Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2018	Mar. 31, 2017
Operating activities
Net income	$ 91,043	$ 68,185
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	37,858	28,954
Amortization of deferred financing costs and debt discount	1,789	1,617
Direct financing lease interest accretion	(2,340)	(2,286)
Straight-line rent revenue	(20,377)	(13,896)
Share / (Unit)-based compensation expense	1,856	1,971
Gain from sale of real estate, net	(1,467)	(7,413)
Straight-line rent and other write-off	6,059	1,117
Debt refinancing costs		13,629
Other adjustments	(3,217)	(2,959)
Changes in:
Interest and rent receivables	(3,678)	(4,208)
Accounts payable and accrued expenses	(12,729)	(20,428)
Net cash provided by operating activities	94,797	64,283
Investing activities
Cash paid for acquisitions and other related investments		(9,004)
Net proceeds from sale of real estate	148,809	64,335
Principal received on loans receivable	1,734	3,233
Investment in loans receivable	(149,080)	(1,410)
Construction in progress and other	(8,399)	(26,898)
Net cash (used for) provided by investing activities	(6,936)	30,256
Financing activities
Proceeds from term debt		955,280
Payments of term debt		(675,201)
Revolving credit facilities, net	(33,590)	90,000
Distributions paid	(89,403)	(74,521)
Lease deposits and other obligations to tenants	1,299	3,307
Debt issuance costs paid and other financing activities	(1,643)	(15,882)
Net cash (used for) provided by financing activities	(123,337)	282,983
(Decrease) increase in cash, cash equivalents and restricted cash for period	(35,476)	377,522
Effect of exchange rate changes	2,774	(10,083)
Cash, cash equivalents and restricted cash at beginning of period	172,247	84,882
Cash, cash equivalents and restricted cash at end of period	139,545	452,321
Interest paid	57,025	51,601
Supplemental schedule of non-cash financing activities:
Distributions declared, unpaid	91,410	77,172
Cash, cash equivalents and restricted cash are comprised of the following:
Cash and cash equivalents at beginning of period	171,472	83,240
Restricted cash, included in Other assets at beginning of period	775	1,642
Cash, cash equivalents and restricted cash at beginning of period	172,247	84,882
Cash and cash equivalents at end of period	138,314	446,948
Restricted cash, included in Other assets at end of period	1,231	5,373
Cash, cash equivalents and restricted cash at end of period	139,545	452,321
MPT Operating Partnership, L.P. [Member]
Operating activities
Net income	91,043	68,185
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	37,858	28,954
Amortization of deferred financing costs and debt discount	1,789	1,617
Direct financing lease interest accretion	(2,340)	(2,286)
Straight-line rent revenue	(20,377)	(13,896)
Share / (Unit)-based compensation expense	1,856	1,971
Gain from sale of real estate, net	(1,467)	(7,413)
Straight-line rent and other write-off	6,059	1,117
Debt refinancing costs		13,629
Other adjustments	(3,217)	(2,959)
Changes in:
Interest and rent receivables	(3,678)	(4,208)
Accounts payable and accrued expenses	(12,729)	(20,428)
Net cash provided by operating activities	94,797	64,283
Investing activities
Cash paid for acquisitions and other related investments		(9,004)
Net proceeds from sale of real estate	148,809	64,335
Principal received on loans receivable	1,734	3,233
Investment in loans receivable	(149,080)	(1,410)
Construction in progress and other	(8,399)	(26,898)
Net cash (used for) provided by investing activities	(6,936)	30,256
Financing activities
Proceeds from term debt		955,280
Payments of term debt		(675,201)
Revolving credit facilities, net	(33,590)	90,000
Distributions paid	(89,403)	(74,521)
Lease deposits and other obligations to tenants	1,299	3,307
Debt issuance costs paid and other financing activities	(1,643)	(15,882)
Net cash (used for) provided by financing activities	(123,337)	282,983
(Decrease) increase in cash, cash equivalents and restricted cash for period	(35,476)	377,522
Effect of exchange rate changes	2,774	(10,083)
Cash, cash equivalents and restricted cash at beginning of period	172,247	84,882
Cash, cash equivalents and restricted cash at end of period	139,545	452,321
Interest paid	57,025	51,601
Supplemental schedule of non-cash financing activities:
Distributions declared, unpaid	91,410	77,172
Cash, cash equivalents and restricted cash are comprised of the following:
Cash and cash equivalents at beginning of period	171,472	83,240
Restricted cash, included in Other assets at beginning of period	775	1,642
Cash, cash equivalents and restricted cash at beginning of period	172,247	84,882
Cash and cash equivalents at end of period	138,314	446,948
Restricted cash, included in Other assets at end of period	1,231	5,373
Cash, cash equivalents and restricted cash at end of period	$ 139,545	$ 452,321