8-K
MEDICAL PROPERTIES TRUST INC false 0001287865 0001287865 2020-10-29 2020-10-29

 

 

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): October 29, 2020

 

 

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

 

 

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))

Securities registered pursuant to Section 12(b) of the Act:

 

Title of each class

 

Trading

Symbol

 

Name of each exchange

on which registered

Common Stock, par value $0.001 per share, of Medical Properties Trust, Inc.   MPW   The New York Stock Exchange

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 October 29, 2020, Medical Properties Trust, Inc. issued a press release announcing its financial results for the three and nine months ended September 30, 2020. 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.

 

Item 9.01.

Financial Statements and Exhibits.

(d) Exhibits.

 

Exhibit
Number

  

Description

99.1    Press release dated October 29, 2020 reporting financial results for the three and nine months ended September 30, 2020
99.2    Medical Properties Trust, Inc. 3rd Quarter 2020 Supplemental Information
104    Cover Page Interactive Data File (embedded within the Inline XBRL document)

 

2


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: October 29, 2020

 

3

EX-99.1

Exhibit 99.1

 

LOGO

 

    Contact: Drew Babin, CFA
    Senior Managing Director – Corporate Communications
    Medical Properties Trust, Inc.
    (646) 884-9809
    dbabin@medicalpropertiestrust.com

MEDICAL PROPERTIES TRUST, INC. REPORTS THIRD QUARTER RESULTS

Per Share Net Income of $0.25 and Normalized FFO of $0.41

Approximately 25% Year-over-Year Growth in Net Income and NFFO per Share

Nearly $2.9 Billion of Investments Closed Year-to-Date

Birmingham, AL – October 29, 2020 – Medical Properties Trust, Inc. (the “Company” or “MPT”) (NYSE: MPW) today announced financial and operating results for the third quarter ended September 30, 2020 as well as certain events occurring subsequent to quarter end.

 

   

Net income of $0.25 and Normalized Funds from Operations (“NFFO”) of $0.41 in the third quarter, both on a per diluted share basis;

 

   

Collection of materially all current rent and interest due from operators expected in fourth quarter with definitive agreements in place to collect, with interest, the 2% of 2020 rents previously deferred due to the COVID-19 pandemic;

 

   

Closed in early August on the acquisition of a MEDIAN inpatient rehab facility in Dahlen, Germany for €12.5 million;

 

   

Acquired BMI Woodlands Hospital in Darlington, United Kingdom in early August for £29.4 million;

 

   

Completed in mid-August an investment in Prime St. Francis Medical Center in Lynwood, CA for $300 million;

 

   

Sold approximately 7.0 million common shares since June 30, 2020 through the Company’s “at-the-market” program for net proceeds of approximately $129 million.

“We are pleased to report outstanding 24% normalized FFO per share growth relative to last year’s third quarter as well as to confirm our previous disclosures that we are once again collecting substantially 100% of current rent and interest due from our tenants, as operating conditions continue to approach and, in some instances, exceed pre-COVID levels,” said Edward K. Aldag, Jr., MPT’s Chairman, President, and Chief Executive Officer. “Regardless of political and legislative outcomes hitting the news in coming months, it remains a fact that U.S. total healthcare spending at hospitals, having reached $1.2 trillion as officially measured in 2018, has increased at an 8.8% compound annual growth rate and without a single annual decrease since CMS began recording this data in 1960. Irrespective of the outcome of the election and the direction the U.S. may take with regard to healthcare, we fully expect to maintain our sector-leading lease coverage multiples.”

 

1


Mr. Aldag continued, “Early indications suggest that our 2021 investment pipeline is similar in both size and composition to several years in our recent history. We continue to move forward with several attractive smaller investments, and, as is typical, we are in various stages of progress on significant opportunities with timing that is difficult to estimate.”

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 NFFO, all on a basis comparable to 2019 results, and reconciliations of total assets to pro forma total gross assets.

PORTFOLIO UPDATE

During the third quarter MPT and its operators continued to execute on several accretive acquisitions despite the COVID-19 pandemic.

In early August, as expected, MPT closed on the acquisition of MEDIAN Dahlener Heide, a 210-bed inpatient rehab facility in Germany, for €12.5 million. The Company’s continued investment in post-acute facilities in Germany reflects a deep understanding of the cultural importance of inpatient rehab facilities to German healthcare, the steady performance of the segment throughout the COVID-19 pandemic, and investment yields significantly in excess of local borrowing costs.

Also, in early August, MPT closed on the acquisition of BMI Woodlands Hospital in Darlington, U.K. for £29.4 million. Operated by Circle Health, this facility is home to highly rated providers of both orthopedic and opthalmic surgical care for the population of County Durham in the northeast of England.

As expected, MPT closed its investment in Prime St. Francis Medical Center in Los Angeles County, CA on August 13 for a total investment of $300 million. The transaction followed Prime Healthcare’s recent acquisition of the operations from Verity Health, and the lease will be joined to an existing $200 million master lease that Prime has agreed to extend by an additional five years.

Also, MPT has been advised that Prime has elected to prepay roughly $280 million in 2022 mortgage loan maturities following a successful secured bond raise. This transaction is indicative of Prime’s strong financial position, and MPT expects to continue to invest alongside Prime in future transactions. This cash, expected to be received in the fourth quarter, will positively impact MPT’s leverage ratios and funds available for reinvestment.

The Company continues to expect its initial property investment in Colombia to close in the fourth quarter. The investment will consist of direct investments in three hospitals for approximately $135 million, upsized from our initial estimate of $100 million to incorporate facility improvements. The hospitals are located in densely populated and underserved markets with significant potential for our international joint venture to drive operating improvements. This transaction, as well as the expectation that two additional U.S. post-acute developments and various small expansion and renovations projects become active in the fourth quarter, will bring our 2020 investment total to over $3 billion.

The Company has pro forma total gross assets of approximately $17.6 billion, including $14.3 billion in general acute care hospitals, $2.0 billion in inpatient rehabilitation hospitals, and $0.3 billion in long-term acute care hospitals. Our portfolio, pro forma for the transactions described herein, includes approximately 385 properties representing roughly 42,000 licensed beds across the United States and in Germany, the United Kingdom, Switzerland, Italy, Spain, Portugal, Australia, and Colombia. The properties are leased to or mortgaged by 46 hospital operating companies. MPT continues to work with existing and new operators in the U.S. and abroad on numerous opportunities.

 

2


OPERATING RESULTS AND OUTLOOK

Net income for the third quarter of 2020 was $131.1 million (or $0.25 per diluted share), compared to $89.8 million ($0.20 per diluted share) in the third quarter of 2019.

NFFO for the third quarter of 2020 was $220.7 million (or $0.41 per diluted share), compared to $147.5 million ($0.33 per diluted share) in the third quarter of 2019.

Based on year-to-date transactions, along with an assumed capital structure that results in a net debt to EBITDA ratio of approximately 5.5 times, MPT expects an annual run-rate of $1.09 to $1.12 per diluted share for net income and $1.68 to $1.71 per diluted share for NFFO.

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. Moreover, these estimates do not provide for the impact on MPT or its tenants and borrowers from the global COVID-19 pandemic. These estimates may change if the Company acquires or sells assets in amounts that are different from estimates, market interest rates change, debt is refinanced, new shares are issued, additional debt is incurred, other operating expenses vary, income from our equity investments vary from expectations, or existing leases or loans do not perform in accordance with their terms.

CONFERENCE CALL AND WEBCAST

The Company has scheduled a conference call and webcast for Thursday, October 29, 2020 at 11:00 a.m. Eastern Time to present the Company’s financial and operating results for the quarter ended September 30, 2020. The dial-in numbers for the conference call are 844-535-3969 (U.S. and Canada) and 409-937-8903 (International); both numbers require passcode 7673146. 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 November 12, 2020. Dial-in numbers for the replay are 855-859-2056 and 404-537-3406 for U.S./Canada and International callers, respectively. The replay passcode for all callers is 7673146.

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

The Company uses, and intends to continue to use, the Investor Relations page of its website, which can be found at www.medicalpropertiestrust.com, as a means of disclosing material nonpublic information and of complying with its disclosure obligations under Regulation FD, including, without limitation, through the posting of investor presentations that may include material nonpublic information. Accordingly, investors should monitor the Investor Relations page, in addition to following our press releases, SEC filings, public conference calls, presentations and webcasts. The information contained on, or that may be accessed through, our website is not incorporated by reference into, and is not a part of, this document.

About Medical Properties Trust, Inc.

Medical Properties Trust, Inc. is a self-advised real estate investment trust formed in 2003 to acquire and develop net-leased hospital facilities. From its inception in Birmingham, Alabama, the Company has grown to become one of the world’s largest owners of hospitals with approximately 385 facilities and roughly 42,000 licensed beds in nine countries and across four continents on a pro forma basis. MPT’s financing model facilitates acquisitions and recapitalizations and allows operators of hospitals to unlock the value of their real estate assets to fund facility improvements, technology upgrades and other investments in operations. For more information, please visit the Company’s website at www.medicalpropertiestrust.com.

 

3


This press release includes forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. Forward-looking statements can generally be identified by the use of forward-looking words such as “may”, “will”, “would”, “could”, “expect”, “intend”, “plan”, “estimate”, “target”, “anticipate”, “believe”, “objectives”, “outlook”, “guidance” or other similar words, and include statements regarding our strategies, objectives, future expansion and development activities, and expected financial performance. Forward-looking statements involve known and unknown risks and uncertainties that may cause our actual results or future events to differ materially from those expressed in or underlying such forward-looking statements, including, but not limited to: (i) the economic, political and social impact of, and uncertainty relating to, the COVID-19 pandemic, including governmental assistance to hospitals and healthcare providers, including certain of our tenants; (ii) the ability of our tenants, operators and borrowers to satisfy their obligations under their respective contractual arrangements with us, especially as a result of the adverse economic impact of the COVID-19 pandemic, and government regulation of hospitals and healthcare providers in connection with same (as further detailed in our Current Report on Form 8-K filed with the SEC on April 8, 2020); (iii) our expectations regarding annual run-rate net income and NFFO per share; (iv) our success in implementing our business strategy and our ability to identify, underwrite, finance, consummate and integrate acquisitions and investments; (v) the nature and extent of our current and future competition; (vi) macroeconomic conditions, such as a disruption of or lack of access to the capital markets; (vii) our ability to obtain debt financing on attractive terms or at all, which may adversely impact our ability to pursue acquisition and development opportunities and pay down, refinance, restructure or extend our indebtedness as it becomes due; (viii) increases in our borrowing costs as a result of changes in interest rates and other factors, including the potential phasing out of LIBOR after 2021; (ix) international, national and local economic, real estate and other market conditions, which may negatively impact, among other things, the financial condition of our tenants, lenders and institutions that hold our cash balances, and may expose us to increased risks of default by these parties; (x) factors affecting the real estate industry generally or the healthcare real estate industry in particular; (xi) our ability to maintain our status as a REIT for federal and state income tax purposes; (xii) federal and state healthcare and other regulatory requirements, as well as those in the foreign jurisdictions where we own properties; (xiii) the value of our real estate assets, which may limit our ability to dispose of assets at attractive prices or obtain or maintain equity or debt financing secured by our properties or on an unsecured basis; (xiv) the ability of our tenants and operators to comply with applicable laws, rules and regulations in the operation of the our properties, to deliver high-quality services, to attract and retain qualified personnel and to attract patients; and (xv) potential environmental contingencies and other liabilities.

The risks described above are not exhaustive and additional factors could adversely affect our business and financial performance, including the risk factors discussed under the section captioned “Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, 2019 and as updated in our quarterly reports on Form 10-Q. Forward-looking statements are inherently uncertain and actual performance or outcomes may vary materially from any forward-looking statements and the assumptions on which those statements are based. Readers are cautioned to not place undue reliance on forward-looking statements as predictions of future events. We disclaim any responsibility to update such forward-looking statements, which speak only as of the date on which they were made.

# # #

 

4


MEDICAL PROPERTIES TRUST, INC. AND SUBSIDIARIES

Consolidated Balance Sheets

 

(Amounts in thousands, except for per share data)    September 30, 2020     December 31, 2019  
     (Unaudited)     (A)  

Assets

    

Real estate assets

    

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

   $ 11,335,005     $ 8,102,754  

Investment in financing leases

     2,089,219       2,060,302  

Mortgage loans

     602,479       1,275,022  
  

 

 

   

 

 

 

Gross investment in real estate assets

     14,026,703       11,438,078  

Accumulated depreciation and amortization

     (754,560     (570,042
  

 

 

   

 

 

 

Net investment in real estate assets

     13,272,143       10,868,036  

Cash and cash equivalents

     183,794       1,462,286  

Interest and rent receivables

     48,476       31,357  

Straight-line rent receivables

     430,811       334,231  

Equity investments

     864,944       926,990  

Other loans

     910,467       544,832  

Other assets

     267,780       299,599  
  

 

 

   

 

 

 

Total Assets

   $ 15,978,415     $ 14,467,331  
  

 

 

   

 

 

 

Liabilities and Equity

    

Liabilities

    

Debt, net

   $ 8,190,669     $ 7,023,679  

Accounts payable and accrued expenses

     431,180       291,489  

Deferred revenue

     17,296       16,098  

Obligations to tenants and other lease liabilities

     126,393       107,911  
  

 

 

   

 

 

 

Total Liabilities

     8,765,538       7,439,177  

Equity

    

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

     —         —    

Common stock, $0.001 par value. Authorized 750,000 shares; issued and outstanding - 535,574 shares at September 30, 2020 and 517,522 shares at December 31, 2019

     536       518  

Additional paid-in capital

     7,337,155       7,008,199  

Retained (deficit) earnings

     (33,619     83,012  

Accumulated other comprehensive loss

     (95,654     (62,905

Treasury shares, at cost

     (777     (777
  

 

 

   

 

 

 

Total Medical Properties Trust, Inc. Stockholders’ Equity

     7,207,641       7,028,047  

Non-controlling interests

     5,236       107  
  

 

 

   

 

 

 

Total Equity

     7,212,877       7,028,154  
  

 

 

   

 

 

 

Total Liabilities and Equity

   $ 15,978,415     $ 14,467,331  
  

 

 

   

 

 

 

 

(A)

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


MEDICAL PROPERTIES TRUST, INC. AND SUBSIDIARIES

Consolidated Statements of Income

(Unaudited)

 

(Amounts in thousands, except for per share data)    For the Three Months Ended     For the Nine Months Ended  
     September 30, 2020     September 30, 2019     September 30, 2020     September 30, 2019  

Revenues

        

Rent billed

   $ 192,953     $ 124,361     $ 538,277     $ 343,841  

Straight-line rent

     51,125       31,026       103,697       76,813  

Income from financing leases

     52,544       17,502       157,469       52,168  

Interest and other income

     32,836       51,867       115,989       124,937  
  

 

 

   

 

 

   

 

 

   

 

 

 

Total revenues

     329,458       224,756       915,432       597,759  

Expenses

        

Interest

     82,263       64,519       243,538       167,396  

Real estate depreciation and amortization

     69,665       40,833       192,049       108,161  

Property-related

     5,897       4,038       19,178       15,394  

General and administrative

     31,718       23,286       97,121       69,009  
  

 

 

   

 

 

   

 

 

   

 

 

 

Total expenses

     189,543       132,676       551,886       359,960  

Other income (expense)

        

(Loss) gain on sale of real estate

     (927     209       (2,703     62  

Real estate impairment charges

     —         —         (19,006     —    

Earnings from equity interests

     5,893       3,474       15,263       11,635  

Unutilized financing fees

     —         (3,959     (611     (4,873

Other (including mark-to-market adjustments on equity securities)

     2,461       (2,282     (9,499     (1,497
  

 

 

   

 

 

   

 

 

   

 

 

 

Total other income (expense)

     7,427       (2,558     (16,556     5,327  
  

 

 

   

 

 

   

 

 

   

 

 

 

Income before income tax

     147,342       89,522       346,990       243,126  

Income tax (expense) benefit

     (15,985     745       (24,824     3,352  
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income

     131,357       90,267       322,166       246,478  

Net income attributable to non-controlling interests

     (251     (481     (600     (1,432
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income attributable to MPT common stockholders

   $ 131,106     $ 89,786     $ 321,566     $ 245,046  
  

 

 

   

 

 

   

 

 

   

 

 

 

Earnings per common share - basic and diluted:

        

Net income attributable to MPT common stockholders

   $ 0.25     $ 0.20     $ 0.61     $ 0.60  
  

 

 

   

 

 

   

 

 

   

 

 

 

Weighted average shares outstanding - basic

     531,095       439,581       526,651       404,902  

Weighted average shares outstanding - diluted

     532,436       440,933       527,832       406,100  

Dividends declared per common share

   $ 0.27     $ 0.26     $ 0.81     $ 0.76  


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 Nine Months Ended  
     September 30, 2020     September 30, 2019     September 30, 2020     September 30, 2019  

FFO information:

        

Net income attributable to MPT common stockholders

   $ 131,106     $ 89,786     $ 321,566     $ 245,046  

Participating securities’ share in earnings

     (435     (432     (1,386     (1,354
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income, less participating securities’ share in earnings

   $ 130,671     $ 89,354     $ 320,180     $ 243,692  

Depreciation and amortization

     80,841       50,163       223,166       130,424  

Loss (gain) on sale of real estate

     927       (209     2,703       (62

Real estate impairment charges

     —         —         19,006       —    
  

 

 

   

 

 

   

 

 

   

 

 

 

Funds from operations

   $ 212,439     $ 139,308     $ 565,055     $ 374,054  

Write-off of straight-line rent and other

     1,266       6,503       27,098       9,505  

Non-cash fair value adjustments

     (1,575     (2,273     9,030       (2,273

Tax rate change

     8,535       —         9,661       —    

Unutilized financing fees

     —         3,959       611       4,873  
  

 

 

   

 

 

   

 

 

   

 

 

 

Normalized funds from operations

   $ 220,665     $ 147,497     $ 611,455     $ 386,159  

Share-based compensation

     12,372       9,087       34,600       22,119  

Debt costs amortization

     3,552       2,659       10,389       6,914  

Rent deferral

     (5,420     —         (12,660     —    

Straight-line rent revenue and other

     (66,554     (39,204     (167,028     (96,762
  

 

 

   

 

 

   

 

 

   

 

 

 

Adjusted funds from operations

   $ 164,615     $ 120,039     $ 476,756     $ 318,430  
  

 

 

   

 

 

   

 

 

   

 

 

 

Per diluted share data:

        

Net income, less participating securities’ share in earnings

   $ 0.25     $ 0.20     $ 0.61     $ 0.60  

Depreciation and amortization

     0.15       0.12       0.42       0.32  

Loss (gain) on sale of real estate

     —         —         0.01       —    

Real estate impairment charges

     —         —         0.03       —    
  

 

 

   

 

 

   

 

 

   

 

 

 

Funds from operations

   $ 0.40     $ 0.32     $ 1.07     $ 0.92  

Write-off of straight-line rent and other

     —         0.01       0.05       0.02  

Non-cash fair value adjustments

     —         —         0.02       —    

Tax rate change

     0.01       —         0.02       —    

Unutilized financing fees

     —           —         —         0.01  
  

 

 

   

 

 

   

 

 

   

 

 

 

Normalized funds from operations

   $ 0.41     $ 0.33     $ 1.16     $ 0.95  

Share-based compensation

     0.02       0.02       0.06       0.05  

Debt costs amortization

     0.01       0.01       0.02       0.02  

Rent deferral

     (0.01     —         (0.02     —    

Straight-line rent revenue and other

     (0.12     (0.09     (0.32     (0.24
  

 

 

   

 

 

   

 

 

   

 

 

 

Adjusted funds from operations

   $ 0.31     $ 0.27     $ 0.90     $ 0.78  
  

 

 

   

 

 

   

 

 

   

 

 

 

Notes:

 

(A)

Certain line items above (such as real estate depreciation) include our share of such income/expense from unconsolidated joint ventures. These amounts are included with the activity of all of our equity interests in the “Earnings from equity interests” line on the consolidated statements of income.

(B)

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 results of operations 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) non-cash 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

Annual Run-Rate Guidance Reconciliation

(Unaudited)

 

     Annual Run-Rate Guidance - Per Share(1)  
     Low      High  

Net income attributable to MPT common stockholders

   $ 1.09      $ 1.12  

Participating securities’ share in earnings

     —          —    
  

 

 

    

 

 

 

Net income, less participating securities’ share in earnings

   $ 1.09      $ 1.12  

Depreciation and amortization

     0.59        0.59  
  

 

 

    

 

 

 

Funds from operations

   $ 1.68      $ 1.71  

Other adjustments

     —          —    
  

 

 

    

 

 

 

Normalized funds from operations

   $ 1.68      $ 1.71  
  

 

 

    

 

 

 

 

(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)

 

(Amounts in thousands)    September 30, 2020     December 31, 2019  

Total Assets

   $ 15,978,415     $ 14,467,331  

Add:

    

Real estate commitments on new investments(1)

     135,000       1,988,550  

Unfunded amounts on development deals and commenced capital improvement projects(2)

     172,850       163,370  

Accumulated depreciation and amortization

     754,560       570,042  

Incremental gross assets of our joint ventures(3)

     912,200       563,911  

Proceeds from new debt subsequent to period-end

     —         927,990  

Less:

    

Cash used for funding the transactions above(4)

     (307,850     (2,151,920
  

 

 

   

 

 

 

Pro Forma Total Gross Assets(5)

   $ 17,645,175     $ 16,529,274  
  

 

 

   

 

 

 

 

(1)

The 2020 column reflects our commitment to acquire three facilities in Colombia. The 2019 column reflects the acquisition of 30 facilities in the United Kingdom on January 8, 2020.

(2)

Includes $39.2 million and $41.7 million of unfunded amounts on ongoing development projects and $133.7 million and $121.7 million of unfunded amounts on capital improvement projects and development projects that have commenced rent, as of September 30, 2020 and December 31, 2019, respectively.

(3)

Adjustment to reflect our share of our joint ventures’ gross assets.

(4)

Includes cash available on-hand plus cash generated from activities subsequent to period-end including proceeds from new debt, asset sales or loan repayments.

(5)

Pro forma total gross assets is total assets before accumulated depreciation/amortization and assumes all real estate commitments on new investments and unfunded amounts on development deals and commenced capital improvement projects are fully funded using cash on hand (if available). 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 commitments close and our other commitments are fully funded.

EX-99.2

Exhibit 99.2

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Medical Properties Trust


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3 COMPANY OVERVIEW Company Information 3 FINANCIAL INFORMATION Reconciliation of Net Income to Funds from Operations 6 6 Debt Summary 7 Debt Maturity Schedule 8 Pro Forma Net Debt /Annualized Adjusted EBITDA 9 PORTFOLIO INFORMATION Lease and Loan Maturity Schedule 10 10 Total Pro Forma Gross Assets and Actual Revenue by Asset Type, Operator, State and Country 11 EBITDARM to Rent Coverage 14 Summary of Acquisitions and Development Projects 16 FINANCIAL STATEMENTS Consolidated Statements of Income 17 17 Consolidated Balance Sheets 18 Unconsolidated Joint Venture Investments 19 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 phealthcare 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 environ- mental and other liabilities; potential impact from COVID-19 on our tenants/ borrowers and the related impact to us; 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, 2019, 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. Certain information in the supplemental package is shown pro forma for the consummation of pending transactions. The pro forma adjustments are based upon available information and assumptions that we believe are reasonable. There is no assurance that the pending transactions will occur. CUF Viseu Hospital, an acute care facility in Portugal. MEDICAL PROPERTIES TRUST | SUPPLEMENTAL INFORMATION | Q3 2020 2


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COMPANY OVERVIEW Medical Properties Trust, Inc. is a self-advised real estate investment trust formed in 2003 to acquire and develop net-leased hospital facilities. From its inception in Birmingham, Alabama, the Company has grown to become one of the world’s largest owners of hospitals. MPT’s financing model facilitates acquisitions and recapitalizations and allows operators of hospitals to unlock the value of their real estate assets to fund facility improvements, technology upgrades and other investments in operations. 385 46 ~42,000 33 9 properties operators beds U. S. states countries MEDICAL PROPERTIES TRUST | SUPPLEMENTAL INFORMATION | Q3 2020 3


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COMPANY OVERVIEW MPT OFFICERS: From the Left: Charles R. Lambert, Rosa H. Hooper, R. Lucas Savage, Edward K. Aldag, Jr., R. Steven Hamner, Emmett E. McLean and J. Kevin Hanna. Officers Edward K. Aldag, Jr. Chairman, President and Chief Executive Officer R. Steven Hamner Executive Vice President and Chief Financial Officer Emmett E. McLean Executive Vice President, Chief Operating Officer and Secretary J. Kevin Hanna Vice President, Controller and Chief Accounting Officer Rosa H. Hooper Vice President, Managing Director of Asset Management and Underwriting R. Lucas Savage Vice President, International Acquisitions Charles R. Lambert Vice President, Treasurer and Managing Director of Capital Markets Board of Directors Edward K. Aldag, Jr. G. Steven Dawson R. Steven Hamner Caterina A. Mozingo Elizabeth N. Pitman 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 MEDICAL PROPERTIES TRUST | SUPPLEMENTAL INFORMATION | Q3 2020 4


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COMPANY OVERVIEW INVESTOR RELATIONS Drew Babin Senior Managing Director of Corporate Communications (646) 884-9809 dbabin@medicalpropertiestrust.com Tim Berryman Managing Director of Investor Relations (205) 397-8589 tberryman@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- Above: Campbelltown Hospital operated by Healthscope in Australia. MEDICAL PROPERTIES TRUST | SUPPLEMENTAL INFORMATION | Q3 2020 5


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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 Nine Months Ended September 30, 2020 September 30, 2019 September 30, 2020 September 30, 2019 FFO INFORMATION: Net income attributable to MPT common stockholders $ 131,106 $ 89,786 $ 321,566 $ 245,046 Participating securities’ share in earnings (435) (432) (1,386) (1,354) Net income, less participating securities’ share in earnings $ 130,671 $ 89,354 $ 320,180 $ 243,692 Depreciation and amortization 80,841 50,163 223,166 130,424 Loss (gain) on sale of real estate 927 (209) 2,703 (62) Real estate impairment charges —— 19,006 —Funds from operations $ 212,439 $ 139,308 $ 565,055 $ 374,054 Write-off of straight-line rent and other 1,266 6,503 27,098 9,505 Non-cash fair value adjustments (1,575) (2,273) 9,030 (2,273) Tax rate change 8,535 — 9,661 —Unutilized financing fees — 3,959 611 4,873 Normalized funds from operations $ 220,665 $ 147,497 $ 611,455 $ 386,159 Share-based compensation 12,372 9,087 34,600 22,119 Debt costs amortization 3,552 2,659 10,389 6,914 Rent deferral (5,420) — (12,660) —Straight-line rent revenue and other (66,554) (39,204) (167,028) (96,762) Adjusted funds from operations $ 164,615 $ 120,039 $ 476,756 $ 318,430 PER DILUTED SHARE DATA: Net income, less participating securities’ share in earnings $ 0.25 $ 0.20 $ 0.61 $ 0.60 Depreciation and amortization 0.15 0.12 0.42 0.32 Loss (gain) on sale of real estate —— 0.01 —Real estate impairment charges —— 0.03 —Funds from operations $ 0.40 $ 0.32 $ 1.07 $ 0.92 Write-off of straight-line rent and other — 0.01 0.05 0.02 Non-cash fair value adjustments —— 0.02 —Tax rate change 0.01 — 0.02 —Unutilized financing fees ——— 0.01 Normalized funds from operations $ 0.41 $ 0.33 $ 1.16 $ 0.95 Share-based compensation 0.02 0.02 0.06 0.05 Debt costs amortization 0.01 0.01 0.02 0.02 Rent deferral (0.01) — (0.02) —Straight-line rent revenue and other (0.12) (0.09) (0.32) (0.24) Adjusted funds from operations $ 0.31 $ 0.27 $ 0.90 $ 0.78 Notes: (A) Certain line items above (such as real estate depreciation) include our share of such income/expense from unconsolidated joint ventures. These amounts are included with the activity of all of our equity interests in the “Earnings from equity interests” line on the consolidated statements of income. (B) 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 results of operations 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) non-cash 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 | SUPPLEMENTAL INFORMATION | Q3 2020 6


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FINANCIAL INFORMATION DEBT SUMMARY (As of September 30, 2020) ($ amounts in thousands) Debt Instrument Rate Type Rate Balance 2021 Credit Facility Revolver (A) Variable 1.410% $ 225,000 2022 Term Loan Variable 1.650% 200,000 4.000% Notes Due 2022 (500M) (B) Fixed 4.000% 586,050 2.550% Notes Due 2023 (400M) (B) Fixed 2.550% 516,800 2024 AUD Term Loan (AUD$1.2B) (B) Fixed (C) 2.450% 859,440 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 (500M) (B) Fixed 3.325% 586,050 2025 GBP Term Loan (700M) (B) Fixed (D) 1.949% 904,400 5.250% Notes Due 2026 Fixed 5.250% 500,000 5.000% Notes Due 2027 Fixed 5.000% 1,400,000 3.692% Notes Due 2028 (600M) (B) Fixed 3.692% 775,200 4.625% Notes Due 2029 Fixed 4.625% 900,000 $ 8,252,940 Debt issuance costs and discount (62,271) Weighted average rate 3.830% $ 8,190,669 RATE TYPE AS PERCENTAGE OF TOTAL DEBT (A) We have a $1.3 billion unsecured revolving credit facility which matures in February 2021 and can be extended for an additional 12 months at our option. (B) Non-USD denominated debt converted to U.S. dollars at September 30, 2020. (C) We entered into an interest rate swap transaction, effective July 3, 2019, to fix the interest rate to 2.450% for the duration of the loan. (D) We entered into an interest rate swap transaction, effective March 6, 2020, to fix the interest rate to 1.949% for the duration of the loan. MEDICAL PROPERTIES TRUST | SUPPLEMENTAL INFORMATION | Q3 2020 7


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FINANCIAL INFORMATION DEBT MATURITY SCHEDULE ($ amounts in thousands) Debt Instrument 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2021 Credit Facility Revolver $ — $ 225,000 $- $ —$ —$ —$ — $—$ —$ -2022 Term Loan — 200,000 — — ——4.000% Notes Due 2022 (500M) (A) — 586,050 — — ——2.550% Notes Due 2023 (400M) (A) —- 516,800 —— — -2024 AUD Term Loan (AUD$1.2B) (A) — — 859,440 — ——6.375% Notes Due 2024 — — 500,000 — ——5.500% Notes Due 2024 — — 300,000 — ——3.325% Notes Due 2025 (500M) (A) — —— 586,050— — -2025 GBP Term Loan (700M) (A) ——— 904,400— ——5.250% Notes Due 2026 — — — 500,000 ——5.000% Notes Due 2027 — — ——1,400,000 — 3.692% Notes Due 2028 (600M) (A) — — — — 775,200—4.625% Notes Due 2029 — — —— — 900,000 $ —$225,000 $ 786,050 $ 516,800 $ 1,659,440 $ 1,490,450 $500,000 $ 1,400,000 $ 775,200 $900,000 $1,800,000 $1,659,440 $1,490,450 $1,600,000 $1,400,000 $1,400,000 $1,200,000 $1,000,000 $900,000 $786,050 $775,200 $800,000 $600,000 $516,800 $500,000 $400,000 $200,000 $225,000 $- $- 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2021 Credit Facility Revolver 2022 Term Loan 4.000% Notes Due 2022 2.550% Notes Due 2023 2024 AUD Term Loan 6.375% Notes Due 2024 5.500% Notes Due 2024 3.325% Notes Due 2025 2025 GBP Term Loan 5.250% Notes Due 2026 5.000% Notes Due 2027 3.692% Notes Due 2028 4.625% Notes Due 2029 (A) Non-USD denominated debt converted to U.S. dollars at September 30, 2020. MEDICAL PROPERTIES TRUST | SUPPLEMENTAL INFORMATION | Q3 2020 8


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FINANCIAL INFORMATION PRO FORMA NET DEBT / ANNUALIZED ADJUSTED EBITDA (Unaudited) (Amounts in thousands) For the Three Months Ended September 30, 2020 Net income attributable to MPT common stockholders $ 131,106 Pro forma adjustments for investment activity (A) (407) Pro forma net income $ 130,699 Add back: Interest (B) 80,929 Depreciation and amortization (B) 79,533 Share-based compensation 12,372 Loss on sale of real estate 927 Write-off of straight-line rent and other 1,266 Non-cash fair value adjustments (1,575) Income tax (B) 16,242 3Q 2020 Pro forma adjusted EBITDA $ 320,393 Annualization $ 1,281,572 Total debt $ 8,190,669 Pro forma changes to net debt after September 30, 2020 (A) (414,354) Pro forma net debt $ 7,776,315 Pro forma net debt / annualized adjusted EBITDA 6.1x (A) Reflects a commitment to invest in three facilities in Colombia, along with loan repayments and other transactions completed early in Q4 and a full quarter impact of our mid-Q3 2020 investments,building improvements and disposals. (B) Includes our share of interest, real estate depreciation and income tax expense from unconsolidated joint ventures. 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 share-based compensation, gains or losses on real estate and other dispositions, debt refinancing or similar charges, and impairment or other non-cash charges 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. MEDICAL PROPERTIES TRUST | SUPPLEMENTAL INFORMATION | Q3 2020 9


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PORTFOLIO INFORMATION LEASE AND LOAN MATURITY SCHEDULE (A) ($ amounts in thousands) (B) Percentage of Total Years of Maturities Total Properties (C) Base Rent/Interest (D) Base Rent/Interest 2020— $ — 2021 1 2,250 0.2% 2022 16 55,622 5.0% 2023 4 13,748 1.2% 2024 2 5,516 0.5% 2025 7 21,943 2.0% 2026 2 8,850 0.8% 2027 1 3,183 0.3% 2028 4 5,591 0.5% 2029 12 44,517 4.0% 2030 3 4,010 0.4% Thereafter 309 944,854 85.1% 361 # $ 1,110,084 100.0% Percentage of total base rent/interest 90% 85.1% 80% 70% 60% 50% 40% 30% 20% 10% 5.0% 4.0% 0.0% 0.2% 1.2% 0.5% 2.0% 0.8% 0.3% 0.5% 0.4% 0% (A) Schedule includes leases and mortgage loans. (B) 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. (C) Reflects all properties, including those that are part of joint ventures, except vacant properties representing approximately 1% of total pro forma gross assets, and two facilities that are under development. (D) 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). MEDICAL PROPERTIES TRUST | SUPPLEMENTAL INFORMATION | Q3 2020 10


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PORTFOLIO INFORMATION TOTAL PRO FORMA GROSS ASSETS AND ACTUAL REVENUE BY ASSET TYPE (September 30, 2020) ($ amounts in thousands) Pro Forma Actual Total Percentage of 2020 Percentage of Asset Types Gross Assets (A) Total Gross Assets Revenue (B) 2020 Revenue General Acute Care Hospitals $ 14,348,947 81.3% $ 843,930 85.0% Inpatient Rehabilitation Hospitals 2,006,876 11.4% 123,758 12.5% Long-Term Acute Care Hospitals 338,841 1.9% 25,733 2.5% Other 950,511 5.4% — Total $ 17,645,175 100.0% $ 993,421 100.0% DOMESTIC PRO FORMA GROSS ASSETS BY ASSET TYPE DOMESTIC ACTUAL REVENUE BY ASSET TYPE 3% 8% 4% 6% General Acute Care Hospitals 8% Inpatient Rehabilitation Hospit Long-Term Acute Care Hospit 88% 83% Other TOTAL PRO FORMA GROSS ASSETS BY ASSET TYPE TOTAL ACTUAL REVENUE BY ASSET TYPE 2% 5% 2% General Acute Care Hospitals 13% 12% Inpatient Rehabilitation Hospitals 81% Long-Term Acute Care Hospitals 85% Other (A) Includes gross real estate assets, other loans, equity investments, and pro rata portion of gross assets in joint venture arrangements, assuming all real estate commitments on new investments and unfunded amounts on development deals and commenced capital improvement projects are fully funded. See press release dated October 29, 2020 for reconciliation of total assets to pro forma total gross assets at September 30, 2020. (B) Includes revenue from properties owned through joint venture arrangements. MEDICAL PROPERTIES TRUST | SUPPLEMENTAL INFORMATION | Q3 2020 11


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PORTFOLIO INFORMATION TOTAL PRO FORMA GROSS ASSETS AND ACTUAL REVENUE BY OPERATOR (September 30, 2020) ($ amounts in thousands) Pro Forma Actual Total Percentage of 2020 Percentage of Operators Gross Assets(A) Total Gross Assets Revenue(B) 2020 Revenue Steward Health Care Massachusetts market $ 1,491,782 8.5% $ 104,152 10.5% Utah market 1,260,576 7.1% 75,100 7.6% Texas/Arkansas/Louisiana market 711,911 4.0% 52,821 5.3% Arizona market 332,239 1.9% 24,722 2.5% Florida market 221,192 1.3% 11,239 1.1% Ohio/Pennsylvania market 151,782 0.9% 8,385 0.8% Circle Health 2,265,174 12.8% 116,175 11.7% Prospect Medical Holdings 1,588,936 9.0% 115,176 11.6% MEDIAN 1,206,498 6.8% 66,827 6.7% LifePoint Health 1,202,434 6.8% 79,794 8.0% 41 operators 6,262,140 35.5% 339,030 34.2% Other 950,511 5.4% — Total $ 17,645,175 100.0% $ 993,421 100.0% (A) Includes gross real estate assets, other loans, equity investments, and pro rata portion of gross assets in joint venture arrangements, assuming all real estate commitments on new investments and unfunded amounts on development deals and commenced capital improvement projects are fully funded. See press release dated October 29, 2020 for reconciliation of total assets to pro forma total gross assets at September 30, 2020. (B) Includes revenue from properties owned through joint venture arrangements. Note: Our largest facility accounts for approximately 3% of total pro forma gross assets. TOTAL PRO FORMA GROSS ASSETS BY OPERATOR TOTAL ACTUAL REVENUE BY OPERATOR 5% Steward Health Care 24% Circle Health 28% 34% 35% Prospect Medical Holdings 13% MEDIAN LifePoint Health 12% 9% 7% 7% 41 operators 8% 11% 7% Other MEDICAL PROPERTIES TRUST | SUPPLEMENTAL INFORMATION | Q3 2020 12


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PORTFOLIO INFORMATION TOTAL PRO FORMA GROSS ASSETS AND ACTUAL REVENUE BY U.S. STATE AND COUNTRY (September 30, 2020) ($ amounts in thousands) Pro Forma Actual Total Percentage of 2020 Percentage of U.S. States and Other Countries Gross Assets (A) Total Gross Assets Revenue (B) 2020 Revenue Texas $ 1,577,739 8.9% $ 78,622 7.9% Massachusetts 1,497,182 8.5% 104,626 10.5% California 1,377,996 7.8% 110,107 11.1% Utah 1,295,685 7.3% 77,988 7.9% Pennsylvania 861,596 4.9% 58,707 5.9% 28 Other States 4,001,949 22.7% 281,780 28.4% Other 855,781 4.9% — United States $ 11,467,928 65.0% $ 711,830 71.7% United Kingdom $ 2,717,588 15.4% $ 135,636 13.7% Germany 1,302,430 7.4% 72,739 7.3% Australia 927,448 5.3% 40,606 4.1% Switzerland 653,237 3.7% 18,635 1.9% Spain 209,614 1.2% 6,677 0.7% Other Countries 272,200 1.5% 7,298 0.6% Other 94,730 0.5% — International $ 6,177,247 35.0% $ 281,591 28.3% Total $ 17,645,175 100.0% $ 993,421 100.0% (A) Includes gross real estate assets, other loans, equity investments, and pro rata portion of gross assets in joint venture arrangements, assuming all real estate commitments on new investments and unfunded amounts on development deals and commenced capital improvement projects are fully funded. See press release dated October 29, 2020 for reconciliation of total assets to pro forma total gross assets at September 30, 2020. (B) Includes revenue from properties owned through joint venture arrangements. TOTAL PRO FORMA GROSS ASSETS BY COUNTRY TOTAL ACTUAL REVENUE BY COUNTRY 1% 2% <1% 4% 2% <1% 4% United States <1% 5% United Kingdom 7% Germany 7% Australia 14% 15% 65% Switzerland 72% Spain Other Countries Other PRO FORMA GROSS ASSETS BY U.S. STATE ACTUAL REVENUE BY U.S. STATE Texas 4% 9% Massachusetts 8% California 11% 9% 28% Utah 23% Pennsylvania 8% 11% 28 Other States 5% 7% Other 6% 8% MEDICAL PROPERTIES TRUST | SUPPLEMENTAL INFORMATION | Q3 2020 13


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PORTFOLIO INFORMATION SAME STORE EBITDARM(A) RENT COVERAGE INCLUSIVE OF CARES ACT GRANTS YOY AND SEQUENTIAL QUARTER COMPARISONS BY PROPERTY TYPE 5.00x 4.00x 3.6x 3.6x 3.0x 2.8x 2.7x 3.2x 2.6x 3.2x 2.00x 3.00x 2.0x 2.1x 2.2x 2.1x 1.6x 2.3x 1.8x 2.3x 1.00x 0.00x General Acute Care Hospitals Inpatient Rehabilitation Long-Term Acute Care Total Portfolio Facilities Hospitals Q2 2019 (YoY) Q2 2020 (YoY) Q1 2020 (QoQ) Q2 2020 (QoQ) STRATIFICATION OF PORTFOLIO EBITDARM RENT COVERAGE Investment Percentage of EBITDARM Rent Coverage TTM No. of Facilities (in thousands) Investment Greater than or equal to 4.50x $ 148,045 3 1.9% 3.00x—4.49x $— 0 0.0% 1.50x—2.99x $ 88,548 5 1.2% Less than 1.50x $ 19,058 4 0.3% Total Master Leased, Cross-Defaulted and/or with Parent Guaranty: 3.1x $ 7,343,350 173 96.6% General Acute Care Hospitals Master Leased, $ 5,512,976 65 72.5% Cross-Defaulted and/or with Parent Guaranty: 3.5x Inpatient Rehabilitation Facilities Master Leased, $ 1,593,582 95 21.0% Cross-Defaulted and/or with Parent Guaranty: 2.1x Long-Term Acute Care Hospitals Master Leased, $ 236,792 13 3.1% Cross-Defaulted and/or with Parent Guaranty: 2.3x 3% 2% 1% <1% Greater than or equal to 4.50x 3.00x—4.49x 21% 1.50x—2.99x 73% Less than 1.50x General Acute Master Lease, Cross-Default or Parent Guaranty Rehab Master Lease, Cross-Default or Parent Guaranty LTACH Master Lease, Cross-Default or Parent Guaranty 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. All data presented is on a trailing twelve month basis. (A) EBITDARM adjusted for non-recurring items. MEDICAL PROPERTIES TRUST | SUPPLEMENTAL INFORMATION | Q3 2020 14


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PORTFOLIO INFORMATION SAME STORE EBITDARM(A) RENT COVERAGE EXCLUDING ALL CARES ACT GRANTS YOY AND SEQUENTIAL QUARTER COMPARISONS BY PROPERTY TYPE 5.00x 4.00x 3.0x 3.00x 2.2x 2.7x 2.2x 2.0x 2.0x 2.2x 2.0x 2.0x 1.8x 2.0x 2.7x 2.1x 2.5x 2.1x 2.00x 1.6x 1.00x 0.00x General Acute Care Hospitals Inpatient Rehabilitation Long-Term Acute Care Total Portfolio Facilities Hospitals Q2 2019 (YoY) Q2 2020 (YoY) Q1 2020 (QoQ) Q2 2020 (QoQ) STRATIFICATION OF PORTFOLIO EBITDARM RENT COVERAGE Investment Percentage of EBITDARM Rent Coverage TTM No. of Facilities (in thousands) Investment Greater than or equal to 4.50x $ 33,045 2 0.4% 3.00x—4.49x $ 115,000 1 1.5% 1.50x—2.99x $ 88,548 5 1.2% Less than 1.50x $ 19,058 4 0.3% Total Master Leased, Cross-Defaulted and/or with Parent Guaranty: 2.1x $ 7,343,350 173 96.6% General Acute Care Hospitals Master Leased, Cross- $ 5,512,976 65 72.5% Defaulted and/or with Parent Guaranty: 2.1x Inpatient Rehabilitation Facilities Master Leased, $ 1,593,582 95 21.0% Cross-Defaulted and/or with Parent Guaranty: 2.0x Long-Term Acute Care Hospitals Master Leased, $ 236,792 13 3.1% Cross-Defaulted and/or with Parent Guaranty: 2.0x 3% <1% 1% 1% Greater than or equal to 4.50x <1% 3.00x—4.49x 21% 1.50x—2.99x 73% Less than 1.50x General Acute Master Lease, Cross-Default or Parent Guaranty Rehab Master Lease, Cross-Default or Parent Guaranty LTACH Master Lease, Cross-Default or Parent Guaranty 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. All data presented is on a trailing twelve month basis. (A) EBITDARM adjusted for non-recurring items. MEDICAL PROPERTIES TRUST | SUPPLEMENTAL INFORMATION | Q3 2020 15


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PORTFOLIO INFORMATION SUMMARY OF COMPLETED ACQUISITIONS / DEVELOPMENT PROJECTS FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2020 (Amounts in thousands) Rent Commencement Acquisition/ Operator Location Investment (A) Date Development Circle Health United Kingdom $ 1,973,272 1/8/2020 Acquisition Surgery Partners Idaho 108,856 1/21/2020 Development International JV N/A 205,000 5/13/2020 Acquisition Circle Health United Kingdom 43,759 6/29/2020 Development Circle Health Rehabilitation United Kingdom 18,428 6/29/2020 Development Steward Health Care Utah 200,000 (B) 7/8/2020 Acquisition MEDIAN Germany 14,754 8/5/2020 Acquisition Circle Health United Kingdom 38,640 8/7/2020 Acquisition Prime Healthcare California 300,000 8/13/2020 Acquisition $ 2,902,709 SUMMARY OF CURRENT INVESTMENT COMMITMENTS (Amounts in thousands) Operator Location Commitment Acquisition/ Development International JV Colombia $ 135,000 Acquisition SUMMARY OF CURRENT DEVELOPMENT PROJECTS AS OF SEPTEMBER 30, 2020 (Amounts in thousands) Operator Location Commitment Costs Incurred as of Estimated Rent 9/30/2020 Commencement Date NeuroPsychiatric Hospitals Texas $ 27,500 $ 20,241 Q2 2021 Ernest California 47,929 16,010 Q4 2021 $ 75,429 $ 36,251 (A) Excludes transaction costs, including real estate transfer and other taxes and accounts for the exchange rate as of the acquisition date. (B) Incremental investment to acquire the fee simple interest of two facilities previously subject to a mortgage loan investment from MPT. MEDICAL PROPERTIES TRUST | SUPPLEMENTAL INFORMATION | Q3 2020 16


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FINANCIAL STATEMENTS MEDICAL PROPERTIES TRUST, INC. AND SUBSIDIARIES Consolidated Statements of Income (Unaudited) (Amounts in thousands, except per share data) For the Three Months Ended For the Nine Months Ended September 30, 2020 September 30, 2019 September 30, 2020 September 30, 2019 REVENUES Rent billed $ 192,953 $ 124,361 $ 538,277 $ 343,841 Straight-line rent 51,125 31,026 103,697 76,813 Income from financing leases 52,544 17,502 157,469 52,168 Interest and other income 32,836 51,867 115,989 124,937 Total revenues 329,458 224,756 915,432 597,759 EXPENSES Interest 82,263 64,519 243,538 167,396 Real estate depreciation and amortization 69,665 40,833 192,049 108,161 Property-related 5,897 4,038 19,178 15,394 General and administrative 31,718 23,286 97,121 69,009 Total expenses 189,543 132,676 551,886 359,960 OTHER INCOME (EXPENSE) (Loss) gain on sale of real estate (927) 209 (2,703) 62 Real estate impairment charges —— (19,006) —Earnings from equity interests 5,893 3,474 15,263 11,635 Unutilized financing fees — (3,959) (611) (4,873) Other (including mark-to-market adjustments on equity securities) 2,461 (2,282) (9,499) (1,497) Total other income (expense) 7,427 (2,558) (16,556) 5,327 Income before income tax 147,342 89,522 346,990 243,126 Income tax (expense) benefit (15,985) 745 (24,824) 3,352 Net income 131,357 90,267 322,166 246,478 Net income attributable to non-controlling interests (251) (481) (600) (1,432) Net income attributable to MPT common stockholders $ 131,106 $ 89,786 $ 321,566 $ 245,046 EARNINGS PER COMMON SHARE—BASIC AND DILUTED Net income attributable to MPT common stockholders $ 0.25 $ 0.20 $ 0.61 $ 0.60 WEIGHTED AVERAGE SHARES OUTSTANDING—BASIC 531,095 439,581 526,651 404,902 WEIGHTED AVERAGE SHARES OUTSTANDING—DILUTED 532,436 440,933 527,832 406,100 $ - $ - DIVIDENDS DECLARED PER COMMON SHARE $ 0.27 $ 0.26 $ 0.81 $ 0.76 MEDICAL PROPERTIES TRUST | SUPPLEMENTAL INFORMATION | Q3 2020 17


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FINANCIAL STATEMENTS MEDICAL PROPERTIES TRUST, INC. AND SUBSIDIARIES Consolidated Balance Sheets (Amounts in thousands, except per share data) September 30, 2020 December 31, 2019 (Unaudited) (A) ASSETS Real estate assets Land, buildings and improvements, intangible lease assets, and other $ 11,335,005 $ 8,102,754 Investment in financing leases 2,089,219 2,060,302 Mortgage loans 602,479 1,275,022 Gross investment in real estate assets 14,026,703 11,438,078 Accumulated depreciation and amortization (754,560) (570,042) Net investment in real estate assets 13,272,143 10,868,036 Cash and cash equivalents 183,794 1,462,286 Interest and rent receivables 48,476 31,357 Straight-line rent receivables 430,811 334,231 Equity investments 864,944 926,990 Other loans 910,467 544,832 Other assets 267,780 299,599 Total Assets $ 15,978,415 $ 14,467,331 LIABILITIES AND EQUITY Liabilities Debt, net $ 8,190,669 $ 7,023,679 Accounts payable and accrued expenses 431,180 291,489 Deferred revenue 17,296 16,098 Obligations to tenants and other lease liabilities 126,393 107,911 Total Liabilities 8,765,538 7,439,177 Equity Preferred stock, $0.001 par value. Authorized 10,000 shares; no shares outstanding - —Common stock, $0.001 par value. Authorized 750,000 shares; issued and outstanding—535,574 shares at September 30, 2020 and 517,522 shares at December 31, 2019 536 518 Additional paid-in capital 7,337,155 7,008,199 Retained (deficit) earnings (33,619) 83,012 Accumulated other comprehensive loss (95,654) (62,905) Treasury shares, at cost (777) (777) Total Medical Properties Trust, Inc. Stockholders’ Equity 7,207,641 7,028,047 Non-controlling interests 5,236 107 Total Equity 7,212,877 7,028,154 Total Liabilities and Equity $ 15,978,415 $ 14,467,331 (A) Financials have been derived from the prior year audited financial statements. MEDICAL PROPERTIES TRUST | SUPPLEMENTAL INFORMATION | Q3 2020 18


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FINANCIAL STATEMENTS UNCONSOLIDATED JOINT VENTURE INVESTMENTS (As of and for the three months ended September 30, 2020) (Unaudited) ($ amounts in thousands) REAL ESTATE JOINT VENTURE DETAILS Income Statement Total revenues $ 58,704 Expenses: Interest 16,471 Real estate depreciation and amortization 23,916 General and administrative 1,411 Other 2,813 Income taxes 473 Total expenses 45,084 Net income $ 13,620 Balance Sheet Information Total Assets $ 4,141,472 Debt, (third party) $ 1,341,905 Shareholder loans 755,667 Other liabilities 400,298 Total Liabilities $ 2,497,870 Leverage Metrics (Third-party debt only) Debt to EBITDA (annualized) 6.2x Debt to Total Assets 32.4% JOINT VENTURE IMPACT Income Statement Impact to MPT Amounts Financial Statement Location Real estate joint venture income(1) $ 5,893 Earnings from equity interests Management fee revenue $ 149 Interest and other income Shareholder loan interest revenue $ 4,523 Interest and other income Balance Sheet Impact to MPT Amounts Financial Statement Location Real estate joint venture investments $ 641,225 Equity investments Other joint venture investments 223,719 Equity investments Total joint venture investments $ 864,944 Shareholder loans $ 351,222 Other loans (1) Includes $1.9 million of straight-line rent revenue and $ 11.0 million of depreciation and amortization expense. MEDICAL PROPERTIES TRUST | SUPPLEMENTAL INFORMATION | Q3 2020 19


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1000 Urban Center Drive, Suite 501 Birmingham, AL 35242 (205) 969-3755 NYSE: MPW www.medicalpropertiestrust.com Contact: Drew Babin, Senior Managing Director of Corporate Communications (646) 884-9809 or dbabin@medicalpropertiestrust.com or Tim Berryman, Managing Director of Investor Relations (205) 397-8589 or tberryman@medicalpropertiestrust.com