Condensed Consolidated Statements of Cash Flows (Unaudited) (USD $) In Thousands, unless otherwise specified	9 Months Ended
	Sep. 30, 2014	Sep. 30, 2013
Operating activities
Net income (loss)	$ 35,767	$ 79,317
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	40,403	27,000
Straight-line rent revenue	(11,599)	(8,260)
Straight-line rent write-off	950
Impairment charges	50,128
Direct financing lease interest accretion	(4,954)	(4,106)
Share-based compensation	6,571	6,019
Gain on sale of real estate		(2,054)
Amortization and write-off of deferred financing costs and debt discount	3,731	2,624
Other adjustments	1,175	4,156
Changes in:
Interest and rent receivable	(12,957)	(9,216)
Accounts payable and accrued expenses	(13,471)	6,084
Net cash provided by operating activities	95,744	101,564
Investing activities
Cash paid for acquisitions and other related investments	(182,982)	(371,500)
Principal received on loans receivable	8,381	4,694
Net proceeds from sale of real estate	34,649	18,409
Investments in loans receivable	(9,102)	(1,445)
Construction in progress and other	(97,002)	(63,422)
Net cash used for investing activities	(246,056)	(413,264)
Financing activities
Revolving credit facilities, net	(105,000)	(80,000)
Additions to term debt	425,000	153,000
Payments of term debt	(100,197)	(11,185)
Distributions paid	(108,026)	(87,928)
Proceeds from sale of common shares / units, net of offering costs	128,270	313,319
Lease deposits and other obligations to tenants	10,879	3,589
Debt issuance costs paid and other financing activities	(11,757)	(4,282)
Net cash provided by financing activities	239,169	286,513
Increase (decrease) in cash and cash equivalents for period	88,857	(25,187)
Effect of exchange rate changes	(2,024)
Cash and cash equivalents at beginning of period	45,979	37,311
Cash and cash equivalents at end of period	132,812	12,124
Interest paid	62,826	38,997
Supplemental schedule of non-cash financing activities:
Distributions declared, unpaid	36,277	32,381
MPT Operating Partnership, L.P. [Member]
Operating activities
Net income (loss)	35,767	79,317
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	40,403	27,000
Straight-line rent revenue	(11,599)	(8,260)
Straight-line rent write-off	950
Impairment charges	50,128
Direct financing lease interest accretion	(4,954)	(4,106)
Share-based compensation	6,571	6,019
Gain on sale of real estate		(2,054)
Amortization and write-off of deferred financing costs and debt discount	3,731	2,624
Other adjustments	1,175	4,156
Changes in:
Interest and rent receivable	(12,957)	(9,216)
Accounts payable and accrued expenses	(13,471)	6,084
Net cash provided by operating activities	95,744	101,564
Investing activities
Cash paid for acquisitions and other related investments	(182,982)	(371,500)
Principal received on loans receivable	8,381	4,694
Net proceeds from sale of real estate	34,649	18,409
Investments in loans receivable	(9,102)	(1,445)
Construction in progress and other	(97,002)	(63,422)
Net cash used for investing activities	(246,056)	(413,264)
Financing activities
Revolving credit facilities, net	(105,000)	(80,000)
Additions to term debt	425,000	153,000
Payments of term debt	(100,197)	(11,185)
Distributions paid	(108,026)	(87,928)
Proceeds from sale of common shares / units, net of offering costs	128,270	313,319
Lease deposits and other obligations to tenants	10,879	3,589
Debt issuance costs paid and other financing activities	(11,757)	(4,282)
Net cash provided by financing activities	239,169	286,513
Increase (decrease) in cash and cash equivalents for period	88,857	(25,187)
Effect of exchange rate changes	(2,024)
Cash and cash equivalents at beginning of period	45,979	37,311
Cash and cash equivalents at end of period	132,812	12,124
Interest paid	62,826	38,997
Supplemental schedule of non-cash financing activities:
Distributions declared, unpaid	$ 36,277	$ 32,381