Condensed Consolidated Balance Sheets - USD ($) $ in Thousands	Mar. 31, 2024	Dec. 31, 2023
Real estate assets
Land, buildings and improvements, intangible lease assets, and other	$ 12,823,748	$ 13,237,187
Investment in financing leases	1,233,178	1,231,630
Real estate held for sale	295,130
Mortgage loans	309,926	309,315
Gross investment in real estate assets	14,661,982	14,778,132
Accumulated depreciation and amortization	(1,422,728)	(1,407,971)
Net investment in real estate assets	13,239,254	13,370,161
Cash and cash equivalents	224,340	250,016
Interest and rent receivables	34,492	45,059
Straight-line rent receivables	677,570	635,987
Investments in unconsolidated real estate joint ventures	1,450,482	1,474,455
Investments in unconsolidated operating entities	794,138	1,778,640
Other loans	426,971	292,615
Other assets	453,709	457,911
Total Assets	17,300,956	18,304,844
Liabilities
Debt, net	10,098,723	10,064,236
Accounts payable and accrued expenses	302,526	412,178
Deferred revenue	32,076	37,962
Obligations to tenants and other lease liabilities	163,264	156,603
Total Liabilities	10,596,589	10,670,979
Equity / Capital
Preferred stock, $0.001 par value. Authorized 10,000 shares; no shares outstanding	0	0
Common stock, $0.001 par value. Authorized 750,000 shares; issued and outstanding - 600,304 shares at March 31, 2024 and 598,991 shares at December 31, 2023	600	599
Additional paid-in capital	8,567,199	8,560,309
Retained deficit	(1,846,862)	(971,809)
Accumulated other comprehensive (loss) income	(18,838)	42,501
Total Medical Properties Trust, Inc. Stockholders' Equity (MPT Operating Partnership, L.P. capital)	6,702,099	7,631,600
Non-controlling interests	2,268	2,265
Total Equity / Capital	6,704,367	7,633,865
Total Liabilities and Equity / Capital	17,300,956	18,304,844
MPT Operating Partnership, L.P. [Member]
Real estate assets
Land, buildings and improvements, intangible lease assets, and other	12,823,748	13,237,187
Investment in financing leases	1,233,178	1,231,630
Real estate held for sale	295,130	0
Mortgage loans	309,926	309,315
Gross investment in real estate assets	14,661,982	14,778,132
Accumulated depreciation and amortization	(1,422,728)	(1,407,971)
Net investment in real estate assets	13,239,254	13,370,161
Cash and cash equivalents	224,340	250,016
Interest and rent receivables	34,492	45,059
Straight-line rent receivables	677,570	635,987
Investments in unconsolidated real estate joint ventures	1,450,482	1,474,455
Investments in unconsolidated operating entities	794,138	1,778,640
Other loans	426,971	292,615
Other assets	453,709	457,911
Total Assets	17,300,956	18,304,844
Liabilities
Debt, net	10,098,723	10,064,236
Accounts payable and accrued expenses	302,136	318,980
Deferred revenue	32,076	37,962
Obligations to tenants and other lease liabilities	163,264	156,603
Payable due to Medical Properties Trust, Inc.		92,808
Total Liabilities	10,596,199	10,670,589
Equity / Capital
General Partner - issued and outstanding - 6,004 units at March 31, 2024 and 5,991 units at December 31, 2023	67,288	75,969
Limited Partners - issued and outstanding - 594,300 units at March 31, 2024 and 593,000 units at December 31, 2023	6,654,039	7,513,520
Accumulated other comprehensive (loss) income	(18,838)	42,501
Total Medical Properties Trust, Inc. Stockholders' Equity (MPT Operating Partnership, L.P. capital)	6,702,489	7,631,990
Non-controlling interests	2,268	2,265
Total Equity / Capital	6,704,757	7,634,255
Total Liabilities and Equity / Capital	$ 17,300,956	$ 18,304,844