2021 Q4 Form 10-K Financial Statement

#000156459022008100 Filed on March 01, 2022

View on sec.gov

Income Statement

Concept 2021 Q4 2021 2020 Q4
Revenue $409.3M $1.545B $333.8M
YoY Change 22.63% 23.65% 30.17%
Cost Of Revenue $7.833M $101.4M $5.700M
YoY Change 37.42% 236.57% -21.92%
Gross Profit $401.5M $1.443B $328.1M
YoY Change 22.37% 18.38% 31.71%
Gross Profit Margin 98.09% 93.43% 98.29%
Selling, General & Admin $38.33M $151.9M $34.50M
YoY Change 11.09% 10.34% 20.21%
% of Gross Profit 9.55% 10.53% 10.52%
Research & Development
YoY Change
% of Gross Profit
Depreciation & Amortization $87.66M $333.8M $75.20M
YoY Change 16.57% 20.96% 65.27%
% of Gross Profit 21.83% 23.13% 22.92%
Operating Expenses $122.5M $473.2M $106.8M
YoY Change 14.72% 17.74% 46.5%
Operating Profit $279.0M $970.0M $221.3M
YoY Change 26.06% 18.7% 25.6%
Interest Expense -$112.4M $367.4M -$107.6M
YoY Change 4.5% 11.76% 59.88%
% of Operating Profit -40.3% 37.87% -48.62%
Other Income/Expense, Net $1.541M $59.60M $2.700M
YoY Change -42.93% -263.8% 125.0%
Pretax Income $211.7M $730.9M $116.3M
YoY Change 81.99% 57.75% -11.02%
Income Tax $4.807M $73.95M $6.200M
% Of Pretax Income 2.27% 10.12% 5.33%
Net Earnings $206.5M $656.0M $109.9M
YoY Change 87.93% 52.05% -15.23%
Net Earnings / Revenue 50.46% 42.47% 32.92%
Basic Earnings Per Share $1.11
Diluted Earnings Per Share $346.2K $1.112M $204.2K
COMMON SHARES
Basic Shares Outstanding 588.8M
Diluted Shares Outstanding 590.1M

Balance Sheet

Concept 2021 Q4 2021 2020 Q4
SHORT-TERM ASSETS
Cash & Short-Term Investments $459.2M $459.2M $550.0M
YoY Change -16.5% -16.5% -62.38%
Cash & Equivalents $459.2M $459.2M $549.9M
Short-Term Investments
Other Short-Term Assets
YoY Change
Inventory
Prepaid Expenses
Receivables
Other Receivables
Total Short-Term Assets $1.188B $1.188B $1.040B
YoY Change 14.21% 14.21% -42.09%
LONG-TERM ASSETS
Property, Plant & Equipment $16.43B $16.44B $13.50B
YoY Change 21.69% 21.66% 24.14%
Goodwill
YoY Change
Intangibles
YoY Change
Long-Term Investments $1.200B $1.181B $1.100B
YoY Change 9.09% 5.07% 18.66%
Other Assets
YoY Change
Total Long-Term Assets $19.33B $19.33B $15.79B
YoY Change 22.44% 22.44% 24.6%
TOTAL ASSETS
Total Short-Term Assets $1.188B $1.188B $1.040B
Total Long-Term Assets $19.33B $19.33B $15.79B
Total Assets $20.52B $20.52B $16.83B
YoY Change 21.93% 21.93% 16.32%
SHORT-TERM LIABILITIES
YoY Change
Accounts Payable $607.8M $607.8M $439.0M
YoY Change 38.45% 38.45% 50.86%
Accrued Expenses $85.22M $90.00M
YoY Change -5.31% 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 $765.8M $763.9M $582.0M
YoY Change 31.58% 31.25% 46.6%
LONG-TERM LIABILITIES
Long-Term Debt $11.28B $11.28B $8.867B
YoY Change 27.24% 27.27% 26.2%
Other Long-Term Liabilities $25.56M $25.56M $36.00M
YoY Change -28.99% -28.99% 125.0%
Total Long-Term Liabilities $11.31B $11.31B $8.903B
YoY Change 27.02% 27.04% 26.43%
TOTAL LIABILITIES
Total Short-Term Liabilities $765.8M $763.9M $582.0M
Total Long-Term Liabilities $11.31B $11.31B $8.903B
Total Liabilities $12.07B $12.08B $9.485B
YoY Change 27.29% 27.29% 27.5%
SHAREHOLDERS EQUITY
Retained Earnings -$87.69M -$71.41M
YoY Change 22.8% -186.02%
Common Stock $8.565B $7.462B
YoY Change 14.78% 6.47%
Preferred Stock
YoY Change
Treasury Stock (at cost) $777.0K $777.0K
YoY Change 0.0% 0.0%
Treasury Stock Shares
Shareholders Equity $8.440B $8.440B $7.339B
YoY Change
Total Liabilities & Shareholders Equity $20.52B $20.52B $16.83B
YoY Change 21.93% 21.93% 16.32%

Cashflow Statement

Concept 2021 Q4 2021 2020 Q4
OPERATING ACTIVITIES
Net Income $206.5M $656.0M $109.9M
YoY Change 87.93% 52.05% -15.23%
Depreciation, Depletion And Amortization $87.66M $333.8M $75.20M
YoY Change 16.57% 20.96% 65.27%
Cash From Operating Activities $234.2M $811.7M $175.4M
YoY Change 33.51% 31.41% 5.22%
INVESTING ACTIVITIES
Capital Expenditures -$1.139B -$5.418B -$750.4M
YoY Change 51.76% 25.49% -15.79%
Acquisitions
YoY Change
Other Investing Activities $500.3M $1.560B $550.7M
YoY Change -9.15% 13.77% 7881.16%
Cash From Investing Activities -$638.5M -$3.858B -$199.8M
YoY Change 219.56% 30.94% -77.41%
FINANCING ACTIVITIES
Cash Dividend Paid
YoY Change
Common Stock Issuance & Retirement, Net $1.051B
YoY Change 155.77%
Debt Paid & Issued, Net $1.391B
YoY Change 73.87%
Cash From Financing Activities 511.0M 2.948B 383.3M
YoY Change 33.31% 110.38% -77.57%
NET CHANGE
Cash From Operating Activities 234.2M 811.7M 175.4M
Cash From Investing Activities -638.5M -3.858B -199.8M
Cash From Financing Activities 511.0M 2.948B 383.3M
Net Change In Cash 106.7M -99.15M 358.9M
YoY Change -70.28% -89.32% -63.8%
FREE CASH FLOW
Cash From Operating Activities $234.2M $811.7M $175.4M
Capital Expenditures -$1.139B -$5.418B -$750.4M
Free Cash Flow $1.373B $6.230B $925.8M
YoY Change 48.3% 26.23% -12.48%

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<p style="margin-top:12pt;margin-bottom:0pt;text-indent:3.4%;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. We believe the estimates and assumptions underlying our consolidated financial statements are reasonable and supportable based on the information available as of December 31, 2021 (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). Although the effects of COVID-19 and related variants seem to be lessening, government restrictions appear to be easing, and most hospitals around the world have generally returned to their normal operations, 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 still cannot be predicted with 100% confidence. This makes any estimates and assumptions as of December 31, 2021, inherently less certain than they would be absent the potential impact of COVID-19. Actual results could differ from those estimates.</span></p>
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FinancingReceivableAllowanceForCreditLosses
48527000
CY2020Q4 us-gaap Financing Receivable Allowance For Credit Losses
FinancingReceivableAllowanceForCreditLosses
8726000
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
CY2021 us-gaap Prior Period Reclassification Adjustment Description
PriorPeriodReclassificationAdjustmentDescription
<p style="margin-top:12pt;margin-bottom:0pt;text-indent:3.4%;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>
CY2021Q4 us-gaap Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Liabilities
BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedLiabilities
82508000
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
CY2021Q4 us-gaap Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Assets
BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedAssets
5350239000
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
CY2021Q4 mpw Business Combination Loans Paid Down On Acquisition Loans
BusinessCombinationLoansPaidDownOnAcquisitionLoans
1103410000
CY2020Q4 mpw Business Combination Loans Paid Down On Acquisition Loans
BusinessCombinationLoansPaidDownOnAcquisitionLoans
834743000
CY2021Q4 us-gaap Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Net
BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedNet
4246829000
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
CY2021Q4 mpw Intangible Lease Assets
IntangibleLeaseAssets
1400000000
CY2021Q4 mpw Number Of Operations Sold
NumberOfOperationsSold
3
CY2021Q4 mpw Development Projects Original Commitment Amount
DevelopmentProjectsOriginalCommitmentAmount
265037000
CY2021 us-gaap Cost Of Goods And Services Sold
CostOfGoodsAndServicesSold
101439000
CY2021Q4 us-gaap Proceeds From Sale Of Real Estate
ProceedsFromSaleOfRealEstate
54500000
CY2021Q4 us-gaap Gain Loss On Disposition Of Real Estate Discontinued Operations
GainLossOnDispositionOfRealEstateDiscontinuedOperations
-40000000
CY2021 mpw Number Of Facilities Sold
NumberOfFacilitiesSold
16
CY2021 us-gaap Proceeds From Sale Of Real Estate
ProceedsFromSaleOfRealEstate
246000000
CY2021 us-gaap Gain Loss On Disposition Of Real Estate Discontinued Operations
GainLossOnDispositionOfRealEstateDiscontinuedOperations
52500000
CY2020 mpw Number Of Facilities Sold
NumberOfFacilitiesSold
9
CY2021Q4 us-gaap Finite Lived Intangible Assets Accumulated Amortization
FiniteLivedIntangibleAssetsAccumulatedAmortization
1300000000
CY2021Q4 mpw Finite Lived Intangible Assets Amortization Expenses
FiniteLivedIntangibleAssetsAmortizationExpenses
56000000.0
CY2021Q4 us-gaap Finite Lived Intangible Assets Amortization Expense Next Twelve Months
FiniteLivedIntangibleAssetsAmortizationExpenseNextTwelveMonths
57433000
CY2021Q4 us-gaap Finite Lived Intangible Assets Amortization Expense Year Two
FiniteLivedIntangibleAssetsAmortizationExpenseYearTwo
57368000
CY2021Q4 us-gaap Finite Lived Intangible Assets Amortization Expense Year Three
FiniteLivedIntangibleAssetsAmortizationExpenseYearThree
57334000
CY2021Q4 us-gaap Finite Lived Intangible Assets Amortization Expense Year Four
FiniteLivedIntangibleAssetsAmortizationExpenseYearFour
57186000
CY2021Q4 us-gaap Finite Lived Intangible Assets Amortization Expense Year Five
FiniteLivedIntangibleAssetsAmortizationExpenseYearFive
56917000
CY2021 us-gaap Acquired Finite Lived Intangible Assets Weighted Average Useful Life
AcquiredFiniteLivedIntangibleAssetsWeightedAverageUsefulLife
P22Y10M24D
CY2021Q4 us-gaap Lessor Operating Lease Term Of Contract
LessorOperatingLeaseTermOfContract
P15Y
CY2021Q4 us-gaap Lessor Operating Lease Renewal Term
LessorOperatingLeaseRenewalTerm
P5Y
CY2021 mpw Leases Annual Rent Escalations Percentage
LeasesAnnualRentEscalationsPercentage
0.99
CY2021 mpw Number Of Lessor Properties
NumberOfLessorProperties
5
CY2021Q4 us-gaap Residual Value Of Leased Asset
ResidualValueOfLeasedAsset
231000000
CY2018Q4 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations
822425000
CY2021Q4 us-gaap Direct Financing Lease Lease Receivable
DirectFinancingLeaseLeaseReceivable
1183855000
CY2020Q4 us-gaap Direct Financing Lease Lease Receivable
DirectFinancingLeaseLeaseReceivable
1228966000
CY2021Q4 us-gaap Direct Financing Lease Unguaranteed Residual Asset
DirectFinancingLeaseUnguaranteedResidualAsset
203818000
CY2020Q4 us-gaap Direct Financing Lease Unguaranteed Residual Asset
DirectFinancingLeaseUnguaranteedResidualAsset
203818000
CY2021Q4 mpw Direct Financing Lease Unearned Income And Allowance For Credit Loss
DirectFinancingLeaseUnearnedIncomeAndAllowanceForCreditLoss
918584000
CY2020Q4 mpw Direct Financing Lease Unearned Income And Allowance For Credit Loss
DirectFinancingLeaseUnearnedIncomeAndAllowanceForCreditLoss
969061000
CY2021Q4 us-gaap Direct Financing Lease Net Investment In Lease
DirectFinancingLeaseNetInvestmentInLease
469089000
CY2020Q4 us-gaap Direct Financing Lease Net Investment In Lease
DirectFinancingLeaseNetInvestmentInLease
463723000
CY2021Q4 mpw Other Financing Leases Net Of Allowance For Credit Loss
OtherFinancingLeasesNetOfAllowanceForCreditLoss
1584238000
CY2020Q4 mpw Other Financing Leases Net Of Allowance For Credit Loss
OtherFinancingLeasesNetOfAllowanceForCreditLoss
1547199000
CY2021Q4 us-gaap Net Investment In Lease
NetInvestmentInLease
2053327000
CY2020Q4 us-gaap Net Investment In Lease
NetInvestmentInLease
2010922000
CY2021Q4 mpw Maximum Percentage Of Deferred Rent On Annual Rent
MaximumPercentageOfDeferredRentOnAnnualRent
0.02
CY2021Q4 us-gaap Notes Receivable Net
NotesReceivableNet
1541864000
CY2020Q4 us-gaap Notes Receivable Net
NotesReceivableNet
1106448000
CY2021Q4 us-gaap Debt Instrument Carrying Amount
DebtInstrumentCarryingAmount
11358826000
CY2020Q4 us-gaap Debt Instrument Carrying Amount
DebtInstrumentCarryingAmount
8934187000
CY2021Q4 us-gaap Deferred Finance Costs Net
DeferredFinanceCostsNet
76056000
CY2020Q4 us-gaap Deferred Finance Costs Net
DeferredFinanceCostsNet
68729000
CY2021Q4 us-gaap Long Term Debt
LongTermDebt
11282770000
CY2020Q4 us-gaap Long Term Debt
LongTermDebt
8865458000
CY2021Q4 us-gaap Long Term Debt Maturities Repayments Of Principal In Next Twelve Months
LongTermDebtMaturitiesRepaymentsOfPrincipalInNextTwelveMonths
869606000
CY2021Q4 us-gaap Long Term Debt Maturities Repayments Of Principal In Year Two
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearTwo
541280000
CY2021Q4 us-gaap Long Term Debt Maturities Repayments Of Principal In Year Three
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearThree
1601560000
CY2021Q4 us-gaap Long Term Debt Maturities Repayments Of Principal In Year Four
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFour
1515740000
CY2021Q4 us-gaap Long Term Debt Maturities Repayments Of Principal In Year Five
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFive
1945100000
CY2021Q4 mpw Long Term Debt Maturities Repayments Of Principal In Year Five And Thereafter
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFiveAndThereafter
4885540000
CY2021Q4 us-gaap Debt Instrument Carrying Amount
DebtInstrumentCarryingAmount
11358826000
CY2021 mpw Percentage Of Dividends Payable On Basis Of Adjusted Operating Funds
PercentageOfDividendsPayableOnBasisOfAdjustedOperatingFunds
0.95
CY2021 mpw Percentage Of Dividends Payable On Senior Unsecured Notes
PercentageOfDividendsPayableOnSeniorUnsecuredNotes
0.95
CY2021 mpw Maximum Percentage Of Unencumbered Assets
MaximumPercentageOfUnencumberedAssets
1.50
CY2021 mpw Percentage Of Ordinary Taxable Income To Be Distributed For Real Estate Investment Trust Qualification
PercentageOfOrdinaryTaxableIncomeToBeDistributedForRealEstateInvestmentTrustQualification
0.90
CY2021 mpw Percentage Of Taxable Income To Be Distributed For Federal Income Tax Exemption
PercentageOfTaxableIncomeToBeDistributedForFederalIncomeTaxExemption
1
CY2021 us-gaap Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
1559000
CY2020 us-gaap Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
-63000
CY2019 us-gaap Current Federal Tax Expense Benefit
CurrentFederalTaxExpenseBenefit
-61000
CY2021 us-gaap Current Foreign Tax Expense Benefit
CurrentForeignTaxExpenseBenefit
18964000
CY2020 us-gaap Current Foreign Tax Expense Benefit
CurrentForeignTaxExpenseBenefit
10203000
CY2019 us-gaap Current Foreign Tax Expense Benefit
CurrentForeignTaxExpenseBenefit
1669000
CY2021 us-gaap Current Income Tax Expense Benefit
CurrentIncomeTaxExpenseBenefit
20523000
CY2020 us-gaap Current Income Tax Expense Benefit
CurrentIncomeTaxExpenseBenefit
10140000
CY2019 us-gaap Current Income Tax Expense Benefit
CurrentIncomeTaxExpenseBenefit
1608000
CY2021 us-gaap Deferred Federal Income Tax Expense Benefit
DeferredFederalIncomeTaxExpenseBenefit
-6915000
CY2020 us-gaap Deferred Federal Income Tax Expense Benefit
DeferredFederalIncomeTaxExpenseBenefit
10680000
CY2019 us-gaap Deferred Federal Income Tax Expense Benefit
DeferredFederalIncomeTaxExpenseBenefit
-5490000
CY2021 us-gaap Deferred Foreign Income Tax Expense Benefit
DeferredForeignIncomeTaxExpenseBenefit
60340000
CY2020 us-gaap Deferred Foreign Income Tax Expense Benefit
DeferredForeignIncomeTaxExpenseBenefit
10236000
CY2019 us-gaap Deferred Foreign Income Tax Expense Benefit
DeferredForeignIncomeTaxExpenseBenefit
1261000
CY2021 us-gaap Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
53425000
CY2020 us-gaap Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
20916000
CY2019 us-gaap Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
-4229000
CY2021 us-gaap Income Tax Expense Benefit
IncomeTaxExpenseBenefit
73948000
CY2020 us-gaap Income Tax Expense Benefit
IncomeTaxExpenseBenefit
31056000
CY2019 us-gaap Income Tax Expense Benefit
IncomeTaxExpenseBenefit
-2621000
CY2021 us-gaap Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
730888000
CY2020 us-gaap Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
463328000
CY2019 us-gaap Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
373780000
CY2021 us-gaap Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
0.21
CY2020 us-gaap Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
0.21
CY2019 us-gaap Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
0.21
CY2021 us-gaap Income Tax Reconciliation Income Tax Expense Benefit At Federal Statutory Income Tax Rate
IncomeTaxReconciliationIncomeTaxExpenseBenefitAtFederalStatutoryIncomeTaxRate
153486000
CY2020 us-gaap Income Tax Reconciliation Income Tax Expense Benefit At Federal Statutory Income Tax Rate
IncomeTaxReconciliationIncomeTaxExpenseBenefitAtFederalStatutoryIncomeTaxRate
97299000
CY2019 us-gaap Income Tax Reconciliation Income Tax Expense Benefit At Federal Statutory Income Tax Rate
IncomeTaxReconciliationIncomeTaxExpenseBenefitAtFederalStatutoryIncomeTaxRate
78494000
CY2021 us-gaap Income Tax Reconciliation Foreign Income Tax Rate Differential
IncomeTaxReconciliationForeignIncomeTaxRateDifferential
-2742000
CY2020 us-gaap Income Tax Reconciliation Foreign Income Tax Rate Differential
IncomeTaxReconciliationForeignIncomeTaxRateDifferential
-2160000
CY2019 us-gaap Income Tax Reconciliation Foreign Income Tax Rate Differential
IncomeTaxReconciliationForeignIncomeTaxRateDifferential
-438000
CY2020 us-gaap Income Tax Reconciliation State And Local Income Taxes
IncomeTaxReconciliationStateAndLocalIncomeTaxes
-970000
CY2019 us-gaap Income Tax Reconciliation State And Local Income Taxes
IncomeTaxReconciliationStateAndLocalIncomeTaxes
-1621000
CY2021 us-gaap Income Tax Reconciliation Tax Exempt Income
IncomeTaxReconciliationTaxExemptIncome
132266000
CY2020 us-gaap Income Tax Reconciliation Tax Exempt Income
IncomeTaxReconciliationTaxExemptIncome
82921000
CY2019 us-gaap Income Tax Reconciliation Tax Exempt Income
IncomeTaxReconciliationTaxExemptIncome
85495000
CY2020 mpw Income Tax Reconciliation Increase Decrease In Equity Investments
IncomeTaxReconciliationIncreaseDecreaseInEquityInvestments
-380000
CY2019 mpw Income Tax Reconciliation Increase Decrease In Equity Investments
IncomeTaxReconciliationIncreaseDecreaseInEquityInvestments
-1091000
CY2021 us-gaap Income Tax Reconciliation Change In Deferred Tax Assets Valuation Allowance
IncomeTaxReconciliationChangeInDeferredTaxAssetsValuationAllowance
10040000
CY2020 us-gaap Income Tax Reconciliation Change In Deferred Tax Assets Valuation Allowance
IncomeTaxReconciliationChangeInDeferredTaxAssetsValuationAllowance
8514000
CY2019 us-gaap Income Tax Reconciliation Change In Deferred Tax Assets Valuation Allowance
IncomeTaxReconciliationChangeInDeferredTaxAssetsValuationAllowance
7911000
CY2021 us-gaap Income Tax Reconciliation Change In Enacted Tax Rate
IncomeTaxReconciliationChangeInEnactedTaxRate
43924000
CY2020 us-gaap Income Tax Reconciliation Change In Enacted Tax Rate
IncomeTaxReconciliationChangeInEnactedTaxRate
9471000
CY2021 mpw Income Tax Reconciliation Interest Disallowance
IncomeTaxReconciliationInterestDisallowance
646000
CY2021 us-gaap Income Tax Reconciliation Other Adjustments
IncomeTaxReconciliationOtherAdjustments
860000
CY2020 us-gaap Income Tax Reconciliation Other Adjustments
IncomeTaxReconciliationOtherAdjustments
2203000
CY2019 us-gaap Income Tax Reconciliation Other Adjustments
IncomeTaxReconciliationOtherAdjustments
-381000
CY2021 us-gaap Income Tax Expense Benefit
IncomeTaxExpenseBenefit
73948000
CY2020 us-gaap Income Tax Expense Benefit
IncomeTaxExpenseBenefit
31056000
CY2019 us-gaap Income Tax Expense Benefit
IncomeTaxExpenseBenefit
-2621000
CY2021 us-gaap Income Loss From Continuing Operations Before Income Taxes Foreign
IncomeLossFromContinuingOperationsBeforeIncomeTaxesForeign
164000000.0
CY2020 us-gaap Income Loss From Continuing Operations Before Income Taxes Foreign
IncomeLossFromContinuingOperationsBeforeIncomeTaxesForeign
62100000
CY2019 us-gaap Income Loss From Continuing Operations Before Income Taxes Foreign
IncomeLossFromContinuingOperationsBeforeIncomeTaxesForeign
10700000
CY2021 us-gaap Income Loss From Continuing Operations Before Income Taxes Domestic
IncomeLossFromContinuingOperationsBeforeIncomeTaxesDomestic
-29700000
CY2020 us-gaap Income Loss From Continuing Operations Before Income Taxes Domestic
IncomeLossFromContinuingOperationsBeforeIncomeTaxesDomestic
6400000
CY2019 us-gaap Income Loss From Continuing Operations Before Income Taxes Domestic
IncomeLossFromContinuingOperationsBeforeIncomeTaxesDomestic
-44100000
CY2021Q4 us-gaap Deferred Tax Assets Operating Loss Carryforwards
DeferredTaxAssetsOperatingLossCarryforwards
197876000
CY2020Q4 us-gaap Deferred Tax Assets Operating Loss Carryforwards
DeferredTaxAssetsOperatingLossCarryforwards
150001000
CY2020Q4 mpw Deferred Tax Assets Interest Rate Swap
DeferredTaxAssetsInterestRateSwap
9150000
CY2021Q4 us-gaap Deferred Tax Assets Other
DeferredTaxAssetsOther
1815000
CY2020Q4 us-gaap Deferred Tax Assets Other
DeferredTaxAssetsOther
6973000
CY2021Q4 us-gaap Deferred Tax Assets Gross
DeferredTaxAssetsGross
199691000
CY2020Q4 us-gaap Deferred Tax Assets Gross
DeferredTaxAssetsGross
166124000
CY2021Q4 us-gaap Deferred Tax Assets Valuation Allowance
DeferredTaxAssetsValuationAllowance
61747000
CY2020Q4 us-gaap Deferred Tax Assets Valuation Allowance
DeferredTaxAssetsValuationAllowance
36977000
CY2021Q4 us-gaap Deferred Tax Assets Net
DeferredTaxAssetsNet
137944000
CY2020Q4 us-gaap Deferred Tax Assets Net
DeferredTaxAssetsNet
129147000
CY2021Q4 us-gaap Deferred Tax Liabilities Property Plant And Equipment
DeferredTaxLiabilitiesPropertyPlantAndEquipment
320546000
CY2020Q4 us-gaap Deferred Tax Liabilities Property Plant And Equipment
DeferredTaxLiabilitiesPropertyPlantAndEquipment
211018000
CY2021Q4 mpw Deferred Tax Liability Net Unbilled Revenue
DeferredTaxLiabilityNetUnbilledRevenue
43366000
CY2020Q4 mpw Deferred Tax Liability Net Unbilled Revenue
DeferredTaxLiabilityNetUnbilledRevenue
14776000
CY2021Q4 us-gaap Deferred Tax Liabilities Investments
DeferredTaxLiabilitiesInvestments
15963000
CY2021Q4 us-gaap Deferred Tax Liabilities Other
DeferredTaxLiabilitiesOther
3836000
CY2020Q4 us-gaap Deferred Tax Liabilities Other
DeferredTaxLiabilitiesOther
4010000
CY2021Q4 us-gaap Deferred Income Tax Liabilities
DeferredIncomeTaxLiabilities
383711000
CY2020Q4 us-gaap Deferred Income Tax Liabilities
DeferredIncomeTaxLiabilities
229804000
CY2021Q4 us-gaap Deferred Tax Liabilities
DeferredTaxLiabilities
245767000
CY2020Q4 us-gaap Deferred Tax Liabilities
DeferredTaxLiabilities
100657000
CY2021 mpw Distribution Unrecaptured Section One Two Five Zero Gain Per Share
DistributionUnrecapturedSectionOneTwoFiveZeroGainPerShare
0.058270
CY2019 mpw Distribution Unrecaptured Section One Two Five Zero Gain Per Share
DistributionUnrecapturedSectionOneTwoFiveZeroGainPerShare
0.041160
CY2021 mpw Qualified Business Income Deduction Dividends Per Share
QualifiedBusinessIncomeDeductionDividendsPerShare
0.764580
CY2020 mpw Qualified Business Income Deduction Dividends Per Share
QualifiedBusinessIncomeDeductionDividendsPerShare
0.603050
CY2019 mpw Qualified Business Income Deduction Dividends Per Share
QualifiedBusinessIncomeDeductionDividendsPerShare
0.701910
CY2021 mpw Return Of Capital Per Share
ReturnOfCapitalPerShare
0.180000
CY2020 mpw Return Of Capital Per Share
ReturnOfCapitalPerShare
0.466950
CY2021 mpw Deferred Tax Assets Valuation Allowances Expected Not Realized
DeferredTaxAssetsValuationAllowancesExpectedNotRealized
24800000
CY2021Q4 us-gaap Unrecognized Tax Benefits Income Tax Penalties And Interest Accrued
UnrecognizedTaxBenefitsIncomeTaxPenaltiesAndInterestAccrued
0
CY2021 mpw Percentage Of Ordinary Taxable Income To Be Distributed For Real Estate Investment Trust Qualification
PercentageOfOrdinaryTaxableIncomeToBeDistributedForRealEstateInvestmentTrustQualification
0.90
CY2020 mpw Percentage Of Ordinary Taxable Income To Be Distributed For Real Estate Investment Trust Qualification
PercentageOfOrdinaryTaxableIncomeToBeDistributedForRealEstateInvestmentTrustQualification
0.90
CY2019 mpw Percentage Of Ordinary Taxable Income To Be Distributed For Real Estate Investment Trust Qualification
PercentageOfOrdinaryTaxableIncomeToBeDistributedForRealEstateInvestmentTrustQualification
0.90
CY2021 us-gaap Common Stock Dividends Per Share Cash Paid
CommonStockDividendsPerShareCashPaid
1.110000
CY2020 us-gaap Common Stock Dividends Per Share Cash Paid
CommonStockDividendsPerShareCashPaid
1.070000
CY2019 us-gaap Common Stock Dividends Per Share Cash Paid
CommonStockDividendsPerShareCashPaid
1.010000
CY2021 mpw Ordinary Income Per Share
OrdinaryIncomePerShare
0.764580
CY2020 mpw Ordinary Income Per Share
OrdinaryIncomePerShare
0.603050
CY2019 mpw Ordinary Income Per Share
OrdinaryIncomePerShare
0.701910
CY2021 mpw Capital Gains Per Share
CapitalGainsPerShare
0.165420
CY2019 mpw Capital Gains Per Share
CapitalGainsPerShare
0.275040
CY2019 mpw Return Of Capital Per Share
ReturnOfCapitalPerShare
0.033050
CY2021 us-gaap Profit Loss
ProfitLoss
656940000
CY2020 us-gaap Profit Loss
ProfitLoss
432272000
CY2019 us-gaap Profit Loss
ProfitLoss
376401000
CY2021 us-gaap Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
919000
CY2020 us-gaap Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
822000
CY2019 us-gaap Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
1717000
CY2021 mpw Undistributed Earning Allocated To Participating Securities
UndistributedEarningAllocatedToParticipatingSecurities
2161000
CY2020 mpw Undistributed Earning Allocated To Participating Securities
UndistributedEarningAllocatedToParticipatingSecurities
2105000
CY2019 mpw Undistributed Earning Allocated To Participating Securities
UndistributedEarningAllocatedToParticipatingSecurities
2308000
CY2021 mpw Net Income Less Participating Securities Share In Earnings
NetIncomeLessParticipatingSecuritiesShareInEarnings
653860000
CY2020 mpw Net Income Less Participating Securities Share In Earnings
NetIncomeLessParticipatingSecuritiesShareInEarnings
429345000
CY2019 mpw Net Income Less Participating Securities Share In Earnings
NetIncomeLessParticipatingSecuritiesShareInEarnings
372376000
CY2021 us-gaap Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
588817000
CY2020 us-gaap Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
529239000
CY2019 us-gaap Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
427075000
CY2021 us-gaap Incremental Common Shares Attributable To Share Based Payment Arrangements
IncrementalCommonSharesAttributableToShareBasedPaymentArrangements
1322000
CY2020 us-gaap Incremental Common Shares Attributable To Share Based Payment Arrangements
IncrementalCommonSharesAttributableToShareBasedPaymentArrangements
1222000
CY2019 us-gaap Incremental Common Shares Attributable To Share Based Payment Arrangements
IncrementalCommonSharesAttributableToShareBasedPaymentArrangements
1224000
CY2021 us-gaap Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
590139000
CY2020 us-gaap Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
530461000
CY2019 us-gaap Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
428299000
CY2021 us-gaap Share Based Compensation
ShareBasedCompensation
52100000
CY2020 us-gaap Share Based Compensation
ShareBasedCompensation
47200000
CY2019 us-gaap Share Based Compensation
ShareBasedCompensation
32200000
CY2021Q4 us-gaap Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized
EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognized
49900000
CY2021 us-gaap Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized Period For Recognition1
EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognizedPeriodForRecognition1
P1Y1M6D
CY2021 us-gaap Sharebased Compensation Arrangement By Sharebased Payment Award Options Vested In Period Fair Value1
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsVestedInPeriodFairValue1
49900000
CY2020 us-gaap Sharebased Compensation Arrangement By Sharebased Payment Award Options Vested In Period Fair Value1
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsVestedInPeriodFairValue1
58900000
CY2019 us-gaap Sharebased Compensation Arrangement By Sharebased Payment Award Options Vested In Period Fair Value1
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsVestedInPeriodFairValue1
25900000
CY2020 us-gaap Proceeds From Issuance Of Common Stock
ProceedsFromIssuanceOfCommonStock
411000000
CY2021Q4 mpw Interest And Rent Receivable
InterestAndRentReceivable
56229000
CY2021Q4 us-gaap Receivables Fair Value Disclosure
ReceivablesFairValueDisclosure
56564000
CY2020Q4 mpw Interest And Rent Receivable
InterestAndRentReceivable
46208000
CY2020Q4 us-gaap Receivables Fair Value Disclosure
ReceivablesFairValueDisclosure
45381000
CY2021Q4 mpw Loans
Loans
991609000
CY2021Q4 us-gaap Loans Held For Sale Fair Value Disclosure
LoansHeldForSaleFairValueDisclosure
991954000
CY2020Q4 mpw Loans
Loans
751341000
CY2020Q4 us-gaap Loans Held For Sale Fair Value Disclosure
LoansHeldForSaleFairValueDisclosure
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CY2021Q4 us-gaap Long Term Debt
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