Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2020	Sep. 30, 2019
Operating activities
Net income	$ 322,166	$ 246,478
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	200,807	111,067
Amortization of deferred financing costs and debt discount	9,773	6,293
Straight-line rent revenue and other	(161,163)	(91,616)
Share / (Unit)-based compensation expense	34,600	22,119
Loss (gain) from sale of real estate and other	2,703	(62)
Impairment charges	19,006
Straight-line rent and other write-off	27,098	7,232
Unutilized financing costs	611	4,873
Pre-acquisition rent collected - Circle Transaction	(35,020)
Other adjustments	27,187	11,643
Changes in:
Interest and rent receivables	(6,189)	528
Other assets	12,117	4,409
Accounts payable and accrued expenses	(11,478)	4,413
Net cash provided by operating activities	442,218	327,377
Investing activities
Cash paid for acquisitions and other related investments	(3,524,910)	(3,703,092)
Net proceeds from sale of real estate	93,042	4,859
Principal received on loans receivable	738,036	920
Investment in loans receivable	(65,708)	(34,149)
Construction in progress and other	(42,227)	(55,168)
Return of equity investment	63,122
Capital additions and other investments, net	(8,362)	(213,096)
Net cash used for investing activities	(2,747,007)	(3,999,726)
Financing activities
Proceeds from term debt	915,950	1,732,740
Revolving credit facilities, net	225,000	417,089
Dividends / Distribution paid	(423,005)	(291,675)
Lease deposits and other obligations to tenants	7,584	(8,349)
Proceeds from sale of common shares, net of offering costs	294,374	1,507,363
Payment of deferred financing costs and other financing activities	(2,143)	(24,187)
Net cash provided by financing activities	1,017,760	3,332,981
Decrease in cash, cash equivalents, and restricted cash for period	(1,287,029)	(339,368)
Effect of exchange rate changes	9,116	(16,645)
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	190,078	466,412
Interest paid	231,257	158,259
Supplemental schedule of non-cash financing activities:
Dividend / Distributions declared, unpaid	144,954	120,023
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	183,794	461,622
Restricted cash, included in Other assets at end of period	$ 6,284	$ 4,790
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	$ 190,078	$ 466,412
MPT Operating Partnership, L.P. [Member]
Operating activities
Net income	322,166	246,478
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	200,807	111,067
Amortization of deferred financing costs and debt discount	9,773	6,293
Straight-line rent revenue and other	(161,163)	(91,616)
Share / (Unit)-based compensation expense	34,600	22,119
Loss (gain) from sale of real estate and other	2,703	(62)
Impairment charges	19,006
Straight-line rent and other write-off	27,098	7,232
Unutilized financing costs	611	4,873
Pre-acquisition rent collected - Circle Transaction	(35,020)
Other adjustments	27,187	11,643
Changes in:
Interest and rent receivables	(6,189)	528
Other assets	12,117	4,409
Accounts payable and accrued expenses	(11,478)	4,413
Net cash provided by operating activities	442,218	327,377
Investing activities
Cash paid for acquisitions and other related investments	(3,524,910)	(3,703,092)
Net proceeds from sale of real estate	93,042	4,859
Principal received on loans receivable	738,036	920
Investment in loans receivable	(65,708)	(34,149)
Construction in progress and other	(42,227)	(55,168)
Return of equity investment	63,122
Capital additions and other investments, net	(8,362)	(213,096)
Net cash used for investing activities	(2,747,007)	(3,999,726)
Financing activities
Proceeds from term debt	915,950	1,732,740
Revolving credit facilities, net	225,000	417,089
Dividends / Distribution paid	(423,005)	(291,675)
Lease deposits and other obligations to tenants	7,584	(8,349)
Proceeds from sale of units, net of offering costs	294,374	1,507,363
Payment of deferred financing costs and other financing activities	(2,143)	(24,187)
Net cash provided by financing activities	1,017,760	3,332,981
Decrease in cash, cash equivalents, and restricted cash for period	(1,287,029)	(339,368)
Effect of exchange rate changes	9,116	(16,645)
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	190,078	466,412
Interest paid	231,257	158,259
Supplemental schedule of non-cash financing activities:
Dividend / Distributions declared, unpaid	144,954	120,023
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	183,794	461,622
Restricted cash, included in Other assets at end of period	$ 6,284	$ 4,790
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	$ 190,078	$ 466,412