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Earnings Per Share/Unit - Calculation of Earnings Per Share (Detail) - USD ($)
shares in Thousands, $ in Thousands
12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Earnings Per Share, Basic, by Common Class, Including Two Class Method [Line Items]      
Net income $ 656,940 $ 432,272 $ 376,401
Non-controlling interests’ share in earnings (919) (822) (1,717)
Participating securities’ share in earnings (2,161) (2,105) (2,308)
Net income, less participating securities’ share in earnings $ 653,860 $ 429,345 $ 372,376
Basic weighted-average common shares 588,817 529,239 427,075
Dilutive potential common shares 1,322 1,222 1,224
Diluted weighted-average common shares 590,139 530,461 428,299
MPT Operating Partnership, L.P. [Member]      
Earnings Per Share, Basic, by Common Class, Including Two Class Method [Line Items]      
Net income $ 656,940 $ 432,272 $ 376,401
Non-controlling interests’ share in earnings (919) (822) (1,717)
Participating securities’ share in earnings (2,161) (2,105) (2,308)
Net income, less participating securities’ share in earnings $ 653,860 $ 429,345 $ 372,376
Basic weighted-average common shares 588,817 529,239 427,075
Dilutive potential common shares 1,322 1,222 1,224
Diluted weighted-average common shares 590,139 530,461 428,299