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Consolidated Statements of Equity / Capital - USD ($)
shares in Thousands, $ in Thousands
Total
MPT Operating Partnership, L.P. [Member]
MPT Operating Partnership, L.P. [Member]
General Partner [Member]
MPT Operating Partnership, L.P. [Member]
Limited Partner [Member]
Common Par Value [Member]
Additional Paid-in Capital [Member]
Retained (Deficit) Earnings [Member]
Accumulated Other Comprehensive Income (Loss) [Member]
Accumulated Other Comprehensive Income (Loss) [Member]
MPT Operating Partnership, L.P. [Member]
Non-Controlling Interests [Member]
Non-Controlling Interests [Member]
MPT Operating Partnership, L.P. [Member]
Beginning balance at Dec. 31, 2020 $ 7,343,857 $ 7,344,247 $ 73,977 $ 7,316,269 $ 541 $ 7,460,726 $ (71,411) $ (51,324) $ (51,324) $ 5,325 $ 5,325
Beginning balance (in shares) at Dec. 31, 2020     5,414 535,939 541,353            
Net (loss) income 656,940 656,940 $ 6,560 $ 649,461     656,021     919 919
Unrealized gain (loss) on interest rate swaps, net of tax 52,288 52,288           52,288 52,288    
Foreign currency translation gain (loss) (37,691) (37,691)           (37,691) (37,691)    
Stock (Unit) vesting and amortization of stock-based compensation 52,110 52,110 $ 521 $ 51,589 $ 3 52,107          
Stock (Unit) vesting and amortization of stock (unit)-based compensation (shares)     23 2,309 2,332            
Distributions to non-controlling interests, net (761) (761)               (761) (761)
Proceeds from offering (net of offering costs) 1,051,229 1,051,229 $ 10,512 $ 1,040,717 $ 53 1,051,176          
Proceeds from offering (net of offering costs) (shares)     531 52,532 53,063            
Dividends (Distributions) declared (672,301) (672,301) $ (6,723) $ (665,578)     (672,301)        
Ending balance at Dec. 31, 2021 8,445,671 8,446,061 $ 84,847 $ 8,392,458 $ 597 8,564,009 (87,691) (36,727) (36,727) 5,483 5,483
Ending balance (in shares) at Dec. 31, 2021     5,968 590,780 596,748            
Net (loss) income 903,819 903,819 $ 9,026 $ 893,571     902,597     1,222 1,222
Unrealized gain (loss) on interest rate swaps, net of tax 100,550 100,550           100,550 100,550    
Foreign currency translation gain (loss) (123,007) (123,007)           (123,007) (123,007)    
Stock (Unit) vesting and amortization of stock-based compensation 49,421 49,421 $ 494 $ 48,927 $ 3 49,418          
Stock (Unit) vesting and amortization of stock (unit)-based compensation (shares)     37 3,638 3,675            
Stock (Unit) vesting - satisfaction of tax withholding (29,922) (29,922) $ (299) $ (29,623) $ (1) (29,921)          
Stock (Unit) vesting - satisfaction of tax withholding (shares)     (13) (1,289) (1,302)            
Repurchase of units (17,940) (17,940) $ (179) $ (17,761) $ (2) (17,938)          
Repurchase of units (shares)     (16) (1,629) (1,645)            
Acquisition of non-controlling interest (35,022) (35,022) $ (304) $ (30,124)   (30,428)       (4,594) (4,594)
Issuance of non-controlling interest 1,054 1,054               1,054 1,054
Distributions to non-controlling interests, net (1,596) (1,596)               (1,596) (1,596)
Dividends (Distributions) declared (698,621) (698,621) (6,986) (691,635)     (698,621)        
Ending balance at Dec. 31, 2022 8,594,407 8,594,797 $ 86,599 $ 8,565,813 $ 597 8,535,140 116,285 (59,184) (59,184) 1,569 1,569
Ending balance (in shares) at Dec. 31, 2022     5,976 591,500 597,476            
Net (loss) income (556,092) (556,092) $ (5,564) $ (550,912)     (556,476)     384 384
Unrealized gain (loss) on interest rate swaps, net of tax (34,932) (34,932)           (34,932) (34,932)    
Reclassification of interest rate swap gain to earnings, net of tax (28,553) (28,553)           (28,553) (28,553)    
Foreign currency translation gain (loss) 162,680 162,680           162,680 162,680    
Reclassification of foreign currency translation loss from AOCI 2,490 2,490           2,490 2,490    
Stock (Unit) vesting and amortization of stock-based compensation 33,250 33,250 $ 332 $ 32,918 $ 2 33,248          
Stock (Unit) vesting and amortization of stock (unit)-based compensation (shares)     25 2,432 2,457            
Stock (Unit) vesting - satisfaction of tax withholding (8,079) (8,079) $ (81) $ (7,998)   (8,079)          
Stock (Unit) vesting - satisfaction of tax withholding (shares)     (10) (932) (942)            
Issuance of non-controlling interest 1,375 1,375               1,375 1,375
Distributions to non-controlling interests, net (1,063) (1,063)               (1,063) (1,063)
Dividends (Distributions) declared (531,618) (531,618) $ (5,317) $ (526,301)     (531,618)        
Ending balance at Dec. 31, 2023 $ 7,633,865 $ 7,634,255 $ 75,969 $ 7,513,520 $ 599 $ 8,560,309 $ (971,809) $ 42,501 $ 42,501 $ 2,265 $ 2,265
Ending balance (in shares) at Dec. 31, 2023     5,991 593,000 598,991