Condensed Consolidated Statements of Cash Flows (Unaudited) (USD $) In Thousands, unless otherwise specified	6 Months Ended
	Jun. 30, 2014	Jun. 30, 2013
Operating activities
Net income	$ 7,103	$ 53,614
Adjustments to reconcile net income to net cash provided by operating activities
Depreciation and amortization	26,715	17,927
Straight-line rent revenue	(6,236)	(5,407)
Straight-line rent write-off	950
Impairment charges	50,128
Direct financing lease interest accretion	(3,256)	(2,498)
Share-based compensation	4,433	4,204
Gain on sale of real estate		(2,054)
Amortization and write-off of deferred financing costs and debt discount	2,484	1,752
Other adjustments	(8,486)	4,605
Changes in:
Interest and rent receivable	(9,064)	(8,943)
Accounts payable and accrued expenses	(14,516)	(6,955)
Net cash provided by operating activities	50,255	56,245
Investing activities
Cash paid for acquisitions and other related investments	(115,000)	(75,000)
Principal received on loans receivable	6,829	3,293
Net proceeds from sale of real estate		18,409
Investments in loans receivable	(5,601)	(1,300)
Construction in progress and other	(55,159)	(33,171)
Net cash used for investing activities	(168,931)	(87,769)
Financing activities
Revolving credit facilities, net	(105,000)	(85,000)
Additions to term debt	425,000
Payments of term debt	(100,132)	(11,124)
Distributions paid	(71,809)	(57,846)
Proceeds from sale of common shares / units, net of offering costs	128,332	172,853
Lease deposits and other obligations to tenants	4,910	1,516
Debt issuance costs paid and other financing activities	(11,496)	(114)
Net cash provided by financing activities	269,805	20,285
Increase in cash and cash equivalents for period	151,129	(11,239)
Effect of exchange rate changes	(85)
Cash and cash equivalents at beginning of period	45,979	37,311
Cash and cash equivalents at end of period	197,023	26,072
Interest paid	41,907	29,114
Supplemental schedule of non-cash financing activities:
Distributions declared, unpaid	36,277	30,081
MPT Operating Partnership, L.P. [Member]
Operating activities
Net income	7,103	53,614
Adjustments to reconcile net income to net cash provided by operating activities
Depreciation and amortization	26,715	17,927
Straight-line rent revenue	(6,236)	(5,407)
Straight-line rent write-off	950
Impairment charges	50,128
Direct financing lease interest accretion	(3,256)	(2,498)
Share-based compensation	4,433	4,204
Gain on sale of real estate		(2,054)
Amortization and write-off of deferred financing costs and debt discount	2,484	1,752
Other adjustments	(8,486)	4,605
Changes in:
Interest and rent receivable	(9,064)	(8,943)
Accounts payable and accrued expenses	(14,516)	(6,955)
Net cash provided by operating activities	50,255	56,245
Investing activities
Cash paid for acquisitions and other related investments	(115,000)	(75,000)
Principal received on loans receivable	6,829	3,293
Net proceeds from sale of real estate		18,409
Investments in loans receivable	(5,601)	(1,300)
Construction in progress and other	(55,159)	(33,171)
Net cash used for investing activities	(168,931)	(87,769)
Financing activities
Revolving credit facilities, net	(105,000)	(85,000)
Additions to term debt	425,000
Payments of term debt	(100,132)	(11,124)
Distributions paid	(1,809)	(57,846)
Proceeds from sale of common shares / units, net of offering costs	128,332	172,853
Lease deposits and other obligations to tenants	4,910	1,516
Debt issuance costs paid and other financing activities	(11,496)	(114)
Net cash provided by financing activities	269,805	20,285
Increase in cash and cash equivalents for period	151,129	(11,239)
Effect of exchange rate changes	(85)
Cash and cash equivalents at beginning of period	45,979	37,311
Cash and cash equivalents at end of period	197,023	26,072
Interest paid	41,907	29,114
Supplemental schedule of non-cash financing activities:
Distributions declared, unpaid	$ 36,277	$ 30,081