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Consolidated Statements of Equity / Capital - USD ($)
shares in Thousands
Total
MPT Operating Partnership, L.P. [Member]
MPT Operating Partnership, L.P. [Member]
General Partner [Member]
Cumulative Effect, Period of Adoption, Adjustment [Member]
Cumulative Effect, Period of Adoption, Adjustment [Member]
MPT Operating Partnership, L.P. [Member]
Cumulative Effect, Period of Adoption, Adjustment [Member]
MPT Operating Partnership, L.P. [Member]
General Partner [Member]
Common Par Value [Member]
Common Par Value [Member]
MPT Operating Partnership, L.P. [Member]
Limited Partner [Member]
Common Par Value [Member]
Cumulative Effect, Period of Adoption, Adjustment [Member]
MPT Operating Partnership, L.P. [Member]
Limited Partner [Member]
Additional Paid-in Capital [Member]
Retained Earnings (Deficit) [Member]
Retained Earnings (Deficit) [Member]
Cumulative Effect, Period of Adoption, Adjustment [Member]
Accumulated Other Comprehensive Loss [Member]
Accumulated Other Comprehensive Loss [Member]
MPT Operating Partnership, L.P. [Member]
Non-Controlling Interests [Member]
Non-Controlling Interests [Member]
MPT Operating Partnership, L.P. [Member]
Long Term Incentive Plan [Member]
MPT Operating Partnership, L.P. [Member]
Limited Partner [Member]
Beginning balance at Dec. 31, 2019 $ 7,028,154,000 $ 7,028,544,000 $ 70,939,000       $ 518,000 $ 7,020,403,000   $ 7,007,422,000 $ 83,012,000   $ (62,905,000) $ (62,905,000) $ 107,000 $ 107,000  
Beginning balance (Accounting Standards Update 2016-13) at Dec. 31, 2019         $ (8,399,000) $ (84,000)     $ (8,315,000)                
Beginning balance (in shares) at Dec. 31, 2019     5,176       517,456 512,280                 232
Net income 432,272,000 432,272,000 $ 4,315,000         $ 427,135,000     431,450,000       822,000 822,000  
Unrealized gain (loss) on interest rate swaps, net of tax (33,091,000) (33,091,000)                     (33,091,000) (33,091,000)      
Foreign currency translation gain (loss) 44,672,000 44,672,000                     44,672,000 44,672,000      
Stock (Unit) vesting and amortization of stock-based compensation 47,154,000 47,154,000 $ 472,000       $ 2,000 $ 46,682,000   47,152,000              
Stock (Unit) vesting and amortization of stock (unit)-based compensation (shares)     29       2,893 2,864                  
Sale of non-controlling interests 5,097,000 5,097,000                         5,097,000 5,097,000  
Redemption of MOP units (4,928,000) (4,928,000)           $ (4,928,000)   (4,928,000)              
Redemption of common units (shares)               (232)                  
Conversion of LTIP units to common units (shares)               232                 (232)
Distributions to non-controlling interests, net (701,000) (701,000)                         (701,000) (701,000)  
Proceeds from offering (net of offering costs) 411,101,000 411,101,000 $ 4,111,000       $ 21,000 $ 406,990,000   411,080,000              
Proceeds from offering (net of offering costs) (shares)     209       21,004 20,795                  
Dividends (Distributions) declared (577,474,000) (577,474,000) $ (5,776,000)         $ (571,698,000)     (577,474,000)            
Ending balance at Dec. 31, 2020 7,343,857,000 7,344,247,000 $ 73,977,000       $ 541,000 $ 7,316,269,000   7,460,726,000 (71,411,000)   (51,324,000) (51,324,000) 5,325,000 5,325,000  
Ending balance (Accounting Standards Update 2016-02) at Dec. 31, 2020       $ (8,399,000)               $ (8,399,000)          
Ending balance (in shares) at Dec. 31, 2020     5,414       541,353 535,939                  
Net income 656,940,000 656,940,000 $ 6,560,000         $ 649,461,000     656,021,000       919,000 919,000  
Unrealized gain (loss) on interest rate swaps, net of tax 52,288,000 52,288,000                     52,288,000 52,288,000      
Foreign currency translation gain (loss) (37,691,000) (37,691,000)                     (37,691,000) (37,691,000)      
Stock (Unit) vesting and amortization of stock-based compensation 52,110,000 52,110,000 $ 521,000       $ 3,000 $ 51,589,000   52,107,000              
Stock (Unit) vesting and amortization of stock (unit)-based compensation (shares)     23       2,332 2,309                  
Distributions to non-controlling interests, net (761,000) (761,000)                         (761,000) (761,000)  
Proceeds from offering (net of offering costs) 1,051,229,000 1,051,229,000 $ 10,512,000       $ 53,000 $ 1,040,717,000   1,051,176,000              
Proceeds from offering (net of offering costs) (shares)     531       53,063 52,532                  
Dividends (Distributions) declared (672,301,000) (672,301,000) $ (6,723,000)         $ (665,578,000)     (672,301,000)            
Ending balance at Dec. 31, 2021 8,445,671,000 8,446,061,000 $ 84,847,000       $ 597,000 $ 8,392,458,000   8,564,009,000 (87,691,000)   (36,727,000) (36,727,000) 5,483,000 5,483,000  
Ending balance (in shares) at Dec. 31, 2021     5,968       596,748 590,780                  
Net income 903,819,000 903,819,000 $ 9,026,000         $ 893,571,000     902,597,000       1,222,000 1,222,000  
Unrealized gain (loss) on interest rate swaps, net of tax 100,550,000 100,550,000                     100,550,000 100,550,000      
Foreign currency translation gain (loss) (123,007,000) (123,007,000)                     (123,007,000) (123,007,000)      
Stock (Unit) vesting and amortization of stock-based compensation 49,421,000 49,421,000 $ 494,000       $ 3,000 $ 48,927,000   49,418,000              
Stock (Unit) vesting and amortization of stock (unit)-based compensation (shares)     37       3,675 3,638                  
Stock (Unit) vesting - satisfaction of tax withholding (29,922,000) (29,922,000) $ (299,000)       $ (1,000) $ (29,623,000)   (29,921,000)              
Stock (Unit) vesting - satisfaction of tax withholding (shares)     (13)       (1,302) (1,289)                  
Repurchase of units (17,940,000) (17,940,000) $ (179,000)       $ (2,000) $ (17,761,000)   (17,938,000)              
Repurchase of units (shares)     (16)       (1,645) (1,629)                  
Acquisition of non-controlling interest (35,022,000) (35,022,000) $ (304,000)         $ (30,124,000)   (30,428,000)         (4,594,000) (4,594,000)  
Redemption of MOP units   0                              
Issuance of non-controlling interest 1,054,000 1,054,000                         1,054,000 1,054,000  
Distributions to non-controlling interests, net (1,596,000) (1,596,000)                         (1,596,000) (1,596,000)  
Dividends (Distributions) declared (698,621,000) (698,621,000) (6,986,000)         (691,635,000)     (698,621,000)            
Ending balance at Dec. 31, 2022 $ 8,594,407,000 $ 8,594,797,000 $ 86,599,000       $ 597,000 $ 8,565,813,000   $ 8,535,140,000 $ 116,285,000   $ (59,184,000) $ (59,184,000) $ 1,569,000 $ 1,569,000  
Ending balance (in shares) at Dec. 31, 2022     5,976       597,476 591,500