Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2017	Sep. 30, 2016
Operating activities
Net income	$ 218,862	$ 182,692
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	93,805	69,720
Amortization of deferred financing costs and debt discount	4,748	5,799
Direct financing lease interest accretion	(7,276)	(6,757)
Straight-line rent revenue	(47,678)	(27,009)
Share / (Unit)-based compensation expense	7,148	5,832
Gain from sale of real estate and other asset dispositions, net	(7,431)	(61,294)
Impairment charges		7,295
Straight-line rent and other write-off	1,117	3,063
Unutilized financing fees/debt refinancing costs	18,794	22,539
Other adjustments	(7,152)	(8,398)
Changes in:
Interest and rent receivables	(14,613)	(12,790)
Accounts payable and accrued expenses	(40,378)	(12,403)
Net cash provided by operating activities	219,946	168,289
Investing activities
Cash paid for acquisitions and other related investments	(2,152,069)	(213,100)
Net proceeds from sale of real estate	64,362	198,767
Principal received on loans receivable	6,760	804,809
Investment in loans receivable	(18,574)	(102,909)
Construction in progress and other	(52,953)	(139,336)
Investment in unsecured senior notes		(50,000)
Proceeds from sale of unsecured senior notes		50,000
Other investments, net	(73,982)	(52,701)
Net cash (used for) provided by investing activities	(2,226,456)	495,530
Financing activities
Proceeds from term debt	2,355,280	1,000,000
Payments of term debt	(688,221)	(515,221)
Revolving credit facilities, net	155,089	(1,100,000)
Distributions paid	(239,211)	(160,060)
Lease deposits and other obligations to tenants	(7,467)	13,784
Proceeds from sale of common shares, net of offering costs	548,055	1,024,088
Debt issuance costs paid and other financing activities	(27,167)	(31,317)
Net cash provided by financing activities	2,096,358	231,274
Increase in cash and cash equivalents for period	89,848	895,093
Effect of exchange rate changes	15,136	4,283
Cash and cash equivalents at beginning of period	83,240	195,541
Cash and cash equivalents at end of period	188,224	1,094,917
Interest paid	131,708	120,374
Supplemental schedule of non-cash investing activities:
(Decrease) increase in development project construction costs incurred, not paid	(9,036)	17,458
Supplemental schedule of non-cash financing activities:
Distributions declared, not paid	87,519	58,333
MPT Operating Partnership, L.P. [Member]
Operating activities
Net income	218,862	182,692
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	93,805	69,720
Amortization of deferred financing costs and debt discount	4,748	5,799
Direct financing lease interest accretion	(7,276)	(6,757)
Straight-line rent revenue	(47,678)	(27,009)
Share / (Unit)-based compensation expense	7,148	5,832
Gain from sale of real estate and other asset dispositions, net	(7,431)	(61,294)
Impairment charges		7,295
Straight-line rent and other write-off	1,117	3,063
Unutilized financing fees/debt refinancing costs	18,794	22,539
Other adjustments	(7,152)	(8,398)
Changes in:
Interest and rent receivables	(14,613)	(12,790)
Accounts payable and accrued expenses	(40,378)	(12,403)
Net cash provided by operating activities	219,946	168,289
Investing activities
Cash paid for acquisitions and other related investments	(2,152,069)	(213,100)
Net proceeds from sale of real estate	64,362	198,767
Principal received on loans receivable	6,760	804,809
Investment in loans receivable	(18,574)	(102,909)
Construction in progress and other	(52,953)	(139,336)
Investment in unsecured senior notes		(50,000)
Proceeds from sale of unsecured senior notes		50,000
Other investments, net	(73,982)	(52,701)
Net cash (used for) provided by investing activities	(2,226,456)	495,530
Financing activities
Proceeds from term debt	2,355,280	1,000,000
Payments of term debt	(688,221)	(515,221)
Revolving credit facilities, net	155,089	(1,100,000)
Distributions paid	(239,211)	(160,060)
Lease deposits and other obligations to tenants	(7,467)	13,784
Proceeds from sale of common shares, net of offering costs	548,055	1,024,088
Debt issuance costs paid and other financing activities	(27,167)	(31,317)
Net cash provided by financing activities	2,096,358	231,274
Increase in cash and cash equivalents for period	89,848	895,093
Effect of exchange rate changes	15,136	4,283
Cash and cash equivalents at beginning of period	83,240	195,541
Cash and cash equivalents at end of period	188,224	1,094,917
Interest paid	131,708	120,374
Supplemental schedule of non-cash investing activities:
(Decrease) increase in development project construction costs incurred, not paid	(9,036)	17,458
Supplemental schedule of non-cash financing activities:
Distributions declared, not paid	$ 87,519	$ 58,333