Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2026	Sep. 30, 2025
Operating activities
Net income (loss)	$ 232,896	$ (293,534)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:
Depreciation and amortization	221,460	203,145
Amortization of deferred financing costs and debt discount	17,821	19,364
Straight-line rent revenue from operating and finance leases	(108,322)	(120,674)
Stock / Unit-based compensation expense	5,815	30,864
Gain on sale of real estate	(163,438)	(4,156)
Real estate and other impairment charges, net	62,314	167,132
Debt refinancing and unutilized financing (benefit) costs	(69,524)	3,629
Earnings from equity and other interests	(34,135)	(73,713)
Distributions of earnings from equity and other interests	84,880	30,502
Tax rate changes and other	(43,546)	997
Non-cash fair value adjustments	(10,526)	157,592
Other adjustments	(9,312)	(11,437)
Changes in:
Interest and rent receivables	31	8,305
Other assets	(931)	5,491
Accounts payable and accrued expenses	(94,383)	(45,719)
Deferred revenue	(1,773)	(7,085)
Net cash provided by operating activities	89,327	70,703
Investing activities
Cash paid for acquisitions and other related investments	(29,322)	(110,089)
Net proceeds from sale of real estate	389,900	96,961
Proceeds received from repayment of loans receivable	126,705	10,049
Investment in loans receivable	(186,452)	(158,974)
Construction in progress and other	(25,592)	(60,747)
Sale and return of equity investment	222,042	0
Capital additions and other investments, net	(60,227)	(34,069)
Net cash provided by (used for) investing activities	437,054	(256,869)
Financing activities
Proceeds from term debt	962,687	2,512,970
Payments of term debt	(968,837)	(2,252,731)
Revolving credit facility, net	(249,574)	171,530
Dividends / Distribution paid	(163,788)	(144,840)
Lease deposits and other obligations to tenants	1,574	2,475
Offering costs	(262)	(644)
Stock / Unit vesting - satisfaction of tax withholdings	(3,739)	(1,478)
Repurchase of common stock / unit	(6,123)	0
Payment of debt refinancing and deferred financing costs and other financing activities	(44,359)	(50,218)
Net cash (used for) provided by financing activities	(472,421)	237,064
Increase in cash, cash equivalents, and restricted cash for period	53,960	50,898
Effect of exchange rate changes	4,176	13,562
Cash, cash equivalents, and restricted cash at beginning of period	543,995	335,173
Cash, cash equivalents, and restricted cash at end of period	602,131	399,633
Interest paid	471,927	393,100
Supplemental schedule of non-cash investing activities:
Real estate and other assets provided in property exchange	158,706	0
Real estate acquired in property exchange	165,500	0
Supplemental schedule of non-cash financing activities:
Term debt issued in note exchange	1,437,313	0
Term debt retired in note exchange	1,560,307	0
Dividends / Distributions declared, unpaid	54,097	48,419
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	599,282	396,577
Restricted cash, included in Other assets at end of period	$ 2,849	$ 3,056
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	$ 602,131	$ 399,633
MPT Operating Partnership, L.P. [Member]
Operating activities
Net income (loss)	232,896	(293,534)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:
Depreciation and amortization	221,460	203,145
Amortization of deferred financing costs and debt discount	17,821	19,364
Straight-line rent revenue and other	(108,322)	(120,674)
Stock / Unit-based compensation expense	5,815	30,864
Gain on sale of real estate	(163,438)	(4,156)
Real estate and other impairment charges, net	62,314	167,132
Debt refinancing and unutilized financing (benefit) costs	(69,524)	3,629
Earnings from equity and other interests	(34,135)	(73,713)
Distributions of earnings from equity and other interests	84,880	30,502
Tax rate changes and other	(43,546)	997
Non-cash fair value adjustments	(10,526)	157,592
Other adjustments	(9,312)	(11,437)
Changes in:
Interest and rent receivables	31	8,305
Other assets	(931)	5,491
Accounts payable and accrued expenses	(94,383)	(45,719)
Deferred revenue	(1,773)	(7,085)
Net cash provided by operating activities	89,327	70,703
Investing activities
Cash paid for acquisitions and other related investments	(29,322)	(110,089)
Net proceeds from sale of real estate	389,900	96,961
Proceeds received from repayment of loans receivable	126,705	10,049
Investment in loans receivable	(186,452)	(158,974)
Construction in progress and other	(25,592)	(60,747)
Sale and return of equity investment	222,042	0
Capital additions and other investments, net	(60,227)	(34,069)
Net cash provided by (used for) investing activities	437,054	(256,869)
Financing activities
Proceeds from term debt	962,687	2,512,970
Payments of term debt	(968,837)	(2,252,731)
Revolving credit facility, net	(249,574)	171,530
Dividends / Distribution paid	(163,788)	(144,840)
Lease deposits and other obligations to tenants	1,574	2,475
Offering costs	(262)	(644)
Stock / Unit vesting - satisfaction of tax withholdings	(3,739)	(1,478)
Repurchase of common stock / unit	(6,123)	0
Payment of debt refinancing and deferred financing costs and other financing activities	(44,359)	(50,218)
Net cash (used for) provided by financing activities	(472,421)	237,064
Increase in cash, cash equivalents, and restricted cash for period	53,960	50,898
Effect of exchange rate changes	4,176	13,562
Cash, cash equivalents, and restricted cash at beginning of period	543,995	335,173
Cash, cash equivalents, and restricted cash at end of period	602,131	399,633
Interest paid	471,927	393,100
Supplemental schedule of non-cash investing activities:
Real estate and other assets provided in property exchange	158,706	0
Real estate acquired in property exchange	165,500	0
Supplemental schedule of non-cash financing activities:
Term debt issued in note exchange	1,437,313	0
Term debt retired in note exchange	1,560,307	0
Dividends / Distributions declared, unpaid	54,097	48,419
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	599,282	396,577
Restricted cash, included in Other assets at end of period	$ 2,849	$ 3,056
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	$ 602,131	$ 399,633