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Side-by-side financial comparison of MEDICAL PROPERTIES TRUST INC (MPW) and Waystar Holding Corp. (WAY). Click either name above to swap in a different company.

Waystar Holding Corp. is the larger business by last-quarter revenue ($313.9M vs $270.3M, roughly 1.2× MEDICAL PROPERTIES TRUST INC). Waystar Holding Corp. runs the higher net margin — 13.8% vs 6.5%, a 7.3% gap on every dollar of revenue. On growth, Waystar Holding Corp. posted the faster year-over-year revenue change (22.4% vs 16.6%). Over the past eight quarters, Waystar Holding Corp.'s revenue compounded faster (15.7% 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...

Waystar Holding Corp is a leading provider of integrated healthcare payment and revenue cycle management solutions. It serves healthcare providers, health systems, and payers across the United States, offering tools that streamline billing, claims processing, patient payment collection, and revenue optimization to reduce administrative burdens and improve financial performance for healthcare organizations.

MPW vs WAY — Head-to-Head

Bigger by revenue
WAY
WAY
1.2× larger
WAY
$313.9M
$270.3M
MPW
Growing faster (revenue YoY)
WAY
WAY
+5.8% gap
WAY
22.4%
16.6%
MPW
Higher net margin
WAY
WAY
7.3% more per $
WAY
13.8%
6.5%
MPW
Faster 2-yr revenue CAGR
WAY
WAY
Annualised
WAY
15.7%
-0.2%
MPW

Income Statement — Q4 FY2025 vs Q1 FY2026

Metric
MPW
MPW
WAY
WAY
Revenue
$270.3M
$313.9M
Net Profit
$17.6M
$43.3M
Gross Margin
95.8%
Operating Margin
9.7%
25.6%
Net Margin
6.5%
13.8%
Revenue YoY
16.6%
22.4%
Net Profit YoY
104.3%
47.9%
EPS (diluted)
$0.03
$0.42

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
WAY
WAY
Q1 26
$313.9M
Q4 25
$270.3M
$303.5M
Q3 25
$237.5M
$268.7M
Q2 25
$240.4M
$270.7M
Q1 25
$223.8M
$256.4M
Q4 24
$231.8M
$244.1M
Q3 24
$225.8M
$240.1M
Q2 24
$266.6M
$234.5M
Net Profit
MPW
MPW
WAY
WAY
Q1 26
$43.3M
Q4 25
$17.6M
$20.0M
Q3 25
$-77.7M
$30.6M
Q2 25
$-98.4M
$32.2M
Q1 25
$-118.3M
$29.3M
Q4 24
$-412.3M
$19.1M
Q3 24
$-801.2M
$5.4M
Q2 24
$-320.6M
$-27.7M
Gross Margin
MPW
MPW
WAY
WAY
Q1 26
Q4 25
95.8%
Q3 25
Q2 25
91.8%
Q1 25
63.6%
Q4 24
90.9%
Q3 24
96.5%
Q2 24
98.4%
Operating Margin
MPW
MPW
WAY
WAY
Q1 26
25.6%
Q4 25
9.7%
19.4%
Q3 25
-28.0%
22.4%
Q2 25
-36.7%
24.0%
Q1 25
-48.5%
25.4%
Q4 24
-173.7%
21.8%
Q3 24
-350.7%
11.3%
Q2 24
-114.5%
3.5%
Net Margin
MPW
MPW
WAY
WAY
Q1 26
13.8%
Q4 25
6.5%
6.6%
Q3 25
-32.7%
11.4%
Q2 25
-40.9%
11.9%
Q1 25
-52.8%
11.4%
Q4 24
-177.8%
7.8%
Q3 24
-354.8%
2.3%
Q2 24
-120.3%
-11.8%
EPS (diluted)
MPW
MPW
WAY
WAY
Q1 26
$0.42
Q4 25
$0.03
$0.10
Q3 25
$-0.13
$0.17
Q2 25
$-0.16
$0.18
Q1 25
$-0.20
$0.16
Q4 24
$-0.68
$0.18
Q3 24
$-1.34
$0.03
Q2 24
$-0.54
$-0.21

Balance Sheet & Financial Strength

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

Metric
MPW
MPW
WAY
WAY
Cash + ST InvestmentsLiquidity on hand
$540.9M
$34.3M
Total DebtLower is stronger
$9.7B
$13.5M
Stockholders' EquityBook value
$4.6B
$3.9B
Total Assets
$15.0B
$5.8B
Debt / EquityLower = less leverage
2.11×
0.00×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
MPW
MPW
WAY
WAY
Q1 26
$34.3M
Q4 25
$540.9M
$61.4M
Q3 25
$396.6M
$421.1M
Q2 25
$509.8M
$290.3M
Q1 25
$673.5M
$224.0M
Q4 24
$332.3M
$182.1M
Q3 24
$275.6M
$127.1M
Q2 24
$606.5M
$68.4M
Total Debt
MPW
MPW
WAY
WAY
Q1 26
$13.5M
Q4 25
$9.7B
$1.5B
Q3 25
$9.6B
Q2 25
$9.6B
Q1 25
$9.5B
Q4 24
$8.8B
$1.2B
Q3 24
$9.2B
Q2 24
$9.4B
Stockholders' Equity
MPW
MPW
WAY
WAY
Q1 26
$3.9B
Q4 25
$4.6B
$3.9B
Q3 25
$4.7B
$3.2B
Q2 25
$4.8B
$3.2B
Q1 25
$4.8B
$3.1B
Q4 24
$4.8B
$3.1B
Q3 24
$5.4B
$3.1B
Q2 24
$6.2B
$2.9B
Total Assets
MPW
MPW
WAY
WAY
Q1 26
$5.8B
Q4 25
$15.0B
$5.8B
Q3 25
$14.9B
$4.7B
Q2 25
$15.2B
$4.7B
Q1 25
$14.9B
$4.6B
Q4 24
$14.3B
$4.6B
Q3 24
$15.2B
$4.5B
Q2 24
$16.2B
$4.6B
Debt / Equity
MPW
MPW
WAY
WAY
Q1 26
0.00×
Q4 25
2.11×
0.38×
Q3 25
2.06×
Q2 25
2.00×
Q1 25
1.99×
Q4 24
1.83×
0.40×
Q3 24
1.69×
Q2 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
WAY
WAY
Operating Cash FlowLast quarter
$230.8M
$84.9M
Free Cash FlowOCF − Capex
$90.3M
FCF MarginFCF / Revenue
28.8%
Capex IntensityCapex / Revenue
Cash ConversionOCF / Net Profit
13.11×
1.96×
TTM Free Cash FlowTrailing 4 quarters
$314.6M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
MPW
MPW
WAY
WAY
Q1 26
$84.9M
Q4 25
$230.8M
$66.6M
Q3 25
$18.6M
$82.0M
Q2 25
$51.7M
$96.8M
Q1 25
$384.0K
$64.2M
Q4 24
$245.5M
Q3 24
$59.2M
$78.8M
Q2 24
$35.3M
$15.4M
Free Cash Flow
MPW
MPW
WAY
WAY
Q1 26
$90.3M
Q4 25
$57.2M
Q3 25
$76.2M
Q2 25
$91.0M
Q1 25
$58.8M
Q4 24
Q3 24
$70.2M
Q2 24
$8.6M
FCF Margin
MPW
MPW
WAY
WAY
Q1 26
28.8%
Q4 25
18.9%
Q3 25
28.3%
Q2 25
33.6%
Q1 25
22.9%
Q4 24
Q3 24
29.2%
Q2 24
3.7%
Capex Intensity
MPW
MPW
WAY
WAY
Q1 26
Q4 25
3.1%
Q3 25
2.2%
Q2 25
2.1%
Q1 25
2.1%
Q4 24
Q3 24
3.6%
Q2 24
2.9%
Cash Conversion
MPW
MPW
WAY
WAY
Q1 26
1.96×
Q4 25
13.11×
3.33×
Q3 25
2.68×
Q2 25
3.01×
Q1 25
2.20×
Q4 24
Q3 24
14.56×
Q2 24

Financial Flow Comparison

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

Revenue Breakdown by Segment

MPW
MPW

Segment breakdown not available.

WAY
WAY

Subscription$172.2M55%
Volume-based$139.5M44%

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