Condensed Consolidated Balance Sheets (USD $) In Thousands, unless otherwise specified	Mar. 31, 2014	Dec. 31, 2013
Real estate assets
Land, buildings and improvements, and intangible lease assets	$ 2,008,422	$ 1,865,455
Mortgage loans	388,650	388,650
Net investment in direct financing leases	432,657	431,024
Gross investment in real estate assets	2,829,729	2,685,129
Accumulated depreciation and amortization	(173,475)	(159,776)
Net investment in real estate assets	2,656,254	2,525,353
Cash and cash equivalents	50,309	45,979
Interest and rent receivables	63,174	58,499
Straight-line rent receivables	48,023	45,829
Other loans	141,552	160,990
Other assets	67,280	67,920
Total Assets	3,026,592	2,904,570
Liabilities
Debt, net	1,472,045	1,421,681
Accounts payable and accrued expenses	74,184	94,311
Deferred revenue	25,419	23,787
Lease deposits and other obligations to tenants	23,964	20,583
Total liabilities	1,595,612	1,560,362
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 - 170,213 shares at March 31, 2014, and 161,310 shares at December 31, 2013	170	161
Limited Partners:
Additional paid in capital	1,732,916	1,618,054
Distributions in excess of net income	(293,596)	(264,804)
Accumulated other comprehensive loss	(8,248)	(8,941)
Treasury shares, at cost	(262)	(262)
Total Equity / Capital	1,430,980	1,344,208
Total Liabilities and Equity / Capital	3,026,592	2,904,570
MPT Operating Partnership, L.P. [Member]
Real estate assets
Land, buildings and improvements, and intangible lease assets	2,008,422	1,865,455
Mortgage loans	388,650	388,650
Net investment in direct financing leases	432,657	431,024
Gross investment in real estate assets	2,829,729	2,685,129
Accumulated depreciation and amortization	(173,475)	(159,776)
Net investment in real estate assets	2,656,254	2,525,353
Cash and cash equivalents	50,309	45,979
Interest and rent receivables	63,174	58,499
Straight-line rent receivables	48,023	45,829
Other loans	141,552	160,990
Other assets	67,280	67,920
Total Assets	3,026,592	2,904,570
Liabilities
Debt, net	1,472,045	1,421,681
Accounts payable and accrued expenses	38,274	58,559
Deferred revenue	25,419	23,787
Lease deposits and other obligations to tenants	23,964	20,583
Payable due to Medical Properties Trust, Inc.	35,520	35,362
Total liabilities	1,595,222	1,559,972
Limited Partners:
Accumulated other comprehensive loss	(8,248)	(8,941)
Total Equity / Capital	1,431,370	1,344,598
Total Liabilities and Equity / Capital	3,026,592	2,904,570
MPT Operating Partnership, L.P. [Member] | Common Units [Member]
Limited Partners:
Limited Partners Capital	1,425,215	1,339,998
MPT Operating Partnership, L.P. [Member] | General Partner [Member]
Equity / Capital
General Partner - issued and outstanding - 1,697 units at March 31, 2014 and 1,608 units at December 31, 2013	14,403	13,541
MPT Operating Partnership, L.P. [Member] | LTIP Units [Member]
Limited Partners:
Limited Partners Capital