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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]
Cumulative Effect, Period of Adoption, Adjustment [Member]
Cumulative Effect, Period of Adoption, Adjustment [Member]
MPT Operating Partnership, L.P. [Member]
Cumulative Effect, Period of Adoption, Adjustment [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]
Common Par Value [Member]
Cumulative Effect, Period of Adoption, Adjustment [Member]
MPT Operating Partnership, L.P. [Member]
Limited Partner [Member]
Additional Paid-in Capital [Member]
Retained Earnings (Deficit) [Member]
Retained Earnings (Deficit) [Member]
Cumulative Effect, Period of Adoption, Adjustment [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, 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, net of tax (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 (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 246,478 246,478                                
Unrealized loss on interest rate swap, net of tax (20,699) (20,699)                                
Foreign currency translation gain (loss) (11,118) (11,118)                                
Ending balance at Sep. 30, 2019 5,986,818 5,987,208 $ 60,666       $ 460 $ 6,003,283   5,972,341 91,535   (90,019) (90,019) (777) 13,278 13,278  
Ending balance (in shares) at Sep. 30, 2019     4,598       459,778 455,180                   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, net of tax (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 (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
Net income 90,267 90,267 $ 898         $ 88,888     89,786         481 481  
Unrealized loss on interest rate swap, net of tax (15,441) (15,441)                     (15,441) (15,441)        
Foreign currency translation gain (loss) (8,048) (8,048)                     (8,048) (8,048)        
Stock (Unit) vesting and amortization of stock (unit)-based compensation 9,087 9,087 $ 91         $ 8,996   9,087                
Stock (Unit) vesting and amortization of stock (unit)-based compensation (shares)     1       118 117                    
Distributions to non-controlling interests (669) (669)                           (669) (669)  
Proceeds from offering (net of offering costs) 1,108,010 1,108,010 $ 11,080       $ 66 $ 1,096,930   1,107,944                
Proceeds from offering (net of offering costs) (shares)     653       65,235 64,582                    
Dividends (Distributions) declared (120,023) (120,023) $ (1,200)         $ (118,823)     (120,023)              
Ending balance at Sep. 30, 2019 5,986,818 5,987,208 $ 60,666       $ 460 $ 6,003,283   5,972,341 91,535   (90,019) (90,019) (777) 13,278 13,278  
Ending balance (in shares) at Sep. 30, 2019     4,598       459,778 455,180                   232
Beginning balance at Dec. 31, 2019 $ 7,028,154 $ 7,028,544 $ 70,939 $ (8,399) $ (8,399) $ (84) $ 518 $ 7,020,403 $ (8,315) 7,008,199 83,012 $ (8,399) (62,905) (62,905) (777) 107 107  
Beginning balance (in shares) at Dec. 31, 2019     5,176       517,522 512,346                   232
Accounting Standards Update [Extensible List] us-gaap:AccountingStandardsUpdate201613Member us-gaap:AccountingStandardsUpdate201613Member                                
Net income $ 81,157 $ 81,157 $ 810         $ 80,182     80,992         165 165  
Unrealized loss on interest rate swap, net of tax (25,103) (25,103)                     (25,103) (25,103)        
Foreign currency translation gain (loss) (23,272) (23,272)                     (23,272) (23,272)        
Stock (Unit) vesting and amortization of stock (unit)-based compensation 10,036 10,036 $ 100       $ 2 $ 9,936   10,034                
Stock (Unit) vesting and amortization of stock (unit)-based compensation (shares)     23       2,312 2,289                    
Distributions to non-controlling interests (165) (165)                           (165) (165)  
Proceeds from offering (net of offering costs) 61,682 61,682 $ 617       $ 2 $ 61,065   61,680                
Proceeds from offering (net of offering costs) (shares)     26       2,601 2,575                    
Dividends (Distributions) declared (141,580) (141,580) $ (1,416)         $ (140,164)     (141,580)              
Ending balance at Mar. 31, 2020 6,982,510 6,982,900 $ 70,966       $ 522 $ 7,023,107   7,079,913 14,025   (111,280) (111,280) (777) 107 107  
Ending balance (in shares) at Mar. 31, 2020     5,225       522,435 517,210                   232
Beginning balance at Dec. 31, 2019 7,028,154 7,028,544 $ 70,939 $ (8,399) $ (8,399) $ (84) $ 518 $ 7,020,403 $ (8,315) 7,008,199 83,012 $ (8,399) (62,905) (62,905) (777) 107 107  
Beginning balance (in shares) at Dec. 31, 2019     5,176       517,522 512,346                   232
Net income 322,166 322,166                                
Unrealized loss on interest rate swap, net of tax (35,635) (35,635)                                
Foreign currency translation gain (loss) 2,886 2,886                                
Ending balance at Sep. 30, 2020 7,212,877 7,213,267 $ 73,062       $ 536 $ 7,230,623   7,337,155 (33,619)   (95,654) (95,654) (777) 5,236 5,236  
Ending balance (in shares) at Sep. 30, 2020     5,356       535,574 530,218                   232
Beginning balance at Mar. 31, 2020 6,982,510 6,982,900 $ 70,966       $ 522 $ 7,023,107   7,079,913 14,025   (111,280) (111,280) (777) 107 107  
Beginning balance (in shares) at Mar. 31, 2020     5,225       522,435 517,210                   232
Net income 109,652 109,652 $ 1,095         $ 108,373     109,468         184 184  
Unrealized loss on interest rate swap, net of tax (7,908) (7,908)                     (7,908) (7,908)        
Foreign currency translation gain (loss) 6,175 6,175                     6,175 6,175        
Stock (Unit) vesting and amortization of stock (unit)-based compensation 12,192 12,192 $ 122       $ 1 $ 12,070   12,191                
Stock (Unit) vesting and amortization of stock (unit)-based compensation (shares)     2       189 187                    
Distributions to non-controlling interests (185) (185)                           (185) (185)  
Proceeds from offering (net of offering costs) 108,105 108,105 $ 1,081       $ 6 $ 107,024   108,099                
Proceeds from offering (net of offering costs) (shares)     60       6,017 5,957                    
Dividends (Distributions) declared (143,264) (143,264) $ (1,433)         $ (141,831)     (143,264)              
Ending balance at Jun. 30, 2020 7,067,277 7,067,667 $ 71,831       $ 529 $ 7,108,743   7,200,203 (19,771)   (113,013) (113,013) (777) 106 106  
Ending balance (in shares) at Jun. 30, 2020     5,287       528,641 523,354                   232
Net income 131,357 131,357 $ 1,311         $ 129,795     131,106         251 251  
Unrealized loss on interest rate swap, net of tax (2,624) (2,624)                     (2,624) (2,624)        
Foreign currency translation gain (loss) 19,983 19,983                     19,983 19,983        
Stock (Unit) vesting and amortization of stock (unit)-based compensation 12,372 12,372 $ 124         $ 12,248   12,372                
Stock (Unit) vesting and amortization of stock (unit)-based compensation (shares)     2       188 186                    
Sale of non-controlling interests 5,073 5,073                           5,073 5,073  
Distributions to non-controlling interests (194) (194)                           (194) (194)  
Proceeds from offering (net of offering costs) 124,587 124,587 $ 1,246       $ 7 $ 123,341   124,580                
Proceeds from offering (net of offering costs) (shares)     67       6,745 6,678                    
Dividends (Distributions) declared (144,954) (144,954) $ (1,450)         $ (143,504)     (144,954)              
Ending balance at Sep. 30, 2020 $ 7,212,877 $ 7,213,267 $ 73,062       $ 536 $ 7,230,623   $ 7,337,155 $ (33,619)   $ (95,654) $ (95,654) $ (777) $ 5,236 $ 5,236  
Ending balance (in shares) at Sep. 30, 2020     5,356       535,574 530,218                   232