2020 Form 10-K Financial Statement

#000156459021009901 Filed on March 01, 2021

View on sec.gov

Income Statement

Concept 2020 2019 Q4 2019
Revenue $1.249B $256.4M $854.2M
YoY Change 46.25% 42.01% 8.88%
Cost Of Revenue $30.14M $7.300M $168.2M
YoY Change -82.08% 204.17% 99.84%
Gross Profit $1.219B $249.1M $686.0M
YoY Change 77.72% 39.79% -2.05%
Gross Profit Margin 97.59% 97.14% 80.31%
Selling, General & Admin $137.7M $28.70M $102.2M
YoY Change 34.74% 32.26% 27.59%
% of Gross Profit 11.3% 11.52% 14.9%
Research & Development
YoY Change
% of Gross Profit
Depreciation & Amortization $276.0M $45.50M $156.6M
YoY Change 76.24% 30.0% 10.66%
% of Gross Profit 22.64% 18.27% 22.82%
Operating Expenses $401.9M $72.90M $254.5M
YoY Change 57.92% 33.52% 19.37%
Operating Profit $817.2M $176.2M $431.5M
YoY Change 89.39% 42.56% -11.43%
Interest Expense $328.7M -$67.30M $237.8M
YoY Change 38.22% 32.22% 6.52%
% of Operating Profit 40.23% -38.2% 55.12%
Other Income/Expense, Net -$36.38M $1.200M $30.13M
YoY Change -220.76% -68.42% -95.58%
Pretax Income $463.3M $130.7M $373.8M
YoY Change 23.96% 74.03% -63.33%
Income Tax $31.06M $700.0K -$2.621M
% Of Pretax Income 6.7% 0.54% -0.7%
Net Earnings $431.5M $129.6M $374.7M
YoY Change 15.15% 65.18% -63.15%
Net Earnings / Revenue 34.54% 50.55% 43.86%
Basic Earnings Per Share $0.81 $0.26 $0.87
Diluted Earnings Per Share $813.4K $0.26 $0.87
COMMON SHARES
Basic Shares Outstanding 529.2M 493.6M 427.1M
Diluted Shares Outstanding 530.5M 494.9M 428.3M

Balance Sheet

Concept 2020 2019 Q4 2019
SHORT-TERM ASSETS
Cash & Short-Term Investments $550.0M $1.462B $1.462B
YoY Change -62.38% 78.08% 78.08%
Cash & Equivalents $550.0M $1.462B $1.462B
Short-Term Investments
Other Short-Term Assets
YoY Change
Inventory
Prepaid Expenses
Receivables
Other Receivables
Total Short-Term Assets $1.040B $1.796B $1.796B
YoY Change -42.09% 72.36% 72.36%
LONG-TERM ASSETS
Property, Plant & Equipment $13.51B $10.88B $10.88B
YoY Change 24.22% 62.33% 62.33%
Goodwill
YoY Change
Intangibles
YoY Change
Long-Term Investments $1.124B $927.0M $927.0M
YoY Change 21.25% 78.27%
Other Assets
YoY Change
Total Long-Term Assets $15.79B $12.67B $12.67B
YoY Change 24.61% 62.42% 62.41%
TOTAL ASSETS
Total Short-Term Assets $1.040B $1.796B $1.796B
Total Long-Term Assets $15.79B $12.67B $12.67B
Total Assets $16.83B $14.47B $14.47B
YoY Change 16.33% 63.59% 63.58%
SHORT-TERM LIABILITIES
YoY Change
Accounts Payable $439.0M $291.0M $291.0M
YoY Change 50.86% 42.65% 42.65%
Accrued Expenses $90.00M $76.00M $76.00M
YoY Change 18.42%
Deferred Revenue
YoY Change
Short-Term Debt $0.00 $0.00 $0.00
YoY Change
Long-Term Debt Due
YoY Change
Total Short-Term Liabilities $582.0M $397.0M $397.0M
YoY Change 46.6% 71.12% 71.12%
LONG-TERM LIABILITIES
Long-Term Debt $8.867B $7.026B $7.026B
YoY Change 26.2% 74.04% 74.04%
Other Long-Term Liabilities $36.00M $16.00M $16.00M
YoY Change 125.0% 23.08% 23.08%
Total Long-Term Liabilities $8.903B $7.042B $7.042B
YoY Change 26.43% 73.88% 73.88%
TOTAL LIABILITIES
Total Short-Term Liabilities $582.0M $397.0M $397.0M
Total Long-Term Liabilities $8.903B $7.042B $7.042B
Total Liabilities $9.490B $7.439B $7.439B
YoY Change 27.57% 73.7% 73.12%
SHAREHOLDERS EQUITY
Retained Earnings $83.01M
YoY Change -49.0%
Common Stock $7.009B
YoY Change 57.74%
Preferred Stock
YoY Change
Treasury Stock (at cost) $777.0K
YoY Change 0.0%
Treasury Stock Shares
Shareholders Equity $7.339B $7.028B $7.028B
YoY Change
Total Liabilities & Shareholders Equity $16.83B $14.47B $14.47B
YoY Change 16.33% 63.59% 63.58%

Cashflow Statement

Concept 2020 2019 Q4 2019
OPERATING ACTIVITIES
Net Income $431.5M $129.6M $374.7M
YoY Change 15.15% 65.18% -63.15%
Depreciation, Depletion And Amortization $276.0M $45.50M $156.6M
YoY Change 76.24% 30.0% 10.66%
Cash From Operating Activities $617.6M $166.7M $494.1M
YoY Change 25.0% 11.13% 10.03%
INVESTING ACTIVITIES
Capital Expenditures -$4.318B -$891.1M -$4.649B
YoY Change -7.14% 211.57% 213.09%
Acquisitions
YoY Change
Other Investing Activities $1.371B $6.900M -$234.6M
YoY Change -684.31% -97.14% -111.45%
Cash From Investing Activities -$2.947B -$884.3M -$4.884B
YoY Change -39.66% 1882.74% -965.68%
FINANCING ACTIVITIES
Cash Dividend Paid
YoY Change
Common Stock Issuance & Retirement, Net $411.0M $2.533B
YoY Change -83.78% 2588.07%
Debt Paid & Issued, Net $800.0M
YoY Change
Cash From Financing Activities 1.401B 1.709B 5.042B
YoY Change -72.21% 12558.52% -1557.74%
NET CHANGE
Cash From Operating Activities 617.6M 166.7M 494.1M
Cash From Investing Activities -2.947B -884.3M -4.884B
Cash From Financing Activities 1.401B 1.709B 5.042B
Net Change In Cash -928.1M 991.3M 652.0M
YoY Change -242.33% 733.73% -2.3%
FREE CASH FLOW
Cash From Operating Activities $617.6M $166.7M $494.1M
Capital Expenditures -$4.318B -$891.1M -$4.649B
Free Cash Flow $4.935B $1.058B $5.144B
YoY Change -4.05% 142.61% 165.94%

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OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationGainLossArisingDuringPeriodNetOfTax
4330000
CY2019 mpw Stock Issued During Period Value Stock Vesting And Amortization Of Stock Based Compensation
StockIssuedDuringPeriodValueStockVestingAndAmortizationOfStockBasedCompensation
32188000
CY2019 us-gaap Minority Interest Decrease From Distributions To Noncontrolling Interest Holders
MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders
15440000
CY2019 us-gaap Stock Issued During Period Value New Issues
StockIssuedDuringPeriodValueNewIssues
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CY2019 us-gaap Dividends Common Stock Cash
DividendsCommonStockCash
454440000
CY2019Q4 us-gaap Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
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CY2020 us-gaap Profit Loss
ProfitLoss
432272000
CY2020 mpw Other Comprehensive Income Unrealized Gain Loss On Derivatives Net Of Tax
OtherComprehensiveIncomeUnrealizedGainLossOnDerivativesNetOfTax
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CY2020 us-gaap Other Comprehensive Income Foreign Currency Transaction And Translation Gain Loss Arising During Period Net Of Tax
OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationGainLossArisingDuringPeriodNetOfTax
44672000
CY2020 mpw Stock Issued During Period Value Stock Vesting And Amortization Of Stock Based Compensation
StockIssuedDuringPeriodValueStockVestingAndAmortizationOfStockBasedCompensation
47154000
CY2020 us-gaap Noncontrolling Interest Increase From Sale Of Parent Equity Interest
NoncontrollingInterestIncreaseFromSaleOfParentEquityInterest
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CY2020 us-gaap Partners Capital Account Redemptions
PartnersCapitalAccountRedemptions
4928000
CY2020 us-gaap Comprehensive Income Net Of Tax
ComprehensiveIncomeNetOfTax
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CY2020 us-gaap Comprehensive Income Net Of Tax Attributable To Noncontrolling Interest
ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest
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CY2018 us-gaap Asset Impairment Charges
AssetImpairmentCharges
48007000
CY2020 mpw Straight Line Rent And Other Write Off
StraightLineRentAndOtherWriteOff
26415000
CY2019 mpw Straight Line Rent And Other Write Off
StraightLineRentAndOtherWriteOff
22447000
CY2018 mpw Straight Line Rent And Other Write Off
StraightLineRentAndOtherWriteOff
18002000
CY2020 mpw Pre Acquisition Rent Collected Circle Transaction
PreAcquisitionRentCollectedCircleTransaction
35020000
CY2020 us-gaap Other Noncash Income Expense
OtherNoncashIncomeExpense
-17429000
CY2019 us-gaap Other Noncash Income Expense
OtherNoncashIncomeExpense
2271000
CY2020 mpw Increase Decrease In Interest And Rent Receivable
IncreaseDecreaseInInterestAndRentReceivable
2438000
CY2019 mpw Increase Decrease In Interest And Rent Receivable
IncreaseDecreaseInInterestAndRentReceivable
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CY2020 us-gaap Increase Decrease In Other Operating Assets
IncreaseDecreaseInOtherOperatingAssets
-18264000
CY2019 us-gaap Increase Decrease In Other Operating Assets
IncreaseDecreaseInOtherOperatingAssets
4992000
CY2020 us-gaap Increase Decrease In Accounts Payable And Accrued Liabilities
IncreaseDecreaseInAccountsPayableAndAccruedLiabilities
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CY2019 us-gaap Increase Decrease In Accounts Payable And Accrued Liabilities
IncreaseDecreaseInAccountsPayableAndAccruedLiabilities
39630000
CY2020 us-gaap Increase Decrease In Contract With Customer Liability
IncreaseDecreaseInContractWithCustomerLiability
19819000
CY2019 us-gaap Increase Decrease In Contract With Customer Liability
IncreaseDecreaseInContractWithCustomerLiability
5581000
CY2020 us-gaap Net Cash Provided By Used In Operating Activities
NetCashProvidedByUsedInOperatingActivities
617636000
CY2019 us-gaap Net Cash Provided By Used In Operating Activities
NetCashProvidedByUsedInOperatingActivities
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CY2020 us-gaap Payments To Acquire Real Estate
PaymentsToAcquireRealEstate
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CY2019 us-gaap Payments To Acquire Real Estate
PaymentsToAcquireRealEstate
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CY2020 us-gaap Proceeds From Sale Of Productive Assets
ProceedsFromSaleOfProductiveAssets
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CY2019 us-gaap Proceeds From Sale Of Productive Assets
ProceedsFromSaleOfProductiveAssets
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CY2020 us-gaap Proceeds From Collection Of Loans Receivable
ProceedsFromCollectionOfLoansReceivable
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CY2020 us-gaap Payments To Acquire Loans Receivable
PaymentsToAcquireLoansReceivable
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CY2019 us-gaap Payments To Acquire Loans Receivable
PaymentsToAcquireLoansReceivable
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CY2019 mpw Construction In Progress Equipment And Other
ConstructionInProgressEquipmentAndOther
83798000
CY2020 us-gaap Proceeds From Equity Method Investment Dividends Or Distributions Return Of Capital
ProceedsFromEquityMethodInvestmentDividendsOrDistributionsReturnOfCapital
69224000
CY2020 mpw Payments For Capital Additions And Other Investments Net
PaymentsForCapitalAdditionsAndOtherInvestmentsNet
36180000
CY2019 mpw Payments For Capital Additions And Other Investments Net
PaymentsForCapitalAdditionsAndOtherInvestmentsNet
293163000
CY2018 mpw Payments For Capital Additions And Other Investments Net
PaymentsForCapitalAdditionsAndOtherInvestmentsNet
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CY2020 us-gaap Net Cash Provided By Used In Investing Activities
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CY2019 us-gaap Net Cash Provided By Used In Investing Activities
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CY2018 us-gaap Net Cash Provided By Used In Investing Activities
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CY2020 us-gaap Proceeds From Issuance Of Long Term Debt
ProceedsFromIssuanceOfLongTermDebt
2215950000
CY2019 us-gaap Proceeds From Collection Of Loans Receivable
ProceedsFromCollectionOfLoansReceivable
920000
CY2020 mpw Construction In Progress Equipment And Other
ConstructionInProgressEquipmentAndOther
68350000
CY2019 us-gaap Proceeds From Issuance Of Long Term Debt
ProceedsFromIssuanceOfLongTermDebt
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CY2018 us-gaap Proceeds From Issuance Of Long Term Debt
ProceedsFromIssuanceOfLongTermDebt
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CY2020 us-gaap Repayments Of Long Term Debt
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800000000
CY2020 us-gaap Proceeds From Repayments Of Lines Of Credit
ProceedsFromRepaymentsOfLinesOfCredit
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CY2019 us-gaap Proceeds From Repayments Of Lines Of Credit
ProceedsFromRepaymentsOfLinesOfCredit
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CY2018 us-gaap Proceeds From Repayments Of Lines Of Credit
ProceedsFromRepaymentsOfLinesOfCredit
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CY2020 us-gaap Payments Of Ordinary Dividends
PaymentsOfOrdinaryDividends
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CY2019 us-gaap Payments Of Ordinary Dividends
PaymentsOfOrdinaryDividends
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CY2018 us-gaap Payments Of Ordinary Dividends
PaymentsOfOrdinaryDividends
363906000
CY2020 mpw Payments For Proceeds From Lease Deposits And Other Obligations To Tenants
PaymentsForProceedsFromLeaseDepositsAndOtherObligationsToTenants
-21706000
CY2019 mpw Payments For Proceeds From Lease Deposits And Other Obligations To Tenants
PaymentsForProceedsFromLeaseDepositsAndOtherObligationsToTenants
12260000
CY2018 mpw Payments For Proceeds From Lease Deposits And Other Obligations To Tenants
PaymentsForProceedsFromLeaseDepositsAndOtherObligationsToTenants
20606000
CY2020 us-gaap Proceeds From Issuance Of Common Stock
ProceedsFromIssuanceOfCommonStock
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CY2019 us-gaap Proceeds From Issuance Of Common Stock
ProceedsFromIssuanceOfCommonStock
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CY2020 us-gaap Proceeds From Payments For Other Financing Activities
ProceedsFromPaymentsForOtherFinancingActivities
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CY2018 us-gaap Net Cash Provided By Used In Financing Activities
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CY2019 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Excluding Exchange Rate Effect
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseExcludingExchangeRateEffect
652044000
CY2018 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Excluding Exchange Rate Effect
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseExcludingExchangeRateEffect
667396000
CY2020 us-gaap Effect Of Exchange Rate On Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents
EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents
16441000
CY2019 us-gaap Effect Of Exchange Rate On Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents
EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents
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CY2018 us-gaap Effect Of Exchange Rate On Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents
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CY2019 us-gaap Interest Paid Capitalized
InterestPaidCapitalized
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CY2018 us-gaap Interest Paid Capitalized
InterestPaidCapitalized
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CY2018 us-gaap Interest Paid
InterestPaid
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CY2019Q4 us-gaap Dividends Payable Current And Noncurrent
DividendsPayableCurrentAndNoncurrent
138161000
CY2018Q4 us-gaap Dividends Payable Current And Noncurrent
DividendsPayableCurrentAndNoncurrent
95419000
CY2019Q4 us-gaap Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
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CY2017Q4 us-gaap Restricted Cash And Cash Equivalents
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CY2018Q4 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations
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822425000
CY2017Q4 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations
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172247000
CY2020Q4 us-gaap Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
549884000
CY2019Q4 us-gaap Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
1462286000
CY2018Q4 us-gaap Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
820868000
CY2019 us-gaap Proceeds From Payments For Other Financing Activities
ProceedsFromPaymentsForOtherFinancingActivities
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CY2020 us-gaap Interest Paid
InterestPaid
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CY2019 us-gaap Interest Paid
InterestPaid
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CY2018Q4 us-gaap Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
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CY2018 us-gaap Proceeds From Issuance Of Common Stock
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CY2018 us-gaap Proceeds From Payments For Other Financing Activities
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CY2020 us-gaap Net Cash Provided By Used In Financing Activities
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CY2019 us-gaap Net Cash Provided By Used In Financing Activities
NetCashProvidedByUsedInFinancingActivities
5041884000
CY2020 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Excluding Exchange Rate Effect
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseExcludingExchangeRateEffect
-928063000
CY2020Q4 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations
556369000
CY2017Q4 us-gaap Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
171472000
CY2019Q4 us-gaap Restricted Cash And Cash Equivalents
RestrictedCashAndCashEquivalents
5705000
CY2018Q4 us-gaap Restricted Cash And Cash Equivalents
RestrictedCashAndCashEquivalents
1557000
CY2019Q4 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations
1467991000
CY2020Q4 us-gaap Restricted Cash And Cash Equivalents
RestrictedCashAndCashEquivalents
6485000
CY2019Q4 us-gaap Restricted Cash And Cash Equivalents
RestrictedCashAndCashEquivalents
5705000
CY2018Q4 us-gaap Restricted Cash And Cash Equivalents
RestrictedCashAndCashEquivalents
1557000
CY2019Q4 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations
1467991000
CY2018Q4 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations
822425000
CY2020Q4 mpw Number Of Facilities
NumberOfFacilities
392
CY2020Q4 us-gaap Number Of States In Which Entity Operates
NumberOfStatesInWhichEntityOperates
33
CY2020 us-gaap Use Of Estimates
UseOfEstimates
<p style="margin-top:12pt;margin-bottom:0pt;text-indent:4.54%;font-style:italic;font-family:Times New Roman;font-size:10pt;font-weight:normal;text-transform:none;font-variant: normal;">Use of Estimates:<span style="font-style:normal;"> The preparation of our consolidated financial statements in conformity with accounting principles generally accepted in the U.S. requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. During 2020, the global outbreak of a novel coronavirus, or COVID-19, spread all over the world including countries where we own and lease facilities. The World Health Organization designated COVID-19 as a pandemic, and numerous countries, including the U.S., declared national emergencies with respect to COVID-19. As the global impact of the outbreak evolved, many countries reacted by instituting quarantines and restrictions on travel, closing financial markets and/or restricting trade- including requiring medically necessary elective surgeries at hospitals to be deferred. Although hospitals are back accepting patients and performing medically necessary elective surgeries, many of these trade restrictions are still in place. We believe the estimates and assumptions underlying our consolidated financial statements are reasonable and supportable based on the information available as of December 31, 2020 (particularly as it relates to our assessments of the recoverability of our real estate and the adequacy of our credit loss reserves on loans and financing receivables). However, the ultimate impact to our tenants’ results of operations and liquidity and their ability to pay our rent and interest due to the impact of COVID-19 cannot be predicted with 100% confidence, particularly given the full scope, severity, and duration of the pandemic and the actions needed (including vaccine rollouts worldwide) to contain the pandemic or mitigate its impact is uncertain. This makes any estimates and assumptions as of December 31, 2020 inherently less certain than they would be absent the potential impact of COVID-19. Actual results could differ from those estimates.</span></p>
CY2020Q4 mpw Threshold Ownership Percentage For Inter Company Balances And Transactions Elimination
ThresholdOwnershipPercentageForInterCompanyBalancesAndTransactionsElimination
1
CY2020Q4 mpw Loans And Or Equity Investments In Variable Interest Entities
LoansAndOrEquityInvestmentsInVariableInterestEntities
230000000
CY2019Q4 us-gaap Change In Accounting Principle Accounting Standards Update Adoption Date
ChangeInAccountingPrincipleAccountingStandardsUpdateAdoptionDate
2019-01-01
CY2020 mpw Expected Lease Up Periods For Estimating Lost Rentals
ExpectedLeaseUpPeriodsForEstimatingLostRentals
P6M
CY2020Q4 us-gaap Change In Accounting Principle Accounting Standards Update Adoption Date
ChangeInAccountingPrincipleAccountingStandardsUpdateAdoptionDate
2020-01-01
CY2020 mpw Percentage Of Ordinary Taxable Income To Be Distributed For Real Estate Investment Trust Qualification
PercentageOfOrdinaryTaxableIncomeToBeDistributedForRealEstateInvestmentTrustQualification
0.90
CY2020 mpw Term Of Federal Income Tax At Corporate Rates On Failure To Qualify As Real Estate Investment Trust
TermOfFederalIncomeTaxAtCorporateRatesOnFailureToQualifyAsRealEstateInvestmentTrust
P4Y
CY2020Q4 us-gaap Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Assets
BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedAssets
4249180000
CY2019Q4 us-gaap Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Assets
BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedAssets
4565594000
CY2018Q4 us-gaap Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Assets
BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedAssets
1430995000
CY2020Q4 mpw Business Combination Loans Paid Down On Acquisition Loans
BusinessCombinationLoansPaidDownOnAcquisitionLoans
834743000
CY2018Q4 mpw Business Combination Loans Paid Down On Acquisition Loans
BusinessCombinationLoansPaidDownOnAcquisitionLoans
764447000
CY2020 us-gaap Prior Period Reclassification Adjustment Description
PriorPeriodReclassificationAdjustmentDescription
<p style="margin-top:12pt;margin-bottom:0pt;text-indent:4.54%;font-style:italic;font-family:Times New Roman;font-size:10pt;font-weight:normal;text-transform:none;font-variant: normal;">Reclassifications: <span style="font-style:normal;">Certain amounts in the consolidated financial statements for prior periods have been reclassified to conform to the current period presentation.</span></p>
CY2020Q4 us-gaap Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Liabilities
BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedLiabilities
140866000
CY2019Q4 us-gaap Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Liabilities
BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedLiabilities
2637000
CY2020Q4 us-gaap Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Net
BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedNet
3414437000
CY2019Q4 us-gaap Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Net
BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedNet
4565594000
CY2018Q4 us-gaap Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Net
BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedNet
666548000
CY2020Q4 mpw Development Projects Original Commitment Amount
DevelopmentProjectsOriginalCommitmentAmount
95629000
CY2020 us-gaap Cost Of Goods And Services Sold
CostOfGoodsAndServicesSold
30139000
CY2020 mpw Number Of Facilities Sold
NumberOfFacilitiesSold
9
CY2020 mpw Number Of Properties Sold
NumberOfPropertiesSold
6
CY2020 us-gaap Proceeds From Sale Of Real Estate
ProceedsFromSaleOfRealEstate
94000
CY2020 us-gaap Gain Loss On Disposition Of Real Estate Discontinued Operations
GainLossOnDispositionOfRealEstateDiscontinuedOperations
-2800000
CY2019Q4 mpw Intangible Lease Assets
IntangibleLeaseAssets
622100000
CY2019Q4 us-gaap Finite Lived Intangible Assets Accumulated Amortization
FiniteLivedIntangibleAssetsAccumulatedAmortization
556700000
CY2018Q4 mpw Finite Lived Intangible Assets Amortization Expenses
FiniteLivedIntangibleAssetsAmortizationExpenses
17600000
CY2020Q4 us-gaap Finite Lived Intangible Assets Amortization Expense Next Twelve Months
FiniteLivedIntangibleAssetsAmortizationExpenseNextTwelveMonths
44286000
CY2020Q4 us-gaap Finite Lived Intangible Assets Amortization Expense Year Two
FiniteLivedIntangibleAssetsAmortizationExpenseYearTwo
44272000
CY2020Q4 us-gaap Finite Lived Intangible Assets Amortization Expense Year Three
FiniteLivedIntangibleAssetsAmortizationExpenseYearThree
44206000
CY2020Q4 us-gaap Finite Lived Intangible Assets Amortization Expense Year Four
FiniteLivedIntangibleAssetsAmortizationExpenseYearFour
44173000
CY2020Q4 us-gaap Finite Lived Intangible Assets Amortization Expense Year Five
FiniteLivedIntangibleAssetsAmortizationExpenseYearFive
44025000
CY2020 us-gaap Acquired Finite Lived Intangible Assets Weighted Average Useful Life
AcquiredFiniteLivedIntangibleAssetsWeightedAverageUsefulLife
P21Y3M18D
CY2020Q4 us-gaap Lessor Operating Lease Term Of Contract
LessorOperatingLeaseTermOfContract
P15Y
CY2020Q4 us-gaap Lessor Operating Lease Renewal Term
LessorOperatingLeaseRenewalTerm
P5Y
CY2020 mpw Leases Annual Rent Escalations Percentage
LeasesAnnualRentEscalationsPercentage
0.99
CY2020 mpw Number Of Lessor Properties
NumberOfLessorProperties
5
CY2020Q4 us-gaap Residual Value Of Leased Asset
ResidualValueOfLeasedAsset
229000000
CY2019 us-gaap Income Tax Reconciliation Foreign Income Tax Rate Differential
IncomeTaxReconciliationForeignIncomeTaxRateDifferential
-438000
CY2020Q4 us-gaap Direct Financing Lease Lease Receivable
DirectFinancingLeaseLeaseReceivable
1228966000
CY2019Q4 us-gaap Direct Financing Lease Lease Receivable
DirectFinancingLeaseLeaseReceivable
1884921000
CY2020Q4 us-gaap Direct Financing Lease Unguaranteed Residual Asset
DirectFinancingLeaseUnguaranteedResidualAsset
203818000
CY2019Q4 us-gaap Direct Financing Lease Unguaranteed Residual Asset
DirectFinancingLeaseUnguaranteedResidualAsset
394195000
CY2020Q4 mpw Direct Financing Lease Unearned Income And Allowance For Credit Loss
DirectFinancingLeaseUnearnedIncomeAndAllowanceForCreditLoss
969061000
CY2019Q4 mpw Direct Financing Lease Unearned Income And Allowance For Credit Loss
DirectFinancingLeaseUnearnedIncomeAndAllowanceForCreditLoss
1618252000
CY2020Q4 us-gaap Direct Financing Lease Net Investment In Lease
DirectFinancingLeaseNetInvestmentInLease
463723000
CY2019Q4 us-gaap Direct Financing Lease Net Investment In Lease
DirectFinancingLeaseNetInvestmentInLease
660864000
CY2020Q4 mpw Other Financing Leases Net Of Allowance For Credit Loss
OtherFinancingLeasesNetOfAllowanceForCreditLoss
1547199000
CY2019Q4 mpw Other Financing Leases Net Of Allowance For Credit Loss
OtherFinancingLeasesNetOfAllowanceForCreditLoss
1399438000
CY2020Q4 us-gaap Net Investment In Lease
NetInvestmentInLease
2010922000
CY2019Q4 us-gaap Net Investment In Lease
NetInvestmentInLease
2060302000
CY2020Q4 us-gaap Mortgage Loans On Real Estate Commercial And Consumer Net
MortgageLoansOnRealEstateCommercialAndConsumerNet
248080000
CY2019Q4 us-gaap Mortgage Loans On Real Estate Commercial And Consumer Net
MortgageLoansOnRealEstateCommercialAndConsumerNet
1275022000
CY2020Q4 mpw Acquisition Loans
AcquisitionLoans
338273000
CY2019Q4 mpw Acquisition Loans
AcquisitionLoans
123893000
CY2020Q4 mpw Other Loans
OtherLoans
520095000
CY2019Q4 mpw Other Loans
OtherLoans
420939000
CY2020Q4 us-gaap Notes Receivable Net
NotesReceivableNet
1106448000
CY2019Q4 us-gaap Notes Receivable Net
NotesReceivableNet
1819854000
CY2020Q4 us-gaap Debt Instrument Carrying Amount
DebtInstrumentCarryingAmount
8934187000
CY2019Q4 us-gaap Debt Instrument Carrying Amount
DebtInstrumentCarryingAmount
7089520000
CY2020Q4 us-gaap Deferred Finance Costs Net
DeferredFinanceCostsNet
68729000
CY2019Q4 us-gaap Deferred Finance Costs Net
DeferredFinanceCostsNet
65841000
CY2020Q4 us-gaap Long Term Debt
LongTermDebt
8865458000
CY2019Q4 us-gaap Long Term Debt
LongTermDebt
7023679000
CY2017Q4 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations
172247000
CY2020Q4 us-gaap Dividends Payable Current And Noncurrent
DividendsPayableCurrentAndNoncurrent
147666000
CY2020Q4 us-gaap Long Term Debt Maturities Repayments Of Principal In Next Twelve Months
LongTermDebtMaturitiesRepaymentsOfPrincipalInNextTwelveMonths
165407000
CY2020Q4 us-gaap Long Term Debt Maturities Repayments Of Principal In Year Two
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearTwo
810800000
CY2020Q4 us-gaap Long Term Debt Maturities Repayments Of Principal In Year Three
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearThree
546800000
CY2020Q4 us-gaap Long Term Debt Maturities Repayments Of Principal In Year Four
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFour
923280000
CY2020Q4 us-gaap Long Term Debt Maturities Repayments Of Principal In Year Five
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFive
1567700000
CY2020Q4 mpw Long Term Debt Maturities Repayments Of Principal In Year Five And Thereafter
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFiveAndThereafter
4920200000
CY2020Q4 us-gaap Debt Instrument Carrying Amount
DebtInstrumentCarryingAmount
8934187000
CY2017Q1 us-gaap Line Of Credit Facility Maximum Borrowing Capacity
LineOfCreditFacilityMaximumBorrowingCapacity
500000000
CY2020 mpw Percentage Of Dividends Payable On Basis Of Adjusted Operating Funds
PercentageOfDividendsPayableOnBasisOfAdjustedOperatingFunds
0.95
CY2020 mpw Percentage Of Dividends Payable On Senior Unsecured Notes
PercentageOfDividendsPayableOnSeniorUnsecuredNotes
0.95
CY2020 mpw Maximum Percentage Of Unencumbered Assets
MaximumPercentageOfUnencumberedAssets
1.50
CY2020 mpw Percentage Of Ordinary Taxable Income To Be Distributed For Real Estate Investment Trust Qualification
PercentageOfOrdinaryTaxableIncomeToBeDistributedForRealEstateInvestmentTrustQualification
0.90
CY2020 mpw Percentage Of Taxable Income To Be Distributed For Federal Income Tax Exemption
PercentageOfTaxableIncomeToBeDistributedForFederalIncomeTaxExemption
1
CY2020 us-gaap Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
-63000
CY2019 us-gaap Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
-61000
CY2018 us-gaap Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
-125000
CY2020 us-gaap Current Foreign Tax Expense Benefit
CurrentForeignTaxExpenseBenefit
10203000
CY2019 us-gaap Current Foreign Tax Expense Benefit
CurrentForeignTaxExpenseBenefit
1669000
CY2018 us-gaap Current Foreign Tax Expense Benefit
CurrentForeignTaxExpenseBenefit
3294000
CY2020 us-gaap Current Income Tax Expense Benefit
CurrentIncomeTaxExpenseBenefit
10140000
CY2019 us-gaap Current Income Tax Expense Benefit
CurrentIncomeTaxExpenseBenefit
1608000
CY2018 us-gaap Current Income Tax Expense Benefit
CurrentIncomeTaxExpenseBenefit
3169000
CY2020 us-gaap Deferred Federal Income Tax Expense Benefit
DeferredFederalIncomeTaxExpenseBenefit
10680000
CY2019 us-gaap Deferred Federal Income Tax Expense Benefit
DeferredFederalIncomeTaxExpenseBenefit
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CY2018 us-gaap Deferred Federal Income Tax Expense Benefit
DeferredFederalIncomeTaxExpenseBenefit
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CY2020 us-gaap Deferred Foreign Income Tax Expense Benefit
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CY2019 us-gaap Deferred Foreign Income Tax Expense Benefit
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CY2018 us-gaap Deferred Foreign Income Tax Expense Benefit
DeferredForeignIncomeTaxExpenseBenefit
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CY2020 us-gaap Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
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CY2019 us-gaap Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
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CY2018 us-gaap Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
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CY2020 us-gaap Income Tax Expense Benefit
IncomeTaxExpenseBenefit
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CY2019 us-gaap Income Tax Expense Benefit
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CY2018 us-gaap Income Tax Expense Benefit
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CY2020 us-gaap Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
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463328000
CY2019 us-gaap Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
373780000
CY2018 us-gaap Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
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CY2020 us-gaap Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
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CY2019 us-gaap Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
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CY2018 us-gaap Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
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CY2020 us-gaap Income Tax Reconciliation Income Tax Expense Benefit At Federal Statutory Income Tax Rate
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CY2019 us-gaap Income Tax Reconciliation Income Tax Expense Benefit At Federal Statutory Income Tax Rate
IncomeTaxReconciliationIncomeTaxExpenseBenefitAtFederalStatutoryIncomeTaxRate
78494000
CY2018 us-gaap Income Tax Reconciliation Income Tax Expense Benefit At Federal Statutory Income Tax Rate
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214075000
CY2020 us-gaap Income Tax Reconciliation Foreign Income Tax Rate Differential
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CY2020Q4 us-gaap Deferred Tax Assets Operating Loss Carryforwards
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CY2019Q4 us-gaap Deferred Tax Assets Operating Loss Carryforwards
DeferredTaxAssetsOperatingLossCarryforwards
28684000
CY2020Q4 mpw Deferred Tax Assets Interest Rate Swap
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9150000
CY2019Q4 mpw Deferred Tax Assets Interest Rate Swap
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CY2019Q4 us-gaap Deferred Tax Assets Other
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868000
CY2020Q4 us-gaap Deferred Tax Assets Gross
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166124000
CY2019Q4 us-gaap Deferred Tax Assets Gross
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30395000
CY2018 us-gaap Income Tax Reconciliation Foreign Income Tax Rate Differential
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CY2020 us-gaap Income Tax Reconciliation State And Local Income Taxes
IncomeTaxReconciliationStateAndLocalIncomeTaxes
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CY2019 us-gaap Income Tax Reconciliation State And Local Income Taxes
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CY2018 us-gaap Income Tax Reconciliation State And Local Income Taxes
IncomeTaxReconciliationStateAndLocalIncomeTaxes
379000
CY2020 us-gaap Income Tax Reconciliation Tax Exempt Income
IncomeTaxReconciliationTaxExemptIncome
82921000
CY2019 us-gaap Income Tax Reconciliation Tax Exempt Income
IncomeTaxReconciliationTaxExemptIncome
85495000
CY2018 us-gaap Income Tax Reconciliation Tax Exempt Income
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208472000
CY2020 mpw Income Tax Reconciliation Increase Decrease In Equity Investments
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-380000
CY2019 mpw Income Tax Reconciliation Increase Decrease In Equity Investments
IncomeTaxReconciliationIncreaseDecreaseInEquityInvestments
-1091000
CY2018 mpw Income Tax Reconciliation Increase Decrease In Equity Investments
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CY2020 us-gaap Income Tax Reconciliation Change In Deferred Tax Assets Valuation Allowance
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8514000
CY2019 us-gaap Income Tax Reconciliation Change In Deferred Tax Assets Valuation Allowance
IncomeTaxReconciliationChangeInDeferredTaxAssetsValuationAllowance
7911000
CY2018 us-gaap Income Tax Reconciliation Change In Deferred Tax Assets Valuation Allowance
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CY2020 us-gaap Income Tax Reconciliation Change In Enacted Tax Rate
IncomeTaxReconciliationChangeInEnactedTaxRate
9471000
CY2020 us-gaap Income Tax Reconciliation Other Adjustments
IncomeTaxReconciliationOtherAdjustments
2203000
CY2019 us-gaap Income Tax Reconciliation Other Adjustments
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CY2018 us-gaap Income Tax Reconciliation Other Adjustments
IncomeTaxReconciliationOtherAdjustments
302000
CY2020 us-gaap Income Tax Expense Benefit
IncomeTaxExpenseBenefit
31056000
CY2019 us-gaap Income Tax Expense Benefit
IncomeTaxExpenseBenefit
-2621000
CY2018 us-gaap Income Tax Expense Benefit
IncomeTaxExpenseBenefit
927000
CY2020 us-gaap Income Loss From Continuing Operations Before Income Taxes Foreign
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62100000
CY2019 us-gaap Income Loss From Continuing Operations Before Income Taxes Foreign
IncomeLossFromContinuingOperationsBeforeIncomeTaxesForeign
10700000
CY2018 us-gaap Income Loss From Continuing Operations Before Income Taxes Foreign
IncomeLossFromContinuingOperationsBeforeIncomeTaxesForeign
18600000
CY2020 us-gaap Income Loss From Continuing Operations Before Income Taxes Domestic
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6400000
CY2019 us-gaap Income Loss From Continuing Operations Before Income Taxes Domestic
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CY2018 us-gaap Income Loss From Continuing Operations Before Income Taxes Domestic
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36977000
CY2019Q4 us-gaap Deferred Tax Assets Valuation Allowance
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11355000
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129147000
CY2019Q4 us-gaap Deferred Tax Assets Net
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19040000
CY2020Q4 us-gaap Deferred Tax Liabilities Property Plant And Equipment
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211018000
CY2019Q4 us-gaap Deferred Tax Liabilities Property Plant And Equipment
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7324000
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14776000
CY2019Q4 mpw Deferred Tax Liability Net Unbilled Revenue
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1449000
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4010000
CY2019Q4 us-gaap Deferred Tax Liabilities Other
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737000
CY2020Q4 us-gaap Deferred Income Tax Liabilities
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229804000
CY2019Q4 us-gaap Deferred Income Tax Liabilities
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9510000
CY2020Q4 us-gaap Deferred Tax Liabilities
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100657000
CY2019Q4 us-gaap Deferred Tax Assets Liabilities Net
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9530000
CY2020 us-gaap Net Income Loss Attributable To Noncontrolling Interest
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822000
CY2020 mpw Undistributed Earning Allocated To Participating Securities
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2105000
CY2020 mpw Net Income Less Participating Securities Share In Earnings
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CY2020 us-gaap Weighted Average Number Of Shares Outstanding Basic
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529239000
CY2020 us-gaap Incremental Common Shares Attributable To Share Based Payment Arrangements
IncrementalCommonSharesAttributableToShareBasedPaymentArrangements
1222000
CY2019 mpw Distribution Unrecaptured Section One Two Five Zero Gain Per Share
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0.041160
CY2020 mpw Qualified Business Income Deduction Dividends Per Share
QualifiedBusinessIncomeDeductionDividendsPerShare
0.603050
CY2019 mpw Qualified Business Income Deduction Dividends Per Share
QualifiedBusinessIncomeDeductionDividendsPerShare
0.701910
CY2020 mpw Return Of Capital Per Share
ReturnOfCapitalPerShare
0.466950
CY2020 us-gaap Profit Loss
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432272000
CY2020 us-gaap Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
530461000
CY2019Q4 us-gaap Receivables Fair Value Disclosure
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30472000
CY2020 us-gaap Share Based Compensation
ShareBasedCompensation
47200000
CY2019 us-gaap Share Based Compensation
ShareBasedCompensation
32200000
CY2018 us-gaap Share Based Compensation
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CY2020Q4 us-gaap Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized
EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognized
53600000
CY2020 us-gaap Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized Period For Recognition1
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CY2020 us-gaap Sharebased Compensation Arrangement By Sharebased Payment Award Options Vested In Period Fair Value1
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58900000
CY2019 us-gaap Sharebased Compensation Arrangement By Sharebased Payment Award Options Vested In Period Fair Value1
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsVestedInPeriodFairValue1
25900000
CY2018 us-gaap Sharebased Compensation Arrangement By Sharebased Payment Award Options Vested In Period Fair Value1
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CY2020 us-gaap Proceeds From Issuance Of Common Stock
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411000000
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CY2019Q4 us-gaap Common Stock Shares Authorized
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500000000
CY2019Q4 us-gaap Common Stock Shares Authorized
CommonStockSharesAuthorized
750000000
CY2020Q4 mpw Interest And Rent Receivable
InterestAndRentReceivable
46208000
CY2020Q4 us-gaap Receivables Fair Value Disclosure
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45381000
CY2019Q4 mpw Interest And Rent Receivable
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31357000
CY2020Q4 mpw Loans
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751341000
CY2020Q4 us-gaap Loans Held For Sale Fair Value Disclosure
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756608000
CY2019Q4 mpw Loans
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1704854000
CY2019Q4 us-gaap Loans Held For Sale Fair Value Disclosure
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1742153000
CY2020Q4 us-gaap Long Term Debt
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CY2020Q4 us-gaap Long Term Debt Fair Value
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9226564000
CY2019Q4 us-gaap Long Term Debt
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7023679000
CY2019Q4 us-gaap Long Term Debt Fair Value
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7331816000
CY2020 us-gaap Operating Lease Payments
OperatingLeasePayments
6080000
CY2019 us-gaap Operating Lease Payments
OperatingLeasePayments
5937000
CY2020 us-gaap Operating Lease Cost
OperatingLeaseCost
9910000
CY2019 us-gaap Operating Lease Cost
OperatingLeaseCost
9262000
CY2020 us-gaap Lease Cost
LeaseCost
7475000
CY2019 us-gaap Lease Cost
LeaseCost
5952000
CY2018 us-gaap Operating Lease Expense
OperatingLeaseExpense
9400000
CY2018 us-gaap Sublease Income
SubleaseIncome
4300000
CY2020Q4 us-gaap Lessee Operating Lease Liability Payments Due Next Twelve Months
LesseeOperatingLeaseLiabilityPaymentsDueNextTwelveMonths
7186000
CY2020Q4 us-gaap Finance Lease Liability Payments Due Next Twelve Months
FinanceLeaseLiabilityPaymentsDueNextTwelveMonths
126000
CY2020Q4 mpw Sub Lease Lease Payments To Be Received Next Twelve Months
SubLeaseLeasePaymentsToBeReceivedNextTwelveMonths
2952000
CY2020Q4 mpw Future Minimum Payments Receivable Current Net
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4360000
CY2020Q4 us-gaap Lessee Operating Lease Liability Payments Due Year Two
LesseeOperatingLeaseLiabilityPaymentsDueYearTwo
7384000
CY2020Q4 us-gaap Finance Lease Liability Payments Due Year Two
FinanceLeaseLiabilityPaymentsDueYearTwo
128000
CY2020Q4 mpw Sub Lease Lease Payments To Be Received Two Years
SubLeaseLeasePaymentsToBeReceivedTwoYears
3238000
CY2020Q4 mpw Future Minimum Payments Receivable In Two Years Net
FutureMinimumPaymentsReceivableInTwoYearsNet
4274000
CY2020Q4 us-gaap Lessee Operating Lease Liability Payments Due Year Three
LesseeOperatingLeaseLiabilityPaymentsDueYearThree
7451000
CY2020Q4 us-gaap Finance Lease Liability Payments Due Year Three
FinanceLeaseLiabilityPaymentsDueYearThree
129000
CY2020Q4 mpw Sub Lease Lease Payments To Be Received Three Years
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3240000
CY2020Q4 mpw Future Minimum Payments Receivable In Three Years Net
FutureMinimumPaymentsReceivableInThreeYearsNet
4340000
CY2020Q4 us-gaap Lessee Operating Lease Liability Payments Due Year Four
LesseeOperatingLeaseLiabilityPaymentsDueYearFour
6557000
CY2020Q4 us-gaap Finance Lease Liability Payments Due Year Four
FinanceLeaseLiabilityPaymentsDueYearFour
130000
CY2020Q4 mpw Sub Lease Lease Payments To Be Received Four Years
SubLeaseLeasePaymentsToBeReceivedFourYears
3259000
CY2020Q4 mpw Future Minimum Payments Receivable In Four Years Net
FutureMinimumPaymentsReceivableInFourYearsNet
3428000
CY2020Q4 us-gaap Lessee Operating Lease Liability Payments Due Year Five
LesseeOperatingLeaseLiabilityPaymentsDueYearFive
5660000
CY2020Q4 us-gaap Finance Lease Liability Payments Due Year Five
FinanceLeaseLiabilityPaymentsDueYearFive
131000
CY2020Q4 mpw Sub Lease Lease Payments To Be Received Five Years
SubLeaseLeasePaymentsToBeReceivedFiveYears
3303000
CY2020Q4 mpw Future Minimum Payments Receivable In Five Years Net
FutureMinimumPaymentsReceivableInFiveYearsNet
2488000
CY2020Q4 us-gaap Lessee Operating Lease Liability Payments Due After Year Five
LesseeOperatingLeaseLiabilityPaymentsDueAfterYearFive
257730000
CY2020Q4 us-gaap Finance Lease Liability Payments Due After Year Five
FinanceLeaseLiabilityPaymentsDueAfterYearFive
4783000
CY2020Q4 mpw Sub Lease Lease Payments To Be Received Thereafter
SubLeaseLeasePaymentsToBeReceivedThereafter
78494000
CY2020Q4 mpw Future Minimum Payments Receivable Thereafter Net
FutureMinimumPaymentsReceivableThereafterNet
184019000
CY2020Q4 us-gaap Lessee Operating Lease Liability Payments Due
LesseeOperatingLeaseLiabilityPaymentsDue
291968000
CY2020Q4 us-gaap Finance Lease Liability Payments Due
FinanceLeaseLiabilityPaymentsDue
5427000
CY2020Q4 mpw Sub Lease Lease Payments To Be Received
SubLeaseLeasePaymentsToBeReceived
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CY2020Q4 mpw Future Minimum Payments Receivable Net
FutureMinimumPaymentsReceivableNet
202909000
CY2020Q4 us-gaap Lessee Operating Lease Liability Undiscounted Excess Amount
LesseeOperatingLeaseLiabilityUndiscountedExcessAmount
201962000
CY2020Q4 us-gaap Finance Lease Liability Undiscounted Excess Amount
FinanceLeaseLiabilityUndiscountedExcessAmount
3492000
CY2020Q4 us-gaap Operating Lease Liability
OperatingLeaseLiability
90006000
CY2020Q4 us-gaap Finance Lease Liability
FinanceLeaseLiability
1935000
CY2020Q4 mpw Lessee Operating Lease And Finance Lease Real Estate Right Of Use Asset Net
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75209000
CY2019Q4 mpw Lessee Operating Lease And Finance Lease Real Estate Right Of Use Asset Net
LesseeOperatingLeaseAndFinanceLeaseRealEstateRightOfUseAssetNet
61380000
CY2020Q4 us-gaap Operating Lease Right Of Use Asset
OperatingLeaseRightOfUseAsset
8234000
CY2019Q4 us-gaap Operating Lease Right Of Use Asset
OperatingLeaseRightOfUseAsset
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CY2019Q4 mpw Lessee Operating Lease And Finance Lease Right Of Use Asset Net
LesseeOperatingLeaseAndFinanceLeaseRightOfUseAssetNet
71246000
CY2020Q4 us-gaap Operating Lease Liability
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CY2019Q4 us-gaap Operating Lease Liability
OperatingLeaseLiability
76353000
CY2020Q4 us-gaap Finance Lease Liability
FinanceLeaseLiability
1935000
CY2019Q4 us-gaap Finance Lease Liability
FinanceLeaseLiability
1932000
CY2020Q4 mpw Operating And Finance Lease Liability
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91941000
CY2019Q4 mpw Operating And Finance Lease Liability
OperatingAndFinanceLeaseLiability
78285000
CY2020Q4 us-gaap Operating Lease Weighted Average Discount Rate Percent
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CY2020 us-gaap Finance Lease Interest Payment On Liability
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125000
CY2019Q4 us-gaap Operating Lease Weighted Average Discount Rate Percent
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0.063
CY2020Q4 us-gaap Finance Lease Weighted Average Discount Rate Percent
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CY2019Q4 us-gaap Finance Lease Weighted Average Discount Rate Percent
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0.066
CY2019 us-gaap Finance Lease Interest Payment On Liability
FinanceLeaseInterestPaymentOnLiability
114000
CY2019 us-gaap Finance Lease Principal Payments
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10000
CY2020 us-gaap Right Of Use Asset Obtained In Exchange For Operating Lease Liability
RightOfUseAssetObtainedInExchangeForOperatingLeaseLiability
13832000
CY2019 us-gaap Right Of Use Asset Obtained In Exchange For Operating Lease Liability
RightOfUseAssetObtainedInExchangeForOperatingLeaseLiability
1818000
CY2020Q4 mpw Debt Issue Costs Net
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192000
CY2019Q4 mpw Debt Issue Costs Net
DebtIssueCostsNet
2492000
CY2020Q4 mpw Other Corporate Assets
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167929000
CY2019Q4 mpw Other Corporate Assets
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206765000
CY2020Q4 us-gaap Prepaid Expense And Other Assets
PrepaidExpenseAndOtherAssets
87948000
CY2019Q4 us-gaap Prepaid Expense And Other Assets
PrepaidExpenseAndOtherAssets
90342000
CY2020Q4 us-gaap Other Assets
OtherAssets
256069000
CY2019Q4 us-gaap Other Assets
OtherAssets
299599000
CY2020Q4 us-gaap Equity Method Investments
EquityMethodInvestments
1100000000
CY2019Q4 us-gaap Equity Method Investments
EquityMethodInvestments
927000000
CY2019Q4 us-gaap Valuation Allowances And Reserves Balance
ValuationAllowancesAndReservesBalance
109803000
CY2020 us-gaap Valuation Allowances And Reserves Charged To Cost And Expense
ValuationAllowancesAndReservesChargedToCostAndExpense
58044000
CY2020 us-gaap Valuation Allowances And Reserves Charged To Other Accounts
ValuationAllowancesAndReservesChargedToOtherAccounts
22944000
CY2020 us-gaap Valuation Allowances And Reserves Deductions
ValuationAllowancesAndReservesDeductions
44154000
CY2020Q4 us-gaap Valuation Allowances And Reserves Balance
ValuationAllowancesAndReservesBalance
146637000
CY2018Q4 us-gaap Valuation Allowances And Reserves Balance
ValuationAllowancesAndReservesBalance
66131000
CY2019 us-gaap Valuation Allowances And Reserves Charged To Cost And Expense
ValuationAllowancesAndReservesChargedToCostAndExpense
50893000
CY2019 us-gaap Valuation Allowances And Reserves Deductions
ValuationAllowancesAndReservesDeductions
7221000
CY2019Q4 us-gaap Valuation Allowances And Reserves Balance
ValuationAllowancesAndReservesBalance
109803000
CY2017Q4 us-gaap Valuation Allowances And Reserves Balance
ValuationAllowancesAndReservesBalance
16397000
CY2018 us-gaap Valuation Allowances And Reserves Charged To Cost And Expense
ValuationAllowancesAndReservesChargedToCostAndExpense
57285000
CY2018 us-gaap Valuation Allowances And Reserves Deductions
ValuationAllowancesAndReservesDeductions
7551000
CY2020 mpw Increase Decrease In Real Estate Impairment Reserve
IncreaseDecreaseInRealEstateImpairmentReserve
19000000.0
CY2020 mpw Increase Decrease In Accounts Receivable And Other Reserves
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23900000
CY2020 us-gaap Financing Receivable Allowance For Credit Losses Period Increase Decrease
FinancingReceivableAllowanceForCreditLossesPeriodIncreaseDecrease
3300000
CY2020Q1 us-gaap Valuation Allowances And Reserves Reserves Of Businesses Acquired
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14500000
CY2020 mpw Increase Decrease In Real Estate Impairment Reserve Related To Disposals
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40500000
CY2020 us-gaap Valuation Allowances And Reserves Recoveries
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2900000
CY2020 mpw Real Estate Accumulated Depreciation Capital Expenditures And Transfers From Construction In Progress
RealEstateAccumulatedDepreciationCapitalExpendituresAndTransfersFromConstructionInProgress
202999000
CY2018 mpw Real Estate Accumulated Depreciation Capital Expenditures And Transfers From Construction In Progress
RealEstateAccumulatedDepreciationCapitalExpendituresAndTransfersFromConstructionInProgress
25513000
CY2020 mpw Real Estate Additions
RealEstateAdditions
55137000
CY2019 mpw Real Estate Additions
RealEstateAdditions
173785000
CY2018 mpw Real Estate Additions
RealEstateAdditions
96775000
CY2020 us-gaap Real Estate Cost Of Real Estate Sold
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105360000
CY2019 us-gaap Real Estate Cost Of Real Estate Sold
RealEstateCostOfRealEstateSold
106536000
CY2018 us-gaap Real Estate Cost Of Real Estate Sold
RealEstateCostOfRealEstateSold
1318238000
CY2020 us-gaap Real Estate Other Deductions
RealEstateOtherDeductions
-371851000
CY2019 us-gaap Real Estate Other Deductions
RealEstateOtherDeductions
-27823000
CY2020 us-gaap Valuation Allowances And Reserves Period Increase Decrease
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800000
CY2019 mpw Increase Decrease In Real Estate Impairment Reserve
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21000000.0
CY2019 mpw Increase Decrease In Accounts Receivable And Other Reserves
IncreaseDecreaseInAccountsReceivableAndOtherReserves
22000000.0
CY2019 mpw Increase Decrease In Real Estate Impairment Reserve Related To Disposals
IncreaseDecreaseInRealEstateImpairmentReserveRelatedToDisposals
-7200000
CY2018 mpw Increase Decrease In Accounts Receivable Reserve
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9300000
CY2020Q4 us-gaap Real Estate And Accumulated Depreciation Initial Cost Of Land
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1442071000
CY2020Q4 us-gaap Real Estate And Accumulated Depreciation Initial Cost Of Buildings And Improvements
RealEstateAndAccumulatedDepreciationInitialCostOfBuildingsAndImprovements
8857393000
CY2020Q4 mpw Real Estate And Accumulated Depreciation Costs Capitalized Subsequent To Acquisition Impairment Adjustments
RealEstateAndAccumulatedDepreciationCostsCapitalizedSubsequentToAcquisitionImpairmentAdjustments
428465000
CY2020Q4 mpw Real Estate And Accumulated Depreciation Costs Capitalized Subsequent To Acquisition Carrying Costs Adjustments
RealEstateAndAccumulatedDepreciationCostsCapitalizedSubsequentToAcquisitionCarryingCostsAdjustments
21778000
CY2020Q4 us-gaap Real Estate And Accumulated Depreciation Carrying Amount Of Land
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1463201000
CY2020Q4 us-gaap Real Estate And Accumulated Depreciation Carrying Amount Of Buildings And Improvements
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9286506000
CY2020Q4 us-gaap Real Estate Gross At Carrying Value
RealEstateGrossAtCarryingValue
10749707000
CY2020Q4 us-gaap Real Estate Accumulated Depreciation
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728176000
CY2020Q4 srt Real Estate Federal Income Tax Basis
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10900000000
CY2019Q4 us-gaap Real Estate Gross At Carrying Value
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7312486000
CY2018Q4 us-gaap Real Estate Gross At Carrying Value
RealEstateGrossAtCarryingValue
4781149000
CY2017Q4 us-gaap Real Estate Gross At Carrying Value
RealEstateGrossAtCarryingValue
5438148000
CY2020 mpw Real Estate Acquisitions
RealEstateAcquisitions
2912594000
CY2019 mpw Real Estate Acquisitions
RealEstateAcquisitions
2436265000
CY2018 mpw Real Estate Acquisitions
RealEstateAcquisitions
758619000
CY2018 us-gaap Real Estate Other Deductions
RealEstateOtherDeductions
219668000
CY2020Q4 us-gaap Real Estate Gross At Carrying Value
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10749707000
CY2019Q4 us-gaap Real Estate Gross At Carrying Value
RealEstateGrossAtCarryingValue
7312486000
CY2018Q4 us-gaap Real Estate Gross At Carrying Value
RealEstateGrossAtCarryingValue
4781149000
CY2019Q4 mpw Real Estate Assets Accumulated Depreciation
RealEstateAssetsAccumulatedDepreciation
504651000
CY2018Q4 mpw Real Estate Assets Accumulated Depreciation
RealEstateAssetsAccumulatedDepreciation
414331000
CY2017Q4 mpw Real Estate Assets Accumulated Depreciation
RealEstateAssetsAccumulatedDepreciation
407349000
CY2020 us-gaap Sec Schedule Iii Real Estate Accumulated Depreciation Depreciation Expense
SECScheduleIIIRealEstateAccumulatedDepreciationDepreciationExpense
222580000
CY2019 us-gaap Sec Schedule Iii Real Estate Accumulated Depreciation Depreciation Expense
SECScheduleIIIRealEstateAccumulatedDepreciationDepreciationExpense
130851000
CY2018 us-gaap Sec Schedule Iii Real Estate Accumulated Depreciation Depreciation Expense
SECScheduleIIIRealEstateAccumulatedDepreciationDepreciationExpense
115497000
CY2020 us-gaap Real Estate Accumulated Depreciation Real Estate Sold
RealEstateAccumulatedDepreciationRealEstateSold
6653000
CY2019 us-gaap Real Estate Accumulated Depreciation Real Estate Sold
RealEstateAccumulatedDepreciationRealEstateSold
40952000
CY2018 us-gaap Real Estate Accumulated Depreciation Real Estate Sold
RealEstateAccumulatedDepreciationRealEstateSold
101967000
CY2020 mpw Real Estate Accumulated Depreciation Foreign Currency Translation Difference
RealEstateAccumulatedDepreciationForeignCurrencyTranslationDifference
-7598000
CY2019 mpw Real Estate Accumulated Depreciation Foreign Currency Translation Difference
RealEstateAccumulatedDepreciationForeignCurrencyTranslationDifference
-421000
CY2018 mpw Real Estate Accumulated Depreciation Foreign Currency Translation Difference
RealEstateAccumulatedDepreciationForeignCurrencyTranslationDifference
6548000
CY2020Q4 mpw Real Estate Assets Accumulated Depreciation
RealEstateAssetsAccumulatedDepreciation
728176000
CY2019Q4 mpw Real Estate Assets Accumulated Depreciation
RealEstateAssetsAccumulatedDepreciation
504651000
CY2018Q4 mpw Real Estate Assets Accumulated Depreciation
RealEstateAssetsAccumulatedDepreciation
414331000
CY2020 us-gaap Right Of Use Asset Obtained In Exchange For Operating Lease Liability
RightOfUseAssetObtainedInExchangeForOperatingLeaseLiability
13800000
CY2019Q4 mpw Lessee Operating Lease And Finance Lease Real Estate Right Of Use Asset Net
LesseeOperatingLeaseAndFinanceLeaseRealEstateRightOfUseAssetNet
61400000
CY2020Q4 srt Mortgage Loans On Real Estate Face Amount Of Mortgages
MortgageLoansOnRealEstateFaceAmountOfMortgages
248335000
CY2020Q4 us-gaap Mortgage Loans On Real Estate
MortgageLoansOnRealEstate
248335000
CY2020Q4 srt Mortgage Loans On Real Estate Federal Income Tax Basis1
MortgageLoansOnRealEstateFederalIncomeTaxBasis1
248300000
CY2020Q4 srt Mortgage Loans On Real Estate Prior Liens1
MortgageLoansOnRealEstatePriorLiens1
0
CY2020Q4 us-gaap Unamortized Loan Commitment And Origination Fees And Unamortized Discounts Or Premiums
UnamortizedLoanCommitmentAndOriginationFeesAndUnamortizedDiscountsOrPremiums
300000
CY2019Q4 us-gaap Mortgage Loans On Real Estate
MortgageLoansOnRealEstate
1274995000
CY2018Q4 us-gaap Mortgage Loans On Real Estate
MortgageLoansOnRealEstate
1213283000
CY2017Q4 us-gaap Mortgage Loans On Real Estate
MortgageLoansOnRealEstate
1778264000
CY2020 us-gaap Mortgage Loans On Real Estate New Mortgage Loans
MortgageLoansOnRealEstateNewMortgageLoans
193590000
CY2019 us-gaap Mortgage Loans On Real Estate New Mortgage Loans
MortgageLoansOnRealEstateNewMortgageLoans
61712000
CY2018 us-gaap Mortgage Loans On Real Estate New Mortgage Loans
MortgageLoansOnRealEstateNewMortgageLoans
50783000
CY2020 mpw Mortgage Loans On Real Estate Exchange Rate Fluctuations
MortgageLoansOnRealEstateExchangeRateFluctuations
9785000
CY2020 mpw Mortgage Loans On Real Estate Additions Gross
MortgageLoansOnRealEstateAdditionsGross
1478370000
CY2019 mpw Mortgage Loans On Real Estate Additions Gross
MortgageLoansOnRealEstateAdditionsGross
1274995000
CY2018 mpw Mortgage Loans On Real Estate Additions Gross
MortgageLoansOnRealEstateAdditionsGross
1829047000
CY2020 srt Mortgage Loans On Real Estate Collections Of Principal
MortgageLoansOnRealEstateCollectionsOfPrincipal
1230035000
CY2018 srt Mortgage Loans On Real Estate Collections Of Principal
MortgageLoansOnRealEstateCollectionsOfPrincipal
615764000
CY2020 mpw Mortgage Loans On Real Estate Deductions
MortgageLoansOnRealEstateDeductions
1230035000
CY2018 mpw Mortgage Loans On Real Estate Deductions
MortgageLoansOnRealEstateDeductions
615764000
CY2020Q4 us-gaap Mortgage Loans On Real Estate
MortgageLoansOnRealEstate
248335000
CY2019Q4 us-gaap Mortgage Loans On Real Estate
MortgageLoansOnRealEstate
1274995000
CY2018Q4 us-gaap Mortgage Loans On Real Estate
MortgageLoansOnRealEstate
1213283000
CY2019 us-gaap Comprehensive Income Net Of Tax
ComprehensiveIncomeNetOfTax
369981000
CY2020Q4 mpw Lessee Operating Lease And Finance Lease Right Of Use Asset Net
LesseeOperatingLeaseAndFinanceLeaseRightOfUseAssetNet
83443000

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