Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2024	Jun. 30, 2023
Operating activities
Net loss	$ (1,195,036)	$ (9,403)
Adjustments to reconcile net loss to net cash provided by operating activities:
Depreciation and amortization	181,071	455,554
Amortization of deferred financing costs and debt discount	7,489	8,096
Straight-line rent revenue and other	(86,650)	(116,466)
Stock/Unit-based compensation expense	16,154	18,266
Gain on sale of real estate	(383,401)	(229)
Real estate and other impairment charges, net	830,507	89,538
Equity interest real estate impairment	410,790	0
Straight-line rent and other write-off	3,005	97,834
Debt refinancing and unutilized financing costs	2,964	816
Tax rate changes and other	4,588	(164,535)
Non-cash fair value adjustments	380,523	4,253
Non-cash revenue from debt and equity securities received	0	(68,557)
Other adjustments	10,604	(12,549)
Changes in:
Interest and rent receivables	(74)	(62,132)
Other assets	(28,415)	(9,514)
Accounts payable and accrued expenses	(34,262)	(25,609)
Deferred revenue	(10,256)	6,814
Net cash provided by operating activities	109,601	212,177
Investing activities
Acquisitions and other related investments	(105,618)	(235,187)
Net proceeds from sale of real estate	1,513,350	489,420
Proceeds received from sale and repayment of loans receivable	114,416	389,385
Investment in loans receivable	(316,000)	(55,223)
Construction in progress and other	(45,081)	(28,639)
Proceeds from sale and return of equity investment	11,656	0
Capital additions and other investments, net	(89,870)	(150,757)
Net cash provided by investing activities	1,082,853	408,999
Financing activities
Proceeds from term debt	804,188	0
Payments of term debt	(569,125)	(485,523)
Revolving credit facility, net	(812,312)	270,863
Dividends/Distributions paid	(182,573)	(350,304)
Lease deposits and other obligations to tenants	8,501	7,154
Stock vesting/Unit vesting - satisfaction of tax withholdings	(2,833)	(5,570)
Other financing activities, payment of debt refinancing, and deferred financing costs	(77,288)	12,439
Net cash used for financing activities	(831,442)	(550,941)
Increase in cash, cash equivalents, and restricted cash for period	361,012	70,235
Effect of exchange rate changes	(5,799)	18,184
Cash, cash equivalents, and restricted cash at beginning of period	255,952	241,538
Cash, cash equivalents, and restricted cash at end of period	611,165	329,957
Interest paid	254,857	227,361
Supplemental schedule of non-cash investing activities:
Debt and equity securities received for certain obligations, real estate, and revenue	0	804,520
Certain obligations and receivable satisfied and real estate sold	0	735,963
Supplemental schedule of non-cash financing activities:
Dividends/Distributions declared, unpaid	90,336	173,851
Cash, cash equivalents, and restricted cash are comprised of the following:
Cash and cash equivalents at beginning of period	250,016	235,668
Restricted cash, included in Other assets at beginning of period	$ 5,936	$ 5,870
Restricted Cash and Cash Equivalents, Asset, Statement of Financial Position [Extensible List]	Other Assets	Other Assets
Cash, cash equivalents, and restricted cash at beginning of period	$ 255,952	$ 241,538
Cash and cash equivalents at end of period	606,550	324,050
Restricted cash, included in Other assets at end of period	$ 4,615	$ 5,907
Restricted Cash and Cash Equivalents, Asset, Statement of Financial Position [Extensible List]	Other Assets	Other Assets
Cash, cash equivalents, and restricted cash at end of period	$ 611,165	$ 329,957
MPT Operating Partnership, L.P. [Member]
Operating activities
Net loss	(1,195,036)	(9,403)
Adjustments to reconcile net loss to net cash provided by operating activities:
Depreciation and amortization	181,071	455,554
Amortization of deferred financing costs and debt discount	7,489	8,096
Straight-line rent revenue and other	(86,650)	(116,466)
Stock/Unit-based compensation expense	16,154	18,266
Gain on sale of real estate	(383,401)	(229)
Real estate and other impairment charges, net	830,507	89,538
Equity interest real estate impairment	410,790	0
Straight-line rent and other write-off	3,005	97,834
Debt refinancing and unutilized financing costs	2,964	816
Tax rate changes and other	4,588	(164,535)
Non-cash fair value adjustments	380,523	4,253
Non-cash revenue from debt and equity securities received	0	(68,557)
Other adjustments	10,604	(12,549)
Changes in:
Interest and rent receivables	(74)	(62,132)
Other assets	(28,415)	(9,514)
Accounts payable and accrued expenses	(34,262)	(25,609)
Deferred revenue	(10,256)	6,814
Net cash provided by operating activities	109,601	212,177
Investing activities
Acquisitions and other related investments	(105,618)	(235,187)
Net proceeds from sale of real estate	1,513,350	489,420
Proceeds received from sale and repayment of loans receivable	114,416	389,385
Investment in loans receivable	(316,000)	(55,223)
Construction in progress and other	(45,081)	(28,639)
Proceeds from sale and return of equity investment	11,656	0
Capital additions and other investments, net	(89,870)	(150,757)
Net cash provided by investing activities	1,082,853	408,999
Financing activities
Proceeds from term debt	804,188	0
Payments of term debt	(569,125)	(485,523)
Revolving credit facility, net	(812,312)	270,863
Dividends/Distributions paid	(182,573)	(350,304)
Lease deposits and other obligations to tenants	8,501	7,154
Stock vesting/Unit vesting - satisfaction of tax withholdings	(2,833)	(5,570)
Other financing activities, payment of debt refinancing, and deferred financing costs	(77,288)	12,439
Net cash used for financing activities	(831,442)	(550,941)
Increase in cash, cash equivalents, and restricted cash for period	361,012	70,235
Effect of exchange rate changes	(5,799)	18,184
Cash, cash equivalents, and restricted cash at beginning of period	255,952	241,538
Cash, cash equivalents, and restricted cash at end of period	611,165	329,957
Interest paid	254,857	227,361
Supplemental schedule of non-cash investing activities:
Debt and equity securities received for certain obligations, real estate, and revenue	0	804,520
Certain obligations and receivable satisfied and real estate sold	0	735,963
Supplemental schedule of non-cash financing activities:
Dividends/Distributions declared, unpaid	90,336	173,851
Cash, cash equivalents, and restricted cash are comprised of the following:
Cash and cash equivalents at beginning of period	250,016	235,668
Restricted cash, included in Other assets at beginning of period	$ 5,936	$ 5,870
Restricted Cash and Cash Equivalents, Asset, Statement of Financial Position [Extensible List]	Other Assets	Other Assets
Cash, cash equivalents, and restricted cash at beginning of period	$ 255,952	$ 241,538
Cash and cash equivalents at end of period	606,550	324,050
Restricted cash, included in Other assets at end of period	$ 4,615	$ 5,907
Restricted Cash and Cash Equivalents, Asset, Statement of Financial Position [Extensible List]	Other Assets	Other Assets
Cash, cash equivalents, and restricted cash at end of period	$ 611,165	$ 329,957