Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2021	Jun. 30, 2020
Operating activities
Net income	$ 278,701	$ 190,809
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	157,675	128,215
Amortization of deferred financing costs and debt discount	7,692	6,438
Straight-line rent revenue and other	(131,291)	(96,730)
Share / (Unit)-based compensation expense	25,035	22,228
Loss from sale of real estate	398	1,776
Impairment charges		19,006
Straight-line rent and other (recovery) write-off	(5,251)	25,832
Debt refinancing and unutilized financing costs	2,339	611
Pre-acquisition rent collected - Circle Transaction		(35,020)
Tax rate and other changes	42,746	1,126
Other adjustments	10,276	9,307
Changes in:
Interest and rent receivables	(24,999)	186
Accounts payable and accrued expenses	19,320	12,216
Deferred revenue	(17,383)	3,066
Net cash provided by operating activities	365,258	289,066
Investing activities
Cash paid for acquisitions and other related investments	(3,062,029)	(2,226,302)
Net proceeds from sale of real estate	25,186	78,764
Principal received on loans receivable	1,206,699
Return of equity investment	11,000	63,122
Capital additions and other investments, net	(143,681)	(95,864)
Net cash used for investing activities	(1,962,825)	(2,180,280)
Financing activities
Proceeds from term debt, net of discount	1,839,735	915,950
Payments of term debt	(689,450)
Revolving credit facilities, net	42,323
Dividends / Distribution paid	(311,109)	(279,741)
Lease deposits and other obligations to tenants	322	5,001
Proceeds from sale of common shares, net of offering costs	900,574	169,787
Payment of debt refinancing, deferred financing costs, and other financing activities	(23,489)	(7,005)
Net cash provided by financing activities	1,758,906	803,992
Increase (decrease) in cash, cash equivalents, and restricted cash for period	161,339	(1,087,222)
Effect of exchange rate changes	6,173	155
Cash, cash equivalents, and restricted cash at beginning of period	556,369	1,467,991
Cash, cash equivalents, and restricted cash at end of period	723,881	380,924
Interest paid	160,985	147,502
Supplemental schedule of non-cash financing activities:
Dividend / Distributions declared, unpaid	165,133	143,264
Cash, cash equivalents, and restricted cash are comprised of the following:
Cash and cash equivalents at beginning of period	549,884	1,462,286
Restricted cash, included in Other assets at beginning of period	$ 6,485	$ 5,705
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	$ 556,369	$ 1,467,991
Cash and cash equivalents at end of period	721,321	374,962
Restricted cash, included in Other assets at end of period	$ 2,560	$ 5,962
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	$ 723,881	$ 380,924
MPT Operating Partnership, L.P. [Member]
Operating activities
Net income	278,701	190,809
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	157,675	128,215
Amortization of deferred financing costs and debt discount	7,692	6,438
Straight-line rent revenue and other	(131,291)	(96,730)
Share / (Unit)-based compensation expense	25,035	22,228
Loss from sale of real estate	398	1,776
Impairment charges		19,006
Straight-line rent and other (recovery) write-off	(5,251)	25,832
Debt refinancing and unutilized financing costs	2,339	611
Pre-acquisition rent collected - Circle Transaction		(35,020)
Tax rate and other changes	42,746	1,126
Other adjustments	10,276	9,307
Changes in:
Interest and rent receivables	(24,999)	186
Accounts payable and accrued expenses	19,320	12,216
Deferred revenue	(17,383)	3,066
Net cash provided by operating activities	365,258	289,066
Investing activities
Cash paid for acquisitions and other related investments	(3,062,029)	(2,226,302)
Net proceeds from sale of real estate	25,186	78,764
Principal received on loans receivable	1,206,699
Return of equity investment	11,000	63,122
Capital additions and other investments, net	(143,681)	(95,864)
Net cash used for investing activities	(1,962,825)	(2,180,280)
Financing activities
Proceeds from term debt, net of discount	1,839,735	915,950
Payments of term debt	(689,450)
Revolving credit facilities, net	42,323
Dividends / Distribution paid	(311,109)	(279,741)
Lease deposits and other obligations to tenants	322	5,001
Proceeds from sale of units, net of offering costs	900,574	169,787
Payment of debt refinancing, deferred financing costs, and other financing activities	(23,489)	(7,005)
Net cash provided by financing activities	1,758,906	803,992
Increase (decrease) in cash, cash equivalents, and restricted cash for period	161,339	(1,087,222)
Effect of exchange rate changes	6,173	155
Cash, cash equivalents, and restricted cash at beginning of period	556,369	1,467,991
Cash, cash equivalents, and restricted cash at end of period	723,881	380,924
Interest paid	160,985	147,502
Supplemental schedule of non-cash financing activities:
Dividend / Distributions declared, unpaid	165,133	143,264
Cash, cash equivalents, and restricted cash are comprised of the following:
Cash and cash equivalents at beginning of period	549,884	1,462,286
Restricted cash, included in Other assets at beginning of period	$ 6,485	$ 5,705
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	$ 556,369	$ 1,467,991
Cash and cash equivalents at end of period	721,321	374,962
Restricted cash, included in Other assets at end of period	$ 2,560	$ 5,962
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	$ 723,881	$ 380,924