Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019
Operating activities
Net income	$ 190,809	$ 156,211
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	128,215	69,430
Amortization of deferred financing costs and debt discount	6,438	3,816
Straight-line rent revenue and other	(96,730)	(54,070)
Share / (Unit)-based compensation expense	22,228	13,032
Loss from sale of real estate and other	1,776	147
Impairment charges	19,006
Straight-line rent and other write-off, net of tax	26,958	3,002
Unutilized financing costs	611	914
Pre-acquisition rent collected - Circle Transaction	(35,020)
Other adjustments	12,373	12,774
Changes in:
Interest and rent receivables	186	(265)
Accounts payable and accrued expenses	12,216	(6,885)
Net cash provided by operating activities	289,066	198,106
Investing activities
Cash paid for acquisitions and other related investments	(2,226,302)	(1,402,315)
Net proceeds from sale of real estate	78,764	3,449
Principal received on loans receivable		420
Investment in loans receivable	(62,064)	(2,992)
Other investments, net	29,322	(205,473)
Net cash used for investing activities	(2,180,280)	(1,606,911)
Financing activities
Proceeds from term debt	915,950	837,240
Revolving credit facilities, net		12,976
Dividends / Distribution paid	(279,741)	(192,582)
Lease deposits and other obligations to tenants	5,001	3,485
Proceeds from sale of common shares, net of offering costs	169,787	399,353
Payment of deferred financing costs and other financing activities	(7,005)	(9,432)
Net cash provided by financing activities	803,992	1,051,040
Decrease in cash, cash equivalents, and restricted cash for period	(1,087,222)	(357,765)
Effect of exchange rate changes	155	(8,050)
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	380,924	456,610
Interest paid	147,502	97,184
Supplemental schedule of non-cash financing activities:
Dividend / Distributions declared, unpaid	143,264	99,093
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	374,962	451,652
Restricted cash, included in Other assets at end of period	$ 5,962	$ 4,958
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	$ 380,924	$ 456,610
MPT Operating Partnership, L.P. [Member]
Operating activities
Net income	190,809	156,211
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	128,215	69,430
Amortization of deferred financing costs and debt discount	6,438	3,816
Straight-line rent revenue and other	(96,730)	(54,070)
Share / (Unit)-based compensation expense	22,228	13,032
Loss from sale of real estate and other	1,776	147
Impairment charges	19,006
Straight-line rent and other write-off, net of tax	26,958	3,002
Unutilized financing costs	611	914
Pre-acquisition rent collected - Circle Transaction	(35,020)
Other adjustments	12,373	12,774
Changes in:
Interest and rent receivables	186	(265)
Accounts payable and accrued expenses	12,216	(6,885)
Net cash provided by operating activities	289,066	198,106
Investing activities
Cash paid for acquisitions and other related investments	(2,226,302)	(1,402,315)
Net proceeds from sale of real estate	78,764	3,449
Principal received on loans receivable		420
Investment in loans receivable	(62,064)	(2,992)
Other investments, net	29,322	(205,473)
Net cash used for investing activities	(2,180,280)	(1,606,911)
Financing activities
Proceeds from term debt	915,950	837,240
Revolving credit facilities, net		12,976
Dividends / Distribution paid	(279,741)	(192,582)
Lease deposits and other obligations to tenants	5,001	3,485
Proceeds from sale of units, net of offering costs	169,787	399,353
Payment of deferred financing costs and other financing activities	(7,005)	(9,432)
Net cash provided by financing activities	803,992	1,051,040
Decrease in cash, cash equivalents, and restricted cash for period	(1,087,222)	(357,765)
Effect of exchange rate changes	155	(8,050)
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	380,924	456,610
Interest paid	147,502	97,184
Supplemental schedule of non-cash financing activities:
Dividend / Distributions declared, unpaid	143,264	99,093
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	374,962	451,652
Restricted cash, included in Other assets at end of period	$ 5,962	$ 4,958
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	$ 380,924	$ 456,610