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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]
Cumulative Effect, Period of Adoption, Adjustment [Member]
Cumulative Effect, Period of Adoption, Adjustment [Member]
MPT Operating Partnership, L.P. [Member]
Cumulative Effect, Period of Adoption, Adjustment [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]
Common Par Value [Member]
Cumulative Effect, Period of Adoption, Adjustment [Member]
MPT Operating Partnership, L.P. [Member]
Limited Partner [Member]
Additional Paid-in Capital [Member]
Retained Earnings (Deficit) [Member]
Retained Earnings (Deficit) [Member]
Cumulative Effect, Period of Adoption, Adjustment [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, 2017 $ 3,835,205 $ 3,835,595 $ 38,489   $ 1,938 $ 19 $ 364 $ 3,808,583 $ 1,919 $ 4,333,027 $ (485,932)   $ (26,049) $ (26,049) $ (777) $ 14,572 $ 14,572  
Beginning balance (Accounting Standards Update 2016-02) at Dec. 31, 2017       $ 1,938               $ 1,938            
Beginning balance (in shares) at Dec. 31, 2017     3,644       364,424 360,780                   292
Net income 1,018,477 1,018,477 $ 10,167         $ 1,006,518     1,016,685         1,792 1,792  
Unrealized loss on interest rate swap, net of tax (3,317) (3,317)                     (3,317) (3,317)        
Foreign currency translation gain (loss) (28,836) (28,836)                     (28,836) (28,836)        
Stock vesting and amortization of stock-based compensation 16,505 16,505 $ 165       $ 1 $ 16,340   16,504                
Stock (Unit) vesting and amortization of stock (unit)-based compensation (shares)     6       599 593                    
Conversion of LTIP units to common units (shares)               60                   (60)
Redemption of MOP units (816) (816)           $ (816)   (816)                
Redemption of common units (shares)               (60)                    
Distributions to non-controlling interests, net (2,534) (2,534)                           (2,534) (2,534)  
Proceeds from offering (net of offering costs) 94,239 94,239 $ 942       $ 6 $ 93,297   94,233                
Proceeds from offering (net of offering costs) (shares)     56       5,614 5,558                    
Dividends (Distributions) declared (369,923) (369,923) $ (3,698)         $ (366,225)     (369,923)              
Ending 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  
Ending balance (in shares) at Dec. 31, 2018     3,706       370,637 366,931                   232
Net income 376,401 376,401 $ 3,746         $ 370,938     374,684         1,717 1,717  
Unrealized loss on interest rate swap, net of tax (9,033) (9,033)                     (9,033) (9,033)        
Foreign currency translation gain (loss) 4,330 4,330                     4,330 4,330        
Stock vesting and amortization of stock-based compensation 32,188 32,188 $ 322       $ 2 $ 31,866   32,186                
Stock (Unit) vesting and amortization of stock (unit)-based compensation (shares)     15       1,536 1,521                    
Distributions to non-controlling interests, net (15,440) (15,440)                           (15,440) (15,440)  
Proceeds from offering (net of offering costs) 2,533,210 2,533,210 $ 25,332       $ 145 $ 2,507,878   2,533,065                
Proceeds from offering (net of offering costs) (shares)     1,455       145,349 143,894                    
Dividends (Distributions) declared (454,440) (454,440) $ (4,545)         $ (449,895)     (454,440)              
Ending 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  
Ending balance (Accounting Standards Update 2016-13) at Dec. 31, 2019       $ (8,399) $ (8,399) $ (84)     $ (8,315)     $ (8,399)            
Ending balance (in shares) at Dec. 31, 2019     5,176       517,522 512,346                   232
Net income 432,272 432,272 $ 4,315         $ 427,135     431,450         822 822  
Unrealized loss on interest rate swap, net of tax (33,091) (33,091)                     (33,091) (33,091)        
Foreign currency translation gain (loss) 44,672 44,672                     44,672 44,672        
Stock vesting and amortization of stock-based compensation 47,154 47,154 $ 472       $ 2 $ 46,682   47,152                
Stock (Unit) vesting and amortization of stock (unit)-based compensation (shares)     29       2,893 2,864                    
Sale of non-controlling interests 5,097 5,097                           5,097 5,097  
Conversion of LTIP units to common units (shares)               232                   (232)
Redemption of MOP units (4,928) (4,928)           $ (4,928)   (4,928)                
Redemption of common units (shares)               (232)                    
Distributions to non-controlling interests, net (701) (701)                           (701) (701)  
Proceeds from offering (net of offering costs) 411,101 411,101 $ 4,111       $ 21 $ 406,990   411,080                
Proceeds from offering (net of offering costs) (shares)     209       21,004 20,795                    
Dividends (Distributions) declared (577,474) (577,474) $ (5,776)         $ (571,698)     (577,474)              
Ending balance at Dec. 31, 2020 $ 7,343,857 $ 7,344,247 $ 73,977       $ 541 $ 7,316,269   $ 7,461,503 $ (71,411)   $ (51,324) $ (51,324) $ (777) $ 5,325 $ 5,325  
Ending balance (in shares) at Dec. 31, 2020     5,414       541,419 536,005