Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2020	Mar. 31, 2019
Operating activities
Net income	$ 81,157	$ 76,291
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	63,833	34,675
Amortization of deferred financing costs and debt discount	3,210	1,827
Straight-line rent revenue and other	(47,846)	(26,296)
Share / (Unit)-based compensation expense	10,036	6,715
Gain from sale of real estate and other	(1,325)
Impairment charges	19,006
Straight-line rent and other write-off, net of tax	7,717	2,596
Unutilized financing costs	611
Other adjustments	(27,401)	2,249
Changes in:
Interest and rent receivables	2,137	(1,193)
Accounts payable and accrued expenses	(4,221)	(9,940)
Net cash provided by operating activities	106,914	86,924
Investing activities
Cash paid for acquisitions and other related investments	(1,973,661)	(6,492)
Net proceeds from sale of real estate	9,597
Principal received on loans receivable		420
Investment in loans receivable	(2,307)	(1,185)
Other investments, net	71,582	(160,736)
Net cash used for investing activities	(1,894,789)	(167,993)
Financing activities
Proceeds from term debt	915,950
Revolving credit facilities, net		9,097
Dividends / Distribution paid	(138,074)	(95,419)
Lease deposits and other obligations to tenants	2,348	3,677
Proceeds from sale of common shares, net of offering costs	61,682	354,030
Payment of deferred financing costs and other financing activities	(6,687)	(677)
Net cash provided by financing activities	835,219	270,708
(Decrease) increase in cash, cash equivalents, and restricted cash for period	(952,656)	189,639
Effect of exchange rate changes	(9,157)	(11,450)
Cash, cash equivalents, and restricted cash at beginning of period	1,467,991	822,425
Cash, cash equivalents, and restricted cash at end of period	506,178	1,000,614
Interest paid	80,721	51,296
Supplemental schedule of non-cash financing activities:
Dividend / Distributions declared, unpaid	141,667	97,163
Cash, cash equivalents, and restricted cash are comprised of the following:
Cash and cash equivalents at beginning of period	1,462,286	820,868
Restricted cash, included in Other assets at beginning of period	$ 5,705	$ 1,557
Restricted Cash and Cash Equivalents, Asset, Statement of Financial Position [Extensible List]	us-gaap:OtherAssets	us-gaap:OtherAssets
Cash, cash equivalents, and restricted cash at beginning of period	$ 1,467,991	$ 822,425
Cash and cash equivalents at end of period	500,213	995,548
Restricted cash, included in Other assets at end of period	$ 5,965	$ 5,066
Restricted Cash and Cash Equivalents, Asset, Statement of Financial Position [Extensible List]	us-gaap:OtherAssets	us-gaap:OtherAssets
Cash, cash equivalents, and restricted cash at end of period	$ 506,178	$ 1,000,614
MPT Operating Partnership, L.P. [Member]
Operating activities
Net income	81,157	76,291
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	63,833	34,675
Amortization of deferred financing costs and debt discount	3,210	1,827
Straight-line rent revenue and other	(47,846)	(26,296)
Share / (Unit)-based compensation expense	10,036	6,715
Gain from sale of real estate and other	(1,325)
Impairment charges	19,006
Straight-line rent and other write-off, net of tax	7,717	2,596
Unutilized financing costs	611
Other adjustments	(27,401)	2,249
Changes in:
Interest and rent receivables	2,137	(1,193)
Accounts payable and accrued expenses	(4,221)	(9,940)
Net cash provided by operating activities	106,914	86,924
Investing activities
Cash paid for acquisitions and other related investments	(1,973,661)	(6,492)
Net proceeds from sale of real estate	9,597
Principal received on loans receivable		420
Investment in loans receivable	(2,307)	(1,185)
Other investments, net	71,582	(160,736)
Net cash used for investing activities	(1,894,789)	(167,993)
Financing activities
Proceeds from term debt	915,950
Revolving credit facilities, net		9,097
Dividends / Distribution paid	(138,074)	(95,419)
Lease deposits and other obligations to tenants	2,348	3,677
Proceeds from sale of units, net of offering costs	61,682	354,030
Payment of deferred financing costs and other financing activities	(6,687)	(677)
Net cash provided by financing activities	835,219	270,708
(Decrease) increase in cash, cash equivalents, and restricted cash for period	(952,656)	189,639
Effect of exchange rate changes	(9,157)	(11,450)
Cash, cash equivalents, and restricted cash at beginning of period	1,467,991	822,425
Cash, cash equivalents, and restricted cash at end of period	506,178	1,000,614
Interest paid	80,721	51,296
Supplemental schedule of non-cash financing activities:
Dividend / Distributions declared, unpaid	141,667	97,163
Cash, cash equivalents, and restricted cash are comprised of the following:
Cash and cash equivalents at beginning of period	1,462,286	820,868
Restricted cash, included in Other assets at beginning of period	$ 5,705	$ 1,557
Restricted Cash and Cash Equivalents, Asset, Statement of Financial Position [Extensible List]	us-gaap:OtherAssets	us-gaap:OtherAssets
Cash, cash equivalents, and restricted cash at beginning of period	$ 1,467,991	$ 822,425
Cash and cash equivalents at end of period	500,213	995,548
Restricted cash, included in Other assets at end of period	$ 5,965	$ 5,066
Restricted Cash and Cash Equivalents, Asset, Statement of Financial Position [Extensible List]	us-gaap:OtherAssets	us-gaap:OtherAssets
Cash, cash equivalents, and restricted cash at end of period	$ 506,178	$ 1,000,614