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Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Thousands
9 Months Ended
Sep. 30, 2016
Sep. 30, 2015
Operating activities    
Net income $ 182,692 $ 81,589
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 69,720 51,149
Straight-line rent revenue (27,009) (17,815)
Straight-line rent and other write-off 3,063 2,812
Impairment charges 7,295  
Direct financing lease interest accretion (6,757) (5,286)
Share / (Unit)-based compensation expense 5,832 8,383
Gain from sale of real estate and other asset dispositions, net (61,294) (3,268)
Amortization and write-off of deferred financing costs and debt discount 5,799 4,293
Unutilized financing fees / debt refinancing costs 22,539 4,319
Other adjustments (8,398) (265)
Changes in:    
Interest and rent receivable (12,790) (5,471)
Accounts payable and accrued expenses (12,403) 11,744
Net cash provided by operating activities 168,289 132,184
Investing activities    
Cash paid for acquisitions and other related investments (213,100) (2,020,198)
Net proceeds from sale of real estate 198,767 19,175
Principal received on loans receivable 804,809 698,040
Investment in loans receivable (102,909) (354,002)
Construction in progress and other (139,336) (115,700)
Investment in unsecured senior notes (50,000)  
Proceeds from sale of unsecured senior notes 50,000  
Other investments, net (52,701) (9,803)
Net cash provided by (used for) investing activities 495,530 (1,782,488)
Financing activities    
Revolving credit facilities, net (1,100,000) 500,415
Proceeds from term debt 1,000,000 676,877
Payments of term debt (515,221) (210)
Distributions paid (160,060) (130,841)
Proceeds from sale of common shares / units, net of offering costs 1,024,088 817,533
Lease deposits and other obligations to tenants 13,784 (12,669)
Debt issuance costs paid and other financing activities (31,317) (7,950)
Net cash provided by financing activities 231,274 1,843,155
Increase in cash and cash equivalents for period 895,093 192,851
Effect of exchange rate changes 4,283 (5,157)
Cash and cash equivalents at beginning of period 195,541 144,541
Cash and cash equivalents at end of period 1,094,917 332,235
Interest paid 120,374 74,911
Supplemental schedule of non-cash investing activities:    
Increase in development projects construction costs incurred, unpaid 17,458 83
Supplemental schedule of non-cash financing activities:    
Distributions declared, unpaid 58,333 52,388
MPT Operating Partnership, L.P. [Member]    
Operating activities    
Net income 182,692 81,589
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 69,720 51,149
Straight-line rent revenue (27,009) (17,815)
Straight-line rent and other write-off 3,063 2,812
Impairment charges 7,295  
Direct financing lease interest accretion (6,757) (5,286)
Share / (Unit)-based compensation expense 5,832 8,383
Gain from sale of real estate and other asset dispositions, net (61,294) (3,268)
Amortization and write-off of deferred financing costs and debt discount 5,799 4,293
Unutilized financing fees / debt refinancing costs 22,539 4,319
Other adjustments (8,398) (265)
Changes in:    
Interest and rent receivable (12,790) (5,471)
Accounts payable and accrued expenses (12,403) 11,744
Net cash provided by operating activities 168,289 132,184
Investing activities    
Cash paid for acquisitions and other related investments (213,100) (2,020,198)
Net proceeds from sale of real estate 198,767 19,175
Principal received on loans receivable 804,809 698,040
Investment in loans receivable (102,909) (354,002)
Construction in progress and other (139,336) (115,700)
Investment in unsecured senior notes (50,000)  
Proceeds from sale of unsecured senior notes 50,000  
Other investments, net (52,701) (9,803)
Net cash provided by (used for) investing activities 495,530 (1,782,488)
Financing activities    
Revolving credit facilities, net (1,100,000) 500,415
Proceeds from term debt 1,000,000 676,877
Payments of term debt (515,221) (210)
Distributions paid (160,060) (130,841)
Proceeds from sale of common shares / units, net of offering costs 1,024,088 817,533
Lease deposits and other obligations to tenants 13,784 (12,669)
Debt issuance costs paid and other financing activities (31,317) (7,950)
Net cash provided by financing activities 231,274 1,843,155
Increase in cash and cash equivalents for period 895,093 192,851
Effect of exchange rate changes 4,283 (5,157)
Cash and cash equivalents at beginning of period 195,541 144,541
Cash and cash equivalents at end of period 1,094,917 332,235
Interest paid 120,374 74,911
Supplemental schedule of non-cash investing activities:    
Increase in development projects construction costs incurred, unpaid 17,458 83
Supplemental schedule of non-cash financing activities:    
Distributions declared, unpaid $ 58,333 $ 52,388