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Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2025
Jun. 30, 2024
Operating activities    
Net loss $ (216,084) $ (1,195,036)
Adjustments to reconcile net loss to net cash provided by operating activities:    
Depreciation and amortization 133,669 181,071
Amortization of deferred financing costs and debt discount 12,502 7,489
Straight-line rent revenue from operating and finance leases (82,758) (86,650)
Stock / Unit-based compensation expense 18,522 16,154
Gain on sale of real estate (13,271) (383,401)
Real estate and other impairment charges, net 81,479 833,512
Equity interest real estate impairment 0 410,790
Debt refinancing and unutilized financing costs 3,615 2,964
Tax rate changes and other 1,121 4,588
Non-cash fair value adjustments 135,436 380,523
Other adjustments (5,315) 10,604
Changes in:    
Interest and rent receivables 4,565 (74)
Other assets (3,301) (28,415)
Accounts payable and accrued expenses (11,878) (34,262)
Deferred revenue (6,171) (10,256)
Net cash provided by operating activities 52,131 109,601
Investing activities    
Cash paid for acquisitions and other related investments (102,329) (105,618)
Net proceeds from sale of real estate 47,918 1,513,350
Proceeds received from sale and repayment of loans receivable 3,000 114,416
Investment in loans receivable (52,435) (316,000)
Construction in progress and other (40,623) (45,081)
Proceeds from sale and return of equity investments 0 11,656
Capital additions and other investments, net (17,265) (89,870)
Net cash (used for) provided by investing activities (161,734) 1,082,853
Financing activities    
Proceeds from term debt 2,512,970 804,188
Payments of term debt (2,252,731) (569,125)
Revolving credit facility, net 156,530 (812,312)
Dividends / Distribution paid (96,548) (182,573)
Lease deposits and other obligations to tenants 1,970 8,501
Offering costs (101) 0
Stock / Unit vesting - satisfaction of tax withholdings (745) (2,833)
Payment of debt refinancing and deferred financing costs and other financing activities (49,822) (77,288)
Net cash provided by (used for) financing activities 271,523 (831,442)
Increase in cash, cash equivalents, and restricted cash for period 161,920 361,012
Effect of exchange rate changes 15,815 (5,799)
Cash, cash equivalents, and restricted cash at beginning of period 335,173 255,952
Cash, cash equivalents, and restricted cash at end of period 512,908 611,165
Interest paid 220,281 254,857
Supplemental schedule of non-cash financing activities:    
Dividends / Distributions declared, unpaid 48,292 90,336
Cash, cash equivalents, and restricted cash are comprised of the following:    
Cash and cash equivalents at beginning of period 332,335 250,016
Restricted cash, included in Other assets at beginning of period $ 2,838 $ 5,936
Restricted Cash and Cash Equivalents, Asset, Statement of Financial Position [Extensible List] Other Assets Other Assets
Cash, cash equivalents, and restricted cash at beginning of period $ 335,173 $ 255,952
Cash and cash equivalents at end of period 509,828 606,550
Restricted cash, included in Other assets at end of period $ 3,080 $ 4,615
Restricted Cash and Cash Equivalents, Asset, Statement of Financial Position [Extensible List] Other Assets Other Assets
Cash, cash equivalents, and restricted cash at end of period $ 512,908 $ 611,165
MPT Operating Partnership, L.P. [Member]    
Operating activities    
Net loss (216,084) (1,195,036)
Adjustments to reconcile net loss to net cash provided by operating activities:    
Depreciation and amortization 133,669 181,071
Amortization of deferred financing costs and debt discount 12,502 7,489
Straight-line rent revenue and other (82,758) (86,650)
Stock / Unit-based compensation expense 18,522 16,154
Gain on sale of real estate (13,271) (383,401)
Real estate and other impairment charges, net 81,479 833,512
Equity interest real estate impairment 0 410,790
Debt refinancing and unutilized financing costs 3,615 2,964
Tax rate changes and other 1,121 4,588
Non-cash fair value adjustments 135,436 380,523
Other adjustments (5,315) 10,604
Changes in:    
Interest and rent receivables 4,565 (74)
Other assets (3,301) (28,415)
Accounts payable and accrued expenses (11,878) (34,262)
Deferred revenue (6,171) (10,256)
Net cash provided by operating activities 52,131 109,601
Investing activities    
Cash paid for acquisitions and other related investments (102,329) (105,618)
Net proceeds from sale of real estate 47,918 1,513,350
Proceeds received from sale and repayment of loans receivable 3,000 114,416
Investment in loans receivable (52,435) (316,000)
Construction in progress and other (40,623) (45,081)
Proceeds from sale and return of equity investments 0 11,656
Capital additions and other investments, net (17,265) (89,870)
Net cash (used for) provided by investing activities (161,734) 1,082,853
Financing activities    
Proceeds from term debt 2,512,970 804,188
Payments of term debt (2,252,731) (569,125)
Revolving credit facility, net 156,530 (812,312)
Dividends / Distribution paid (96,548) (182,573)
Lease deposits and other obligations to tenants 1,970 8,501
Offering costs (101) 0
Stock / Unit vesting - satisfaction of tax withholdings (745) (2,833)
Payment of debt refinancing and deferred financing costs and other financing activities (49,822) (77,288)
Net cash provided by (used for) financing activities 271,523 (831,442)
Increase in cash, cash equivalents, and restricted cash for period 161,920 361,012
Effect of exchange rate changes 15,815 (5,799)
Cash, cash equivalents, and restricted cash at beginning of period 335,173 255,952
Cash, cash equivalents, and restricted cash at end of period 512,908 611,165
Interest paid 220,281 254,857
Supplemental schedule of non-cash financing activities:    
Dividends / Distributions declared, unpaid 48,292 90,336
Cash, cash equivalents, and restricted cash are comprised of the following:    
Cash and cash equivalents at beginning of period 332,335 250,016
Restricted cash, included in Other assets at beginning of period $ 2,838 $ 5,936
Restricted Cash and Cash Equivalents, Asset, Statement of Financial Position [Extensible List] Other Assets Other Assets
Cash, cash equivalents, and restricted cash at beginning of period $ 335,173 $ 255,952
Cash and cash equivalents at end of period 509,828 606,550
Restricted cash, included in Other assets at end of period $ 3,080 $ 4,615
Restricted Cash and Cash Equivalents, Asset, Statement of Financial Position [Extensible List] Other Assets Other Assets
Cash, cash equivalents, and restricted cash at end of period $ 512,908 $ 611,165