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EX-99.1 - EX-99.1 - MEDICAL PROPERTIES TRUST INCd32738dex991.htm
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Exhibit 99.2

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4 Q Supplemental 2020


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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 Adjusted 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 STATEMENTS Forward-looking statements involve known and unknown risks, mental and other liabilities; potential impact from COVID-19 on our tenants/ uncertainties and other factors that may cause the actual results of the borrowers and the related impact to us; and other factors affecting the real Company or future events to differ materially from those expressed estate industry generally or healthcare real estate in particular. For further in or underlying such forward-looking statements, including without discussion of the factors that could affect outcomes, please refer to the “Risk limitation: Normalized FFO per share; expected payout ratio; the amount Factors” section of the Company’s Annual Report on Form 10-K for the year of acquisitions of healthcare real estate, if any; estimated debt metrics; ended December 31, 2019, and as updated by the Company’s subsequently portfolio diversification; capital markets conditions; the repayment of filed Quarterly Reports on Form 10-Q and other SEC filings. Except as otherwise debt arrangements; statements concerning the additional income to the required by the federal securities laws, the Company undertakes no obligation Company as a result of ownership interests in certain hospital operations to update the information in this report. and the timing of such income; the payment of future dividends, if any; completion of additional debt arrangement and additional investments; Certain information in the supplemental package is shown pro forma for the national and international economic, business, real estate and other transactions completed subsequent to year end and the consummation of market conditions; the competitive environment in which the Company pending transactions. The pro forma adjustments are based upon available operates; the execution of the Company’s business plan; financing risks; information and assumptions that we believe are reasonable. There is no assur-the Company’s ability to maintain its status as a REIT for federal income ance that the pending transactions will occur. tax purposes; acquisition and development risks; potential environ- Clinica Ars Medica, an acute care facility in Switzerland. MEDICAL PROPERTIES TRUST | SUPPLEMENTAL INFORMATION | Q4 2020 2


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COMPANY OVERVIEW Medical Properties Trust, Inc. is a self-advised MPT’s financing model facilitates acquisitions real estate investment trust formed in and recapitalizations and allows operators 2003 to acquire and develop net-leased hospital of hospitals to unlock the value of their real facilities. From its inception in Birmingham, estate assets to fund facility improvements, Alabama, the Company has grown to become one technology upgrades and other investments of the world’s largest owners of hospitals. in operations. 431 50 ~43,000 33 9 properties operators beds U. S. states countries MEDICAL PROPERTIES TRUST | SUPPLEMENTAL INFORMATION | Q4 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, Head of Global Acquisitions Charles R. Lambert    Vice President, Treasurer and Managing Director of Capital Markets Board of Directors Corporate Headquarters Edward K. Aldag, Jr. G. Steven Dawson Medical Properties Trust, Inc. R. Steven Hamner 1000 Urban Center Drive, Suite 501 Caterina A. Mozingo Birmingham, AL 35242 Elizabeth N. Pitman (205) 969-3755 D. Paul Sparks, Jr. Michael G. Stewart (205) 969-3756 (fax) C. Reynolds Thompson, III www.medicalpropertiestrust.com MEDICAL PROPERTIES TRUST | SUPPLEMENTAL INFORMATION | Q4 2020 4


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COMPANY OVERVIEW INVESTOR RELATIONS Drew Babin Tim Berryman Senior Managing Director of Corporate Communications Managing Director of Investor Relations (646) 884-9809    dbabin@medicalpropertiestrust.com (205) 397-8589    tberryman@medicalpropertiestrust.com Stock Exchange Senior Transfer Listing and Unsecured Agent Trading Symbol Debt Ratings American Stock Transfer New York Stock Exchange Moody’s – Ba1 and Trust Company (NYSE): MPW Standard & Poor’s – BBB- 6201 15th Avenue Brooklyn, NY 11219 Above: Saint Luke’s Community Hospital operated by Saint Luke’s Health System in Shawnee, Kansas. MEDICAL PROPERTIES TRUST | SUPPLEMENTAL INFORMATION | Q4 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 Twelve Months Ended December 31, 2020 December 31, 2019 December 31, 2020 December 31, 2019 FFO INFORMATION: Net income attributable to MPT common stockholders $                109,884 $                129,638 $                431,450 $                374,684 Participating securities’ share in earnings                (719)                (954)                 (2,105)                (2,308) Net income, less participating securities’ share in earnings $                109,165 $                128,684 $                429,345 $                372,376 Depreciation and amortization                83,327                53,497                  306,493                183,921 Loss (gain) on sale of real estate                130                (41,498)                 2,833                (41,560) Real estate impairment charges                 —                21,031                19,006                 21,031 Funds from operations $                192,622 $                161,714 $                757,677 $                535,768 Write-off of straight-line rent and other                (683)                12,943                 26,415                22,447 Non-cash fair value adjustments                612                (4,636)                 9,642                (6,908) Tax rate change                (366)                —                 9,295                -Debt refinancing and unutilized financing costs                27,569                1,233                 28,180                6,106 Normalized funds from operations $                219,754 $                171,254 $                831,209 $                557,413 Share-based compensation                12,554                10,069                 47,154                32,188 Debt costs amortization                3,548                2,761                 13,937                9,675 Rent deferral, net                1,267                 —                 (11,393)                -Straight-line rent revenue and other                (71,659)                (48,836)                 (238,687)                 (145,598) Adjusted funds from operations $                165,464 $                135,248 $                642,220 $                453,678 PER DILUTED SHARE DATA: Net income, less participating securities’ share in earnings $                0.20 $                0.26 $                0.81 $                0.87 Depreciation and amortization                0.16                0.11                 0.57                0.43 Loss (gain) on sale of real estate                 —                (0.08)                0.01                 (0.10) Real estate impairment charges                 —                0.04                0.04                 0.05 Funds from operations $                0.36 $                0.33 $                1.43 $                1.25 Write-off of straight-line rent and other                 —                0.03                0.05                 0.05 Non-cash fair value adjustments                 —                (0.01)                0.02                 (0.01) Tax rate change                 —                —                0.02                  -Debt refinancing and unutilized financing costs                0.05                 —                0.05                0.01

Normalized funds from operations $                0.41 $                0.35 $                1.57 $                1.30 Share-based compensation                0.02                0.02                 0.09                0.08 Debt costs amortization                0.01                0.01                 0.02                0.02 Rent deferral, net                 —                —                (0.02)                  -Straight-line rent revenue and other                (0.13)                (0.11)                 (0.45)                (0.34) Adjusted funds from operations $                0.31 $                0.27 $                1.21 $                1.06 Notes: (A) Certain line items above (such as depreciation and amortization) 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 | Q4 2020 6


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FINANCIAL INFORMATION DEBT SUMMARY (As of December 31, 2020) ($ amounts in thousands) Debt Instrument Rate Type Rate Balance 2024 Credit Facility Revolver (A) Variable 1.280% $                165,407 2026 Term Loan (A) Variable 1.650%                200,000 4.000% Notes Due 2022 (€500M) (B) Fixed 4.000%                610,800 2.550% Notes Due 2023 (£400M) (B) Fixed 2.550%                546,800 (B) (C) 2024 AUD Term Loan (AUD$1.2B) Fixed 2.450%                923,280 3.325% Notes Due 2025 (€500M) (B) Fixed 3.325%                610,800 (B) Fixed (D) 1.949%                956,900 2025 GBP Term Loan (£700M) 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%                820,200 4.625% Notes Due 2029 Fixed 4.625%                900,000 3.500% Notes Due 2031 Fixed 3.500%                1,300,000 $                8,934,187 Debt issuance costs and discount                (68,729) Weighted average rate 3.571% $                8,865,458 RATE TYPE AS PERCENTAGE OF TOTAL DEBT Variable 4.1% Fixed 95.9% (A) On January 15, 2021, we amended and restated our $1.3 billion revolving credit agreement and $200 million term loan agreement, extending maturities to 2024 and 2026, respectively. (B) Non-USD denominated debt converted to U.S. dollars at December 31, 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 | Q4 2020 7


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FINANCIAL INFORMATION DEBT MATURITY SCHEDULE ($ amounts in thousands) Debt Instrument 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2024 Credit Facility Revolver $                —$                —$                 —$    165,407 $                —$                —$                 —$                —$                 —$                —$                -2026 Term Loan                —                —                 —                —                 —                200,000                —                 —                —                 —                -

4.000% Notes Due 2022 (€500M) (A)                —                610,800                 —                —                 —                —                —                 —                —                 —                -

2.550% Notes Due 2023 (£400M) (A)                —                —                 546,800                —                 —                —                —                 —                —                 —                -2024 AUD Term Loan (AUD$1.2B) (A)                —                —                 —                923,280                 —                —                —                 —                —                 —                -

3.325% Notes Due 2025 (€500M) (A)                —                —                 —                —                 610,800                —                —                 —                —                 —                -2025 GBP Term Loan (£700M) (A)                —                —                 —                —                 956,900                —                —                 —                —                 —                -

5.250% Notes Due 2026                —                —                 —                —                 —                500,000                —                 —                —                 —                -

5.000% Notes Due 2027                —                —                 —                —                 —                — 1,400,000                —                —                 —                -

3.692% Notes Due 2028 (£600M) (A)                —                —                 —                —                 —                —                —                 820,200                —                 —                -

4.625% Notes Due 2029                —                —                 —                —                 —                —                —                 —                900,000                 —                -

3.500% Notes Due 2031                —                —                 —                —                 —                —                —                 —                —                 — 1,300,000 $                —$                610,800 $                546,800 $    1,088,687 $    1,567,700 $                700,000 $    1,400,000 $                820,200 $                900,000 $                —$    1,300,000 $1,800,000 $1,567,700 $1,600,000 $1,400,000 $1,300,000 $1,400,000 $1,088,687 $1,200,000 $1,000,000 $900,000 $820,200 $800,000 $700,000 $610,800 $546,800 $600,000 $400,000 $200,000 $- $- $- 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2024 Credit Facility Revolver 2026 Term Loan 4.000% Notes Due 2022 2.550% Notes Due 2023 2024 AUD Term Loan 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 3.500% Notes Due 2031 (A) Non-USD denominated debt converted to U.S. dollars at December 31, 2020. MEDICAL PROPERTIES TRUST | SUPPLEMENTAL INFORMATION | Q4 2020 8


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FINANCIAL INFORMATION PRO FORMA NET DEBT / ANNUALIZED ADJUSTED EBITDA

(Unaudited) (Amounts in thousands) For the Three Months Ended December 31, 2020 Net income attributable to MPT common stockholders $                109,884 Pro forma adjustments for investment activity (A) 34,961 Pro forma net income $                144,845 Add back: Interest (B) 84,148 Depreciation and amortization (B) 82,084 Share-based compensation 12,554 Loss on sale of real estate                130 Debt refinancing and unutilized financing costs 27,569 Write-off of straight-line rent and other                (683) Non-cash fair value adjustments                612 Income tax (B) 6,889

4Q 2020 Pro forma adjusted EBITDA $ 358,148 Annualization $ 1,432,592 Total debt $                8,865,458 Pro forma changes to net debt after December 31, 2020 (A) 204,903 Pro forma net debt $ 9,070,361 Pro forma net debt / annualized adjusted EBITDA 6.3x (A) Reflects our investments in 2021, including our investment in approximately 40 facilities in the United Kingdom on January 19, 2021, and a full quarter impact of our mid-Q4 2020 investments, building improvements, loan paydowns 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 | Q4 2020 9


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PORTFOLIO INFORMATION LEASE AND LOAN MATURITY SCHEDULE (A) ($ amounts in thousands) (B) (C) (D) Percentage of Total Years of Maturities Total Properties Base Rent/Interest Base Rent/Interest 2021 1 $ 2,250 0.2% 2022                16 55,622 4.6% 2023                 4 13,748 1.1% 2024                 1 2,731 0.2% 2025                 7 17,225 1.4% 2026                 2 8,850 0.7% 2027                 1 3,183 0.3% 2028                 4 5,591 0.5% 2029                12 44,854 3.7% 2030                 5 4,509 0.4% Thereafter                356                1,046,041 86.9% 409 $ 1,204,604 100.0% Percentage of total base rent/interest 100% 86.9% 90% 80% 70% 60% 50% 40% 30% 20% 10% 4.6% 3.7% 0.2% 1.1% 0.2% 1.4% 0.7% 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 and the properties acquired in the Priory Group transaction announced January 6, 2021; excludes 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 | Q4 2020 10


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PORTFOLIO INFORMATION TOTAL PRO FORMA GROSS ASSETS AND ADJUSTED REVENUE BY ASSET TYPE (December 31, 2020) ($ amounts in thousands) Pro Forma Adjusted Total Percentage of                2020 Percentage of Asset Types (A) (B) Gross Assets Total Gross Assets Revenue 2020 Revenue General Acute Care Hospitals $                 15,112,727 74.0% $                1,128,073 83.3% Inpatient Rehabilitation Hospitals                2,179,370 10.7%                167,236 12.3% Behavioral Health Facilities                1,710,205 8.4%                11,894 0.9% Long-Term Acute Care Hospitals                335,870 1.6%                33,842 2.5% Freestanding ER/Urgent Care Facilities                298,670 1.4%                13,951 1.0% Other                792,739 3.9%                —                - Total $                20,429,581 100.0% $                 1,354,996 100.0% DOMESTIC PRO FORMA GROSS ASSETS BY ASSET TYPE DOMESTIC ADJUSTED REVENUE BY ASSET TYPE 3% 1% 1% 1% 3% 4% General Acute Care Hospitals 6% 7% 8% Inpatient Rehabilitation Hospitals Behavioral Health Facilities Long-Term Acute Care Hospitals 86% 80% Freestanding ER/Urgent Care Faciliti Other TOTAL PRO FORMA GROSS ASSETS BY ASSET TYPE TOTAL ADJUSTED REVENUE BY ASSET TYPE 2% 1% 4% 1% 3% 1% 8% General Acute Care Hospitals 12% 11% Inpatient Rehabilitation Hospitals 74% Behavioral Health Facilities Long-Term Acute Care Hospitals 83% Freestanding ER/Urgent Care Faciliti 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 (including the Priory Group transaction announced on January 6, 2021) and unfunded amounts on development deals and commenced capital improvement projects are fully funded. See press release dated February 4, 2021 for reconciliation of total assets to pro forma total gross assets at December 31, 2020. (B) Reflects actual revenues on our consolidated statement of income along with revenue from properties owned through our unconsolidated joint venture arrangements. See press release dated February 4, 2021 for a reconciliation of actual revenues to adjusted revenues. MEDICAL PROPERTIES TRUST | SUPPLEMENTAL INFORMATION | Q4 2020 11


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PORTFOLIO INFORMATION TOTAL PRO FORMA GROSS ASSETS AND ADJUSTED REVENUE BY OPERATOR (December 31, 2020) ($ amounts in thousands) Pro Forma Adjusted Total Percentage of                2020 Percentage of Operators (A) (B) Gross Assets Total Gross Assets Revenue 2020 Revenue Steward Health Care Massachusetts market $                1,500,915 7.3% $                138,686 10.2% Utah market                1,260,147 6.2%                106,939 7.9% Texas/Arkansas/Louisiana market                1,045,982 5.1%                69,662 5.1% Arizona market                332,239 1.6%                32,910 2.4% Florida market                215,105 1.1%                16,258 1.2% Ohio/Pennsylvania market                151,785 0.7%                11,684 0.9% Circle Health                2,520,019 12.3%                165,136 12.2% Prospect Medical Holdings                1,597,950 7.8%                153,187 11.3% Priory Group                1,566,087 7.7%                —                -MEDIAN                 1,261,035 6.2%                90,609 6.7% 45 operators                8,185,578 40.1%                569,925 42.1% Other                792,739 3.9%                —                - Total $                20,429,581 100.0% $                1,354,996 100.0% (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 (including the Priory Group transaction announced on January 6, 2021) and unfunded amounts on development deals and commenced capital improvement projects are fully funded. See press release dated February 4, 2021 for reconciliation of total assets to pro forma total gross assets at December 31, 2020. (B) Reflects actual revenues on our consolidated statement of income along with revenue from properties owned through our unconsolidated joint venture arrangements. See press release dated February 4, 2021 for a reconciliation of actual revenues to adjusted revenues. Note: Our largest facility is less than 3% of total pro forma gross assets. TOTAL PRO FORMA GROSS ASSETS BY OPERATOR TOTAL ADJUSTED REVENUE BY OPERATOR 4% Steward Health Care 22% Circle Health 28% 40% Prospect Medical Holdings 42% 12% Priory Group MEDIAN 12% 8% 11% 45 operators 7% 6% 8% Other MEDICAL PROPERTIES TRUST | SUPPLEMENTAL INFORMATION | Q4 2020 12


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PORTFOLIO INFORMATION TOTAL PRO FORMA GROSS ASSETS AND ADJUSTED REVENUE BY U.S. STATE AND COUNTRY (December 31, 2020) ($ amounts in thousands) Pro Forma Adjusted Total Percentage of                2020 Percentage of U.S. States and Other Countries (A) (B) Gross Assets Total Gross Assets Revenue 2020 Revenue Texas $                 1,923,440 9.4% $                110,261 8.1% Massachusetts                1,506,315 7.4%                139,326 10.3% California                1,382,663 6.8%                146,705 10.8% Utah                1,295,329 6.4%                110,781 8.2% Pennsylvania                864,273 4.2%                78,682 5.8%

28 Other States                3,984,113 19.5%                377,154 27.9% Other                680,678 3.3%                —                - United States $                11,636,811 57.0% $                962,909 71.1% United Kingdom $                 4,636,634 22.7% $                191,519 14.1% Germany                1,361,019 6.6%                98,612 7.3% Switzerland                1,177,520 5.7%                25,179 1.9% Australia                997,878 4.9%                55,874 4.1% Spain                221,134 1.1%                9,379 0.7% Other Countries                286,524 1.4%                11,524 0.8% Other                112,061 0.6%—                - International $                 8,792,770 43.0% $                392,087 28.9% Total $                20,429,581 100.0% $                 1,354,996 100.0% (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 (including the Priory Group transaction announced on January 6, 2021) and unfunded amounts on development deals and commenced capital improvement projects are fully funded. See press release dated February 4, 2021 for reconciliation of total assets to pro forma total gross assets at December 31, 2020. (B) Reflects actual revenues on our consolidated statement of income along with revenue from properties owned through our unconsolidated joint venture arrangements. See press release dated February 4, 2021 for a reconciliation of actual revenues to adjusted revenues. TOTAL PRO FORMA GROSS ASSETS BY COUNTRY TOTAL ADJUSTED REVENUE BY COUNTRY 1% <1% 4% 1% 1% 1% 2% 5% United States 6% United Kingdom 7% 6% Germany 57% Switzerland 14% 23% Australia 71% Spain Other Countries Other PRO FORMA GROSS ASSETS BY U.S. STATE ADJUSTED REVENUE BY U.S. STATE Texas 3% 9% Massachusetts 8% California 28% 10% 7% 20% Utah 7% Pennsylvania 11% 28 Other States 6% 8% 4% 7% Other MEDICAL PROPERTIES TRUST | SUPPLEMENTAL INFORMATION | Q4 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 2.9x 3.5x 2.8x 3.5x 3.1x 3.1x 3.00x 2.2x 2.2x 2.4x 2.2x 2.4x 2.6x 2.6x 2.1x 2.1x 1.6x 2.00x 1.00x 0.00x General Acute Care Hospitals Inpatient Rehabilitation Long-Term Acute Care Total Portfolio Facilities Hospitals Q3 2019 (YoY) Q3 2020 (YoY) Q2 2020 (QoQ) Q3 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 $                148,266 3 2.1% 3.00x—4.49x $                —0 0.0% 1.50x—2.99x $                99,284 6 1.4% Less than 1.50x $                13,924 3 0.2% Total Master Leased, Cross-Defaulted and/or with Parent $                6,916,543 173 96.3% Guaranty: 3.0x General Acute Care Hospitals Master Leased, Cross$                5,018,086 62 69.8% Defaulted and/or with Parent Guaranty: 3.4x Inpatient Rehabilitation Facilities Master Leased, Cross$                1,664,639 98 23.2% Defaulted and/or with Parent Guaranty: 2.2x Long-Term Acute Care Hospitals Master Leased, Cross$                233,818 13 3.3% Defaulted and/or with Parent Guaranty: 2.4x 3% 2% 1% <1% Greater than or equal to 4.50x 23% 3.00x—4.49x 1.50x—2.99x 70% 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 | Q4 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 2.9x 3.00x 2.6x 2.0x 2.0x 2.0x 2.1x 2.1x 2.1x 2.1x 1.6x 2.1x 2.0x 2.1x 2.0x 2.0x 2.0x 2.00x 1.00x 0.00x General Acute Care Hospitals Inpatient Rehabilitation Long-Term Acute Care Total Portfolio Facilities Hospitals Q3 2019 (YoY) Q3 2020 (YoY) Q2 2020 (QoQ) Q3 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 $                33,266 2 0.5% 3.00x—4.49x $                115,000 1 1.6% 1.50x—2.99x $                93,416 5 1.3% Less than 1.50x $                19,792 4 0.3% Total Master Leased, Cross-Defaulted and/or with Parent $                6,916,543 173 96.3% Guaranty: 1.9x General Acute Care Hospitals Master Leased, Cross$                5,018,086 62 69.8% Defaulted and/or with Parent Guaranty: 1.9x Inpatient Rehabilitation Facilities Master Leased, Cross$                1,664,639 98 23.2% Defaulted and/or with Parent Guaranty: 2.1x Long-Term Acute Care Hospitals Master Leased, Cross$                233,818 13 3.3% Defaulted and/or with Parent Guaranty: 2.1x <1% 1% 3% 1% <1% Greater than or equal to 4.50x 23% 3.00x—4.49x 1.50x—2.99x 70% 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 | Q4 2020 15


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PORTFOLIO INFORMATION SUMMARY OF COMPLETED ACQUISITIONS / DEVELOPMENT PROJECTS (For the twelve months ended December 31, 2020) (Amounts in thousands) Operator Location Investment (A) Rent Commencement Date Acquisition/ 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 International JV Colombia 135,000 11/17/2020 Acquisition Royal Marsden NHS Foundation United Kingdom 70,792 11/25/2020 Acquisition Curahealth Texas and Indiana 57,658 12/17/2020 Acquisition Circle Health United Kingdom 114,946 12/18/2020 Acquisition NeuroPsychiatric Hospitals Texas    25,937 12/18/2020 Development Swiss Medical Network Switzerland 233,592 (C) 12/29/2020 Acquisition Ernest Health South Carolina 17,036 12/31/2020 Acquisition $ 3,557,670 SUMMARY OF CURRENT INVESTMENT COMMITMENTS (Amounts in thousands) Operator Location Commitment Acquisition/ Development Priory Group United Kingdom $ 1,090,400 Acquisition SUMMARY OF CURRENT DEVELOPMENT PROJECTS AS OF DECEMBER 31, 2020 (Amounts in thousands) Costs Incurred as of Estimated Rent Operator Location Commitment 12/31/2020 Commencement Date Ernest Health California $ 47,929 $                19,034 Q4 2021 Ernest Health California 47,700                11,105 Q1 2022 $ 95,629    $                30,139 (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. (C) Reflects incremental investment in Infracore SA. MEDICAL PROPERTIES TRUST | SUPPLEMENTAL INFORMATION | Q4 2020 16


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FINANCIAL STATEMENTS CONSOLIDATED STATEMENTS OF INCOME (Unaudited) (Amounts in thousands, except per share data) For the Three Months Ended For the Twelve Months Ended December 31, 2020 December 31, 2019 December 31, 2020 December 31, 2019 REVENUES Rent billed $                203,034 $                130,310 $                741,311    $                474,151 Straight-line rent                55,184                33,643                  158,881                 110,456 Income from financing leases                49,081                52,364                  206,550                 119,617 Interest and other income                26,507                40,121                  142,496                 149,973 Total revenues                 333,806                 256,438                1,249,238                 854,197 EXPENSES Interest                85,190                70,434                  328,728                 237,830 Real estate depreciation and amortization                72,196                44,152                  264,245                 152,313 Property-related                5,712                8,598                 24,890                23,992 General and administrative                34,542                27,402                  131,663                96,411 Total expenses                 197,640                 150,586                 749,526                 510,546 OTHER INCOME (EXPENSE) (Loss) gain on sale of real estate                (130)                41,498                 (2,833)                41,560 Real estate impairment charges                —                 (21,031)                 (19,006)                 (21,031) Earnings from equity interests                5,154                4,416                 20,417                16,051 Debt refinancing and unutilized financing costs                 (27,569)                (1,233)                 (28,180)                (6,106) Other (including mark-to-market adjustments on equity securities)                2,717                1,152                 (6,782)                (345) Total other income (expense)                (19,828)                24,802                  (36,384)                30,129 Income before income tax                116,338                130,654                 463,328                373,780 Income tax (expense) benefit                (6,232)                (731)                  (31,056)                2,621 Net income                110,106                129,923                 432,272                376,401 Net income attributable to non-controlling interests                (222)                (285)                 (822)                (1,717) Net income attributable to MPT common stockholders $                109,884 $                129,638 $                431,450 $                374,684 EARNINGS PER COMMON SHARE—BASIC AND DILUTED Net income attributable to MPT common stockholders $                0.20 $                0.26 $                0.81 $                0.87 WEIGHTED AVERAGE SHARES OUTSTANDING—BASIC                537,003                493,593                 529,239                427,075 WEIGHTED AVERAGE SHARES OUTSTANDING—DILUTED                538,351                494,893                 530,461                428,299 $                —$                - DIVIDENDS DECLARED PER COMMON SHARE $                0.27 $                0.26 $                1.08 $                1.02 MEDICAL PROPERTIES TRUST | SUPPLEMENTAL INFORMATION | Q4 2020 17


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FINANCIAL STATEMENTS CONSOLIDATED BALANCE SHEETS (Amounts in thousands, except per share data) December 31, 2020 December 31, 2019 (Unaudited) (A) ASSETS Real estate assets Land, buildings and improvements, intangible lease assets, and other $ 12,078,927 $ 8,102,754 Investment in financing leases 2,010,922 2,060,302 Mortgage loans 248,080 1,275,022 Gross investment in real estate assets 14,337,929 11,438,078 Accumulated depreciation and amortization (833,529) (570,042) Net investment in real estate assets 13,504,400 10,868,036 Cash and cash equivalents 549,884 1,462,286 Interest and rent receivables 46,208 31,357 Straight-line rent receivables 490,462 334,231 Equity investments 1,123,623 926,990 Other loans 858,368 544,832 Other assets 256,069 299,599 Total Assets $ 16,829,014 $ 14,467,331 LIABILITIES AND EQUITY Liabilities Debt, net $ 8,865,458 $ 7,023,679 Accounts payable and accrued expenses 438,750 291,489 Deferred revenue 36,177 16,098 Obligations to tenants and other lease liabilities 144,772 107,911 Total Liabilities                  9,485,157                 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 - 541,419 shares at December 31, 2020 and 517,522 shares at December 31, 2019 541 518 Additional paid-in capital 7,461,503 7,008,199 Retained (deficit) earnings (71,411) 83,012 Accumulated other comprehensive loss (51,324) (62,905) Treasury shares, at cost (777) (777) Total Medical Properties Trust, Inc. Stockholders’ Equity 7,338,532 7,028,047 Non-controlling interests 5,325 107 Total Equity 7,343,857 7,028,154 Total Liabilities and Equity $ 16,829,014 $ 14,467,331 (A) Financials have been derived from the prior year audited financial statements. MEDICAL PROPERTIES TRUST | SUPPLEMENTAL INFORMATION | Q4 2020 18


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FINANCIAL STATEMENTS UNCONSOLIDATED JOINT VENTURE INVESTMENTS (As of and for the three months ended December 31, 2020) (Unaudited) ($ amounts in thousands) REAL ESTATE JOINT VENTURE DETAILS MPT Pro Rata Interest MPT Weighted Total Gross Third-Party Net Shareholder Property-Related Operators Total Revenues Average Interest Assets Debt Loans Expenses HM Hospitales, IMED Hospitales, MEDIAN, 57% $                2,550,942 $                 824,494 $                368,328 $                27,769 $                1,209 Policlinico di Monza, Swiss Medical Network PRO RATA TOTAL GROSS ASSETS BY COUNTRY PRO RATA TOTAL GROSS ASSETS BY PROPERTY TYPE 4% 9% 43% 44% 57% 43% Switzerland Germany Spain Italy General Acute Care Hospitals Inpatient Rehabilitation Hospitals JOINT VENTURE IMPACT Income Statement Impact to MPT Amounts Financial Statement Location Real estate joint venture income (1) $                5,154 Earnings from equity interests Management fee revenue $                151 Interest and other income Shareholder loan interest revenue $                4,611 Interest and other income Balance Sheet Impact to MPT Amounts Financial Statement Location Real estate joint venture investments $                897,882 Equity Investments Other joint venture investments 225,741 Equity Investments Total joint venture investments $                1,123,623 Shareholder loans $                368,328 Other Loans (1) Includes $5.7 million of straight-line revenue, $11.0 million of depreciation and amortization expense, and $8.4 million of interest expense on third-party debt and shareholder loans. MEDICAL PROPERTIES TRUST | SUPPLEMENTAL INFORMATION | Q4 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