Condensed Consolidated Statements of Cash Flows (Unaudited) (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2014	Mar. 31, 2013
Operating activities
Net income	$ 7,307	$ 26,210
Adjustments to reconcile net income to net cash provided by operating activities
Depreciation and amortization	13,972	8,929
Direct financing lease (interest) accretion	(1,604)	(1,232)
Straight-line rent revenue	(3,099)	(2,661)
Straight-line rent write-off	950
Provision for uncollectible loans	20,354
Share-based compensation	2,287	1,919
Amortization and write-off of deferred financing costs and debt discount	1,049	897
Other adjustments	1,381	(673)
Changes in:
Accounts payable and accrued expenses	(19,641)	(1,788)
Interest and rent receivable	(4,674)	(4,550)
Net cash provided by operating activities	18,282	27,051
Investing activities
Cash paid for acquisitions and other related investments	(115,000)
Principal received on loans receivable	1,469	2,090
Investments in loans receivable	(2,385)	(800)
Construction in progress and other	(27,925)	(13,526)
Net cash used for investing activities	(143,841)	(12,236)
Financing activities
Revolving credit facilities, net	50,000	(125,000)
Payments of term debt	(68)	(64)
Distributions paid	(35,778)	(27,786)
Proceeds from sale of common shares / units, net of offering costs	112,583	172,914
Lease deposits and other obligations to tenants	3,380	3,549
Debt issuance costs paid and other financing activities	(241)	(64)
Net cash provided by (used in) financing activities	129,876	23,549
Increase in cash and cash equivalents for period	4,317	38,364
Effect of exchange rate changes	13
Cash and cash equivalents at beginning of period	45,979	37,311
Cash and cash equivalents at end of period	50,309	75,675
Interest paid	22,613	10,162
Supplemental schedule of non-cash financing activities:
Distributions declared, unpaid	36,032	30,060
MPT Operating Partnership, L.P. [Member]
Operating activities
Net income	7,307	26,210
Adjustments to reconcile net income to net cash provided by operating activities
Depreciation and amortization	13,972	8,929
Direct financing lease (interest) accretion	(1,604)	(1,232)
Straight-line rent revenue	(3,099)	(2,661)
Straight-line rent write-off	950
Provision for uncollectible loans	20,354
Share-based compensation	2,287	1,919
Amortization and write-off of deferred financing costs and debt discount	1,049	897
Other adjustments	1,381	(673)
Changes in:
Accounts payable and accrued expenses	(4,674)	(1,788)
Interest and rent receivable	(19,641)	(4,550)
Net cash provided by operating activities	18,282	27,051
Investing activities
Cash paid for acquisitions and other related investments	(115,000)
Principal received on loans receivable	1,469	2,090
Investments in loans receivable	(2,385)	(800)
Construction in progress and other	(27,925)	(13,526)
Net cash used for investing activities	(143,841)	(12,236)
Financing activities
Revolving credit facilities, net	50,000	(125,000)
Payments of term debt	(68)	(64)
Distributions paid	(35,778)	(27,786)
Proceeds from sale of common shares / units, net of offering costs	112,583	172,914
Lease deposits and other obligations to tenants	3,380	3,549
Debt issuance costs paid and other financing activities	(241)	(64)
Net cash provided by (used in) financing activities	129,876	23,549
Increase in cash and cash equivalents for period	4,317	38,364
Effect of exchange rate changes	13
Cash and cash equivalents at beginning of period	45,979	37,311
Cash and cash equivalents at end of period	50,309	75,675
Interest paid	22,613	10,162
Supplemental schedule of non-cash financing activities:
Distributions declared, unpaid	$ 36,032	$ 30,060