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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]
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, 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 (Accounting Standards Update 2016-13) at Dec. 31, 2019       $ (8,399) $ (8,399) $ (84)     $ (8,315)     $ (8,399)            
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  
Unrealized gain (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 (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 (Accounting Standards Update 2016-13) at Dec. 31, 2019       $ (8,399) $ (8,399) $ (84)     $ (8,315)     $ (8,399)            
Beginning balance (in shares) at Dec. 31, 2019     5,176       517,522 512,346                   232
Net income 322,166 322,166                                
Unrealized gain (loss) on interest rate swap, net of tax (35,635) (35,635)                                
Foreign currency translation gain (loss) 2,886 2,886                                
Ending balance at Sep. 30, 2020 7,212,877 7,213,267 $ 73,062       $ 536 $ 7,230,623   7,337,155 (33,619)   (95,654) (95,654) (777) 5,236 5,236  
Ending balance (in shares) at Sep. 30, 2020     5,356       535,574 530,218                   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 gain (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 (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
Net income 131,357 131,357 $ 1,311         $ 129,795     131,106         251 251  
Unrealized gain (loss) on interest rate swap, net of tax (2,624) (2,624)                     (2,624) (2,624)        
Foreign currency translation gain (loss) 19,983 19,983                     19,983 19,983        
Stock (Unit) vesting and amortization of stock (unit)-based compensation 12,372 12,372 $ 124         $ 12,248   12,372                
Stock (Unit) vesting and amortization of stock (unit)-based compensation (shares)     2       188 186                    
Sale of non-controlling interests 5,073 5,073                           5,073 5,073  
Distributions to non-controlling interests (194) (194)                           (194) (194)  
Proceeds from offering (net of offering costs) 124,587 124,587 $ 1,246       $ 7 $ 123,341   124,580                
Proceeds from offering (net of offering costs) (shares)     67       6,745 6,678                    
Dividends (Distributions) declared (144,954) (144,954) $ (1,450)         $ (143,504)     (144,954)              
Ending balance at Sep. 30, 2020 7,212,877 7,213,267 $ 73,062       $ 536 $ 7,230,623   7,337,155 (33,619)   (95,654) (95,654) (777) 5,236 5,236  
Ending balance (in shares) at Sep. 30, 2020     5,356       535,574 530,218                   232
Beginning 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  
Beginning balance (in shares) at Dec. 31, 2020     5,414       541,419 536,005                    
Net income 163,880 163,880 $ 1,638         $ 162,145     163,783         97 97  
Unrealized gain (loss) on interest rate swap, net of tax 15,504 15,504                     15,504 15,504        
Foreign currency translation gain (loss) (30,900) (30,900)                     (30,900) (30,900)        
Stock (Unit) vesting and amortization of stock (unit)-based compensation 12,264 12,264 $ 123       $ 2 $ 12,141   12,262                
Stock (Unit) vesting and amortization of stock (unit)-based compensation (shares)     17       1,741 1,724                    
Distributions to non-controlling interests (193) (193)                           (193) (193)  
Proceeds from offering (net of offering costs) 779,241 779,241 $ 7,792       $ 40 $ 771,449   779,201                
Proceeds from offering (net of offering costs) (shares)     399       39,949 39,550                    
Dividends (Distributions) declared (163,443) (163,443) $ (1,634)         $ (161,809)     (163,443)              
Ending balance at Mar. 31, 2021 8,120,210 8,120,600 $ 81,896       $ 583 $ 8,100,195   8,252,966 (71,071)   (66,720) (66,720) (777) 5,229 5,229  
Ending balance (in shares) at Mar. 31, 2021     5,830       583,109 577,279                    
Beginning 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  
Beginning balance (in shares) at Dec. 31, 2020     5,414       541,419 536,005                    
Net income 450,096 450,096                                
Unrealized gain (loss) on interest rate swap, net of tax 28,558 28,558                                
Foreign currency translation gain (loss) (47,077) (47,077)                                
Ending balance at Sep. 30, 2021 8,358,734 8,359,124 $ 84,312       $ 596 $ 8,339,256   8,541,092 (117,733)   (69,843) (69,843) (777) 5,399 5,399  
Ending balance (in shares) at Sep. 30, 2021     5,962       596,145 590,183                    
Beginning balance at Mar. 31, 2021 8,120,210 8,120,600 $ 81,896       $ 583 $ 8,100,195   8,252,966 (71,071)   (66,720) (66,720) (777) 5,229 5,229  
Beginning balance (in shares) at Mar. 31, 2021     5,830       583,109 577,279                    
Net income 114,821 114,821 $ 1,146         $ 113,419     114,565         256 256  
Unrealized gain (loss) on interest rate swap, net of tax 4,207 4,207                     4,207 4,207        
Foreign currency translation gain (loss) 9,014 9,014                     9,014 9,014        
Stock (Unit) vesting and amortization of stock (unit)-based compensation 12,771 12,771 $ 128         $ 12,643   12,771                
Stock (Unit) vesting and amortization of stock (unit)-based compensation (shares)     2       176 174                    
Distributions to non-controlling interests (142) (142)                           (142) (142)  
Proceeds from offering (net of offering costs) 121,333 121,333 $ 1,213       $ 6 $ 120,120   121,327                
Proceeds from offering (net of offering costs) (shares)     58       5,679 5,621                    
Dividends (Distributions) declared (165,133) (165,133) $ (1,651)         $ (163,482)     (165,133)              
Ending balance at Jun. 30, 2021 8,217,081 8,217,471 $ 82,732       $ 589 $ 8,182,895   8,387,064 (121,639)   (53,499) (53,499) (777) 5,343 5,343  
Ending balance (in shares) at Jun. 30, 2021     5,890       588,964 583,074                    
Net income 171,395 171,395 $ 1,711         $ 169,426     171,137         258 258  
Unrealized gain (loss) on interest rate swap, net of tax 8,847 8,847                     8,847 8,847        
Foreign currency translation gain (loss) (25,191) (25,191)                     (25,191) (25,191)        
Stock (Unit) vesting and amortization of stock (unit)-based compensation 13,555 13,555 $ 136         $ 13,419   13,555                
Stock (Unit) vesting and amortization of stock (unit)-based compensation (shares)     2       218 216                    
Distributions to non-controlling interests (202) (202)                           (202) (202)  
Proceeds from offering (net of offering costs) 140,480 140,480 $ 1,405       $ 7 $ 139,075   140,473                
Proceeds from offering (net of offering costs) (shares)     70       6,963 6,893                    
Dividends (Distributions) declared (167,231) (167,231) $ (1,672)         $ (165,559)     (167,231)              
Ending balance at Sep. 30, 2021 $ 8,358,734 $ 8,359,124 $ 84,312       $ 596 $ 8,339,256   $ 8,541,092 $ (117,733)   $ (69,843) $ (69,843) $ (777) $ 5,399 $ 5,399  
Ending balance (in shares) at Sep. 30, 2021     5,962       596,145 590,183