Condensed Consolidated Statements of Net Income (Unaudited) - USD ($) shares in Thousands, $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2019	Sep. 30, 2018	Sep. 30, 2019	Sep. 30, 2018
Revenues
Rent billed	$ 124,361	$ 118,238	$ 343,841	$ 369,076
Straight-line rent	31,026	18,293	76,813	49,157
Income from direct financing leases	17,502	18,998	52,168	55,613
Interest and other income	51,867	41,467	124,937	130,098
Total revenues	224,756	196,996	597,759	603,944
Expenses
Interest	64,519	57,215	167,396	172,364
Real estate depreciation and amortization	40,833	29,949	108,161	100,217
Property-related	4,038	2,719	15,394	6,823
General and administrative	23,286	20,982	69,009	58,352
Acquisition costs		506		917
Total expenses	132,676	111,371	359,960	338,673
Other income (expense)
Gain on sale of real estate and other, net	209	647,204	62	672,822
Earnings from equity interests	3,474	3,116	11,635	10,542
Unutilized financing fees	(3,959)		(4,873)
Other	(2,282)	2,595	(1,497)	(4,297)
Total other income	(2,558)	652,915	5,327	679,067
Income before income tax	89,522	738,540	243,126	944,338
Income tax benefit (expense)	745	(2,064)	3,352	(4,802)
Net income	90,267	736,476	246,478	939,536
Net income attributable to non-controlling interests	(481)	(442)	(1,432)	(1,334)
Net income attributable to MPT common stockholders (Operating Partnership partners)	$ 89,786	$ 736,034	$ 245,046	$ 938,202
Earnings per common share (unit) — basic
Net income attributable to MPT common stockholders (Operating Partnership partners)	$ 0.20	$ 2.01	$ 0.60	$ 2.56
Earnings per common share (unit) — diluted
Net income attributable to MPT common stockholders (Operating Partnership partners)	$ 0.20	$ 2.00	$ 0.60	$ 2.56
Weighted average shares (units) outstanding — basic	439,581	365,024	404,902	364,934
Weighted average shares (units) outstanding — diluted	440,933	366,467	406,100	365,784
Dividends declared per common share (unit)	$ 0.26	$ 0.25	$ 0.76	$ 0.75
MPT Operating Partnership, L.P. [Member]
Revenues
Rent billed	$ 124,361	$ 118,238	$ 343,841	$ 369,076
Straight-line rent	31,026	18,293	76,813	49,157
Income from direct financing leases	17,502	18,998	52,168	55,613
Interest and other income	51,867	41,467	124,937	130,098
Total revenues	224,756	196,996	597,759	603,944
Expenses
Interest	64,519	57,215	167,396	172,364
Real estate depreciation and amortization	40,833	29,949	108,161	100,217
Property-related	4,038	2,719	15,394	6,823
General and administrative	23,286	20,982	69,009	58,352
Acquisition costs		506		917
Total expenses	132,676	111,371	359,960	338,673
Other income (expense)
Gain on sale of real estate and other, net	209	647,204	62	672,822
Earnings from equity interests	3,474	3,116	11,635	10,542
Unutilized financing fees	(3,959)		(4,873)
Other	(2,282)	2,595	(1,497)	(4,297)
Total other income	(2,558)	652,915	5,327	679,067
Income before income tax	89,522	738,540	243,126	944,338
Income tax benefit (expense)	745	(2,064)	3,352	(4,802)
Net income	90,267	736,476	246,478	939,536
Net income attributable to non-controlling interests	(481)	(442)	(1,432)	(1,334)
Net income attributable to MPT common stockholders (Operating Partnership partners)	$ 89,786	$ 736,034	$ 245,046	$ 938,202
Earnings per common share (unit) — basic
Net income attributable to MPT common stockholders (Operating Partnership partners)	$ 0.20	$ 2.01	$ 0.60	$ 2.56
Earnings per common share (unit) — diluted
Net income attributable to MPT common stockholders (Operating Partnership partners)	$ 0.20	$ 2.00	$ 0.60	$ 2.56
Weighted average shares (units) outstanding — basic	439,581	365,024	404,902	364,934
Weighted average shares (units) outstanding — diluted	440,933	366,467	406,100	365,784
Dividends declared per common share (unit)	$ 0.26	$ 0.25	$ 0.76	$ 0.75