Consolidated Balance Sheets (USD $) In Thousands, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2012
Real estate assets
Land	$ 154,858	$ 108,456
Buildings and improvements	1,578,336	1,052,479
Construction in progress and other	41,771	38,339
Intangible lease assets	90,490	51,966
Real estate held for sale		25,537
Net investment in direct financing leases	431,024	314,412
Mortgage loans	388,650	368,650
Gross investment in real estate assets	2,685,129	1,959,839
Accumulated depreciation	(144,235)	(110,888)	[1]
Accumulated amortization	(15,541)	(11,908)
Net investment in real estate assets	2,525,353	1,837,043
Cash and cash equivalents	45,979	37,311
Interest and rent receivables	58,499	45,289
Straight-line rent receivables	45,829	35,860
Other loans	160,990	159,243
Other assets	67,920	64,140
Total Assets	2,904,570	2,178,886
Liabilities
Debt, net	1,421,681	1,025,160
Accounts payable and accrued expenses	94,311	65,961
Deferred revenue	23,787	20,609
Lease deposits and other obligations to tenants	20,583	17,342
Total liabilities	1,560,362	1,129,072
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 250,000 shares; issued and outstanding - 161,310 shares at December 31, 2013 and 136,335 shares at December 31, 2012	161	136
Limited Partners:
Additional paid-in capital	1,618,054	1,295,916
Distributions in excess of net income	(264,804)	(233,494)
Accumulated other comprehensive loss	(8,941)	(12,482)
Treasury shares, at cost	(262)	(262)
Total Equity / Capital	1,344,208	1,049,814
Total Liabilities and Equity	2,904,570	2,178,886
MPT Operating Partnership, L.P. [Member]
Real estate assets
Land	154,858	108,456
Buildings and improvements	1,578,336	1,052,479
Construction in progress and other	41,771	38,339
Intangible lease assets	90,490	51,966
Real estate held for sale		25,537
Net investment in direct financing leases	431,024	314,412
Mortgage loans	388,650	368,650
Gross investment in real estate assets	2,685,129	1,959,839
Accumulated depreciation	(144,235)	(110,888)
Accumulated amortization	(15,541)	(11,908)
Net investment in real estate assets	2,525,353	1,837,043
Cash and cash equivalents	45,979	37,311
Interest and rent receivables	58,499	45,289
Straight-line rent receivables	45,829	35,860
Other loans	160,990	159,243
Other assets	67,920	64,140
Total Assets	2,904,570	2,178,886
Liabilities
Debt, net	1,421,681	1,025,160
Accounts payable and accrued expenses	58,559	38,177
Deferred revenue	23,787	20,609
Lease deposits and other obligations to tenants	20,583	17,342
Payable due to Medical Properties Trust, Inc.	35,362	27,394
Total liabilities	1,559,972	1,128,682
Commitments and Contingencies
Limited Partners:
Accumulated other comprehensive loss	(8,941)	(12,482)
Total Equity / Capital	1,344,598	1,050,204
Total Liabilities and Equity	2,904,570	2,178,886
MPT Operating Partnership, L.P. [Member] | Common Units [Member]
Limited Partners:
Limited Partners Capital	1,339,998	1,052,056
MPT Operating Partnership, L.P. [Member] | General Partner [Member]
Equity / Capital
General partner - issued and outstanding - 1,608 units at December 31, 2013 and 1,357 units at December 31, 2012	13,541	10,630
MPT Operating Partnership, L.P. [Member] | LTIP Units [Member]
Limited Partners:
Limited Partners Capital

[1] Includes in accumulated depreciation in real estate held for sale of $3,511 for 2012. Excludes accumulated amortization related to intangible lease assets that are included in real estate held for sale of $426 for 2012.