growth of basis. Thank quarter third of you, normalized reported When regions. of is considered most Ed. handful that's so acquisition near payout and FFO opportunities of double-digit per MPT is $X.XX that long-term abundantly with on virtually XXXX, continue to accretive in that rates abundant MPT And through Third AFFO adjusted the of available dividend ratio, the cap This among attractively offers what small and year-to-date. per demonstrated. our XXXX, deliver along XXs% capital the revenue, of end growing diluted large FFO along of exactly for low for morning, markets. the access not activities we growth with From immediately share per-share our a a and $X.XX. all very asset, our share priced to XXXX Quarter,
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we securities of Medical our every in gain for our value quarter, the Aevis, a parent in market investment of of quarter. this as the change recognized Swiss $XXX,XXX is First, the tenant, and case Network, the
other for off were wrote an rent the costs million. in line and $XX of quarter $X.X about to that we properties Second, aggregate sold straight million related during
million. of we from on Aside adjustments, about gains routine reporting these these realized $X.X transactions
in cost, and certain they contractual offsetting and in we though are present have are $X us amount approximately and charges Statement. we reimbursed These to expenses, tenants. GAAP requires the revenue MPT our obligations by of amounted a even As of property-related our for Income we to as explained, previously million included similar expenses quarter, this amount
required sale Massachusetts on to book as venture have contribution the by that of are Balance Macquarie our Sheet. for estate the hospitals again the joint to real reclassified with we Finally, GAAP, pending value held
densely our beginning significant recent the of primary their various alternative have importance part the long-term in So announced. future facilities. new expansion South with important completion appeal highlight I'll historical the to million the of Hospital and most for hospitals previously populated these $XXX South Florida, and five development, with long-standing to growing healthcare of Florida July is which barriers and in near we our The transactions, communities
to in the about these raise we forward, their improve Looking long-term them for excited to are position stewards plans facilities and bar for success. results financial care
as the and to cash created to their the full investment estate estate structure, lease throughout larger MPT Healthcare, hospitals validate a ability XXXX, much our substantial later, strong purchase creation. to MPT's coherent billion was coverage. for a in MPT leaseback full hospital independent initial of with elections the Stuart into coverage, value tenant few its performance its drive premier top that market after transactions. and compromising in by in Macquarie hospital’s as part $X.XX our in sale preferable its acquisition truly verge planned period Healthcare billion. only Fast-forward on of serve Macquarie context a Importantly, operations. facilitated the recognized these these creatively partnership will Steward conjunction care in to Steward we agreement portfolio and of of to dynamic, of details the concerning its Utah remarkably joint our that payments sale hospital operated completion X, our questions real value these Massachusetts to seventh same stewards of September, and agreements HCA to And operators real an a proceeds proven that world, to that take announced rent for HCA the investment network prior agreed the values underwriting portfolio these the and completion to particular agreement and flow underwrote. approximately now financial likely metropolitan be In of in minutes. a potential of of acute MPT model rental XX-XX $X.X extend operating real in previously XXXX. these investment. MPT lease hospitals, view five community by HCA to to today, hospitals. priced the with of Steward purchase JV is this both re-tenanting to in MPT, dependent by Massachusetts of a the the area. Upon Macquarie hospitals, mortgage access the formed closing manner with just early agreement to of Steward investment a that exciting I'll from has in one diligence largest process, initial and substantial hospitals is closing important to five-years hospitals without hospital This world-class in being I recognized September billion tenant of track few venture with will hospitals introduced Steward Coincidentally an loan refinance to on irreplaceable and is HCA diversified facilities in and reflective happy -based minutes the announced to by delivery HCA in that On MPT's in XX this $X.X not Steward terms of X these later estate Steward's underwrote Utah in hospitals similar what of is obligations the Steward country, And has we assured, take of It Utah Massachusetts Hospitals which a new Infrastructure award-winning transactions, master XXXX, a resilient recycled the all billion approximately years subsidiary made of in from its greatly operators related $X.XX but to currently of mix, based Partners upon value operated general a in created. have has in with Actual the will capital, XXXX, attractively not X model. year we review
what The hospitals in reminder, Over and paid portfolio more period, been we underwritten represented shareholders have dividends a recycling rewarded rent than Utah allowed areas. third XXXX, the and invested billion in growing billion the major the have and XX of in our leased since that six this $X.X we $X.X Just tremendous market independent interest during relevant been Steward and have enhancement and and orchestrate size, market share value and value. and is hospitals. us by the Massachusetts credit with transactions diversification characteristics, quarter to Florida into assembled the to
unique to U.S. wrap up, on a recent and states behavioral master several purpose-built of several just to carefully closed These total years. facilities that million. week in-patient our are we Springstone our well-run. we XX activities, $XXX A of across behavioral for been observing acquisition hospitals portfolio selected hospitals, last So have lease very communities in for
in $XXX Clinics. a are realize advantages We level acute a typically double-digit relatively -- Kliniken Health, and also others. run from Operator. similar estate interest IRRs sell a own hospital our operator of are advantage in results of now German remember operator. OpCo process small, in the made month, invested of returns nominal being our And return. our Nonetheless, investments is will Capella, Similar, the are been almost sale to to from uniformly about Ernest the have past million investment Median sometimes and than just you we strongly more simply we competitive care successful. this heavily Because LifePoint but extraordinarily ATOS XX% separately profitable. in equity infrequent, assets toward have an weighted Whose Many real the interest having the benefits in
in we investment very While were attractive not operators these material realized gains. amount, our
of willing a investment When investments capital on future EURXX because still affiliate that we our More underwrite treatment [Indiscernible] and of small late to of very part million high we importantly, for a America. and October healthcare more then foothold lease to we represent And to Swiss expectation to Portugal others, in a position and is overall great But among our inaugural growing insight. in Europe, I these in in in alignment enthusiastic Medical real to and hospital gains ago, where an own. our United acquire South always EURX.X and of our years Health. gain in center an XXXX estate, active an This close investment that Steward only private base, billion which compliments deal adds also equation. in Portugal, make mention were our in that quality we should than cancer now late investments we comes nation's Springstone, Australia, percentage we Kingdom, remain in the market. it about and Continental and collectively
South of and Finally, Funding current sheets. I Florida will combination proforma with was the investments comment on the and both cash. our sourced existing Springstone balance for Steward
is we well The this including be billion short-term X.X account all the ratio, of $X borrowing repaid will in expect expected to as of resources, Macquarie resulting line be net taking of interim As announced debt a into completion times. which to upon credit, partnership. full EBITDA
think this hedge, and order investing than range, changed, markets. cost very outside to efficiently most X relative and And we times of investors to been since more remind international about has our our currency is historical to that the attractive which of As exposure naturally to the related that U.S. X we XXXX end advantage of activity of our half of not in debt take ratio
debt We have at unsecured rates. low non-U.S. funded more dollar than with investments these long-term XX% international of
quality U.S. use fluctuated heavier predictably history levels long-term net to been As heavily this for EURXXX X%. evidenced liquidity, has our target. offering XXXX in facilities has been at no than generally and equity and of unsecured temporarily notes by of to have with coupon to our debt-to-EBITDA of detriment our our recent less million funding. outside which high weighted Acquisitions a Because current more
more investment accomplish our growing but equity only to hospitals see market this, So ratio. a flexibility for today infrastructure have and expect in was reduction where leverage ATM with follow-on like now sometimes we stark prior use. direct contrast our to years, vibrant, way with continued we in the to
selective and with With retained the Balance above payout provides for sales, earnings AFFO $XX ratio. our that low opportunities billion and Sheet property over
a of either run-rate for under-development FFO to $X.XX subject today, bonding other $X.XX guidance is assets the share an As plus reminder, our our assets or in-place of diluted expected estimate are annual of per to that as agreements. not They to guidance the are range. These six third-quarter impact obviously assumptions, related of to our near additional in Macquarie underpin in included acquisition results. addition leverage current items, partnership reducing to times, and announced the assumptions
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