Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2022	Jun. 30, 2021
Operating activities
Net income	$ 822,011	$ 278,701
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	176,077	157,675
Amortization of deferred financing costs and debt discount	9,219	7,692
Straight-line rent revenue and other	(145,725)	(131,291)
Share / (Unit)-based compensation expense	21,912	25,035
Gain (loss) on sale of real estate and other, net	(467,993)	398
Straight-line rent and other write-off (recovery)	4,548	(5,251)
Debt refinancing and unutilized financing costs	9,435	2,339
Tax rate changes	(825)	42,746
Other adjustments	(13,171)	12,909
Changes in:
Interest and rent receivables	(44,224)	(24,999)
Other assets	(6,343)	(2,633)
Accounts payable and accrued expenses	(15,558)	19,320
Deferred revenue	(5,347)	(17,383)
Net cash provided by operating activities	344,016	365,258
Investing activities
Cash paid for acquisitions and other related investments	(946,243)	(3,062,029)
Net proceeds from sale of real estate	1,817,642	25,186
Principal received on loans receivable	19,478	1,206,699
Investment in loans receivable	(175,734)	(24,487)
Construction in progress and other	(91,167)	(21,436)
Proceeds from return of equity investment	775	11,000
Capital additions and other investments, net	(90,623)	(97,758)
Net cash provided by (used for) investing activities	534,128	(1,962,825)
Financing activities
Proceeds from term debt, net of discount	0	1,839,735
Payments of term debt	(869,606)	(689,450)
Revolving credit facilities, net	200,945	42,323
Dividends / Distribution paid	(350,519)	(311,109)
Lease deposits and other obligations to tenants	3,174	322
Proceeds from sale of common shares, net of offering costs	0	900,574
Unit vesting - satisfaction of tax withholdings	(28,799)
Payment of debt refinancing, deferred financing costs, and other financing activities	(17,917)	(23,489)
Net cash provided by financing activities	(1,062,722)	1,758,906
(Decrease) increase in cash, cash equivalents, and restricted cash for period	(184,578)	161,339
Effect of exchange rate changes	(14,786)	6,173
Cash, cash equivalents, and restricted cash at beginning of period	461,882	556,369
Cash, cash equivalents, and restricted cash at end of period	262,518	723,881
Interest paid	209,445	160,985
Supplemental schedule of non-cash financing activities:
Dividend / Distributions declared, unpaid	174,017	165,133
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	257,269	721,321
Restricted cash, included in Other assets at end of period	$ 5,249	$ 2,560
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	$ 262,518	$ 723,881
MPT Operating Partnership, L.P. [Member]
Operating activities
Net income	822,011	278,701
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	176,077	157,675
Amortization of deferred financing costs and debt discount	9,219	7,692
Straight-line rent revenue and other	(145,725)	(131,291)
Share / (Unit)-based compensation expense	21,912	25,035
Gain (loss) on sale of real estate and other, net	(467,993)	398
Straight-line rent and other write-off (recovery)	4,548	(5,251)
Debt refinancing and unutilized financing costs	9,435	2,339
Tax rate changes	(825)	42,746
Other adjustments	(13,171)	12,909
Changes in:
Interest and rent receivables	(44,224)	(24,999)
Other assets	(6,343)	(2,633)
Accounts payable and accrued expenses	(15,558)	19,320
Deferred revenue	(5,347)	(17,383)
Net cash provided by operating activities	344,016	365,258
Investing activities
Cash paid for acquisitions and other related investments	(946,243)	(3,062,029)
Net proceeds from sale of real estate	1,817,642	25,186
Principal received on loans receivable	19,478	1,206,699
Investment in loans receivable	(175,734)	(24,487)
Construction in progress and other	(91,167)	(21,436)
Proceeds from return of equity investment	775	11,000
Capital additions and other investments, net	(90,623)	(97,758)
Net cash provided by (used for) investing activities	534,128	(1,962,825)
Financing activities
Proceeds from term debt, net of discount	0	1,839,735
Payments of term debt	(869,606)	(689,450)
Revolving credit facilities, net	200,945	42,323
Dividends / Distribution paid	(350,519)	(311,109)
Lease deposits and other obligations to tenants	3,174	322
Proceeds from sale of units, net of offering costs	0	900,574
Unit vesting - satisfaction of tax withholdings	(28,799)
Payment of debt refinancing, deferred financing costs, and other financing activities	(17,917)	(23,489)
Net cash provided by financing activities	(1,062,722)	1,758,906
(Decrease) increase in cash, cash equivalents, and restricted cash for period	(184,578)	161,339
Effect of exchange rate changes	(14,786)	6,173
Cash, cash equivalents, and restricted cash at beginning of period	461,882	556,369
Cash, cash equivalents, and restricted cash at end of period	262,518	723,881
Interest paid	209,445	160,985
Supplemental schedule of non-cash financing activities:
Dividend / Distributions declared, unpaid	174,017	165,133
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	257,269	721,321
Restricted cash, included in Other assets at end of period	$ 5,249	$ 2,560
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	$ 262,518	$ 723,881