Condensed Consolidated Statements of Cash Flows (USD $) In Thousands, unless otherwise specified	6 Months Ended
	Jun. 30, 2012	Jun. 30, 2011
Operating Activities
Net income	$ 29,967	$ 13,507
Adjustments to reconcile net income to net cash provided by operating activities
Depreciation and amortization	17,937	16,629
Straight-line rent revenue	(2,877)	(3,805)
Direct financing lease interest accretion	(1,156)
Share-based compensation	3,637	3,661
(Gain) loss on sale of real estate	1,446	(5)
Real estate impairment		564
Amortization and write-off of deferred financing costs and debt discount	1,711	5,572
Other adjustments	(708)	(3,229)
Changes in:
Interest and rent receivable	(8,176)	(501)
Accounts payable and accrued expenses	2,642	7,299
Net cash provided by (used in) operating activities	44,423	39,692
Investing Activities
Cash paid for acquisitions and other related investments	(396,500)	(179,987)
Principal received on loans receivable	7,966	1,469
Proceeds from sale of real estate	16,000
Investment in loans receivable	(1,293)	(229)
Construction in progress and other	(20,655)	(7,976)
Net cash provided by (used in) investing activities	(394,482)	(186,723)
Financing activities
Revolving credit facilities, net	(89,600)	39,600
Additions to term debt	300,000	450,000
Payments of term debt	(114)	(157,736)
Distributions paid	(49,589)	(44,784)
Sale of common stock, net	220,160
Lease deposits and other obligations to tenants	383	4,328
Debt issuance costs paid and other financing activities	(6,268)	(14,879)
Net cash provided by financing activities	374,972	276,529
Increase in cash and cash equivalents for period	24,913	129,498
Cash and cash equivalents at beginning of period	102,726	98,408
Cash and cash equivalents at end of period	127,639	227,906
Interest paid	21,784	13,739
Supplemental schedule of non-cash investing activities:
Loan conversion to equity interest	1,648
Real estate acquired via assumption of mortgage loan		(14,592)
Supplemental schedule of non-cash financing activities:
Distributions declared, unpaid	27,181	22,409
Assumption of mortgage loan (as part of real estate acquired)		14,592
MPT Operating Partnership, L.P.
Operating Activities
Net income	29,967	13,551
Adjustments to reconcile net income to net cash provided by operating activities
Depreciation and amortization	17,937	16,629
Straight-line rent revenue	(2,877)	(3,805)
Direct financing lease interest accretion	(1,156)
Share-based compensation	3,637	3,661
(Gain) loss on sale of real estate	1,446	(5)
Real estate impairment		564
Amortization and write-off of deferred financing costs and debt discount	1,711	5,572
Other adjustments	(708)	(3,229)
Changes in:
Interest and rent receivable	(8,176)	(501)
Accounts payable and accrued expenses	2,642	7,255
Net cash provided by (used in) operating activities	44,423	39,692
Investing Activities
Cash paid for acquisitions and other related investments	(396,500)	(179,987)
Principal received on loans receivable	7,966	1,469
Proceeds from sale of real estate	16,000
Investment in loans receivable	(1,293)	(229)
Construction in progress and other	(20,655)	(7,976)
Net cash provided by (used in) investing activities	(394,482)	(186,723)
Financing activities
Revolving credit facilities, net	(89,600)	39,600
Additions to term debt	300,000	450,000
Payments of term debt	(114)	(157,736)
Distributions paid	(49,589)	(44,784)
Sale of common stock, net	220,160
Lease deposits and other obligations to tenants	383	4,328
Debt issuance costs paid and other financing activities	(6,268)	(14,879)
Net cash provided by financing activities	374,972	276,529
Increase in cash and cash equivalents for period	24,913	129,498
Cash and cash equivalents at beginning of period	102,726	98,408
Cash and cash equivalents at end of period	127,639	227,906
Interest paid	21,784	13,739
Supplemental schedule of non-cash investing activities:
Loan conversion to equity interest	1,648
Real estate acquired via assumption of mortgage loan		(14,592)
Supplemental schedule of non-cash financing activities:
Distributions declared, unpaid	27,181	22,409
Assumption of mortgage loan (as part of real estate acquired)		$ 14,592