8-K

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

 

 

FORM 8-K

 

 

CURRENT REPORT

PURSUANT TO SECTION 13 OR 15(d)

OF THE SECURITIES EXCHANGE ACT OF 1934

Date of report (Date of earliest event reported): February 8, 2018

 

 

MEDICAL PROPERTIES TRUST, INC.

(Exact Name of Registrant as Specified in Charter)

 

 

Commission File Number 001-32559

 

Maryland   20-0191742

(State or other jurisdiction of

incorporation or organization)

 

(I.R.S. Employer

Identification No.)

1000 Urban Center Drive, Suite 501

Birmingham, AL

  35242
(Address of principal executive offices)   (Zip Code)

Registrant’s telephone number, including area code

(205) 969-3755

N/A

(Former name or former address, if changed since last report.)

 

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the Registrant under any of the following provisions:

 

Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

 

Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

 

Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

 

Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).

Emerging growth company  ☐

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.  ☐

 

 

 


Item 2.02. Results of Operations and Financial Condition.

On February 8, 2018, Medical Properties Trust, Inc. issued a press release announcing its financial results for the quarter and year ended December 31, 2017. A copy of the press release is attached as Exhibit 99.1 to this Current Report on Form 8-K and is incorporated herein by reference. The information in this Current Report on Form 8-K, including the information set forth in Exhibit 99.1 and Exhibit 99.2 attached hereto, shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended, or otherwise subject to the liability of that section or Sections 11 and 12(a)(2) of the Securities Act of 1933, as amended. In addition, this information shall not be deemed incorporated by reference in any filing of Medical Properties Trust, Inc. with the Securities and Exchange Commission, except as expressly set forth by specific reference in any such filing.

The Company disclosed three non-GAAP financial measures in the attached press release for the quarter and year ended December 31, 2017: Funds from operations, Normalized funds from operations and Adjusted funds from operations. The most directly comparable GAAP financial measure to each of these non-GAAP financial measures is net income, which was $71.9 million, or $0.19 per diluted share for the quarter ended December 31, 2017, compared to $43.0 million, or $0.13 per diluted share for the quarter ended December 31, 2016. For the year ended December 31, 2017, net income was $289.8 million, or $0.82 per diluted share compared to $225.0 million, or $0.86 per diluted share for the year ended December 31, 2016. In the attached press release, the Company disclosed Funds from operations of $107.7 million and $408.5 million for the quarter and year ended December 31, 2017, respectively, and Normalized funds from operations of $134.8 million and $474.9 million for the quarter and year ended December 31, 2017, respectively. Adjusted funds from operations were disclosed in the press release as $112.5 million and $407.9 million for the quarter and year ended December 31, 2017, respectively.

A reconciliation of the non-GAAP financial measures to net income as well as a statement disclosing the reasons why the Company’s management believes that presentation of these non-GAAP financial measures provides useful information to investors regarding the Company’s financial condition and results of operations are included in Exhibits 99.1 and 99.2.

 

Item 9.01. Financial Statements and Exhibits.

(d) Exhibits.

 

Exhibit
Number
  

Description

99.1    Press release dated February 8, 2018 reporting financial results for the quarter and year ended December 31, 2017
99.2    Medical Properties Trust, Inc. 4th Quarter 2017 Supplemental Information

 

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SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, as amended, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunder duly authorized.

 

MEDICAL PROPERTIES TRUST, INC.
By:  

/s/ R. Steven Hamner

Name:   R. Steven Hamner
Title:   Executive Vice President and Chief Financial Officer

Date: February 8, 2018

 

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EX-99.1

Exhibit 99.1

 

LOGO

 

   Contact: Tim Berryman
   Director – Investor Relations
   Medical Properties Trust, Inc.
   (205) 969-3755
   tberryman@medicalpropertiestrust.com

MEDICAL PROPERTIES TRUST, INC. REPORTS 2017 FOURTH QUARTER AND ANNUAL RESULTS

Per Share Net Income of $0.19 and Normalized FFO of $0.37 Up 46% and 19% Respectively Compared to Prior Year Quarter

$2.2 Billion In 2017 Investments Drive 33% Annual Growth

Birmingham, AL – February 8, 2018 – Medical Properties Trust, Inc. (the “Company” or “MPT”) (NYSE: MPW) today announced financial and operating results for the fourth quarter and year ended December 31, 2017 and recent highlights.

“MPT’s overriding objective is to create value for our shareholders, and we accomplished this again in the fourth quarter by growing normalized FFO more than 19% to a record $0.37 per share. Annual results also included a record $1.35 per share normalized FFO and we delivered total shareholder returns at the very top of the healthcare REIT sector,” said Edward K. Aldag, Jr., MPT’s Chairman, President and Chief Executive Officer. “During this outstanding year, we executed extremely well in the capital markets, issuing dollar and euro-denominated debt at the lowest coupons in our history and made strongly accretive investments, winning transactions against large, sophisticated competition. These acquisitions contributed to 33% growth in assets year over year, and an enterprise value that is now approaching $10 billion. Indeed, 2017 was an active year for MPT, and we are well positioned for continued accretive growth in 2018 and beyond,” said Aldag.

FOURTH QUARTER AND RECENT HIGHLIGHTS

 

    Net income of $0.19 and Normalized Funds from Operations (“NFFO”) of $0.37 in the fourth quarter, both on a per diluted share basis, representing increases of 46% and 19% respectively compared to $0.13 and $0.31 in prior year quarter;

 

    Closed approximately $2.2 billion in acquisitions in 2017 compared to approximately $1.8 billion in 2016 and $1.7 billion in 2015 resulting in 34% compound annual growth in assets over the past three years;

 

    Transitioned Adeptus leases for all 11 Colorado emergency facilities to investment grade-rated UCHealth and amended the master lease to provide a new 15-year initial term effective January 1, 2018 with three five-year renewal options;

 

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    Completed the previously announced acquisition of three Median rehabilitation hospitals in late November for an aggregate purchase price of €80 million, or approximately $95 million;

 

    Commenced funding the development of an 88-bed general acute care hospital in Idaho Falls, Idaho in December with an expected total investment of $113.5 million; and

 

    Entered into At-the-Market agreements under which MPT may issue and sell shares of its common stock having an aggregate offering price of up to $750 million from time to time over the next three years.

Included in the financial tables accompanying this press release is information about the Company’s assets and liabilities, net income and reconciliations of net income to FFO, NFFO and Adjusted Funds from Operations (“AFFO”), all on a basis comparable to 2016 results.

PORTFOLIO UPDATE

In the fourth quarter, MPT completed $95.0 million in real estate acquisitions and commenced funding the development of a $113.5 million acute care hospital. With these transactions and commitments, the Company has pro forma total gross assets of approximately $9.5 billion including $6.6 billion in general acute care hospitals, $2.0 billion in inpatient rehabilitation hospitals, and $0.4 billion in long-term acute care hospitals. The pro forma portfolio includes 276 properties representing more than 32,000 licensed beds in 29 states and in Germany, the United Kingdom, Italy and Spain. The properties are leased to or mortgaged by 31 hospital operating companies.

OPERATING RESULTS AND OUTLOOK

Net income for the fourth quarter of 2017 was $71.9 million (or $0.19 per diluted share), compared to $43.0 million (or $0.13 per diluted share) in the fourth quarter of 2016. Net income for the twelve months ended December 31, 2017 was $289.8 million (or $0.82 per diluted share) compared with net income of $225.0 million (or $0.86 per diluted share) in 2016.

NFFO for the fourth quarter of 2017 was $134.8 million compared with $100.7 million in the fourth quarter of 2016, an increase of 34%. Per share NFFO increased 19% to $0.37 per diluted share in the fourth quarter of 2017 compared with $0.31 per diluted share in the fourth quarter of 2016.

For the twelve months ended December 31, 2017, NFFO increased 42% to $474.9 million from $334.8 million in 2016. On a per diluted share basis, NFFO increased 5% in 2017 to $1.35 from $1.28 in 2016.

Fourth quarter 2017 total revenues increased 34% to $205.0 million compared with $153.3 million for the fourth quarter of 2016. Revenue for the twelve months ended December 31, 2017 increased 30% to $704.7 million from $541.1 million in 2016.

The Company reaffirms its estimate of 2018 net income to a range from $1.02 to $1.06 per diluted share and 2018 NFFO to a range from $1.42 to $1.46 per diluted share. This estimate assumes no additional acquisitions or investments, no asset sales and no material capital transactions.

 

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A reconciliation of NFFO guidance to net income is included with the financial tables accompanying this press release.

These estimates do not include the effects, if any, of unexpected real estate operating costs, changes in accounting pronouncements, litigation costs, debt refinancing costs, acquisition costs, currency exchange rate movements, interest rate hedging activities, write-offs of straight-line rent or other non-recurring or unplanned transactions. These estimates may change if the Company acquires or sells assets, market interest rates change, debt is refinanced, new shares are issued, additional debt is incurred, other operating expenses vary, income from investments in tenant operations vary from expectations, or existing leases do not perform in accordance with their terms.

CONFERENCE CALL AND WEBCAST

The Company has scheduled a conference call and webcast for Thursday, February 8, 2018 at 11:00 a.m. Eastern Time to present the Company’s financial and operating results for the quarter ended December 31, 2017. The dial-in numbers for the conference call are 855-365-5214 (U.S.) and 440-996-5721 (international); both numbers require passcode 4786079. The conference call will also be available via webcast in the Investor Relations’ section of the Company’s website, www.medicalpropertiestrust.com.

A telephone and webcast replay of the call will be available beginning shortly after the call’s completion through February 22, 2018. Dial-in numbers for the replay are 855-859-2056 and 404-537-3406 for U.S. and International callers, respectively. The replay passcode for both U.S. and international callers is 4786079.

The Company’s supplemental information package for the current period will also be available on the Company’s website under the “Investor Relations” section.

About Medical Properties Trust, Inc.

Medical Properties Trust, Inc. is a self-advised real estate investment trust formed to capitalize on the changing trends in healthcare delivery by acquiring and developing net-leased healthcare facilities. MPT’s financing model helps facilitate acquisitions and recapitalizations and allows operators of hospitals and other healthcare facilities to unlock the value of their real estate assets to fund facility improvements, technology upgrades and other investments in operations. Facilities include acute care hospitals, inpatient rehabilitation hospitals, long-term acute care hospitals, and other medical and surgical facilities. For more information, please visit the Company’s website at www.medicalpropertiestrust.com.

The statements in this press release that are forward looking are based on current expectations and actual results or future events may differ materially. Words such as “expects,” “believes,” “anticipates,” “intends,” “will,” “should” and variations of such words and similar expressions are intended to identify such forward-looking statements. Forward-looking statements involve known and unknown risks, uncertainties and other factors that may cause the actual results of the Company or future events to differ materially from those expressed in or underlying such

 

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forward-looking statements, including without limitation: the satisfaction of all conditions to, and the timely closing (if at all) of pending transactions; net income per share for 2018; NFFO per share for 2018; the sale or release of certain Adeptus facilities; the amount of acquisitions of healthcare real estate, if any; results from the potential sales, if any, of assets; capital markets conditions; estimated leverage metrics; the repayment of debt arrangements; statements concerning the additional income to the Company as a result of ownership interests in certain hospital operations and the timing of such income; the payment of future dividends, if any; completion of additional debt arrangements, and additional investments; national and international economic, business, real estate and other market conditions; the competitive environment in which the Company operates; the execution of the Company’s business plan; financing risks; the Company’s ability to maintain its status as a REIT for income tax purposes; acquisition and development risks; potential environmental and other liabilities; and other factors affecting the real estate industry generally or healthcare real estate in particular. For further discussion of the factors that could affect outcomes, please refer to the “Risk factors” section of the Company’s Annual Report on Form 10-K for the year ended December 31, 2016 and as updated by the Company’s subsequently filed Quarterly Reports on Form 10-Q and other SEC filings. Except as otherwise required by the federal securities laws, the Company undertakes no obligation to update the information in this press release.

# # #

 

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MEDICAL PROPERTIES TRUST, INC. AND SUBSIDIARIES

Consolidated Balance Sheets

 

(Amounts in thousands, except for per share data)    December 31, 2017     December 31, 2016  
Assets    (Unaudited)     (A)  

Real estate assets

    

Land, buildings and improvements, intangible lease assets, and other

   $ 5,944,220     $ 4,317,866  

Net investment in direct financing leases

     698,727       648,102  

Mortgage loans

     1,778,316       1,060,400  
  

 

 

   

 

 

 

Gross investment in real estate assets

     8,421,263       6,026,368  

Accumulated depreciation and amortization

     (455,712     (325,125
  

 

 

   

 

 

 

Net investment in real estate assets

     7,965,551       5,701,243  

Cash and cash equivalents

     171,472       83,240  

Interest and rent receivables

     78,970       57,698  

Straight-line rent receivables

     185,592       116,861  

Other assets

     618,703       459,494  
  

 

 

   

 

 

 

Total Assets

   $ 9,020,288     $ 6,418,536  
  

 

 

   

 

 

 

Liabilities and Equity

    

Liabilities

    

Debt, net

   $ 4,898,667     $ 2,909,341  

Accounts payable and accrued expenses

     211,188       207,711  

Deferred revenue

     18,178       19,933  

Lease deposits and other obligations to tenants

     57,050       28,323  
  

 

 

   

 

 

 

Total Liabilities

     5,185,083       3,165,308  

Equity

    

Preferred stock, $0.001 par value. Authorized 10,000 shares; no shares outstanding

     —         —    

Common stock, $0.001 par value. Authorized 500,000 shares; issued and outstanding - 364,424 shares at December 31, 2017 and 320,514 shares at December 31, 2016

     364       321  

Additional paid-in capital

     4,333,027       3,775,336  

Distributions in excess of net income

     (485,932     (434,114

Accumulated other comprehensive loss

     (26,049     (92,903

Treasury shares, at cost

     (777     (262
  

 

 

   

 

 

 

Total Medical Properties Trust, Inc. Stockholders’ Equity

     3,820,633       3,248,378  

Non-controlling interests

     14,572       4,850  
  

 

 

   

 

 

 

Total Equity

     3,835,205       3,253,228  
  

 

 

   

 

 

 

Total Liabilities and Equity

   $ 9,020,288     $ 6,418,536  
  

 

 

   

 

 

 

 

(A) Financials have been derived from the prior year audited financial statements.


MEDICAL PROPERTIES TRUST, INC. AND SUBSIDIARIES

Consolidated Statements of Income

 

(Amounts in thousands, except for per share data)    For the Three Months Ended     For the Twelve Months Ended  
     December 31, 2017     December 31, 2016     December 31, 2017     December 31, 2016  
     (Unaudited)     (Unaudited)     (Unaudited)     (A)  

Revenues

        

Rent billed

   $ 124,642     $ 92,861     $ 435,782     $ 327,269  

Straight-line rent

     18,907       14,558       65,468       41,067  

Income from direct financing leases

     19,188       17,126       74,495       64,307  

Interest and fee income

     42,224       28,738       129,000       108,494  
  

 

 

   

 

 

   

 

 

   

 

 

 

Total revenues

     204,961       153,283       704,745       541,137  

Expenses

        

Real estate depreciation and amortization

     36,112       26,524       125,106       94,374  

Impairment charges

     —         (66     —         7,229  

Property-related

     1,811       1,120       5,811       2,712  

Acquisition expenses

     8,649       39,894       29,645       46,273  

General and administrative

     15,312       13,090       58,599       48,911  
  

 

 

   

 

 

   

 

 

   

 

 

 

Total operating expenses

     61,884       80,562       219,161       199,499  
  

 

 

   

 

 

   

 

 

   

 

 

 

Operating income

     143,077       72,721       485,584       341,638  

Interest expense

     (56,456     (38,465     (176,954     (159,597

Gain (loss) on sale of real estate and other asset dispositions, net

     —         (70     7,431       61,224  

Unutilized financing fees/debt refinancing costs

     (13,780     —         (32,574     (22,539

Other income (expense)

     1,433       1,056       10,432       (1,618

Income tax benefit (expense)

     (1,898     8,003       (2,681     6,830  
  

 

 

   

 

 

   

 

 

   

 

 

 

Income from continuing operations

     72,376       43,245       291,238       225,938  

Loss from discontinued operations

     —         —         —         (1
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income

     72,376       43,245       291,238       225,937  

Net income attributable to non-controlling interests

     (432     (206     (1,445     (889
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income attributable to MPT common stockholders

   $ 71,944     $ 43,039     $ 289,793     $ 225,048  
  

 

 

   

 

 

   

 

 

   

 

 

 

Earnings per common share - basic:

        

Income from continuing operations

   $ 0.19     $ 0.13     $ 0.82     $ 0.86  

Loss from discontinued operations

     —         —         —         —    
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income attributable to MPT common stockholders

   $ 0.19     $ 0.13     $ 0.82     $ 0.86  
  

 

 

   

 

 

   

 

 

   

 

 

 

Earnings per common share - diluted:

        

Income from continuing operations

   $ 0.19     $ 0.13     $ 0.82     $ 0.86  

Loss from discontinued operations

     —         —         —         —    
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income attributable to MPT common stockholders

   $ 0.19     $ 0.13     $ 0.82     $ 0.86  
  

 

 

   

 

 

   

 

 

   

 

 

 

Weighted average shares outstanding - basic

     364,382       319,833       349,902       260,414  

Weighted average shares outstanding - diluted

     364,977       319,994       350,441       261,072  

Dividends declared per common share

   $ 0.24     $ 0.23     $ 0.96     $ 0.91  

 

(A) Financials have been derived from the prior year audited financial statements.


MEDICAL PROPERTIES TRUST, INC. AND SUBSIDIARIES

Reconciliation of Net Income to Funds From Operations

(Unaudited)

 

(Amounts in thousands, except for per share data)   For the Three Months Ended     For the Twelve Months Ended  
    December 31, 2017     December 31, 2016     December 31, 2017     December 31, 2016  

FFO information:

       

Net income attributable to MPT common stockholders

  $ 71,944     $ 43,039     $ 289,793     $ 225,048  

Participating securities’ share in earnings

    (1,102     (129     (1,409     (559
 

 

 

   

 

 

   

 

 

   

 

 

 

Net income, less participating securities’ share in earnings

  $ 70,842     $ 42,910     $ 288,384     $ 224,489  

Depreciation and amortization (A)

    36,815       26,976       127,559       96,157  

Gain on sale of real estate

    —         —         (7,431     (67,168
 

 

 

   

 

 

   

 

 

   

 

 

 

Funds from operations

  $ 107,657     $ 69,886     $ 408,512     $ 253,478  

Write-off of straight line rent and other

    4,223       —         5,340       3,063  

Transaction costs from non-real estate dispositions

    —         70       —         5,944  

Acquisition expenses, net of tax benefit (A)

    9,103       34,806       28,453       46,529  

Release of valuation allowance

    —         (3,956     —         (3,956

Impairment charges

    —         (66     —         7,229  

Unutilized financing fees / debt refinancing costs

    13,780       —         32,574       22,539  
 

 

 

   

 

 

   

 

 

   

 

 

 

Normalized funds from operations

  $ 134,763     $ 100,740     $ 474,879     $ 334,826  

Share-based compensation

    2,801       2,111       9,949       7,942  

Debt costs amortization

    1,773       1,814       6,521       7,613  

Additional rent received in advance (B)

    (300     (300     (1,200     (1,200

Straight-line rent revenue and other (A)

    (26,544     (16,921     (82,276     (50,687
 

 

 

   

 

 

   

 

 

   

 

 

 

Adjusted funds from operations

  $ 112,493     $ 87,444     $ 407,873     $ 298,494  
 

 

 

   

 

 

   

 

 

   

 

 

 

Per diluted share data:

       

Net income, less participating securities’ share in earnings

  $ 0.19     $ 0.13     $ 0.82     $ 0.86  

Depreciation and amortization (A)

    0.10       0.09       0.37       0.37  

Gain on sale of real estate

    —         —         (0.02     (0.26
 

 

 

   

 

 

   

 

 

   

 

 

 

Funds from operations

  $ 0.29     $ 0.22     $ 1.17     $ 0.97  

Write-off of straight line rent and other

    0.01       —         0.01       0.01  

Transaction costs from non-real estate dispositions

    —         —         —         0.02  

Acquisition expenses, net of tax benefit (A)

    0.03       0.11       0.08       0.18  

Release of valuation allowance

    —         (0.02     —         (0.02

Impairment charges

    —         —         —         0.03  

Unutilized financing fees / debt refinancing costs

    0.04       —         0.09       0.09  
 

 

 

   

 

 

   

 

 

   

 

 

 

Normalized funds from operations

  $ 0.37     $ 0.31     $ 1.35     $ 1.28  

Share-based compensation

    0.01       0.01       0.03       0.03  

Debt costs amortization

    0.01       0.01       0.02       0.02  

Additional rent received in advance (B)

    —         —         —         —    

Straight-line rent revenue and other (A)

    (0.08     (0.06     (0.24     (0.19
 

 

 

   

 

 

   

 

 

   

 

 

 

Adjusted funds from operations

  $ 0.31     $ 0.27     $ 1.16     $ 1.14  
 

 

 

   

 

 

   

 

 

   

 

 

 

 

(A) Includes our share of real estate depreciation, acquisition expenses, and straight-line rent revenue from unconsolidated joint ventures. These amounts are included with the activity of all of our equity interests in the “Other income (expense)” line on the consolidated statements of income.

 

(B) Represents additional rent received from one tenant in advance of when we can recognize as revenue for accounting purposes. This additional rent is being recorded to revenue on a straight-line basis over the lease life.

Investors and analysts following the real estate industry utilize funds from operations, or FFO, as a supplemental performance measure. FFO, reflecting the assumption that real estate asset values rise or fall with market conditions, principally adjusts for the effects of GAAP depreciation and amortization of real estate assets, which assumes that the value of real estate diminishes predictably over time. We compute FFO in accordance with the definition provided by the National Association of Real Estate Investment Trusts, or NAREIT, which represents net income (loss) (computed in accordance with GAAP), excluding gains (losses) on sales of real estate and impairment charges on real estate assets, plus real estate depreciation and amortization and after adjustments for unconsolidated partnerships and joint ventures.

In addition to presenting FFO in accordance with the NAREIT definition, we also disclose normalized FFO, which adjusts FFO for items that relate to unanticipated or non-core events or activities or accounting changes that, if not noted, would make comparison to prior period results and market expectations less meaningful to investors and analysts. We believe that the use of FFO, combined with the required GAAP presentations, improves the understanding of our operating results among investors and the use of normalized FFO makes comparisons of our operating results with prior periods and other companies more meaningful. While FFO and normalized FFO are relevant and widely used supplemental measures of operating and financial performance of REITs, they should not be viewed as a substitute measure of our operating performance since the measures do not reflect either depreciation and amortization costs or the level of capital expenditures and leasing costs necessary to maintain the operating performance of our properties, which can be significant economic costs that could materially impact our results of operations. FFO and normalized FFO should not be considered an alternative to net income (loss) (computed in accordance with GAAP) as indicators of our financial performance or to cash flow from operating activities (computed in accordance with GAAP) as an indicator of our liquidity.

We calculate adjusted funds from operations, or AFFO, by subtracting from or adding to normalized FFO (i) unbilled rent revenue, (ii) non-cash share-based compensation expense, and (iii) amortization of deferred financing costs. AFFO is an operating measurement that we use to analyze our results of operations based on the receipt, rather than the accrual, of our rental revenue and on certain other adjustments. We believe that this is an important measurement because our leases generally have significant contractual escalations of base rents and therefore result in recognition of rental income that is not collected until future periods, and costs that are deferred or are non-cash charges. Our calculation of AFFO may not be comparable to AFFO or similarly titled measures reported by other REITs. AFFO should not be considered as an alternative to net income (calculated pursuant to GAAP) as an indicator of our results of operations or to cash flow from operating activities (calculated pursuant to GAAP) as an indicator of our liquidity.


MEDICAL PROPERTIES TRUST, INC. AND SUBSIDIARIES

Fiscal Year 2018 Guidance Reconciliation

(Unaudited)

 

     Fiscal Year 2018 Guidance - Per  Share(1)  
             Low                      High          

Net income attributable to MPT common stockholders

   $ 1.02      $ 1.06  

Participating securities’ share in earnings

     —          —    
  

 

 

    

 

 

 

Net income, less participating securities’ share in earnings

   $ 1.02      $ 1.06  

Depreciation and amortization

     0.40        0.40  
  

 

 

    

 

 

 

Funds from operations

   $ 1.42      $ 1.46  

Other adjustments

     —          —    
  

 

 

    

 

 

 

Normalized funds from operations

   $ 1.42      $ 1.46  
  

 

 

    

 

 

 

 

(1) The guidance is based on current expectations and actual results or future events may differ materially from those expressed in this table, which is a forward-looking statement within the meaning of the federal securities laws. Please refer to the forward-looking statement included in this press release and our filings with the Securities and Exchange Commission for a discussion of risk factors that affect our performance.

Pro Forma Total Gross Assets

(Unaudited)

 

     December 31, 2017  

Total Assets

   $ 9,020,288  

Add:

  

Binding real estate commitments on new investments(2)

     17,500  

Unfunded amounts on development deals and commenced capital improvement projects(3)

     154,184  

Accumulated depreciation and amortization

     455,712  

Less:

  

Cash and cash equivalents

     (171,472
  

 

 

 

Pro Forma Total Gross Assets(4)

   $ 9,476,212  
  

 

 

 

 

(2) Reflects a commitment to acquire a facility post December 31, 2017.
(3) Includes $137.4 million unfunded amounts on ongoing development projects and $16.8 million unfunded amounts on capital improvement projects and development projects that have commenced rent.
(4) Pro forma total gross assets is total assets before accumulated depreciation/amortization, assumes all real estate binding commitments on new investments and unfunded amounts on development deals and commenced capital improvement projects are fully funded, and assumes cash on hand is fully used in these transactions. We believe pro forma total gross assets is useful to investors as it provides a more current view of our portfolio and allows for a better understanding of our concentration levels as our binding commitments close and our other commitments are fully funded.
EX-99.2

Exhibit 99.2

 

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FOURTH QUARTER 2017 Supplemental Information


LOGO

MEDICALPROPERTIESTRUST.COM TABLE OF CONTENTS COMPANY OVERVIEW Company Information 3 FINANCIAL INFORMATION Reconciliation of Net Income to Funds from Operations 5 Debt Summary 6 Debt Maturity Schedule 7 Pro Forma Net Debt /Annualized Adjusted EBITDA 8 PORTFOLIO INFORMATION Lease and Mortgage Loan Maturity Schedule 9 Total Pro Forma Gross Assets and Actual Revenue by Asset Type, Operator, State and Country 10 EBITDAR to Rent Coverage 13 Summary of Acquisitions and Development Projects 14 FINANCIAL STATEMENTS Consolidated Statements of Income 15 Consolidated Balance Sheets 16 Other Income Generating Assets 17    FORWARD-LOOKING STATEMENT Forward-looking statements involve known and unknown risks, uncertainties and other factors that may cause the actual results of the Company or future events to differ materially from those expressed in or underlying such forward-looking statements, including without limitation: Normalized FFO per share; expected payout ratio, the amount of acquisitions of healthcare real estate, if any; estimated debt metrics, portfolio diversification, capital markets conditions, the repayment of debt arrangements; statements concerning the additional income to the Company as a result of ownership interests in certain hospital operations and the timing of such income; the payment of future dividends, if any; completion of additional debt arrangement, and additional investments; national and international economic, business, real estate and other market conditions; the competitive environment in which the Company operates; the execution of the Company’s business plan; financing risks; the Company’s ability to maintain its status as a REIT for federal income tax purposes; acquisition and development risks; potential environmental and other liabilities; and other factors affecting the real estate industry generally or healthcare real estate in particular. For further discussion of the factors that could affect outcomes, please refer to the “Risk Factors” section of the Company’s Annual Report on Form 10-K for the year ended December 31, 2016, and as updated by the Company’s subsequently filed Quarterly Reports on Form 10-Q and other SEC filings. Except as otherwise required by the federal securities laws, the Company undertakes no obligation to update the information in this report. On the Cover: Willamette Valley Medical Center, an acute care hospital in McMinnville, Oregon operated by RCCH Healthcare Partners. Q4 2017 | SUPPLEMENTAL INFORMATION 2


LOGO

MEDICALPROPERTIESTRUST.COM COMPANY OVERVIEW Medical Properties Trust, Inc. is a Birmingham, Alabama based self-advised real estate investment trust formed to capitalize on the changing trends in healthcare delivery by acquiring and developing net-leased healthcare facilities. MPT’s financing model allows hospitals and other healthcare facilities to unlock the value of their underlying real estate in order to fund facility improvements, technology upgrades, staff additions and new construction. Facilities include acute care hospitals, inpatient rehabilitation hospitals, long-term acute care hospitals, and other medical and surgical facilities.    OFFICERS Edward K. Aldag, Jr. R. Steven Hamner Emmett E. McLean J. Kevin Hanna    BOARD OF DIRECTORS Edward K. Aldag, Jr. G. Steven Dawson    R. Steven Hamner D. Paul Sparks, Jr. Michael G. Stewart C. Reynolds Thompson, III CORPORATE HEADQUARTERS Medical Properties Trust, Inc. 1000 Urban Center Drive, Suite 501 Birmingham, AL 35242    (205) 969-3755 (205) 969-3756 (fax) www.medicalpropertiestrust.com    Chairman, President and Chief Executive Officer Executive Vice President and Chief Financial Officer Executive Vice President, Chief Operating Officer, Treasurer and Secretary Vice President, Controller and Chief Accounting Officer    MPT Officers, from left: R. Steven Hamner, Emmett E. McLean, J. Kevin Hanna and Edward K. Aldag, Jr.    Q4 2017 | SUPPLEMENTAL INFORMATION 3


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MEDICALPROPERTIESTRUST.COM    COMPANY OVERVIEW(continued)    INVESTOR RELATIONS Tim Berryman | Director—Investor Relations (205) 397-8589 tberryman@medicalpropertiestrust.com    CAPITAL MARKETS Charles Lambert | Managing Director—Capital Markets (205) 397-8897 clambert@medicalpropertiestrust.com    TRANSFER AGENT American Stock Transfer and Trust Company 6201 15th Avenue Brooklyn, NY 11219    STOCK EXCHANGE LISTING AND TRADING SYMBOL New York Stock Exchange (NYSE): MPW    SENIOR UNSECURED DEBT RATINGS Moody’s – Ba1 Standard & Poor’s – BBB-    CONTINUUM OF CARE MEDICAL PROPERTIES TRUST FOCUSES ON THE MOST CRITICAL COMPONENTS OF HEALTHCARE DELIVERY.    ACUTE CARE HOSPITALS & FREE STANDING EMERGENCY ROOMS INPATIENT REHABILITATION FACILITIES LONG-TERM ACUTE CARE HOSPITALS NURSING HOMES ASSISTED LIVING HOME HEALTH CARE MPT facility types shown in green.    HIGHER Q4 2017 | SUPPLEMENTAL INFORMATION 4    ACUTE HOSPITALS CARE    REHABILITATION INPATIENT FACILITIES INTENSITY OF CARE    HEALTH HOME ACUTE LONG-TERM CARE    CARE HOSPITALS ASSISTED NURSING HOMES LIVING


MEDICALPROPERTIESTRUST.COM

 

 

FINANCIAL INFORMATION

 

 

RECONCILIATION OF NET INCOME TO FUNDS FROM OPERATIONS    

(Unaudited)    

(Amounts in thousands, except per share data)    

 

    For the Three Months Ended     For the Twelve Months Ended  
    December 31, 2017     December 31, 2016     December 31, 2017     December 31, 2016  

FFO INFORMATION:

       

Net income attributable to MPT common stockholders

  $ 71,944     $ 43,039     $ 289,793     $ 225,048  

Participating securities’ share in earnings

    (1,102     (129     (1,409     (559
 

 

 

   

 

 

   

 

 

   

 

 

 

Net income, less participating securities’ share in earnings

  $ 70,842     $ 42,910     $ 288,384     $ 224,489  

Depreciation and amortization(A)

    36,815       26,976       127,559       96,157  

Gain on sale of real estate

    —         —         (7,431     (67,168
 

 

 

   

 

 

   

 

 

   

 

 

 

Funds from operations

  $ 107,657     $ 69,886     $ 408,512     $ 253,478  

Write-off of straight-line rent and other

    4,223       —         5,340       3,063  

Transaction costs from non-real estate dispositions

    —         70       —         5,944  

Acquisition expenses, net of tax benefit (A)

    9,103       34,806       28,453       46,529  

Release of valuation allowance

    —         (3,956     —         (3,956

Impairment charges

    —         (66     —         7,229  

Unutilized financing fees / debt refinancing costs

    13,780       —         32,574       22,539  
 

 

 

   

 

 

   

 

 

   

 

 

 

Normalized funds from operations

  $ 134,763     $ 100,740     $ 474,879     $ 334,826  
 

 

 

   

 

 

   

 

 

   

 

 

 

Share-based compensation

    2,801       2,111       9,949       7,942  

Debt costs amortization

    1,773       1,814       6,521       7,613  

Additional rent received in advance (B)

    (300     (300     (1,200     (1,200

Straight-line rent revenue and other (A)

    (26,544     (16,921     (82,276     (50,687
 

 

 

   

 

 

   

 

 

   

 

 

 

Adjusted funds from operations

  $ 112,493     $ 87,444     $ 407,873     $ 298,494  
 

 

 

   

 

 

   

 

 

   

 

 

 

PER DILUTED SHARE DATA:

       

Net income, less participating securities’ share in earnings

  $ 0.19     $ 0.13     $ 0.82     $ 0.86  

Depreciation and amortization (A)

    0.10       0.09       0.37       0.37  

Gain on sale of real estate

    —         —         (0.02     (0.26
 

 

 

   

 

 

   

 

 

   

 

 

 

Funds from operations

  $ 0.29     $ 0.22     $ 1.17     $ 0.97  

Write-off of straight-line rent and other

    0.01       —         0.01       0.01  

Transaction costs from non-real estate dispositions

    —         —         —         0.02  

Acquisition expenses, net of tax benefit (A)

    0.03       0.11       0.08       0.18  

Release of valuation allowance

    —         (0.02     —         (0.02

Impairment charges

    —         —         —         0.03  

Unutilized financing fees / debt refinancing costs

    0.04       —         0.09       0.09  
 

 

 

   

 

 

   

 

 

   

 

 

 

Normalized funds from operations

  $ 0.37     $ 0.31     $ 1.35     $ 1.28  
 

 

 

   

 

 

   

 

 

   

 

 

 

Share-based compensation

    0.01       0.01       0.03       0.03  

Debt costs amortization

    0.01       0.01       0.02       0.02  

Additional rent received in advance (B)

    —         —         —         —    

Straight-line rent revenue and other (A)

    (0.08     (0.06     (0.24     (0.19
 

 

 

   

 

 

   

 

 

   

 

 

 

Adjusted funds from operations

  $ 0.31     $ 0.27     $ 1.16     $ 1.14  
 

 

 

   

 

 

   

 

 

   

 

 

 

 

(A) Includes our share of real estate depreciation, acquisition expenses, and straight-line rent revenue from unconsolidated joint ventures. These amounts are included with the activity of all of our equity interests in the “Other income (expense)” line on the consolidated statements of income.
(B) Represents additional rent received from one tenant in advance of when we can recognize as revenue for accounting purposes. This additional rent is being recorded to revenue on a straight-line basis over the lease life.

Investors and analysts following the real estate industry utilize funds from operations, or FFO, as a supplemental performance measure. FFO, reflecting the assumption that real estate asset values rise or fall with market conditions, principally adjusts for the effects of GAAP depreciation and amortization of real estate assets, which assumes that the value of real estate diminishes predictably over time. We compute FFO in accordance with the definition provided by the National Association of Real Estate Investment Trusts, or NAREIT, which represents net income (loss) (computed in accordance with GAAP), excluding gains (losses) on sales of real estate and impairment charges on real estate assets, plus real estate depreciation and amortization and after adjustments for unconsolidated partnerships and joint ventures.

In addition to presenting FFO in accordance with the NAREIT definition, we also disclose normalized FFO, which adjusts FFO for items that relate to unanticipated or non-core events or activities or accounting changes that, if not noted, would make comparison to prior period results and market expectations less meaningful to investors and analysts. We believe that the use of FFO, combined with the required GAAP presentations, improves the understanding of our operating results among investors and the use of normalized FFO makes comparisons of our operating results with prior periods and other companies more meaningful. While FFO and normalized FFO are relevant and widely used supplemental measures of operating and financial performance of REITs, they should not be viewed as a substitute measure of our operating performance since the measures do not reflect either depreciation and amortization costs or the level of capital expenditures and leasing costs necessary to maintain the operating performance of our properties, which can be significant economic costs that could materially impact our results of operations. FFO and normalized FFO should not be considered an alternative to net income (loss) (computed in accordance with GAAP) as indicators of our financial performance or to cash flow from operating activities (computed in accordance with GAAP) as an indicator of our liquidity.

We calculate adjusted funds from operations, or AFFO, by subtracting from or adding to normalized FFO (i) unbilled rent revenue, (ii) non-cash share-based compensation expense, and (iii) amortization of deferred financing costs. AFFO is an operating measurement that we use to analyze our results of operations based on the receipt, rather than the accrual, of our rental revenue and on certain other adjustments. We believe that this is an important measurement because our leases generally have significant contractual escalations of base rents and therefore result in recognition of rental income that is not collected until future periods, and costs that are deferred or are non-cash charges. Our calculation of AFFO may not be comparable to AFFO or similarly titled measures reported by other REITs. AFFO should not be considered as an alternative to net income (calculated pursuant to GAAP) as an indicator of our results of operations or to cash flow from operating activities (calculated pursuant to GAAP) as an indicator of our liquidity.

 

Q4 2017  |  SUPPLEMENTAL INFORMATION     5


MEDICALPROPERTIESTRUST.COM

 

 

FINANCIAL INFORMATION

 

 

DEBT SUMMARY

(as of December 31, 2017)

($ amounts in thousands)

 

Debt Instrument

   Rate Type      Rate     Balance  

2021 Credit Facility Revolver

     Variable        2.660% - 2.810 %(A)    $ 830,000  

2021 Credit Facility Revolver (GBP) (B)

     Variable        1.750     10,810  

2022 Term Loan

     Variable        2.980     200,000  

4.000% Notes Due 2022 (Euro) (C)

     Fixed        4.000     600,250  

6.375% Notes Due 2024

     Fixed        6.375     500,000  

5.500% Notes Due 2024

     Fixed        5.500     300,000  

3.325% Notes Due 2025 (Euro) (C)

     Fixed        3.325     600,250  

5.250% Notes Due 2026

     Fixed        5.250     500,000  

5.000% Notes Due 2027

     Fixed        5.000     1,400,000  
       

 

 

 
                  $4,941,310  

Debt issuance costs

          (42,643
     

 

 

   

 

 

 
     Weighted average rate        4.422   $ 4,898,667  
     

 

 

   

 

 

 

 

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(A) The interest rate on $50 million of the outstanding revolver balance at December 31, 2017 was 4.750%.     

The $50 million tranche was repaid on January 2, 2018.     

(B) Represents credit facility borrowings in pound sterling and converted to U.S. dollars at December 31, 2017.    
(C) Represents bonds issued in euros and converted to U.S. dollars at December 31, 2017.    

 

Q4 2017  |  SUPPLEMENTAL INFORMATION     6


MEDICALPROPERTIESTRUST.COM

 

 

FINANCIAL INFORMATION     

 

 

DEBT MATURITY SCHEDULE    

($ amounts in thousands)    

 

Debt Instrument

   2018      2019      2020      2021      2022      2023      2024      2025      2026      2027  

2021 Credit Facility Revolver

   $ —        $ —        $ —        $ 830,000      $ —        $ —        $ —        $ —        $ —        $ —    

2021 Credit Facility Revolver (GBP)

     —          —          —          10,810        —          —          —          —          —          —    

2022 Term Loan

     —          —          —          —          200,000        —          —          —          —          —    

4.000% Notes Due 2022 (Euro)

     —          —          —          —          600,250        —          —          —          —          —    

6.375% Notes Due 2024

     —          —          —          —          —          —          500,000        —          —          —    

5.500% Notes Due 2024

     —          —          —          —          —          —          300,000        —          —          —    

3.325% Notes Due 2025 (Euro)

     —          —          —          —          —          —          —          600,250        —          —    

5.250% Notes Due 2026

     —          —          —          —          —          —          —          —          500,000        —    

5.000% Notes Due 2027

     —          —          —          —          —          —          —          —          —          1,400,000  
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

 
   $ —        $ —        $ —        $ 840,810      $ 800,250      $ —        $ 800,000      $ 600,250      $ 500,000      $ 1,400,000  
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

 

 

LOGO

 

Q4 2017  |  SUPPLEMENTAL INFORMATION     7


MEDICALPROPERTIESTRUST.COM

 

 

FINANCIAL INFORMATION     

 

 

PRO FORMA NET DEBT / ANNUALIZED ADJUSTED EBITDA    

(Unaudited)    

(Amounts in thousands)    

 

     For the Three Months Ended  
     December 31, 2017  

Net income attributable to MPT common stockholders

   $ 71,944  

Pro forma adjustments for acquisitions that occurred after the period (A)

     400  
  

 

 

 

Pro forma net income

   $ 72,344  

Add back:

  

Interest expense

     56,456  

Unutilized financing fees/ debt refinancing costs

     13,780  

Depreciation and amortization

     38,167  

Stock-based compensation

     2,801  

Mid-quarter acquisitions

     1,106  

Write-off of straight-line rent and other

     4,223  

Acquisition expenses

     8,661  

Income tax expense

     1,898  
  

 

 

 

4Q 2017 Pro forma adjusted EBITDA

   $ 199,436  
  

 

 

 

Annualization

   $ 812,944  
  

 

 

 

Total debt

   $ 4,898,667  

Pro forma changes to cash and debt balance after December 31, 2017 (A)

     (153,972
  

 

 

 

Pro forma net debt

   $ 4,744,695  
  

 

 

 

Pro forma net debt / annualized adjusted EBITDA

     5.8

 

(A) The schedule reflects our previously disclosed commitment to acquire one RCCH facility for $17.5 million.

Investors and analysts following the real estate industry utilize net debt (debt less cash) to EBITDA (net income before interest expense, income taxes, depreciation and amortization) as a measurement of leverage that shows how many years it would take for us to pay back our debt, assuming net debt and EBITDA are held constant. The table above considers the pro forma effects on net debt and EBITDA from investments and capital transactions that were either completed during the period or disclosed as firm commitments, assuming such transactions were consummated/fully funded as of the beginning of the period. In addition, we show EBITDA adjusted to exclude stock compensation expense, gains or losses on real estate and other dispositions, debt refinancing charges, impairment charges, and acquisition expenses to derive Pro forma Annualized Adjusted EBITDA, which is a non-GAAP measure. We believe Pro forma Net Debt and Pro forma Annualized Adjusted EBITDA are useful to investors and analysts as they allow for a more current view of our credit quality and allow for the comparison of our credit strength between periods and to other real estate companies without the effect of items that by their nature are not comparable from period to period.

 

Q4 2017  |  SUPPLEMENTAL INFORMATION     8


MEDICALPROPERTIESTRUST.COM

 

 

PORTFOLIO INFORMATION     

 

 

LEASE AND MORTGAGE LOAN MATURITY SCHEDULE    

(as of December 31, 2017)    

($ amounts in thousands)    

 

Years of Maturities (A)

   Total Properties (B)      Base Rent/Interest (C)      Percent of Total
Base Rent/Interest
 

2018

     15      $ 7,561        1.0

2019

     4        9,082        1.3

2020

     1        2,032        0.3

2021

     3        13,397        1.9

2022

     15        74,227        10.3

2023

     4        12,883        1.8

2024

     1        2,273        0.3

2025

     7        22,957        3.2

2026

     6        26,501        3.7

2027

     1        2,990        0.4

2028

     5        7,452        1.0

Thereafter

     200        539,223        74.8
  

 

 

    

 

 

    

 

 

 
     262      $ 720,578        100.0
  

 

 

    

 

 

    

 

 

 

 

LOGO

 

(A) Lease/Loan expiration is based on the fixed term of the lease/loan and does not factor in potential renewal options provided for in our agreements.
(B) Excludes three of our facilities that are under development, our Twelve Oaks facility that is not fully occupied, the nine properties that we own through joint venture arrangements, and an ancillary property. The schedule reflects our previously disclosed commitment to acquire one RCCH facility for $17.5 million.
(C) Represents base rent/interest income on an annualized basis but does not include tenant recoveries, additional rents and other lease-related adjustments to revenue (i.e., straight-line rents and deferred revenues).

 

Q4 2017  |  SUPPLEMENTAL INFORMATION     9


MEDICALPROPERTIESTRUST.COM

 

 

PORTFOLIO INFORMATION     

 

 

TOTAL PRO FORMA GROSS ASSETS AND ACTUAL REVENUE BY ASSET TYPE    

(December 31, 2017)    

($ amounts in thousands)    

 

Asset Types

   Total Pro Forma
Gross Assets (B)
     Percentage of
Pro Forma
Gross Assets
    YTD Actual
Revenue
     Percentage of
Total Actual
Revenue
 

General Acute Care Hospitals (A)

   $ 6,638,799        70.0   $ 488,764        69.4

Inpatient Rehabilitation Hospitals

     2,024,767        21.4     173,149        24.6

Long-Term Acute Care Hospitals

     367,987        3.9     42,832        6.0

Other assets

     444,659        4.7     —          —    
  

 

 

    

 

 

   

 

 

    

 

 

 

Total

   $ 9,476,212        100.0   $ 704,745        100.0
  

 

 

    

 

 

   

 

 

    

 

 

 

 

LOGO

 

(A) Includes three medical office buildings.
(B) Represents investment concentration as a percentage of gross real estate assets, other loans, and equity investments, assuming all binding real estate commitments on new investments and unfunded amounts on development deals and commenced capital improvement projects are fully funded. See press release dated February 8, 2018 for reconciliation of total assets to pro forma total gross assets at December 31, 2017.

 

Q4 2017  |  SUPPLEMENTAL INFORMATION     10


MEDICALPROPERTIESTRUST.COM

 

 

PORTFOLIO INFORMATION     

 

 

TOTAL PRO FORMA GROSS ASSETS AND ACTUAL REVENUE BY OPERATOR    

(December 31, 2017)    

($ amounts in thousands)    

 

Operators

   Total Pro Forma
Gross Assets (A)
     Percentage of
Pro Forma
Gross Assets
    YTD Actual
Revenue
     Percentage of
Total Actual
Revenue
 

Steward

   $ 3,457,384        36.5   $ 190,172        27.0

MEDIAN

     1,229,325        13.0     100,531        14.3

Prime Healthcare

     1,119,484        11.8     126,269        17.9

Ernest Health

     629,161        6.6     70,665        10.0

RCCH

     506,265        5.3     41,890        5.9

26 operators

     2,089,934        22.1     175,218        24.9

Other assets

     444,659        4.7     —          —    
  

 

 

    

 

 

   

 

 

    

 

 

 

Total

   $ 9,476,212        100.0   $ 704,745        100.0
  

 

 

    

 

 

   

 

 

    

 

 

 

 

(A) Represents investment concentration as a percentage of gross real estate assets, other loans, and equity investments, assuming all binding real estate commitments on new investments and unfunded amounts on development deals and commenced capital improvement projects are fully funded. See press release dated February 8, 2018 for reconciliation of total assets to pro forma total gross assets at December 31, 2017.

 

LOGO

 

Q4 2017  |  SUPPLEMENTAL INFORMATION     11


MEDICALPROPERTIESTRUST.COM

 

 

PORTFOLIO INFORMATION     

 

 

TOTAL PRO FORMA GROSS ASSETS AND ACTUAL REVENUE BY U.S. STATE AND COUNTRY    

(December 31, 2017)    

($ amounts in thousands)    

 

U.S. States and Other Countries

   Total Pro Forma
Gross Assets (A)
     Percentage of
Pro Forma
Gross Assets
    YTD Actual
Revenue
     Percentage of
Total Actual
Revenue
 

Massachusetts

   $ 1,297,226        13.7   $ 107,195        15.2

Texas

     1,257,390        13.3     102,926        14.6

Utah

     1,035,501        10.9     28,831        4.1

California

     542,876        5.7     66,241        9.4

Arizona

     491,284        5.2     36,393        5.2

24 Other States

     2,618,536        27.6     235,545        33.4

Other assets

     387,050        4.1     —          —    
  

 

 

    

 

 

   

 

 

    

 

 

 

United States

   $ 7,629,863        80.5   $ 577,131        81.9

Germany

   $ 1,581,726        16.7   $ 123,453        17.5

Italy

     99,347        1.0     —          —    

United Kingdom

     81,766        0.9     3,681        0.5

Spain

     25,901        0.3     480        0.1

Other assets

     57,609        0.6     —          —    
  

 

 

    

 

 

   

 

 

    

 

 

 

International

   $ 1,846,349        19.5   $ 127,614        18.1
  

 

 

    

 

 

   

 

 

    

 

 

 

Total

   $ 9,476,212        100.0   $ 704,745        100.0
  

 

 

    

 

 

   

 

 

    

 

 

 

 

(A) Represents investment concentration as a percentage of gross real estate assets, other loans, and equity investments, assuming all binding real estate commitments on new investments and unfunded amounts on development deals and commenced capital improvement projects are fully funded. See press release dated February 8, 2018 for reconciliation of total assets to pro forma total gross assets at December 31, 2017.

 

LOGO

 

Q4 2017  |  SUPPLEMENTAL INFORMATION     12


MEDICALPROPERTIESTRUST.COM

 

 

PORTFOLIO INFORMATION     

 

 

Same Store EBITDAR(1) Rent Coverage    

YOY and Sequential Quarter Comparisons by Property Type    

 

LOGO

Stratification of Portfolio EBITDAR Rent Coverage    

 

EBITDAR Rent Coverage TTM

   Investment
(in thousands)
     No. of Facilities      Percentage of
Investment
 

Greater than or equal to 4.50x

   $ 190,750        4        4.6

3.00x - 4.49x

   $ 115,000        1        2.8

Total Master Leased, Cross-Defaulted and/or with Parent Guaranty: 1.7x

   $ 3,824,745        120        92.6

General Acute Master Leased, Cross-Defaulted and/or with Parent Guaranty: 1.8x

   $ 1,977,427        41        47.9

Inpatient Rehabilitation Facilities Master Leased, Cross-Defaulted and/or with Parent Guaranty: 1.5x

   $ 1,486,226        62        36.0

Long-Term Acute Care Hospitals Master Leased, Cross-Defaulted and/or with Parent Guaranty: 1.4x

   $ 361,092        17        8.7

 

LOGO

Notes:    

Same Store represents properties with at least 24 months of financial reporting data. Properties that do not provide financial reporting and disposed assets are not included. Adeptus facilities excluded until bankruptcy proceedings are resolved and operations stabilize.

All data presented is on a trailing twelve month basis.    

 

(1) EBITDAR adjusted for non-recurring items.    

 

Q4 2017  |  SUPPLEMENTAL INFORMATION     13


MEDICALPROPERTIESTRUST.COM

 

 

PORTFOLIO INFORMATION     

 

 

SUMMARY OF COMPLETED ACQUISITIONS / DEVELOPMENT PROJECTS FOR THE TWELVE MONTHS ENDED DECEMBER 31, 2017    

($ amounts in thousands)    

 

Operator

   Location      Costs Incurred as of
12/31/2017
    Rent Commencement
Date
     Acquisition/
Development
 

Adeptus Health

     Mesa, Arizona      $ 51,350       2/10/2017        Development  

Adeptus Health

     Austin, Texas        4,979       3/2/2017        Development  

Adeptus Health

     San Tan Valley, Arizona        6,184       4/13/2017        Development  

Steward

     Florida, Ohio & Pennsylvania        301,292       5/1/2017        Acquisition  

RCCH

     Lewiston, Idaho        87,500       5/1/2017        Acquisition  

Adeptus Health

     Cypress, Texas        4,365       5/8/2017        Development  

MEDIAN & Affiliates

     Germany        171,538       1H 2017        Acquisition  

Alecto

     Ohio & West Virginia        40,451       6/1/2017        Acquisition  

MEDIAN & Affiliates

     Germany        45,282       7/2017        Acquisition  

Steward

     Arizona, Utah, Texas & Arkansas        1,500,000  (A)      9/29/2017        Acquisition  

MEDIAN & Affiliates

     Germany        94,720       11/30/2017        Acquisition  
     

 

 

      
      $ 2,307,661       
     

 

 

      

 

(A) Includes $100 million of equity investments.    

SUMMARY OF CURRENT INVESTMENT COMMITMENTS AS OF DECEMBER 31, 2017    

($ amounts in thousands)    

 

Operator

   Location      Commitment      Acquisition/
Development
 

RCCH

     Washington      $ 17,500        Acquisition  
     

 

 

    
      $ 17,500     
     

 

 

    

SUMMARY OF CURRENT DEVELOPMENT PROJECTS AS OF DECEMBER 31, 2017    

($ amounts in thousands)    

 

Operator

   Location      Commitment      Cost Incurred as of
12/31/2017
     Estimated
Completion Date
 

Ernest Health

     Flagstaff, Arizona      $ 28,067      $ 21,794        Q1 2018  

Circle Health

     United Kingdom        43,592        14,694        Q1 2019  

Surgery Partners

     Idaho Falls, Idaho        113,468        11,207        Q1 2020  
     

 

 

    

 

 

    
      $ 185,127      $ 47,695     
     

 

 

    

 

 

    

 

Q4 2017  |  SUPPLEMENTAL INFORMATION     14


MEDICALPROPERTIESTRUST.COM

 

 

FINANCIAL STATEMENTS

 

 

MEDICAL PROPERTIES TRUST, INC. AND SUBSIDIARIES

Consolidated Statements of Income

(Amounts in thousands, except per share data)

 

     For the Three Months Ended     For the Twelve Months Ended  
     December 31, 2017     December 31, 2016     December 31, 2017     December 31, 2016  
     (Unaudited)     (Unaudited)     (Unaudited)     (A)  

Revenues

        

Rent billed

   $ 124,642     $ 92,861     $ 435,782     $ 327,269  

Straight-line rent

     18,907       14,558       65,468       41,067  

Income from direct financing leases

     19,188       17,126       74,495       64,307  

Interest and fee income

     42,224       28,738       129,000       108,494  
  

 

 

   

 

 

   

 

 

   

 

 

 

Total revenues

     204,961       153,283       704,745       541,137  

Expenses

        

Real estate depreciation and amortization

     36,112       26,524       125,106       94,374  

Impairment charges

     —         (66     —         7,229  

Property-related

     1,811       1,120       5,811       2,712  

Acquisition expenses

     8,649       39,894       29,645       46,273  

General and administrative

     15,312       13,090       58,599       48,911  
  

 

 

   

 

 

   

 

 

   

 

 

 

Total operating expenses

     61,884       80,562       219,161       199,499  
  

 

 

   

 

 

   

 

 

   

 

 

 

Operating income

     143,077       72,721       485,584       341,638  

Interest expense

     (56,456     (38,465     (176,954     (159,597

Gain (loss) on sale of real estate and other asset dispositions, net

     —         (70     7,431       61,224  

Unutilized financing fees / debt refinancing costs

     (13,780     —         (32,574     (22,539

Other income (expense)

     1,433       1,056       10,432       (1,618

Income tax benefit (expense)

     (1,898     8,003       (2,681     6,830  
  

 

 

   

 

 

   

 

 

   

 

 

 

Income from continuing operations

     72,376       43,245       291,238       225,938  

Loss from discontinued operations

     —         —         —         (1
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income

     72,376       43,245       291,238       225,937  

Net income attributable to non-controlling interests

     (432     (206     (1,445     (889
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income attributable to MPT common stockholders

   $ 71,944     $ 43,039     $ 289,793     $ 225,048  
  

 

 

   

 

 

   

 

 

   

 

 

 

Earnings per common share – basic:

        

Income from continuing operations

   $ 0.19     $ 0.13     $ 0.82     $ 0.86  

Loss from discontinued operations

     —         —         —         —    
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income attributable to MPT common stockholders

   $ 0.19     $ 0.13     $ 0.82     $ 0.86  
  

 

 

   

 

 

   

 

 

   

 

 

 

Earnings per common share – diluted:

        

Income from continuing operations

   $ 0.19     $ 0.13     $ 0.82     $ 0.86  

Loss from discontinued operations

     —         —         —         —    
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income attributable to MPT common stockholders

   $ 0.19     $ 0.13     $ 0.82     $ 0.86  
  

 

 

   

 

 

   

 

 

   

 

 

 

Weighted average shares outstanding – basic

     364,382       319,833       349,902       260,414  

Weighted average shares outstanding – diluted

     364,977       319,994       350,441       261,072  

Dividends declared per common share

   $ 0.24     $ 0.23     $ 0.96     $ 0.91  

 

(A) Financials have been derived from the prior year audited financial statements.

 

Q4 2017  |  SUPPLEMENTAL INFORMATION     15


MEDICALPROPERTIESTRUST.COM

 

 

FINANCIAL STATEMENTS

 

 

MEDICAL PROPERTIES TRUST, INC. AND SUBSIDIARIES

Consolidated Balance Sheets

(Amounts in thousands, except per share data)

 

     December 31, 2017     December 31, 2016  
     (Unaudited)     (A)  

ASSETS

    

Real estate assets

    

Land, buildings and improvements, intangible lease assets, and other

   $ 5,944,220     $ 4,317,866  

Net investment in direct financing leases

     698,727       648,102  

Mortgage loans

     1,778,316       1,060,400  
  

 

 

   

 

 

 

Gross investment in real estate assets

     8,421,263       6,026,368  

Accumulated depreciation and amortization

     (455,712     (325,125
  

 

 

   

 

 

 

Net investment in real estate assets

     7,965,551       5,701,243  

Cash and cash equivalents

     171,472       83,240  

Interest and rent receivables

     78,970       57,698  

Straight-line rent receivables

     185,592       116,861  

Other assets

     618,703       459,494  
  

 

 

   

 

 

 

Total Assets

   $ 9,020,288     $ 6,418,536  
  

 

 

   

 

 

 

LIABILITIES AND EQUITY

    

Liabilities

    

Debt, net

   $ 4,898,667     $ 2,909,341  

Accounts payable and accrued expenses

     211,188       207,711  

Deferred revenue

     18,178       19,933  

Lease deposits and other obligations to tenants

     57,050       28,323  
  

 

 

   

 

 

 

Total Liabilities

     5,185,083       3,165,308  

Equity

    

Preferred stock, $0.001 par value. Authorized 10,000 shares; no shares outstanding

     —         —    

Common stock, $0.001 par value. Authorized 500,000 shares; issued and outstanding - 364,424 shares at December 31, 2017 and 320,514 shares at December 31, 2016

     364       321  

Additional paid-in capital

     4,333,027       3,775,336  

Distributions in excess of net income

     (485,932     (434,114

Accumulated other comprehensive loss

     (26,049     (92,903

Treasury shares, at cost

     (777     (262
  

 

 

   

 

 

 

Total Medical Properties Trust, Inc. Stockholders’ Equity

     3,820,633       3,248,378  

Non-controlling interests

     14,572       4,850  
  

 

 

   

 

 

 

Total Equity

     3,835,205       3,253,228  
  

 

 

   

 

 

 

Total Liabilities and Equity

   $ 9,020,288     $ 6,418,536  
  

 

 

   

 

 

 

 

(A) Financials have been derived from the prior year audited financial statements.

 

Q4 2017  |  SUPPLEMENTAL INFORMATION     16


MEDICALPROPERTIESTRUST.COM

 

 

FINANCIAL STATEMENTS

 

 

OTHER INCOME GENERATING ASSETS AS OF DECEMBER 31, 2017

($ amounts in thousands)

 

Operator

   Investment      Annual
Interest
Rate
    YTD RIDEA
Income (A)
   

Security / Credit Enhancements

Non-Operating Loans

         

Vibra Healthcare acquisition loan(B)

   $ 4,332        10.25     Secured and cross-defaulted with real estate, other agreements and guaranteed by Parent

Alecto working capital

     12,500        11.44     Secured and cross-defaulted with real estate and guaranteed by Parent

IKJG/HUMC working capital

     3,002        10.40     Secured and cross-defaulted with real estate and guaranteed by Parent

Ernest Health

     21,854        9.45     Secured and cross-defaulted with real estate and guaranteed by Parent

Other

     15,321         
  

 

 

        
   $ 57,009         

Operating Loans

         

Ernest Health (C)

   $ 93,200        15.00   $ 15,617     Secured and cross-defaulted with real estate and guaranteed by Parent
  

 

 

      

 

 

   
   $ 93,200          15,617    

Equity investments(D)

         

Domestic

   $ 164,332        $ 5,677    

International(E)

   $ 124,065        $ 6,882  (F)   

 

(A) Income earned on operating loans is reflected in the interest income line of the income statement.
(B) Original amortizing acquisition loan was $41 million; loan matures in 2019.
(C) Due to compounding, effective interest rate is 16.8%.
(D) All earnings in income from equity investments are reported on a one quarter lag basis.
(E) Includes equity investments in Spain, Italy, and Germany.
(F) Excludes our share of real estate depreciation and acquisition expenses of certain unconsolidated joint ventures.

 

Q4 2017  |  SUPPLEMENTAL INFORMATION     17


LOGO

1000 Urban Center Drive, Suite 501 Birmingham, AL 35242 (205) 969-3755 NYSE: MPW www.medicalpropertiestrust.com Contact: Tim Berryman, Director—Investor Relations (205) 397-8589 or tberryman@medicalpropertiestrust.com or Charles Lambert, Managing Director—Capital Markets (205) 397-8897 or clambert@medicalpropertiestrust.com    At the Very heArt of heAlthcAre® .