Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2017	Jun. 30, 2016
Operating activities
Net income	$ 141,981	$ 112,149
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	59,825	45,170
Amortization of deferred financing costs and debt discount	3,139	3,893
Direct financing lease interest accretion	(4,690)	(4,766)
Straight-line rent revenue	(30,173)	(17,268)
Share / (Unit)-based compensation expense	4,377	4,152
Gain from sale of real estate and other asset dispositions, net	(7,413)	(16,678)
Impairment charges		7,375
Straight-line rent and other write-off	1,117	3,063
Unutilized financing fees/debt refinancing costs	14,380	4
Other adjustments	(5,747)	(6,605)
Changes in:
Interest and rent receivables	(10,786)	(2,743)
Accounts payable and accrued expenses	(11,126)	9,544
Net cash provided by operating activities	154,884	137,290
Investing activities
Cash paid for acquisitions and other related investments	(600,781)	(109,991)
Net proceeds from sale of real estate	64,335	89,165
Principal received on loans receivable	5,188	705,501
Investment in loans receivable	(3,574)	(96,504)
Construction in progress and other	(36,002)	(101,113)
Investment in unsecured senior notes		(50,000)
Proceeds from sale of unsecured senior notes		50,000
Other investments, net	(67,101)	(6,952)
Net cash (used for) provided by investing activities	(637,935)	480,106
Financing activities
Proceeds from term debt	955,280	500,000
Payments of term debt	(675,279)	(147)
Revolving credit facilities, net	(39,911)	(1,075,000)
Distributions paid	(151,692)	(104,788)
Lease deposits and other obligations to tenants	6,669	9,593
Proceeds from sale of common shares, net of offering costs	548,063	44,306
Debt issuance costs paid and other financing activities	(16,543)	(8,465)
Net cash provided by (used for) financing activities	626,587	(634,501)
Increase (decrease) in cash and cash equivalents for period	143,536	(17,105)
Effect of exchange rate changes	9,588	3,125
Cash and cash equivalents at beginning of period	83,240	195,541
Cash and cash equivalents at end of period	236,364	181,561
Interest paid	63,371	57,118
Supplemental schedule of non-cash financing activities:
Distributions declared, unpaid	87,519	55,272
MPT Operating Partnership, L.P. [Member]
Operating activities
Net income	141,981	112,149
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	59,825	45,170
Amortization of deferred financing costs and debt discount	3,139	3,893
Direct financing lease interest accretion	(4,690)	(4,766)
Straight-line rent revenue	(30,173)	(17,268)
Share / (Unit)-based compensation expense	4,377	4,152
Gain from sale of real estate and other asset dispositions, net	(7,413)	(16,678)
Impairment charges		7,375
Straight-line rent and other write-off	1,117	3,063
Unutilized financing fees/debt refinancing costs	14,380	4
Other adjustments	(5,747)	(6,605)
Changes in:
Interest and rent receivables	(10,786)	(2,743)
Accounts payable and accrued expenses	(11,126)	9,544
Net cash provided by operating activities	154,884	137,290
Investing activities
Cash paid for acquisitions and other related investments	(600,781)	(109,991)
Net proceeds from sale of real estate	64,335	89,165
Principal received on loans receivable	5,188	705,501
Investment in loans receivable	(3,574)	(96,504)
Construction in progress and other	(36,002)	(101,113)
Investment in unsecured senior notes		(50,000)
Proceeds from sale of unsecured senior notes		50,000
Other investments, net	(67,101)	(6,952)
Net cash (used for) provided by investing activities	(637,935)	480,106
Financing activities
Proceeds from term debt	955,280	500,000
Payments of term debt	(675,279)	(147)
Revolving credit facilities, net	(39,911)	(1,075,000)
Distributions paid	(151,692)	(104,788)
Lease deposits and other obligations to tenants	6,669	9,593
Proceeds from sale of common shares, net of offering costs	548,063	44,306
Debt issuance costs paid and other financing activities	(16,543)	(8,465)
Net cash provided by (used for) financing activities	626,587	(634,501)
Increase (decrease) in cash and cash equivalents for period	143,536	(17,105)
Effect of exchange rate changes	9,588	3,125
Cash and cash equivalents at beginning of period	83,240	195,541
Cash and cash equivalents at end of period	236,364	181,561
Interest paid	63,371	57,118
Supplemental schedule of non-cash financing activities:
Distributions declared, unpaid	$ 87,519	$ 55,272