Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2017	Mar. 31, 2016
Operating activities
Net income	$ 68,185	$ 58,225
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	28,954	21,694
Direct financing lease interest accretion	(2,286)	(2,612)
Straight-line rent revenue	(13,896)	(8,217)
Share / (Unit)-based compensation expense	1,971	2,020
Amortization of deferred financing costs and debt discount	1,617	1,835
Gain from sale of real estate and other asset dispositions, net	(7,413)	(40)
Straight-line rent and other write-off	1,117
Unutilized financing fees/ debt refinancing costs	13,629	4
Other adjustments	(2,971)	(3,142)
Changes in:
Interest and rent receivables	(4,208)	(3,453)
Accounts payable and accrued liabilities\expenses	(20,428)	3,022
Net cash provided by operating activities	64,271	69,336
Investing activities
Cash paid for acquisitions and other related investments	(9,004)
Net proceeds from sale of real estate	64,335
Principal received on loans receivable	3,233	1,954
Investment in loans receivable	(1,410)
Construction in progress and other	(30,593)	(55,301)
Net cash provided by (used for) investing activities	26,561	(53,347)
Financing activities
Revolving credit facilities, net	90,000	(455,000)
Proceeds from term debt	955,280	500,000
Payments of term debt	(675,201)	(74)
Distributions paid	(74,521)	(52,402)
Lease deposits and other obligations to tenants	3,307	3,371
Debt issuance costs paid and other financing activities	(15,882)	(8,173)
Net cash provided by (used for) financing activities	282,983	(12,278)
Increase in cash and cash equivalents for period	373,815	3,711
Effect of exchange rate changes	(10,107)	7,158
Cash and cash equivalents at beginning of period	83,240	195,541
Cash and cash equivalents at end of period	446,948	206,410
Interest paid	51,601	26,470
Supplemental schedule of non-cash financing activities:
Distributions declared, unpaid	77,172	52,386
MPT Operating Partnership, L.P. [Member]
Operating activities
Net income	68,185	58,225
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	28,954	21,694
Direct financing lease interest accretion	(2,286)	(2,612)
Straight-line rent revenue	(13,896)	(8,217)
Share / (Unit)-based compensation expense	1,971	2,020
Amortization of deferred financing costs and debt discount	1,617	1,835
Gain from sale of real estate and other asset dispositions, net	(7,413)	(40)
Straight-line rent and other write-off	1,117
Unutilized financing fees/ debt refinancing costs	13,629	4
Other adjustments	(2,971)	(3,142)
Changes in:
Interest and rent receivables	(4,208)	(3,453)
Accounts payable and accrued liabilities\expenses	(20,428)	3,022
Net cash provided by operating activities	64,271	69,336
Investing activities
Cash paid for acquisitions and other related investments	(9,004)
Net proceeds from sale of real estate	64,335
Principal received on loans receivable	3,233	1,954
Investment in loans receivable	(1,410)
Construction in progress and other	(30,593)	(55,301)
Net cash provided by (used for) investing activities	26,561	(53,347)
Financing activities
Revolving credit facilities, net	90,000	(455,000)
Proceeds from term debt	955,280	500,000
Payments of term debt	(675,201)	(74)
Distributions paid	(74,521)	(52,402)
Lease deposits and other obligations to tenants	3,307	3,371
Debt issuance costs paid and other financing activities	(15,882)	(8,173)
Net cash provided by (used for) financing activities	282,983	(12,278)
Increase in cash and cash equivalents for period	373,815	3,711
Effect of exchange rate changes	(10,107)	7,158
Cash and cash equivalents at beginning of period	83,240	195,541
Cash and cash equivalents at end of period	446,948	206,410
Interest paid	51,601	26,470
Supplemental schedule of non-cash financing activities:
Distributions declared, unpaid	$ 77,172	$ 52,386