Condensed Consolidated Balance Sheets - USD ($) $ in Thousands	Sep. 30, 2023	Dec. 31, 2022
Real estate assets
Land, buildings and improvements, intangible lease assets, and other	$ 13,042,260	$ 13,862,415
Investment in financing leases	1,233,336	1,691,323
Real estate held for sale	290,321
Mortgage loans	302,476	364,101
Gross investment in real estate assets	14,868,393	15,917,839
Accumulated depreciation and amortization	(1,315,223)	(1,193,312)
Net investment in real estate assets	13,553,170	14,724,527
Cash and cash equivalents	340,058	235,668
Interest and rent receivables, net	195,559	167,035
Straight-line rent receivables	788,761	787,166
Investments in unconsolidated real estate joint ventures	1,461,725	1,497,903
Investments in unconsolidated operating entities	1,843,847	1,444,872
Other loans	263,471	227,839
Other assets	558,291	572,990
Total Assets	19,004,882	19,658,000
Liabilities
Debt, net	10,157,079	10,268,412
Accounts payable and accrued expenses	375,888	621,324
Deferred revenue	32,280	27,727
Obligations to tenants and other lease liabilities	154,218	146,130
Total Liabilities	10,719,465	11,063,593
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 - 598,444 shares at September 30, 2023 and 597,476 shares at December 31, 2022	598	597
Additional paid-in capital	8,558,768	8,535,140
Retained (deficit) earnings	(215,058)	116,285
Accumulated other comprehensive loss	(59,778)	(59,184)
Total Medical Properties Trust, Inc. Stockholders' Equity (MPT Operating Partnership, L.P. capital)	8,284,530	8,592,838
Non-controlling interests	887	1,569
Total Equity / Capital	8,285,417	8,594,407
Total Liabilities and Equity / Capital	19,004,882	19,658,000
MPT Operating Partnership, L.P. [Member]
Real estate assets
Land, buildings and improvements, intangible lease assets, and other	13,042,260	13,862,415
Investment in financing leases	1,233,336	1,691,323
Real estate held for sale	290,321
Mortgage loans	302,476	364,101
Gross investment in real estate assets	14,868,393	15,917,839
Accumulated depreciation and amortization	(1,315,223)	(1,193,312)
Net investment in real estate assets	13,553,170	14,724,527
Cash and cash equivalents	340,058	235,668
Interest and rent receivables, net	195,559	167,035
Straight-line rent receivables	788,761	787,166
Investments in unconsolidated real estate joint ventures	1,461,725	1,497,903
Investments in unconsolidated operating entities	1,843,847	1,444,872
Other loans	263,471	227,839
Other assets	558,291	572,990
Total Assets	19,004,882	19,658,000
Liabilities
Debt, net	10,157,079	10,268,412
Accounts payable and accrued expenses	284,262	444,354
Deferred revenue	32,280	27,727
Obligations to tenants and other lease liabilities	154,218	146,130
Payable due to Medical Properties Trust, Inc.	91,236	176,580
Total Liabilities	10,719,075	11,063,203
Equity / Capital
General Partner - issued and outstanding - 5,986 units at September 30, 2023 and 5,976 units at December 31, 2022	83,521	86,599
Limited Partners - issued and outstanding - 592,458 units at September 30, 2023 and 591,500 units at December 31, 2022	8,261,177	8,565,813
Accumulated other comprehensive loss	(59,778)	(59,184)
Total Medical Properties Trust, Inc. Stockholders' Equity (MPT Operating Partnership, L.P. capital)	8,284,920	8,593,228
Non-controlling interests	887	1,569
Total Equity / Capital	8,285,807	8,594,797
Total Liabilities and Equity / Capital	$ 19,004,882	$ 19,658,000