Consolidated Statements of Cash Flows - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023
Operating activities
Net loss	$ (275,937)	$ (2,408,287)	$ (556,092)
Adjustments to reconcile net loss to net cash provided by operating activities:
Depreciation and amortization	272,817	453,749	616,127
Amortization of deferred financing costs and debt discount	26,283	17,348	15,775
Straight-line rent revenue and other	(158,172)	(172,765)	(233,703)
Stock / (Unit)-based compensation expense	25,746	32,976	33,250
(Gain) loss on sale of real estate	(5,545)	(478,693)	1,815
Real estate and other impairment charges, net	193,947	1,825,402	376,907
Equity interest real estate impairment		410,790
Straight-line rent and other write-off	11,054	2,514	649,911
Debt refinancing and unutilized financing (benefit) costs	3,629	4,292	(285)
Tax rate changes and other	(11,231)	5,119	(167,332)
Non-cash fair value adjustments	106,442	563,666	(34,157)
Non-cash revenue from debt and equity securities received			(81,706)
Other adjustments	7,580	4,975	10,287
Changes in:
Interest and rent receivables	7,111	2,778	(141,729)
Other assets	14,971	(36,109)	13,750
Accounts payable and accrued expenses	21,680	23,481	(4,599)
Deferred revenue	(9,608)	(5,753)	7,567
Net cash provided by operating activities	230,767	245,483	505,786
Investing activities
Cash paid for acquisitions and other related investments	(142,089)	(105,618)	(235,187)
Net proceeds from sale of real estate	120,550	1,854,077	897,500
Principal received from sale and repayment of loans receivable	116,309	214,416	501,630
Investment in loans receivable	(205,752)	(420,324)	(250,223)
Construction in progress and other	(80,003)	(79,788)	(114,425)
Proceeds from sale and return of equity investments		11,656	12,430
Capital additions and other investments, net	(73,753)	(156,078)	(294,167)
Net cash (used for) provided by investing activities	(264,738)	1,318,341	517,558
Financing activities
Proceeds from term debt	2,512,970	804,188
Payments of term debt	(2,252,731)	(701,809)	(988,162)
Revolving credit facilities, net	241,530	(1,131,312)	567,910
Dividends / Distribution paid	(193,259)	(321,080)	(615,390)
Lease deposits and other obligations to tenants	(3,202)	2,237	10,139
Offering costs	(727)
Repurchase of common stock / unit	(23,441)
Stock / Unit vesting - satisfaction of tax withholdings	(2,474)	(3,805)	(8,079)
Payment of debt refinancing and deferred financing costs and other financing activities	(50,585)	(127,798)	13,255
Net cash provided by (used for) financing activities	228,081	(1,479,379)	(1,020,327)
Increase in cash, cash equivalents, and restricted cash for the year	194,110	84,445	3,017
Effect of exchange rate changes	14,712	(5,224)	11,397
Cash, cash equivalents, and restricted cash at beginning of year	335,173	255,952	241,538
Cash, cash equivalents, and restricted cash at end of year	543,995	335,173	255,952
Interest paid, including capitalized interest of $12,920 in 2025, $7,642 in 2024, and $14,178 in 2023	458,225	420,315	406,141
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	50,000		722,814
Lease incentive provided	50,000
Supplemental schedule of non-cash financing activities:
Dividends declared, unpaid	55,351	48,164	92,808
Cash, cash equivalents, and restricted cash are comprised of the following:
Cash and cash equivalents at beginning of period	332,335	250,016	235,668
Restricted cash, included in Other assets at beginning 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 beginning of year	$ 543,995	$ 335,173	$ 255,952
Cash and cash equivalents at end of period	540,859	332,335	250,016
Restricted cash, included in Other assets at end of period	$ 3,136	$ 2,838	$ 5,936
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	$ 543,995	$ 335,173	$ 255,952
MPT Operating Partnership, L.P. [Member]
Operating activities
Net loss	(275,937)	(2,408,287)	(556,092)
Adjustments to reconcile net loss to net cash provided by operating activities:
Depreciation and amortization	272,817	453,749	616,127
Amortization of deferred financing costs and debt discount	26,283	17,348	15,775
Straight-line rent revenue and other	(158,172)	(172,765)	(233,703)
Stock / (Unit)-based compensation expense	25,746	32,976	33,250
(Gain) loss on sale of real estate	(5,545)	(478,693)	1,815
Real estate and other impairment charges, net	193,947	1,825,402	376,907
Equity interest real estate impairment		410,790
Straight-line rent and other write-off	11,054	2,514	649,911
Debt refinancing and unutilized financing (benefit) costs	3,629	4,292	(285)
Tax rate changes and other	(11,231)	5,119	(167,332)
Non-cash fair value adjustments	106,442	563,666	(34,157)
Non-cash revenue from debt and equity securities received			(81,706)
Other adjustments	7,580	4,975	10,287
Changes in:
Interest and rent receivables	7,111	2,778	(141,729)
Other assets	14,971	(36,109)	13,750
Accounts payable and accrued expenses	21,680	23,481	(4,599)
Deferred revenue	(9,608)	(5,753)	7,567
Net cash provided by operating activities	230,767	245,483	505,786
Investing activities
Cash paid for acquisitions and other related investments	(142,089)	(105,618)	(235,187)
Net proceeds from sale of real estate	120,550	1,854,077	897,500
Principal received from sale and repayment of loans receivable	116,309	214,416	501,630
Investment in loans receivable	(205,752)	(420,324)	(250,223)
Construction in progress and other	(80,003)	(79,788)	(114,425)
Proceeds from sale and return of equity investments		11,656	12,430
Capital additions and other investments, net	(73,753)	(156,078)	(294,167)
Net cash (used for) provided by investing activities	(264,738)	1,318,341	517,558
Financing activities
Proceeds from term debt	2,512,970	804,188
Payments of term debt	(2,252,731)	(701,809)	(988,162)
Revolving credit facilities, net	241,530	(1,131,312)	567,910
Dividends / Distribution paid	(193,259)	(321,080)	(615,390)
Lease deposits and other obligations to tenants	(3,202)	2,237	10,139
Offering costs	(727)
Repurchase of common stock / unit	(23,441)
Stock / Unit vesting - satisfaction of tax withholdings	(2,474)	(3,805)	(8,079)
Payment of debt refinancing and deferred financing costs and other financing activities	(50,585)	(127,798)	13,255
Net cash provided by (used for) financing activities	228,081	(1,479,379)	(1,020,327)
Increase in cash, cash equivalents, and restricted cash for the year	194,110	84,445	3,017
Effect of exchange rate changes	14,712	(5,224)	11,397
Cash, cash equivalents, and restricted cash at beginning of year	335,173	255,952	241,538
Cash, cash equivalents, and restricted cash at end of year	543,995	335,173	255,952
Interest paid, including capitalized interest of $12,920 in 2025, $7,642 in 2024, and $14,178 in 2023	458,225	420,315	406,141
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	50,000		722,814
Lease incentive provided	50,000
Supplemental schedule of non-cash financing activities:
Dividends declared, unpaid	55,351	48,164	92,808
Cash, cash equivalents, and restricted cash are comprised of the following:
Cash and cash equivalents at beginning of period	332,335	250,016	235,668
Restricted cash, included in Other assets at beginning 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 beginning of year	$ 543,995	$ 335,173	$ 255,952
Cash and cash equivalents at end of period	540,859	332,335	250,016
Restricted cash, included in Other assets at end of period	$ 3,136	$ 2,838	$ 5,936
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	$ 543,995	$ 335,173	$ 255,952