Condensed Consolidated Balance Sheets - USD ($) $ in Thousands	Sep. 30, 2025	Dec. 31, 2024
Real estate assets
Land, buildings and improvements, intangible lease assets, and other	$ 11,748,943	$ 11,259,842
Investment in financing leases	943,750	1,057,770
Real estate held for sale	0	34,019
Mortgage loans	127,926	119,912
Gross investment in real estate assets	12,820,619	12,471,543
Accumulated depreciation and amortization	(1,633,531)	(1,422,948)
Net investment in real estate assets	11,187,088	11,048,595
Cash and cash equivalents	396,577	332,335
Interest and rent receivables	25,142	36,327
Straight-line rent receivables	851,749	700,783
Investments in unconsolidated real estate joint ventures	1,379,600	1,156,397
Investments in unconsolidated operating entities	319,192	439,578
Other loans	245,535	109,175
Other assets	519,312	471,404
Total Assets	14,924,195	14,294,594
Liabilities
Debt, net	9,616,176	8,848,112
Accounts payable and accrued expenses	475,938	454,209
Deferred revenue	22,113	29,445
Obligations to tenants and other lease liabilities	148,605	129,045
Total Liabilities	10,262,832	9,460,811
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 - 601,136 shares at September 30, 2025 and 600,403 shares at December 31, 2024	601	600
Additional paid-in capital	8,602,994	8,584,917
Retained deficit	(4,097,973)	(3,658,516)
Accumulated other comprehensive income (loss)	154,687	(94,272)
Total Medical Properties Trust, Inc. Stockholders' Equity (MPT Operating Partnership, L.P. capital)	4,660,309	4,832,729
Non-controlling interests	1,054	1,054
Total Equity / Capital	4,661,363	4,833,783
Total Liabilities and Equity / Capital	14,924,195	14,294,594
MPT Operating Partnership, L.P. [Member]
Real estate assets
Land, buildings and improvements, intangible lease assets, and other	11,748,943	11,259,842
Investment in financing leases	943,750	1,057,770
Real estate held for sale	0	34,019
Mortgage loans	127,926	119,912
Gross investment in real estate assets	12,820,619	12,471,543
Accumulated depreciation and amortization	(1,633,531)	(1,422,948)
Net investment in real estate assets	11,187,088	11,048,595
Cash and cash equivalents	396,577	332,335
Interest and rent receivables	25,142	36,327
Straight-line rent receivables	851,749	700,783
Investments in unconsolidated real estate joint ventures	1,379,600	1,156,397
Investments in unconsolidated operating entities	319,192	439,578
Other loans	245,535	109,175
Other assets	519,312	471,404
Total Assets	14,924,195	14,294,594
Liabilities
Debt, net	9,616,176	8,848,112
Accounts payable and accrued expenses	427,129	405,655
Deferred revenue	22,113	29,445
Obligations to tenants and other lease liabilities	148,605	129,045
Payable due to Medical Properties Trust, Inc.	48,419	48,164
Total Liabilities	10,262,442	9,460,421
Equity / Capital
General Partner - issued and outstanding - 6,013 units at September 30, 2025 and 6,006 units at December 31, 2024	45,134	49,348
Limited Partners - issued and outstanding - 595,123 units at September 30, 2025 and 594,397 units at December 31, 2024	4,460,878	4,878,043
Accumulated other comprehensive income (loss)	154,687	(94,272)
Total Medical Properties Trust, Inc. Stockholders' Equity (MPT Operating Partnership, L.P. capital)	4,660,699	4,833,119
Non-controlling interests	1,054	1,054
Total Equity / Capital	4,661,753	4,834,173
Total Liabilities and Equity / Capital	$ 14,924,195	$ 14,294,594