Medical Properties Trust Faces High Risk-Reward Profile
Written by Emily J. Thompson, Senior Investment Analyst
Updated: 2 hours ago
0mins
Should l Buy O?
Source: Fool
- Attractive Yield but High Risk: Medical Properties Trust offers a 6.6% yield, significantly higher than the S&P 500's 1.2% and the average REIT's 3.8%, yet this high yield reflects the company's history of two dividend cuts, prompting investors to assess risks carefully.
- Dividend Cuts Impact: The company's stock has fallen about 75% over the past five years due to excessive debt leading to tenant payment issues; although the dividend was recently increased, its financial health remains a concern.
- High Debt Levels: While Medical Properties Trust's debt levels have been trending down, they are still high compared to other attractive REITs like Realty Income and W.P. Carey, which yield around 4.9%, raising doubts about its future stability.
- Balancing Risk and Reward: Although Medical Properties Trust may have turned a corner, its dividend history and high leverage warrant caution, leading investors to potentially favor more stable yield stocks like Realty Income and W.P. Carey.
Trade with 70% Backtested Accuracy
Stop guessing "Should I Buy O?" and start using high-conviction signals backed by rigorous historical data.
Sign up today to access powerful investing tools and make smarter, data-driven decisions.
Analyst Views on O
Wall Street analysts forecast O stock price to fall
11 Analyst Rating
3 Buy
7 Hold
1 Sell
Hold
Current: 65.070
Low
60.00
Averages
62.59
High
67.50
Current: 65.070
Low
60.00
Averages
62.59
High
67.50
About O
Realty Income Corporation is a real estate investment trust. The Company is engaged in acquiring and managing freestanding commercial properties that generate rental revenue under long-term net lease agreements with its commercial clients. It is engaged in a single business activity, which is the leasing of property to clients, generally on a net basis. That business activity spans various geographic boundaries and includes property types and clients engaged in various industries. The Company owns or holds interests in approximately 15,621 properties located in all 50 United States (U.S.) states, the United Kingdom, France, Germany, Ireland, Italy, Portugal, and Spain with clients doing business in 89 industries. Its property types include retail, industrial, gaming and others, such as agriculture and office. Its primary industry concentrations include grocery stores, convenience stores, dollar stores, drug stores, home improvement, restaurants-quick service and others.
About the author

Emily J. Thompson
Emily J. Thompson, a Chartered Financial Analyst (CFA) with 12 years in investment research, graduated with honors from the Wharton School. Specializing in industrial and technology stocks, she provides in-depth analysis for Intellectia’s earnings and market brief reports.
- Attractive Yield but High Risk: Medical Properties Trust offers a 6.6% yield, significantly higher than the S&P 500's 1.2% and the average REIT's 3.8%, yet this high yield reflects the company's history of two dividend cuts, prompting investors to assess risks carefully.
- Dividend Cuts Impact: The company's stock has fallen about 75% over the past five years due to excessive debt leading to tenant payment issues; although the dividend was recently increased, its financial health remains a concern.
- High Debt Levels: While Medical Properties Trust's debt levels have been trending down, they are still high compared to other attractive REITs like Realty Income and W.P. Carey, which yield around 4.9%, raising doubts about its future stability.
- Balancing Risk and Reward: Although Medical Properties Trust may have turned a corner, its dividend history and high leverage warrant caution, leading investors to potentially favor more stable yield stocks like Realty Income and W.P. Carey.
See More
- Stability of Realty Income: Realty Income, as the largest net-lease REIT, owns over 15,500 properties, ensuring a low-risk portfolio with a current dividend yield of 4.9%, having increased dividends for thirty consecutive years, demonstrating its business reliability and stability.
- Challenges for General Mills: General Mills boasts a dividend yield nearing 5%, but with investment demands in fiscal 2026, financial performance is expected to be relatively weak, as evidenced by a 7% sales drop and a 1% decline in organic sales in the second quarter, indicating pressure on the company.
- Context of Sales Decline: Despite the sales decline, dispositions accounted for 6 percentage points of the drop, highlighting the company's adaptability in adjusting its business to changing consumer buying habits, with a dividend payout ratio of 55%, reflecting a reasonable risk/reward balance.
- Diversity in Investment Choices: For risk-averse investors, Realty Income is an ideal high-yield stock, while those willing to take on some uncertainty may consider General Mills, with both offering dividend yields higher than those from S&P 500 index funds.
See More
- Realty Income Advantage: Realty Income, the largest net lease REIT, offers a high yield of 4.9%, supported by an investment-grade balance sheet and a conservative investment approach, ensuring long-term dividend reliability for income-dependent investors.
- General Mills Challenges: General Mills boasts a dividend yield of approximately 5%, near historical highs, but faced a 7% sales decline in Q2 2026; however, the impact of asset dispositions indicates the company’s ability to adapt to market changes, mitigating concerns about its performance.
- Reasonable Payout Ratio: With a dividend payout ratio around 55%, General Mills demonstrates a solid risk/reward balance over its 127-year dividend history, making it appealing for aggressive investors seeking high-yield stocks.
- Investor Choices: For risk-averse investors, Realty Income is an ideal high-yield stock, while those willing to accept some uncertainty may find General Mills a viable option, with both offering yields surpassing those of S&P 500 index funds.
See More
- Dividend Yield Volatility: AGNC Investment has maintained a dividend yield above 10% for most of its existence; however, its unreliable nature stems from significant volatility and a long-term downward trend in dividends over the past decade, potentially leading to reduced income and capital for investors.
- Total Return Performance: While AGNC Investment has outperformed the S&P 500 in total return since its IPO in May 2008, relying on dividends for living expenses without reinvestment poses a risk of diminished income for dividend investors.
- Reliability of Realty Income: In contrast, Realty Income has consistently increased its dividend annually for three decades, with an annualized growth rate of approximately 4.2%, slightly above the long-term inflation growth rate, indicating a steady increase in the purchasing power of its dividends over time.
- Diversified Portfolio: Realty Income is recognized for its diversified portfolio and conservative financial strategies; although its 4.9% yield is lower than AGNC Investment's 12.6%, it still offers an attractive income stream compared to other options in the market.
See More
- REIT Advantages: Realty Income has paid monthly dividends since 1969, currently yielding 4.92% annually, with a diversified property portfolio serving over 1,600 clients, ensuring stable cash flows and dividend payments.
- European Expansion Strategy: Over 70% of Realty Income's investments last quarter were in Europe, yielding a weighted-average cash yield of 8%, driving growth through lower borrowing costs and showcasing strong market adaptability.
- PepsiCo's Sustained Growth: PepsiCo has increased its dividend for 54 consecutive years, planning a 4% increase in June to $5.92 per share, with a forward yield of 3.46%, reflecting its strong brand and stable sales growth.
- Profitability Improvement: PepsiCo achieved 2% sales growth and double-digit adjusted EPS growth in Q4, with projected earnings of $8.62 in 2026, indicating a payout ratio of 69%, sufficient to support future dividend payments.
See More
- Real Estate Performance: Since November, Ventas (VTR) has risen 14% and Welltower (WELL) 13%, both outperforming the S&P 500 and the real estate sector's gains of 2% and 8%, indicating signs of recovery in the industry.
- Realty Income Results: Realty Income reported $1.4 billion in investments for Q3 2025, raised its full-year income guidance to $4.25-$4.27 per share, and increased its investment guidance to $5.5 billion, with a portfolio occupancy rate of 98.7%, showcasing strong business growth potential.
- Iron Mountain Growth: Iron Mountain achieved a 17% year-over-year revenue growth in Q4 2025, with its data center business growing by 39%, and management expects a 12% revenue growth and 13% adjusted EBITDA growth in 2026, highlighting its competitive edge in the market.
- Prologis Development: Prologis signed 228 million square feet of leases in Q4 2025, with portfolio occupancy nearing 96%, and expects FFO per share of $6.00-$6.20 in 2026, reflecting strong momentum in the industrial real estate sector.
See More








