Condensed Consolidated Statements of Cash Flow (USD $) In Thousands, unless otherwise specified	9 Months Ended
	Sep. 30, 2013	Sep. 30, 2012
Operating Activities
Net income	$ 79,317	$ 61,474
Adjustments to reconcile net income to net cash provided by operating activities
Depreciation and amortization	27,000	26,899
Straight-line rent revenue	(8,260)	(5,429)
Direct financing lease interest accretion	(4,106)	(2,050)
Share-based compensation	6,019	5,430
Gain on sale of real estate	(2,054)	(7,278)
Amortization and write-off of deferred financing costs and debt discount	2,624	2,577
Other adjustments	4,156	(3,415)
Changes in:
Interest and rent receivable	(9,216)	(12,232)
Accounts payable and accrued expenses	6,084	7,404
Net cash provided by operating activities	101,564	74,709
Investing activities
Cash paid for acquisitions and other related investments	(371,500)	(606,500)
Principal received on loans receivable	4,694	9,507
Net proceeds from sale of real estate	18,409	34,100
Investment in loans receivable	(1,445)	(1,293)
Construction in progress and other	(63,422)	(35,920)
Net cash provided by (used in) investing activities	(413,264)	(600,106)
Financing Activities
Revolving credit facilities, net	(80,000)	35,400
Additions to term debt	153,000	300,000
Payments of term debt	(11,185)	(171)
Distributions paid	(87,928)	(76,770)
Proceeds from sale of common shares, net of offering costs	313,319	220,107
Lease deposits and other obligations to tenants	3,589	(13,391)
Debt issuance costs paid and other financing activities	(4,282)	(6,341)
Net cash provided by financing activities	286,513	458,834
Decrease in cash and cash equivalents for period	(25,187)	(66,563)
Cash and cash equivalents at beginning of period	37,311	102,726
Cash and cash equivalents at end of period	12,124	36,163
Interest paid	38,997	31,350
Supplemental schedule of non-cash investing activities:
Loan conversion to equity interest		1,648
Supplemental schedule of non-cash financing activities:
Distributions declared, unpaid	32,381	27,181
MPT Operating Partnership, L.P.
Operating Activities
Net income	79,317	61,474
Adjustments to reconcile net income to net cash provided by operating activities
Depreciation and amortization	27,000	26,899
Straight-line rent revenue	(8,260)	(5,429)
Direct financing lease interest accretion	(4,106)	(2,050)
Share-based compensation	6,019	5,430
Gain on sale of real estate	(2,054)	(7,278)
Amortization and write-off of deferred financing costs and debt discount	2,624	2,577
Other adjustments	4,156	(3,415)
Changes in:
Interest and rent receivable	(9,216)	(12,232)
Accounts payable and accrued expenses	6,084	7,404
Net cash provided by operating activities	101,564	74,709
Investing activities
Cash paid for acquisitions and other related investments	(371,500)	(606,500)
Principal received on loans receivable	4,694	9,507
Net proceeds from sale of real estate	18,409	34,100
Investment in loans receivable	(1,445)	(1,293)
Construction in progress and other	(63,422)	(35,920)
Net cash provided by (used in) investing activities	(413,264)	(600,106)
Financing Activities
Revolving credit facilities, net	(80,000)	35,400
Additions to term debt	153,000	300,000
Payments of term debt	(11,185)	(171)
Distributions paid	(87,928)	(76,770)
Proceeds from sale of common shares, net of offering costs	313,319	220,107
Lease deposits and other obligations to tenants	3,589	(13,391)
Debt issuance costs paid and other financing activities	(4,282)	(6,341)
Net cash provided by financing activities	286,513	458,834
Decrease in cash and cash equivalents for period	(25,187)	(66,563)
Cash and cash equivalents at beginning of period	37,311	102,726
Cash and cash equivalents at end of period	12,124	36,163
Interest paid	38,997	31,350
Supplemental schedule of non-cash investing activities:
Loan conversion to equity interest		1,648
Supplemental schedule of non-cash financing activities:
Distributions declared, unpaid	$ 32,381	$ 27,181