SCHEDULE IV - MORTGAGE LOANS ON REAL ESTATE

12 Months Ended

Dec. 31, 2025

SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Abstract]

SCHEDULE IV - MORTGAGE LOANS ON REAL ESTATE

SCHEDULE IV — MORTGAGE LOANS ON REAL ESTATE

MEDICAL PROPERTIES TRUST, INC. AND MPT OPERATING PARTNERSHIP, L.P.

December 31, 2025

Column A	Column B			Column C	Column D			Column E			Column F		Column G(1)				Column H
Description	Interest Rate			Final Maturity Date	Periodic Payment Terms			Prior Liens			Face Amount of Mortgages		Carrying Amount of Mortgages				Principal Amount of Loans Subject to Delinquent Principal or Interest
	(Dollar amounts in thousands)
Long-term first mortgage loan: (2)
Colombia(3)		12.23	%	2035		(4	)		(5	)	$	151,692	$	116,113				(7	)
Hill County, TX		10.00	%	2030		(4	)		(5	)		7,598		7,538				(7	)
											$	159,290	$	123,651	(6	)

(1)The aggregate cost for federal income tax purposes is $159.3 million.

(2)The remaining mortgage loans of the Prospect facilities (with a face value of $99.5 million) are not included as they are part of the ongoing bankruptcy proceedings, carrying amount has been fully reserved, and no remaining payments are expected from these loans.

(3)Mortgage loans covering three properties.

(4)Payable in monthly installments of interest plus principal payable in full at maturity.

(5)There were no prior liens on loans as of December 31, 2025.

(6)Includes reserves/writedowns of approximately $18 million for Colombia in 2025.

(7)Mortgage loans were not delinquent with respect to principal or interest, except for interest payments on the Colombia loan.

Changes in mortgage loans (net of allowance for credit loss) for the years ended December 31, 2025, 2024, and 2023 are summarized as follows:

	Year Ended December 31,
	2025				2024				2023
	(Dollar amounts in thousands)
Balance at beginning of year	$	119,912			$	310,101			$	364,420
Additions during year:
New mortgage loans and additional advances    on existing loans		16,498				100,824				155,223
Exchange rate fluctuations		21,722				(17,748	)			31,530
		158,132				393,177				551,173
Deductions during year:
Collection of principal		(16,886	)			(100,000	)			(241,072	)	(9)
Other		(17,595	)	(6)		(173,265	)	(8)		—
		(34,481	)			(273,265	)			(241,072	)
Balance at end of year	$	123,651			$	119,912			$	310,101

(8)Includes reserves/writedowns of approximately $18 million for Colombia and $155 million for Prospect in 2024.

(9)Includes a $151 million mortgage loan satisfied in exchange for non-controlling ownership interest in PHP Holdings.