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Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2016
Jun. 30, 2015
Operating activities    
Net income $ 112,149 $ 58,465
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 45,170 30,564
Straight-line rent revenue (17,268) (9,980)
Straight-line rent and other write-off 3,063  
Impairment charges 7,375  
Direct financing lease interest accretion (4,766) (3,279)
Share / (Unit)-based compensation expense 4,152 5,645
Gain from sale of real estate and other asset dispositions, net (16,678)  
Amortization and write-off of deferred financing costs and debt discount 3,897 2,770
Other adjustments (6,605) (2,383)
Changes in:    
Interest and rent receivable (2,743) (15,685)
Accounts payable and accrued expenses 9,544 21,327
Net cash provided by operating activities 137,290 87,444
Investing activities    
Cash paid for acquisitions and other related investments (109,991) (562,633)
Net proceeds from sale of real estate 89,165  
Principal received on loans receivable 705,501 354,952
Investment in loans receivable (96,504) (347,768)
Construction in progress and other (108,065) (86,053)
Investment in unsecured senior note (50,000)  
Proceeds from sale of unsecured senior notes 50,000  
Net cash provided by (used for) investing activities 480,106 (641,502)
Financing activities    
Revolving credit facilities, net (1,075,000) 80,586
Proceeds from debt 500,000  
Payments of term debt (147) (140)
Distributions paid (104,788) (84,487)
Proceeds from sale of common shares / units, net of offering costs 44,306 479,902
Lease deposits and other obligations to tenants 9,593 (14,453)
Debt issuance costs paid and other financing activities (8,465) (662)
Net cash (used for) provided by financing activities (634,501) 460,746
Increase (decrease) in cash and cash equivalents for period (17,105) (93,312)
Effect of exchange rate changes 3,125 (5,325)
Cash and cash equivalents at beginning of period 195,541 144,541
Cash and cash equivalents at end of period 181,561 45,904
Interest paid 57,118 52,130
Supplemental schedule of non-cash financing activities:    
Distributions declared, unpaid 55,272 46,026
MPT Operating Partnership, L.P. [Member]    
Operating activities    
Net income 112,149 58,465
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 45,170 30,564
Straight-line rent revenue (17,268) (9,980)
Straight-line rent and other write-off 3,063  
Impairment charges 7,375  
Direct financing lease interest accretion (4,766) (3,279)
Share / (Unit)-based compensation expense 4,152 5,645
Gain from sale of real estate and other asset dispositions, net (16,678)  
Amortization and write-off of deferred financing costs and debt discount 3,897 2,770
Other adjustments (6,605) (2,383)
Changes in:    
Interest and rent receivable (2,743) (15,685)
Accounts payable and accrued expenses 9,544 21,327
Net cash provided by operating activities 137,290 87,444
Investing activities    
Cash paid for acquisitions and other related investments (109,991) (562,633)
Net proceeds from sale of real estate 89,165  
Principal received on loans receivable 705,501 354,952
Investment in loans receivable (96,504) (347,768)
Construction in progress and other (108,065) (86,053)
Investment in unsecured senior note (50,000)  
Proceeds from sale of unsecured senior notes 50,000  
Net cash provided by (used for) investing activities 480,106 (641,502)
Financing activities    
Revolving credit facilities, net (1,075,000) 80,586
Proceeds from debt 500,000  
Payments of term debt (147) (140)
Distributions paid (104,788) (84,487)
Proceeds from sale of common shares / units, net of offering costs 44,306 479,902
Lease deposits and other obligations to tenants 9,593 (14,453)
Debt issuance costs paid and other financing activities (8,465) (662)
Net cash (used for) provided by financing activities (634,501) 460,746
Increase (decrease) in cash and cash equivalents for period (17,105) (93,312)
Effect of exchange rate changes 3,125 (5,325)
Cash and cash equivalents at beginning of period 195,541 144,541
Cash and cash equivalents at end of period 181,561 45,904
Interest paid 57,118 52,130
Supplemental schedule of non-cash financing activities:    
Distributions declared, unpaid $ 55,272 $ 46,026