Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2022	Sep. 30, 2021
Operating activities
Net income	$ 1,044,031	$ 450,096
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	260,717	246,117
Amortization of deferred financing costs and debt discount	13,123	12,079
Straight-line rent revenue and other	(214,435)	(208,756)
Share / (Unit)-based compensation expense	33,001	38,590
Gain on sale of real estate and other, net	(536,788)	(8,896)
Straight-line rent and other write-off (recovery)	28,411	(1,601)
Debt refinancing and unutilized financing costs	9,452	2,339
Tax rate changes	(825)	42,746
Other adjustments	(2,137)	15,468
Changes in:
Interest and rent receivables	(68,929)	(19,150)
Other assets	(7,551)	516
Accounts payable and accrued expenses	8,030	25,527
Deferred revenue	(8,185)	(17,588)
Net cash provided by operating activities	557,915	577,487
Investing activities
Cash paid for acquisitions and other related investments	(972,243)	(4,279,147)
Net proceeds from sale of real estate	2,185,574	66,891
Principal received on loans receivable	52,317	1,234,839
Investment in loans receivable	(179,542)	(38,921)
Construction in progress and other	(97,783)	(30,291)
Proceeds from return of equity investment	14,295	21,998
Capital additions and other investments, net	(144,307)	(195,298)
Net cash provided by (used for) investing activities	858,311	(3,219,929)
Financing activities
Proceeds from term debt, net of discount		2,489,735
Payments of term debt	(869,606)	(689,450)
Revolving credit facilities, net	(64,055)	80,963
Dividends / Distribution paid	(524,536)	(476,242)
Lease deposits and other obligations to tenants	(2,591)	14,819
Proceeds from sale of common shares, net of offering costs		1,041,054
Unit vesting - satisfaction of tax withholdings	(29,457)
Payment of debt refinancing, deferred financing costs, and other financing activities	(53,444)	(24,245)
Net cash provided by financing activities	(1,543,689)	2,436,634
Decrease in cash, cash equivalents, and restricted cash for period	(127,463)	(205,808)
Effect of exchange rate changes	(29,739)	1,748
Cash, cash equivalents, and restricted cash at beginning of period	461,882	556,369
Cash, cash equivalents, and restricted cash at end of period	304,680	352,309
Interest paid	285,417	256,724
Supplemental schedule of non-cash financing activities:
Dividend / Distributions declared, unpaid	173,999	167,231
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	299,171	349,652
Restricted cash, included in Other assets at end of period	$ 5,509	$ 2,657
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	$ 304,680	$ 352,309
MPT Operating Partnership, L.P. [Member]
Operating activities
Net income	1,044,031	450,096
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	260,717	246,117
Amortization of deferred financing costs and debt discount	13,123	12,079
Straight-line rent revenue and other	(214,435)	(208,756)
Share / (Unit)-based compensation expense	33,001	38,590
Gain on sale of real estate and other, net	(536,788)	(8,896)
Straight-line rent and other write-off (recovery)	28,411	(1,601)
Debt refinancing and unutilized financing costs	9,452	2,339
Tax rate changes	(825)	42,746
Other adjustments	(2,137)	15,468
Changes in:
Interest and rent receivables	(68,929)	(19,150)
Other assets	(7,551)	516
Accounts payable and accrued expenses	8,030	25,527
Deferred revenue	(8,185)	(17,588)
Net cash provided by operating activities	557,915	577,487
Investing activities
Cash paid for acquisitions and other related investments	(972,243)	(4,279,147)
Net proceeds from sale of real estate	2,185,574	66,891
Principal received on loans receivable	52,317	1,234,839
Investment in loans receivable	(179,542)	(38,921)
Construction in progress and other	(97,783)	(30,291)
Proceeds from return of equity investment	14,295	21,998
Capital additions and other investments, net	(144,307)	(195,298)
Net cash provided by (used for) investing activities	858,311	(3,219,929)
Financing activities
Proceeds from term debt, net of discount		2,489,735
Payments of term debt	(869,606)	(689,450)
Revolving credit facilities, net	(64,055)	80,963
Dividends / Distribution paid	(524,536)	(476,242)
Lease deposits and other obligations to tenants	(2,591)	14,819
Proceeds from sale of units, net of offering costs		1,041,054
Unit vesting - satisfaction of tax withholdings	(29,457)
Payment of debt refinancing, deferred financing costs, and other financing activities	(53,444)	(24,245)
Net cash provided by financing activities	(1,543,689)	2,436,634
Decrease in cash, cash equivalents, and restricted cash for period	(127,463)	(205,808)
Effect of exchange rate changes	(29,739)	(1,748)
Cash, cash equivalents, and restricted cash at beginning of period	461,882	556,369
Cash, cash equivalents, and restricted cash at end of period	304,680	352,309
Interest paid	285,417	256,724
Supplemental schedule of non-cash financing activities:
Dividend / Distributions declared, unpaid	173,999	167,231
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	299,171	349,652
Restricted cash, included in Other assets at end of period	$ 5,509	$ 2,657
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	$ 304,680	$ 352,309