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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 gain (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, 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 156,211 156,211                      
Unrealized loss on interest rate swap, net of tax (5,258) (5,258)                      
Foreign currency translation gain (loss) (3,070) (3,070)                      
Proceeds from offering (net of offering costs) (shares)       22,600                  
Ending balance at Jun. 30, 2019 4,923,635 4,924,025 $ 49,797 $ 394 $ 4,927,292 4,855,310 121,772 (66,530) (66,530) (777) 13,466 13,466  
Ending balance (in shares) at Jun. 30, 2019     3,944 394,425 390,481               232
Beginning 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  
Beginning balance (in shares) at Mar. 31, 2019     3,918 391,839 387,921               232
Net income 79,920 79,920 $ 794   $ 78,644   79,438       482 482  
Unrealized loss on interest rate swap, net of tax (1,486) (1,486)           (1,486) (1,486)        
Foreign currency translation gain (loss) 2,848 2,848           2,848 2,848        
Stock (Unit) vesting and amortization of stock (unit)-based compensation 6,317 6,317 $ 63   $ 6,254 6,317              
Stock (Unit) vesting and amortization of stock (unit)-based compensation (shares)     1 119 118                
Distributions to non-controlling interests (670) (670)                 (670) (670)  
Proceeds from offering (net of offering costs) 45,323 45,323 $ 453 $ 2 $ 44,870 45,321              
Proceeds from offering (net of offering costs) (shares)     25 2,467 2,442                
Dividends (Distributions) declared ($0.25 in 2019 and $0.27 in 2020 per common share/ unit) (99,093) (99,093) $ (991)   $ (98,102)   (99,093)            
Ending balance at Jun. 30, 2019 4,923,635 4,924,025 $ 49,797 $ 394 $ 4,927,292 4,855,310 121,772 (66,530) (66,530) (777) 13,466 13,466  
Ending balance (in shares) at Jun. 30, 2019     3,944 394,425 390,481               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 gain (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
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 190,809 190,809                      
Unrealized loss on interest rate swap, net of tax (33,011) (33,011)                      
Foreign currency translation gain (loss) (17,097) (17,097)                      
Proceeds from offering (net of offering costs) (shares)       8,600                  
Ending balance at Jun. 30, 2020 7,067,277 7,067,667 $ 71,831 $ 529 $ 7,108,743 7,200,203 (19,771) (113,013) (113,013) (777) 106 106  
Ending balance (in shares) at Jun. 30, 2020     5,287 528,641 523,354               232
Beginning 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  
Beginning balance (in shares) at Mar. 31, 2020     5,225 522,435 517,210               232
Net income 109,652 109,652 $ 1,095   $ 108,373   109,468       184 184  
Unrealized loss on interest rate swap, net of tax (7,908) (7,908)           (7,908) (7,908)        
Foreign currency translation gain (loss) 6,175 6,175           6,175 6,175        
Stock (Unit) vesting and amortization of stock (unit)-based compensation 12,192 12,192 $ 122 $ 1 $ 12,070 12,191              
Stock (Unit) vesting and amortization of stock (unit)-based compensation (shares)     2 189 187                
Distributions to non-controlling interests (185) (185)                 (185) (185)  
Proceeds from offering (net of offering costs) 108,105 108,105 $ 1,081 $ 6 $ 107,024 108,099              
Proceeds from offering (net of offering costs) (shares)     60 6,017 5,957                
Dividends (Distributions) declared ($0.25 in 2019 and $0.27 in 2020 per common share/ unit) (143,264) (143,264) $ (1,433)   $ (141,831)   (143,264)            
Ending balance at Jun. 30, 2020 $ 7,067,277 $ 7,067,667 $ 71,831 $ 529 $ 7,108,743 $ 7,200,203 $ (19,771) $ (113,013) $ (113,013) $ (777) $ 106 $ 106  
Ending balance (in shares) at Jun. 30, 2020     5,287 528,641 523,354               232