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Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Operating activities    
Net (loss) income $ (875,377) $ 33,030
Adjustments to reconcile net (loss) income to net cash provided by operating activities:    
Depreciation and amortization 77,214 87,586
Amortization of deferred financing costs and debt discount 3,698 4,014
Straight-line rent revenue and other (46,566) (58,566)
Stock/Unit-based compensation expense 7,633 11,829
Loss (gain) on sale of real estate 1,423 (62)
Real estate and other impairment charges, net 693,088 89,538
Straight-line rent and other write-off 1,817 2,192
Tax rate changes and other (307) (7,305)
Other adjustments (including fair value adjustments on securities) 223,674 (8,505)
Changes in:    
Interest and rent receivables 5,369 (514)
Other assets 5,689 (2,493)
Accounts payable and accrued expenses (18,878) (15,696)
Deferred revenue (4,135) 600
Net cash provided by operating activities 74,342 135,648
Investing activities    
Cash paid for acquisitions and other related investments   (72,900)
Net proceeds from sale of real estate 6,596 100
Proceeds received from sale and repayment of loans receivable 114,416 221,876
Investment in loans receivable (135,000) (50,000)
Construction in progress and other (29,885) (13,292)
Proceeds from sale and return of equity investment 11,656  
Capital additions and other investments, net (87,045) (68,606)
Net cash (used for) provided by investing activities (119,262) 17,178
Financing activities    
Revolving credit facility, net 111,186 95,919
Dividends/Distributions paid (92,763) (176,580)
Lease deposits and other obligations to tenants 6,226 (2,691)
Stock vesting/Unit vesting - satisfaction of tax withholdings (283) (5,554)
Other financing activities, payment of debt refinancing, and deferred financing costs (2,291) (219)
Net cash provided by (used for) financing activities 22,075 (89,125)
(Decrease) increase in cash, cash equivalents, and restricted cash for period (22,845) 63,701
Effect of exchange rate changes (2,889) 2,927
Cash, cash equivalents, and restricted cash at beginning of period 255,952 241,538
Cash, cash equivalents, and restricted cash at end of period 230,218 308,166
Interest paid 131,815 116,436
Supplemental schedule of non-cash financing activities:    
Dividends/Distributions declared, unpaid   174,492
Cash, cash equivalents, and restricted cash are comprised of the following:    
Cash and cash equivalents at beginning of period 250,016 235,668
Restricted cash, included in Other assets at beginning of period $ 5,936 $ 5,870
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 $ 255,952 $ 241,538
Cash and cash equivalents at end of period 224,340 302,321
Restricted cash, included in Other assets at end of period $ 5,878 $ 5,845
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 $ 230,218 $ 308,166
MPT Operating Partnership, L.P. [Member]    
Operating activities    
Net (loss) income (875,377) 33,030
Adjustments to reconcile net (loss) income to net cash provided by operating activities:    
Depreciation and amortization 77,214 87,586
Amortization of deferred financing costs and debt discount 3,698 4,014
Straight-line rent revenue and other (46,566) (58,566)
Stock/Unit-based compensation expense 7,633 11,829
Loss (gain) on sale of real estate 1,423 (62)
Real estate and other impairment charges, net 693,088 89,538
Straight-line rent and other write-off 1,817 2,192
Tax rate changes and other (307) (7,305)
Other adjustments (including fair value adjustments on securities) 223,674 (8,505)
Changes in:    
Interest and rent receivables 5,369 (514)
Other assets 5,689 (2,493)
Accounts payable and accrued expenses (18,878) (15,696)
Deferred revenue (4,135) 600
Net cash provided by operating activities 74,342 135,648
Investing activities    
Cash paid for acquisitions and other related investments   (72,900)
Net proceeds from sale of real estate 6,596 100
Proceeds received from sale and repayment of loans receivable 114,416 221,876
Investment in loans receivable (135,000) (50,000)
Construction in progress and other (29,885) (13,292)
Proceeds from sale and return of equity investment 11,656  
Capital additions and other investments, net (87,045) (68,606)
Net cash (used for) provided by investing activities (119,262) 17,178
Financing activities    
Revolving credit facility, net 111,186 95,919
Dividends/Distributions paid (92,763) (176,580)
Lease deposits and other obligations to tenants 6,226 (2,691)
Stock vesting/Unit vesting - satisfaction of tax withholdings (283) (5,554)
Other financing activities, payment of debt refinancing, and deferred financing costs (2,291) (219)
Net cash provided by (used for) financing activities 22,075 (89,125)
(Decrease) increase in cash, cash equivalents, and restricted cash for period (22,845) 63,701
Effect of exchange rate changes (2,889) 2,927
Cash, cash equivalents, and restricted cash at beginning of period 255,952 241,538
Cash, cash equivalents, and restricted cash at end of period 230,218 308,166
Interest paid 131,815 116,436
Supplemental schedule of non-cash financing activities:    
Dividends/Distributions declared, unpaid   174,492
Cash, cash equivalents, and restricted cash are comprised of the following:    
Cash and cash equivalents at beginning of period 250,016 235,668
Restricted cash, included in Other assets at beginning of period $ 5,936 $ 5,870
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 $ 255,952 $ 241,538
Cash and cash equivalents at end of period 224,340 302,321
Restricted cash, included in Other assets at end of period $ 5,878 $ 5,845
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 $ 230,218 $ 308,166