Consolidated Balance Sheets - USD ($) $ in Thousands	Dec. 31, 2025	Dec. 31, 2024
Real estate assets
Land	$ 1,790,154	$ 1,607,869
Buildings and improvements	9,543,162	8,847,892
Intangible lease assets	872,371	804,081
Investment in financing leases	421,684	1,057,770
Real estate held for sale	0	34,019
Mortgage loans	123,651	119,912
Gross investment in real estate assets	12,751,022	12,471,543
Accumulated depreciation	(1,438,594)	(1,221,644)
Accumulated amortization	(224,462)	(201,304)
Net investment in real estate assets	11,087,966	11,048,595
Cash and cash equivalents	540,859	332,335
Interest and rent receivables	19,210	36,327
Straight-line rent receivables	881,452	700,783
Investments in unconsolidated real estate joint ventures	1,399,777	1,156,397
Investments in unconsolidated operating entities	322,179	439,578
Other loans	186,292	109,175
Other assets	564,040	471,404
Total Assets	15,001,775	14,294,594
Liabilities
Debt, net	9,697,835	8,848,112
Accounts payable and accrued expenses	549,105	454,209
Deferred revenue	19,289	29,445
Obligations to tenants and other lease liabilities	128,297	129,045
Total Liabilities	10,394,526	9,460,811
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 - 597,008 shares at December 31, 2025 and 600,403 shares at December 31, 2024	597	600
Additional paid-in capital	8,573,396	8,584,917
Retained deficit	(4,136,011)	(3,658,516)
Accumulated other comprehensive income (loss)	168,213	(94,272)
Total Medical Properties Trust, Inc. Stockholders' Equity (MPT Operating Partnership, L.P. capital)	4,606,195	4,832,729
Non-controlling interests	1,054	1,054
Total Equity / Capital	4,607,249	4,833,783
Total Liabilities and Equity / Capital	15,001,775	14,294,594
MPT Operating Partnership, L.P. [Member]
Real estate assets
Land	1,790,154	1,607,869
Buildings and improvements	9,543,162	8,847,892
Intangible lease assets	872,371	804,081
Investment in financing leases	421,684	1,057,770
Real estate held for sale	0	34,019
Mortgage loans	123,651	119,912
Gross investment in real estate assets	12,751,022	12,471,543
Accumulated depreciation	(1,438,594)	(1,221,644)
Accumulated amortization	(224,462)	(201,304)
Net investment in real estate assets	11,087,966	11,048,595
Cash and cash equivalents	540,859	332,335
Interest and rent receivables	19,210	36,327
Straight-line rent receivables	881,452	700,783
Investments in unconsolidated real estate joint ventures	1,399,777	1,156,397
Investments in unconsolidated operating entities	322,179	439,578
Other loans	186,292	109,175
Other assets	564,040	471,404
Total Assets	15,001,775	14,294,594
Liabilities
Debt, net	9,697,835	8,848,112
Accounts payable and accrued expenses	493,364	405,655
Deferred revenue	19,289	29,445
Obligations to tenants and other lease liabilities	128,297	129,045
Payable due to Medical Properties Trust, Inc.	55,351	48,164
Total Liabilities	10,394,136	9,460,421
Commitments and Contingencies
Equity / Capital
General Partner - issued and outstanding - 5,972 units at December 31, 2025 and 6,006 units at December 31, 2024	44,457	49,348
Limited Partners - issued and outstanding - 591,036 units at December 31, 2025 and 594,397 units at December 31, 2024	4,393,915	4,878,043
Accumulated other comprehensive income (loss)	168,213	(94,272)
Total Medical Properties Trust, Inc. Stockholders' Equity (MPT Operating Partnership, L.P. capital)	4,606,585	4,833,119
Non-controlling interests	1,054	1,054
Total Equity / Capital	4,607,639	4,834,173
Total Liabilities and Equity / Capital	$ 15,001,775	$ 14,294,594