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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

 

FORM 10-Q

 

QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended September 30, 2024

OR

TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from to

Commission file number 001-32559

Commission file number 333-177186

MEDICAL PROPERTIES TRUST, INC.

MPT OPERATING PARTNERSHIP, L.P.

(Exact Name of Registrant as Specified in Its Charter)

 

 

 

 

 

maryland

delaware

20-0191742

20-0242069

(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

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

 

Title of each class

Trading Symbol(s)

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 (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes ☒ No ☐

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes ☒ No ☐

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer”, “smaller reporting company” and “emerging growth company” in Rule 12b-2 of the Exchange Act.

 

Large accelerated filer

☒ (Medical Properties Trust, Inc. only)

Accelerated filer

Non-accelerated filer

☒ (MPT Operating Partnership, L.P. only)

Smaller reporting company

 

 

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. ☐

 

 

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐ No

As of November 8, 2024, Medical Properties Trust, Inc. had 600.4 million shares of common stock, par value $0.001, outstanding.

 

 


 

EXPLANATORY NOTE

This report combines the Quarterly Reports on Form 10-Q for the three and nine months ended September 30, 2024 of Medical Properties Trust, Inc., a Maryland corporation, and MPT Operating Partnership, L.P., a Delaware limited partnership, through which Medical Properties Trust, Inc. conducts substantially all of its operations. Unless otherwise indicated or unless the context requires otherwise, all references in this report to “we,” “us,” “our,” “Medical Properties,” “MPT,” or the “Company” refer to Medical Properties Trust, Inc. together with its consolidated subsidiaries, including MPT Operating Partnership, L.P. Unless otherwise indicated or unless the context requires otherwise, all references to “operating partnership” refer to MPT Operating Partnership, L.P. together with its consolidated subsidiaries.

 


 

MEDICAL PROPERTIES TRUST, INC. AND MPT OPERATING PARTNERSHIP, L.P.

AND SUBSIDIARIES

QUARTERLY REPORT ON FORM 10-Q

FOR THE QUARTERLY PERIOD ENDED September 30, 2024

Table of Contents

 

Page

PART I — FINANCIAL INFORMATION

3

Item 1 Financial Statements

3

Medical Properties Trust, Inc. and Subsidiaries

 

Condensed Consolidated Balance Sheets at September 30, 2024 and December 31, 2023

3

Condensed Consolidated Statements of Net Income for the Three and Nine Months Ended September 30, 2024 and 2023

4

Condensed Consolidated Statements of Comprehensive (Loss) Income for the Three and Nine Months Ended September 30, 2024 and 2023

5

Condensed Consolidated Statements of Equity for the Three and Nine Months Ended September 30, 2024 and 2023

6

Condensed Consolidated Statements of Cash Flows for the Nine Months Ended September 30, 2024 and 2023

8

MPT Operating Partnership, L.P. and Subsidiaries

 

Condensed Consolidated Balance Sheets at September 30, 2024 and December 31, 2023

9

Condensed Consolidated Statements of Net Income for the Three and Nine Months Ended September 30, 2024 and 2023

10

Condensed Consolidated Statements of Comprehensive (Loss) Income for the Three and Nine Months Ended September 30, 2024 and 2023

11

Condensed Consolidated Statements of Capital for the Three and Nine Months Ended September 30, 2024 and 2023

12

Condensed Consolidated Statements of Cash Flows for the Nine Months Ended September 30, 2024 and 2023

14

Medical Properties Trust, Inc. and MPT Operating Partnership, L.P. and Subsidiaries

 

Notes to Condensed Consolidated Financial Statements

15

Item 2 Management’s Discussion and Analysis of Financial Condition and Results of Operations

36

Item 3 Quantitative and Qualitative Disclosures about Market Risk

49

Item 4 Controls and Procedures

50

PART II — OTHER INFORMATION

51

Item 1 Legal Proceedings

51

Item 1A Risk Factors

51

Item 2 Unregistered Sales of Equity Securities and Use of Proceeds

51

Item 3 Defaults Upon Senior Securities

51

Item 4 Mine Safety Disclosures

51

Item 5 Other Information

51

Item 6 Exhibits

52

SIGNATURE

53

 

 

2


 

 

PART I — FINANCIAL INFORMATION

Item 1. Financial Statements.

MEDICAL PROPERTIES TRUST, INC. AND SUBSIDIARIES

Condensed Consolidated Balance Sheets

 

 

 

September 30,
2024

 

 

December 31,
2023

 

(In thousands, except per share amounts)

 

(Unaudited)

 

 

(Note 2)

 

Assets

 

 

 

 

 

 

Real estate assets

 

 

 

 

 

 

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

 

$

11,653,954

 

 

$

13,237,187

 

Investment in financing leases

 

 

1,184,992

 

 

 

1,231,630

 

Real estate held for sale

 

 

85,000

 

 

 

 

Mortgage loans

 

 

298,221

 

 

 

309,315

 

Gross investment in real estate assets

 

 

13,222,167

 

 

 

14,778,132

 

Accumulated depreciation and amortization

 

 

(1,423,702

)

 

 

(1,407,971

)

Net investment in real estate assets

 

 

11,798,465

 

 

 

13,370,161

 

Cash and cash equivalents

 

 

275,616

 

 

 

250,016

 

Interest and rent receivables

 

 

35,142

 

 

 

45,059

 

Straight-line rent receivables

 

 

685,742

 

 

 

635,987

 

Investments in unconsolidated real estate joint ventures

 

 

1,242,772

 

 

 

1,474,455

 

Investments in unconsolidated operating entities

 

 

508,227

 

 

 

1,778,640

 

Other loans

 

 

155,889

 

 

 

292,615

 

Other assets

 

 

534,303

 

 

 

457,911

 

Total Assets

 

$

15,236,156

 

 

$

18,304,844

 

Liabilities and Equity

 

 

 

 

 

 

Liabilities

 

 

 

 

 

 

Debt, net

 

$

9,215,751

 

 

$

10,064,236

 

Accounts payable and accrued expenses

 

 

418,339

 

 

 

412,178

 

Deferred revenue

 

 

24,332

 

 

 

37,962

 

Obligations to tenants and other lease liabilities

 

 

136,635

 

 

 

156,603

 

Total Liabilities

 

 

9,795,057

 

 

 

10,670,979

 

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 —
600,229 shares at September 30, 2024 and
   
598,991 shares at December 31, 2023

 

 

600

 

 

 

599

 

Additional paid-in capital

 

 

8,578,355

 

 

 

8,560,309

 

Retained deficit

 

 

(3,197,505

)

 

 

(971,809

)

Accumulated other comprehensive income

 

 

57,114

 

 

 

42,501

 

Total Medical Properties Trust, Inc. stockholders’ equity

 

 

5,438,564

 

 

 

7,631,600

 

Non-controlling interests

 

 

2,535

 

 

 

2,265

 

Total Equity

 

 

5,441,099

 

 

 

7,633,865

 

Total Liabilities and Equity

 

$

15,236,156

 

 

$

18,304,844

 

 

See accompanying notes to condensed consolidated financial statements.

3


 

MEDICAL PROPERTIES TRUST, INC. AND SUBSIDIARIES

Condensed Consolidated Statements of Net Income

(Unaudited)

 

 

For the Three Months
Ended September 30,

 

 

For the Nine Months
Ended September 30,

 

(In thousands, except per share amounts)

2024

 

 

2023

 

 

2024

 

 

2023

 

Revenues

 

 

 

 

 

 

 

 

 

 

 

Rent billed

$

169,721

 

 

$

229,306

 

 

$

552,784

 

 

$

724,954

 

Straight-line rent

 

36,602

 

 

 

21,511

 

 

 

119,719

 

 

 

38,875

 

Income from financing leases

 

9,798

 

 

 

26,066

 

 

 

53,832

 

 

 

107,729

 

Interest and other income

 

9,706

 

 

 

29,693

 

 

 

37,368

 

 

 

122,624

 

Total revenues

 

225,827

 

 

 

306,576

 

 

 

763,703

 

 

 

994,182

 

Expenses

 

 

 

 

 

 

 

 

 

 

 

Interest

 

106,243

 

 

 

106,709

 

 

 

316,358

 

 

 

308,833

 

Real estate depreciation and amortization

 

204,875

 

 

 

77,802

 

 

 

382,701

 

 

 

526,065

 

Property-related

 

4,994

 

 

 

6,483

 

 

 

17,475

 

 

 

38,269

 

General and administrative

 

36,625

 

 

 

38,110

 

 

 

105,300

 

 

 

115,438

 

Total expenses

 

352,737

 

 

 

229,104

 

 

 

821,834

 

 

 

988,605

 

Other (expense) income

 

 

 

 

 

 

 

 

 

 

 

Gain (loss) on sale of real estate

 

91,795

 

 

 

(20

)

 

 

475,196

 

 

 

209

 

Real estate and other impairment charges, net

 

(607,922

)

 

 

(3,750

)

 

 

(1,438,429

)

 

 

(93,288

)

Earnings (loss) from equity interests

 

21,643

 

 

 

11,264

 

 

 

(369,565

)

 

 

34,840

 

Debt refinancing and unutilized financing (costs) benefit

 

(713

)

 

 

862

 

 

 

(3,677

)

 

 

46

 

Other (including fair value adjustments on securities)

 

(169,790

)

 

 

41,125

 

 

 

(566,821

)

 

 

25,447

 

Total other (expense) income

 

(664,987

)

 

 

49,481

 

 

 

(1,903,296

)

 

 

(32,746

)

 

 

 

 

 

 

 

 

 

 

 

 

(Loss) income before income tax

 

(791,897

)

 

 

126,953

 

 

 

(1,961,427

)

 

 

(27,169

)

Income tax (expense) benefit

 

(9,032

)

 

 

(10,058

)

 

 

(34,538

)

 

 

134,661

 

 

 

 

 

 

 

 

 

 

 

 

 

Net (loss) income

 

(800,929

)

 

 

116,895

 

 

 

(1,995,965

)

 

 

107,492

 

Net income attributable to non-controlling interests

 

(234

)

 

 

(185

)

 

 

(1,458

)

 

 

(25

)

Net (loss) income attributable to MPT common stockholders

$

(801,163

)

 

$

116,710

 

 

$

(1,997,423

)

 

$

107,467

 

 

 

 

 

 

 

 

 

 

 

 

 

Earnings per common share — basic and diluted

 

 

 

 

 

 

 

 

 

 

 

Net (loss) income attributable to MPT common stockholders

$

(1.34

)

 

$

0.19

 

 

$

(3.33

)

 

$

0.18

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted average shares outstanding — basic

 

600,229

 

 

 

598,444

 

 

 

600,197

 

 

 

598,363

 

Weighted average shares outstanding — diluted

 

600,229

 

 

 

598,553

 

 

 

600,197

 

 

 

598,406

 

 

 

 

 

 

 

 

 

 

 

 

 

Dividends declared per common share

$

0.08

 

 

$

0.15

 

 

$

0.38

 

 

$

0.73

 

 

See accompanying notes to condensed consolidated financial statements.

4


 

MEDICAL PROPERTIES TRUST, INC. AND SUBSIDIARIES

Condensed Consolidated Statements of Comprehensive (Loss) Income

(Unaudited)

 

 

 

For the Three Months
Ended September 30,

 

 

For the Nine Months
Ended September 30,

 

(In thousands)

 

2024

 

 

2023

 

 

2024

 

 

2023

 

Net (loss) income

 

$

(800,929

)

 

$

116,895

 

 

$

(1,995,965

)

 

$

107,492

 

Other comprehensive (loss) income:

 

 

 

 

 

 

 

 

 

 

 

 

Unrealized loss on interest rate hedges, net of tax

 

 

(9,823

)

 

 

(12,440

)

 

 

(16,099

)

 

 

(9,845

)

Reclassification of interest rate hedges gain from AOCI to
   earnings, net of tax

 

 

(13,349

)

 

 

 

 

 

(17,354

)

 

 

(28,553

)

Foreign currency translation gain (loss)

 

 

114,196

 

 

 

(54,018

)

 

 

48,066

 

 

 

34,570

 

Reclassification of foreign currency translation loss from
   AOCI to earnings

 

 

 

 

 

 

 

 

 

 

 

3,234

 

Total comprehensive (loss) income

 

 

(709,905

)

 

 

50,437

 

 

 

(1,981,352

)

 

 

106,898

 

Comprehensive income attributable to non-controlling interests

 

 

(234

)

 

 

(185

)

 

 

(1,458

)

 

 

(25

)

Comprehensive (loss) income attributable to MPT common stockholders

 

$

(710,139

)

 

$

50,252

 

 

$

(1,982,810

)

 

$

106,873

 

 

See accompanying notes to condensed consolidated financial statements.

5


 

MEDICAL PROPERTIES TRUST, INC. AND SUBSIDIARIES

 

Condensed Consolidated Statements of Equity

(Unaudited)

 

 

 

Preferred

 

 

Common

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(In thousands, except per share amounts)

 

Shares

 

 

Par
Value

 

 

Shares

 

 

Par
Value

 

 

Additional
Paid-in
Capital

 

 

Retained
Deficit

 

 

Accumulated
Other
Comprehensive
(Loss) Income

 

 

Non-
Controlling
Interests

 

 

Total
Equity

 

Balance at December 31, 2023

 

 

 

 

$

 

 

 

598,991

 

 

$

599

 

 

$

8,560,309

 

 

$

(971,809

)

 

$

42,501

 

 

$

2,265

 

 

$

7,633,865

 

Net (loss) income

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(875,625

)

 

 

 

 

 

248

 

 

 

(875,377

)

Unrealized loss on interest rate hedges,
   net of tax

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(2,797

)

 

 

 

 

 

(2,797

)

Foreign currency translation loss

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(58,542

)

 

 

 

 

 

(58,542

)

Stock vesting and amortization of
   stock-based compensation

 

 

 

 

 

 

 

 

1,370

 

 

 

1

 

 

 

7,173

 

 

 

 

 

 

 

 

 

 

 

 

7,174

 

Stock vesting - satisfaction of tax
   withholdings

 

 

 

 

 

 

 

 

(57

)

 

 

 

 

 

(283

)

 

 

 

 

 

 

 

 

 

 

 

(283

)

Distributions to non-controlling interests

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(245

)

 

 

(245

)

Dividends declared adjustment

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

572

 

 

 

 

 

 

 

 

 

572

 

Balance at March 31, 2024

 

 

 

 

$

 

 

 

600,304

 

 

$

600

 

 

$

8,567,199

 

 

$

(1,846,862

)

 

$

(18,838

)

 

$

2,268

 

 

$

6,704,367

 

Net (loss) income

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(320,635

)

 

 

 

 

 

976

 

 

 

(319,659

)

Unrealized loss on interest rate hedges,
   net of tax

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(3,479

)

 

 

 

 

 

(3,479

)

Reclassification of interest rate hedge gain
   to earnings, net of tax

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(4,005

)

 

 

 

 

 

(4,005

)

Foreign currency translation loss

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(7,588

)

 

 

 

 

 

(7,588

)

Stock vesting and amortization of
   stock-based compensation

 

 

 

 

 

 

 

 

270

 

 

 

 

 

 

7,013

 

 

 

 

 

 

 

 

 

 

 

 

7,013

 

Stock vesting - satisfaction of tax
   withholdings

 

 

 

 

 

 

 

 

(517

)

 

 

 

 

 

(2,550

)

 

 

 

 

 

 

 

 

 

 

 

(2,550

)

Distributions to non-controlling interests

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(349

)

 

 

(349

)

Dividends declared ($0.30 per
   common share)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(180,673

)

 

 

 

 

 

 

 

 

(180,673

)

Balance at June 30, 2024

 

 

 

 

$

 

 

 

600,057

 

 

$

600

 

 

$

8,571,662

 

 

$

(2,348,170

)

 

$

(33,910

)

 

$

2,895

 

 

$

6,193,077

 

Net (loss) income

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(801,163

)

 

 

 

 

 

234

 

 

 

(800,929

)

Unrealized loss on interest rate hedges,
   net of tax

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(9,823

)

 

 

 

 

 

(9,823

)

Reclassification of interest rate hedges gain
   to earnings, net of tax

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(13,349

)

 

 

 

 

 

(13,349

)

Foreign currency translation gain

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

114,196

 

 

 

 

 

 

114,196

 

Stock vesting and amortization of
   stock-based compensation

 

 

 

 

 

 

 

 

266

 

 

 

 

 

 

7,112

 

 

 

 

 

 

 

 

 

 

 

 

7,112

 

Stock vesting - satisfaction of tax
   withholdings

 

 

 

 

 

 

 

 

(94

)

 

 

 

 

 

(419

)

 

 

 

 

 

 

 

 

 

 

 

(419

)

Distributions to non-controlling interests

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(594

)

 

 

(594

)

Dividends declared ($0.08 per
   common share)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(48,172

)

 

 

 

 

 

 

 

 

(48,172

)

Balance at September 30, 2024

 

 

 

 

$

 

 

 

600,229

 

 

$

600

 

 

$

8,578,355

 

 

$

(3,197,505

)

 

$

57,114

 

 

$

2,535

 

 

$

5,441,099

 

 

6


 

MEDICAL PROPERTIES TRUST, INC. AND SUBSIDIARIES

 

Condensed Consolidated Statements of Equity

(Unaudited)

 

 

 

Preferred

 

 

Common

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(In thousands, except per share amounts)

 

Shares

 

 

Par
Value

 

 

Shares

 

 

Par
Value

 

 

Additional
Paid-in
Capital

 

 

Retained
Deficit

 

 

Accumulated
Other
Comprehensive
(Loss) Income

 

 

Non-
Controlling
Interests

 

 

Total
Equity

 

Balance at December 31, 2022

 

 

 

 

$

 

 

 

597,476

 

 

$

597

 

 

$

8,535,140

 

 

$

116,285

 

 

$

(59,184

)

 

$

1,569

 

 

$

8,594,407

 

Net income

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

32,794

 

 

 

 

 

 

236

 

 

 

33,030

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