MEDICAL PPTYS TRUST INC MPT
COM · REIT · CUSIP 58463J304 · ISIN US58463J3041
Real estate investment trust
- SectorReal estate
- IndustryReal Estate Investment Trusts
- HeadquartersBirmingham, AL
- Websitemedicalpropertiestrust.com
- FilingsSEC EDGAR
* Summed across managers. Shares that two managers' reports both contain – a subsidiary's holdings that its parent's report includes too, or a sub-adviser's in its client's – are counted once ($4.0m this quarter). Holder counts are more reliable. Shares outstanding: 601.5m as of 2025-11-04, from the company's own SEC filing; the percentage can still exceed 100%: lent-out shares are counted by the lender and the buyer, and some reports overlap without saying so. Implied quarter-end price ≈ $5.01. Options: 16 managers hold calls ($55.0m notional), 22 hold puts ($163.8m).
Trends to Q4 2025
Institutional holders
Managers reporting a position, each quarter
Numbers
| Quarter | Holders |
|---|---|
| Q3 2022 | 602 |
| Q4 2022 | 638 |
| Q1 2023 | 632 |
| Q2 2023 | 598 |
| Q3 2023 | 544 |
| Q4 2023 | 555 |
| Q1 2024 | 510 |
| Q2 2024 | 502 |
| Q3 2024 | 509 |
| Q4 2024 | 469 |
| Q1 2025 | 472 |
| Q2 2025 | 477 |
| Q3 2025 | 464 |
| Q4 2025 | 488 |
Buyers vs sellers
Managers adding to or starting a position, vs cutting or selling out
Numbers
| Quarter | Bought or added | Cut or sold out |
|---|---|---|
| Q1 2024 | 250 | 296 |
| Q2 2024 | 233 | 269 |
| Q3 2024 | 210 | 264 |
| Q4 2024 | 165 | 295 |
| Q1 2025 | 210 | 223 |
| Q2 2025 | 188 | 241 |
| Q3 2025 | 206 | 244 |
| Q4 2025 | 238 | 208 |
Calls vs puts
Options held, notional value, last 4 quarters. P/C = puts ÷ calls
Numbers
| Quarter | Calls | Puts | P/C |
|---|---|---|---|
| Q1 2025 | $114.1m | $388.4m | 3.40 |
| Q2 2025 | $71.6m | $287.3m | 4.01 |
| Q3 2025 | $94.2m | $223.9m | 2.38 |
| Q4 2025 | $55.0m | $163.8m | 2.98 |
Biggest buyers
| MORGAN STANLEY | Added | +5.4m |
| AQR CAPITAL MANAGEMENT LLC | Added | +4.2m |
| UBS AM, a distinct business unit of UBS ASSET MANAGEMENT AMERICAS LLC | Added | +3.5m |
| BlackRock, Inc. | Added | +2.6m |
| TWO SIGMA INVESTMENTS, LP | Added | +1.7m |
| TWO SIGMA ADVISERS, LP | Added | +1.6m |
| JANE STREET GROUP, LLC | Added | +1.6m |
| Bank of New York Mellon Corp | Added | +1.4m |
| WINTON GROUP Ltd | New | +1.2m |
| CHARLES SCHWAB INVESTMENT MANAGEMENT INC | Added | +1.2m |
Biggest sellers
| COATUE MANAGEMENT LLC | Reduced | -4.5m |
| UBS Group AG | Reduced | -1.6m |
| JPMORGAN CHASE & CO | Reduced | -1.5m |
| MILLENNIUM MANAGEMENT LLC | Reduced | -1.5m |
| GROUP ONE TRADING LLC | Reduced | -1.2m |
| ROYAL BANK OF CANADA | Reduced | -1.2m |
| Jump Financial, LLC | Sold out | -999.7k |
| RHUMBLINE ADVISERS | Sold out | -969.2k |
| Heitman Real Estate Securities LLC | Sold out | -802.4k |
| STATE STREET CORP | Reduced | -711.5k |
Biggest calls
| GROUP ONE TRADING LLC | Added | $14.9m3.0m shares |
| SUSQUEHANNA INTERNATIONAL GROUP, LLP | Reduced | $9.7m1.9m shares |
| CITADEL ADVISORS LLC | Reduced | $6.2m1.2m shares |
| JANE STREET GROUP, LLC | Reduced | $6.1m1.2m shares |
| PEAK6 LLC | Reduced | $5.0m1.0m shares |
| SIMPLEX TRADING, LLC | Reduced | $3.7m742.2k shares |
| Walleye Trading LLC | Reduced | $2.4m480.7k shares |
| IMC-Chicago, LLC | Reduced | $1.9m386.5k shares |
| D. E. Shaw & Co., Inc. | Reduced | $1.9m372.4k shares |
| CITIGROUP INC | Unchanged | $1.5m300.0k shares |
Biggest puts
| Weiss Asset Management LP | Reduced | $39.7m7.9m shares |
| SUSQUEHANNA INTERNATIONAL GROUP, LLP | Reduced | $24.8m5.0m shares |
| GROUP ONE TRADING LLC | Reduced | $19.6m3.9m shares |
| CITIGROUP INC | Unchanged | $14.5m2.9m shares |
| MILLENNIUM MANAGEMENT LLC | Reduced | $12.2m2.4m shares |
| CITADEL ADVISORS LLC | Reduced | $10.2m2.0m shares |
| SIMPLEX TRADING, LLC | Reduced | $10.1m2.0m shares |
| WHITEBOX ADVISORS LLC | Unchanged | $8.9m1.8m shares |
| Walleye Trading LLC | Reduced | $5.0m998.0k shares |
| NOMURA HOLDINGS INC | Reduced | $4.3m854.3k shares |
Options at notional value: the value of the shares the contracts control, as filers report them, not what the options cost. Not included in the holders, shares or buying above.
Major shareholders (over 5%)
Anyone who owns more than 5% of a class of the company's shares has to say so: on Schedule 13D if they may try to influence or control the company, on 13G if they're a passive investor, and update it as the stake changes. Each holder's latest filing, from 19 Dec 2024 on; percentages are of the share class, as the holder worked them out.
| Holder | Stake |
|---|---|
| BlackRock, Inc. 13G · institution -1.6 pts · filed 2025-10-17 | 11.5% |
| VANGUARD PORTFOLIO MANAGEMENT LLC 13G · institution new · filed 2026-04-29 | 7.2% |
| He Zhengxu 13G · institution -0.2 pts · filed 2026-01-06 | 6.9% |
Fell to 5% or below in the last year: VANGUARD GROUP INC (0.0%, 2026-03-27; now reported by VANGUARD PORTFOLIO MANAGEMENT LLC)
Insider purchases and sales in Q4 2025
Shares bought or sold by the company's own officers, directors and 10% owners, in the open market or privately, as they reported to the SEC on Form 4 (due within two business days of the trade). Grants, option exercises, shares withheld for tax and gifts aren't included.
Officers and directors buying vs selling
Number of people, by quarter (10% owners not included)
Numbers
| Quarter | Buying | Bought | Selling | Sold | Sold under a plan |
|---|---|---|---|---|---|
| Q1 2024 | 0 | — | 0 | — | — |
| Q2 2024 | 0 | — | 0 | — | — |
| Q3 2024 | 1 | $48.6k | 2 | $139.8k | — |
| Q4 2024 | 0 | — | 3 | $233.3k | — |
| Q1 2025 | 1 | $42.6k | 0 | — | — |
| Q2 2025 | 0 | — | 1 | $150.8k | — |
| Q3 2025 | 0 | — | 0 | — | — |
| Q4 2025 | 0 | — | 2 | $306.2k | — |
| Date | Insider | Trade | Value |
|---|---|---|---|
| 2025-12-15 | Hooper Rosa Handley SVP of Operations | Sold | $10.0k2.0k shares |
| 2025-11-19 | Stewart Michael G Director | Sold | $296.2k59.0k shares |
Their holding: how much the trade added to or took from the insider's holding (direct, or the trust or fund named). The same trade is sometimes reported by more than one insider, such as a fund and the director who represents it; totals count it once. A value is left blank where the reported price is far from the market price (usually a typo).
Holders, Q4 2025
| Manager | Shares | Change |
|---|---|---|
| BlackRock, Inc. 0.01% of their portfolio | 75.8m $379.1m | Added +2.6m |
| VANGUARD GROUP INC 0.00% of their portfolio | 67.6m $338.0m | Reduced -339.8k |
| STATE STREET CORP 0.00% of their portfolio | 26.2m $133.6m | Reduced -711.5k |
| AQR CAPITAL MANAGEMENT LLC 0.04% of their portfolio | 13.4m $67.1m | Added +4.2m |
| CHARLES SCHWAB INVESTMENT MANAGEMENT INC 0.01% of their portfolio | 12.0m $60.2m | Added +1.2m |
| MORGAN STANLEY 0.00% of their portfolio | 12.0m $59.8m | Added +5.4m |
| GEODE CAPITAL MANAGEMENT, LLC 0.00% of their portfolio | 9.7m $48.6m | Added +639.7k |
| DIMENSIONAL FUND ADVISORS LP 0.01% of their portfolio | 7.3m $36.7m | Reduced -15.1k |
| Allianz Asset Management GmbH 0.04% of their portfolio | 6.9m $34.3m | Reduced -365.1k |
| Bank of New York Mellon Corp 0.01% of their portfolio | 6.6m $32.9m | Added +1.4m |
| WILSEY ASSET MANAGEMENT INC 4.55% of their portfolio | 5.9m $29.3m | Added +614.4k |
| DEUTSCHE BANK AG\ 0.01% of their portfolio | 5.7m $28.6m | Reduced -52.8k |
| NORTHERN TRUST CORP 0.00% of their portfolio | 5.1m $25.4m | Reduced -246.6k |
| COATUE MANAGEMENT LLC 0.06% of their portfolio | 4.5m $22.6m | Reduced -4.5m |
| TWO SIGMA ADVISERS, LP 0.04% of their portfolio | 4.4m $22.2m | Added +1.6m |
| SUSQUEHANNA INTERNATIONAL GROUP, LLP 0.03% of their portfolio | 4.2m $21.1m | Added +553.7k |
| TWO SIGMA INVESTMENTS, LP 0.03% of their portfolio | 3.9m $19.3m | Added +1.7m |
| Legal & General Group Plc 0.00% of their portfolio | 3.6m $18.1m | Added +314.2k |
| UBS AM, a distinct business unit of UBS ASSET MANAGEMENT AMERICAS LLC 0.00% of their portfolio | 3.5m $17.3m | Added +3.5m |
| JANE STREET GROUP, LLC 0.01% of their portfolio | 2.5m $12.3m | Added +1.6m |
| PRINCIPAL FINANCIAL GROUP INC 0.01% of their portfolio | 2.3m $11.7m | Reduced -21.6k |
| UBS Group AG 0.00% of their portfolio | 2.1m $10.4m | Reduced -1.6m |
| HRT FINANCIAL LP 0.04% of their portfolio | 2.0m $9.9m | Reduced -330.3k |
| HSBC HOLDINGS PLC 0.00% of their portfolio | 1.8m $9.2m | Added +724.6k |
| JPMORGAN CHASE & CO 0.00% of their portfolio | 1.8m $9.0m | Reduced -1.5m |
| TUDOR INVESTMENT CORP ET AL 0.05% of their portfolio | 1.8m $9.0m | Added +290.1k |
| Public Sector Pension Investment Board 0.03% of their portfolio | 1.7m $8.5m | Reduced -214.3k |
| Invesco Ltd. 0.00% of their portfolio | 1.7m $8.4m | Reduced -68.6k |
| BANK OF AMERICA CORP /DE/ 0.00% of their portfolio | 1.5m $7.7m | Reduced -140.1k |
| CANADA LIFE ASSURANCE Co 0.01% of their portfolio | 1.3m $6.7m | Reduced -2.8k |
| WINTON GROUP Ltd 0.21% of their portfolio | 1.2m $6.1m | New |
| IEQ CAPITAL, LLC 0.02% of their portfolio | 1.1m $5.7m | Added +341.2k |
| AMERIPRISE FINANCIAL INC 0.00% of their portfolio | 1.1m $5.6m | Reduced -125.0k |
| SG Americas Securities, LLC 0.01% of their portfolio | 1.1m $5.3m | Reduced -167.6k |
| Swiss National Bank 0.00% of their portfolio | 1.0m $5.0m | Added +17.2k |
| PUBLIC EMPLOYEES RETIREMENT SYSTEM OF OHIO 0.01% of their portfolio | 827.8k $4.1m | Reduced -24.9k |
| NOMURA ASSET MANAGEMENT CO LTD 0.01% of their portfolio | 759.9k $3.8m | Added +22.0k |
| VOYA INVESTMENT MANAGEMENT LLC 0.00% of their portfolio | 756.4k $3.8m | Added +51.0k |
| Nuveen, LLC 0.00% of their portfolio | 701.0k $3.5m | Reduced -64.8k |
| Asset Management One Co., Ltd. 0.01% of their portfolio | 686.3k $3.5m | Reduced -6.3k |
| XTX Topco Ltd 0.08% of their portfolio | 623.2k $3.1m | Added +502.5k |
| CAXTON ASSOCIATES LLP 0.06% of their portfolio | 618.3k $3.1m | Reduced -124.4k |
| Cambridge Investment Research Advisors, Inc. 0.01% of their portfolio | 603.8k $3.0m | Added +66.9k |
| CITIGROUP INC 0.00% of their portfolio | 599.7k $3.0m | Reduced -34.4k |
| LPL Financial LLC 0.00% of their portfolio | 592.7k $3.0m | Reduced -7.8k |
| GOLDMAN SACHS GROUP INC 0.00% of their portfolio | 588.0k $2.9m | Reduced -341.2k |
| Mariner, LLC 0.00% of their portfolio | 580.7k $2.9m | Added +190.5k |
| STATE BOARD OF ADMINISTRATION OF FLORIDA RETIREMENT SYSTEM 0.01% of their portfolio | 570.8k $2.9m | Unchanged |
| SIMPLEX TRADING, LLC 0.08% of their portfolio | 570.5k $2.9m | Reduced -494.1k |
| DARK FOREST CAPITAL MANAGEMENT LP 0.12% of their portfolio | 542.8k $2.7m | New |
| Sumitomo Mitsui Trust Group, Inc. 0.00% of their portfolio | 535.3k $2.7m | Reduced -7.8k |
| OSAIC HOLDINGS, INC. 0.00% of their portfolio | 513.9k $2.6m | Reduced -24.8k |
| State of Alaska, Department of Revenue 0.03% of their portfolio | 497.8k $2.5m | Added +5.5k |
| Cerity Partners LLC 0.00% of their portfolio | 492.9k $2.5m | Added +153.0k |
| NEW YORK STATE TEACHERS RETIREMENT SYSTEM 0.00% of their portfolio | 491.6k $2.5m | Unchanged |
| Verition Fund Management LLC 0.01% of their portfolio | 488.7k $2.4m | Reduced -14.2k |
| CALIFORNIA STATE TEACHERS RETIREMENT SYSTEM 0.00% of their portfolio | 481.9k $2.4m | Reduced -360 |
| Aberdeen Group plc 0.00% of their portfolio | 464.3k $2.3m | Added +2.1k |
| PRUDENTIAL FINANCIAL INC 0.00% of their portfolio | 463.4k $2.3m | Reduced -15.1k |
| Quantinno Capital Management LP 0.00% of their portfolio | 450.3k $2.3m | Added +183.0k |
| Thrivent Financial for Lutherans 0.00% of their portfolio | 446.3k $2.2m | Added +90.7k |
| CWM, LLC 0.01% of their portfolio | 422.7k $2.1m | Added +82.4k |
| PRICE T ROWE ASSOCIATES INC /MD/ 0.00% of their portfolio | 416.9k $2.1m | Reduced -4.1k |
| Walleye Trading LLC 0.03% of their portfolio | 404.1k $2.0m | Reduced -116.6k |
| MACQUARIE GROUP LTD 0.01% of their portfolio | 402.2k $2.0m | Added +10.7k |
| NEW YORK STATE COMMON RETIREMENT FUND 0.00% of their portfolio | 399.4k $2.0m | Added +36.7k |
| Quantbot Technologies LP 0.06% of their portfolio | 390.6k $2.0m | Reduced -526.3k |
| MERCER GLOBAL ADVISORS INC /ADV 0.00% of their portfolio | 389.3k $1.9m | Added +154.0k |
| VOLORIDGE INVESTMENT MANAGEMENT, LLC 0.01% of their portfolio | 385.2k $1.9m | Added +267.4k |
| Schonfeld Strategic Advisors LLC 0.01% of their portfolio | 383.7k $1.9m | New |
| Mitsubishi UFJ Asset Management Co., Ltd. 0.00% of their portfolio | 383.5k $1.9m | Added +13.4k |
| Creative Planning 0.00% of their portfolio | 372.7k $1.9m | Added +30.5k |
| PNC Financial Services Group, Inc. 0.00% of their portfolio | 367.3k $1.8m | Added +16.3k |
| RAYMOND JAMES FINANCIAL INC 0.00% of their portfolio | 363.8k $1.8m | Reduced -73.6k |
| Advisors Asset Management, Inc. 0.03% of their portfolio | 352.7k $1.8m | Reduced -136.2k |
| Amundi 0.00% of their portfolio | 349.3k $1.7m | Reduced -2.0k |
| FMR LLC 0.00% of their portfolio | 342.1k $1.7m | Reduced -14.0k |
| Sunbelt Securities, Inc. 0.11% of their portfolio | 339.8k $1.7m | Added +3.1k |
| FRANKLIN RESOURCES INC 0.00% of their portfolio | 336.5k $1.7m | Added +308.3k |
| CHOREO, LLC 0.02% of their portfolio | 332.1k $1.7m | Added +1.4k |
| WOLVERINE ASSET MANAGEMENT LLC 0.02% of their portfolio | 331.0k $1.7m | Reduced -50.5k |
| INTECH INVESTMENT MANAGEMENT LLC 0.01% of their portfolio | 319.8k $1.6m | New |
| Universal- Beteiligungs- und Servicegesellschaft mbH 0.00% of their portfolio | 306.2k $1.5m | Reduced -3.3k |
| Zurcher Kantonalbank (Zurich Cantonalbank) 0.00% of their portfolio | 304.2k $1.5m | Reduced -16.8k |
| ALLIANCEBERNSTEIN L.P. 0.00% of their portfolio | 304.0k $1.5m | Added +37.4k |
| Cetera Investment Advisers 0.00% of their portfolio | 302.6k $1.5m | Reduced -40.3k |
| COMMONWEALTH OF PENNSYLVANIA PUBLIC SCHOOL EMPLS RETRMT SYS 0.01% of their portfolio | 285.8k $1.4m | Reduced -3.4k |
| BLUEFIN CAPITAL MANAGEMENT, LLC 0.40% of their portfolio | 282.4k $1.4m | New |
| Illinois Municipal Retirement Fund 0.02% of their portfolio | 279.5k $1.4m | New |
| Adams Asset Advisors, LLC 0.18% of their portfolio | 271.2k $1.4m | Unchanged |
| Brevan Howard Capital Management LP 0.03% of their portfolio | 266.2k $1.3m | Reduced -118.8k |
| Corient Private Wealth LP 0.00% of their portfolio | 263.8k $1.3m | Added +167.5k |
| Focus Partners Wealth 0.00% of their portfolio | 262.1k $1.3m | Added +35.9k |
| Engineers Gate Manager LP 0.02% of their portfolio | 257.6k $1.3m | New |
| Mitsubishi UFJ Trust & Banking Corp 0.00% of their portfolio | 253.1k $1.3m | Added +85.5k |
| LAKE STREET PRIVATE WEALTH, LLC 0.15% of their portfolio | 252.9k $1.3m | Reduced -13.2k |
| Limestone Investment Advisors LP 0.18% of their portfolio | 250.0k $267.3k | Unchanged |
| JANUS HENDERSON GROUP PLC 0.00% of their portfolio | 236.7k $1.2m | Unchanged |
| WELLS FARGO & COMPANY/MN 0.00% of their portfolio | 229.2k $1.1m | Added +54.9k |
| COMMERZBANK AKTIENGESELLSCHAFT /FI 0.02% of their portfolio | 229.1k $1.1m | Unchanged |