Consolidated Balance Sheets - USD ($) $ in Thousands	Dec. 31, 2024	Dec. 31, 2023
Real estate assets
Land	$ 1,607,869	$ 1,806,765
Buildings and improvements	8,847,892	10,395,612
Intangible lease assets	804,081	1,034,810
Investment in financing leases	1,057,770	1,231,630
Real estate held for sale	34,019	0
Mortgage loans	119,912	309,315
Gross investment in real estate assets	12,471,543	14,778,132
Accumulated depreciation	(1,221,644)	(1,227,619)
Accumulated amortization	(201,304)	(180,352)
Net investment in real estate assets	11,048,595	13,370,161
Cash and cash equivalents	332,335	250,016
Interest and rent receivables	36,327	45,059
Straight-line rent receivables	700,783	635,987
Investments in unconsolidated real estate joint ventures	1,156,397	1,474,455
Investments in unconsolidated operating entities	439,578	1,778,640
Other loans	109,175	292,615
Other assets	471,404	457,911
Total Assets	14,294,594	18,304,844
Liabilities
Debt, net	8,848,112	10,064,236
Accounts payable and accrued expenses	454,209	412,178
Deferred revenue	29,445	37,962
Obligations to tenants and other lease liabilities	129,045	156,603
Total Liabilities	9,460,811	10,670,979
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 - 600,403 shares at December 31, 2024 and 598,991 shares at December 31, 2023	600	599
Additional paid-in capital	8,584,917	8,560,309
Retained deficit	(3,658,516)	(971,809)
Accumulated other comprehensive (loss) income	(94,272)	42,501
Total Medical Properties Trust, Inc. Stockholders' Equity (MPT Operating Partnership, L.P. capital)	4,832,729	7,631,600
Non-controlling interests	1,054	2,265
Total Equity / Capital	4,833,783	7,633,865
Total Liabilities and Equity / Capital	14,294,594	18,304,844
MPT Operating Partnership, L.P. [Member]
Real estate assets
Land	1,607,869	1,806,765
Buildings and improvements	8,847,892	10,395,612
Intangible lease assets	804,081	1,034,810
Investment in financing leases	1,057,770	1,231,630
Real estate held for sale	34,019	0
Mortgage loans	119,912	309,315
Gross investment in real estate assets	12,471,543	14,778,132
Accumulated depreciation	(1,221,644)	(1,227,619)
Accumulated amortization	(201,304)	(180,352)
Net investment in real estate assets	11,048,595	13,370,161
Cash and cash equivalents	332,335	250,016
Interest and rent receivables	36,327	45,059
Straight-line rent receivables	700,783	635,987
Investments in unconsolidated real estate joint ventures	1,156,397	1,474,455
Investments in unconsolidated operating entities	439,578	1,778,640
Other loans	109,175	292,615
Other assets	471,404	457,911
Total Assets	14,294,594	18,304,844
Liabilities
Debt, net	8,848,112	10,064,236
Accounts payable and accrued expenses	405,655	318,980
Deferred revenue	29,445	37,962
Obligations to tenants and other lease liabilities	129,045	156,603
Payable due to Medical Properties Trust, Inc.	48,164	92,808
Total Liabilities	9,460,421	10,670,589
Commitments and Contingencies
Equity / Capital
General partner - issued and outstanding - 6,006 units at December 31, 2024 and 5,991 units at December 31, 2023	49,348	75,969
Limited Partners - issued and outstanding - 594,397 units at December 31, 2024 and 593,000 units at December 31, 2023	4,878,043	7,513,520
Accumulated other comprehensive (loss) income	(94,272)	42,501
Total Medical Properties Trust, Inc. Stockholders' Equity (MPT Operating Partnership, L.P. capital)	4,833,119	7,631,990
Non-controlling interests	1,054	2,265
Total Equity / Capital	4,834,173	7,634,255
Total Liabilities and Equity / Capital	$ 14,294,594	$ 18,304,844