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Edward Aldag Jr.

Edward Aldag Jr.

Chairman, President, and Chief Executive Officer at MEDICAL PROPERTIES TRUST
CEO
Executive
Board

About Edward Aldag Jr.

Founder of Medical Properties Trust (MPT) and current Chairman, President and CEO; Director since 2004; age 61; University of Alabama (Finance) . Under his leadership, MPT grew into a hospital-focused REIT with ~396 facilities and ~$14B of assets across the U.S., Europe, and Colombia . Company performance context: 5-year revenue and EBITDA trends are volatile post-2022, with net income losses in 2023–2024; TSR since 2021 has sharply declined (value of $100 investment: 2021=$124.60, 2022=$63.54, 2023=$31.62, 2024=$28.07) . Anti-hedging/anti-pledging and ownership guidelines (CEO 6x salary) apply and the CEO is in compliance .

Past Roles

OrganizationRoleYearsStrategic impact
Medical Properties Trust (NYSE: MPW)Founder; Chairman, President & CEO; Director2003–present (Director since 2004)Built the only hospital-focused net-lease REIT; scaled to ~396 facilities and ~$14B assets; led global expansion and portfolio re-tenanting post-Steward exposure .

External Roles

OrganizationRoleYearsStrategic impact
Children’s of AlabamaDirector; slated to become Chairman in late 2025~8 years; Chair-designate 2025Governance and philanthropy at leading pediatric hospital .
Alabama Children’s Hospital FoundationVice Chair; Chair of Investment Committee; Executive, Finance & Audit Committeesn/aOversight of investments and governance .
Mitchell’s Place; Birmingham Education Foundation; American Sports Medicine Institute; Birmingham Business AllianceBoard member/executive committeen/aCommunity and education leadership .
Infracore SA (private)DirectorSince May 2019Board oversight at Swiss healthcare real estate firm .
Générale-Beaulieu Immobilière SA (private)DirectorSince June 2020Governance at Swiss medical real estate company .

Fixed Compensation

Component202220232024Notes
Base salary ($)1,000,0001,000,0001,000,000No increase since 2018 .
“Bonus” ($)600,000400,000500,000Separate from formulaic non‑equity plan .
All other comp ($)145,213113,662141,746Includes 401(k) match, health, auto ($12k), tax prep/financial planning (up to $25k), life insurance reimbursements (up to $20k, CPI‑indexed) and tax gross-ups on certain perqs .

Summary Compensation Table totals for Aldag: 2022=$16,025,513; 2023=$17,854,051; 2024=$16,388,255 .

Performance Compensation

Annual Cash Bonus (2024) – Structure and Payout

Target opportunity: 200% of salary (Threshold 100%; Max 300%). 2024 payout at 128% of target (Non‑Equity Incentive Plan comp $2,056,599; combined with “Bonus” totaled $2,556,599) .

MetricWeightTargetActualPayout result
Leverage: Reduction of Net Debt ($mm)25% (supplemental increased to 30%)7501,301Above maximum; “Supplemental Performance” achieved .
Leverage: Remaining Near-Term Maturities ($mm)25%1,3501,690Around threshold/target (excludes early‑2025 refinancing) .
Reduction of OpEx vs FY2215% (to 20% if supplemental)6%11.8%“Supplemental Performance” achieved .
Tenant-Related Objectives15%Multi‑item targetTargetTarget achieved (re‑tenant/sell ~100% Steward; reduce Steward to 0%; no PHP proceeds; CT sale not done) .
Corporate-Related Objectives20%Multi‑itemTarget/MaxMax for ESG/strategic relationships; target for outreach/leadership bench .

Equity Awards and Vesting

AwardGrant date/terms2024 Target Value ($)Hurdles / VestingStatus
Time‑based Restricted Shares3/8/2024; vest equal quarterly over 3 years3,650,000Service‑based; quarterly vestingOngoing; dividends begin at grant .
2024 Stock Price Performance Award (cash‑settled RSUs)3/8/2024; 4‑year performance period to 12/31/20278,856,000Earn only on stock price hurdles (20‑day avg): $7.00 (100%), $8.50 (200%), $10.00 (300%); then vest quarterly over 1 year post‑certification (or full vest at final certification)No units earned in 2024; minimum requires +67% over $4.18 grant price .

Outstanding equity at 12/31/2024: 804,240 unvested time‑based shares (incl. 115,191 vested 1/1/2025; 106,915 vesting through 1/1/2026; 582,134 vesting through 1/1/2027); 2,495,533 unearned performance units (2022, 2023, 2024 awards) . 2024 realized vesting (all NEOs table): Aldag 991,752 shares vested value $4,956,205 .

Pay-versus-Performance and TSR

YearCompany TSR ($ per $100)Stock price (FY end, $)Net income ($mm)
2020109.0521.79431.5 .
2021124.6023.63656.0 .
202263.5411.14902.6 .
202331.624.91(556.5) .
202428.073.95(2,410.3) .

“Actual Realized Compensation” (supplemental disclosure) for Aldag: 2022=$13,378,820; 2023=$8,737,700; 2024=$5,767,503, demonstrating alignment with stock price declines .

Equity Ownership & Alignment

ItemDetail
Beneficial ownership4,116,016 shares (<1%); includes 689,049 unvested restricted shares not sellable/pledgeable .
Vested vs unvestedUnvested time‑based shares: 804,240 at 12/31/2024 with scheduled quarterly vesting through 1/1/2027 .
Performance awards unearned2,495,533 units outstanding across 2022–2024 programs (unearned as of 12/31/2024) .
OptionsCompany has not granted stock options to NEOs (historically none since 2004 director grants) .
Ownership guidelinesCEO 6x base salary; company notes compliance (“Yes”) .
Hedging/pledgingProhibited; policy also requires pre‑authorization for transactions .

Insider selling pressure: Quarterly time‑based vesting and any future earned performance units may create periodic liquidity events; hedging/pledging bans reduce leverage‑related selling risk .

Employment Terms

ProvisionKey terms
AgreementFounder agreement (since 2003); initial 3‑year term with automatic 1‑year evergreen renewals .
Severance (without cause/good reason/disability)Lump sum = 3x (salary + average bonus; highest bonus for Aldag) + prorated annual incentive; continued welfare benefits 5 years (Aldag) + life insurance reimbursement and associated taxes 5 years; full acceleration of unvested equity; continued health coverage for family until earlier of age 65 or comparable benefits via new employer .
Change of Control (CoC)Single‑trigger equity vesting; cash benefit generally = largest 12‑month cash compensation ×3 if terminated for cause/by executive without good reason “in connection with” CoC; CoC excise tax 4999 gross‑up obligation in legacy founder agreements (company states no new contracts will include gross‑ups) .
2024 Stock Price Performance Award treatmentOn CoC: cash payment up to 300% of target less prior settlements × CoC price; qualifying termination (without cause/good reason/death/disability/retirement 65+ with notice): cash based on 300% of target × 5‑day average price at termination, less prior settlements .
Non‑compete / non‑solicit18 months post‑termination (except company without‑cause or exec good‑reason terminations) .
PerquisitesAnnual physical; car allowance ($1,000/mo); tax prep/financial planning reimbursement (to $25,000); life/disability insurance reimbursements and related tax gross‑ups .
Potential payout sizing (12/31/2024)CoC scenario cash severance $12,358,280; equity acceleration value $29,837,627; “not for cause/good reason/disability” cash severance $11,758,280 (excludes est. tax payment $5,442,000); equity acceleration same $29,837,627 .

Board Governance

  • Board service: Director since 2004; dual role as Chairman and CEO; not independent .
  • Committees: Investment Committee (Chair); Environmental & Social Responsibility; Risk .
  • Independence structure: Lead Independent Director (Michael G. Stewart) with defined authorities; majority‑independent board and independent committee chairs .
  • Attendance/executive sessions: In 2024, the Board met 7×; all incumbents attended ≥75% of Board and committee meetings; regular executive sessions of independent directors .
  • Director pay: Non‑employee directors receive cash retainers (base $115k; lead independent +$50k; chair retainers $30–35k) and equity (29,914 shares in 2024) vesting quarterly over 3 years; executives receive no additional director compensation .

Dual‑role implications: Founder‑led structure with CEO as Chair can pose independence concerns; mitigations include a lead independent director, independent committee chairs, annual self‑evaluation, and regular executive sessions .

Compensation Structure Analysis

  • Shift to stock‑price based LTIs: 2024 replaced operating metrics with stock price hurdles requiring ≥67% appreciation before any payout; aligns upside tightly with equity value creation but can reduce retention value in prolonged downturns .
  • Cash vs equity mix: ~70% of CEO compensation is variable/at‑risk; base salary <10% of pay; time‑based shares vest quarterly (retention) and performance RSUs dominate LTIs (alignment) .
  • Discretionary elements: Separate “Bonus” line persisted ($500k in 2024) alongside formulaic plan .
  • Peer group: 2024 peer set refined to remove outsized names (e.g., Welltower) and add more size‑aligned firms (e.g., W. P. Carey) .
  • Say‑on‑pay: Company acknowledges lower support over the past two years; responded with more disclosure (Actual Realized Compensation) and program changes (stock‑price LTIs; refined bonus metrics) and engagement with holders representing 42% of shares .

Related Party Transactions (and Red Flags)

  • Employment of family members: In 2024, two of Aldag’s family members were employed at MPW in non‑executive roles (compensation $120k–$345k); Johnson Healthcare Real Estate (where an Aldag family member works in a non‑executive role) received ~$1.9M for project management; transactions reviewed per related‑party policy .
  • Hedging/pledging: Prohibited by policy (alignment positive) .
  • Gross‑ups: Legacy founder agreements include CoC excise tax gross‑up exposure; company states no new agreements will include such provisions (shareholder‑unfriendly feature retained for founders) .

Performance & Track Record (financial context)

MetricFY2020FY2021FY2022FY2023FY2024
Revenues ($)900,192,000*1,173,375,000*1,173,033,000*675,481,000*883,163,000*
EBITDA ($)1,124,810,000*1,400,953,000*1,390,060,000*387,978,000*713,743,000*
Net Income ($)431,450,000*656,021,000*902,597,000*(556,476,000)*(2,410,271,000)*
Values retrieved from S&P Global.*

Strategic execution noted by the Board in 2024–2025: ~$1.85B asset monetizations with >$450M gains; addressed ~$3.9B of maturities; reduced net debt by ~$1.5B vs 2022; re‑tenanting of ~$1.5B of Steward facilities to six new operators; secured long‑dated, fixed‑rate financings; completed $2.5B senior secured notes offering in Feb‑2025 .

Compensation Committee Analysis

  • Composition: Independent directors C. Reynolds Thompson III (Chair), Michael G. Stewart, D. Paul Sparks Jr.; independent consultant Gressle & McGinley retained; assessed free of conflicts .
  • Process: Annual goal‑setting; benchmarking REIT peer group; heavy variable pay; formal clawback policy adopted Nov 2023 (plus legacy 2013 clawback) .
  • 2024 bonus design: Transparent, measurable categories with supplemental performance features; overall CEO payout at 128% of target .

Equity Ownership & Vesting Detail (CEO)

ItemQuantification / schedule
Time‑based shares unvested at 12/31/2024804,240; includes 115,191 vested 1/1/2025; 106,915 vest quarterly through 1/1/2026; 582,134 vest quarterly through 1/1/2027 .
Performance awards unearned2022 award (280,438 shares), 2023 award (415,095), 2024 award (1,800,000 RSUs) remained unearned at 12/31/2024; 45,871 shares from prior awards vested 1/1/2025 .
2024 stock‑price hurdles$7.00 (100%), $8.50 (200%), $10.00 (300%) during 4‑year period; cash‑settled upon vest .

Board Service and Director-Specific Items

  • Committees served by Aldag: Investment (Chair), Environmental & Social Responsibility, Risk .
  • Independence status: Executive; not independent .
  • Lead Independent Director: Michael G. Stewart; presides over executive sessions, agenda input, liaison to Chair/CEO .
  • Meeting attendance: All incumbents ≥75% of 2024 meetings; Board met 7×; committee activity disclosed .
  • Director compensation: Executives receive no additional pay for Board service (non‑employee program detailed above) .

Say-on-Pay & Shareholder Feedback

  • Lower support in recent two years; company expanded disclosure (Actual Realized Compensation) and redesigned LTI for CEO/CFO to stock‑price hurdles; enhanced outreach to holders representing 42% of outstanding shares .

Risk Indicators & Red Flags

  • Legacy excise tax gross‑ups and single‑trigger CoC equity vesting for founders (shareholder‑unfriendly) .
  • Related‑party optics: family employment and payments to third‑party firm employing an Aldag family member, though disclosed and reviewed under policy .
  • Material equity overhang and quarterly vesting may create periodic selling/tax‑withholding pressure, though hedging/pledging is banned .

Investment Implications

  • Alignment: 2024 LTI pays only with substantial stock appreciation (≥+67%), improving pay‑for‑performance optics; CEO’s Actual Realized Compensation fell markedly with stock decline .
  • Retention vs. performance: Quarterly time‑vested equity supports retention; however, absence of earned performance awards to date means limited realized upside unless equity thesis turns, potentially incentivizing stock‑price‑centric strategy over near‑term FFO growth .
  • Governance trade‑offs: Founder‑led structure with CEO as Chair offset by a strong lead independent director and independent committees, but legacy gross‑ups/single‑trigger vesting remain governance headwinds .
  • Catalyst path: Debt reduction, re‑tenanting, asset monetization and fixed‑rate financings suggest balance sheet repair; equity awards focused on price can amplify management focus on market value recovery, which, if achieved, could trigger sizable performance payouts but simultaneously signal stock upside momentum .