Consolidated Balance Sheets - USD ($) $ in Thousands	Dec. 31, 2023	Dec. 31, 2022
Real estate assets
Land	$ 1,806,765	$ 1,948,216
Buildings and improvements	10,395,612	10,519,728
Intangible lease assets	1,034,810	1,394,471
Investment in financing leases	1,231,630	1,691,323
Mortgage loans	309,315	364,101
Gross investment in real estate assets	14,778,132	15,917,839
Accumulated depreciation	(1,227,619)	(1,008,340)
Accumulated amortization	(180,352)	(184,972)
Net investment in real estate assets	13,370,161	14,724,527
Cash and cash equivalents	250,016	235,668
Interest and rent receivables	45,059	167,035
Straight-line rent receivables	635,987	787,166
Investments in unconsolidated real estate joint ventures	1,474,455	1,497,903
Investments in unconsolidated operating entities	1,778,640	1,444,872
Other loans	292,615	227,839
Other assets	457,911	572,990
Total Assets	18,304,844	19,658,000
Liabilities
Debt, net	10,064,236	10,268,412
Accounts payable and accrued expenses	412,178	621,324
Deferred revenue	37,962	27,727
Obligations to tenants and other lease liabilities	156,603	146,130
Total Liabilities	10,670,979	11,063,593
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 - 598,991 shares at December 31, 2023 and 597,476 shares at December 31, 2022	599	597
Additional paid-in capital	8,560,309	8,535,140
Retained (deficit) earnings	(971,809)	116,285
Accumulated other comprehensive income (loss)	42,501	(59,184)
Total Medical Properties Trust, Inc. Stockholders' Equity (MPT Operating Partnership, L.P. capital)	7,631,600	8,592,838
Non-controlling interests	2,265	1,569
Total Equity / Capital	7,633,865	8,594,407
Total Liabilities and Equity / Capital	18,304,844	19,658,000
MPT Operating Partnership, L.P. [Member]
Real estate assets
Land	1,806,765	1,948,216
Buildings and improvements	10,395,612	10,519,728
Intangible lease assets	1,034,810	1,394,471
Investment in financing leases	1,231,630	1,691,323
Mortgage loans	309,315	364,101
Accumulated depreciation	(1,227,619)	(1,008,340)
Accumulated amortization	(180,352)	(184,972)
Cash and cash equivalents	250,016	235,668
Interest and rent receivables	45,059	167,035
Straight-line rent receivables	635,987	787,166
Investments in unconsolidated real estate joint ventures	1,474,455	1,497,903
Investments in unconsolidated operating entities	1,778,640	1,444,872
Other loans	292,615	227,839
Other assets	457,911	572,990
Liabilities
Debt, net	10,064,236	10,268,412
Accounts payable and accrued expenses	318,980	444,354
Deferred revenue	37,962	27,727
Obligations to tenants and other lease liabilities	156,603	146,130
Payable due to Medical Properties Trust, Inc.	92,808	176,580
Total Liabilities	10,670,589	11,063,203
Commitments and Contingencies
Equity / Capital
General partner - issued and outstanding - 5,991 units at December 31, 2023 and 5,976 units at December 31, 2022	75,969	86,599
Limited Partners - issued and outstanding - 593,000 units at December 31, 2023 and 591,500 units at December 31, 2022	7,513,520	8,565,813
Accumulated other comprehensive income (loss)	42,501	(59,184)
Total Medical Properties Trust, Inc. Stockholders' Equity (MPT Operating Partnership, L.P. capital)	7,631,990	8,593,228
Non-controlling interests	2,265	1,569
Total Equity / Capital	7,634,255	8,594,797
Total Liabilities and Equity / Capital	$ 18,304,844	$ 19,658,000