Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
Operating activities
Net income (loss)	$ 33,107	$ (118,016)
Adjustments to reconcile net income (loss) to net cash (used for) provided by operating activities:
Depreciation and amortization	73,348	65,431
Amortization of deferred financing costs and debt discount	6,983	5,796
Straight-line rent revenue from operating and finance leases	(35,578)	(41,601)
Stock / Unit-based compensation expense	573	17,665
(Loss) gain on sale of real estate	790	(8,059)
Real estate and other impairment charges, net	19,506	79,581
Debt refinancing and unutilized financing costs	0	3,796
Tax rate changes and other	(45,155)	1,102
Non-cash fair value adjustments	(5,568)	26,609
Other adjustments	(1,596)	2,473
Changes in:
Interest and rent receivables	905	6,626
Other assets	556	(1,792)
Accounts payable and accrued expenses	(61,809)	(35,400)
Deferred revenue	(321)	(3,827)
Net cash (used for) provided by operating activities	(14,259)	384
Investing activities
Cash paid for acquisitions and other related investments	(29,322)	(39,314)
Net proceeds from sale of real estate	18,500	19,837
Proceeds received from repayment of loans receivable	48,651	0
Investment in loans receivable	(71,024)	(21,800)
Construction in progress and other	(12,717)	(26,053)
Capital additions and other investments, net	(30,864)	(22,086)
Net cash used for investing activities	(76,776)	(89,416)
Financing activities
Proceeds from term debt	0	2,512,970
Payments of term debt	0	(2,252,731)
Revolving credit facility, net	30,000	258,433
Dividends / Distribution paid	(55,351)	(48,164)
Lease deposits and other obligations to tenants	4,414	3,243
Offering costs	(39)	0
Stock / Unit vesting - satisfaction of tax withholdings	(1,792)	(289)
Payment of debt refinancing and deferred financing costs and other financing activities	(456)	(47,142)
Net cash (used for) provided by financing activities	(23,224)	426,320
(Decrease) increase in cash, cash equivalents, and restricted cash for period	(114,259)	337,288
Effect of exchange rate changes	(1,785)	4,024
Cash, cash equivalents, and restricted cash at beginning of period	543,995	335,173
Cash, cash equivalents, and restricted cash at end of period	427,951	676,485
Interest paid	174,061	118,005
Supplemental schedule of non-cash financing activities:
Dividends / Distributions declared, unpaid	54,255	48,387
Cash, cash equivalents, and restricted cash are comprised of the following:
Cash and cash equivalents at beginning of period	540,859	332,335
Restricted cash, included in Other assets at beginning of period	$ 3,136	$ 2,838
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	$ 543,995	$ 335,173
Cash and cash equivalents at end of period	425,001	673,482
Restricted cash, included in Other assets at end of period	$ 2,950	$ 3,003
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	$ 427,951	$ 676,485
MPT Operating Partnership, L.P. [Member]
Operating activities
Net income (loss)	33,107	(118,016)
Adjustments to reconcile net income (loss) to net cash (used for) provided by operating activities:
Depreciation and amortization	73,348	65,431
Amortization of deferred financing costs and debt discount	6,983	5,796
Straight-line rent revenue and other	(35,578)	(41,601)
Stock / Unit-based compensation expense	573	17,665
(Loss) gain on sale of real estate	790	(8,059)
Real estate and other impairment charges, net	19,506	79,581
Debt refinancing and unutilized financing costs	0	3,796
Tax rate changes and other	(45,155)	1,102
Non-cash fair value adjustments	(5,568)	26,609
Other adjustments	(1,596)	2,473
Changes in:
Interest and rent receivables	905	6,626
Other assets	556	(1,792)
Accounts payable and accrued expenses	(61,809)	(35,400)
Deferred revenue	(321)	(3,827)
Net cash (used for) provided by operating activities	(14,259)	384
Investing activities
Cash paid for acquisitions and other related investments	(29,322)	(39,314)
Net proceeds from sale of real estate	18,500	19,837
Proceeds received from repayment of loans receivable	48,651	0
Investment in loans receivable	(71,024)	(21,800)
Construction in progress and other	(12,717)	(26,053)
Capital additions and other investments, net	(30,864)	(22,086)
Net cash used for investing activities	(76,776)	(89,416)
Financing activities
Proceeds from term debt	0	2,512,970
Payments of term debt	0	(2,252,731)
Revolving credit facility, net	30,000	258,433
Dividends / Distribution paid	(55,351)	(48,164)
Lease deposits and other obligations to tenants	4,414	3,243
Offering costs	(39)	0
Stock / Unit vesting - satisfaction of tax withholdings	(1,792)	(289)
Payment of debt refinancing and deferred financing costs and other financing activities	(456)	(47,142)
Net cash (used for) provided by financing activities	(23,224)	426,320
(Decrease) increase in cash, cash equivalents, and restricted cash for period	(114,259)	337,288
Effect of exchange rate changes	(1,785)	4,024
Cash, cash equivalents, and restricted cash at beginning of period	543,995	335,173
Cash, cash equivalents, and restricted cash at end of period	427,951	676,485
Interest paid	174,061	118,005
Supplemental schedule of non-cash financing activities:
Dividends / Distributions declared, unpaid	54,255	48,387
Cash, cash equivalents, and restricted cash are comprised of the following:
Cash and cash equivalents at beginning of period	540,859	332,335
Restricted cash, included in Other assets at beginning of period	$ 3,136	$ 2,838
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	$ 543,995	$ 335,173
Cash and cash equivalents at end of period	425,001	673,482
Restricted cash, included in Other assets at end of period	$ 2,950	$ 3,003
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	$ 427,951	$ 676,485