Condensed Consolidated Balance Sheets (USD $) In Thousands, unless otherwise specified	Sep. 30, 2013	Dec. 31, 2012
Real estate assets
Land, buildings and improvements, and intangible lease assets	$ 1,606,432	$ 1,262,099
Real estate held for sale		16,497
Mortgage loans	368,650	368,650
Net investment in direct financing leases	403,512	314,412
Gross investment in real estate assets	2,378,594	1,961,658
Accumulated depreciation and amortization	(150,666)	(124,615)
Net investment in real estate assets	2,227,928	1,837,043
Cash and cash equivalents	12,124	37,311
Interest and rent receivable	54,505	45,289
Straight-line rent receivable	44,240	35,860
Other loans	161,245	159,243
Other assets	63,108	64,140
Total Assets	2,563,150	2,178,886
Liabilities
Debt, net	1,086,973	1,025,160
Accounts payable and accrued expenses	73,852	65,961
Deferred revenue	23,229	20,609
Lease deposits and other obligations to tenants	20,527	17,342
Total liabilities	1,204,581	1,129,072
Capital
Preferred stock, $0.001 par value. Authorized 10,000 shares; no shares outstanding
Common stock, $0.001 par value. Authorized 250,000 shares; issued and outstanding - 160,880 shares at September 30, 2013 and 136,335 shares at December 31, 2012	160	136
Additional paid in capital	1,615,230	1,295,916
Distributions in excess of net income	(246,865)	(233,494)
Accumulated other comprehensive loss	(9,694)	(12,482)
Treasury shares, at cost	(262)	(262)
Total Equity	1,358,569	1,049,814
Total Liabilities and Equity	2,563,150	2,178,886
Limited Partners:
Accumulated other comprehensive loss	(9,694)	(12,482)
Total Equity	1,358,569	1,049,814
Total Liabilities and Equity	2,563,150	2,178,886
MPT Operating Partnership, L.P.
Real estate assets
Land, buildings and improvements, and intangible lease assets	1,606,432	1,262,099
Real estate held for sale		16,497
Mortgage loans	368,650	368,650
Net investment in direct financing leases	403,512	314,412
Gross investment in real estate assets	2,378,594	1,961,658
Accumulated depreciation and amortization	(150,666)	(124,615)
Net investment in real estate assets	2,227,928	1,837,043
Cash and cash equivalents	12,124	37,311
Interest and rent receivable	54,505	45,289
Straight-line rent receivable	44,240	35,860
Other loans	161,245	159,243
Other assets	63,108	64,140
Total Assets	2,563,150	2,178,886
Liabilities
Debt, net	1,086,973	1,025,160
Accounts payable and accrued expenses	41,409	38,177
Deferred revenue	23,229	20,609
Lease deposits and other obligations to tenants	20,527	17,342
Payable due to Medical Properties Trust, Inc.	32,053	27,394
Total liabilities	1,204,191	1,128,682
Capital
Accumulated other comprehensive loss	(9,694)	(12,482)
Total Equity	1,358,959	1,050,204
Total Liabilities and Equity	2,563,150	2,178,886
Limited Partners:
Accumulated other comprehensive loss	(9,694)	(12,482)
Total Equity	1,358,959	1,050,204
Total Liabilities and Equity	2,563,150	2,178,886
MPT Operating Partnership, L.P. | General Partner
Capital
General Partner - issued and outstanding - 1,603 units at September 30, 2013 and 1,357 units at December 31, 2012	13,692	10,630
MPT Operating Partnership, L.P. | Common Units
Limited Partners:
Limited Partners Capital Account	1,354,961	1,052,056
MPT Operating Partnership, L.P. | LTIP Units
Limited Partners:
Limited Partners Capital Account