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Condensed Consolidated Statements of Equity / Capital - USD ($)
shares in Thousands, $ in Thousands
Total
MPT Operating Partnership, L.P. [Member]
MPT Operating Partnership, L.P. [Member]
General Partner [Member]
Common Par Value [Member]
Common Par Value [Member]
MPT Operating Partnership, L.P. [Member]
Limited Partner [Member]
Additional Paid-in Capital [Member]
Retained Earnings (Deficit) [Member]
Accumulated Other Comprehensive Loss [Member]
Accumulated Other Comprehensive Loss [Member]
MPT Operating Partnership, L.P. [Member]
Treasury Shares [Member]
Non-Controlling Interests [Member]
Non-Controlling Interests [Member]
MPT Operating Partnership, L.P. [Member]
Long Term Incentive Plan [Member]
MPT Operating Partnership, L.P. [Member]
Limited Partner [Member]
Beginning balance at Dec. 31, 2018 $ 4,560,938 $ 4,561,328 $ 46,084 $ 371 $ 4,559,616 $ 4,442,948 $ 162,768 $ (58,202) $ (58,202) $ (777) $ 13,830 $ 13,830  
Beginning balance (in shares) at Dec. 31, 2018     3,706 370,637 366,931               232
Net income 76,291 76,291 $ 758   $ 75,064   75,822       469 469  
Unrealized loss on interest rate swap, net of tax (3,772) (3,772)           (3,772) (3,772)        
Foreign currency translation loss (5,918) (5,918)           (5,918) (5,918)        
Stock (Unit) vesting and amortization of stock (unit)-based compensation 6,715 6,715 $ 68 $ 1 $ 6,647 6,714              
Stock (Unit) vesting and amortization of stock (unit)-based compensation (shares)     11 1,055 1,044                
Distributions to non-controlling interests (645) (645)                 (645) (645)  
Proceeds from offering (net of offering costs) 354,030 354,030 $ 3,540 $ 20 $ 350,490 354,010              
Proceeds from offering (net of offering costs) (shares)     201 20,147 19,946                
Dividends (Distributions) declared ($0.25 in 2019 and $0.27 in 2020 per common share/ unit) (97,163) (97,163) $ (972)   $ (96,191)   (97,163)            
Ending balance at Mar. 31, 2019 4,890,476 4,890,866 $ 49,478 $ 392 $ 4,895,626 4,803,672 141,427 (67,892) (67,892) (777) 13,654 13,654  
Ending balance (in shares) at Mar. 31, 2019     3,918 391,839 387,921               232
Beginning balance at Dec. 31, 2019 7,028,154 7,028,544 $ 70,939 $ 518 $ 7,020,403 7,008,199 83,012 (62,905) (62,905) (777) 107 107  
Beginning balance (in shares) at Dec. 31, 2019     5,176 517,522 512,346               232
Net income 81,157 81,157 $ 810   $ 80,182   80,992       165 165  
Cumulative effect of change in accounting principles (8,399) (8,399) (84)   (8,315)   (8,399)            
Unrealized loss on interest rate swap, net of tax (25,103) (25,103)           (25,103) (25,103)        
Foreign currency translation loss (23,272) (23,272)           (23,272) (23,272)        
Stock (Unit) vesting and amortization of stock (unit)-based compensation 10,036 10,036 $ 100 $ 2 $ 9,936 10,034              
Stock (Unit) vesting and amortization of stock (unit)-based compensation (shares)     23 2,312 2,289                
Distributions to non-controlling interests (165) (165)                 (165) (165)  
Proceeds from offering (net of offering costs) 61,682 61,682 $ 617 $ 2 $ 61,065 61,680              
Proceeds from offering (net of offering costs) (shares)     26 2,601 2,575                
Dividends (Distributions) declared ($0.25 in 2019 and $0.27 in 2020 per common share/ unit) (141,580) (141,580) $ (1,416)   $ (140,164)   (141,580)            
Ending balance at Mar. 31, 2020 $ 6,982,510 $ 6,982,900 $ 70,966 $ 522 $ 7,023,107 $ 7,079,913 $ 14,025 $ (111,280) $ (111,280) $ (777) $ 107 $ 107  
Ending balance (in shares) at Mar. 31, 2020     5,225 522,435 517,210               232