Consolidated Balance Sheets - USD ($) $ in Thousands	Dec. 31, 2022	Dec. 31, 2021
Real estate assets
Land	$ 1,948,216	$ 1,961,478
Buildings and improvements	10,352,308	10,581,992
Construction in progress	167,420	101,439
Intangible lease assets	1,394,471	1,417,813
Investment in financing leases	1,691,323	2,053,327
Real estate held for sale	0	1,096,505
Mortgage loans	364,101	213,211
Gross investment in real estate assets	15,917,839	17,425,765
Accumulated depreciation	(1,008,340)	(853,879)
Accumulated amortization	(184,972)	(139,221)
Net investment in real estate assets	14,724,527	16,432,665
Cash and cash equivalents	235,668	459,227
Interest and rent receivables	167,035	56,229
Straight-line rent receivables	787,166	728,522
Investments in unconsolidated real estate joint ventures	1,497,903	1,152,927
Investments in unconsolidated operating entities	1,444,872	1,289,434
Other loans	227,839	67,317
Other assets	572,990	333,480
Total Assets	19,658,000	20,519,801
Liabilities
Debt, net	10,268,412	11,282,770
Accounts payable and accrued expenses	621,324	607,792
Deferred revenue	27,727	25,563
Obligations to tenants and other lease liabilities	146,130	158,005
Total Liabilities	11,063,593	12,074,130
Commitments and Contingencies
Equity / Capital
Preferred stock, $0.001 par value. Authorized 10,000 shares; no shares outstanding
Common stock, $0.001 par value. Authorized 750,000 shares; issued and outstanding - 597,476 shares at December 31, 2022 and 596,748 shares at December 31, 2021	597	597
Additional paid-in capital	8,535,140	8,564,009
Retained earnings (deficit)	116,285	(87,691)
Accumulated other comprehensive loss	(59,184)	(36,727)
Total Medical Properties Trust, Inc. Stockholders' Equity (MPT Operating Partnership, L.P. capital)	8,592,838	8,440,188
Non-controlling interests	1,569	5,483
Total Equity / Capital	8,594,407	8,445,671
Total Liabilities and Equity / Capital	19,658,000	20,519,801
MPT Operating Partnership, L.P. [Member]
Real estate assets
Land	1,948,216	1,961,478
Buildings and improvements	10,352,308	10,581,992
Construction in progress	167,420	101,439
Intangible lease assets	1,394,471	1,417,813
Investment in financing leases	1,691,323	2,053,327
Real estate held for sale		1,096,505
Mortgage loans	364,101	213,211
Gross investment in real estate assets	15,917,839	17,425,765
Accumulated depreciation	(1,008,340)	(853,879)
Accumulated amortization	(184,972)	(139,221)
Net investment in real estate assets	14,724,527	16,432,665
Cash and cash equivalents	235,668	459,227
Interest and rent receivables	167,035	56,229
Straight-line rent receivables	787,166	728,522
Investments in unconsolidated real estate joint ventures	1,497,903	1,152,927
Investments in unconsolidated operating entities	1,444,872	1,289,434
Other loans	227,839	67,317
Other assets	572,990	333,480
Total Assets	19,658,000	20,519,801
Liabilities
Debt, net	10,268,412	11,282,770
Accounts payable and accrued expenses	444,354	430,908
Deferred revenue	27,727	25,563
Obligations to tenants and other lease liabilities	146,130	158,005
Payable due to Medical Properties Trust, Inc.	176,580	176,494
Total Liabilities	11,063,203	12,073,740
Commitments and Contingencies
Equity / Capital
General partner - issued and outstanding - 5976 units at December 31, 2022 and 5,968 units at December 31, 2021	86,599	84,847
Limited Partners - issued and outstanding - 591,500 units at December 31, 2022 and 590,780 units at December 31, 2021	8,565,813	8,392,458
Accumulated other comprehensive loss	(59,184)	(36,727)
Total Medical Properties Trust, Inc. Stockholders' Equity (MPT Operating Partnership, L.P. capital)	8,593,228	8,440,578
Non-controlling interests	1,569	5,483
Total Equity / Capital	8,594,797	8,446,061
Total Liabilities and Equity / Capital	$ 19,658,000	$ 20,519,801