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Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2016
Mar. 31, 2015
Operating activities    
Net income $ 58,225 $ 35,976
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 21,694 15,074
Direct financing lease interest accretion (2,612) (1,604)
Straight-line rent revenue (8,217) (4,728)
Share / (Unit)-based compensation expense 2,020 2,825
Amortization and write-off of deferred financing costs and debt discount 1,835 1,377
Other adjustments (3,178) (1,290)
Changes in:    
Interest and rent receivables (3,453) 667
Accounts payable and accrued liabilities\expenses 3,022 (6,271)
Net cash provided by operating activities 69,336 42,026
Investing activities    
Cash paid for acquisitions and other related investments   (165,700)
Principal received on loans receivable 1,954 1,466
Investment in loans receivable   (80,301)
Construction in progress and other (55,301) (46,511)
Net cash used for investing activities (53,347) (291,046)
Financing activities    
Revolving credit facilities, net (455,000) (285,000)
Proceeds from term debt 500,000  
Payments of term debt (74) (71)
Distributions paid (52,402) (38,461)
Proceeds from sale of common shares / units, net of offering costs   479,966
Lease deposits and other obligations to tenants 3,371 (15,319)
Debt issuance costs paid and other financing activities (8,173) (126)
Net cash (used for) provided by financing activities (12,278) 140,989
Increase (decrease) in cash and cash equivalents for period 3,711 (108,031)
Effect of exchange rate changes 7,158 (2,962)
Cash and cash equivalents at beginning of period 195,541 144,541
Cash and cash equivalents at end of period 206,410 33,548
Interest paid 26,470 22,832
Supplemental schedule of non-cash financing activities:    
Distributions declared, unpaid 52,386 46,026
MPT Operating Partnership, L.P. [Member]    
Operating activities    
Net income 58,225 35,976
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 21,694 15,074
Direct financing lease interest accretion (2,612) (1,604)
Straight-line rent revenue (8,217) (4,728)
Share / (Unit)-based compensation expense 2,020 2,825
Amortization and write-off of deferred financing costs and debt discount 1,835 1,377
Other adjustments (3,178) (1,290)
Changes in:    
Interest and rent receivables (3,453) 667
Accounts payable and accrued liabilities\expenses 3,022 (6,271)
Net cash provided by operating activities 69,336 42,026
Investing activities    
Cash paid for acquisitions and other related investments   (165,700)
Principal received on loans receivable 1,954 1,466
Investment in loans receivable   (80,301)
Construction in progress and other (55,301) (46,511)
Net cash used for investing activities (53,347) (291,046)
Financing activities    
Revolving credit facilities, net (455,000) (285,000)
Proceeds from term debt 500,000  
Payments of term debt (74) (71)
Distributions paid (52,402) (38,461)
Proceeds from sale of common shares / units, net of offering costs   479,966
Lease deposits and other obligations to tenants 3,371 (15,319)
Debt issuance costs paid and other financing activities (8,173) (126)
Net cash (used for) provided by financing activities (12,278) 140,989
Increase (decrease) in cash and cash equivalents for period 3,711 (108,031)
Effect of exchange rate changes 7,158 (2,962)
Cash and cash equivalents at beginning of period 195,541 144,541
Cash and cash equivalents at end of period 206,410 33,548
Interest paid 26,470 22,832
Supplemental schedule of non-cash financing activities:    
Distributions declared, unpaid $ 52,386 $ 46,026