Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2015	Sep. 30, 2014
Operating activities
Net income	$ 81,589	$ 35,767
Adjustments to reconcile net income to net cash provided by operating activities
Depreciation and amortization	51,149	40,403
Straight-line rent revenue	(17,815)	(11,599)
Straight-line rent write-off	2,812	950
Impairment charges		50,128
Direct financing lease interest accretion	(5,286)	(4,954)
Share / Unit-based compensation	8,383	6,571
Gain on sale of real estate	(3,268)
Amortization and write-off of deferred financing costs and debt discount	8,612	3,731
Other adjustments	(265)	1,175
Changes in
Interest and rent receivable	(5,471)	(12,957)
Accounts payable and accrued expenses	11,744	(13,471)
Net cash provided by operating activities	132,184	95,744
Investing activities
Net cash paid for acquisitions and other related investments	(2,020,198)	(182,982)
Net proceeds from sale of real estate	19,175	34,649
Principal received on loans receivable	698,040	8,381
Investment in loans receivable	(354,002)	(9,102)
Construction in progress and other	(125,503)	(97,002)
Net cash used for investing activities	(1,782,488)	(246,056)
Financing activities
Revolving credit facilities, net	500,415	(105,000)
Additions to term debt	676,877	425,000
Payments of term debt	(210)	(100,197)
Distributions paid	(130,841)	(108,026)
Proceeds from sale of common shares / units, net of offering costs	817,533	128,270
Lease deposits and other obligations to tenants	(12,669)	10,879
Debt issuance costs paid and other financing activities	(7,950)	(11,757)
Net cash provided by financing activities	1,843,155	239,169
Increase in cash and cash equivalents for period	192,851	88,857
Effect of exchange rate changes	(5,157)	(2,024)
Cash and cash equivalents at beginning of period	144,541	45,979
Cash and cash equivalents at end of period	332,235	132,812
Interest paid	75,415	62,826
Supplemental schedule of non-cash financing activities:
Distributions declared, unpaid	52,388	36,277
Assumption of liabilities (as part of acquisition)	22,658
MPT Operating Partnership, L.P. [Member]
Operating activities
Net income	81,589	35,767
Adjustments to reconcile net income to net cash provided by operating activities
Depreciation and amortization	51,149	40,403
Straight-line rent revenue	(17,815)	(11,599)
Straight-line rent write-off	2,812	950
Impairment charges		50,128
Direct financing lease interest accretion	(5,286)	(4,954)
Share / Unit-based compensation	8,383	6,571
Gain on sale of real estate	(3,268)
Amortization and write-off of deferred financing costs and debt discount	8,612	3,731
Other adjustments	(265)	1,175
Changes in
Interest and rent receivable	(5,471)	(12,957)
Accounts payable and accrued expenses	11,744	(13,471)
Net cash provided by operating activities	132,184	95,744
Investing activities
Net cash paid for acquisitions and other related investments	(2,020,198)	(182,982)
Net proceeds from sale of real estate	19,175	34,649
Principal received on loans receivable	698,040	8,381
Investment in loans receivable	(354,002)	(9,102)
Construction in progress and other	(125,503)	(97,002)
Net cash used for investing activities	(1,782,488)	(246,056)
Financing activities
Revolving credit facilities, net	500,415	(105,000)
Additions to term debt	676,877	425,000
Payments of term debt	(210)	(100,197)
Distributions paid	(130,841)	(108,026)
Proceeds from sale of common shares / units, net of offering costs	817,533	128,270
Lease deposits and other obligations to tenants	(12,669)	10,879
Debt issuance costs paid and other financing activities	(7,950)	(11,757)
Net cash provided by financing activities	1,843,155	239,169
Increase in cash and cash equivalents for period	192,851	88,857
Effect of exchange rate changes	(5,157)	(2,024)
Cash and cash equivalents at beginning of period	144,541	45,979
Cash and cash equivalents at end of period	332,235	132,812
Interest paid	75,415	62,826
Supplemental schedule of non-cash financing activities:
Distributions declared, unpaid	52,388	$ 36,277
Assumption of liabilities (as part of acquisition)	$ 22,658