Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Thousands |
6 Months Ended |
Jun. 30, 2026 |
Jun. 30, 2025 |
| Operating activities |
|
|
| Net income (loss) |
$ 30,819
|
$ (216,084)
|
| Adjustments to reconcile net income (loss) to net cash provided by operating activities: |
|
|
| Depreciation and amortization |
146,973
|
133,669
|
| Amortization of deferred financing costs and debt discount |
13,548
|
12,502
|
| Straight-line rent revenue from operating and finance leases |
(70,285)
|
(82,758)
|
| Stock / Unit-based compensation expense |
5,434
|
18,522
|
| Gain on sale of real estate |
(5,672)
|
(13,271)
|
| Real estate and other impairment charges, net |
36,435
|
81,479
|
| Debt refinancing and unutilized financing costs |
0
|
3,615
|
| Tax rate changes and other |
(45,155)
|
1,121
|
| Non-cash fair value adjustments |
5,474
|
156,843
|
| Other adjustments |
(9,334)
|
(26,722)
|
| Changes in: |
|
|
| Interest and rent receivables |
711
|
4,565
|
| Other assets |
(2,281)
|
(3,301)
|
| Accounts payable and accrued expenses |
(56,671)
|
(11,878)
|
| Deferred revenue |
(1,811)
|
(6,171)
|
| Net cash provided by operating activities |
48,185
|
52,131
|
| Investing activities |
|
|
| Cash paid for acquisitions and other related investments |
(29,322)
|
(102,329)
|
| Net proceeds from sale of real estate |
18,900
|
47,918
|
| Proceeds received from repayment of loans receivable |
62,895
|
3,000
|
| Investment in loans receivable |
(146,001)
|
(52,435)
|
| Construction in progress and other |
(20,188)
|
(40,623)
|
| Capital additions and other investments, net |
(45,388)
|
(17,265)
|
| Net cash used for investing activities |
(159,104)
|
(161,734)
|
| Financing activities |
|
|
| Proceeds from term debt |
0
|
2,512,970
|
| Payments of term debt |
0
|
(2,252,731)
|
| Revolving credit facility, net |
85,000
|
156,530
|
| Dividends / Distribution paid |
(109,606)
|
(96,548)
|
| Lease deposits and other obligations to tenants |
3,919
|
1,970
|
| Offering costs |
(176)
|
(101)
|
| Stock / Unit vesting - satisfaction of tax withholdings |
(2,776)
|
(745)
|
| Repurchase of common stock / unit |
(6,123)
|
0
|
| Payment of debt refinancing and deferred financing costs and other financing activities |
(1,766)
|
(49,822)
|
| Net cash (used for) provided by financing activities |
(31,528)
|
271,523
|
| (Decrease) increase in cash, cash equivalents, and restricted cash for period |
(142,447)
|
161,920
|
| Effect of exchange rate changes |
(2,120)
|
15,815
|
| Cash, cash equivalents, and restricted cash at beginning of period |
543,995
|
335,173
|
| Cash, cash equivalents, and restricted cash at end of period |
399,428
|
512,908
|
| Interest paid |
279,508
|
220,281
|
| Supplemental schedule of non-cash investing activities: |
|
|
| Real estate and other assets provided in property exchange |
158,706
|
0
|
| Real estate acquired in property exchange |
165,500
|
0
|
| Supplemental schedule of non-cash financing activities: |
|
|
| Dividends / Distributions declared, unpaid |
54,182
|
48,292
|
| Cash, cash equivalents, and restricted cash are comprised of the following: |
|
|
| Cash and cash equivalents at beginning of period |
540,859
|
332,335
|
| Restricted cash, included in Other assets at beginning of period |
$ 3,136
|
$ 2,838
|
| 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 |
$ 543,995
|
$ 335,173
|
| Cash and cash equivalents at end of period |
396,558
|
509,828
|
| Restricted cash, included in Other assets at end of period |
$ 2,870
|
$ 3,080
|
| 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 |
$ 399,428
|
$ 512,908
|
| MPT Operating Partnership, L.P. [Member] |
|
|
| Operating activities |
|
|
| Net income (loss) |
30,819
|
(216,084)
|
| Adjustments to reconcile net income (loss) to net cash provided by operating activities: |
|
|
| Depreciation and amortization |
146,973
|
133,669
|
| Amortization of deferred financing costs and debt discount |
13,548
|
12,502
|
| Straight-line rent revenue and other |
(70,285)
|
(82,758)
|
| Stock / Unit-based compensation expense |
5,434
|
18,522
|
| Gain on sale of real estate |
(5,672)
|
(13,271)
|
| Real estate and other impairment charges, net |
36,435
|
81,479
|
| Debt refinancing and unutilized financing costs |
0
|
3,615
|
| Tax rate changes and other |
(45,155)
|
1,121
|
| Non-cash fair value adjustments |
5,474
|
156,843
|
| Other adjustments |
(9,334)
|
(26,722)
|
| Changes in: |
|
|
| Interest and rent receivables |
711
|
4,565
|
| Other assets |
(2,281)
|
(3,301)
|
| Accounts payable and accrued expenses |
(56,671)
|
(11,878)
|
| Deferred revenue |
(1,811)
|
(6,171)
|
| Net cash provided by operating activities |
48,185
|
52,131
|
| Investing activities |
|
|
| Cash paid for acquisitions and other related investments |
(29,322)
|
(102,329)
|
| Net proceeds from sale of real estate |
18,900
|
47,918
|
| Proceeds received from repayment of loans receivable |
62,895
|
3,000
|
| Investment in loans receivable |
(146,001)
|
(52,435)
|
| Construction in progress and other |
(20,188)
|
(40,623)
|
| Capital additions and other investments, net |
(45,388)
|
(17,265)
|
| Net cash used for investing activities |
(159,104)
|
(161,734)
|
| Financing activities |
|
|
| Proceeds from term debt |
0
|
2,512,970
|
| Payments of term debt |
0
|
(2,252,731)
|
| Revolving credit facility, net |
85,000
|
156,530
|
| Dividends / Distribution paid |
(109,606)
|
(96,548)
|
| Lease deposits and other obligations to tenants |
3,919
|
1,970
|
| Offering costs |
(176)
|
(101)
|
| Stock / Unit vesting - satisfaction of tax withholdings |
(2,776)
|
(745)
|
| Repurchase of common stock / unit |
(6,123)
|
0
|
| Payment of debt refinancing and deferred financing costs and other financing activities |
(1,766)
|
(49,822)
|
| Net cash (used for) provided by financing activities |
(31,528)
|
271,523
|
| (Decrease) increase in cash, cash equivalents, and restricted cash for period |
(142,447)
|
161,920
|
| Effect of exchange rate changes |
(2,120)
|
15,815
|
| Cash, cash equivalents, and restricted cash at beginning of period |
543,995
|
335,173
|
| Cash, cash equivalents, and restricted cash at end of period |
399,428
|
512,908
|
| Interest paid |
279,508
|
220,281
|
| Supplemental schedule of non-cash investing activities: |
|
|
| Real estate and other assets provided in property exchange |
158,706
|
0
|
| Real estate acquired in property exchange |
165,500
|
0
|
| Supplemental schedule of non-cash financing activities: |
|
|
| Dividends / Distributions declared, unpaid |
54,182
|
48,292
|
| Cash, cash equivalents, and restricted cash are comprised of the following: |
|
|
| Cash and cash equivalents at beginning of period |
540,859
|
332,335
|
| Restricted cash, included in Other assets at beginning of period |
$ 3,136
|
$ 2,838
|
| 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 |
$ 543,995
|
$ 335,173
|
| Cash and cash equivalents at end of period |
396,558
|
509,828
|
| Restricted cash, included in Other assets at end of period |
$ 2,870
|
$ 3,080
|
| 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 |
$ 399,428
|
$ 512,908
|