Medical Properties Trust Cash Flow Statement

Financials in millions USD. Fiscal year is January - December.

Millions USD. Fiscal year is Jan - Dec.

Fiscal Year	TTM	FY 2024	FY 2023	FY 2022	FY 2021	FY 2020
Period Ending	Sep '25 Sep 30, 2025	Dec '24 Dec 31, 2024	Dec '23 Dec 31, 2023	Dec '22 Dec 31, 2022	Dec '21 Dec 31, 2021	Dec '20 Dec 31, 2020
Net Income	-707.21	-2,410	-556.48	902.6	656.02	431.45
Depreciation & Amortization	248.35	283.75	330.13	345.58	333.78	275.95
Other Amortization	24.45	17.35	15.78	17.05	16.86	13.1
Gain (Loss) on Sale of Assets	-7.65	-478.69	1.82	-536.76	-52.47	2.83
Gain (Loss) on Sale of Investments	-	410.79	-	-	-40.95	-
Asset Writedown	572.26	1,995	662.91	268.38	39.41	19.01
Stock-Based Compensation	33.26	32.98	33.25	49.42	52.11	47.15
Change in Accounts Receivable	6.94	2.78	-141.73	-116.42	-23.87	-2.44
Change in Accounts Payable	-1.37	23.48	-4.6	33.58	54.06	-18.42
Change in Other Net Operating Assets	-10.47	-36.11	13.75	-4.03	-4.38	18.26
Other Operating Activities	-10.04	409.79	143.4	-220.42	-206.23	-189.08
Operating Cash Flow	147.39	245.48	505.79	739.01	811.66	617.64
Operating Cash Flow Growth	-51.55%	-51.47%	-31.56%	-8.95%	31.41%	25.00%
Acquisition of Real Estate Assets	-177.5	-341.48	-643.78	-1,650	-356.96	-104.53
Sale of Real Estate Assets	189.38	1,854	897.5	2,186	246.47	94.18
Net Sale / Acq. of Real Estate Assets	11.88	1,513	253.72	535.98	-110.5	-10.35
Cash Acquisition	-	-	-	-	-5,350	-4,249
Investment in Marketable & Equity Securities	-	11.66	12.43	14.3	65.55	69.22
Investing Cash Flow	-165.13	1,318	517.56	396.06	-3,858	-2,947
Long-Term Debt Issued	-	804.19	567.91	332.11	3,968	2,379
Long-Term Debt Repaid	-	-1,833	-988.16	-869.61	-1,391	-800
Net Debt Issued (Repaid)	380.93	-1,029	-420.25	-537.49	2,577	1,579
Issuance of Common Stock	-	-	-	-	1,051	411.1
Repurchase of Common Stock	-2.03	-3.81	-8.08	-47.86	-	-
Common Dividends Paid	-193.01	-321.08	-615.39	-698.54	-643.47	-567.97
Other Financing Activities	-48.63	-125.56	23.39	-58.63	-36.67	-20.64
Foreign Exchange Rate Adjustments	0.37	-5.22	11.4	-12.89	4.66	16.44
Net Cash Flow	119.89	79.22	14.41	-220.34	-94.49	-911.62
Cash Interest Paid	456.17	412.67	391.96	347.38	323.12	306.89
Levered Free Cash Flow	508.09	649.55	764.83	1,797	451.22	328.37
Unlevered Free Cash Flow	783.25	893.34	1,006	2,005	663.99	520.73
Change in Working Capital	-6.02	-15.6	-125.01	-86.83	13.12	17.22

Source: S&P Global Market Intelligence. Real Estate template. Financial Sources.