Consolidated Statements of Cash Flows - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2024	Dec. 31, 2023	Dec. 31, 2022
Operating activities
Net (loss) income	$ (2,408,287)	$ (556,092)	$ 903,819
Adjustments to reconcile net (loss) income to net cash provided by operating activities:
Depreciation and amortization	453,749	616,127	345,577
Amortization of deferred financing costs and debt discount	17,348	15,775	17,045
Straight-line rent revenue and other	(172,765)	(233,703)	(282,504)
Stock / (Unit)-based compensation expense	32,976	33,250	49,421
(Gain) loss on sale of real estate	(478,693)	1,815	(536,755)
Real estate and other impairment charges, net	1,825,402	376,907	268,375
Equity interest real estate impairment	410,790
Straight-line rent and other write-off	2,514	649,911	34,605
Debt refinancing and unutilized financing (benefit) costs	4,292	(285)	9,452
Tax rate changes and other	5,119	(167,332)	10,697
Non-cash fair value adjustments	563,666	(34,157)	(3,097)
Non-cash revenue from debt and equity securities received		(81,706)
Other adjustments	4,975	10,287	9,205
Changes in:
Interest and rent receivables	2,778	(141,729)	(116,420)
Other assets	(36,109)	13,750	(4,029)
Accounts payable and accrued expenses	23,481	(4,599)	33,576
Deferred revenue	(5,753)	7,567	43
Net cash provided by operating activities	245,483	505,786	739,010
Investing activities
Cash paid for acquisitions and other related investments	(105,618)	(235,187)	(1,332,962)
Net proceeds from sale of real estate	1,854,077	897,500	2,185,574
Principal received from sale and repayment of loans receivable	214,416	501,630	53,322
Investment in loans receivable	(420,324)	(250,223)	(207,542)
Construction in progress and other	(79,788)	(114,425)	(109,237)
Proceeds from sale and return of equity investments	11,656	12,430	14,295
Capital additions and other investments, net	(156,078)	(294,167)	(207,394)
Net cash provided by investing activities	1,318,341	517,558	396,056
Financing activities
Proceeds from term debt	804,188		128,536
Payments of term debt	(701,809)	(988,162)	(869,606)
Revolving credit facilities, net	(1,131,312)	567,910	203,576
Dividends / Distribution paid	(321,080)	(615,390)	(698,535)
Lease deposits and other obligations to tenants	2,237	10,139	(5,020)
Repurchase of common stock / unit			(17,940)
Stock / Unit vesting - satisfaction of tax withholdings	(3,805)	(8,079)	(29,922)
Other financing activities, Payment of debt refinancing and deferred financing costs	(127,798)	13,255	(53,612)
Net cash used for financing activities	(1,479,379)	(1,020,327)	(1,342,523)
Increase (decrease) in cash, cash equivalents, and restricted cash for the year	84,445	3,017	(207,457)
Effect of exchange rate changes	(5,224)	11,397	(12,887)
Cash, cash equivalents, and restricted cash at beginning of year	255,952	241,538	461,882
Cash, cash equivalents, and restricted cash at end of year	335,173	255,952	241,538
Interest paid, including capitalized interest of $7,642 in 2024, $14,178 in 2023, and $6,454 in 2022	420,315	406,141	353,838
Supplemental schedule of non-cash investing activities:
Debt and equity securities received for certain obligations, real estate, and revenue		804,520
Certain obligations and receivable satisfied and real estate sold		722,814
Supplemental schedule of non-cash financing activities:
Dividends declared, unpaid	48,164	92,808	176,580
Cash, cash equivalents, and restricted cash are comprised of the following:
Cash and cash equivalents at beginning of period	250,016	235,668	459,227
Restricted cash, included in Other assets at beginning of period	$ 5,936	$ 5,870	$ 2,655
Restricted Cash and Cash Equivalents, Asset, Statement of Financial Position [Extensible List]	Other Assets	Other Assets	Other Assets
Cash, cash equivalents, and restricted cash at beginning of year	$ 335,173	$ 255,952	$ 241,538
Cash and cash equivalents at end of period	332,335	250,016	235,668
Restricted cash, included in Other assets at end of period	$ 2,838	$ 5,936	$ 5,870
Restricted Cash and Cash Equivalents, Asset, Statement of Financial Position [Extensible List]	Other Assets	Other Assets	Other Assets
Cash, cash equivalents, and restricted cash at end of year	$ 335,173	$ 255,952	$ 241,538
MPT Operating Partnership, L.P. [Member]
Operating activities
Net (loss) income	(2,408,287)	(556,092)	903,819
Adjustments to reconcile net (loss) income to net cash provided by operating activities:
Depreciation and amortization	453,749	616,127	345,577
Amortization of deferred financing costs and debt discount	17,348	15,775	17,045
Straight-line rent revenue and other	(172,765)	(233,703)	(282,504)
Stock / (Unit)-based compensation expense	32,976	33,250	49,421
(Gain) loss on sale of real estate	(478,693)	1,815	(536,755)
Real estate and other impairment charges, net	1,825,402	376,907	268,375
Equity interest real estate impairment	410,790
Straight-line rent and other write-off	2,514	649,911	34,605
Debt refinancing and unutilized financing (benefit) costs	4,292	(285)	9,452
Tax rate changes and other	5,119	(167,332)	10,697
Non-cash fair value adjustments	563,666	(34,157)	(3,097)
Non-cash revenue from debt and equity securities received		(81,706)
Other adjustments	4,975	10,287	9,205
Changes in:
Interest and rent receivables	2,778	(141,729)	(116,420)
Other assets	(36,109)	13,750	(4,029)
Accounts payable and accrued expenses	23,481	(4,599)	33,576
Deferred revenue	(5,753)	7,567	43
Net cash provided by operating activities	245,483	505,786	739,010
Investing activities
Cash paid for acquisitions and other related investments	(105,618)	(235,187)	(1,332,962)
Net proceeds from sale of real estate	1,854,077	897,500	2,185,574
Principal received from sale and repayment of loans receivable	214,416	501,630	53,322
Investment in loans receivable	(420,324)	(250,223)	(207,542)
Construction in progress and other	(79,788)	(114,425)	(109,237)
Proceeds from sale and return of equity investments	11,656	12,430	14,295
Capital additions and other investments, net	(156,078)	(294,167)	(207,394)
Net cash provided by investing activities	1,318,341	517,558	396,056
Financing activities
Proceeds from term debt	804,188		128,536
Payments of term debt	(701,809)	(988,162)	(869,606)
Revolving credit facilities, net	(1,131,312)	567,910	203,576
Dividends / Distribution paid	(321,080)	(615,390)	(698,535)
Lease deposits and other obligations to tenants	2,237	10,139	(5,020)
Repurchase of common stock / unit			(17,940)
Stock / Unit vesting - satisfaction of tax withholdings	(3,805)	(8,079)	(29,922)
Other financing activities, Payment of debt refinancing and deferred financing costs	(127,798)	13,255	(53,612)
Net cash used for financing activities	(1,479,379)	(1,020,327)	(1,342,523)
Increase (decrease) in cash, cash equivalents, and restricted cash for the year	84,445	3,017	(207,457)
Effect of exchange rate changes	(5,224)	11,397	(12,887)
Cash, cash equivalents, and restricted cash at beginning of year	255,952	241,538	461,882
Cash, cash equivalents, and restricted cash at end of year	335,173	255,952	241,538
Interest paid, including capitalized interest of $7,642 in 2024, $14,178 in 2023, and $6,454 in 2022	420,315	406,141	353,838
Supplemental schedule of non-cash investing activities:
Debt and equity securities received for certain obligations, real estate, and revenue		804,520
Certain obligations and receivable satisfied and real estate sold		722,814
Supplemental schedule of non-cash financing activities:
Dividends declared, unpaid	48,164	92,808	176,580
Cash, cash equivalents, and restricted cash are comprised of the following:
Cash and cash equivalents at beginning of period	250,016	235,668	459,227
Restricted cash, included in Other assets at beginning of period	$ 5,936	$ 5,870	$ 2,655
Restricted Cash and Cash Equivalents, Asset, Statement of Financial Position [Extensible List]	Other Assets	Other Assets	Other Assets
Cash, cash equivalents, and restricted cash at beginning of year	$ 335,173	$ 255,952	$ 241,538
Cash and cash equivalents at end of period	332,335	250,016	235,668
Restricted cash, included in Other assets at end of period	$ 2,838	$ 5,936	$ 5,870
Restricted Cash and Cash Equivalents, Asset, Statement of Financial Position [Extensible List]	Other Assets	Other Assets	Other Assets
Cash, cash equivalents, and restricted cash at end of year	$ 335,173	$ 255,952	$ 241,538