Medical Properties Trust, Inc.
US ˙ NYSE ˙ US58463J3041
DETTE SYMBOL ER IKKE LÆNGERE AKTIVT

SecurityMPW / Medical Properties Trust, Inc.
InstitutionSimplex Trading, Llc
Latest Disclosed Ownership547,206 shares
Latest Disclosed Value $ 2,533,563
Simplex Trading, Llc ownership in MPW / Medical Properties Trust, Inc.

On May 14, 2026 - Simplex Trading, Llc filed a 13F-HR form disclosing ownership of 547,206 shares of Medical Properties Trust, Inc. (US:MPW) valued at $2,533,563 USD as of March 31, 2026. The entity filed a previous 13F-HR on February 11, 2026 disclosing 570,485 shares of Medical Properties Trust, Inc.. This represents a change in shares of -4.08% during the quarter. The current value of the position is $2,746,974 USD.

Simplex Trading, Llc has a history of taking positions in derivatives of the underlying security (MPW) in the form of stock options. The firm currently holds call options representing 651,700 of underlying shares valued at $3,017,371 USD and put options representing 1,331,600 of underlying shares valued at $6,165,308 USD .

Note: prior versions of this page mistakenly stated that the share values represented the number of options, not the number of underlying shares. For more information on the data backing these reports, please see the SEC document Frequently Asked Questions About Form 13F.

Institutional Ownership: 13F and NPORT Filings

The Security and Class in the table below are shown exactly as filed by the investor. We do our best to track continuity of investments through acquisitions, and this will be reflected in the table as changes in names. In addition to descriptive data, performance of the investment is shown over time. To calculate quarterly performance, we first calculate cost basis of the shares purchased during the quarter, then use that to calculate gross profit. Quarterly return is Gross Profit / Starting Portfolio value.

Note that cost basis is calculated and stored in thousands, so small quarterly changes in shares frequently result in a cost basis of zero.

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Institutional Put/Call Ratios
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In addition to reporting standard equity and debt issues, institutions with more than 100MM assets under management must also disclose their put and call option holdings. Since put options generally indicate negative sentiment, and call options indicate positive sentiment, we can get a sense of the overall institutional sentiment by plotting the ratio of puts to calls. The chart to the right plots the historical put/call ratio for this instrument.

Using Put/Call Ratio as an indicator of investor sentiment overcomes one of the key deficiencies of using total institutional ownership, which is that a significant amount of assets under management are invested passively to track indices. Passively-managed funds do not typically buy options, so the put/call ratio indicator more closely tracks the sentiment of actively-managed funds.

MPW / Medical Properties Trust, Inc. Historical Put/Call Ratio
Disclosed Equity Positions (from 13F/NPORT Filings)
File
Date
Effective
Date
Form Security Class ID Avg Price
Paid (Est)
Reported
Shares
ΔShares ΔShares
(%)
Reported
Value
(x1000)
ΔValue
(%)
Alloc
(%)
ΔAlloc ΔAlloc (%) Cost Basis
(x1000)
Unrealized
Gain/Loss
(x1000)
2026-05-14 2026-03-31 13F MEDICAL PROPERTIES TRUST COM 58463J304 547,206 -23,279 -4.08 2,534 -11.19 0.0008
2026-02-11 2025-12-31 13F MEDICAL PPTYS TRUST COM 58463J304 570,485 -494,144 -46.41 2,852 56,940.00 0.0016
2025-11-12 2025-09-30 13F MEDICAL PPTYS TRUST COM 58463J304 1,064,629 1,064,629 5 0.0028
2024-07-25 2024-06-30 13F MEDICAL PPTYS TRUST COM 58463J304 0 -411,307 -100.00 0 -100.00
2024-04-25 2024-03-31 13F MEDICAL PPTYS TRUST COM 58463J304 411,307 411,307 2 0.0011
2022-08-03 2022-06-30 13F MEDICAL PPTYS TRUST COM 58463J304 0 -51,832 -100.00 0 -100.00
2022-05-02 2022-03-31 13F MEDICAL PPTYS TRUST COM 58463J304 51,832 18,886 57.32 1,095 40.75 0.0010
2022-02-23 2021-12-31 13F/A-1 MEDICAL PPTYS TRUST COM 58463J304 32,946 32,946 778 0.0008
2020-04-28 2020-03-31 13F MEDICAL PPTYS TRUST COM 58463J304 0 -14,827 -100.00 0 -100.00
2020-02-05 2019-12-31 13F MEDICAL PPTYS TRUST COM 58463J304 14,827 -56,469 -79.20 312 -77.62 0.0007
2019-10-15 2019-09-30 13F MEDICAL PPTYS TRUST COM 58463J304 71,296 37,545 111.24 1,394 137.07 0.0040
2019-07-26 2019-06-30 13F MEDICAL PPTYS TRUST COM 58463J304 33,751 24,416 261.55 588 241.86 0.0016
2019-04-18 2019-03-31 13F MEDICAL PPTYS TRUST COM 58463J304 9,335 7,663 458.31 172 561.54 0.0005
2019-01-16 2018-12-31 13F MEDICAL PPTYS TRUST COM 58463J304 1,672 1,672 -82.09 26 -84.88 0.0001
2018-07-30 2018-06-30 13F MEDICAL PPTYS TRUST COM 58463J304 0 -1,022 -100.00 0 -100.00
2018-04-26 2018-03-31 13F MEDICAL PPTYS TRUST COM 58463J304 1,022 -1,626 -61.40 13 -63.89 0.0006
2018-01-10 2017-12-31 13F MEDICAL PPTYS TRUST COM 58463J304 2,648 2,648 159.10 36 176.92 0.0015
2017-07-12 2017-06-30 13F MEDICAL PPTYS TRUST COM 58463J304 0 -23,064 -100.00 0 -100.00
2017-04-21 2017-03-31 13F MEDICAL PPTYS TRUST COM 58463J304 23,064 23,064 297 0.0129
2017-01-11 2016-12-31 13F MEDICAL PPTYS TRUST COM 58463J304 0 -8,135 -100.00 0 -100.00
2016-10-07 2016-09-30 13F MEDICAL PPTYS TRUST COM 58463J304 8,135 -64,282 -88.77 120 -89.10 0.0081
2016-07-18 2016-06-30 13F MEDICAL PPTYS TRUST COM 58463J304 72,417 72,417 790.19 1,101 817.50 0.0736
2016-04-14 2016-03-31 13F MEDICAL PPTYS TRUST COM 58463J304 0 -3,756 -100.00 0 -100.00
2016-01-20 2015-12-31 13F MEDICAL PPTYS TRUST COM 58463J304 3,756 3,756 0.00 43 0.0034
2015-10-08 2015-09-30 13F MEDICAL PPTYS TRUST COM 58463J304 0 -13 -100.00 0 -100.00 0.0000
2015-07-08 2015-06-30 13F MEDICAL PPTYS TRUST COM 58463J304 13 -87 -87.00 0 -100.00
2015-04-21 2015-03-31 13F MEDICAL PPTYS TRUST COM 58463J304 100 -37 -27.01 1 -50.00 0.0001
2015-03-04 2014-12-31 13F MEDICAL PPTYS TRUST COM 58463J304 137 137 2 0.0002
Disclosed Call Options
File
Date
Effective
Date
Form Security Class ID Opt Avg Share
Price
Shares ΔShares
(%)
Value
(x1000)
ΔValue
(%)
Prior Allocation
(%)
Allocation
(%)
ΔAllocation
(%)
Cost Basis
(x1000)
Profit
(x1000)
Return
(%)
2026-05-14 2026-03-31 13F MEDICAL PROPERTIES TRUST CALL Call 651,700 -12.19 3,017 -18.70 n/a n/a n/a
2026-02-11 2025-12-31 13F MEDICAL PPTYS TRUST CALL Call 742,200 -47.81 3,711 52,914.29 n/a n/a n/a
2025-11-12 2025-09-30 13F MEDICAL PPTYS TRUST CALL Call 1,422,200 -26.28 7 -12.50 n/a n/a n/a
2025-08-05 2025-06-30 13F MEDICAL PPTYS TRUST CALL Call 1,929,200 35.51 8 0.00 n/a n/a n/a
2025-05-12 2025-03-31 13F MEDICAL PPTYS TRUST CALL Call 1,423,700 -63.25 9 -46.67 n/a n/a n/a
2025-02-11 2024-12-31 13F MEDICAL PPTYS TRUST CALL Call 3,874,100 98.23 15 36.36 n/a n/a n/a
2024-11-08 2024-09-30 13F MEDICAL PPTYS TRUST CALL Call 1,954,300 -6.72 11 22.22 n/a n/a n/a
2024-07-25 2024-06-30 13F MEDICAL PPTYS TRUST CALL Call 2,095,200 -1.92 9 -10.00 n/a n/a n/a
2024-04-25 2024-03-31 13F MEDICAL PPTYS TRUST CALL Call 2,136,200 4.03 10 0.00 n/a n/a n/a
2024-02-02 2023-12-31 13F MEDICAL PPTYS TRUST CALL Call 2,053,500 84.85 10 66.67 n/a n/a n/a
2023-11-01 2023-09-30 13F MEDICAL PPTYS TRUST CALL Call 1,110,900 102.20 6 20.00 n/a n/a n/a
2023-08-04 2023-06-30 13F MEDICAL PPTYS TRUST CALL Call 549,400 -53.05 5 -44.44 n/a n/a n/a
2023-04-27 2023-03-31 13F MEDICAL PPTYS TRUST CALL Call 1,170,100 19.39 10 -10.00 n/a n/a n/a
2023-02-02 2022-12-31 13F MEDICAL PPTYS TRUST CALL Call 980,100 60.02 11 -99.86 n/a n/a n/a
2022-11-04 2022-09-30 13F MEDICAL PPTYS TRUST CALL Call 612,500 4.75 7,264 -18.64 n/a n/a n/a
2022-08-03 2022-06-30 13F MEDICAL PPTYS TRUST CALL Call 584,700 290.06 8,928 181.82 n/a n/a n/a
2022-05-02 2022-03-31 13F MEDICAL PPTYS TRUST CALL Call 149,900 9.74 3,168 -1.83 n/a n/a n/a
2022-02-23 2021-12-31 13F/A MEDICAL PPTYS TRUST CALL Call 136,600 66.38 3,227 94.28 n/a n/a n/a
2022-02-04 2021-12-31 13F MEDICAL PPTYS TRUST CALL Call 82,100 1,661 n/a n/a n/a
2021-10-28 2021-09-30 13F MEDICAL PPTYS TRUST CALL Call 82,100 -0.36 1,661 0.30 n/a n/a n/a
2021-08-12 2021-06-30 13F MEDICAL PPTYS TRUST CALL Call 82,400 15,330.71 1,656 45.77 n/a n/a n/a
2021-04-26 2021-03-31 13F MEDICAL PPTYS TRUST CALL Call 534 -24.15 1,136 -25.95 n/a n/a n/a
2021-02-02 2020-12-31 13F MEDICAL PPTYS TRUST CALL Call 704 -29.25 1,534 -12.54 n/a n/a n/a
2020-10-14 2020-09-30 13F MEDICAL PPTYS TRUST CALL Call 995 56.94 1,754 47.27 n/a n/a n/a
2020-07-13 2020-06-30 13F MEDICAL PPTYS TRUST CALL Call 634 -2.31 1,191 6.15 n/a n/a n/a
2020-04-29 2020-03-31 13F MEDICAL PPTYS TRUST CALL Call 649 222.89 1,122 164.62 n/a n/a n/a
2020-02-05 2019-12-31 13F MEDICAL PPTYS TRUST CALL Call 201 -54.21 424 -50.58 n/a n/a n/a
2019-10-15 2019-09-30 13F MEDICAL PPTYS TRUST CALL Call 439 179.62 858 214.29 n/a n/a n/a
2019-07-26 2019-06-30 13F MEDICAL PPTYS TRUST CALL Call 157 37.72 273 29.38 n/a n/a n/a
2019-04-18 2019-03-31 13F MEDICAL PPTYS TRUST CALL Call 114 9.62 211 26.35 n/a n/a n/a
2019-01-16 2018-12-31 13F MEDICAL PPTYS TRUST CALL Call 104 -40.91 167 -36.26 n/a n/a n/a
2018-10-23 2018-09-30 13F MEDICAL PPTYS TRUST CALL Call 176 67.62 262 78.23 n/a n/a n/a
2018-07-30 2018-06-30 13F MEDICAL PPTYS TRUST CALL Call 105 150.00 147 7,250.00 n/a n/a n/a
2018-04-26 2018-03-31 13F MEDICAL PPTYS TRUST CALL Call 42 147.06 2 100.00 n/a n/a n/a
2018-01-10 2017-12-31 13F MEDICAL PPTYS TRUST CALL Call 17 -82.83 1 -83.33 n/a n/a n/a
2017-10-25 2017-09-30 13F MEDICAL PPTYS TRUST CALL Call 99 -48.17 6 -53.85 n/a n/a n/a
2017-07-12 2017-06-30 13F MEDICAL PPTYS TRUST CALL Call 191 -17.67 13 -13.33 n/a n/a n/a
2017-04-21 2017-03-31 13F MEDICAL PPTYS TRUST CALL Call 232 7.91 15 275.00 n/a n/a n/a
2017-01-11 2016-12-31 13F MEDICAL PPTYS TRUST CALL Call 215 165.43 4 33.33 n/a n/a n/a
2016-10-07 2016-09-30 13F MEDICAL PPTYS TRUST CALL Call 81 -49.06 3 -75.00 n/a n/a n/a
2016-07-18 2016-06-30 13F MEDICAL PPTYS TRUST CALL Call 159 70.97 12 9.09 n/a n/a n/a
2016-04-14 2016-03-31 13F MEDICAL PPTYS TRUST CALL Call 93 304.35 11 -8.33 n/a n/a n/a
2016-01-20 2015-12-31 13F MEDICAL PPTYS TRUST CALL Call 23 91.67 0 -100.00 n/a n/a n/a
2015-10-08 2015-09-30 13F MEDICAL PPTYS TRUST CALL Call 12 0 n/a n/a n/a
Disclosed Put Options
File
Date
Effective
Date
Form Security Class ID Opt Avg Share Price Shares ΔShares
(%)
Value
(x1000)
ΔValue
(%)
Prior Allocation
(%)
Allocation
(%)
ΔAllocation
(%)
Cost Basis
(x1000)
Profit
(x1000)
Return
(%)
2026-05-14 2026-03-31 13F MEDICAL PROPERTIES TRUST PUT Put 1,331,600 -34.33 6,165 -39.19 n/a n/a n/a
2026-02-11 2025-12-31 13F MEDICAL PPTYS TRUST PUT Put 2,027,700 -32.21 10,138 67,486.67 n/a n/a n/a
2025-11-12 2025-09-30 13F MEDICAL PPTYS TRUST PUT Put 2,991,200 -31.27 15 -16.67 n/a n/a n/a
2025-08-05 2025-06-30 13F MEDICAL PPTYS TRUST PUT Put 4,352,000 13.40 19 -21.74 n/a n/a n/a
2025-05-12 2025-03-31 13F MEDICAL PPTYS TRUST PUT Put 3,837,600 4.44 23 64.29 n/a n/a n/a
2025-02-11 2024-12-31 13F MEDICAL PPTYS TRUST PUT Put 3,674,500 -19.15 15 -46.15 n/a n/a n/a
2024-11-08 2024-09-30 13F MEDICAL PPTYS TRUST PUT Put 4,544,800 59.28 27 116.67 n/a n/a n/a
2024-07-25 2024-06-30 13F MEDICAL PPTYS TRUST PUT Put 2,853,400 7.11 12 0.00 n/a n/a n/a
2024-04-25 2024-03-31 13F MEDICAL PPTYS TRUST PUT Put 2,663,900 87.36 13 100.00 n/a n/a n/a
2024-02-02 2023-12-31 13F MEDICAL PPTYS TRUST PUT Put 1,421,800 26.40 7 0.00 n/a n/a n/a
2023-11-01 2023-09-30 13F MEDICAL PPTYS TRUST PUT Put 1,124,800 -61.98 6 -77.78 n/a n/a n/a
2023-08-04 2023-06-30 13F MEDICAL PPTYS TRUST PUT Put 2,958,300 21.52 27 35.00 n/a n/a n/a
2023-04-27 2023-03-31 13F MEDICAL PPTYS TRUST PUT Put 2,434,400 -13.36 20 -35.48 n/a n/a n/a
2023-02-02 2022-12-31 13F MEDICAL PPTYS TRUST PUT Put 2,809,900 85.45 31 -99.83 n/a n/a n/a
2022-11-04 2022-09-30 13F MEDICAL PPTYS TRUST PUT Put 1,515,200 216.92 17,970 146.16 n/a n/a n/a
2022-08-03 2022-06-30 13F MEDICAL PPTYS TRUST PUT Put 478,100 325.36 7,300 207.24 n/a n/a n/a
2022-05-02 2022-03-31 13F MEDICAL PPTYS TRUST PUT Put 112,400 -20.17 2,376 -28.58 n/a n/a n/a
2022-02-23 2021-12-31 13F/A MEDICAL PPTYS TRUST PUT Put 140,800 60.18 3,327 87.02 n/a n/a n/a
2022-02-04 2021-12-31 13F MEDICAL PPTYS TRUST PUT Put 87,900 1,779 n/a n/a n/a
2021-10-28 2021-09-30 13F MEDICAL PPTYS TRUST PUT Put 87,900 0.34 1,779 1.08 n/a n/a n/a
2021-08-12 2021-06-30 13F MEDICAL PPTYS TRUST PUT Put 87,600 45,525.00 1,760 331.37 n/a n/a n/a
2021-04-26 2021-03-31 13F MEDICAL PPTYS TRUST PUT Put 192 -56.36 408 -57.41 n/a n/a n/a
2021-02-02 2020-12-31 13F MEDICAL PPTYS TRUST PUT Put 440 -31.78 958 -15.74 n/a n/a n/a
2020-10-14 2020-09-30 13F MEDICAL PPTYS TRUST PUT Put 645 136.26 1,137 121.64 n/a n/a n/a
2020-07-13 2020-06-30 13F MEDICAL PPTYS TRUST PUT Put 273 -59.68 513 -56.15 n/a n/a n/a
2020-04-29 2020-03-31 13F MEDICAL PPTYS TRUST PUT Put 677 213.43 1,170 157.14 n/a n/a n/a
2020-02-05 2019-12-31 13F MEDICAL PPTYS TRUST PUT Put 216 44.00 455 55.29 n/a n/a n/a
2019-10-15 2019-09-30 13F MEDICAL PPTYS TRUST PUT Put 150 6.38 293 19.59 n/a n/a n/a
2019-07-26 2019-06-30 13F MEDICAL PPTYS TRUST PUT Put 141 -15.06 245 -20.20 n/a n/a n/a
2019-04-18 2019-03-31 13F MEDICAL PPTYS TRUST PUT Put 166 207.41 307 256.98 n/a n/a n/a
2019-01-16 2018-12-31 13F MEDICAL PPTYS TRUST PUT Put 54 -50.46 86 -46.91 n/a n/a n/a
2018-10-23 2018-09-30 13F MEDICAL PPTYS TRUST PUT Put 109 -25.34 162 -20.59 n/a n/a n/a
2018-07-30 2018-06-30 13F MEDICAL PPTYS TRUST PUT Put 146 36.45 204 10,100.00 n/a n/a n/a
2018-04-26 2018-03-31 13F MEDICAL PPTYS TRUST PUT Put 107 -52.23 2 -60.00 n/a n/a n/a
2018-01-10 2017-12-31 13F MEDICAL PPTYS TRUST PUT Put 224 578.79 5 400.00 n/a n/a n/a
2017-10-25 2017-09-30 13F MEDICAL PPTYS TRUST PUT Put 33 -36.54 1 -50.00 n/a n/a n/a
2017-07-12 2017-06-30 13F MEDICAL PPTYS TRUST PUT Put 52 -73.20 2 0.00 n/a n/a n/a
2017-04-21 2017-03-31 13F MEDICAL PPTYS TRUST PUT Put 194 92.08 2 -80.00 n/a n/a n/a
2017-01-11 2016-12-31 13F MEDICAL PPTYS TRUST PUT Put 101 20.24 10 150.00 n/a n/a n/a
2016-10-07 2016-09-30 13F MEDICAL PPTYS TRUST PUT Put 84 3.70 4 -42.86 n/a n/a n/a
2016-07-18 2016-06-30 13F MEDICAL PPTYS TRUST PUT Put 81 1,250.00 7 75.00 n/a n/a n/a
2016-04-14 2016-03-31 13F MEDICAL PPTYS TRUST PUT Put 6 -88.24 0 -100.00 n/a n/a n/a
2016-01-20 2015-12-31 13F MEDICAL PPTYS TRUST PUT Put 51 70.00 4 -20.00 n/a n/a n/a
2015-10-08 2015-09-30 13F MEDICAL PPTYS TRUST PUT Put 30 -41.18 5 25.00 n/a n/a n/a
2015-07-08 2015-06-30 13F MEDICAL PPTYS TRUST PUT Put 0 -100.00 0 -100.00 n/a n/a n/a
2015-04-21 2015-03-31 13F MEDICAL PPTYS TRUST PUT Put 1 0.00 0 n/a n/a n/a
2015-03-04 2014-12-31 13F MEDICAL PPTYS TRUST PUT Put 1 0 n/a n/a n/a
Legend
Shares
The total number of shares held by the institution at the end of the reporting period (the effective date). This is provided in the filing.
Value
The total value of the shares as of the effective date. This is provided in the filing.
Avg. Share Price
The weighted average share price of the shares held by the institution. We use FIFO accounting to determine this price
Class
This is the security class as indicated by the filer. There are a variety of values for this field. Common values include "EC" = equity common, "EP" - equity preferred
Allocation (%)
The percent of the institution's portfolio that this position represents. This is provided in NPORT filings. For 13F filings, we calculate it.
Change in Allocation
The change in allocation from the prior reporting period. This is calculated as current allocation - prior allocation.
Change in Allocation (%)
The percent change in allocation from the prior reporting period. This is calculated as (current allocation - prior allocation) / prior allocation.
Cost Basis
The total cost of the shares held. This is calculated as reported shares * avg. share price
Unrealized Gain/Loss
This is the market value of the position as of the effective date minus the cost basis.