical therapy clinics across the U.S. It offers rehabilitative care for patients recovering from injuries, surgeries, chronic pain and mobility impairments, plus specialized services including sports medicine and pediatric rehabilitation.

MPW vs USPH — Head-to-Head

Bigger by revenue
MPW
MPW
1.3× larger
MPW
$270.3M
$202.7M
USPH
Growing faster (revenue YoY)
MPW
MPW
+4.3% gap
MPW
16.6%
12.3%
USPH
Higher net margin
MPW
MPW
4.5% more per $
MPW
6.5%
2.0%
USPH
Faster 2-yr revenue CAGR
USPH
USPH
Annualised
USPH
14.1%
-0.2%
MPW

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
MPW
MPW
USPH
USPH
Revenue
$270.3M
$202.7M
Net Profit
$17.6M
$4.2M
Gross Margin
95.8%
19.8%
Operating Margin
9.7%
8.3%
Net Margin
6.5%
2.0%
Revenue YoY
16.6%
12.3%
Net Profit YoY
104.3%
-55.1%
EPS (diluted)
$0.03
$-0.44

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
USPH
USPH
Q4 25
$270.3M
$202.7M
Q3 25
$237.5M
$197.1M
Q2 25
$240.4M
$197.3M
Q1 25
$223.8M
$183.8M
Q4 24
$231.8M
$180.4M
Q3 24
$225.8M
$168.0M
Q2 24
$266.6M
$167.2M
Q1 24
$271.3M
$155.7M
Net Profit
MPW
MPW
USPH
USPH
Q4 25
$17.6M
$4.2M
Q3 25
$-77.7M
$13.1M
Q2 25
$-98.4M
$12.4M
Q1 25
$-118.3M
$9.9M
Q4 24
$-412.3M
$9.2M
Q3 24
$-801.2M
$6.6M
Q2 24
$-320.6M
$7.5M
Q1 24
$-875.6M
$8.0M
Gross Margin
MPW
MPW
USPH
USPH
Q4 25
95.8%
19.8%
Q3 25
18.7%
Q2 25
91.8%
21.1%
Q1 25
63.6%
16.9%
Q4 24
90.9%
18.0%
Q3 24
96.5%
17.3%
Q2 24
98.4%
20.3%
Q1 24
84.9%
18.2%
Operating Margin
MPW
MPW
USPH
USPH
Q4 25
9.7%
8.3%
Q3 25
-28.0%
12.8%
Q2 25
-36.7%
12.6%
Q1 25
-48.5%
10.7%
Q4 24
-173.7%
10.9%
Q3 24
-350.7%
7.6%
Q2 24
-114.5%
9.3%
Q1 24
-318.6%
9.6%
Net Margin
MPW
MPW
USPH
USPH
Q4 25
6.5%
2.0%
Q3 25
-32.7%
6.7%
Q2 25
-40.9%
6.3%
Q1 25
-52.8%
5.4%
Q4 24
-177.8%
5.1%
Q3 24
-354.8%
3.9%
Q2 24
-120.3%
4.5%
Q1 24
-322.7%
5.2%
EPS (diluted)
MPW
MPW
USPH
USPH
Q4 25
$0.03
$-0.44
Q3 25
$-0.13
$0.48
Q2 25
$-0.16
$0.58
Q1 25
$-0.20
$0.80
Q4 24
$-0.68
$0.52
Q3 24
$-1.34
$0.39
Q2 24
$-0.54
$0.47
Q1 24
$-1.46
$0.46

Balance Sheet & Financial Strength

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

Metric
MPW
MPW
USPH
USPH
Cash + ST InvestmentsLiquidity on hand
$540.9M
$35.6M
Total DebtLower is stronger
$9.7B
Stockholders' EquityBook value
$4.6B
$476.4M
Total Assets
$15.0B
$1.2B
Debt / EquityLower = less leverage
2.11×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
MPW
MPW
USPH
USPH
Q4 25
$540.9M
$35.6M
Q3 25
$396.6M
$31.1M
Q2 25
$509.8M
$34.1M
Q1 25
$673.5M
$39.2M
Q4 24
$332.3M
$41.4M
Q3 24
$275.6M
$117.0M
Q2 24
$606.5M
$112.9M
Q1 24
$224.3M
$132.3M
Total Debt
MPW
MPW
USPH
USPH
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
USPH
USPH
Q4 25
$4.6B
$476.4M
Q3 25
$4.7B
$503.6M
Q2 25
$4.8B
$500.8M
Q1 25
$4.8B
$497.3M
Q4 24
$4.8B
$488.9M
Q3 24
$5.4B
$482.8M
Q2 24
$6.2B
$484.6M
Q1 24
$6.7B
$479.8M
Total Assets
MPW
MPW
USPH
USPH
Q4 25
$15.0B
$1.2B
Q3 25
$14.9B
$1.2B
Q2 25
$15.2B
$1.2B
Q1 25
$14.9B
$1.2B
Q4 24
$14.3B
$1.2B
Q3 24
$15.2B
$1.0B
Q2 24
$16.2B
$1.0B
Q1 24
$17.3B
$1.0B
Debt / Equity
MPW
MPW
USPH
USPH
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
USPH
USPH
Operating Cash FlowLast quarter
$230.8M
$24.9M
Free Cash FlowOCF − Capex
$21.0M
FCF MarginFCF / Revenue
10.4%
Capex IntensityCapex / Revenue
1.9%
Cash ConversionOCF / Net Profit
13.11×
6.00×
TTM Free Cash FlowTrailing 4 quarters
$61.0M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
MPW
MPW
USPH
USPH
Q4 25
$230.8M
$24.9M
Q3 25
$18.6M
$19.9M
Q2 25
$51.7M
$34.9M
Q1 25
$384.0K
$-4.7M
Q4 24
$245.5M
$19.4M
Q3 24
$59.2M
$22.1M
Q2 24
$35.3M
$29.0M
Q1 24
$74.3M
$4.4M
Free Cash Flow
MPW
MPW
USPH
USPH
Q4 25
$21.0M
Q3 25
$15.6M
Q2 25
$31.6M
Q1 25
$-7.3M
Q4 24
$16.9M
Q3 24
$19.6M
Q2 24
$26.7M
Q1 24
$2.6M
FCF Margin
MPW
MPW
USPH
USPH
Q4 25
10.4%
Q3 25
7.9%
Q2 25
16.0%
Q1 25
-3.9%
Q4 24
9.4%
Q3 24
11.7%
Q2 24
15.9%
Q1 24
1.7%
Capex Intensity
MPW
MPW
USPH
USPH
Q4 25
1.9%
Q3 25
2.2%
Q2 25
1.6%
Q1 25
1.4%
Q4 24
1.4%
Q3 24
1.5%
Q2 24
1.4%
Q1 24
1.2%
Cash Conversion
MPW
MPW
USPH
USPH
Q4 25
13.11×
6.00×
Q3 25
1.52×
Q2 25
2.81×
Q1 25
-0.47×
Q4 24
2.10×
Q3 24
3.34×
Q2 24
3.86×
Q1 24
0.55×

Financial Flow Comparison

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

Revenue Breakdown by Segment

MPW
MPW

Segment breakdown not available.

USPH
USPH

Net Patient Revenues$169.7M84%
Industrial Injury Prevention Services Revenues$28.9M14%
Management Contract Revenues$2.3M1%

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