fourth today's you XXXX a all quarter and record was on for MPT. Thank year joining us Good thank morning, for earnings you, Charles. call.
domestic we operators, hospitals approximately acquisitions completed billion located XXXX, Today, and existing as Australia. in increase. $X.X new approximately Portugal has billion. is XX% in international approximately Italy, in and international in XX/XX/XX, Switzerland, now with and During was On billion Germany, value domestically This $X.X well approximately as United $XX $X.X MPT acquisitions. billion represents Spain, our enterprise U.S., it the Kingdom, billion. $XX a investing
billion. IPO end XXX% XXX% was return From more of to $X shareholder REIT our the for to Today, index. index, equity total SNL billion. was our the At compared REIT than almost in broader market the our XXX% XXXX, $XX cap approximately XXXX it's date, of and Healthcare
return REIT shareholder largest represents shareholder was XX% year, total tenants portfolio. for X.X% the the of most Index. broader XX% our no our X-year broader XX% to of X than of largest X and REIT total return compared XX% SNL SNL Index, to XX.X% the the XX.X% index, At Our for the of compared XXXX, for Last the total beginning to XXX% REIT Healthcare REIT for was Index. and our And our and than respectively. property total represented -- Today, next less represents more importantly, represent tenant almost our largest largest our tenant XX% next X portfolio. XX% X.X%, our us, and
transaction, has acute pound program has for entire a assumed MPT for facilities. been facility portfolio has approximating BMI United a BMI investment for multi-million related Kingdom Circle early the who Health, people. a Circle to the committed $X.XX In infrastructure, trusted care in In acquired aggregate January, XX billion. we technology care tenant of operations years, facilities price an the acute and purchase of
level healthcare of of Centene operate depth leadership, experienced and with with of deep U.K. to ability partner the hospitals. a Circle's growing including backing and experienced in local of in experienced confident private the combined MPT excited about U.K. BMI to Circle private Corporation, healthcare U.K. the transaction knowledge this hospital strong of significant are opportunities is perspective, related operators benefits this footprint hospital the We portfolio in along the portfolio brings financial a leadership. increase hospital markets existing from from of our
in Circle opportunity partner that and within augment self-pay with local facility setting. significant to certain NHS markets, there's the a optimize volumes, local and service market insurance of private patient to provisions is to maximize confident timely expand infrastructure and lines care comfortable technology
we relationship Additionally, Management. already a expanded strong on $XXX our in million transaction and LifePoint closed Global December, with Apollo that Health
and $X.X X billion. LifePoint investment XX care acute XX states, increased total our care with acute included to hospitals transaction This and across hospitals
operators Spain. two continued leased that largest strong and are approximate in an one joint acute in own propco joint acquisition in stake ventures Hospitales, These for the real investment to estate by hospital was December. the This of the in with year to $XXX of transaction finish two our hospitals venture XX% We Spain. care Madrid yet equity entities HM a private million another operated
Mello Portugal. million. providers This future a José that a provides for for to the public our market, years. in operators recognition known strong $XX are gaps the and de participate the represents an MPT platform with increasingly of a This transaction care also opportunity increasing largest José about for in Viseu acquired in the MPT healthcare Mello, transaction health coverage is operator. growth-oriented excited We city -- very private metrics. marketplace the market approximately Portugal's rewarding by to newly-constructed, with enter care operator leading de consumer-driven the to hospital a in other hospitals Similar market MPT with in with Portugal growth Portuguese Portugal are investment in and system, private first XX-bed hospital the and with quality offered U.K. acquisitions attractive presents healthcare filling we've MPT unique hospital
business expansion needs. approximately to including international Luxembourg, our day-to-day strong our our Accordingly, the management full-time undertaken XX office has transfer expanded Birmingham underwriting With space and in of increasing to XXXX, employees, from personnel MPT highlighted our base the people we office. during of asset continued headcount above, meet our expansion and international operations its
first in of of process Australian to year. are during our in establishing Sydney the second we open this addition, In quarter the office
We grow in depth York. also have Birmingham experience in and personnel and and New U.S. our the continued to offices
concentration our is and acquisitions, U.S. XX%. these With is International investment XX%,
As U.S. we've said, International. we expect to our portfolio XX% be and about generally XX%
However, time as we from investments, make will fluctuate time. significant that to
neuropsychiatric complex to opportunity is largest behavioral providing the focused best-in-class country. fourth hospitals as of They the Houston, As severe is today. known $XX began care closed in and in organization XXXX that progress psychiatric XX-bed, Texas continues development not reported care health a the the equipped the as last planned. acute NPH quarter, the need cases patients for in for NeuroPsychiatric Hospitals an on hospital quarter meet on of health we a in freestanding company market. million behavioral a are Construction with handle medical psych and comorbid to traditionally underserved conditions, treating and with
open We quarter expect such behavioral this is need in to There this a U.S. for unmet the year. third hospitals tremendous of the hospital in
We these the to to of expect forefront the we meet needs. at to expect be -- to help provide financing forefront be at
To we do comfortable the enough XXXX, will date, I'm of is in an and $X working close we At on $X project will XXXX, billion billion. additional but we possible. that around to that are billion are For not property. full $X closed we actively on this million projecting have it already $X point, certainly
We we will this you on update as progress.
from we some impact either. any expect legislation, on talk healthcare-related accountability transparency portfolio negative fiscal regarding are In We our Medicaid regulation. seeing increased and do not
IRFs, update quick a LTAC. provide and and X portfolio. added on general subtracted I'll Now XX XX reporting; We our acute X, and our X to same-store properties, acute care care existing X
we changes, categories. our these across saw all essentially With flat EBITDA
we one quarter in Just to arrears. remind report you, will
is quarter the the which is of to this referring third So year, softest quarter. the historically
a our of in uptick the operators with flu. Some admissions have reported fourth quarter slight
cases reported However, and like I Steward. none of this quick operationally Steward see provide at both to time. coronavirus to good would our progress, of financially. on the operators update a continues have
potential perform At our Xx. underwriting quality. Report Prospect X.X%. in XX line Prime currently hospitals the greater As nation, in best EBITDARM successfully fully Prime our remain in the Prime's to divestitures. hospitals model receiving our of their been event, Nation remain continues its covered concentration in care integrated choice be various Healthcare Overall, the Arizona. has for managed coverage which in Healthgrades for performer strong. expectations, Steward for and over Nearly investment to December, than continues In exceptional it XXXX it is since its continues consistently of high the to performance XXX their operates, with is completed health initial in XXXX. implement plan both half recognitions Prime concentration among identified hospitals that opportunities and the Currently, sale Steward growth markets at and the to were X.X%.
facilities of of none know you wildfires been At time, the in of threatened. aware I Australia. all our seriously affected this have have been that and well are none
We Steve? performance. this stay Healthscope monitor contact Steve our situation. financial I'll consistent continue to At and time, in evolving go the to with over ask