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Condensed 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]
Common Par Value [Member]
Common Par Value [Member]
MPT Operating Partnership, L.P. [Member]
Limited Partner [Member]
Additional Paid-in Capital [Member]
Retained Earnings (Deficit) [Member]
Accumulated Other Comprehensive Loss [Member]
Accumulated Other Comprehensive Loss [Member]
MPT Operating Partnership, L.P. [Member]
Treasury Shares [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, 2017 $ 3,835,205 $ 3,835,595 $ 38,489 $ 364 $ 3,808,583 $ 4,333,027 $ (485,932) $ (26,049) $ (26,049) $ (777) $ 14,572 $ 14,572  
Beginning balance (in shares) at Dec. 31, 2017     3,644 364,424 360,780               292
Net income 91,043 91,043 $ 906   $ 89,695   90,601       442 442  
Cumulative effect of change in accounting principles 1,938 1,938 19   1,919   1,938            
Foreign currency translation gain (loss) 16,088 16,088           16,088 16,088        
Stock (Unit) vesting and amortization of stock (unit)-based compensation 1,856 1,856 $ 19 $ 1 $ 1,837 1,855              
Stock (Unit) vesting and amortization of stock (unit)-based compensation (shares)     3 271 268                
Conversion of LTIP units to common units (shares)         60               (60)
Redemption of MOP units/common units (816) (816)     $ (816) (816)              
Redemption of MOP units/common units (shares)         (60)                
Distributions to non-controlling interests (620) (620)                 (620) (620)  
Proceeds from offering (net of offering costs) (94) (94) $ (1)   $ (93) (94)              
Dividends (Distributions) declared ($0.25 per common share/ unit) (91,411) (91,411) (914)   (90,497)   (91,411)            
Ending balance at Mar. 31, 2018 3,853,189 3,853,579 $ 38,518 $ 365 $ 3,810,628 4,333,972 (484,804) (9,961) (9,961) (777) 14,394 14,394  
Ending balance (in shares) at Mar. 31, 2018     3,647 364,695 361,048               232
Beginning balance at Dec. 31, 2017 3,835,205 3,835,595 $ 38,489 $ 364 $ 3,808,583 4,333,027 (485,932) (26,049) (26,049) (777) 14,572 14,572  
Beginning balance (in shares) at Dec. 31, 2017     3,644 364,424 360,780               292
Net income 203,060 203,060                      
Foreign currency translation gain (loss) (16,304) (16,304)                      
Ending balance at Jun. 30, 2018 3,845,455 3,845,845 $ 38,767 $ 365 $ 3,835,225 4,338,798 (464,784) (42,353) (42,353) (777) 14,206 14,206  
Ending balance (in shares) at Jun. 30, 2018     3,647 364,731 361,084               232
Beginning balance at Mar. 31, 2018 3,853,189 3,853,579 $ 38,518 $ 365 $ 3,810,628 4,333,972 (484,804) (9,961) (9,961) (777) 14,394 14,394  
Beginning balance (in shares) at Mar. 31, 2018     3,647 364,695 361,048               232
Net income 112,017 112,017 $ 1,115   $ 110,452   111,567       450 450  
Foreign currency translation gain (loss) (32,392) (32,392)           (32,392) (32,392)        
Stock (Unit) vesting and amortization of stock (unit)-based compensation 4,869 4,869 49   $ 4,820 4,869              
Stock (Unit) vesting and amortization of stock (unit)-based compensation (shares)       36 36                
Distributions to non-controlling interests (638) (638)                 (638) (638)  
Proceeds from offering (net of offering costs) (43) (43)     $ (43) (43)              
Dividends (Distributions) declared ($0.25 per common share/ unit) (91,547) (91,547) (915)   (90,632)   (91,547)            
Ending balance at Jun. 30, 2018 3,845,455 3,845,845 $ 38,767 $ 365 $ 3,835,225 4,338,798 (464,784) (42,353) (42,353) (777) 14,206 14,206  
Ending balance (in shares) at Jun. 30, 2018     3,647 364,731 361,084               232
Beginning balance at Dec. 31, 2018 4,560,938 4,561,328 $ 46,084 $ 371 $ 4,559,616 4,442,948 162,768 (58,202) (58,202) (777) 13,830 13,830  
Beginning balance (in shares) at Dec. 31, 2018     3,706 370,637 366,931               232
Net income 76,291 76,291 $ 758   $ 75,064   75,822       469 469  
Unrealized loss on interest rate swap (3,772) (3,772)           (3,772) (3,772)        
Foreign currency translation gain (loss) (5,918) (5,918)           (5,918) (5,918)        
Stock (Unit) vesting and amortization of stock (unit)-based compensation 6,715 6,715 $ 68 $ 1 $ 6,647 6,714              
Stock (Unit) vesting and amortization of stock (unit)-based compensation (shares)     11 1,055 1,044                
Distributions to non-controlling interests (645) (645)                 (645) (645)  
Proceeds from offering (net of offering costs) 354,030 354,030 $ 3,540 $ 20 $ 350,490 354,010              
Proceeds from offering (net of offering costs) (shares)     201 20,147 19,946                
Dividends (Distributions) declared ($0.25 per common share/ unit) (97,163) (97,163) $ (972)   $ (96,191)   (97,163)            
Ending balance at Mar. 31, 2019 4,890,476 4,890,866 $ 49,478 $ 392 $ 4,895,626 4,803,672 141,427 (67,892) (67,892) (777) 13,654 13,654  
Ending balance (in shares) at Mar. 31, 2019     3,918 391,839 387,921               232
Beginning balance at Dec. 31, 2018 4,560,938 4,561,328 $ 46,084 $ 371 $ 4,559,616 4,442,948 162,768 (58,202) (58,202) (777) 13,830 13,830  
Beginning balance (in shares) at Dec. 31, 2018     3,706 370,637 366,931               232
Net income 156,211 156,211                      
Unrealized loss on interest rate swap (5,258) (5,258)                      
Foreign currency translation gain (loss) (3,070) (3,070)                      
Proceeds from offering (net of offering costs) (shares)       22,600                  
Ending balance at Jun. 30, 2019 4,923,635 4,924,025 $ 49,797 $ 394 $ 4,927,292 4,855,310 121,772 (66,530) (66,530) (777) 13,466 13,466  
Ending balance (in shares) at Jun. 30, 2019     3,944 394,425 390,481               232
Beginning balance at Mar. 31, 2019 4,890,476 4,890,866 $ 49,478 $ 392 $ 4,895,626 4,803,672 141,427 (67,892) (67,892) (777) 13,654 13,654  
Beginning balance (in shares) at Mar. 31, 2019     3,918 391,839 387,921               232
Net income 79,920 79,920 $ 794   $ 78,644   79,438       482 482  
Unrealized loss on interest rate swap (1,486) (1,486)           (1,486) (1,486)        
Foreign currency translation gain (loss) 2,848 2,848           2,848 2,848        
Stock (Unit) vesting and amortization of stock (unit)-based compensation 6,317 6,317 $ 63   $ 6,254 6,317              
Stock (Unit) vesting and amortization of stock (unit)-based compensation (shares)     1 119 118                
Distributions to non-controlling interests (670) (670)                 (670) (670)  
Proceeds from offering (net of offering costs) 45,323 45,323 $ 453 $ 2 $ 44,870 45,321              
Proceeds from offering (net of offering costs) (shares)     25 2,467 2,442                
Dividends (Distributions) declared ($0.25 per common share/ unit) (99,093) (99,093) $ (991)   $ (98,102)   (99,093)            
Ending balance at Jun. 30, 2019 $ 4,923,635 $ 4,924,025 $ 49,797 $ 394 $ 4,927,292 $ 4,855,310 $ 121,772 $ (66,530) $ (66,530) $ (777) $ 13,466 $ 13,466  
Ending balance (in shares) at Jun. 30, 2019     3,944 394,425 390,481               232