Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2022	Mar. 31, 2021
Operating activities
Net income	$ 631,947	$ 163,880
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	88,760	78,606
Amortization of deferred financing costs and debt discount	5,285	3,817
Straight-line rent revenue and other	(75,385)	(65,333)
Share / (Unit)-based compensation expense	11,804	12,264
Gain on sale of real estate and other, net	(451,638)	(989)
Straight-line rent and other write-off (recovery)	2,604	(5,238)
Debt refinancing and unutilized financing costs	8,816	2,269
Other adjustments	(1,040)	(2,923)
Changes in:
Interest and rent receivables	(12,431)	13,396
Other assets	(41)	(652)
Accounts payable and accrued expenses	(21,648)	5,062
Deferred revenue	(7,646)	(15,429)
Net cash provided by operating activities	179,387	188,730
Investing activities
Cash paid for acquisitions and other related investments	(724,795)	(1,778,417)
Net proceeds from sale of real estate	1,711,608	10,905
Principal received on loans receivable	6,355	40,937
Investment in loans receivable	(10,414)	(23,935)
Construction in progress and other	(36,115)	(9,774)
Proceeds from sale and return of equity investment		11,000
Capital additions and other investments, net	(67,605)	(32,276)
Net cash provided by (used for) investing activities	879,034	(1,781,560)
Financing activities
Proceeds from term debt, net of discount		1,839,735
Payments of term debt	(869,606)	(689,450)
Revolving credit facilities, net	(198,599)	8,910
Dividends / Distribution paid	(176,494)	(147,666)
Lease deposits and other obligations to tenants	15,168	12,900
Proceeds from sale of common shares, net of offering costs		779,241
Unit vesting - satisfaction of tax withholdings	(27,919)
Payment of debt refinancing, deferred financing costs, and other financing activities	(6,366)	(18,479)
Net cash provided by financing activities	(1,263,816)	1,785,191
(Decrease) increase in cash, cash equivalents, and restricted cash for period	(205,395)	192,361
Effect of exchange rate changes	(4,721)	4,356
Cash, cash equivalents, and restricted cash at beginning of period	461,882	556,369
Cash, cash equivalents, and restricted cash at end of period	251,766	753,086
Interest paid	111,012	82,471
Supplemental schedule of non-cash financing activities:
Dividend / Distributions declared, unpaid	174,018	163,443
Cash, cash equivalents, and restricted cash are comprised of the following:
Cash and cash equivalents at beginning of period	459,227	549,884
Restricted cash, included in Other assets at beginning of period	$ 2,655	$ 6,485
Restricted Cash and Cash Equivalents, Asset, Statement of Financial Position [Extensible List]	Other Assets	Other Assets
Cash, cash equivalents, and restricted cash at beginning of period	$ 461,882	$ 556,369
Cash and cash equivalents at end of period	248,846	746,753
Restricted cash, included in Other assets at end of period	$ 2,920	$ 6,333
Restricted Cash and Cash Equivalents, Asset, Statement of Financial Position [Extensible List]	Other Assets	Other Assets
Cash, cash equivalents, and restricted cash at end of period	$ 251,766	$ 753,086
MPT Operating Partnership, L.P. [Member]
Operating activities
Net income	631,947	163,880
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	88,760	78,606
Amortization of deferred financing costs and debt discount	5,285	3,817
Straight-line rent revenue and other	(75,385)	(65,333)
Share / (Unit)-based compensation expense	11,804	12,264
Gain on sale of real estate and other, net	(451,638)	(989)
Straight-line rent and other write-off (recovery)	2,604	(5,238)
Debt refinancing and unutilized financing costs	8,816	2,269
Other adjustments	(1,040)	(2,923)
Changes in:
Interest and rent receivables	(12,431)	13,396
Other assets	(41)	(652)
Accounts payable and accrued expenses	(21,648)	5,062
Deferred revenue	(7,646)	(15,429)
Net cash provided by operating activities	179,387	188,730
Investing activities
Cash paid for acquisitions and other related investments	(724,795)	(1,778,417)
Net proceeds from sale of real estate	1,711,608	10,905
Principal received on loans receivable	6,355	40,937
Investment in loans receivable	(10,414)	(23,935)
Construction in progress and other	(36,115)	(9,774)
Proceeds from sale and return of equity investment		11,000
Capital additions and other investments, net	(67,605)	(32,276)
Net cash provided by (used for) investing activities	879,034	(1,781,560)
Financing activities
Proceeds from term debt, net of discount		1,839,735
Payments of term debt	(869,606)	(689,450)
Revolving credit facilities, net	(198,599)	8,910
Dividends / Distribution paid	(176,494)	(147,666)
Lease deposits and other obligations to tenants	15,168	12,900
Proceeds from sale of units, net of offering costs		779,241
Unit vesting - satisfaction of tax withholdings	(27,919)
Payment of debt refinancing, deferred financing costs, and other financing activities	(6,366)	(18,479)
Net cash provided by financing activities	(1,263,816)	1,785,191
(Decrease) increase in cash, cash equivalents, and restricted cash for period	(205,395)	192,361
Effect of exchange rate changes	(4,721)	4,356
Cash, cash equivalents, and restricted cash at beginning of period	461,882	556,369
Cash, cash equivalents, and restricted cash at end of period	251,766	753,086
Interest paid	111,012	82,471
Supplemental schedule of non-cash financing activities:
Dividend / Distributions declared, unpaid	174,018	163,443
Cash, cash equivalents, and restricted cash are comprised of the following:
Cash and cash equivalents at beginning of period	459,227	549,884
Restricted cash, included in Other assets at beginning of period	$ 2,655	$ 6,485
Restricted Cash and Cash Equivalents, Asset, Statement of Financial Position [Extensible List]	Other Assets	Other Assets
Cash, cash equivalents, and restricted cash at beginning of period	$ 461,882	$ 556,369
Cash and cash equivalents at end of period	248,846	746,753
Restricted cash, included in Other assets at end of period	$ 2,920	$ 6,333
Restricted Cash and Cash Equivalents, Asset, Statement of Financial Position [Extensible List]	Other Assets	Other Assets
Cash, cash equivalents, and restricted cash at end of period	$ 251,766	$ 753,086