Condensed Consolidated Balance Sheets (USD $) In Thousands, unless otherwise specified	Sep. 30, 2014	Dec. 31, 2013
Real estate assets
Land, buildings and improvements, and intangible lease assets	$ 2,061,183	$ 1,865,455
Mortgage loans	385,093	388,756
Net investment in direct financing leases	436,386	431,024
Gross investment in real estate assets	2,882,662	2,685,235
Accumulated depreciation and amortization	(191,282)	(159,776)
Net investment in real estate assets	2,691,380	2,525,459
Cash and cash equivalents	132,812	45,979
Interest and rent receivables	50,240	58,565
Straight-line rent receivables	56,403	45,829
Other loans	147,418	160,990
Other assets	90,887	67,873
Total Assets	3,169,140	2,904,695
Liabilities
Debt, net	1,618,981	1,421,681
Accounts payable and accrued expenses	85,426	94,290
Deferred revenue	30,830	24,114
Lease deposits and other obligations to tenants	26,797	20,402
Total liabilities	1,762,034	1,560,487
Equity / Capital
Preferred stock, $0.001 par value. Authorized 10,000 shares; no shares outstanding	0	0
Common stock, $0.001 par value. Authorized 250,000 shares; issued and outstanding - 171,626 shares at September 30, 2014 and 161,310 shares at December 31, 2013	172	161
Limited Partners:
Additional paid in capital	1,752,885	1,618,054
Distributions in excess of net income	(337,817)	(264,804)
Accumulated other comprehensive loss	(7,872)	(8,941)
Treasury shares, at cost	(262)	(262)
Total Equity / Capital	1,407,106	1,344,208
Total Liabilities and Equity / Capital	3,169,140	2,904,695
MPT Operating Partnership, L.P. [Member]
Real estate assets
Land, buildings and improvements, and intangible lease assets	2,061,183	1,865,455
Mortgage loans	385,093	388,756
Net investment in direct financing leases	436,386	431,024
Gross investment in real estate assets	2,882,662	2,685,235
Accumulated depreciation and amortization	(191,282)	(159,776)
Net investment in real estate assets	2,691,380	2,525,459
Cash and cash equivalents	132,812	45,979
Interest and rent receivables	50,240	58,565
Straight-line rent receivables	56,403	45,829
Other loans	147,418	160,990
Other assets	90,887	67,873
Total Assets	3,169,140	2,904,695
Liabilities
Debt, net	1,618,981	1,421,681
Accounts payable and accrued expenses	49,197	58,538
Deferred revenue	30,830	24,114
Lease deposits and other obligations to tenants	26,797	20,402
Payable due to Medical Properties Trust, Inc.	35,839	35,362
Total liabilities	1,761,644	1,560,097
Limited Partners:
Accumulated other comprehensive loss	(7,872)	(8,941)
Total Equity / Capital	1,407,496	1,344,598
Total Liabilities and Equity / Capital	3,169,140	2,904,695
MPT Operating Partnership, L.P. [Member] | Common Units [Member]
Limited Partners:
Limited Partners Capital	1,401,204	1,339,998
MPT Operating Partnership, L.P. [Member] | General Partner [Member]
Equity / Capital
General Partner - issued and outstanding - 1,711 units at September 30, 2014 and 1,608 units at December 31, 2013	14,164	13,541
MPT Operating Partnership, L.P. [Member] | LTIP Units [Member]
Limited Partners:
Limited Partners Capital	$ 0	$ 0