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<!-- DFS ActiveDisclosure(SM) XBRL Linkbase Document - http://www.dfsco.com/financial-services/ -->
<!-- Creation Date      : 2019-03-01T21:32:36.6583427+00:00 -->
<!-- Version            : 3.3.6989.14284 -->
<!-- Package ID         : 01896005b5814abaa9d0d4402463dc1d -->
<!-- Copyright (c) 2019 Donnelley Financial, LLC. All Rights Reserved. -->
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    <loc xlink:href="mpw-20181231.xsd#mpw_LeaseDepositsAndOtherObligationsToTenants" xlink:type="locator" xlink:label="mpw_LeaseDepositsAndOtherObligationsToTenants" />
    <label xml:lang="en-US" xlink:label="mpw_LeaseDepositsAndOtherObligationsToTenants_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Lease deposits and other obligations to tenants</label>
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    <loc xlink:href="mpw-20181231.xsd#mpw_PayableDueToParentCompany" xlink:type="locator" xlink:label="mpw_PayableDueToParentCompany" />
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    <loc xlink:href="mpw-20181231.xsd#mpw_RentBilled" xlink:type="locator" xlink:label="mpw_RentBilled" />
    <label xml:lang="en-US" xlink:label="mpw_RentBilled_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Rent billed</label>
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    <loc xlink:href="mpw-20181231.xsd#mpw_CostsOfLeasedAndRentedPropertyOrEquipment" xlink:type="locator" xlink:label="mpw_CostsOfLeasedAndRentedPropertyOrEquipment" />
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    <loc xlink:href="mpw-20181231.xsd#mpw_DebtRefinancingCharge" xlink:type="locator" xlink:label="mpw_DebtRefinancingCharge" />
    <label xml:lang="en-US" xlink:label="mpw_DebtRefinancingCharge_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Debt refinancing charge.</label>
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    <loc xlink:href="mpw-20181231.xsd#mpw_RecognitionOfUnearnedIncomeOnDirectFinancingAndSalesTypeLeases" xlink:type="locator" xlink:label="mpw_RecognitionOfUnearnedIncomeOnDirectFinancingAndSalesTypeLeases" />
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    <loc xlink:href="mpw-20181231.xsd#mpw_IncreaseDecreaseInInterestAndRentReceivable" xlink:type="locator" xlink:label="mpw_IncreaseDecreaseInInterestAndRentReceivable" />
    <label xml:lang="en-US" xlink:label="mpw_IncreaseDecreaseInInterestAndRentReceivable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Increase decrease in interest and rent receivable.</label>
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    <loc xlink:href="mpw-20181231.xsd#mpw_ConstructionInProgressEquipmentAndOther" xlink:type="locator" xlink:label="mpw_ConstructionInProgressEquipmentAndOther" />
    <label xml:lang="en-US" xlink:label="mpw_ConstructionInProgressEquipmentAndOther_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Construction in progress, equipment, and other</label>
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    <loc xlink:href="mpw-20181231.xsd#mpw_PaymentsForProceedsFromLeaseDepositsAndOtherObligationsToTenants" xlink:type="locator" xlink:label="mpw_PaymentsForProceedsFromLeaseDepositsAndOtherObligationsToTenants" />
    <label xml:lang="en-US" xlink:label="mpw_PaymentsForProceedsFromLeaseDepositsAndOtherObligationsToTenants_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Payments for proceeds from lease deposits and other obligations to tenants.</label>
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    <loc xlink:href="mpw-20181231.xsd#mpw_DisposalGroupIncludingDiscontinuedOperationPropertyRelatedExpense" xlink:type="locator" xlink:label="mpw_DisposalGroupIncludingDiscontinuedOperationPropertyRelatedExpense" />
    <label xml:lang="en-US" xlink:label="mpw_DisposalGroupIncludingDiscontinuedOperationPropertyRelatedExpense_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Disposal group including discontinued operation property related expense.</label>
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    <loc xlink:href="mpw-20181231.xsd#mpw_DisposalGroupIncludingDiscontinuedOperationOtherIncomeExpense" xlink:type="locator" xlink:label="mpw_DisposalGroupIncludingDiscontinuedOperationOtherIncomeExpense" />
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    <loc xlink:href="mpw-20181231.xsd#mpw_IncomeTaxReconciliationEquityInvestment" xlink:type="locator" xlink:label="mpw_IncomeTaxReconciliationEquityInvestment" />
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    <loc xlink:href="mpw-20181231.xsd#mpw_UndistributedEarningAllocatedToParticipatingSecurities" xlink:type="locator" xlink:label="mpw_UndistributedEarningAllocatedToParticipatingSecurities" />
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    <loc xlink:href="mpw-20181231.xsd#mpw_DocumentAndEntityInformationAbstract" xlink:type="locator" xlink:label="mpw_DocumentAndEntityInformationAbstract" />
    <label xml:lang="en-US" xlink:label="mpw_DocumentAndEntityInformationAbstract_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Document And Entity Information [Abstract]</label>
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    <label xml:lang="en-US" xlink:label="mpw_DocumentAndEntityInformationAbstract_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Document And Entity Information [Abstract]</label>
    <loc xlink:href="https://xbrl.sec.gov/dei/2018/dei-2018-01-31.xsd#dei_DocumentInformationTable" xlink:type="locator" xlink:label="dei_DocumentInformationTable" />
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    <loc xlink:href="http://xbrl.fasb.org/srt/2018/elts/srt-2018-01-31.xsd#srt_ConsolidatedEntitiesAxis" xlink:type="locator" xlink:label="srt_ConsolidatedEntitiesAxis" />
    <label xml:lang="en-US" xlink:label="srt_ConsolidatedEntitiesAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Consolidated Entities</label>
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    <loc xlink:href="mpw-20181231.xsd#mpw_MptOperatingPartnershipLPMember" xlink:type="locator" xlink:label="mpw_MptOperatingPartnershipLPMember" />
    <label xml:lang="en-US" xlink:label="mpw_MptOperatingPartnershipLPMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">MPT Operating Partnership L.P</label>
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    <loc xlink:href="https://xbrl.sec.gov/dei/2018/dei-2018-01-31.xsd#dei_DocumentType" xlink:type="locator" xlink:label="dei_DocumentType" />
    <label xml:lang="en-US" xlink:label="dei_DocumentType_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Document Type</label>
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    <label xml:lang="en-US" xlink:label="dei_DocumentType_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Document Type</label>
    <loc xlink:href="https://xbrl.sec.gov/dei/2018/dei-2018-01-31.xsd#dei_AmendmentFlag" xlink:type="locator" xlink:label="dei_AmendmentFlag" />
    <label xml:lang="en-US" xlink:label="dei_AmendmentFlag_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Amendment Flag</label>
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    <label xml:lang="en-US" xlink:label="dei_DocumentPeriodEndDate_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Document Period End Date</label>
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    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_CashAndCashEquivalentsAtCarryingValue" xlink:type="locator" xlink:label="us-gaap_CashAndCashEquivalentsAtCarryingValue" />
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    <label xml:lang="en-US" xlink:label="mpw_OtherLoans_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Other Loans</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_OtherAssets" xlink:type="locator" xlink:label="us-gaap_OtherAssets" />
    <label xml:lang="en-US" xlink:label="us-gaap_OtherAssets_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Other assets</label>
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    <label xml:lang="en-US" xlink:label="us-gaap_OtherAssets_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Other Assets</label>
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    <label xml:lang="en-US" xlink:label="us-gaap_Assets_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/totalLabel">Total Assets</label>
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    <label xml:lang="en-US" xlink:label="us-gaap_Assets_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Assets</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_LiabilitiesAndStockholdersEquityAbstract" xlink:type="locator" xlink:label="us-gaap_LiabilitiesAndStockholdersEquityAbstract" />
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    <label xml:lang="en-US" xlink:label="us-gaap_LiabilitiesAbstract_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Liabilities</label>
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    <label xml:lang="en-US" xlink:label="us-gaap_LiabilitiesAbstract_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Liabilities [Abstract]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_LongTermDebt" xlink:type="locator" xlink:label="us-gaap_LongTermDebt" />
    <label xml:lang="en-US" xlink:label="us-gaap_LongTermDebt_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Debt, net</label>
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    <label xml:lang="en-US" xlink:label="us-gaap_AccountsPayableAndAccruedLiabilitiesCurrentAndNoncurrent_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Accounts payable and accrued expenses</label>
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    <label xml:lang="en-US" xlink:label="us-gaap_AccountsPayableAndAccruedLiabilitiesCurrentAndNoncurrent_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Accounts Payable And Accrued Liabilities Current And Noncurrent</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ContractWithCustomerLiability" xlink:type="locator" xlink:label="us-gaap_ContractWithCustomerLiability" />
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    <label xml:lang="en-US" xlink:label="mpw_LeaseDepositsAndOtherObligationsToTenants_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Lease deposits and other obligations to tenants</label>
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    <label xml:lang="en-US" xlink:label="mpw_PayableDueToParentCompany_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Payable due to Medical Properties Trust, Inc.</label>
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    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_Liabilities" xlink:type="locator" xlink:label="us-gaap_Liabilities" />
    <label xml:lang="en-US" xlink:label="us-gaap_Liabilities_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/totalLabel">Total Liabilities</label>
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    <label xml:lang="en-US" xlink:label="us-gaap_Liabilities_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Liabilities</label>
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    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterestAbstract" xlink:type="locator" xlink:label="us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterestAbstract" />
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    <label xml:lang="en-US" xlink:label="us-gaap_PreferredStockValue_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Preferred stock, $0.001 par value. Authorized 10,000 shares; no shares outstanding</label>
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    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHoldersShares" xlink:to="mpw_MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHoldersShares_lbl" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_StatementOfStockholdersEquityAbstract" xlink:type="locator" xlink:label="us-gaap_StatementOfStockholdersEquityAbstract" />
    <label xml:lang="en-US" xlink:label="us-gaap_StatementOfStockholdersEquityAbstract_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Statement Of Stockholders Equity [Abstract]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_StatementOfStockholdersEquityAbstract" xlink:to="us-gaap_StatementOfStockholdersEquityAbstract_lbl" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_PreferredStockMember" xlink:type="locator" xlink:label="us-gaap_PreferredStockMember" />
    <label xml:lang="en-US" xlink:label="us-gaap_PreferredStockMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Preferred Par Value [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_PreferredStockMember" xlink:to="us-gaap_PreferredStockMember_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_PreferredStockMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Preferred Stock [Member]</label>
    <label xml:lang="en-US" xlink:label="us-gaap_CommonStockMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel">Common Par Value [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_AdditionalPaidInCapitalMember" xlink:type="locator" xlink:label="us-gaap_AdditionalPaidInCapitalMember" />
    <label xml:lang="en-US" xlink:label="us-gaap_AdditionalPaidInCapitalMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Additional Paid-in Capital [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_AdditionalPaidInCapitalMember" xlink:to="us-gaap_AdditionalPaidInCapitalMember_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_AdditionalPaidInCapitalMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Additional Paid In Capital [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_RetainedEarningsMember" xlink:type="locator" xlink:label="us-gaap_RetainedEarningsMember" />
    <label xml:lang="en-US" xlink:label="us-gaap_RetainedEarningsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Retained Earnings (Deficit) [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_RetainedEarningsMember" xlink:to="us-gaap_RetainedEarningsMember_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_RetainedEarningsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Retained Earnings [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_AccumulatedOtherComprehensiveIncomeMember" xlink:type="locator" xlink:label="us-gaap_AccumulatedOtherComprehensiveIncomeMember" />
    <label xml:lang="en-US" xlink:label="us-gaap_AccumulatedOtherComprehensiveIncomeMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Accumulated Other Comprehensive Loss [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_AccumulatedOtherComprehensiveIncomeMember" xlink:to="us-gaap_AccumulatedOtherComprehensiveIncomeMember_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_AccumulatedOtherComprehensiveIncomeMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Accumulated Other Comprehensive Income [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_TreasuryStockMember" xlink:type="locator" xlink:label="us-gaap_TreasuryStockMember" />
    <label xml:lang="en-US" xlink:label="us-gaap_TreasuryStockMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Treasury Shares [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_TreasuryStockMember" xlink:to="us-gaap_TreasuryStockMember_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_TreasuryStockMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Treasury Stock [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_NoncontrollingInterestMember" xlink:type="locator" xlink:label="us-gaap_NoncontrollingInterestMember" />
    <label xml:lang="en-US" xlink:label="us-gaap_NoncontrollingInterestMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Non-Controlling Interests [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_NoncontrollingInterestMember" xlink:to="us-gaap_NoncontrollingInterestMember_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_NoncontrollingInterestMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Noncontrolling Interest [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_LimitedPartnerMember" xlink:type="locator" xlink:label="us-gaap_LimitedPartnerMember" />
    <label xml:lang="en-US" xlink:label="us-gaap_LimitedPartnerMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Limited Partner [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_LimitedPartnerMember" xlink:to="us-gaap_LimitedPartnerMember_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_LimitedPartnerMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Limited Partner [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_LongTermIncentivePlanMember" xlink:type="locator" xlink:label="mpw_LongTermIncentivePlanMember" />
    <label xml:lang="en-US" xlink:label="mpw_LongTermIncentivePlanMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Long term incentive plan.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_LongTermIncentivePlanMember" xlink:to="mpw_LongTermIncentivePlanMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_LongTermIncentivePlanMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Long Term Incentive Plan [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_LongTermIncentivePlanMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Long Term Incentive Plan [Member]</label>
    <label xml:lang="en-US" xlink:label="us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/periodStartLabel">Beginning balance</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_SharesOutstanding" xlink:type="locator" xlink:label="us-gaap_SharesOutstanding" />
    <label xml:lang="en-US" xlink:label="us-gaap_SharesOutstanding_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/periodStartLabel">Beginning balance (in shares)</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_SharesOutstanding" xlink:to="us-gaap_SharesOutstanding_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_SharesOutstanding_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Shares Outstanding</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_NoncontrollingInterestIncreaseFromSaleOfParentEquityInterest" xlink:type="locator" xlink:label="us-gaap_NoncontrollingInterestIncreaseFromSaleOfParentEquityInterest" />
    <label xml:lang="en-US" xlink:label="us-gaap_NoncontrollingInterestIncreaseFromSaleOfParentEquityInterest_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Sale of non-controlling interests</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_NoncontrollingInterestIncreaseFromSaleOfParentEquityInterest" xlink:to="us-gaap_NoncontrollingInterestIncreaseFromSaleOfParentEquityInterest_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_NoncontrollingInterestIncreaseFromSaleOfParentEquityInterest_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Noncontrolling Interest Increase From Sale Of Parent Equity Interest</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_CumulativeEffectOnRetainedEarningsNetOfTax1" xlink:type="locator" xlink:label="us-gaap_CumulativeEffectOnRetainedEarningsNetOfTax1" />
    <label xml:lang="en-US" xlink:label="us-gaap_CumulativeEffectOnRetainedEarningsNetOfTax1_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Cumulative effect of change in accounting principles</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_CumulativeEffectOnRetainedEarningsNetOfTax1" xlink:to="us-gaap_CumulativeEffectOnRetainedEarningsNetOfTax1_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_CumulativeEffectOnRetainedEarningsNetOfTax1_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Cumulative Effect On Retained Earnings Net Of Tax1</label>
    <label xml:lang="en-US" xlink:label="mpw_StockIssuedDuringPeriodValueStockVestingAndAmortizationOfStockBasedCompensation_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Stock (Unit) vesting and amortization of stock (unit)-based compensation</label>
    <label xml:lang="en-US" xlink:label="mpw_StockIssuedDuringPeriodValueStockVestingAndAmortizationOfStockBasedCompensation_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Stock Issued During Period Value Stock Vesting And Amortization Of Stock Based Compensation</label>
    <label xml:lang="en-US" xlink:label="mpw_StockIssuedDuringPeriodSharesStockVestingAndAmortizationOfStockBasedCompensation_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Stock (Unit) vesting and amortization of stock (unit)-based compensation (shares)</label>
    <label xml:lang="en-US" xlink:label="mpw_StockIssuedDuringPeriodSharesStockVestingAndAmortizationOfStockBasedCompensation_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Stock Issued During Period Shares Stock Vesting And Amortization Of Stock Based Compensation</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_TreasuryStockValueAcquiredCostMethod" xlink:type="locator" xlink:label="us-gaap_TreasuryStockValueAcquiredCostMethod" />
    <label xml:lang="en-US" xlink:label="us-gaap_TreasuryStockValueAcquiredCostMethod_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">Treasury shares acquired (41,270 shares)</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_TreasuryStockValueAcquiredCostMethod" xlink:to="us-gaap_TreasuryStockValueAcquiredCostMethod_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_TreasuryStockValueAcquiredCostMethod_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Treasury Stock Value Acquired Cost Method</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_TreasuryStockValueAcquiredParValueMethod" xlink:type="locator" xlink:label="us-gaap_TreasuryStockValueAcquiredParValueMethod" />
    <label xml:lang="en-US" xlink:label="us-gaap_TreasuryStockValueAcquiredParValueMethod_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">Treasury units acquired (41,270 units)</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_TreasuryStockValueAcquiredParValueMethod" xlink:to="us-gaap_TreasuryStockValueAcquiredParValueMethod_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_TreasuryStockValueAcquiredParValueMethod_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Treasury Stock Value Acquired Par Value Method</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_StockIssuedDuringPeriodValueConversionOfUnits" xlink:type="locator" xlink:label="us-gaap_StockIssuedDuringPeriodValueConversionOfUnits" />
    <label xml:lang="en-US" xlink:label="us-gaap_StockIssuedDuringPeriodValueConversionOfUnits_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Conversion of LTIP units to common units</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_StockIssuedDuringPeriodValueConversionOfUnits" xlink:to="us-gaap_StockIssuedDuringPeriodValueConversionOfUnits_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_StockIssuedDuringPeriodValueConversionOfUnits_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Stock Issued During Period Value Conversion Of Units</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_StockIssuedDuringPeriodSharesConversionOfUnits" xlink:type="locator" xlink:label="us-gaap_StockIssuedDuringPeriodSharesConversionOfUnits" />
    <label xml:lang="en-US" xlink:label="us-gaap_StockIssuedDuringPeriodSharesConversionOfUnits_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Conversion of LTIP units to common units (shares)</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_StockIssuedDuringPeriodSharesConversionOfUnits" xlink:to="us-gaap_StockIssuedDuringPeriodSharesConversionOfUnits_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_StockIssuedDuringPeriodSharesConversionOfUnits_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Stock Issued During Period Shares Conversion Of Units</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_PartnersCapitalAccountRedemptions" xlink:type="locator" xlink:label="us-gaap_PartnersCapitalAccountRedemptions" />
    <label xml:lang="en-US" xlink:label="us-gaap_PartnersCapitalAccountRedemptions_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">Redemption of common units</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_PartnersCapitalAccountRedemptions" xlink:to="us-gaap_PartnersCapitalAccountRedemptions_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_PartnersCapitalAccountRedemptions_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Partners Capital Account Redemptions</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_PartnersCapitalAccountUnitsRedeemed" xlink:type="locator" xlink:label="us-gaap_PartnersCapitalAccountUnitsRedeemed" />
    <label xml:lang="en-US" xlink:label="us-gaap_PartnersCapitalAccountUnitsRedeemed_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">Redemption of common units (shares)</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_PartnersCapitalAccountUnitsRedeemed" xlink:to="us-gaap_PartnersCapitalAccountUnitsRedeemed_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_PartnersCapitalAccountUnitsRedeemed_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Partners Capital Account Units Redeemed</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders" xlink:type="locator" xlink:label="us-gaap_MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders" />
    <label xml:lang="en-US" xlink:label="us-gaap_MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">Distributions to non-controlling interests</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders" xlink:to="us-gaap_MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Minority Interest Decrease From Distributions To Noncontrolling Interest Holders</label>
    <label xml:lang="en-US" xlink:label="mpw_MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHoldersShares_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel">Distributions to non-controlling interests (shares)</label>
    <label xml:lang="en-US" xlink:label="mpw_MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHoldersShares_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Minority Interest Decrease From Distributions To Noncontrolling Interest Holders Shares</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_StockIssuedDuringPeriodValueNewIssues" xlink:type="locator" xlink:label="us-gaap_StockIssuedDuringPeriodValueNewIssues" />
    <label xml:lang="en-US" xlink:label="us-gaap_StockIssuedDuringPeriodValueNewIssues_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Proceeds from offering (net of offering costs)</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_StockIssuedDuringPeriodValueNewIssues" xlink:to="us-gaap_StockIssuedDuringPeriodValueNewIssues_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_StockIssuedDuringPeriodValueNewIssues_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Stock Issued During Period Value New Issues</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_StockIssuedDuringPeriodSharesNewIssues" xlink:type="locator" xlink:label="us-gaap_StockIssuedDuringPeriodSharesNewIssues" />
    <label xml:lang="en-US" xlink:label="us-gaap_StockIssuedDuringPeriodSharesNewIssues_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Proceeds from offering (net of offering costs) (shares)</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_StockIssuedDuringPeriodSharesNewIssues" xlink:to="us-gaap_StockIssuedDuringPeriodSharesNewIssues_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_StockIssuedDuringPeriodSharesNewIssues_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Stock Issued During Period Shares New Issues</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DividendsCommonStockCash" xlink:type="locator" xlink:label="us-gaap_DividendsCommonStockCash" />
    <label xml:lang="en-US" xlink:label="us-gaap_DividendsCommonStockCash_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">Dividends (Distributions) declared ($0.91 in 2016, 0.96 in 2017 and 1.00 in 2018 per common share/ unit)</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DividendsCommonStockCash" xlink:to="us-gaap_DividendsCommonStockCash_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DividendsCommonStockCash_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Dividends Common Stock Cash</label>
    <label xml:lang="en-US" xlink:label="us-gaap_StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/periodEndLabel">Ending balance</label>
    <label xml:lang="en-US" xlink:label="us-gaap_SharesOutstanding_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/periodEndLabel">Ending balance (in shares)</label>
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    <label xml:lang="en-US" xlink:label="us-gaap_TreasuryStockSharesAcquired_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Treasury shares acquired (shares)</label>
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    <label xml:lang="en-US" xlink:label="us-gaap_TreasuryStockSharesAcquired_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Treasury Stock Shares Acquired</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_CommonStockDividendsPerShareDeclared" xlink:type="locator" xlink:label="us-gaap_CommonStockDividendsPerShareDeclared" />
    <label xml:lang="en-US" xlink:label="us-gaap_CommonStockDividendsPerShareDeclared_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Dividends (Distributions) declared per common share / unit</label>
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    <label xml:lang="en-US" xlink:label="us-gaap_CommonStockDividendsPerShareDeclared_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Common Stock Dividends Per Share Declared</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_SupplementalScheduleOfNonCashFinancingActivitiesAbstract" xlink:type="locator" xlink:label="mpw_SupplementalScheduleOfNonCashFinancingActivitiesAbstract" />
    <label xml:lang="en-US" xlink:label="mpw_SupplementalScheduleOfNonCashFinancingActivitiesAbstract_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Supplemental Schedule Of Non Cash Financing Activities [Abstract]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_SupplementalScheduleOfNonCashFinancingActivitiesAbstract" xlink:to="mpw_SupplementalScheduleOfNonCashFinancingActivitiesAbstract_lbl" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_StatementOfCashFlowsAbstract" xlink:type="locator" xlink:label="us-gaap_StatementOfCashFlowsAbstract" />
    <label xml:lang="en-US" xlink:label="us-gaap_StatementOfCashFlowsAbstract_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Statement Of Cash Flows [Abstract]</label>
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    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_NetCashProvidedByUsedInOperatingActivitiesAbstract" xlink:type="locator" xlink:label="us-gaap_NetCashProvidedByUsedInOperatingActivitiesAbstract" />
    <label xml:lang="en-US" xlink:label="us-gaap_NetCashProvidedByUsedInOperatingActivitiesAbstract_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Operating activities</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_NetCashProvidedByUsedInOperatingActivitiesAbstract" xlink:to="us-gaap_NetCashProvidedByUsedInOperatingActivitiesAbstract_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_NetCashProvidedByUsedInOperatingActivitiesAbstract_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Net Cash Provided By Used In Operating Activities [Abstract]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivitiesAbstract" xlink:type="locator" xlink:label="us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivitiesAbstract" />
    <label xml:lang="en-US" xlink:label="us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivitiesAbstract_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Adjustments to reconcile net income to net cash provided by operating activities:</label>
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    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DepreciationDepletionAndAmortization" xlink:type="locator" xlink:label="us-gaap_DepreciationDepletionAndAmortization" />
    <label xml:lang="en-US" xlink:label="us-gaap_DepreciationDepletionAndAmortization_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Depreciation and amortization</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DepreciationDepletionAndAmortization" xlink:to="us-gaap_DepreciationDepletionAndAmortization_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DepreciationDepletionAndAmortization_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Depreciation Depletion And Amortization</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_AmortizationOfFinancingCostsAndDiscounts" xlink:type="locator" xlink:label="us-gaap_AmortizationOfFinancingCostsAndDiscounts" />
    <label xml:lang="en-US" xlink:label="us-gaap_AmortizationOfFinancingCostsAndDiscounts_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Amortization of deferred financing costs and debt discount</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_AmortizationOfFinancingCostsAndDiscounts" xlink:to="us-gaap_AmortizationOfFinancingCostsAndDiscounts_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_AmortizationOfFinancingCostsAndDiscounts_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Amortization Of Financing Costs And Discounts</label>
    <label xml:lang="en-US" xlink:label="mpw_RecognitionOfUnearnedIncomeOnDirectFinancingAndSalesTypeLeases_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">Direct financing lease interest accretion</label>
    <label xml:lang="en-US" xlink:label="mpw_RecognitionOfUnearnedIncomeOnDirectFinancingAndSalesTypeLeases_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Recognition Of Unearned Income On Direct Financing And Sales Type Leases</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_StraightLineRent" xlink:type="locator" xlink:label="us-gaap_StraightLineRent" />
    <label xml:lang="en-US" xlink:label="us-gaap_StraightLineRent_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">Straight-line rent revenue</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_StraightLineRent" xlink:to="us-gaap_StraightLineRent_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_StraightLineRent_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Straight Line Rent</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ShareBasedCompensation" xlink:type="locator" xlink:label="us-gaap_ShareBasedCompensation" />
    <label xml:lang="en-US" xlink:label="us-gaap_ShareBasedCompensation_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Share / (Unit)-based compensation expense</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ShareBasedCompensation" xlink:to="us-gaap_ShareBasedCompensation_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ShareBasedCompensation_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Share Based Compensation</label>
    <label xml:lang="en-US" xlink:label="us-gaap_GainsLossesOnSalesOfInvestmentRealEstate_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">Gain from sale of real estate and other, net</label>
    <label xml:lang="en-US" xlink:label="us-gaap_AssetImpairmentCharges_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Impairment charges</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ImpairmentOfRealEstate" xlink:type="locator" xlink:label="us-gaap_ImpairmentOfRealEstate" />
    <label xml:lang="en-US" xlink:label="us-gaap_ImpairmentOfRealEstate_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Straight-line rent and other write-off</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ImpairmentOfRealEstate" xlink:to="us-gaap_ImpairmentOfRealEstate_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ImpairmentOfRealEstate_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Impairment Of Real Estate</label>
    <label xml:lang="en-US" xlink:label="mpw_DebtRefinancingCharge_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Debt refinancing costs</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_OtherNoncashIncomeExpense" xlink:type="locator" xlink:label="us-gaap_OtherNoncashIncomeExpense" />
    <label xml:lang="en-US" xlink:label="us-gaap_OtherNoncashIncomeExpense_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">Other adjustments</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_OtherNoncashIncomeExpense" xlink:to="us-gaap_OtherNoncashIncomeExpense_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_OtherNoncashIncomeExpense_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Other Noncash Income Expense</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_IncreaseDecreaseInOperatingCapitalAbstract" xlink:type="locator" xlink:label="us-gaap_IncreaseDecreaseInOperatingCapitalAbstract" />
    <label xml:lang="en-US" xlink:label="us-gaap_IncreaseDecreaseInOperatingCapitalAbstract_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Changes in:</label>
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    <label xml:lang="en-US" xlink:label="us-gaap_IncreaseDecreaseInOperatingCapitalAbstract_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Increase Decrease In Operating Capital [Abstract]</label>
    <label xml:lang="en-US" xlink:label="mpw_IncreaseDecreaseInInterestAndRentReceivable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">Interest and rent receivables</label>
    <label xml:lang="en-US" xlink:label="mpw_IncreaseDecreaseInInterestAndRentReceivable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Increase Decrease In Interest And Rent Receivable</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_IncreaseDecreaseInOtherOperatingAssets" xlink:type="locator" xlink:label="us-gaap_IncreaseDecreaseInOtherOperatingAssets" />
    <label xml:lang="en-US" xlink:label="us-gaap_IncreaseDecreaseInOtherOperatingAssets_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">Other assets</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_IncreaseDecreaseInOtherOperatingAssets" xlink:to="us-gaap_IncreaseDecreaseInOtherOperatingAssets_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_IncreaseDecreaseInOtherOperatingAssets_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Increase Decrease In Other Operating Assets</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_IncreaseDecreaseInAccountsPayableAndAccruedLiabilities" xlink:type="locator" xlink:label="us-gaap_IncreaseDecreaseInAccountsPayableAndAccruedLiabilities" />
    <label xml:lang="en-US" xlink:label="us-gaap_IncreaseDecreaseInAccountsPayableAndAccruedLiabilities_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Accounts payable and accrued expenses</label>
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    <label xml:lang="en-US" xlink:label="us-gaap_IncreaseDecreaseInAccountsPayableAndAccruedLiabilities_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Increase Decrease In Accounts Payable And Accrued Liabilities</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_IncreaseDecreaseInContractWithCustomerLiability" xlink:type="locator" xlink:label="us-gaap_IncreaseDecreaseInContractWithCustomerLiability" />
    <label xml:lang="en-US" xlink:label="us-gaap_IncreaseDecreaseInContractWithCustomerLiability_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Deferred revenue</label>
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    <label xml:lang="en-US" xlink:label="us-gaap_IncreaseDecreaseInContractWithCustomerLiability_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Increase Decrease In Contract With Customer Liability</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_NetCashProvidedByUsedInOperatingActivities" xlink:type="locator" xlink:label="us-gaap_NetCashProvidedByUsedInOperatingActivities" />
    <label xml:lang="en-US" xlink:label="us-gaap_NetCashProvidedByUsedInOperatingActivities_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/totalLabel">Net cash provided by operating activities</label>
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    <label xml:lang="en-US" xlink:label="us-gaap_NetCashProvidedByUsedInOperatingActivities_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Net Cash Provided By Used In Operating Activities</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_NetCashProvidedByUsedInInvestingActivitiesAbstract" xlink:type="locator" xlink:label="us-gaap_NetCashProvidedByUsedInInvestingActivitiesAbstract" />
    <label xml:lang="en-US" xlink:label="us-gaap_NetCashProvidedByUsedInInvestingActivitiesAbstract_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Investing activities</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_NetCashProvidedByUsedInInvestingActivitiesAbstract" xlink:to="us-gaap_NetCashProvidedByUsedInInvestingActivitiesAbstract_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_NetCashProvidedByUsedInInvestingActivitiesAbstract_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Net Cash Provided By Used In Investing Activities [Abstract]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_PaymentsToAcquireRealEstate" xlink:type="locator" xlink:label="us-gaap_PaymentsToAcquireRealEstate" />
    <label xml:lang="en-US" xlink:label="us-gaap_PaymentsToAcquireRealEstate_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">Cash paid for acquisitions and other related investments</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_PaymentsToAcquireRealEstate" xlink:to="us-gaap_PaymentsToAcquireRealEstate_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_PaymentsToAcquireRealEstate_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Payments To Acquire Real Estate</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ProceedsFromSaleOfProductiveAssets" xlink:type="locator" xlink:label="us-gaap_ProceedsFromSaleOfProductiveAssets" />
    <label xml:lang="en-US" xlink:label="us-gaap_ProceedsFromSaleOfProductiveAssets_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Net proceeds from sale of real estate</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ProceedsFromSaleOfProductiveAssets" xlink:to="us-gaap_ProceedsFromSaleOfProductiveAssets_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ProceedsFromSaleOfProductiveAssets_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Proceeds From Sale Of Productive Assets</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ProceedsFromCollectionOfLoansReceivable" xlink:type="locator" xlink:label="us-gaap_ProceedsFromCollectionOfLoansReceivable" />
    <label xml:lang="en-US" xlink:label="us-gaap_ProceedsFromCollectionOfLoansReceivable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Principal received on loans receivable</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ProceedsFromCollectionOfLoansReceivable" xlink:to="us-gaap_ProceedsFromCollectionOfLoansReceivable_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ProceedsFromCollectionOfLoansReceivable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Proceeds From Collection Of Loans Receivable</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_PaymentsForProceedsFromLoansReceivable" xlink:type="locator" xlink:label="us-gaap_PaymentsForProceedsFromLoansReceivable" />
    <label xml:lang="en-US" xlink:label="us-gaap_PaymentsForProceedsFromLoansReceivable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">Investment in loans receivable</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_PaymentsForProceedsFromLoansReceivable" xlink:to="us-gaap_PaymentsForProceedsFromLoansReceivable_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_PaymentsForProceedsFromLoansReceivable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Payments For Proceeds From Loans Receivable</label>
    <label xml:lang="en-US" xlink:label="mpw_ConstructionInProgressEquipmentAndOther_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">Construction in progress and other</label>
    <label xml:lang="en-US" xlink:label="mpw_ConstructionInProgressEquipmentAndOther_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Construction In Progress Equipment And Other</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_PaymentsToAcquireNotesReceivable" xlink:type="locator" xlink:label="us-gaap_PaymentsToAcquireNotesReceivable" />
    <label xml:lang="en-US" xlink:label="us-gaap_PaymentsToAcquireNotesReceivable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">Investment in unsecured senior notes</label>
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    <label xml:lang="en-US" xlink:label="us-gaap_NetCashProvidedByUsedInFinancingActivitiesAbstract_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Net Cash Provided By Used In Financing Activities [Abstract]</label>
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    <label xml:lang="en-US" xlink:label="us-gaap_ProceedsFromIssuanceOfLongTermDebt_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Proceeds from term debt</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ProceedsFromIssuanceOfLongTermDebt" xlink:to="us-gaap_ProceedsFromIssuanceOfLongTermDebt_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ProceedsFromIssuanceOfLongTermDebt_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Proceeds From Issuance Of Long Term Debt</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_RepaymentsOfLongTermDebt" xlink:type="locator" xlink:label="us-gaap_RepaymentsOfLongTermDebt" />
    <label xml:lang="en-US" xlink:label="us-gaap_RepaymentsOfLongTermDebt_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">Payments of term debt</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_RepaymentsOfLongTermDebt" xlink:to="us-gaap_RepaymentsOfLongTermDebt_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_RepaymentsOfLongTermDebt_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Repayments Of Long Term Debt</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_PaymentsOfFinancingCosts" xlink:type="locator" xlink:label="us-gaap_PaymentsOfFinancingCosts" />
    <label xml:lang="en-US" xlink:label="us-gaap_PaymentsOfFinancingCosts_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">Payment of deferred financing costs</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_PaymentsOfFinancingCosts" xlink:to="us-gaap_PaymentsOfFinancingCosts_lbl" />
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    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ProceedsFromRepaymentsOfLinesOfCredit" xlink:type="locator" xlink:label="us-gaap_ProceedsFromRepaymentsOfLinesOfCredit" />
    <label xml:lang="en-US" xlink:label="us-gaap_ProceedsFromRepaymentsOfLinesOfCredit_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Revolving credit facilities, net</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ProceedsFromRepaymentsOfLinesOfCredit" xlink:to="us-gaap_ProceedsFromRepaymentsOfLinesOfCredit_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ProceedsFromRepaymentsOfLinesOfCredit_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Proceeds From Repayments Of Lines Of Credit</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_PaymentsOfOrdinaryDividends" xlink:type="locator" xlink:label="us-gaap_PaymentsOfOrdinaryDividends" />
    <label xml:lang="en-US" xlink:label="us-gaap_PaymentsOfOrdinaryDividends_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">Distributions paid</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_PaymentsOfOrdinaryDividends" xlink:to="us-gaap_PaymentsOfOrdinaryDividends_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_PaymentsOfOrdinaryDividends_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Payments Of Ordinary Dividends</label>
    <label xml:lang="en-US" xlink:label="mpw_PaymentsForProceedsFromLeaseDepositsAndOtherObligationsToTenants_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">Lease deposits and other obligations to tenants</label>
    <label xml:lang="en-US" xlink:label="mpw_PaymentsForProceedsFromLeaseDepositsAndOtherObligationsToTenants_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Payments For Proceeds From Lease Deposits And Other Obligations To Tenants</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ProceedsFromIssuanceOfCommonStock" xlink:type="locator" xlink:label="us-gaap_ProceedsFromIssuanceOfCommonStock" />
    <label xml:lang="en-US" xlink:label="us-gaap_ProceedsFromIssuanceOfCommonStock_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Proceeds from sale of common shares, net of offering costs</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ProceedsFromIssuanceOfCommonStock" xlink:to="us-gaap_ProceedsFromIssuanceOfCommonStock_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ProceedsFromIssuanceOfCommonStock_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Proceeds From Issuance Of Common Stock</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ProceedsFromPaymentsForOtherFinancingActivities" xlink:type="locator" xlink:label="us-gaap_ProceedsFromPaymentsForOtherFinancingActivities" />
    <label xml:lang="en-US" xlink:label="us-gaap_ProceedsFromPaymentsForOtherFinancingActivities_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Other financing activities</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ProceedsFromPaymentsForOtherFinancingActivities" xlink:to="us-gaap_ProceedsFromPaymentsForOtherFinancingActivities_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ProceedsFromPaymentsForOtherFinancingActivities_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Proceeds From Payments For Other Financing Activities</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_NetCashProvidedByUsedInFinancingActivities" xlink:type="locator" xlink:label="us-gaap_NetCashProvidedByUsedInFinancingActivities" />
    <label xml:lang="en-US" xlink:label="us-gaap_NetCashProvidedByUsedInFinancingActivities_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/totalLabel">Net cash (used for) provided by financing activities</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_NetCashProvidedByUsedInFinancingActivities" xlink:to="us-gaap_NetCashProvidedByUsedInFinancingActivities_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_NetCashProvidedByUsedInFinancingActivities_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Net Cash Provided By Used In Financing Activities</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseExcludingExchangeRateEffect" xlink:type="locator" xlink:label="us-gaap_CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseExcludingExchangeRateEffect" />
    <label xml:lang="en-US" xlink:label="us-gaap_CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseExcludingExchangeRateEffect_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/totalLabel">Increase (decrease) in cash, cash equivalents, and restricted cash for the year</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseExcludingExchangeRateEffect" xlink:to="us-gaap_CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseExcludingExchangeRateEffect_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseExcludingExchangeRateEffect_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Excluding Exchange Rate Effect</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents" xlink:type="locator" xlink:label="us-gaap_EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents" />
    <label xml:lang="en-US" xlink:label="us-gaap_EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Effect of exchange rate changes</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents" xlink:to="us-gaap_EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents_lbl" />
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    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations" xlink:type="locator" xlink:label="us-gaap_CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations" />
    <label xml:lang="en-US" xlink:label="us-gaap_CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/periodStartLabel">Cash, cash equivalents and restricted cash at beginning of year</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations" xlink:to="us-gaap_CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations</label>
    <label xml:lang="en-US" xlink:label="us-gaap_CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/periodEndLabel">Cash, cash equivalents, and restricted cash at end of year</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_InterestPaid" xlink:type="locator" xlink:label="us-gaap_InterestPaid" />
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    <label xml:lang="en-US" xlink:label="us-gaap_InterestPaid_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Interest Paid</label>
    <label xml:lang="en-US" xlink:label="mpw_SupplementalScheduleOfNonCashFinancingActivitiesAbstract_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Supplemental schedule of non-cash financing activities:</label>
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    <label xml:lang="en-US" xlink:label="us-gaap_DividendsPayableCurrentAndNoncurrent_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Dividends declared, not paid</label>
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    <label xml:lang="en-US" xlink:label="us-gaap_DividendsPayableCurrentAndNoncurrent_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Dividends Payable Current And Noncurrent</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsAbstract" xlink:type="locator" xlink:label="us-gaap_CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsAbstract" />
    <label xml:lang="en-US" xlink:label="us-gaap_CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsAbstract_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Cash, cash equivalents and restricted cash are comprised of the following:</label>
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    <label xml:lang="en-US" xlink:label="us-gaap_RestrictedCashAndCashEquivalents_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/periodStartLabel">Restricted cash, included in Other assets at beginning of period</label>
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    <label xml:lang="en-US" xlink:label="us-gaap_RestrictedCashAndCashEquivalents_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Restricted Cash And Cash Equivalents</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_RestrictedCashAndCashEquivalentsNoncurrentAssetStatementOfFinancialPositionExtensibleList" xlink:type="locator" xlink:label="us-gaap_RestrictedCashAndCashEquivalentsNoncurrentAssetStatementOfFinancialPositionExtensibleList" />
    <label xml:lang="en-US" xlink:label="us-gaap_RestrictedCashAndCashEquivalentsNoncurrentAssetStatementOfFinancialPositionExtensibleList_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Restricted cash and cash equivalents, noncurrent, asset, statement of financial position [Extensible List]</label>
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    <label xml:lang="en-US" xlink:label="us-gaap_RestrictedCashAndCashEquivalentsNoncurrentAssetStatementOfFinancialPositionExtensibleList_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Restricted Cash And Cash Equivalents Noncurrent Asset Statement Of Financial Position Extensible List</label>
    <label xml:lang="en-US" xlink:label="us-gaap_CashAndCashEquivalentsAtCarryingValue_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/periodEndLabel">Cash and cash equivalents at end of period</label>
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    <label xml:lang="en-US" xlink:label="us-gaap_DeferredChargesPolicyTextBlock_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Deferred Costs</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DeferredChargesPolicyTextBlock" xlink:to="us-gaap_DeferredChargesPolicyTextBlock_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredChargesPolicyTextBlock_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Deferred Charges Policy [Text Block]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_DeferredFinancingCostsPolicyTextBlock" xlink:type="locator" xlink:label="mpw_DeferredFinancingCostsPolicyTextBlock" />
    <label xml:lang="en-US" xlink:label="mpw_DeferredFinancingCostsPolicyTextBlock_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Deferred Financing Costs [Policy Text Block]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_DeferredFinancingCostsPolicyTextBlock" xlink:to="mpw_DeferredFinancingCostsPolicyTextBlock_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_DeferredFinancingCostsPolicyTextBlock_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Deferred Financing Costs</label>
    <label xml:lang="en-US" xlink:label="mpw_DeferredFinancingCostsPolicyTextBlock_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Deferred Financing Costs Policy [Text Block]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ForeignCurrencyTransactionsAndTranslationsPolicyTextBlock" xlink:type="locator" xlink:label="us-gaap_ForeignCurrencyTransactionsAndTranslationsPolicyTextBlock" />
    <label xml:lang="en-US" xlink:label="us-gaap_ForeignCurrencyTransactionsAndTranslationsPolicyTextBlock_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Foreign Currency Translation and Transactions</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ForeignCurrencyTransactionsAndTranslationsPolicyTextBlock" xlink:to="us-gaap_ForeignCurrencyTransactionsAndTranslationsPolicyTextBlock_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ForeignCurrencyTransactionsAndTranslationsPolicyTextBlock_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Foreign Currency Transactions And Translations Policy [Text Block]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DerivativesPolicyTextBlock" xlink:type="locator" xlink:label="us-gaap_DerivativesPolicyTextBlock" />
    <label xml:lang="en-US" xlink:label="us-gaap_DerivativesPolicyTextBlock_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Derivative Financial Investments and Hedging Activities</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DerivativesPolicyTextBlock" xlink:to="us-gaap_DerivativesPolicyTextBlock_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DerivativesPolicyTextBlock_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Derivatives Policy [Text Block]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_FairValueOfFinancialInstrumentsPolicy" xlink:type="locator" xlink:label="us-gaap_FairValueOfFinancialInstrumentsPolicy" />
    <label xml:lang="en-US" xlink:label="us-gaap_FairValueOfFinancialInstrumentsPolicy_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Fair Value Measurement</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_FairValueOfFinancialInstrumentsPolicy" xlink:to="us-gaap_FairValueOfFinancialInstrumentsPolicy_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_FairValueOfFinancialInstrumentsPolicy_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Fair Value Of Financial Instruments Policy</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_PriorPeriodReclassificationAdjustmentDescription" xlink:type="locator" xlink:label="us-gaap_PriorPeriodReclassificationAdjustmentDescription" />
    <label xml:lang="en-US" xlink:label="us-gaap_PriorPeriodReclassificationAdjustmentDescription_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Reclassification</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_PriorPeriodReclassificationAdjustmentDescription" xlink:to="us-gaap_PriorPeriodReclassificationAdjustmentDescription_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_PriorPeriodReclassificationAdjustmentDescription_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Prior Period Reclassification Adjustment Description</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_NewAccountingPronouncementsPolicyPolicyTextBlock" xlink:type="locator" xlink:label="us-gaap_NewAccountingPronouncementsPolicyPolicyTextBlock" />
    <label xml:lang="en-US" xlink:label="us-gaap_NewAccountingPronouncementsPolicyPolicyTextBlock_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Recent Accounting Developments</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_NewAccountingPronouncementsPolicyPolicyTextBlock" xlink:to="us-gaap_NewAccountingPronouncementsPolicyPolicyTextBlock_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_NewAccountingPronouncementsPolicyPolicyTextBlock_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">New Accounting Pronouncements Policy Policy [Text Block]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ScheduleOfVariableInterestEntitiesTextBlock" xlink:type="locator" xlink:label="us-gaap_ScheduleOfVariableInterestEntitiesTextBlock" />
    <label xml:lang="en-US" xlink:label="us-gaap_ScheduleOfVariableInterestEntitiesTextBlock_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Carrying Value and Classification of Related Assets and Maximum Exposure to Loss</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ScheduleOfVariableInterestEntitiesTextBlock" xlink:to="us-gaap_ScheduleOfVariableInterestEntitiesTextBlock_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ScheduleOfVariableInterestEntitiesTextBlock_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Schedule Of Variable Interest Entities [Text Block]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_PropertyPlantAndEquipmentTextBlock" xlink:type="locator" xlink:label="us-gaap_PropertyPlantAndEquipmentTextBlock" />
    <label xml:lang="en-US" xlink:label="us-gaap_PropertyPlantAndEquipmentTextBlock_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Estimated Useful Lives of Related Real Estate and Other Assets</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_PropertyPlantAndEquipmentTextBlock" xlink:to="us-gaap_PropertyPlantAndEquipmentTextBlock_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_PropertyPlantAndEquipmentTextBlock_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Property Plant And Equipment [Text Block]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_RevenueByOperatorTableTextBlock" xlink:type="locator" xlink:label="mpw_RevenueByOperatorTableTextBlock" />
    <label xml:lang="en-US" xlink:label="mpw_RevenueByOperatorTableTextBlock_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Revenue by operator.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_RevenueByOperatorTableTextBlock" xlink:to="mpw_RevenueByOperatorTableTextBlock_lbl" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_RealEstatePropertiesAxis" xlink:type="locator" xlink:label="us-gaap_RealEstatePropertiesAxis" />
    <label xml:lang="en-US" xlink:label="us-gaap_RealEstatePropertiesAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Real Estate Property Ownership</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_RealEstatePropertiesAxis" xlink:to="us-gaap_RealEstatePropertiesAxis_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_RealEstatePropertiesAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Real Estate Properties [Axis]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_RealEstatePropertiesDomain" xlink:type="locator" xlink:label="us-gaap_RealEstatePropertiesDomain" />
    <label xml:lang="en-US" xlink:label="us-gaap_RealEstatePropertiesDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Real Estate Properties</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_RealEstatePropertiesDomain" xlink:to="us-gaap_RealEstatePropertiesDomain_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_RealEstatePropertiesDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Real Estate Properties [Domain]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_TwoThousandEighteenMember" xlink:type="locator" xlink:label="mpw_TwoThousandEighteenMember" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandEighteenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Two thousand eighteen.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_TwoThousandEighteenMember" xlink:to="mpw_TwoThousandEighteenMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandEighteenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2018 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandEighteenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Two Thousand Eighteen [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_TwoThousandSixteenMember" xlink:type="locator" xlink:label="mpw_TwoThousandSixteenMember" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandSixteenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Two thousand Sixteen.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_TwoThousandSixteenMember" xlink:to="mpw_TwoThousandSixteenMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandSixteenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2016 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandSixteenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Two Thousand Sixteen [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_RevenueByOperatorTableTextBlock_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Schedule of Revenue by Operator</label>
    <label xml:lang="en-US" xlink:label="mpw_RevenueByOperatorTableTextBlock_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Revenue By Operator Table [Text Block]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_RevenueFromExternalCustomersByGeographicAreasTableTextBlock" xlink:type="locator" xlink:label="us-gaap_RevenueFromExternalCustomersByGeographicAreasTableTextBlock" />
    <label xml:lang="en-US" xlink:label="us-gaap_RevenueFromExternalCustomersByGeographicAreasTableTextBlock_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Schedule of Revenue from External Customers by Geographic Areas</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_RevenueFromExternalCustomersByGeographicAreasTableTextBlock" xlink:to="us-gaap_RevenueFromExternalCustomersByGeographicAreasTableTextBlock_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_RevenueFromExternalCustomersByGeographicAreasTableTextBlock_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Revenue From External Customers By Geographic Areas Table [Text Block]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ScheduleOfBusinessAcquisitionsByAcquisitionTextBlock" xlink:type="locator" xlink:label="us-gaap_ScheduleOfBusinessAcquisitionsByAcquisitionTextBlock" />
    <label xml:lang="en-US" xlink:label="us-gaap_ScheduleOfBusinessAcquisitionsByAcquisitionTextBlock_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Assets Acquired</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ScheduleOfBusinessAcquisitionsByAcquisitionTextBlock" xlink:to="us-gaap_ScheduleOfBusinessAcquisitionsByAcquisitionTextBlock_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ScheduleOfBusinessAcquisitionsByAcquisitionTextBlock_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Schedule Of Business Acquisitions By Acquisition [Text Block]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_ScheduleOfDevelopmentProjectsTableTextBlock" xlink:type="locator" xlink:label="mpw_ScheduleOfDevelopmentProjectsTableTextBlock" />
    <label xml:lang="en-US" xlink:label="mpw_ScheduleOfDevelopmentProjectsTableTextBlock_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Schedule Of Development Projects [Table Text Block]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_ScheduleOfDevelopmentProjectsTableTextBlock" xlink:to="mpw_ScheduleOfDevelopmentProjectsTableTextBlock_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_ScheduleOfDevelopmentProjectsTableTextBlock_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Summary of Status on Current Development Projects</label>
    <label xml:lang="en-US" xlink:label="mpw_ScheduleOfDevelopmentProjectsTableTextBlock_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Schedule Of Development Projects Table [Text Block]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ScheduleOfDisposalGroupsIncludingDiscontinuedOperationsIncomeStatementBalanceSheetAndAdditionalDisclosuresTextBlock" xlink:type="locator" xlink:label="us-gaap_ScheduleOfDisposalGroupsIncludingDiscontinuedOperationsIncomeStatementBalanceSheetAndAdditionalDisclosuresTextBlock" />
    <label xml:lang="en-US" xlink:label="us-gaap_ScheduleOfDisposalGroupsIncludingDiscontinuedOperationsIncomeStatementBalanceSheetAndAdditionalDisclosuresTextBlock_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Summary of Operations for Disposed Assets</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ScheduleOfDisposalGroupsIncludingDiscontinuedOperationsIncomeStatementBalanceSheetAndAdditionalDisclosuresTextBlock" xlink:to="us-gaap_ScheduleOfDisposalGroupsIncludingDiscontinuedOperationsIncomeStatementBalanceSheetAndAdditionalDisclosuresTextBlock_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ScheduleOfDisposalGroupsIncludingDiscontinuedOperationsIncomeStatementBalanceSheetAndAdditionalDisclosuresTextBlock_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Schedule Of Disposal Groups Including Discontinued Operations Income Statement Balance Sheet And Additional Disclosures [Text Block]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ScheduleofFiniteLivedIntangibleAssetsFutureAmortizationExpenseTableTextBlock" xlink:type="locator" xlink:label="us-gaap_ScheduleofFiniteLivedIntangibleAssetsFutureAmortizationExpenseTableTextBlock" />
    <label xml:lang="en-US" xlink:label="us-gaap_ScheduleofFiniteLivedIntangibleAssetsFutureAmortizationExpenseTableTextBlock_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Amortization Expense from Existing Lease Intangible Assets</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ScheduleofFiniteLivedIntangibleAssetsFutureAmortizationExpenseTableTextBlock" xlink:to="us-gaap_ScheduleofFiniteLivedIntangibleAssetsFutureAmortizationExpenseTableTextBlock_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ScheduleofFiniteLivedIntangibleAssetsFutureAmortizationExpenseTableTextBlock_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Scheduleof Finite Lived Intangible Assets Future Amortization Expense Table [Text Block]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_ComponentsOfInvestmentInLeasesOfEquipmentTableTextBlock" xlink:type="locator" xlink:label="mpw_ComponentsOfInvestmentInLeasesOfEquipmentTableTextBlock" />
    <label xml:lang="en-US" xlink:label="mpw_ComponentsOfInvestmentInLeasesOfEquipmentTableTextBlock_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Investments in direct financing leases of Equipment.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_ComponentsOfInvestmentInLeasesOfEquipmentTableTextBlock" xlink:to="mpw_ComponentsOfInvestmentInLeasesOfEquipmentTableTextBlock_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_ComponentsOfInvestmentInLeasesOfEquipmentTableTextBlock_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Components of Net Investment in Direct Financing Leases</label>
    <label xml:lang="en-US" xlink:label="mpw_ComponentsOfInvestmentInLeasesOfEquipmentTableTextBlock_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Components Of Investment In Leases Of Equipment Table [Text Block]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_ScheduleOfFutureMinimumRentalPaymentsReceivableTableTextBlock" xlink:type="locator" xlink:label="mpw_ScheduleOfFutureMinimumRentalPaymentsReceivableTableTextBlock" />
    <label xml:lang="en-US" xlink:label="mpw_ScheduleOfFutureMinimumRentalPaymentsReceivableTableTextBlock_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Schedule of Future Minimum Rental Payments Receivable.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_ScheduleOfFutureMinimumRentalPaymentsReceivableTableTextBlock" xlink:to="mpw_ScheduleOfFutureMinimumRentalPaymentsReceivableTableTextBlock_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_ScheduleOfFutureMinimumRentalPaymentsReceivableTableTextBlock_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Minimum Rental Payments Due over the Remaining Lease Term under Operating Leases</label>
    <label xml:lang="en-US" xlink:label="mpw_ScheduleOfFutureMinimumRentalPaymentsReceivableTableTextBlock_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Schedule Of Future Minimum Rental Payments Receivable Table [Text Block]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_ScheduleOfLoansReceivableTableTextBlock" xlink:type="locator" xlink:label="mpw_ScheduleOfLoansReceivableTableTextBlock" />
    <label xml:lang="en-US" xlink:label="mpw_ScheduleOfLoansReceivableTableTextBlock_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Schedule of Loans Receivable.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_ScheduleOfLoansReceivableTableTextBlock" xlink:to="mpw_ScheduleOfLoansReceivableTableTextBlock_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_ScheduleOfLoansReceivableTableTextBlock_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Summary of Loans</label>
    <label xml:lang="en-US" xlink:label="mpw_ScheduleOfLoansReceivableTableTextBlock_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Schedule Of Loans Receivable Table [Text Block]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ScheduleOfDebtTableTextBlock" xlink:type="locator" xlink:label="us-gaap_ScheduleOfDebtTableTextBlock" />
    <label xml:lang="en-US" xlink:label="us-gaap_ScheduleOfDebtTableTextBlock_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Summary of Debt</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ScheduleOfDebtTableTextBlock" xlink:to="us-gaap_ScheduleOfDebtTableTextBlock_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ScheduleOfDebtTableTextBlock_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Schedule Of Debt Table [Text Block]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ContractualObligationFiscalYearMaturityScheduleTableTextBlock" xlink:type="locator" xlink:label="us-gaap_ContractualObligationFiscalYearMaturityScheduleTableTextBlock" />
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    <label xml:lang="en-US" xlink:label="srt_RangeAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Range</label>
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    <label xml:lang="en-US" xlink:label="srt_RangeAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Range [Axis]</label>
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    <label xml:lang="en-US" xlink:label="srt_RangeMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Range</label>
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    <label xml:lang="en-US" xlink:label="srt_RangeMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Range [Member]</label>
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    <label xml:lang="en-US" xlink:label="srt_MinimumMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Minimum [Member]</label>
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    <label xml:lang="en-US" xlink:label="srt_MinimumMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Minimum [Member]</label>
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    <label xml:lang="en-US" xlink:label="srt_MaximumMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Maximum [Member]</label>
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    <label xml:lang="en-US" xlink:label="srt_MaximumMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Maximum [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_SignificantAccountingPoliciesLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Significant Accounting Policies [Line Items]</label>
    <label xml:lang="en-US" xlink:label="mpw_SignificantAccountingPoliciesLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Significant Accounting Policies [Line Items]</label>
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    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ScheduleOfVariableInterestEntitiesTable" xlink:type="locator" xlink:label="us-gaap_ScheduleOfVariableInterestEntitiesTable" />
    <label xml:lang="en-US" xlink:label="us-gaap_ScheduleOfVariableInterestEntitiesTable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Schedule Of Variable Interest Entities [Table]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ScheduleOfVariableInterestEntitiesTable" xlink:to="us-gaap_ScheduleOfVariableInterestEntitiesTable_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ScheduleOfVariableInterestEntitiesTable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Schedule Of Variable Interest Entities [Table]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_FairValueByAssetClassAxis" xlink:type="locator" xlink:label="us-gaap_FairValueByAssetClassAxis" />
    <label xml:lang="en-US" xlink:label="us-gaap_FairValueByAssetClassAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Asset Class</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_FairValueByAssetClassAxis" xlink:to="us-gaap_FairValueByAssetClassAxis_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_FairValueByAssetClassAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Fair Value By Asset Class [Axis]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_FairValueAssetsMeasuredOnRecurringBasisUnobservableInputReconciliationByAssetClassDomain" xlink:type="locator" xlink:label="us-gaap_FairValueAssetsMeasuredOnRecurringBasisUnobservableInputReconciliationByAssetClassDomain" />
    <label xml:lang="en-US" xlink:label="us-gaap_FairValueAssetsMeasuredOnRecurringBasisUnobservableInputReconciliationByAssetClassDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Asset Class</label>
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    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_EquityMethodInvestmentsMember" xlink:type="locator" xlink:label="us-gaap_EquityMethodInvestmentsMember" />
    <label xml:lang="en-US" xlink:label="us-gaap_EquityMethodInvestmentsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Equity investments [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_EquityMethodInvestmentsMember" xlink:to="us-gaap_EquityMethodInvestmentsMember_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_EquityMethodInvestmentsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Equity Method Investments [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_VariableInterestEntitiesByClassificationOfEntityAxis" xlink:type="locator" xlink:label="us-gaap_VariableInterestEntitiesByClassificationOfEntityAxis" />
    <label xml:lang="en-US" xlink:label="us-gaap_VariableInterestEntitiesByClassificationOfEntityAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Variable Interest Entities</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_VariableInterestEntitiesByClassificationOfEntityAxis" xlink:to="us-gaap_VariableInterestEntitiesByClassificationOfEntityAxis_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_VariableInterestEntitiesByClassificationOfEntityAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Variable Interest Entities By Classification Of Entity [Axis]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ClassificationOfVariableInterestEntityDomain" xlink:type="locator" xlink:label="us-gaap_ClassificationOfVariableInterestEntityDomain" />
    <label xml:lang="en-US" xlink:label="us-gaap_ClassificationOfVariableInterestEntityDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Variable Interest Entity, Classification</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ClassificationOfVariableInterestEntityDomain" xlink:to="us-gaap_ClassificationOfVariableInterestEntityDomain_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ClassificationOfVariableInterestEntityDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Classification Of Variable Interest Entity [Domain]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_MortgageAndOtherLoansMember" xlink:type="locator" xlink:label="mpw_MortgageAndOtherLoansMember" />
    <label xml:lang="en-US" xlink:label="mpw_MortgageAndOtherLoansMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Mortgage And Other Loans</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_MortgageAndOtherLoansMember" xlink:to="mpw_MortgageAndOtherLoansMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_MortgageAndOtherLoansMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Mortgage and other loans [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_MortgageAndOtherLoansMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Mortgage And Other Loans [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_VariableInterestEntityLineItems" xlink:type="locator" xlink:label="us-gaap_VariableInterestEntityLineItems" />
    <label xml:lang="en-US" xlink:label="us-gaap_VariableInterestEntityLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Variable Interest Entity [Line Items]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_VariableInterestEntityLineItems" xlink:to="us-gaap_VariableInterestEntityLineItems_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_VariableInterestEntityLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Variable Interest Entity [Line Items]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_VariableInterestEntityEntityMaximumLossExposureAmount" xlink:type="locator" xlink:label="us-gaap_VariableInterestEntityEntityMaximumLossExposureAmount" />
    <label xml:lang="en-US" xlink:label="us-gaap_VariableInterestEntityEntityMaximumLossExposureAmount_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Maximum Loss Exposure</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_VariableInterestEntityEntityMaximumLossExposureAmount" xlink:to="us-gaap_VariableInterestEntityEntityMaximumLossExposureAmount_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_VariableInterestEntityEntityMaximumLossExposureAmount_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Variable Interest Entity Entity Maximum Loss Exposure Amount</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_VariableInterestEntityConsolidatedCarryingAmountAssets" xlink:type="locator" xlink:label="us-gaap_VariableInterestEntityConsolidatedCarryingAmountAssets" />
    <label xml:lang="en-US" xlink:label="us-gaap_VariableInterestEntityConsolidatedCarryingAmountAssets_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Carrying Amount</label>
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    <label xml:lang="en-US" xlink:label="us-gaap_VariableInterestEntityConsolidatedCarryingAmountAssets_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Variable Interest Entity Consolidated Carrying Amount Assets</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_ExpectedLeaseUpPeriodsForEstimatingLostRentals" xlink:type="locator" xlink:label="mpw_ExpectedLeaseUpPeriodsForEstimatingLostRentals" />
    <label xml:lang="en-US" xlink:label="mpw_ExpectedLeaseUpPeriodsForEstimatingLostRentals_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Expected lease-up periods for estimating lost rentals.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_ExpectedLeaseUpPeriodsForEstimatingLostRentals" xlink:to="mpw_ExpectedLeaseUpPeriodsForEstimatingLostRentals_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_ExpectedLeaseUpPeriodsForEstimatingLostRentals_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Expected lease-up periods for estimating lost rentals, in months</label>
    <label xml:lang="en-US" xlink:label="mpw_ExpectedLeaseUpPeriodsForEstimatingLostRentals_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Expected Lease Up Periods For Estimating Lost Rentals</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ScheduleOfPropertyPlantAndEquipmentTable" xlink:type="locator" xlink:label="us-gaap_ScheduleOfPropertyPlantAndEquipmentTable" />
    <label xml:lang="en-US" xlink:label="us-gaap_ScheduleOfPropertyPlantAndEquipmentTable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Schedule Of Property Plant And Equipment [Table]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ScheduleOfPropertyPlantAndEquipmentTable" xlink:to="us-gaap_ScheduleOfPropertyPlantAndEquipmentTable_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ScheduleOfPropertyPlantAndEquipmentTable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Schedule Of Property Plant And Equipment [Table]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_PropertyPlantAndEquipmentByTypeAxis" xlink:type="locator" xlink:label="us-gaap_PropertyPlantAndEquipmentByTypeAxis" />
    <label xml:lang="en-US" xlink:label="us-gaap_PropertyPlantAndEquipmentByTypeAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Property, Plant and Equipment, Type</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_PropertyPlantAndEquipmentByTypeAxis" xlink:to="us-gaap_PropertyPlantAndEquipmentByTypeAxis_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_PropertyPlantAndEquipmentByTypeAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Property Plant And Equipment By Type [Axis]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_PropertyPlantAndEquipmentTypeDomain" xlink:type="locator" xlink:label="us-gaap_PropertyPlantAndEquipmentTypeDomain" />
    <label xml:lang="en-US" xlink:label="us-gaap_PropertyPlantAndEquipmentTypeDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Property, Plant and Equipment, Type</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_PropertyPlantAndEquipmentTypeDomain" xlink:to="us-gaap_PropertyPlantAndEquipmentTypeDomain_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_PropertyPlantAndEquipmentTypeDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Property Plant And Equipment Type [Domain]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_BuildingAndBuildingImprovementsMember" xlink:type="locator" xlink:label="us-gaap_BuildingAndBuildingImprovementsMember" />
    <label xml:lang="en-US" xlink:label="us-gaap_BuildingAndBuildingImprovementsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Buildings and improvements [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_BuildingAndBuildingImprovementsMember" xlink:to="us-gaap_BuildingAndBuildingImprovementsMember_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_BuildingAndBuildingImprovementsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Building And Building Improvements [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_TenantLeaseIntangiblesMember" xlink:type="locator" xlink:label="mpw_TenantLeaseIntangiblesMember" />
    <label xml:lang="en-US" xlink:label="mpw_TenantLeaseIntangiblesMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Tenant Lease Intangibles [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_TenantLeaseIntangiblesMember" xlink:to="mpw_TenantLeaseIntangiblesMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_TenantLeaseIntangiblesMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Tenant lease intangibles [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_TenantLeaseIntangiblesMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Tenant Lease Intangibles [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_LeaseholdImprovementsMember" xlink:type="locator" xlink:label="us-gaap_LeaseholdImprovementsMember" />
    <label xml:lang="en-US" xlink:label="us-gaap_LeaseholdImprovementsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Leasehold improvements [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_LeaseholdImprovementsMember" xlink:to="us-gaap_LeaseholdImprovementsMember_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_LeaseholdImprovementsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Leasehold Improvements [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_FurnitureEquipmentAndOtherMember" xlink:type="locator" xlink:label="mpw_FurnitureEquipmentAndOtherMember" />
    <label xml:lang="en-US" xlink:label="mpw_FurnitureEquipmentAndOtherMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Furniture, Equipment And Other [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_FurnitureEquipmentAndOtherMember" xlink:to="mpw_FurnitureEquipmentAndOtherMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_FurnitureEquipmentAndOtherMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Furniture, equipment and other [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_FurnitureEquipmentAndOtherMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Furniture Equipment And Other [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_PropertyPlantAndEquipmentLineItems" xlink:type="locator" xlink:label="us-gaap_PropertyPlantAndEquipmentLineItems" />
    <label xml:lang="en-US" xlink:label="us-gaap_PropertyPlantAndEquipmentLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Property, Plant and Equipment [Line Items]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_PropertyPlantAndEquipmentLineItems" xlink:to="us-gaap_PropertyPlantAndEquipmentLineItems_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_PropertyPlantAndEquipmentLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Property Plant And Equipment [Line Items]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_PropertyPlantAndEquipmentUsefulLife" xlink:type="locator" xlink:label="us-gaap_PropertyPlantAndEquipmentUsefulLife" />
    <label xml:lang="en-US" xlink:label="us-gaap_PropertyPlantAndEquipmentUsefulLife_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Weighted average useful lives of related real estate and other assets</label>
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    <label xml:lang="en-US" xlink:label="us-gaap_PropertyPlantAndEquipmentUsefulLife_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Property Plant And Equipment Useful Life</label>
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    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardAwardVestingPeriod1" xlink:type="locator" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardAwardVestingPeriod1" />
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    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_OperatingLeaseRightOfUseAsset" xlink:type="locator" xlink:label="us-gaap_OperatingLeaseRightOfUseAsset" />
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    <loc xlink:href="mpw-20181231.xsd#mpw_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedCurrentAssetsMarketableSecuritiesAndOtherAssets" xlink:type="locator" xlink:label="mpw_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedCurrentAssetsMarketableSecuritiesAndOtherAssets" />
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    <loc xlink:href="mpw-20181231.xsd#mpw_BusinessCombinationLoansPaidDownOnAcquisitionLoans" xlink:type="locator" xlink:label="mpw_BusinessCombinationLoansPaidDownOnAcquisitionLoans" />
    <label xml:lang="en-US" xlink:label="mpw_BusinessCombinationLoansPaidDownOnAcquisitionLoans_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Business combination loans paid down on acquisition loans.</label>
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    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_BusinessCombinationsAbstract" xlink:type="locator" xlink:label="us-gaap_BusinessCombinationsAbstract" />
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    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ScheduleOfBusinessAcquisitionsByAcquisitionTable" xlink:type="locator" xlink:label="us-gaap_ScheduleOfBusinessAcquisitionsByAcquisitionTable" />
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    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_BalanceSheetLocationAxis" xlink:type="locator" xlink:label="us-gaap_BalanceSheetLocationAxis" />
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    <loc xlink:href="mpw-20181231.xsd#mpw_OtherLoansMember" xlink:type="locator" xlink:label="mpw_OtherLoansMember" />
    <label xml:lang="en-US" xlink:label="mpw_OtherLoansMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Other Loans</label>
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    <label xml:lang="en-US" xlink:label="mpw_OtherLoansMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Other Loans [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_OtherLoansMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Other Loans [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_InvestmentTypeAxis" xlink:type="locator" xlink:label="us-gaap_InvestmentTypeAxis" />
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    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_MortgagesMember" xlink:type="locator" xlink:label="us-gaap_MortgagesMember" />
    <label xml:lang="en-US" xlink:label="us-gaap_MortgagesMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Mortgage Loans [Member]</label>
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    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_LandMember" xlink:type="locator" xlink:label="us-gaap_LandMember" />
    <label xml:lang="en-US" xlink:label="us-gaap_LandMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Land [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_LandMember" xlink:to="us-gaap_LandMember_lbl" />
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    <label xml:lang="en-US" xlink:label="us-gaap_BuildingMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Building [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_BuildingMember" xlink:to="us-gaap_BuildingMember_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_BuildingMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Building [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_IntangibleLeaseAssetsMember" xlink:type="locator" xlink:label="mpw_IntangibleLeaseAssetsMember" />
    <label xml:lang="en-US" xlink:label="mpw_IntangibleLeaseAssetsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Intangible Lease Assets</label>
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    <loc xlink:href="mpw-20181231.xsd#mpw_NetInvestmentInDirectFinancingLeasesMember" xlink:type="locator" xlink:label="mpw_NetInvestmentInDirectFinancingLeasesMember" />
    <label xml:lang="en-US" xlink:label="mpw_NetInvestmentInDirectFinancingLeasesMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Net Investment In Direct Financing Leases</label>
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    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_BusinessAcquisitionLineItems" xlink:type="locator" xlink:label="us-gaap_BusinessAcquisitionLineItems" />
    <label xml:lang="en-US" xlink:label="us-gaap_BusinessAcquisitionLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Business Acquisition [Line Items]</label>
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    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedAssets" xlink:type="locator" xlink:label="us-gaap_BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedAssets" />
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    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_RelatedPartyTransactionsByRelatedPartyAxis" xlink:type="locator" xlink:label="us-gaap_RelatedPartyTransactionsByRelatedPartyAxis" />
    <label xml:lang="en-US" xlink:label="us-gaap_RelatedPartyTransactionsByRelatedPartyAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Related Party</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_RelatedPartyTransactionsByRelatedPartyAxis" xlink:to="us-gaap_RelatedPartyTransactionsByRelatedPartyAxis_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_RelatedPartyTransactionsByRelatedPartyAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Related Party Transactions By Related Party [Axis]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_RelatedPartyDomain" xlink:type="locator" xlink:label="us-gaap_RelatedPartyDomain" />
    <label xml:lang="en-US" xlink:label="us-gaap_RelatedPartyDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Related Party</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_RelatedPartyDomain" xlink:to="us-gaap_RelatedPartyDomain_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_RelatedPartyDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Related Party [Domain]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_PrimeHealthCareServicesMember" xlink:type="locator" xlink:label="mpw_PrimeHealthCareServicesMember" />
    <label xml:lang="en-US" xlink:label="mpw_PrimeHealthCareServicesMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Prime Health Care Services.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_PrimeHealthCareServicesMember" xlink:to="mpw_PrimeHealthCareServicesMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_PrimeHealthCareServicesMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Prime Healthcare Services, Inc [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_PrimeHealthCareServicesMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Prime Health Care Services [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_BusinessAcquisitionAxis" xlink:type="locator" xlink:label="us-gaap_BusinessAcquisitionAxis" />
    <label xml:lang="en-US" xlink:label="us-gaap_BusinessAcquisitionAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Business Acquisition</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_BusinessAcquisitionAxis" xlink:to="us-gaap_BusinessAcquisitionAxis_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_BusinessAcquisitionAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Business Acquisition [Axis]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_BusinessAcquisitionAcquireeDomain" xlink:type="locator" xlink:label="us-gaap_BusinessAcquisitionAcquireeDomain" />
    <label xml:lang="en-US" xlink:label="us-gaap_BusinessAcquisitionAcquireeDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Business Acquisition, Acquiree</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_BusinessAcquisitionAcquireeDomain" xlink:to="us-gaap_BusinessAcquisitionAcquireeDomain_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_BusinessAcquisitionAcquireeDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Business Acquisition Acquiree [Domain]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_StewardHealthCareSystemLLCMember" xlink:type="locator" xlink:label="mpw_StewardHealthCareSystemLLCMember" />
    <label xml:lang="en-US" xlink:label="mpw_StewardHealthCareSystemLLCMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Steward Health Care System LLC.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_StewardHealthCareSystemLLCMember" xlink:to="mpw_StewardHealthCareSystemLLCMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_StewardHealthCareSystemLLCMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel">Steward [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_StewardHealthCareSystemLLCMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Steward Health Care System L L C [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_CapellaHealthcareIncMember" xlink:type="locator" xlink:label="mpw_CapellaHealthcareIncMember" />
    <label xml:lang="en-US" xlink:label="mpw_CapellaHealthcareIncMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Capella Healthcare Inc.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_CapellaHealthcareIncMember" xlink:to="mpw_CapellaHealthcareIncMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_CapellaHealthcareIncMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Capella [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_CapellaHealthcareIncMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Capella Healthcare Inc [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_AcquiredFiniteLivedIntangibleAssetsWeightedAverageUsefulLife" xlink:type="locator" xlink:label="us-gaap_AcquiredFiniteLivedIntangibleAssetsWeightedAverageUsefulLife" />
    <label xml:lang="en-US" xlink:label="us-gaap_AcquiredFiniteLivedIntangibleAssetsWeightedAverageUsefulLife_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Weighted average useful life of acquired intangible lease assets (in years)</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_AcquiredFiniteLivedIntangibleAssetsWeightedAverageUsefulLife" xlink:to="us-gaap_AcquiredFiniteLivedIntangibleAssetsWeightedAverageUsefulLife_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_AcquiredFiniteLivedIntangibleAssetsWeightedAverageUsefulLife_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Acquired Finite Lived Intangible Assets Weighted Average Useful Life</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NumberOfSaleLeasebackConversionProperties" xlink:type="locator" xlink:label="mpw_NumberOfSaleLeasebackConversionProperties" />
    <label xml:lang="en-US" xlink:label="mpw_NumberOfSaleLeasebackConversionProperties_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Number of sale leaseback conversion properties.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NumberOfSaleLeasebackConversionProperties" xlink:to="mpw_NumberOfSaleLeasebackConversionProperties_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_BusinessCombinationLoansPaidDownOnAcquisitionLoans_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Loans repaid</label>
    <label xml:lang="en-US" xlink:label="mpw_NumberOfSaleLeasebackConversionProperties_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Number of sale leaseback conversion properties</label>
    <label xml:lang="en-US" xlink:label="mpw_NumberOfSaleLeasebackConversionProperties_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Number Of Sale Leaseback Conversion Properties</label>
    <loc xlink:href="http://xbrl.fasb.org/srt/2018/elts/srt-2018-01-31.xsd#srt_ScheduleOfEquityMethodInvestmentEquityMethodInvesteeNameAxis" xlink:type="locator" xlink:label="srt_ScheduleOfEquityMethodInvestmentEquityMethodInvesteeNameAxis" />
    <label xml:lang="en-US" xlink:label="srt_ScheduleOfEquityMethodInvestmentEquityMethodInvesteeNameAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Investment, Name</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="srt_ScheduleOfEquityMethodInvestmentEquityMethodInvesteeNameAxis" xlink:to="srt_ScheduleOfEquityMethodInvestmentEquityMethodInvesteeNameAxis_lbl" />
    <label xml:lang="en-US" xlink:label="srt_ScheduleOfEquityMethodInvestmentEquityMethodInvesteeNameAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Schedule Of Equity Method Investment Equity Method Investee Name [Axis]</label>
    <loc xlink:href="http://xbrl.fasb.org/srt/2018/elts/srt-2018-01-31.xsd#srt_EquityMethodInvesteeNameDomain" xlink:type="locator" xlink:label="srt_EquityMethodInvesteeNameDomain" />
    <label xml:lang="en-US" xlink:label="srt_EquityMethodInvesteeNameDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Investment, Name</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="srt_EquityMethodInvesteeNameDomain" xlink:to="srt_EquityMethodInvesteeNameDomain_lbl" />
    <label xml:lang="en-US" xlink:label="srt_EquityMethodInvesteeNameDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Equity Method Investee Name [Domain]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_PrimotopHoldingsSARLMember" xlink:type="locator" xlink:label="mpw_PrimotopHoldingsSARLMember" />
    <label xml:lang="en-US" xlink:label="mpw_PrimotopHoldingsSARLMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Primotop holdings s.a.r.l.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_PrimotopHoldingsSARLMember" xlink:to="mpw_PrimotopHoldingsSARLMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_PrimotopHoldingsSARLMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Primotop Holdings S.a.r.l. [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_PrimotopHoldingsSARLMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Primotop Holdings S A R L [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/srt/2018/elts/srt-2018-01-31.xsd#srt_StatementGeographicalAxis" xlink:type="locator" xlink:label="srt_StatementGeographicalAxis" />
    <label xml:lang="en-US" xlink:label="srt_StatementGeographicalAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Geographical</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="srt_StatementGeographicalAxis" xlink:to="srt_StatementGeographicalAxis_lbl" />
    <label xml:lang="en-US" xlink:label="srt_StatementGeographicalAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Statement Geographical [Axis]</label>
    <loc xlink:href="http://xbrl.fasb.org/srt/2018/elts/srt-2018-01-31.xsd#srt_SegmentGeographicalDomain" xlink:type="locator" xlink:label="srt_SegmentGeographicalDomain" />
    <label xml:lang="en-US" xlink:label="srt_SegmentGeographicalDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Geographical</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="srt_SegmentGeographicalDomain" xlink:to="srt_SegmentGeographicalDomain_lbl" />
    <label xml:lang="en-US" xlink:label="srt_SegmentGeographicalDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Segment Geographical [Domain]</label>
    <loc xlink:href="http://xbrl.sec.gov/country/2017/country-2017-01-31.xsd#country_DE" xlink:type="locator" xlink:label="country_DE" />
    <label xml:lang="en-US" xlink:label="country_DE_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Germany [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="country_DE" xlink:to="country_DE_lbl" />
    <label xml:lang="en-US" xlink:label="country_DE_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">GERMANY</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_FairValueByMeasurementBasisAxis" xlink:type="locator" xlink:label="us-gaap_FairValueByMeasurementBasisAxis" />
    <label xml:lang="en-US" xlink:label="us-gaap_FairValueByMeasurementBasisAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Measurement Basis</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_FairValueByMeasurementBasisAxis" xlink:to="us-gaap_FairValueByMeasurementBasisAxis_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_FairValueByMeasurementBasisAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Fair Value By Measurement Basis [Axis]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_PortionAtFairValueFairValueDisclosureMember" xlink:type="locator" xlink:label="us-gaap_PortionAtFairValueFairValueDisclosureMember" />
    <label xml:lang="en-US" xlink:label="us-gaap_PortionAtFairValueFairValueDisclosureMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Fair Value Disclosure Item Amounts [Default]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_PortionAtFairValueFairValueDisclosureMember" xlink:to="us-gaap_PortionAtFairValueFairValueDisclosureMember_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_PortionAtFairValueFairValueDisclosureMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Portion At Fair Value Fair Value Disclosure [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_FairValueDisclosureItemAmountsDomain" xlink:type="locator" xlink:label="us-gaap_FairValueDisclosureItemAmountsDomain" />
    <label xml:lang="en-US" xlink:label="us-gaap_FairValueDisclosureItemAmountsDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Fair Value Measurement</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_FairValueDisclosureItemAmountsDomain" xlink:to="us-gaap_FairValueDisclosureItemAmountsDomain_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_FairValueDisclosureItemAmountsDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Fair Value Disclosure Item Amounts [Domain]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_EstimateOfFairValueFairValueDisclosureMember" xlink:type="locator" xlink:label="us-gaap_EstimateOfFairValueFairValueDisclosureMember" />
    <label xml:lang="en-US" xlink:label="us-gaap_EstimateOfFairValueFairValueDisclosureMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Fair Value [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_EstimateOfFairValueFairValueDisclosureMember" xlink:to="us-gaap_EstimateOfFairValueFairValueDisclosureMember_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_EstimateOfFairValueFairValueDisclosureMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Estimate Of Fair Value Fair Value Disclosure [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_MajorPropertyClassAxis" xlink:type="locator" xlink:label="us-gaap_MajorPropertyClassAxis" />
    <label xml:lang="en-US" xlink:label="us-gaap_MajorPropertyClassAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Major Property Class</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_MajorPropertyClassAxis" xlink:to="us-gaap_MajorPropertyClassAxis_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_MajorPropertyClassAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Major Property Class [Axis]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_MajorPropertyClassDomain" xlink:type="locator" xlink:label="us-gaap_MajorPropertyClassDomain" />
    <label xml:lang="en-US" xlink:label="us-gaap_MajorPropertyClassDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Major Property Class</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_MajorPropertyClassDomain" xlink:to="us-gaap_MajorPropertyClassDomain_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_MajorPropertyClassDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Major Property Class [Domain]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_AcuteCareHospitalMember" xlink:type="locator" xlink:label="mpw_AcuteCareHospitalMember" />
    <label xml:lang="en-US" xlink:label="mpw_AcuteCareHospitalMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Acute care hospital.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_AcuteCareHospitalMember" xlink:to="mpw_AcuteCareHospitalMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_AcuteCareHospitalMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Acute Care Hospital [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_AcuteCareHospitalMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Acute Care Hospital [Member]</label>
    <loc xlink:href="https://xbrl.sec.gov/stpr/2018/stpr-2018-01-31.xsd#stpr_WA" xlink:type="locator" xlink:label="stpr_WA" />
    <label xml:lang="en-US" xlink:label="stpr_WA_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel">Pasco, Washington [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="stpr_WA" xlink:to="stpr_WA_lbl" />
    <label xml:lang="en-US" xlink:label="stpr_WA_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">WASHINGTON</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_RehabilitationHospitalMember" xlink:type="locator" xlink:label="mpw_RehabilitationHospitalMember" />
    <label xml:lang="en-US" xlink:label="mpw_RehabilitationHospitalMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Rehabilitation hospital.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_RehabilitationHospitalMember" xlink:to="mpw_RehabilitationHospitalMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_RehabilitationHospitalMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Rehabilitation Hospital with Covenant Health System [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_RehabilitationHospitalMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Rehabilitation Hospital [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/srt/2018/elts/srt-2018-01-31.xsd#srt_MajorCustomersAxis" xlink:type="locator" xlink:label="srt_MajorCustomersAxis" />
    <label xml:lang="en-US" xlink:label="srt_MajorCustomersAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Customer</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="srt_MajorCustomersAxis" xlink:to="srt_MajorCustomersAxis_lbl" />
    <label xml:lang="en-US" xlink:label="srt_MajorCustomersAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Major Customers [Axis]</label>
    <loc xlink:href="http://xbrl.fasb.org/srt/2018/elts/srt-2018-01-31.xsd#srt_NameOfMajorCustomerDomain" xlink:type="locator" xlink:label="srt_NameOfMajorCustomerDomain" />
    <label xml:lang="en-US" xlink:label="srt_NameOfMajorCustomerDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Customer</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="srt_NameOfMajorCustomerDomain" xlink:to="srt_NameOfMajorCustomerDomain_lbl" />
    <label xml:lang="en-US" xlink:label="srt_NameOfMajorCustomerDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Name Of Major Customer [Domain]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_MedianMember" xlink:type="locator" xlink:label="mpw_MedianMember" />
    <label xml:lang="en-US" xlink:label="mpw_MedianMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Median.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_MedianMember" xlink:to="mpw_MedianMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_MedianMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">MEDIAN [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_MedianMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Median [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_GeneralAcuteCareHospitalAndHealthcareSystemMember" xlink:type="locator" xlink:label="mpw_GeneralAcuteCareHospitalAndHealthcareSystemMember" />
    <label xml:lang="en-US" xlink:label="mpw_GeneralAcuteCareHospitalAndHealthcareSystemMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">General Acute Care Hospital And Healthcare System [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_GeneralAcuteCareHospitalAndHealthcareSystemMember" xlink:to="mpw_GeneralAcuteCareHospitalAndHealthcareSystemMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_GeneralAcuteCareHospitalAndHealthcareSystemMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">General Acute Care Hospital and Healthcare System [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_GeneralAcuteCareHospitalAndHealthcareSystemMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">General Acute Care Hospital And Healthcare System [Member]</label>
    <loc xlink:href="https://xbrl.sec.gov/stpr/2018/stpr-2018-01-31.xsd#stpr_MA" xlink:type="locator" xlink:label="stpr_MA" />
    <label xml:lang="en-US" xlink:label="stpr_MA_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Massachusetts [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="stpr_MA" xlink:to="stpr_MA_lbl" />
    <label xml:lang="en-US" xlink:label="stpr_MA_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">MASSACHUSETTS</label>
    <loc xlink:href="https://xbrl.sec.gov/stpr/2018/stpr-2018-01-31.xsd#stpr_TX" xlink:type="locator" xlink:label="stpr_TX" />
    <label xml:lang="en-US" xlink:label="stpr_TX_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Texas [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="stpr_TX" xlink:to="stpr_TX_lbl" />
    <label xml:lang="en-US" xlink:label="stpr_TX_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">TEXAS</label>
    <loc xlink:href="https://xbrl.sec.gov/dei/2018/dei-2018-01-31.xsd#dei_LegalEntityAxis" xlink:type="locator" xlink:label="dei_LegalEntityAxis" />
    <label xml:lang="en-US" xlink:label="dei_LegalEntityAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Legal Entity</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="dei_LegalEntityAxis" xlink:to="dei_LegalEntityAxis_lbl" />
    <label xml:lang="en-US" xlink:label="dei_LegalEntityAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Legal Entity [Axis]</label>
    <loc xlink:href="https://xbrl.sec.gov/dei/2018/dei-2018-01-31.xsd#dei_EntityDomain" xlink:type="locator" xlink:label="dei_EntityDomain" />
    <label xml:lang="en-US" xlink:label="dei_EntityDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Entity</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="dei_EntityDomain" xlink:to="dei_EntityDomain_lbl" />
    <label xml:lang="en-US" xlink:label="dei_EntityDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Entity [Domain]</label>
    <label xml:lang="en-US" xlink:label="mpw_StewardHealthCareSystemLLCMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Steward Health Care System LLC [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_EquityMethodInvestmentOwnershipPercentage" xlink:type="locator" xlink:label="us-gaap_EquityMethodInvestmentOwnershipPercentage" />
    <label xml:lang="en-US" xlink:label="us-gaap_EquityMethodInvestmentOwnershipPercentage_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Ownership interest in joint venture under the equity method</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_EquityMethodInvestmentOwnershipPercentage" xlink:to="us-gaap_EquityMethodInvestmentOwnershipPercentage_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_EquityMethodInvestmentOwnershipPercentage_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Equity Method Investment Ownership Percentage</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_NumberOfBusinessesAcquired" xlink:type="locator" xlink:label="us-gaap_NumberOfBusinessesAcquired" />
    <label xml:lang="en-US" xlink:label="us-gaap_NumberOfBusinessesAcquired_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Number of facilities acquired</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_NumberOfBusinessesAcquired" xlink:to="us-gaap_NumberOfBusinessesAcquired_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_NumberOfBusinessesAcquired_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Number Of Businesses Acquired</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_RealEstateInvestments" xlink:type="locator" xlink:label="us-gaap_RealEstateInvestments" />
    <label xml:lang="en-US" xlink:label="us-gaap_RealEstateInvestments_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Aggregate fair value of ownership interest</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_RealEstateInvestments" xlink:to="us-gaap_RealEstateInvestments_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_RealEstateInvestments_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Real Estate Investments</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_EquityMethodInvestments" xlink:type="locator" xlink:label="us-gaap_EquityMethodInvestments" />
    <label xml:lang="en-US" xlink:label="us-gaap_EquityMethodInvestments_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel">Ownership interest in joint venture under the equity method value included in other assets</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_EquityMethodInvestments" xlink:to="us-gaap_EquityMethodInvestments_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_EquityMethodInvestments_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Equity Method Investments</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DueFromJointVentures" xlink:type="locator" xlink:label="us-gaap_DueFromJointVentures" />
    <label xml:lang="en-US" xlink:label="us-gaap_DueFromJointVentures_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Shareholder loan to joint venture</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DueFromJointVentures" xlink:to="us-gaap_DueFromJointVentures_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DueFromJointVentures_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Due From Joint Ventures</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ProceedsFromContributionsFromAffiliates" xlink:type="locator" xlink:label="us-gaap_ProceedsFromContributionsFromAffiliates" />
    <label xml:lang="en-US" xlink:label="us-gaap_ProceedsFromContributionsFromAffiliates_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Proceeds from joint venture</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ProceedsFromContributionsFromAffiliates" xlink:to="us-gaap_ProceedsFromContributionsFromAffiliates_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ProceedsFromContributionsFromAffiliates_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Proceeds From Contributions From Affiliates</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_GainLossOnDispositionOfRealEstateDiscontinuedOperations" xlink:type="locator" xlink:label="us-gaap_GainLossOnDispositionOfRealEstateDiscontinuedOperations" />
    <label xml:lang="en-US" xlink:label="us-gaap_GainLossOnDispositionOfRealEstateDiscontinuedOperations_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Gain on sale of real estate</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_GainLossOnDispositionOfRealEstateDiscontinuedOperations" xlink:to="us-gaap_GainLossOnDispositionOfRealEstateDiscontinuedOperations_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_GainLossOnDispositionOfRealEstateDiscontinuedOperations_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Gain Loss On Disposition Of Real Estate Discontinued Operations</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_BusinessCombinationConsiderationTransferred1" xlink:type="locator" xlink:label="us-gaap_BusinessCombinationConsiderationTransferred1" />
    <label xml:lang="en-US" xlink:label="us-gaap_BusinessCombinationConsiderationTransferred1_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Purchase price of acquisition</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_BusinessCombinationConsiderationTransferred1" xlink:to="us-gaap_BusinessCombinationConsiderationTransferred1_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_BusinessCombinationConsiderationTransferred1_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Business Combination Consideration Transferred1</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_LeaseAgreementAnnualIncrementalInterestPercentage" xlink:type="locator" xlink:label="mpw_LeaseAgreementAnnualIncrementalInterestPercentage" />
    <label xml:lang="en-US" xlink:label="mpw_LeaseAgreementAnnualIncrementalInterestPercentage_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Lease agreement annual incremental interest percentage.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_LeaseAgreementAnnualIncrementalInterestPercentage" xlink:to="mpw_LeaseAgreementAnnualIncrementalInterestPercentage_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_LeaseAgreementInterestPercentage" xlink:type="locator" xlink:label="mpw_LeaseAgreementInterestPercentage" />
    <label xml:lang="en-US" xlink:label="mpw_LeaseAgreementInterestPercentage_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Lease agreement interest percentage.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_LeaseAgreementInterestPercentage" xlink:to="mpw_LeaseAgreementInterestPercentage_lbl" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_LessorOperatingLeaseTermOfContract" xlink:type="locator" xlink:label="us-gaap_LessorOperatingLeaseTermOfContract" />
    <label xml:lang="en-US" xlink:label="us-gaap_LessorOperatingLeaseTermOfContract_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Term of lease</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_LessorOperatingLeaseTermOfContract" xlink:to="us-gaap_LessorOperatingLeaseTermOfContract_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_LessorOperatingLeaseTermOfContract_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Lessor Operating Lease Term Of Contract</label>
    <label xml:lang="en-US" xlink:label="mpw_LeaseAgreementAnnualIncrementalInterestPercentage_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Lease rent increase percentage</label>
    <label xml:lang="en-US" xlink:label="mpw_LeaseAgreementAnnualIncrementalInterestPercentage_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Lease Agreement Annual Incremental Interest Percentage</label>
    <label xml:lang="en-US" xlink:label="mpw_LeaseAgreementInterestPercentage_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Lease rate</label>
    <label xml:lang="en-US" xlink:label="mpw_LeaseAgreementInterestPercentage_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Lease Agreement Interest Percentage</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NumberOfLeaseExtensionOptions" xlink:type="locator" xlink:label="mpw_NumberOfLeaseExtensionOptions" />
    <label xml:lang="en-US" xlink:label="mpw_NumberOfLeaseExtensionOptions_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Number of lease extension options.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NumberOfLeaseExtensionOptions" xlink:to="mpw_NumberOfLeaseExtensionOptions_lbl" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_MortgageLoansOnRealEstateNewMortgageLoans" xlink:type="locator" xlink:label="us-gaap_MortgageLoansOnRealEstateNewMortgageLoans" />
    <label xml:lang="en-US" xlink:label="us-gaap_MortgageLoansOnRealEstateNewMortgageLoans_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Mortgage financing</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_MortgageLoansOnRealEstateNewMortgageLoans" xlink:to="us-gaap_MortgageLoansOnRealEstateNewMortgageLoans_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_MortgageLoansOnRealEstateNewMortgageLoans_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Mortgage Loans On Real Estate New Mortgage Loans</label>
    <label xml:lang="en-US" xlink:label="mpw_NumberOfLeaseExtensionOptions_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Number of lease extension options</label>
    <label xml:lang="en-US" xlink:label="mpw_NumberOfLeaseExtensionOptions_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Number Of Lease Extension Options</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_LessorOperatingLeaseRenewalTerm" xlink:type="locator" xlink:label="us-gaap_LessorOperatingLeaseRenewalTerm" />
    <label xml:lang="en-US" xlink:label="us-gaap_LessorOperatingLeaseRenewalTerm_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Term of lease extension, years</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_LessorOperatingLeaseRenewalTerm" xlink:to="us-gaap_LessorOperatingLeaseRenewalTerm_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_LessorOperatingLeaseRenewalTerm_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Lessor Operating Lease Renewal Term</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NumberOfFacilitiesClosed" xlink:type="locator" xlink:label="mpw_NumberOfFacilitiesClosed" />
    <label xml:lang="en-US" xlink:label="mpw_NumberOfFacilitiesClosed_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Number of facilities closed</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NumberOfFacilitiesClosed" xlink:to="mpw_NumberOfFacilitiesClosed_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_NumberOfMortgageFacilities" xlink:type="locator" xlink:label="mpw_NumberOfMortgageFacilities" />
    <label xml:lang="en-US" xlink:label="mpw_NumberOfMortgageFacilities_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Number of mortgage facilities.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NumberOfMortgageFacilities" xlink:to="mpw_NumberOfMortgageFacilities_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_BusinessCombinationEquityInterestInAcquireeFairValue" xlink:type="locator" xlink:label="mpw_BusinessCombinationEquityInterestInAcquireeFairValue" />
    <label xml:lang="en-US" xlink:label="mpw_BusinessCombinationEquityInterestInAcquireeFairValue_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Business combination equity interest in acquiree fair value.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_BusinessCombinationEquityInterestInAcquireeFairValue" xlink:to="mpw_BusinessCombinationEquityInterestInAcquireeFairValue_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_CombinedPurchasePriceAndInvestmentAmount" xlink:type="locator" xlink:label="mpw_CombinedPurchasePriceAndInvestmentAmount" />
    <label xml:lang="en-US" xlink:label="mpw_CombinedPurchasePriceAndInvestmentAmount_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Combined purchase price and investment amount.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_CombinedPurchasePriceAndInvestmentAmount" xlink:to="mpw_CombinedPurchasePriceAndInvestmentAmount_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_BehavioralHealthCareFacilityMember" xlink:type="locator" xlink:label="mpw_BehavioralHealthCareFacilityMember" />
    <label xml:lang="en-US" xlink:label="mpw_BehavioralHealthCareFacilityMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Behavioral health care facility.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_BehavioralHealthCareFacilityMember" xlink:to="mpw_BehavioralHealthCareFacilityMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_BehavioralHealthCareFacilityMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Behavioral Health Care Facility [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_BehavioralHealthCareFacilityMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Behavioral Health Care Facility [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_TwoThousandSeventeenMember" xlink:type="locator" xlink:label="mpw_TwoThousandSeventeenMember" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandSeventeenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Two thousand seventeen.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_TwoThousandSeventeenMember" xlink:to="mpw_TwoThousandSeventeenMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandSeventeenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2017 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandSeventeenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Two Thousand Seventeen [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/srt/2018/elts/srt-2018-01-31.xsd#srt_SubsidiariesMember" xlink:type="locator" xlink:label="srt_SubsidiariesMember" />
    <label xml:lang="en-US" xlink:label="srt_SubsidiariesMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Subsidiaries [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="srt_SubsidiariesMember" xlink:to="srt_SubsidiariesMember_lbl" />
    <label xml:lang="en-US" xlink:label="srt_SubsidiariesMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Subsidiaries [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_IASISHealthcareLLCMember" xlink:type="locator" xlink:label="mpw_IASISHealthcareLLCMember" />
    <label xml:lang="en-US" xlink:label="mpw_IASISHealthcareLLCMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">IASIS Healthcare LLC.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_IASISHealthcareLLCMember" xlink:to="mpw_IASISHealthcareLLCMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_IASISHealthcareLLCMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">IASIS Healthcare [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_IASISHealthcareLLCMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">I A S I S Healthcare L L C [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_FloridaOhioAndPennsylvaniaMember" xlink:type="locator" xlink:label="mpw_FloridaOhioAndPennsylvaniaMember" />
    <label xml:lang="en-US" xlink:label="mpw_FloridaOhioAndPennsylvaniaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Florida, Ohio and Pennsylvania.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_FloridaOhioAndPennsylvaniaMember" xlink:to="mpw_FloridaOhioAndPennsylvaniaMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_FloridaOhioAndPennsylvaniaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Florida, Ohio, and Pennsylvania [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_FloridaOhioAndPennsylvaniaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Florida Ohio And Pennsylvania [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_CommunityHealthSystemsIncMember" xlink:type="locator" xlink:label="mpw_CommunityHealthSystemsIncMember" />
    <label xml:lang="en-US" xlink:label="mpw_CommunityHealthSystemsIncMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Community Health Systems Inc.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_CommunityHealthSystemsIncMember" xlink:to="mpw_CommunityHealthSystemsIncMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_CommunityHealthSystemsIncMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Community Health Systems, Inc. [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_CommunityHealthSystemsIncMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Community Health Systems Inc [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_LeaseArrangementTypeAxis" xlink:type="locator" xlink:label="us-gaap_LeaseArrangementTypeAxis" />
    <label xml:lang="en-US" xlink:label="us-gaap_LeaseArrangementTypeAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Lease Arrangement, Type</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_LeaseArrangementTypeAxis" xlink:to="us-gaap_LeaseArrangementTypeAxis_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_LeaseArrangementTypeAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Lease Arrangement Type [Axis]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_LeaseArrangementTypeDomain" xlink:type="locator" xlink:label="us-gaap_LeaseArrangementTypeDomain" />
    <label xml:lang="en-US" xlink:label="us-gaap_LeaseArrangementTypeDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Lease Arrangement, Type</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_LeaseArrangementTypeDomain" xlink:to="us-gaap_LeaseArrangementTypeDomain_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_LeaseArrangementTypeDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Lease Arrangement Type [Domain]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_ThirdMasterLeaseMember" xlink:type="locator" xlink:label="mpw_ThirdMasterLeaseMember" />
    <label xml:lang="en-US" xlink:label="mpw_ThirdMasterLeaseMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Third Master Lease [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_ThirdMasterLeaseMember" xlink:to="mpw_ThirdMasterLeaseMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_ThirdMasterLeaseMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Third Master Lease [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_ThirdMasterLeaseMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Third Master Lease [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_OhioValleyMedicalCenterMember" xlink:type="locator" xlink:label="mpw_OhioValleyMedicalCenterMember" />
    <label xml:lang="en-US" xlink:label="mpw_OhioValleyMedicalCenterMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Ohio Valley Medical Center.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_OhioValleyMedicalCenterMember" xlink:to="mpw_OhioValleyMedicalCenterMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_OhioValleyMedicalCenterMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Ohio Valley Medical Center [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_OhioValleyMedicalCenterMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Ohio Valley Medical Center [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_EastOhioRegionalHospitalMember" xlink:type="locator" xlink:label="mpw_EastOhioRegionalHospitalMember" />
    <label xml:lang="en-US" xlink:label="mpw_EastOhioRegionalHospitalMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">East Ohio Regional Hospital.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_EastOhioRegionalHospitalMember" xlink:to="mpw_EastOhioRegionalHospitalMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_EastOhioRegionalHospitalMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">East Ohio Regional Hospital [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_EastOhioRegionalHospitalMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">East Ohio Regional Hospital [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_AlectoHealthcareServicesMember" xlink:type="locator" xlink:label="mpw_AlectoHealthcareServicesMember" />
    <label xml:lang="en-US" xlink:label="mpw_AlectoHealthcareServicesMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Alecto healthcare services.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_AlectoHealthcareServicesMember" xlink:to="mpw_AlectoHealthcareServicesMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_AlectoHealthcareServicesMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Alecto Healthcare Services [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_AlectoHealthcareServicesMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Alecto Healthcare Services [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_WestVirginiaAndOhioMember" xlink:type="locator" xlink:label="mpw_WestVirginiaAndOhioMember" />
    <label xml:lang="en-US" xlink:label="mpw_WestVirginiaAndOhioMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">West Virginia and Ohio.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_WestVirginiaAndOhioMember" xlink:to="mpw_WestVirginiaAndOhioMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_WestVirginiaAndOhioMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">West Virginia and Ohio [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_WestVirginiaAndOhioMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">West Virginia And Ohio [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_StJosephRegionalMedicalCenterMember" xlink:type="locator" xlink:label="mpw_StJosephRegionalMedicalCenterMember" />
    <label xml:lang="en-US" xlink:label="mpw_StJosephRegionalMedicalCenterMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">St Joseph Regional Medical Center.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_StJosephRegionalMedicalCenterMember" xlink:to="mpw_StJosephRegionalMedicalCenterMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_StJosephRegionalMedicalCenterMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">St. Joseph Regional Medical Center [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_StJosephRegionalMedicalCenterMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">St Joseph Regional Medical Center [Member]</label>
    <loc xlink:href="https://xbrl.sec.gov/stpr/2018/stpr-2018-01-31.xsd#stpr_ID" xlink:type="locator" xlink:label="stpr_ID" />
    <label xml:lang="en-US" xlink:label="stpr_ID_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">IDAHO, Lewiston</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="stpr_ID" xlink:to="stpr_ID_lbl" />
    <label xml:lang="en-US" xlink:label="stpr_ID_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">IDAHO</label>
    <label xml:lang="en-US" xlink:label="mpw_NumberOfFacilitiesClosed_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Number of facilities closed</label>
    <label xml:lang="en-US" xlink:label="mpw_NumberOfFacilitiesClosed_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Number Of Facilities Closed</label>
    <label xml:lang="en-US" xlink:label="us-gaap_MortgageLoansOnRealEstateNewMortgageLoans_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel">Amount of mortgage loan</label>
    <label xml:lang="en-US" xlink:label="mpw_NumberOfMortgageFacilities_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Number of mortgage facilities</label>
    <label xml:lang="en-US" xlink:label="mpw_NumberOfMortgageFacilities_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Number Of Mortgage Facilities</label>
    <label xml:lang="en-US" xlink:label="mpw_BusinessCombinationEquityInterestInAcquireeFairValue_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Equity interest acquired</label>
    <label xml:lang="en-US" xlink:label="mpw_BusinessCombinationEquityInterestInAcquireeFairValue_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Business Combination Equity Interest In Acquiree Fair Value</label>
    <label xml:lang="en-US" xlink:label="mpw_CombinedPurchasePriceAndInvestmentAmount_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Combined purchase price and investment amount</label>
    <label xml:lang="en-US" xlink:label="mpw_CombinedPurchasePriceAndInvestmentAmount_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Combined Purchase Price And Investment Amount</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_LeaseExpirationMonthAndYear" xlink:type="locator" xlink:label="mpw_LeaseExpirationMonthAndYear" />
    <label xml:lang="en-US" xlink:label="mpw_LeaseExpirationMonthAndYear_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Lease expiration, month and year.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_LeaseExpirationMonthAndYear" xlink:to="mpw_LeaseExpirationMonthAndYear_lbl" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_AcquisitionCosts" xlink:type="locator" xlink:label="us-gaap_AcquisitionCosts" />
    <label xml:lang="en-US" xlink:label="us-gaap_AcquisitionCosts_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Acquisition costs</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_AcquisitionCosts" xlink:to="us-gaap_AcquisitionCosts_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_AcquisitionCosts_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Acquisition Costs</label>
    <label xml:lang="en-US" xlink:label="mpw_LeaseExpirationMonthAndYear_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Lease agreement, end date</label>
    <label xml:lang="en-US" xlink:label="mpw_LeaseExpirationMonthAndYear_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Lease Expiration Month And Year</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NumberOfPropertiesClosedOn" xlink:type="locator" xlink:label="mpw_NumberOfPropertiesClosedOn" />
    <label xml:lang="en-US" xlink:label="mpw_NumberOfPropertiesClosedOn_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Number of properties disposed.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NumberOfPropertiesClosedOn" xlink:to="mpw_NumberOfPropertiesClosedOn_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_AmountOfPropertiesClosed" xlink:type="locator" xlink:label="mpw_AmountOfPropertiesClosed" />
    <label xml:lang="en-US" xlink:label="mpw_AmountOfPropertiesClosed_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Amount of properties closed.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_AmountOfPropertiesClosed" xlink:to="mpw_AmountOfPropertiesClosed_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NumberOfPropertiesClosedOn_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Number of properties closed</label>
    <label xml:lang="en-US" xlink:label="mpw_NumberOfPropertiesClosedOn_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Number Of Properties Closed On</label>
    <label xml:lang="en-US" xlink:label="mpw_AmountOfPropertiesClosed_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Amount of properties closed</label>
    <label xml:lang="en-US" xlink:label="mpw_AmountOfPropertiesClosed_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Amount Of Properties Closed</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_BusinessAcquisitionPurchasePricePortionFundedByDebt" xlink:type="locator" xlink:label="mpw_BusinessAcquisitionPurchasePricePortionFundedByDebt" />
    <label xml:lang="en-US" xlink:label="mpw_BusinessAcquisitionPurchasePricePortionFundedByDebt_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Business acquisition purchase price portion funded by debt.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_BusinessAcquisitionPurchasePricePortionFundedByDebt" xlink:to="mpw_BusinessAcquisitionPurchasePricePortionFundedByDebt_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_BusinessAcquisitionFuturePaymentsPayableTerm" xlink:type="locator" xlink:label="mpw_BusinessAcquisitionFuturePaymentsPayableTerm" />
    <label xml:lang="en-US" xlink:label="mpw_BusinessAcquisitionFuturePaymentsPayableTerm_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Business acquisition future payments payable term.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_BusinessAcquisitionFuturePaymentsPayableTerm" xlink:to="mpw_BusinessAcquisitionFuturePaymentsPayableTerm_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_BusinessAcquisitionPurchasePricePortionFundedByDebt_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Purchase price of acquisition funded</label>
    <label xml:lang="en-US" xlink:label="mpw_BusinessAcquisitionPurchasePricePortionFundedByDebt_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Business Acquisition Purchase Price Portion Funded By Debt</label>
    <label xml:lang="en-US" xlink:label="mpw_BusinessAcquisitionFuturePaymentsPayableTerm_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Remaining payment period</label>
    <label xml:lang="en-US" xlink:label="mpw_BusinessAcquisitionFuturePaymentsPayableTerm_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Business Acquisition Future Payments Payable Term</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NumberOfBedsAcquired" xlink:type="locator" xlink:label="mpw_NumberOfBedsAcquired" />
    <label xml:lang="en-US" xlink:label="mpw_NumberOfBedsAcquired_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Number of beds acquired.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NumberOfBedsAcquired" xlink:to="mpw_NumberOfBedsAcquired_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_LeaseAgreementIncreaseInConsumerPriceIndexFloorRateMinimum" xlink:type="locator" xlink:label="mpw_LeaseAgreementIncreaseInConsumerPriceIndexFloorRateMinimum" />
    <label xml:lang="en-US" xlink:label="mpw_LeaseAgreementIncreaseInConsumerPriceIndexFloorRateMinimum_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Lease agreement increase in consumer price index floor rate minimum.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_LeaseAgreementIncreaseInConsumerPriceIndexFloorRateMinimum" xlink:to="mpw_LeaseAgreementIncreaseInConsumerPriceIndexFloorRateMinimum_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_PercentageOfOwnershipInterestInOperatorFacilities" xlink:type="locator" xlink:label="mpw_PercentageOfOwnershipInterestInOperatorFacilities" />
    <label xml:lang="en-US" xlink:label="mpw_PercentageOfOwnershipInterestInOperatorFacilities_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Percentage of ownership interest in operator facilities.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_PercentageOfOwnershipInterestInOperatorFacilities" xlink:to="mpw_PercentageOfOwnershipInterestInOperatorFacilities_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NumberOfBedsAcquired_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Number of beds acquired</label>
    <label xml:lang="en-US" xlink:label="mpw_NumberOfBedsAcquired_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Number Of Beds Acquired</label>
    <label xml:lang="en-US" xlink:label="mpw_LeaseAgreementIncreaseInConsumerPriceIndexFloorRateMinimum_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Percentage of increase in annual rent</label>
    <label xml:lang="en-US" xlink:label="mpw_LeaseAgreementIncreaseInConsumerPriceIndexFloorRateMinimum_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Lease Agreement Increase In Consumer Price Index Floor Rate Minimum</label>
    <label xml:lang="en-US" xlink:label="mpw_PercentageOfOwnershipInterestInOperatorFacilities_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Ownership interest percentage in operator facility</label>
    <label xml:lang="en-US" xlink:label="mpw_PercentageOfOwnershipInterestInOperatorFacilities_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Percentage Of Ownership Interest In Operator Facilities</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NumberOfHospitalsClosed" xlink:type="locator" xlink:label="mpw_NumberOfHospitalsClosed" />
    <label xml:lang="en-US" xlink:label="mpw_NumberOfHospitalsClosed_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Number of hospitals closed.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NumberOfHospitalsClosed" xlink:to="mpw_NumberOfHospitalsClosed_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_NumberOfLicensedHospitals" xlink:type="locator" xlink:label="mpw_NumberOfLicensedHospitals" />
    <label xml:lang="en-US" xlink:label="mpw_NumberOfLicensedHospitals_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Number of licensed hospitals.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NumberOfLicensedHospitals" xlink:to="mpw_NumberOfLicensedHospitals_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_LeasePeriod" xlink:type="locator" xlink:label="mpw_LeasePeriod" />
    <label xml:lang="en-US" xlink:label="mpw_LeasePeriod_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Lease period.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_LeasePeriod" xlink:to="mpw_LeasePeriod_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_NumberOfFacilitiesForWhichMortgageFinancingWasProvided" xlink:type="locator" xlink:label="mpw_NumberOfFacilitiesForWhichMortgageFinancingWasProvided" />
    <label xml:lang="en-US" xlink:label="mpw_NumberOfFacilitiesForWhichMortgageFinancingWasProvided_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Number of facilities for which mortgage financing was provided.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NumberOfFacilitiesForWhichMortgageFinancingWasProvided" xlink:to="mpw_NumberOfFacilitiesForWhichMortgageFinancingWasProvided_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_StewardMember" xlink:type="locator" xlink:label="mpw_StewardMember" />
    <label xml:lang="en-US" xlink:label="mpw_StewardMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Steward.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_StewardMember" xlink:to="mpw_StewardMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_StewardMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Steward [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_StewardMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Steward [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_TwoThousandFifteenMasterLeaseMember" xlink:type="locator" xlink:label="mpw_TwoThousandFifteenMasterLeaseMember" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandFifteenMasterLeaseMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Two Thousand Fifteen Master Lease [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_TwoThousandFifteenMasterLeaseMember" xlink:to="mpw_TwoThousandFifteenMasterLeaseMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandFifteenMasterLeaseMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2015 Master Lease [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandFifteenMasterLeaseMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Two Thousand Fifteen Master Lease [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_OlympiaWashingtonMember" xlink:type="locator" xlink:label="mpw_OlympiaWashingtonMember" />
    <label xml:lang="en-US" xlink:label="mpw_OlympiaWashingtonMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Olympia Washington.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_OlympiaWashingtonMember" xlink:to="mpw_OlympiaWashingtonMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_OlympiaWashingtonMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Olympia, Washington [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_OlympiaWashingtonMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Olympia Washington [Member]</label>
    <loc xlink:href="https://xbrl.sec.gov/stpr/2018/stpr-2018-01-31.xsd#stpr_NJ" xlink:type="locator" xlink:label="stpr_NJ" />
    <label xml:lang="en-US" xlink:label="stpr_NJ_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">New Jersey [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="stpr_NJ" xlink:to="stpr_NJ_lbl" />
    <label xml:lang="en-US" xlink:label="stpr_NJ_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">NEW JERSEY</label>
    <label xml:lang="en-US" xlink:label="mpw_NumberOfHospitalsClosed_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Number of hospitals closed</label>
    <label xml:lang="en-US" xlink:label="mpw_NumberOfHospitalsClosed_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Number Of Hospitals Closed</label>
    <label xml:lang="en-US" xlink:label="mpw_NumberOfLicensedHospitals_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Number of licensed hospitals</label>
    <label xml:lang="en-US" xlink:label="mpw_NumberOfLicensedHospitals_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Number Of Licensed Hospitals</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_PaymentsToAcquireBusinessesGross" xlink:type="locator" xlink:label="us-gaap_PaymentsToAcquireBusinessesGross" />
    <label xml:lang="en-US" xlink:label="us-gaap_PaymentsToAcquireBusinessesGross_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Cash paid for acquisition transaction</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_PaymentsToAcquireBusinessesGross" xlink:to="us-gaap_PaymentsToAcquireBusinessesGross_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_PaymentsToAcquireBusinessesGross_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Payments To Acquire Businesses Gross</label>
    <label xml:lang="en-US" xlink:label="mpw_LeasePeriod_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Term of lease, years</label>
    <label xml:lang="en-US" xlink:label="mpw_LeasePeriod_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Lease Period</label>
    <label xml:lang="en-US" xlink:label="mpw_NumberOfFacilitiesForWhichMortgageFinancingWasProvided_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Number of facilities for making mortgage loans</label>
    <label xml:lang="en-US" xlink:label="mpw_NumberOfFacilitiesForWhichMortgageFinancingWasProvided_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Number Of Facilities For Which Mortgage Financing Was Provided</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_LeaseExpirationDate1" xlink:type="locator" xlink:label="us-gaap_LeaseExpirationDate1" />
    <label xml:lang="en-US" xlink:label="us-gaap_LeaseExpirationDate1_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Lease expiration date</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_LeaseExpirationDate1" xlink:to="us-gaap_LeaseExpirationDate1_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_LeaseExpirationDate1_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Lease Expiration Date1</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NumberOfFreeStandingEmergencyDepartmentAndHealthCenter" xlink:type="locator" xlink:label="mpw_NumberOfFreeStandingEmergencyDepartmentAndHealthCenter" />
    <label xml:lang="en-US" xlink:label="mpw_NumberOfFreeStandingEmergencyDepartmentAndHealthCenter_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Number of free-standing emergency department and health center.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NumberOfFreeStandingEmergencyDepartmentAndHealthCenter" xlink:to="mpw_NumberOfFreeStandingEmergencyDepartmentAndHealthCenter_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NumberOfFreeStandingEmergencyDepartmentAndHealthCenter_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Number of free-standing emergency department and health center</label>
    <label xml:lang="en-US" xlink:label="mpw_NumberOfFreeStandingEmergencyDepartmentAndHealthCenter_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Number Of Free Standing Emergency Department And Health Center</label>
    <loc xlink:href="http://xbrl.fasb.org/srt/2018/elts/srt-2018-01-31.xsd#srt_MortgageLoansOnRealEstateCollectionsOfPrincipal" xlink:type="locator" xlink:label="srt_MortgageLoansOnRealEstateCollectionsOfPrincipal" />
    <label xml:lang="en-US" xlink:label="srt_MortgageLoansOnRealEstateCollectionsOfPrincipal_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Mortgage financing funded</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="srt_MortgageLoansOnRealEstateCollectionsOfPrincipal" xlink:to="srt_MortgageLoansOnRealEstateCollectionsOfPrincipal_lbl" />
    <label xml:lang="en-US" xlink:label="srt_MortgageLoansOnRealEstateCollectionsOfPrincipal_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Mortgage Loans On Real Estate Collections Of Principal</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_SaleLeasebackTransactionHistoricalCost" xlink:type="locator" xlink:label="us-gaap_SaleLeasebackTransactionHistoricalCost" />
    <label xml:lang="en-US" xlink:label="us-gaap_SaleLeasebackTransactionHistoricalCost_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Value of properties closed</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_SaleLeasebackTransactionHistoricalCost" xlink:to="us-gaap_SaleLeasebackTransactionHistoricalCost_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_SaleLeasebackTransactionHistoricalCost_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Sale Leaseback Transaction Historical Cost</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_BusinessCombinationCommitmentToAdvanceAdditionalAmountForCapitalAdditions" xlink:type="locator" xlink:label="mpw_BusinessCombinationCommitmentToAdvanceAdditionalAmountForCapitalAdditions" />
    <label xml:lang="en-US" xlink:label="mpw_BusinessCombinationCommitmentToAdvanceAdditionalAmountForCapitalAdditions_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Business Combination Commitment To Advance Additional Amount For Capital Additions</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_BusinessCombinationCommitmentToAdvanceAdditionalAmountForCapitalAdditions" xlink:to="mpw_BusinessCombinationCommitmentToAdvanceAdditionalAmountForCapitalAdditions_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_BusinessCombinationCommitmentPeriodToAdvanceAdditionalAmountForCapitalAdditions" xlink:type="locator" xlink:label="mpw_BusinessCombinationCommitmentPeriodToAdvanceAdditionalAmountForCapitalAdditions" />
    <label xml:lang="en-US" xlink:label="mpw_BusinessCombinationCommitmentPeriodToAdvanceAdditionalAmountForCapitalAdditions_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Business combination commitment period to advance additional amount for capital additions.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_BusinessCombinationCommitmentPeriodToAdvanceAdditionalAmountForCapitalAdditions" xlink:to="mpw_BusinessCombinationCommitmentPeriodToAdvanceAdditionalAmountForCapitalAdditions_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_BusinessCombinationCommitmentToAdvanceAdditionalAmountForCapitalAdditions_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Commitment to advance an additional amount for capital additions</label>
    <label xml:lang="en-US" xlink:label="mpw_BusinessCombinationCommitmentToAdvanceAdditionalAmountForCapitalAdditions_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Business Combination Commitment To Advance Additional Amount For Capital Additions</label>
    <label xml:lang="en-US" xlink:label="mpw_BusinessCombinationCommitmentPeriodToAdvanceAdditionalAmountForCapitalAdditions_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Commitment period to advance an additional amount for capital additions</label>
    <label xml:lang="en-US" xlink:label="mpw_BusinessCombinationCommitmentPeriodToAdvanceAdditionalAmountForCapitalAdditions_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Business Combination Commitment Period To Advance Additional Amount For Capital Additions</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_EstimatedDevelopmentCosts" xlink:type="locator" xlink:label="mpw_EstimatedDevelopmentCosts" />
    <label xml:lang="en-US" xlink:label="mpw_EstimatedDevelopmentCosts_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Estimated development costs.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_EstimatedDevelopmentCosts" xlink:to="mpw_EstimatedDevelopmentCosts_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_ErnestHealthIncMember" xlink:type="locator" xlink:label="mpw_ErnestHealthIncMember" />
    <label xml:lang="en-US" xlink:label="mpw_ErnestHealthIncMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Ernest Health, Inc.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_ErnestHealthIncMember" xlink:to="mpw_ErnestHealthIncMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_ErnestHealthIncMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Ernest [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_ErnestHealthIncMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Ernest Health Inc [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_DevelopmentActivitiesMember" xlink:type="locator" xlink:label="mpw_DevelopmentActivitiesMember" />
    <label xml:lang="en-US" xlink:label="mpw_DevelopmentActivitiesMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Development activities.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_DevelopmentActivitiesMember" xlink:to="mpw_DevelopmentActivitiesMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_DevelopmentActivitiesMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Development Activities [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_DevelopmentActivitiesMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Development Activities [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_AdeptusHealthMember" xlink:type="locator" xlink:label="mpw_AdeptusHealthMember" />
    <label xml:lang="en-US" xlink:label="mpw_AdeptusHealthMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Adeptus health.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_AdeptusHealthMember" xlink:to="mpw_AdeptusHealthMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_AdeptusHealthMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Adeptus Health [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_AdeptusHealthMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Adeptus Health [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_AcuteCareFacilitiesMember" xlink:type="locator" xlink:label="mpw_AcuteCareFacilitiesMember" />
    <label xml:lang="en-US" xlink:label="mpw_AcuteCareFacilitiesMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Acute care facilities.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_AcuteCareFacilitiesMember" xlink:to="mpw_AcuteCareFacilitiesMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_AcuteCareFacilitiesMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Acute Care Facilities [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_AcuteCareFacilitiesMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Acute Care Facilities [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_ImedGroupMember" xlink:type="locator" xlink:label="mpw_ImedGroupMember" />
    <label xml:lang="en-US" xlink:label="mpw_ImedGroupMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">IMED Group.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_ImedGroupMember" xlink:to="mpw_ImedGroupMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_ImedGroupMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">IMED [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_ImedGroupMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Imed Group [Member]</label>
    <loc xlink:href="http://xbrl.sec.gov/country/2017/country-2017-01-31.xsd#country_ES" xlink:type="locator" xlink:label="country_ES" />
    <label xml:lang="en-US" xlink:label="country_ES_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Spain [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="country_ES" xlink:to="country_ES_lbl" />
    <label xml:lang="en-US" xlink:label="country_ES_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">SPAIN</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_BirminghamUkMember" xlink:type="locator" xlink:label="mpw_BirminghamUkMember" />
    <label xml:lang="en-US" xlink:label="mpw_BirminghamUkMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Birmingham UK</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_BirminghamUkMember" xlink:to="mpw_BirminghamUkMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_BirminghamUkMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Birmingham, England [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_BirminghamUkMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Birmingham Uk [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_IdahoFallsIDMember" xlink:type="locator" xlink:label="mpw_IdahoFallsIDMember" />
    <label xml:lang="en-US" xlink:label="mpw_IdahoFallsIDMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Idaho Falls, ID.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_IdahoFallsIDMember" xlink:to="mpw_IdahoFallsIDMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_IdahoFallsIDMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Idaho Falls, ID [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_IdahoFallsIDMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Idaho Falls I D [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_EstimatedDevelopmentCosts_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Estimated total development cost</label>
    <label xml:lang="en-US" xlink:label="mpw_EstimatedDevelopmentCosts_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Estimated Development Costs</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NumberOfFacilitiesConstructed" xlink:type="locator" xlink:label="mpw_NumberOfFacilitiesConstructed" />
    <label xml:lang="en-US" xlink:label="mpw_NumberOfFacilitiesConstructed_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Number of facilities constructed.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NumberOfFacilitiesConstructed" xlink:to="mpw_NumberOfFacilitiesConstructed_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NumberOfFacilitiesConstructed_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Number of facilities constructed</label>
    <label xml:lang="en-US" xlink:label="mpw_NumberOfFacilitiesConstructed_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Number Of Facilities Constructed</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_PercentageOfIncreaseInLeaseRent" xlink:type="locator" xlink:label="mpw_PercentageOfIncreaseInLeaseRent" />
    <label xml:lang="en-US" xlink:label="mpw_PercentageOfIncreaseInLeaseRent_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Percentage of increase in lease rent.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_PercentageOfIncreaseInLeaseRent" xlink:to="mpw_PercentageOfIncreaseInLeaseRent_lbl" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_LesseeOperatingLeaseDescription" xlink:type="locator" xlink:label="us-gaap_LesseeOperatingLeaseDescription" />
    <label xml:lang="en-US" xlink:label="us-gaap_LesseeOperatingLeaseDescription_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Lessor direct financing lease description</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_LesseeOperatingLeaseDescription" xlink:to="us-gaap_LesseeOperatingLeaseDescription_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_LesseeOperatingLeaseDescription_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Lessee Operating Lease Description</label>
    <label xml:lang="en-US" xlink:label="mpw_PercentageOfIncreaseInLeaseRent_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Lease rent increase percentage</label>
    <label xml:lang="en-US" xlink:label="mpw_PercentageOfIncreaseInLeaseRent_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Percentage Of Increase In Lease Rent</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_BusinessAcquisitionPercentageOfVotingInterestsAcquired" xlink:type="locator" xlink:label="us-gaap_BusinessAcquisitionPercentageOfVotingInterestsAcquired" />
    <label xml:lang="en-US" xlink:label="us-gaap_BusinessAcquisitionPercentageOfVotingInterestsAcquired_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Ownership interests acquired</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_BusinessAcquisitionPercentageOfVotingInterestsAcquired" xlink:to="us-gaap_BusinessAcquisitionPercentageOfVotingInterestsAcquired_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_BusinessAcquisitionPercentageOfVotingInterestsAcquired_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Business Acquisition Percentage Of Voting Interests Acquired</label>
    <label xml:lang="en-US" xlink:label="us-gaap_LessorOperatingLeaseTermOfContract_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel">Term of lease, years</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DevelopmentCosts" xlink:type="locator" xlink:label="us-gaap_DevelopmentCosts" />
    <label xml:lang="en-US" xlink:label="us-gaap_DevelopmentCosts_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Total development costs anticipated</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DevelopmentCosts" xlink:to="us-gaap_DevelopmentCosts_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DevelopmentCosts_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Development Costs</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_DevelopmentProjectsOriginalCommitmentAmount" xlink:type="locator" xlink:label="mpw_DevelopmentProjectsOriginalCommitmentAmount" />
    <label xml:lang="en-US" xlink:label="mpw_DevelopmentProjectsOriginalCommitmentAmount_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Development projects original commitment amount.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_DevelopmentProjectsOriginalCommitmentAmount" xlink:to="mpw_DevelopmentProjectsOriginalCommitmentAmount_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_DevelopmentProjectsEstimatedRentCommencementDate" xlink:type="locator" xlink:label="mpw_DevelopmentProjectsEstimatedRentCommencementDate" />
    <label xml:lang="en-US" xlink:label="mpw_DevelopmentProjectsEstimatedRentCommencementDate_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Development projects estimated rent commencement date.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_DevelopmentProjectsEstimatedRentCommencementDate" xlink:to="mpw_DevelopmentProjectsEstimatedRentCommencementDate_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_CircleHealthMember" xlink:type="locator" xlink:label="mpw_CircleHealthMember" />
    <label xml:lang="en-US" xlink:label="mpw_CircleHealthMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Circle Health Group.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_CircleHealthMember" xlink:to="mpw_CircleHealthMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_CircleHealthMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Circle Health [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_CircleHealthMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Circle Health [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_CircleHealthRehabilitationMember" xlink:type="locator" xlink:label="mpw_CircleHealthRehabilitationMember" />
    <label xml:lang="en-US" xlink:label="mpw_CircleHealthRehabilitationMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Circle health rehabilitation.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_CircleHealthRehabilitationMember" xlink:to="mpw_CircleHealthRehabilitationMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_CircleHealthRehabilitationMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Circle Health Rehabilitation [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_CircleHealthRehabilitationMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Circle Health Rehabilitation [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_SurgeryPartnersMember" xlink:type="locator" xlink:label="mpw_SurgeryPartnersMember" />
    <label xml:lang="en-US" xlink:label="mpw_SurgeryPartnersMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Surgery partners.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_SurgeryPartnersMember" xlink:to="mpw_SurgeryPartnersMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_SurgeryPartnersMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Surgery Partners [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_SurgeryPartnersMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Surgery Partners [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_DevelopmentProjectsOriginalCommitmentAmount_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel">Commitment</label>
    <label xml:lang="en-US" xlink:label="mpw_DevelopmentProjectsOriginalCommitmentAmount_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Development Projects Original Commitment Amount</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_CostOfGoodsAndServicesSold" xlink:type="locator" xlink:label="us-gaap_CostOfGoodsAndServicesSold" />
    <label xml:lang="en-US" xlink:label="us-gaap_CostOfGoodsAndServicesSold_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Costs Incurred as of December 31, 2018</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_CostOfGoodsAndServicesSold" xlink:to="us-gaap_CostOfGoodsAndServicesSold_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_CostOfGoodsAndServicesSold_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Cost Of Goods And Services Sold</label>
    <label xml:lang="en-US" xlink:label="mpw_DevelopmentProjectsEstimatedRentCommencementDate_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Estimated Rent Commencement Date</label>
    <label xml:lang="en-US" xlink:label="mpw_DevelopmentProjectsEstimatedRentCommencementDate_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Development Projects Estimated Rent Commencement Date</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DebtInstrumentTable" xlink:type="locator" xlink:label="us-gaap_DebtInstrumentTable" />
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentTable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Debt Instrument [Table]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DebtInstrumentTable" xlink:to="us-gaap_DebtInstrumentTable_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentTable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Debt Instrument [Table]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NorthCypressMember" xlink:type="locator" xlink:label="mpw_NorthCypressMember" />
    <label xml:lang="en-US" xlink:label="mpw_NorthCypressMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">North cypress.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NorthCypressMember" xlink:to="mpw_NorthCypressMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NorthCypressMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">North Cypress [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NorthCypressMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">North Cypress [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/srt/2018/elts/srt-2018-01-31.xsd#srt_RealEstateAndAccumulatedDepreciationDescriptionOfPropertyAxis" xlink:type="locator" xlink:label="srt_RealEstateAndAccumulatedDepreciationDescriptionOfPropertyAxis" />
    <label xml:lang="en-US" xlink:label="srt_RealEstateAndAccumulatedDepreciationDescriptionOfPropertyAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Name of Property</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="srt_RealEstateAndAccumulatedDepreciationDescriptionOfPropertyAxis" xlink:to="srt_RealEstateAndAccumulatedDepreciationDescriptionOfPropertyAxis_lbl" />
    <label xml:lang="en-US" xlink:label="srt_RealEstateAndAccumulatedDepreciationDescriptionOfPropertyAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Real Estate And Accumulated Depreciation Description Of Property [Axis]</label>
    <loc xlink:href="http://xbrl.fasb.org/srt/2018/elts/srt-2018-01-31.xsd#srt_RealEstateAndAccumulatedDepreciationNameOfPropertyDomain" xlink:type="locator" xlink:label="srt_RealEstateAndAccumulatedDepreciationNameOfPropertyDomain" />
    <label xml:lang="en-US" xlink:label="srt_RealEstateAndAccumulatedDepreciationNameOfPropertyDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Name of Property</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="srt_RealEstateAndAccumulatedDepreciationNameOfPropertyDomain" xlink:to="srt_RealEstateAndAccumulatedDepreciationNameOfPropertyDomain_lbl" />
    <label xml:lang="en-US" xlink:label="srt_RealEstateAndAccumulatedDepreciationNameOfPropertyDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Real Estate And Accumulated Depreciation Name Of Property [Domain]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_HoustonTexasMember" xlink:type="locator" xlink:label="mpw_HoustonTexasMember" />
    <label xml:lang="en-US" xlink:label="mpw_HoustonTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Houston, Texas.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_HoustonTexasMember" xlink:to="mpw_HoustonTexasMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_HoustonTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel">Houston, Texas [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_HoustonTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Houston Texas [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_VibraHealthcareLLCMember" xlink:type="locator" xlink:label="mpw_VibraHealthcareLLCMember" />
    <label xml:lang="en-US" xlink:label="mpw_VibraHealthcareLLCMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Vibra Healthcare, LLC.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_VibraHealthcareLLCMember" xlink:to="mpw_VibraHealthcareLLCMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_VibraHealthcareLLCMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Vibra Healthcare, LLC [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_VibraHealthcareLLCMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Vibra Healthcare L L C [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_LongTermAcuteCareHospitalMember" xlink:type="locator" xlink:label="mpw_LongTermAcuteCareHospitalMember" />
    <label xml:lang="en-US" xlink:label="mpw_LongTermAcuteCareHospitalMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Long-term acute care hospital.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_LongTermAcuteCareHospitalMember" xlink:to="mpw_LongTermAcuteCareHospitalMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_LongTermAcuteCareHospitalMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Long-term Acute Care Hospital [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_LongTermAcuteCareHospitalMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Long Term Acute Care Hospital [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_CaliforniaTexasAndOregonMember" xlink:type="locator" xlink:label="mpw_CaliforniaTexasAndOregonMember" />
    <label xml:lang="en-US" xlink:label="mpw_CaliforniaTexasAndOregonMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">California, Texas, and Oregon.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_CaliforniaTexasAndOregonMember" xlink:to="mpw_CaliforniaTexasAndOregonMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_CaliforniaTexasAndOregonMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">California, Texas, and Oregon [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_CaliforniaTexasAndOregonMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">California Texas And Oregon [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_AccountsNotesLoansAndFinancingReceivableByReceivableTypeAxis" xlink:type="locator" xlink:label="us-gaap_AccountsNotesLoansAndFinancingReceivableByReceivableTypeAxis" />
    <label xml:lang="en-US" xlink:label="us-gaap_AccountsNotesLoansAndFinancingReceivableByReceivableTypeAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Receivable Type</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_AccountsNotesLoansAndFinancingReceivableByReceivableTypeAxis" xlink:to="us-gaap_AccountsNotesLoansAndFinancingReceivableByReceivableTypeAxis_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_AccountsNotesLoansAndFinancingReceivableByReceivableTypeAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Accounts Notes Loans And Financing Receivable By Receivable Type [Axis]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ReceivableTypeDomain" xlink:type="locator" xlink:label="us-gaap_ReceivableTypeDomain" />
    <label xml:lang="en-US" xlink:label="us-gaap_ReceivableTypeDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Receivable</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ReceivableTypeDomain" xlink:to="us-gaap_ReceivableTypeDomain_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ReceivableTypeDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Receivable Type [Domain]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_WorkingCapitalLoansMember" xlink:type="locator" xlink:label="mpw_WorkingCapitalLoansMember" />
    <label xml:lang="en-US" xlink:label="mpw_WorkingCapitalLoansMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Working capital loans.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_WorkingCapitalLoansMember" xlink:to="mpw_WorkingCapitalLoansMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_WorkingCapitalLoansMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel">Working Capital Loans [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_WorkingCapitalLoansMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Working Capital Loans [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/srt/2018/elts/srt-2018-01-31.xsd#srt_MortgageLoansOnRealEstateDescriptionTypeOfPropertyAxis" xlink:type="locator" xlink:label="srt_MortgageLoansOnRealEstateDescriptionTypeOfPropertyAxis" />
    <label xml:lang="en-US" xlink:label="srt_MortgageLoansOnRealEstateDescriptionTypeOfPropertyAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Real Estate, Type of Property</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="srt_MortgageLoansOnRealEstateDescriptionTypeOfPropertyAxis" xlink:to="srt_MortgageLoansOnRealEstateDescriptionTypeOfPropertyAxis_lbl" />
    <label xml:lang="en-US" xlink:label="srt_MortgageLoansOnRealEstateDescriptionTypeOfPropertyAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Mortgage Loans On Real Estate Description Type Of Property [Axis]</label>
    <loc xlink:href="http://xbrl.fasb.org/srt/2018/elts/srt-2018-01-31.xsd#srt_MortgageLoansOnRealEstateNamePropertyTypeDomain" xlink:type="locator" xlink:label="srt_MortgageLoansOnRealEstateNamePropertyTypeDomain" />
    <label xml:lang="en-US" xlink:label="srt_MortgageLoansOnRealEstateNamePropertyTypeDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Real Estate</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="srt_MortgageLoansOnRealEstateNamePropertyTypeDomain" xlink:to="srt_MortgageLoansOnRealEstateNamePropertyTypeDomain_lbl" />
    <label xml:lang="en-US" xlink:label="srt_MortgageLoansOnRealEstateNamePropertyTypeDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Mortgage Loans On Real Estate Name Property Type [Domain]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_StJosephMedicalCenterMember" xlink:type="locator" xlink:label="mpw_StJosephMedicalCenterMember" />
    <label xml:lang="en-US" xlink:label="mpw_StJosephMedicalCenterMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">St Joseph Medical Center [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_StJosephMedicalCenterMember" xlink:to="mpw_StJosephMedicalCenterMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_StJosephMedicalCenterMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">St. Joseph Medical Center [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_StJosephMedicalCenterMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">St Joseph Medical Center [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DebtInstrumentLineItems" xlink:type="locator" xlink:label="us-gaap_DebtInstrumentLineItems" />
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Debt Instrument [Line Items]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DebtInstrumentLineItems" xlink:to="us-gaap_DebtInstrumentLineItems_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Debt Instrument [Line Items]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ProceedsFromSaleOfRealEstate" xlink:type="locator" xlink:label="us-gaap_ProceedsFromSaleOfRealEstate" />
    <label xml:lang="en-US" xlink:label="us-gaap_ProceedsFromSaleOfRealEstate_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Proceeds from sale of facilities</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ProceedsFromSaleOfRealEstate" xlink:to="us-gaap_ProceedsFromSaleOfRealEstate_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ProceedsFromSaleOfRealEstate_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Proceeds From Sale Of Real Estate</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NumberOfPropertiesSold" xlink:type="locator" xlink:label="mpw_NumberOfPropertiesSold" />
    <label xml:lang="en-US" xlink:label="mpw_NumberOfPropertiesSold_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Number of properties sold.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NumberOfPropertiesSold" xlink:to="mpw_NumberOfPropertiesSold_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NumberOfPropertiesSold_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Number of properties sold</label>
    <label xml:lang="en-US" xlink:label="mpw_NumberOfPropertiesSold_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Number Of Properties Sold</label>
    <label xml:lang="en-US" xlink:label="us-gaap_GainLossOnDispositionOfRealEstateDiscontinuedOperations_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel">Gain on real estate dispositions</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_DisposalGroupIncludingDiscontinuedOperationLossGainOnWriteDown" xlink:type="locator" xlink:label="mpw_DisposalGroupIncludingDiscontinuedOperationLossGainOnWriteDown" />
    <label xml:lang="en-US" xlink:label="mpw_DisposalGroupIncludingDiscontinuedOperationLossGainOnWriteDown_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Disposal group including discontinued operation loss gain on write down.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_DisposalGroupIncludingDiscontinuedOperationLossGainOnWriteDown" xlink:to="mpw_DisposalGroupIncludingDiscontinuedOperationLossGainOnWriteDown_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_DisposalGroupIncludingDiscontinuedOperationLossGainOnWriteDown_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Gain offset by non-cash charges</label>
    <label xml:lang="en-US" xlink:label="mpw_DisposalGroupIncludingDiscontinuedOperationLossGainOnWriteDown_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Disposal Group Including Discontinued Operation Loss Gain On Write Down</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_LoansReceivableNet" xlink:type="locator" xlink:label="us-gaap_LoansReceivableNet" />
    <label xml:lang="en-US" xlink:label="us-gaap_LoansReceivableNet_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Loans, Balance</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_LoansReceivableNet" xlink:to="us-gaap_LoansReceivableNet_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_LoansReceivableNet_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Loans Receivable Net</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DisposalGroupNotDiscontinuedOperationIncomeStatementDisclosuresAbstract" xlink:type="locator" xlink:label="us-gaap_DisposalGroupNotDiscontinuedOperationIncomeStatementDisclosuresAbstract" />
    <label xml:lang="en-US" xlink:label="us-gaap_DisposalGroupNotDiscontinuedOperationIncomeStatementDisclosuresAbstract_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Disposal Group Not Discontinued Operation Income Statement Disclosures [Abstract]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DisposalGroupNotDiscontinuedOperationIncomeStatementDisclosuresAbstract" xlink:to="us-gaap_DisposalGroupNotDiscontinuedOperationIncomeStatementDisclosuresAbstract_lbl" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsTable" xlink:type="locator" xlink:label="us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsTable" />
    <label xml:lang="en-US" xlink:label="us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsTable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Income Statement Balance Sheet And Additional Disclosures By Disposal Groups Including Discontinued Operations [Table]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsTable" xlink:to="us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsTable_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsTable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Income Statement Balance Sheet And Additional Disclosures By Disposal Groups Including Discontinued Operations [Table]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsLineItems" xlink:type="locator" xlink:label="us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsLineItems" />
    <label xml:lang="en-US" xlink:label="us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Income Statement Balance Sheet And Additional Disclosures By Disposal Groups Including Discontinued Operations [Line Items]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsLineItems" xlink:to="us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsLineItems_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_IncomeStatementBalanceSheetAndAdditionalDisclosuresByDisposalGroupsIncludingDiscontinuedOperationsLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Income Statement Balance Sheet And Additional Disclosures By Disposal Groups Including Discontinued Operations [Line Items]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DisposalGroupIncludingDiscontinuedOperationRevenue" xlink:type="locator" xlink:label="us-gaap_DisposalGroupIncludingDiscontinuedOperationRevenue" />
    <label xml:lang="en-US" xlink:label="us-gaap_DisposalGroupIncludingDiscontinuedOperationRevenue_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Revenues</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DisposalGroupIncludingDiscontinuedOperationRevenue" xlink:to="us-gaap_DisposalGroupIncludingDiscontinuedOperationRevenue_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DisposalGroupIncludingDiscontinuedOperationRevenue_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Disposal Group Including Discontinued Operation Revenue</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DisposalGroupIncludingDiscontinuedOperationDepreciationAndAmortization" xlink:type="locator" xlink:label="us-gaap_DisposalGroupIncludingDiscontinuedOperationDepreciationAndAmortization" />
    <label xml:lang="en-US" xlink:label="us-gaap_DisposalGroupIncludingDiscontinuedOperationDepreciationAndAmortization_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">Real estate depreciation and amortization</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DisposalGroupIncludingDiscontinuedOperationDepreciationAndAmortization" xlink:to="us-gaap_DisposalGroupIncludingDiscontinuedOperationDepreciationAndAmortization_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DisposalGroupIncludingDiscontinuedOperationDepreciationAndAmortization_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Disposal Group Including Discontinued Operation Depreciation And Amortization</label>
    <label xml:lang="en-US" xlink:label="mpw_DisposalGroupIncludingDiscontinuedOperationPropertyRelatedExpense_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">Property-related expenses</label>
    <label xml:lang="en-US" xlink:label="mpw_DisposalGroupIncludingDiscontinuedOperationPropertyRelatedExpense_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Disposal Group Including Discontinued Operation Property Related Expense</label>
    <label xml:lang="en-US" xlink:label="mpw_DisposalGroupIncludingDiscontinuedOperationOtherIncomeExpense_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Other income (expense)</label>
    <label xml:lang="en-US" xlink:label="mpw_DisposalGroupIncludingDiscontinuedOperationOtherIncomeExpense_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Disposal Group Including Discontinued Operation Other Income Expense</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DisposalGroupIncludingDiscontinuedOperationGrossProfitLoss" xlink:type="locator" xlink:label="us-gaap_DisposalGroupIncludingDiscontinuedOperationGrossProfitLoss" />
    <label xml:lang="en-US" xlink:label="us-gaap_DisposalGroupIncludingDiscontinuedOperationGrossProfitLoss_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/totalLabel">Income from real estate dispositions, net</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DisposalGroupIncludingDiscontinuedOperationGrossProfitLoss" xlink:to="us-gaap_DisposalGroupIncludingDiscontinuedOperationGrossProfitLoss_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DisposalGroupIncludingDiscontinuedOperationGrossProfitLoss_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Disposal Group Including Discontinued Operation Gross Profit Loss</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_MasterLeaseMember" xlink:type="locator" xlink:label="mpw_MasterLeaseMember" />
    <label xml:lang="en-US" xlink:label="mpw_MasterLeaseMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Master Lease [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_MasterLeaseMember" xlink:to="mpw_MasterLeaseMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_MasterLeaseMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Master Lease [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_MasterLeaseMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Master Lease [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_OtherStandAloneLeaseMember" xlink:type="locator" xlink:label="mpw_OtherStandAloneLeaseMember" />
    <label xml:lang="en-US" xlink:label="mpw_OtherStandAloneLeaseMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Other Stand Alone Lease [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_OtherStandAloneLeaseMember" xlink:to="mpw_OtherStandAloneLeaseMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_OtherStandAloneLeaseMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Other Stand-Alone Lease [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_OtherStandAloneLeaseMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Other Stand Alone Lease [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ProceedsFromDivestitureOfInterestInSubsidiariesAndAffiliates" xlink:type="locator" xlink:label="us-gaap_ProceedsFromDivestitureOfInterestInSubsidiariesAndAffiliates" />
    <label xml:lang="en-US" xlink:label="us-gaap_ProceedsFromDivestitureOfInterestInSubsidiariesAndAffiliates_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Net proceeds from transaction</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ProceedsFromDivestitureOfInterestInSubsidiariesAndAffiliates" xlink:to="us-gaap_ProceedsFromDivestitureOfInterestInSubsidiariesAndAffiliates_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ProceedsFromDivestitureOfInterestInSubsidiariesAndAffiliates_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Proceeds From Divestiture Of Interest In Subsidiaries And Affiliates</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ProceedsFromSaleOfEquityMethodInvestments" xlink:type="locator" xlink:label="us-gaap_ProceedsFromSaleOfEquityMethodInvestments" />
    <label xml:lang="en-US" xlink:label="us-gaap_ProceedsFromSaleOfEquityMethodInvestments_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Net proceeds from equity investment and loans</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ProceedsFromSaleOfEquityMethodInvestments" xlink:to="us-gaap_ProceedsFromSaleOfEquityMethodInvestments_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ProceedsFromSaleOfEquityMethodInvestments_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Proceeds From Sale Of Equity Method Investments</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ProceedsFromSaleOfMortgageLoansHeldForSale" xlink:type="locator" xlink:label="us-gaap_ProceedsFromSaleOfMortgageLoansHeldForSale" />
    <label xml:lang="en-US" xlink:label="us-gaap_ProceedsFromSaleOfMortgageLoansHeldForSale_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Proceeds from prepayment of mortgage loans</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ProceedsFromSaleOfMortgageLoansHeldForSale" xlink:to="us-gaap_ProceedsFromSaleOfMortgageLoansHeldForSale_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ProceedsFromSaleOfMortgageLoansHeldForSale_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Proceeds From Sale Of Mortgage Loans Held For Sale</label>
    <label xml:lang="en-US" xlink:label="us-gaap_MortgageLoansOnRealEstateNewMortgageLoans_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/positiveTerseLabel">New loan for hospital property</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_NotesReceivableRelatedParties" xlink:type="locator" xlink:label="us-gaap_NotesReceivableRelatedParties" />
    <label xml:lang="en-US" xlink:label="us-gaap_NotesReceivableRelatedParties_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Investment on unsecured senior notes</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_NotesReceivableRelatedParties" xlink:to="us-gaap_NotesReceivableRelatedParties_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_NotesReceivableRelatedParties_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Notes Receivable Related Parties</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_RelatedPartyTransactionExpensesFromTransactionsWithRelatedParty" xlink:type="locator" xlink:label="us-gaap_RelatedPartyTransactionExpensesFromTransactionsWithRelatedParty" />
    <label xml:lang="en-US" xlink:label="us-gaap_RelatedPartyTransactionExpensesFromTransactionsWithRelatedParty_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Transaction costs incurred</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_RelatedPartyTransactionExpensesFromTransactionsWithRelatedParty" xlink:to="us-gaap_RelatedPartyTransactionExpensesFromTransactionsWithRelatedParty_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_RelatedPartyTransactionExpensesFromTransactionsWithRelatedParty_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Related Party Transaction Expenses From Transactions With Related Party</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NumberOfHospitalsOwned" xlink:type="locator" xlink:label="mpw_NumberOfHospitalsOwned" />
    <label xml:lang="en-US" xlink:label="mpw_NumberOfHospitalsOwned_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Number of hospitals owned.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NumberOfHospitalsOwned" xlink:to="mpw_NumberOfHospitalsOwned_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_UnbilledDirectFinanceLeaseRentWriteOff" xlink:type="locator" xlink:label="mpw_UnbilledDirectFinanceLeaseRentWriteOff" />
    <label xml:lang="en-US" xlink:label="mpw_UnbilledDirectFinanceLeaseRentWriteOff_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Unbilled direct finance lease rent write off.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_UnbilledDirectFinanceLeaseRentWriteOff" xlink:to="mpw_UnbilledDirectFinanceLeaseRentWriteOff_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NumberOfHospitalsOwned_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Number of hospital owned</label>
    <label xml:lang="en-US" xlink:label="mpw_NumberOfHospitalsOwned_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Number Of Hospitals Owned</label>
    <label xml:lang="en-US" xlink:label="mpw_UnbilledDirectFinanceLeaseRentWriteOff_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Write off of unbilled direct finance lease rent</label>
    <label xml:lang="en-US" xlink:label="mpw_UnbilledDirectFinanceLeaseRentWriteOff_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Unbilled Direct Finance Lease Rent Write Off</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_PostAcuteMember" xlink:type="locator" xlink:label="mpw_PostAcuteMember" />
    <label xml:lang="en-US" xlink:label="mpw_PostAcuteMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Post Acute.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_PostAcuteMember" xlink:to="mpw_PostAcuteMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_PostAcuteMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Post Acute [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_PostAcuteMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Post Acute [Member]</label>
    <label xml:lang="en-US" xlink:label="stpr_TX_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel">Texas [Member]</label>
    <loc xlink:href="https://xbrl.sec.gov/stpr/2018/stpr-2018-01-31.xsd#stpr_LA" xlink:type="locator" xlink:label="stpr_LA" />
    <label xml:lang="en-US" xlink:label="stpr_LA_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Louisiana [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="stpr_LA" xlink:to="stpr_LA_lbl" />
    <label xml:lang="en-US" xlink:label="stpr_LA_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">LOUISIANA</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_RepaymentsOfRelatedPartyDebt" xlink:type="locator" xlink:label="us-gaap_RepaymentsOfRelatedPartyDebt" />
    <label xml:lang="en-US" xlink:label="us-gaap_RepaymentsOfRelatedPartyDebt_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Outstanding loans paid in full</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_RepaymentsOfRelatedPartyDebt" xlink:to="us-gaap_RepaymentsOfRelatedPartyDebt_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_RepaymentsOfRelatedPartyDebt_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Repayments Of Related Party Debt</label>
    <label xml:lang="en-US" xlink:label="us-gaap_ProceedsFromSaleOfRealEstate_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel">Proceeds from sale of real estate</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_GainLossOnSaleOfProperties" xlink:type="locator" xlink:label="us-gaap_GainLossOnSaleOfProperties" />
    <label xml:lang="en-US" xlink:label="us-gaap_GainLossOnSaleOfProperties_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Gain on sale of real estate</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_GainLossOnSaleOfProperties" xlink:to="us-gaap_GainLossOnSaleOfProperties_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_GainLossOnSaleOfProperties_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Gain Loss On Sale Of Properties</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NumberOfHospitalsSold" xlink:type="locator" xlink:label="mpw_NumberOfHospitalsSold" />
    <label xml:lang="en-US" xlink:label="mpw_NumberOfHospitalsSold_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Number Of Hospitals Sold</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NumberOfHospitalsSold" xlink:to="mpw_NumberOfHospitalsSold_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_EncompassHealthMember" xlink:type="locator" xlink:label="mpw_EncompassHealthMember" />
    <label xml:lang="en-US" xlink:label="mpw_EncompassHealthMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Encompass health.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_EncompassHealthMember" xlink:to="mpw_EncompassHealthMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_EncompassHealthMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Encompass Health [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_EncompassHealthMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Encompass Health [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NumberOfHospitalsSold_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Number of hospitals sold</label>
    <label xml:lang="en-US" xlink:label="mpw_NumberOfHospitalsSold_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Number Of Hospitals Sold</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization" xlink:type="locator" xlink:label="us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization" />
    <label xml:lang="en-US" xlink:label="us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Accumulated amortization, net</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization" xlink:to="us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Finite Lived Intangible Assets Accumulated Amortization</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_FiniteLivedIntangibleAssetsAmortizationExpenses" xlink:type="locator" xlink:label="mpw_FiniteLivedIntangibleAssetsAmortizationExpenses" />
    <label xml:lang="en-US" xlink:label="mpw_FiniteLivedIntangibleAssetsAmortizationExpenses_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Finite Lived Intangible Assets Amortization Expenses</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_FiniteLivedIntangibleAssetsAmortizationExpenses" xlink:to="mpw_FiniteLivedIntangibleAssetsAmortizationExpenses_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_FiniteLivedIntangibleAssetsAmortizationExpenses_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Amortization expense related to intangible lease assets</label>
    <label xml:lang="en-US" xlink:label="mpw_FiniteLivedIntangibleAssetsAmortizationExpenses_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Finite Lived Intangible Assets Amortization Expenses</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseNextTwelveMonths" xlink:type="locator" xlink:label="us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseNextTwelveMonths" />
    <label xml:lang="en-US" xlink:label="us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseNextTwelveMonths_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2019</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseNextTwelveMonths" xlink:to="us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseNextTwelveMonths_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseNextTwelveMonths_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Finite Lived Intangible Assets Amortization Expense Next Twelve Months</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearTwo" xlink:type="locator" xlink:label="us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearTwo" />
    <label xml:lang="en-US" xlink:label="us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearTwo_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2020</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearTwo" xlink:to="us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearTwo_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearTwo_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Finite Lived Intangible Assets Amortization Expense Year Two</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearThree" xlink:type="locator" xlink:label="us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearThree" />
    <label xml:lang="en-US" xlink:label="us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearThree_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2021</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearThree" xlink:to="us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearThree_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearThree_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Finite Lived Intangible Assets Amortization Expense Year Three</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearFour" xlink:type="locator" xlink:label="us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearFour" />
    <label xml:lang="en-US" xlink:label="us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearFour_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2022</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearFour" xlink:to="us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearFour_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearFour_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Finite Lived Intangible Assets Amortization Expense Year Four</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearFive" xlink:type="locator" xlink:label="us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearFive" />
    <label xml:lang="en-US" xlink:label="us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearFive_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2023</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearFive" xlink:to="us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearFive_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_FiniteLivedIntangibleAssetsAmortizationExpenseYearFive_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Finite Lived Intangible Assets Amortization Expense Year Five</label>
    <label xml:lang="en-US" xlink:label="us-gaap_AcquiredFiniteLivedIntangibleAssetsWeightedAverageUsefulLife_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel">Capitalized lease intangibles, weighted average life (in years)</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NumberOfDirectFinancingLeases" xlink:type="locator" xlink:label="mpw_NumberOfDirectFinancingLeases" />
    <label xml:lang="en-US" xlink:label="mpw_NumberOfDirectFinancingLeases_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Number of direct financing leases.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NumberOfDirectFinancingLeases" xlink:to="mpw_NumberOfDirectFinancingLeases_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_PrimeFacilitiesMember" xlink:type="locator" xlink:label="mpw_PrimeFacilitiesMember" />
    <label xml:lang="en-US" xlink:label="mpw_PrimeFacilitiesMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Prime facilities.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_PrimeFacilitiesMember" xlink:to="mpw_PrimeFacilitiesMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_PrimeFacilitiesMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Prime Facilities [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_PrimeFacilitiesMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Prime Facilities [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NumberOfDirectFinancingLeases_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Number of direct financing leases</label>
    <label xml:lang="en-US" xlink:label="mpw_NumberOfDirectFinancingLeases_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Number Of Direct Financing Leases</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_EstimatedResidualValues" xlink:type="locator" xlink:label="mpw_EstimatedResidualValues" />
    <label xml:lang="en-US" xlink:label="mpw_EstimatedResidualValues_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Estimated residual values.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_EstimatedResidualValues" xlink:to="mpw_EstimatedResidualValues_lbl" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_CapitalLeasesFutureMinimumPaymentsReceivable" xlink:type="locator" xlink:label="us-gaap_CapitalLeasesFutureMinimumPaymentsReceivable" />
    <label xml:lang="en-US" xlink:label="us-gaap_CapitalLeasesFutureMinimumPaymentsReceivable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Minimum lease payments receivable</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_CapitalLeasesFutureMinimumPaymentsReceivable" xlink:to="us-gaap_CapitalLeasesFutureMinimumPaymentsReceivable_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_CapitalLeasesFutureMinimumPaymentsReceivable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Capital Leases Future Minimum Payments Receivable</label>
    <label xml:lang="en-US" xlink:label="mpw_EstimatedResidualValues_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Estimated residual values</label>
    <label xml:lang="en-US" xlink:label="mpw_EstimatedResidualValues_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Estimated Residual Values</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DeferredRevenueLeasesNet" xlink:type="locator" xlink:label="us-gaap_DeferredRevenueLeasesNet" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredRevenueLeasesNet_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">Less unearned income</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DeferredRevenueLeasesNet" xlink:to="us-gaap_DeferredRevenueLeasesNet_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredRevenueLeasesNet_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Deferred Revenue Leases Net</label>
    <label xml:lang="en-US" xlink:label="us-gaap_NetInvestmentInDirectFinancingAndSalesTypeLeases_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/totalLabel">Net investment in direct financing leases</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_LeasesUserChargesAndCommitmentsLineItems" xlink:type="locator" xlink:label="mpw_LeasesUserChargesAndCommitmentsLineItems" />
    <label xml:lang="en-US" xlink:label="mpw_LeasesUserChargesAndCommitmentsLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Leases User Charges And Commitments [Line Items]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_LeasesUserChargesAndCommitmentsLineItems" xlink:to="mpw_LeasesUserChargesAndCommitmentsLineItems_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_LeasesUserChargesAndCommitmentsTable" xlink:type="locator" xlink:label="mpw_LeasesUserChargesAndCommitmentsTable" />
    <label xml:lang="en-US" xlink:label="mpw_LeasesUserChargesAndCommitmentsTable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Leases User Charges And Commitments [Table]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_LeasesUserChargesAndCommitmentsTable" xlink:to="mpw_LeasesUserChargesAndCommitmentsTable_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_LeasesUserChargesAndCommitmentsTable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Leases User Charges And Commitments [Table]</label>
    <label xml:lang="en-US" xlink:label="mpw_LeasesUserChargesAndCommitmentsTable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Leases User Charges And Commitments [Table]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_NatureOfExpenseAxis" xlink:type="locator" xlink:label="us-gaap_NatureOfExpenseAxis" />
    <label xml:lang="en-US" xlink:label="us-gaap_NatureOfExpenseAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Nature of Expense</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_NatureOfExpenseAxis" xlink:to="us-gaap_NatureOfExpenseAxis_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_NatureOfExpenseAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Nature Of Expense [Axis]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_InterimPeriodCostsNotAllocableDomain" xlink:type="locator" xlink:label="us-gaap_InterimPeriodCostsNotAllocableDomain" />
    <label xml:lang="en-US" xlink:label="us-gaap_InterimPeriodCostsNotAllocableDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Interim Period, Costs Not Allocable</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_InterimPeriodCostsNotAllocableDomain" xlink:to="us-gaap_InterimPeriodCostsNotAllocableDomain_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_InterimPeriodCostsNotAllocableDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Interim Period Costs Not Allocable [Domain]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_OperatingLeasesMember" xlink:type="locator" xlink:label="mpw_OperatingLeasesMember" />
    <label xml:lang="en-US" xlink:label="mpw_OperatingLeasesMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Operating Leases [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_OperatingLeasesMember" xlink:to="mpw_OperatingLeasesMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_OperatingLeasesMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Operating Leases [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_OperatingLeasesMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Operating Leases [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_DirectFinancingLeasesMember" xlink:type="locator" xlink:label="mpw_DirectFinancingLeasesMember" />
    <label xml:lang="en-US" xlink:label="mpw_DirectFinancingLeasesMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Direct Financing Leases [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_DirectFinancingLeasesMember" xlink:to="mpw_DirectFinancingLeasesMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_DirectFinancingLeasesMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Direct Financing Leases [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_DirectFinancingLeasesMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Direct Financing Leases [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_LeasesUserChargesAndCommitmentsLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Leases User Charges And Commitments [Line Items]</label>
    <label xml:lang="en-US" xlink:label="mpw_LeasesUserChargesAndCommitmentsLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Leases User Charges And Commitments [Line Items]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_OperatingLeasesFutureMinimumPaymentsDueCurrent" xlink:type="locator" xlink:label="us-gaap_OperatingLeasesFutureMinimumPaymentsDueCurrent" />
    <label xml:lang="en-US" xlink:label="us-gaap_OperatingLeasesFutureMinimumPaymentsDueCurrent_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2019</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_OperatingLeasesFutureMinimumPaymentsDueCurrent" xlink:to="us-gaap_OperatingLeasesFutureMinimumPaymentsDueCurrent_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_OperatingLeasesFutureMinimumPaymentsDueCurrent_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Operating Leases Future Minimum Payments Due Current</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_OperatingLeasesFutureMinimumPaymentsDueInTwoYears" xlink:type="locator" xlink:label="us-gaap_OperatingLeasesFutureMinimumPaymentsDueInTwoYears" />
    <label xml:lang="en-US" xlink:label="us-gaap_OperatingLeasesFutureMinimumPaymentsDueInTwoYears_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2020</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_OperatingLeasesFutureMinimumPaymentsDueInTwoYears" xlink:to="us-gaap_OperatingLeasesFutureMinimumPaymentsDueInTwoYears_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_OperatingLeasesFutureMinimumPaymentsDueInTwoYears_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Operating Leases Future Minimum Payments Due In Two Years</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_OperatingLeasesFutureMinimumPaymentsDueInThreeYears" xlink:type="locator" xlink:label="us-gaap_OperatingLeasesFutureMinimumPaymentsDueInThreeYears" />
    <label xml:lang="en-US" xlink:label="us-gaap_OperatingLeasesFutureMinimumPaymentsDueInThreeYears_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2021</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_OperatingLeasesFutureMinimumPaymentsDueInThreeYears" xlink:to="us-gaap_OperatingLeasesFutureMinimumPaymentsDueInThreeYears_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_OperatingLeasesFutureMinimumPaymentsDueInThreeYears_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Operating Leases Future Minimum Payments Due In Three Years</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_OperatingLeasesFutureMinimumPaymentsDueInFourYears" xlink:type="locator" xlink:label="us-gaap_OperatingLeasesFutureMinimumPaymentsDueInFourYears" />
    <label xml:lang="en-US" xlink:label="us-gaap_OperatingLeasesFutureMinimumPaymentsDueInFourYears_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2022</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_OperatingLeasesFutureMinimumPaymentsDueInFourYears" xlink:to="us-gaap_OperatingLeasesFutureMinimumPaymentsDueInFourYears_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_OperatingLeasesFutureMinimumPaymentsDueInFourYears_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Operating Leases Future Minimum Payments Due In Four Years</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_OperatingLeasesFutureMinimumPaymentsDueInFiveYears" xlink:type="locator" xlink:label="us-gaap_OperatingLeasesFutureMinimumPaymentsDueInFiveYears" />
    <label xml:lang="en-US" xlink:label="us-gaap_OperatingLeasesFutureMinimumPaymentsDueInFiveYears_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2023</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_OperatingLeasesFutureMinimumPaymentsDueInFiveYears" xlink:to="us-gaap_OperatingLeasesFutureMinimumPaymentsDueInFiveYears_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_OperatingLeasesFutureMinimumPaymentsDueInFiveYears_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Operating Leases Future Minimum Payments Due In Five Years</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_OperatingLeasesFutureMinimumPaymentsDueThereafter" xlink:type="locator" xlink:label="us-gaap_OperatingLeasesFutureMinimumPaymentsDueThereafter" />
    <label xml:lang="en-US" xlink:label="us-gaap_OperatingLeasesFutureMinimumPaymentsDueThereafter_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Thereafter</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_OperatingLeasesFutureMinimumPaymentsDueThereafter" xlink:to="us-gaap_OperatingLeasesFutureMinimumPaymentsDueThereafter_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_OperatingLeasesFutureMinimumPaymentsDueThereafter_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Operating Leases Future Minimum Payments Due Thereafter</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_OperatingLeasesFutureMinimumPaymentsDue" xlink:type="locator" xlink:label="us-gaap_OperatingLeasesFutureMinimumPaymentsDue" />
    <label xml:lang="en-US" xlink:label="us-gaap_OperatingLeasesFutureMinimumPaymentsDue_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/totalLabel">Minimum rental payments, total</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_OperatingLeasesFutureMinimumPaymentsDue" xlink:to="us-gaap_OperatingLeasesFutureMinimumPaymentsDue_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_OperatingLeasesFutureMinimumPaymentsDue_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Operating Leases Future Minimum Payments Due</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_AmortizationOfStraightLineRentReceivablesReductionInRentRevenue" xlink:type="locator" xlink:label="mpw_AmortizationOfStraightLineRentReceivablesReductionInRentRevenue" />
    <label xml:lang="en-US" xlink:label="mpw_AmortizationOfStraightLineRentReceivablesReductionInRentRevenue_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Amortization of straight line rent receivables reduction in rent revenue.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_AmortizationOfStraightLineRentReceivablesReductionInRentRevenue" xlink:to="mpw_AmortizationOfStraightLineRentReceivablesReductionInRentRevenue_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_NumberOfTransitionedFacilitiesNotReLeased" xlink:type="locator" xlink:label="mpw_NumberOfTransitionedFacilitiesNotReLeased" />
    <label xml:lang="en-US" xlink:label="mpw_NumberOfTransitionedFacilitiesNotReLeased_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Number of transitioned facilities not re-leased.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NumberOfTransitionedFacilitiesNotReLeased" xlink:to="mpw_NumberOfTransitionedFacilitiesNotReLeased_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_PercentageOfInvestmentInRemainingTransitionFacilitiesOnAssets" xlink:type="locator" xlink:label="mpw_PercentageOfInvestmentInRemainingTransitionFacilitiesOnAssets" />
    <label xml:lang="en-US" xlink:label="mpw_PercentageOfInvestmentInRemainingTransitionFacilitiesOnAssets_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Percentage of investment in remaining transition facilities on assets.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_PercentageOfInvestmentInRemainingTransitionFacilitiesOnAssets" xlink:to="mpw_PercentageOfInvestmentInRemainingTransitionFacilitiesOnAssets_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_NumberOfFacilitiesTransitioned" xlink:type="locator" xlink:label="mpw_NumberOfFacilitiesTransitioned" />
    <label xml:lang="en-US" xlink:label="mpw_NumberOfFacilitiesTransitioned_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Number of facilities transitioned.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NumberOfFacilitiesTransitioned" xlink:to="mpw_NumberOfFacilitiesTransitioned_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_NumberOfReLeasedProperties" xlink:type="locator" xlink:label="mpw_NumberOfReLeasedProperties" />
    <label xml:lang="en-US" xlink:label="mpw_NumberOfReLeasedProperties_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Number of re-leased properties.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NumberOfReLeasedProperties" xlink:to="mpw_NumberOfReLeasedProperties_lbl" />
    <loc xlink:href="http://xbrl.sec.gov/country/2017/country-2017-01-31.xsd#country_CO" xlink:type="locator" xlink:label="country_CO" />
    <label xml:lang="en-US" xlink:label="country_CO_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Colorado [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="country_CO" xlink:to="country_CO_lbl" />
    <label xml:lang="en-US" xlink:label="country_CO_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">COLOMBIA</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_UniversityOfColoradoHospitalMember" xlink:type="locator" xlink:label="mpw_UniversityOfColoradoHospitalMember" />
    <label xml:lang="en-US" xlink:label="mpw_UniversityOfColoradoHospitalMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">University of Colorado hospital.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_UniversityOfColoradoHospitalMember" xlink:to="mpw_UniversityOfColoradoHospitalMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_UniversityOfColoradoHospitalMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">University of Colorado Hospital [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_UniversityOfColoradoHospitalMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">University Of Colorado Hospital [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_OchsnerMember" xlink:type="locator" xlink:label="mpw_OchsnerMember" />
    <label xml:lang="en-US" xlink:label="mpw_OchsnerMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Ochsner.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_OchsnerMember" xlink:to="mpw_OchsnerMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_OchsnerMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Ochsner [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_OchsnerMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Ochsner [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_AmortizationOfStraightLineRentReceivablesReductionInRentRevenue_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Amortization of straight line rent receivables, reduction in rent revenue</label>
    <label xml:lang="en-US" xlink:label="mpw_AmortizationOfStraightLineRentReceivablesReductionInRentRevenue_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Amortization Of Straight Line Rent Receivables Reduction In Rent Revenue</label>
    <label xml:lang="en-US" xlink:label="mpw_NumberOfFacilitiesTransitioned_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Number of facilities transitioned</label>
    <label xml:lang="en-US" xlink:label="mpw_NumberOfFacilitiesTransitioned_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Number Of Facilities Transitioned</label>
    <label xml:lang="en-US" xlink:label="mpw_NumberOfReLeasedProperties_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Number of properties re-leased</label>
    <label xml:lang="en-US" xlink:label="mpw_NumberOfReLeasedProperties_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Number Of Re Leased Properties</label>
    <label xml:lang="en-US" xlink:label="mpw_NumberOfTransitionedFacilitiesNotReLeased_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Number of transitioned facilities not re-leased</label>
    <label xml:lang="en-US" xlink:label="mpw_NumberOfTransitionedFacilitiesNotReLeased_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Number Of Transitioned Facilities Not Re Leased</label>
    <label xml:lang="en-US" xlink:label="mpw_PercentageOfInvestmentInRemainingTransitionFacilitiesOnAssets_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Percentage of investment in remaining transition facilities on total assets</label>
    <label xml:lang="en-US" xlink:label="mpw_PercentageOfInvestmentInRemainingTransitionFacilitiesOnAssets_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Percentage Of Investment In Remaining Transition Facilities On Assets</label>
    <label xml:lang="en-US" xlink:label="us-gaap_ImpairmentOfRealEstate_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel">Real estate impairment charge</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NumberOfLeasedProperties" xlink:type="locator" xlink:label="mpw_NumberOfLeasedProperties" />
    <label xml:lang="en-US" xlink:label="mpw_NumberOfLeasedProperties_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Number of leased properties.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NumberOfLeasedProperties" xlink:to="mpw_NumberOfLeasedProperties_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_LeaseExtensionPeriod" xlink:type="locator" xlink:label="mpw_LeaseExtensionPeriod" />
    <label xml:lang="en-US" xlink:label="mpw_LeaseExtensionPeriod_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Lease extension period.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_LeaseExtensionPeriod" xlink:to="mpw_LeaseExtensionPeriod_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NumberOfLeasedProperties_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Number of leased properties</label>
    <label xml:lang="en-US" xlink:label="mpw_NumberOfLeasedProperties_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Number Of Leased Properties</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_Investments" xlink:type="locator" xlink:label="us-gaap_Investments" />
    <label xml:lang="en-US" xlink:label="us-gaap_Investments_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Total budgeted investment</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_Investments" xlink:to="us-gaap_Investments_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_Investments_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Investments</label>
    <label xml:lang="en-US" xlink:label="mpw_LeaseExtensionPeriod_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Term of lease extension, years</label>
    <label xml:lang="en-US" xlink:label="mpw_LeaseExtensionPeriod_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Lease Extension Period</label>
    <label xml:lang="en-US" xlink:label="mpw_LeaseAgreementIncreaseInConsumerPriceIndexFloorRateMinimum_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel">Lease rent increase percentage</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_AverageMinimumLeaseRateOnDevelopmentAndConstructionCost" xlink:type="locator" xlink:label="mpw_AverageMinimumLeaseRateOnDevelopmentAndConstructionCost" />
    <label xml:lang="en-US" xlink:label="mpw_AverageMinimumLeaseRateOnDevelopmentAndConstructionCost_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Average minimum lease rate on development and construction cost.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_AverageMinimumLeaseRateOnDevelopmentAndConstructionCost" xlink:to="mpw_AverageMinimumLeaseRateOnDevelopmentAndConstructionCost_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_AverageMinimumLeaseRateOnDevelopmentAndConstructionCost_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Average minimum lease rate on development and construction cost</label>
    <label xml:lang="en-US" xlink:label="mpw_AverageMinimumLeaseRateOnDevelopmentAndConstructionCost_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Average Minimum Lease Rate On Development And Construction Cost</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_GilbertAndFlorenceFacilitiesMember" xlink:type="locator" xlink:label="mpw_GilbertAndFlorenceFacilitiesMember" />
    <label xml:lang="en-US" xlink:label="mpw_GilbertAndFlorenceFacilitiesMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Gilbert and Florence facilities.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_GilbertAndFlorenceFacilitiesMember" xlink:to="mpw_GilbertAndFlorenceFacilitiesMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_GilbertAndFlorenceFacilitiesMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Gilbert and Florence Facilities [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_GilbertAndFlorenceFacilitiesMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Gilbert And Florence Facilities [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ConcentrationRiskByBenchmarkAxis" xlink:type="locator" xlink:label="us-gaap_ConcentrationRiskByBenchmarkAxis" />
    <label xml:lang="en-US" xlink:label="us-gaap_ConcentrationRiskByBenchmarkAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Concentration Risk Benchmark</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ConcentrationRiskByBenchmarkAxis" xlink:to="us-gaap_ConcentrationRiskByBenchmarkAxis_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ConcentrationRiskByBenchmarkAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Concentration Risk By Benchmark [Axis]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ConcentrationRiskBenchmarkDomain" xlink:type="locator" xlink:label="us-gaap_ConcentrationRiskBenchmarkDomain" />
    <label xml:lang="en-US" xlink:label="us-gaap_ConcentrationRiskBenchmarkDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Concentration Risk Benchmark</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ConcentrationRiskBenchmarkDomain" xlink:to="us-gaap_ConcentrationRiskBenchmarkDomain_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ConcentrationRiskBenchmarkDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Concentration Risk Benchmark [Domain]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_AssetsTotalMember" xlink:type="locator" xlink:label="us-gaap_AssetsTotalMember" />
    <label xml:lang="en-US" xlink:label="us-gaap_AssetsTotalMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Total Gross Assets [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_AssetsTotalMember" xlink:to="us-gaap_AssetsTotalMember_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_AssetsTotalMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Assets Total [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ConcentrationRiskByTypeAxis" xlink:type="locator" xlink:label="us-gaap_ConcentrationRiskByTypeAxis" />
    <label xml:lang="en-US" xlink:label="us-gaap_ConcentrationRiskByTypeAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Concentration Risk Type</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ConcentrationRiskByTypeAxis" xlink:to="us-gaap_ConcentrationRiskByTypeAxis_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ConcentrationRiskByTypeAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Concentration Risk By Type [Axis]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ConcentrationRiskTypeDomain" xlink:type="locator" xlink:label="us-gaap_ConcentrationRiskTypeDomain" />
    <label xml:lang="en-US" xlink:label="us-gaap_ConcentrationRiskTypeDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Concentration Risk Type</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ConcentrationRiskTypeDomain" xlink:to="us-gaap_ConcentrationRiskTypeDomain_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ConcentrationRiskTypeDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Concentration Risk Type [Domain]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_CreditConcentrationRiskMember" xlink:type="locator" xlink:label="us-gaap_CreditConcentrationRiskMember" />
    <label xml:lang="en-US" xlink:label="us-gaap_CreditConcentrationRiskMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Credit Concentration Risk [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_CreditConcentrationRiskMember" xlink:to="us-gaap_CreditConcentrationRiskMember_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_CreditConcentrationRiskMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Credit Concentration Risk [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ConcentrationRiskPercentage1" xlink:type="locator" xlink:label="us-gaap_ConcentrationRiskPercentage1" />
    <label xml:lang="en-US" xlink:label="us-gaap_ConcentrationRiskPercentage1_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Percentage of Total Gross Assets</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ConcentrationRiskPercentage1" xlink:to="us-gaap_ConcentrationRiskPercentage1_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ConcentrationRiskPercentage1_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Concentration Risk Percentage1</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_CustomerConcentrationRiskMember" xlink:type="locator" xlink:label="us-gaap_CustomerConcentrationRiskMember" />
    <label xml:lang="en-US" xlink:label="us-gaap_CustomerConcentrationRiskMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel">Customer Concentration Risk</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_CustomerConcentrationRiskMember" xlink:to="us-gaap_CustomerConcentrationRiskMember_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_CustomerConcentrationRiskMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Customer Concentration Risk [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_LoansLineItems" xlink:type="locator" xlink:label="mpw_LoansLineItems" />
    <label xml:lang="en-US" xlink:label="mpw_LoansLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Loans [Line Items]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_LoansLineItems" xlink:to="mpw_LoansLineItems_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_LoansTable" xlink:type="locator" xlink:label="mpw_LoansTable" />
    <label xml:lang="en-US" xlink:label="mpw_LoansTable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Loans [Table]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_LoansTable" xlink:to="mpw_LoansTable_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_LoansTable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Loans [Table]</label>
    <label xml:lang="en-US" xlink:label="mpw_LoansTable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Loans [Table]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_AcquisitionLoanMember" xlink:type="locator" xlink:label="mpw_AcquisitionLoanMember" />
    <label xml:lang="en-US" xlink:label="mpw_AcquisitionLoanMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Acquisition loan.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_AcquisitionLoanMember" xlink:to="mpw_AcquisitionLoanMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_AcquisitionLoanMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Acquisition Loans [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_AcquisitionLoanMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Acquisition Loan [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_WorkingCapitalLoansMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Working Capital and Other Loans [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_LoansLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Loans [Line Items]</label>
    <label xml:lang="en-US" xlink:label="mpw_LoansLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Loans [Line Items]</label>
    <loc xlink:href="http://xbrl.fasb.org/srt/2018/elts/srt-2018-01-31.xsd#srt_MortgageLoansOnRealEstateInterestRate" xlink:type="locator" xlink:label="srt_MortgageLoansOnRealEstateInterestRate" />
    <label xml:lang="en-US" xlink:label="srt_MortgageLoansOnRealEstateInterestRate_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Loans, Weighted Average Interest Rate</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="srt_MortgageLoansOnRealEstateInterestRate" xlink:to="srt_MortgageLoansOnRealEstateInterestRate_lbl" />
    <label xml:lang="en-US" xlink:label="srt_MortgageLoansOnRealEstateInterestRate_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Mortgage Loans On Real Estate Interest Rate</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NumberOfOperators" xlink:type="locator" xlink:label="mpw_NumberOfOperators" />
    <label xml:lang="en-US" xlink:label="mpw_NumberOfOperators_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Number Of Operators</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NumberOfOperators" xlink:to="mpw_NumberOfOperators_lbl" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_NumberOfRealEstateProperties" xlink:type="locator" xlink:label="us-gaap_NumberOfRealEstateProperties" />
    <label xml:lang="en-US" xlink:label="us-gaap_NumberOfRealEstateProperties_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Number of Real Estate Properties</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_NumberOfRealEstateProperties" xlink:to="us-gaap_NumberOfRealEstateProperties_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_NumberOfRealEstateProperties_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Number Of Real Estate Properties</label>
    <label xml:lang="en-US" xlink:label="mpw_NumberOfOperators_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Number Of Operators</label>
    <label xml:lang="en-US" xlink:label="mpw_NumberOfOperators_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Number Of Operators</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NumberOfInvestments" xlink:type="locator" xlink:label="mpw_NumberOfInvestments" />
    <label xml:lang="en-US" xlink:label="mpw_NumberOfInvestments_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Number of investments.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NumberOfInvestments" xlink:to="mpw_NumberOfInvestments_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_MaximumPercentageOfEntitysAssetsInvestedOnSingleProperty" xlink:type="locator" xlink:label="mpw_MaximumPercentageOfEntitysAssetsInvestedOnSingleProperty" />
    <label xml:lang="en-US" xlink:label="mpw_MaximumPercentageOfEntitysAssetsInvestedOnSingleProperty_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Maximum percentage of entity&apos;s assets invested on single property.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_MaximumPercentageOfEntitysAssetsInvestedOnSingleProperty" xlink:to="mpw_MaximumPercentageOfEntitysAssetsInvestedOnSingleProperty_lbl" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_StatementScenarioAxis" xlink:type="locator" xlink:label="us-gaap_StatementScenarioAxis" />
    <label xml:lang="en-US" xlink:label="us-gaap_StatementScenarioAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Scenario</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_StatementScenarioAxis" xlink:to="us-gaap_StatementScenarioAxis_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_StatementScenarioAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Statement Scenario [Axis]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ScenarioUnspecifiedDomain" xlink:type="locator" xlink:label="us-gaap_ScenarioUnspecifiedDomain" />
    <label xml:lang="en-US" xlink:label="us-gaap_ScenarioUnspecifiedDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Scenario, Unspecified</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ScenarioUnspecifiedDomain" xlink:to="us-gaap_ScenarioUnspecifiedDomain_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ScenarioUnspecifiedDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Scenario Unspecified [Domain]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ProFormaMember" xlink:type="locator" xlink:label="us-gaap_ProFormaMember" />
    <label xml:lang="en-US" xlink:label="us-gaap_ProFormaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Pro Forma [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ProFormaMember" xlink:to="us-gaap_ProFormaMember_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ProFormaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Pro Forma [Member]</label>
    <label xml:lang="en-US" xlink:label="us-gaap_CustomerConcentrationRiskMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Customer Concentration Risk [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_RevenueMember" xlink:type="locator" xlink:label="mpw_RevenueMember" />
    <label xml:lang="en-US" xlink:label="mpw_RevenueMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Revenue.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_RevenueMember" xlink:to="mpw_RevenueMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_RevenueMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Revenue [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_RevenueMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Revenue [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_PrimeHealthCareServicesMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel">Prime [Member]</label>
    <loc xlink:href="http://xbrl.sec.gov/country/2017/country-2017-01-31.xsd#country_US" xlink:type="locator" xlink:label="country_US" />
    <label xml:lang="en-US" xlink:label="country_US_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">U.S. [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="country_US" xlink:to="country_US_lbl" />
    <label xml:lang="en-US" xlink:label="country_US_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">UNITED STATES</label>
    <loc xlink:href="http://xbrl.fasb.org/srt/2018/elts/srt-2018-01-31.xsd#srt_EuropeMember" xlink:type="locator" xlink:label="srt_EuropeMember" />
    <label xml:lang="en-US" xlink:label="srt_EuropeMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Europe [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="srt_EuropeMember" xlink:to="srt_EuropeMember_lbl" />
    <label xml:lang="en-US" xlink:label="srt_EuropeMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Europe [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_GeographicConcentrationRiskMember" xlink:type="locator" xlink:label="us-gaap_GeographicConcentrationRiskMember" />
    <label xml:lang="en-US" xlink:label="us-gaap_GeographicConcentrationRiskMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Geographic Concentration [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_GeographicConcentrationRiskMember" xlink:to="us-gaap_GeographicConcentrationRiskMember_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_GeographicConcentrationRiskMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Geographic Concentration Risk [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_SalesRevenueNetMember" xlink:type="locator" xlink:label="us-gaap_SalesRevenueNetMember" />
    <label xml:lang="en-US" xlink:label="us-gaap_SalesRevenueNetMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Revenue [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_SalesRevenueNetMember" xlink:to="us-gaap_SalesRevenueNetMember_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_SalesRevenueNetMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Sales Revenue Net [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_RelatedPartyTransactionsMember" xlink:type="locator" xlink:label="mpw_RelatedPartyTransactionsMember" />
    <label xml:lang="en-US" xlink:label="mpw_RelatedPartyTransactionsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Related Party Transactions [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_RelatedPartyTransactionsMember" xlink:to="mpw_RelatedPartyTransactionsMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_RelatedPartyTransactionsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Related Party Transactions [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_RelatedPartyTransactionsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Related Party Transactions [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NumberOfInvestments_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Number of investment in property</label>
    <label xml:lang="en-US" xlink:label="mpw_NumberOfInvestments_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Number Of Investments</label>
    <label xml:lang="en-US" xlink:label="mpw_MaximumPercentageOfEntitysAssetsInvestedOnSingleProperty_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Maximum percentage of entity&apos;s assets invested on single property</label>
    <label xml:lang="en-US" xlink:label="mpw_MaximumPercentageOfEntitysAssetsInvestedOnSingleProperty_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Maximum Percentage Of Entitys Assets Invested On Single Property</label>
    <label xml:lang="en-US" xlink:label="us-gaap_ConcentrationRiskPercentage1_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel">Percentage of revenue from affiliates of total revenue</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_LeaseAndInterestRevenueEarnedFromTenants" xlink:type="locator" xlink:label="mpw_LeaseAndInterestRevenueEarnedFromTenants" />
    <label xml:lang="en-US" xlink:label="mpw_LeaseAndInterestRevenueEarnedFromTenants_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Lease and interest revenue earned from tenants</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_LeaseAndInterestRevenueEarnedFromTenants" xlink:to="mpw_LeaseAndInterestRevenueEarnedFromTenants_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_LeaseAndInterestRevenueEarnedFromTenants_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Lease and interest revenue earned from tenants</label>
    <label xml:lang="en-US" xlink:label="mpw_LeaseAndInterestRevenueEarnedFromTenants_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Lease And Interest Revenue Earned From Tenants</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DebtInstrumentAxis" xlink:type="locator" xlink:label="us-gaap_DebtInstrumentAxis" />
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Debt Instrument</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DebtInstrumentAxis" xlink:to="us-gaap_DebtInstrumentAxis_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Debt Instrument [Axis]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DebtInstrumentNameDomain" xlink:type="locator" xlink:label="us-gaap_DebtInstrumentNameDomain" />
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentNameDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Debt Instrument, Name</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DebtInstrumentNameDomain" xlink:to="us-gaap_DebtInstrumentNameDomain_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentNameDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Debt Instrument Name [Domain]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_TermLoansMember" xlink:type="locator" xlink:label="mpw_TermLoansMember" />
    <label xml:lang="en-US" xlink:label="mpw_TermLoansMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Term loans.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_TermLoansMember" xlink:to="mpw_TermLoansMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_TermLoansMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Term Loans [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_TermLoansMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Term Loans [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_FourPointZeroZeroZeroPercentageSeniorUnsecuredNotesDueTwoThousandTwentyTwoMember" xlink:type="locator" xlink:label="mpw_FourPointZeroZeroZeroPercentageSeniorUnsecuredNotesDueTwoThousandTwentyTwoMember" />
    <label xml:lang="en-US" xlink:label="mpw_FourPointZeroZeroZeroPercentageSeniorUnsecuredNotesDueTwoThousandTwentyTwoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Four point zero zero zero percentage senior unsecured notes due two thousand twenty two.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_FourPointZeroZeroZeroPercentageSeniorUnsecuredNotesDueTwoThousandTwentyTwoMember" xlink:to="mpw_FourPointZeroZeroZeroPercentageSeniorUnsecuredNotesDueTwoThousandTwentyTwoMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_FourPointZeroZeroZeroPercentageSeniorUnsecuredNotesDueTwoThousandTwentyTwoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">4.000% Senior Unsecured Notes due 2022 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_FourPointZeroZeroZeroPercentageSeniorUnsecuredNotesDueTwoThousandTwentyTwoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Four Point Zero Zero Zero Percentage Senior Unsecured Notes Due Two Thousand Twenty Two [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_FivePointFiveZeroZeroPercentageSeniorUnsecuredNotesDueTwoThousandTwentyFourMember" xlink:type="locator" xlink:label="mpw_FivePointFiveZeroZeroPercentageSeniorUnsecuredNotesDueTwoThousandTwentyFourMember" />
    <label xml:lang="en-US" xlink:label="mpw_FivePointFiveZeroZeroPercentageSeniorUnsecuredNotesDueTwoThousandTwentyFourMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Five point five zero zero percentage senior unsecured notes due two thousand twenty four.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_FivePointFiveZeroZeroPercentageSeniorUnsecuredNotesDueTwoThousandTwentyFourMember" xlink:to="mpw_FivePointFiveZeroZeroPercentageSeniorUnsecuredNotesDueTwoThousandTwentyFourMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_FivePointFiveZeroZeroPercentageSeniorUnsecuredNotesDueTwoThousandTwentyFourMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">5.500% Senior Unsecured Notes Due 2024 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_FivePointFiveZeroZeroPercentageSeniorUnsecuredNotesDueTwoThousandTwentyFourMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Five Point Five Zero Zero Percentage Senior Unsecured Notes Due Two Thousand Twenty Four [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_SixPointThreeSevenFivePercentageSeniorUnsecuredNotesDueTwoThousandTwentyFourMember" xlink:type="locator" xlink:label="mpw_SixPointThreeSevenFivePercentageSeniorUnsecuredNotesDueTwoThousandTwentyFourMember" />
    <label xml:lang="en-US" xlink:label="mpw_SixPointThreeSevenFivePercentageSeniorUnsecuredNotesDueTwoThousandTwentyFourMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Six point three seven five percentage senior unsecured notes due two thousand twenty four.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_SixPointThreeSevenFivePercentageSeniorUnsecuredNotesDueTwoThousandTwentyFourMember" xlink:to="mpw_SixPointThreeSevenFivePercentageSeniorUnsecuredNotesDueTwoThousandTwentyFourMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_SixPointThreeSevenFivePercentageSeniorUnsecuredNotesDueTwoThousandTwentyFourMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">6.375% Senior Unsecured Notes due 2024 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_SixPointThreeSevenFivePercentageSeniorUnsecuredNotesDueTwoThousandTwentyFourMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Six Point Three Seven Five Percentage Senior Unsecured Notes Due Two Thousand Twenty Four [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_ThreePointThreeTwoFivePercentageSeniorUnsecuredNotesDueTwoThousandTwentyFiveMember" xlink:type="locator" xlink:label="mpw_ThreePointThreeTwoFivePercentageSeniorUnsecuredNotesDueTwoThousandTwentyFiveMember" />
    <label xml:lang="en-US" xlink:label="mpw_ThreePointThreeTwoFivePercentageSeniorUnsecuredNotesDueTwoThousandTwentyFiveMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Three point three two five percentage senior unsecured notes due two thousand twenty five.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_ThreePointThreeTwoFivePercentageSeniorUnsecuredNotesDueTwoThousandTwentyFiveMember" xlink:to="mpw_ThreePointThreeTwoFivePercentageSeniorUnsecuredNotesDueTwoThousandTwentyFiveMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_ThreePointThreeTwoFivePercentageSeniorUnsecuredNotesDueTwoThousandTwentyFiveMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">3.325% Senior Unsecured Notes Due 2025 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_ThreePointThreeTwoFivePercentageSeniorUnsecuredNotesDueTwoThousandTwentyFiveMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Three Point Three Two Five Percentage Senior Unsecured Notes Due Two Thousand Twenty Five [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_FivePointTwoFiveZeroPercentageSeniorUnsecuredNotesDueTwoThousandTwentySixMember" xlink:type="locator" xlink:label="mpw_FivePointTwoFiveZeroPercentageSeniorUnsecuredNotesDueTwoThousandTwentySixMember" />
    <label xml:lang="en-US" xlink:label="mpw_FivePointTwoFiveZeroPercentageSeniorUnsecuredNotesDueTwoThousandTwentySixMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Five point two five zero percentage senior unsecured notes due two thousand twenty six.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_FivePointTwoFiveZeroPercentageSeniorUnsecuredNotesDueTwoThousandTwentySixMember" xlink:to="mpw_FivePointTwoFiveZeroPercentageSeniorUnsecuredNotesDueTwoThousandTwentySixMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_FivePointTwoFiveZeroPercentageSeniorUnsecuredNotesDueTwoThousandTwentySixMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">5.250% Senior Unsecured Notes Due 2026 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_FivePointTwoFiveZeroPercentageSeniorUnsecuredNotesDueTwoThousandTwentySixMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Five Point Two Five Zero Percentage Senior Unsecured Notes Due Two Thousand Twenty Six [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_FivePointZeroZeroZeroPercentageSeniorUnsecuredNotesDueTwoThousandTwentySevenMember" xlink:type="locator" xlink:label="mpw_FivePointZeroZeroZeroPercentageSeniorUnsecuredNotesDueTwoThousandTwentySevenMember" />
    <label xml:lang="en-US" xlink:label="mpw_FivePointZeroZeroZeroPercentageSeniorUnsecuredNotesDueTwoThousandTwentySevenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Five point zero zero zero percentage senior unsecured notes due two thousand twenty seven.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_FivePointZeroZeroZeroPercentageSeniorUnsecuredNotesDueTwoThousandTwentySevenMember" xlink:to="mpw_FivePointZeroZeroZeroPercentageSeniorUnsecuredNotesDueTwoThousandTwentySevenMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_FivePointZeroZeroZeroPercentageSeniorUnsecuredNotesDueTwoThousandTwentySevenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">5.000% Senior Unsecured Notes Due 2027 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_FivePointZeroZeroZeroPercentageSeniorUnsecuredNotesDueTwoThousandTwentySevenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Five Point Zero Zero Zero Percentage Senior Unsecured Notes Due Two Thousand Twenty Seven [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_SeniorUnsecuredDebtMember" xlink:type="locator" xlink:label="mpw_SeniorUnsecuredDebtMember" />
    <label xml:lang="en-US" xlink:label="mpw_SeniorUnsecuredDebtMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Unsecured senior debt member</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_SeniorUnsecuredDebtMember" xlink:to="mpw_SeniorUnsecuredDebtMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_SeniorUnsecuredDebtMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Senior Unsecured Debt [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_SeniorUnsecuredDebtMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Senior Unsecured Debt [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_CreditFacilityAxis" xlink:type="locator" xlink:label="us-gaap_CreditFacilityAxis" />
    <label xml:lang="en-US" xlink:label="us-gaap_CreditFacilityAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Credit Facility</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_CreditFacilityAxis" xlink:to="us-gaap_CreditFacilityAxis_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_CreditFacilityAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Credit Facility [Axis]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_CreditFacilityDomain" xlink:type="locator" xlink:label="us-gaap_CreditFacilityDomain" />
    <label xml:lang="en-US" xlink:label="us-gaap_CreditFacilityDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Credit Facility</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_CreditFacilityDomain" xlink:to="us-gaap_CreditFacilityDomain_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_CreditFacilityDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Credit Facility [Domain]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_RevolvingCreditFacilityMember" xlink:type="locator" xlink:label="us-gaap_RevolvingCreditFacilityMember" />
    <label xml:lang="en-US" xlink:label="us-gaap_RevolvingCreditFacilityMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Revolving Credit Facility [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_RevolvingCreditFacilityMember" xlink:to="us-gaap_RevolvingCreditFacilityMember_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_RevolvingCreditFacilityMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Revolving Credit Facility [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DebtInstrumentCarryingAmount" xlink:type="locator" xlink:label="us-gaap_DebtInstrumentCarryingAmount" />
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentCarryingAmount_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Debt</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DebtInstrumentCarryingAmount" xlink:to="us-gaap_DebtInstrumentCarryingAmount_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentCarryingAmount_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Debt Instrument Carrying Amount</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DeferredFinanceCostsNet" xlink:type="locator" xlink:label="us-gaap_DeferredFinanceCostsNet" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredFinanceCostsNet_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">Debt issue costs, net</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DeferredFinanceCostsNet" xlink:to="us-gaap_DeferredFinanceCostsNet_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredFinanceCostsNet_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Deferred Finance Costs Net</label>
    <label xml:lang="en-US" xlink:label="us-gaap_LongTermDebt_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/totalLabel">Debt, net</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_GBPDenominatedBorrowingsMember" xlink:type="locator" xlink:label="mpw_GBPDenominatedBorrowingsMember" />
    <label xml:lang="en-US" xlink:label="mpw_GBPDenominatedBorrowingsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">GBP-denominated Borrowings [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_GBPDenominatedBorrowingsMember" xlink:to="mpw_GBPDenominatedBorrowingsMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_GBPDenominatedBorrowingsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">GBP-denominated Borrowings [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_GBPDenominatedBorrowingsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">G B P Denominated Borrowings [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DebtInstrumentInterestRateStatedPercentage" xlink:type="locator" xlink:label="us-gaap_DebtInstrumentInterestRateStatedPercentage" />
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentInterestRateStatedPercentage_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel">Senior unsecured notes, interest rate</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DebtInstrumentInterestRateStatedPercentage" xlink:to="us-gaap_DebtInstrumentInterestRateStatedPercentage_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentInterestRateStatedPercentage_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Debt Instrument Interest Rate Stated Percentage</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFiveAndThereafter" xlink:type="locator" xlink:label="mpw_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFiveAndThereafter" />
    <label xml:lang="en-US" xlink:label="mpw_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFiveAndThereafter_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Long term debt, maturities, repayments of principal in year five and thereafter.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFiveAndThereafter" xlink:to="mpw_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFiveAndThereafter_lbl" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInNextTwelveMonths" xlink:type="locator" xlink:label="us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInNextTwelveMonths" />
    <label xml:lang="en-US" xlink:label="us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInNextTwelveMonths_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2019</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInNextTwelveMonths" xlink:to="us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInNextTwelveMonths_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInNextTwelveMonths_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Long Term Debt Maturities Repayments Of Principal In Next Twelve Months</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearTwo" xlink:type="locator" xlink:label="us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearTwo" />
    <label xml:lang="en-US" xlink:label="us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearTwo_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2020</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearTwo" xlink:to="us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearTwo_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearTwo_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Long Term Debt Maturities Repayments Of Principal In Year Two</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearThree" xlink:type="locator" xlink:label="us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearThree" />
    <label xml:lang="en-US" xlink:label="us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearThree_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2021</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearThree" xlink:to="us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearThree_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearThree_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Long Term Debt Maturities Repayments Of Principal In Year Three</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFour" xlink:type="locator" xlink:label="us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFour" />
    <label xml:lang="en-US" xlink:label="us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFour_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2022</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFour" xlink:to="us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFour_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFour_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Long Term Debt Maturities Repayments Of Principal In Year Four</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFive" xlink:type="locator" xlink:label="us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFive" />
    <label xml:lang="en-US" xlink:label="us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFive_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2023</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFive" xlink:to="us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFive_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFive_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Long Term Debt Maturities Repayments Of Principal In Year Five</label>
    <label xml:lang="en-US" xlink:label="mpw_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFiveAndThereafter_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Thereafter</label>
    <label xml:lang="en-US" xlink:label="mpw_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFiveAndThereafter_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Long Term Debt Maturities Repayments Of Principal In Year Five And Thereafter</label>
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentCarryingAmount_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/totalLabel">Total</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_DecreaseInUnsecuredDebtFromPreviousFacility" xlink:type="locator" xlink:label="mpw_DecreaseInUnsecuredDebtFromPreviousFacility" />
    <label xml:lang="en-US" xlink:label="mpw_DecreaseInUnsecuredDebtFromPreviousFacility_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Decrease in unsecured debt from previous facility.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_DecreaseInUnsecuredDebtFromPreviousFacility" xlink:to="mpw_DecreaseInUnsecuredDebtFromPreviousFacility_lbl" />
    <loc xlink:href="http://xbrl.fasb.org/srt/2018/elts/srt-2018-01-31.xsd#srt_CurrencyAxis" xlink:type="locator" xlink:label="srt_CurrencyAxis" />
    <label xml:lang="en-US" xlink:label="srt_CurrencyAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Currency</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="srt_CurrencyAxis" xlink:to="srt_CurrencyAxis_lbl" />
    <label xml:lang="en-US" xlink:label="srt_CurrencyAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Currency [Axis]</label>
    <loc xlink:href="https://xbrl.sec.gov/currency/2017/currency-2017-01-31.xsd#currency_AllCurrenciesDomain" xlink:type="locator" xlink:label="currency_AllCurrenciesDomain" />
    <label xml:lang="en-US" xlink:label="currency_AllCurrenciesDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">All Currencies</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="currency_AllCurrenciesDomain" xlink:to="currency_AllCurrenciesDomain_lbl" />
    <label xml:lang="en-US" xlink:label="currency_AllCurrenciesDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">All Currencies [Domain]</label>
    <loc xlink:href="https://xbrl.sec.gov/currency/2017/currency-2017-01-31.xsd#currency_EUR" xlink:type="locator" xlink:label="currency_EUR" />
    <label xml:lang="en-US" xlink:label="currency_EUR_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Euro [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="currency_EUR" xlink:to="currency_EUR_lbl" />
    <label xml:lang="en-US" xlink:label="currency_EUR_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">E U R</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_LongtermDebtTypeAxis" xlink:type="locator" xlink:label="us-gaap_LongtermDebtTypeAxis" />
    <label xml:lang="en-US" xlink:label="us-gaap_LongtermDebtTypeAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Long-term Debt, Type</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_LongtermDebtTypeAxis" xlink:to="us-gaap_LongtermDebtTypeAxis_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_LongtermDebtTypeAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Longterm Debt Type [Axis]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_LongtermDebtTypeDomain" xlink:type="locator" xlink:label="us-gaap_LongtermDebtTypeDomain" />
    <label xml:lang="en-US" xlink:label="us-gaap_LongtermDebtTypeDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Long-term Debt, Type</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_LongtermDebtTypeDomain" xlink:to="us-gaap_LongtermDebtTypeDomain_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_LongtermDebtTypeDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Longterm Debt Type [Domain]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_UnsecuredRevolvingCreditFacilityMember" xlink:type="locator" xlink:label="mpw_UnsecuredRevolvingCreditFacilityMember" />
    <label xml:lang="en-US" xlink:label="mpw_UnsecuredRevolvingCreditFacilityMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Unsecured Revolving Credit Facility [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_UnsecuredRevolvingCreditFacilityMember" xlink:to="mpw_UnsecuredRevolvingCreditFacilityMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_UnsecuredRevolvingCreditFacilityMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Unsecured Revolving Credit Facility [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_UnsecuredRevolvingCreditFacilityMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Unsecured Revolving Credit Facility [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_AlternateBaseRateMember" xlink:type="locator" xlink:label="mpw_AlternateBaseRateMember" />
    <label xml:lang="en-US" xlink:label="mpw_AlternateBaseRateMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Alternate Base Rate [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_AlternateBaseRateMember" xlink:to="mpw_AlternateBaseRateMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_AlternateBaseRateMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Alternate Base Rate [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_AlternateBaseRateMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Alternate Base Rate [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_EurodollarLoansMember" xlink:type="locator" xlink:label="mpw_EurodollarLoansMember" />
    <label xml:lang="en-US" xlink:label="mpw_EurodollarLoansMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Eurodollar Loans [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_EurodollarLoansMember" xlink:to="mpw_EurodollarLoansMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_EurodollarLoansMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Eurodollar Loans [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_EurodollarLoansMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Eurodollar Loans [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_UnsecuredDebt" xlink:type="locator" xlink:label="us-gaap_UnsecuredDebt" />
    <label xml:lang="en-US" xlink:label="us-gaap_UnsecuredDebt_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Amount of senior unsecured debt</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_UnsecuredDebt" xlink:to="us-gaap_UnsecuredDebt_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_UnsecuredDebt_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Unsecured Debt</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DebtInstrumentMaturityDate" xlink:type="locator" xlink:label="us-gaap_DebtInstrumentMaturityDate" />
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentMaturityDate_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Debt instrument, maturity date</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DebtInstrumentMaturityDate" xlink:to="us-gaap_DebtInstrumentMaturityDate_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentMaturityDate_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Debt Instrument Maturity Date</label>
    <label xml:lang="en-US" xlink:label="mpw_DecreaseInUnsecuredDebtFromPreviousFacility_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Decrease in unsecured debt from previous facility</label>
    <label xml:lang="en-US" xlink:label="mpw_DecreaseInUnsecuredDebtFromPreviousFacility_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Decrease In Unsecured Debt From Previous Facility</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_LineOfCreditFacilityMaximumBorrowingCapacity" xlink:type="locator" xlink:label="us-gaap_LineOfCreditFacilityMaximumBorrowingCapacity" />
    <label xml:lang="en-US" xlink:label="us-gaap_LineOfCreditFacilityMaximumBorrowingCapacity_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Aggregate committed amount of credit facility</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_LineOfCreditFacilityMaximumBorrowingCapacity" xlink:to="us-gaap_LineOfCreditFacilityMaximumBorrowingCapacity_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_LineOfCreditFacilityMaximumBorrowingCapacity_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Line Of Credit Facility Maximum Borrowing Capacity</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_ApplicableMargin" xlink:type="locator" xlink:label="mpw_ApplicableMargin" />
    <label xml:lang="en-US" xlink:label="mpw_ApplicableMargin_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Applicable margin.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_ApplicableMargin" xlink:to="mpw_ApplicableMargin_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_ApplicableMarginForRevolvingLoans" xlink:type="locator" xlink:label="mpw_ApplicableMarginForRevolvingLoans" />
    <label xml:lang="en-US" xlink:label="mpw_ApplicableMarginForRevolvingLoans_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Applicable margin for revolving loans.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_ApplicableMarginForRevolvingLoans" xlink:to="mpw_ApplicableMarginForRevolvingLoans_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_CommitmentFeeAdjustmentPercentage" xlink:type="locator" xlink:label="mpw_CommitmentFeeAdjustmentPercentage" />
    <label xml:lang="en-US" xlink:label="mpw_CommitmentFeeAdjustmentPercentage_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Commitment fee adjustment percentage.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_CommitmentFeeAdjustmentPercentage" xlink:to="mpw_CommitmentFeeAdjustmentPercentage_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_ApplicableMargin_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Applicable margin</label>
    <label xml:lang="en-US" xlink:label="mpw_ApplicableMargin_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Applicable Margin</label>
    <label xml:lang="en-US" xlink:label="mpw_ApplicableMarginForRevolvingLoans_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Applicable margin for revolving loans</label>
    <label xml:lang="en-US" xlink:label="mpw_ApplicableMarginForRevolvingLoans_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Applicable Margin For Revolving Loans</label>
    <label xml:lang="en-US" xlink:label="mpw_CommitmentFeeAdjustmentPercentage_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Commitment fee</label>
    <label xml:lang="en-US" xlink:label="mpw_CommitmentFeeAdjustmentPercentage_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Commitment Fee Adjustment Percentage</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_LineOfCredit" xlink:type="locator" xlink:label="us-gaap_LineOfCredit" />
    <label xml:lang="en-US" xlink:label="us-gaap_LineOfCredit_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Credit facilities, amount outstanding</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_LineOfCredit" xlink:to="us-gaap_LineOfCredit_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_LineOfCredit_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Line Of Credit</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_LongtermDebtWeightedAverageInterestRate" xlink:type="locator" xlink:label="us-gaap_LongtermDebtWeightedAverageInterestRate" />
    <label xml:lang="en-US" xlink:label="us-gaap_LongtermDebtWeightedAverageInterestRate_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Credit facilities, weighted average interest rate</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_LongtermDebtWeightedAverageInterestRate" xlink:to="us-gaap_LongtermDebtWeightedAverageInterestRate_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_LongtermDebtWeightedAverageInterestRate_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Longterm Debt Weighted Average Interest Rate</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DebtInstrumentInterestRateEffectivePercentage" xlink:type="locator" xlink:label="us-gaap_DebtInstrumentInterestRateEffectivePercentage" />
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentInterestRateEffectivePercentage_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Interest rate at end of period</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DebtInstrumentInterestRateEffectivePercentage" xlink:to="us-gaap_DebtInstrumentInterestRateEffectivePercentage_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentInterestRateEffectivePercentage_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Debt Instrument Interest Rate Effective Percentage</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_DebtInstrumentRedemptionPeriod" xlink:type="locator" xlink:label="mpw_DebtInstrumentRedemptionPeriod" />
    <label xml:lang="en-US" xlink:label="mpw_DebtInstrumentRedemptionPeriod_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Debt instrument redemption period.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_DebtInstrumentRedemptionPeriod" xlink:to="mpw_DebtInstrumentRedemptionPeriod_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_DebtInstrumentRepurchasePricePercentageOnPrincipalAmountPlusAccruedAndUnpaidInterest" xlink:type="locator" xlink:label="mpw_DebtInstrumentRepurchasePricePercentageOnPrincipalAmountPlusAccruedAndUnpaidInterest" />
    <label xml:lang="en-US" xlink:label="mpw_DebtInstrumentRepurchasePricePercentageOnPrincipalAmountPlusAccruedAndUnpaidInterest_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Debt instrument repurchase price percentage on principal amount plus accrued and unpaid interest.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_DebtInstrumentRepurchasePricePercentageOnPrincipalAmountPlusAccruedAndUnpaidInterest" xlink:to="mpw_DebtInstrumentRepurchasePricePercentageOnPrincipalAmountPlusAccruedAndUnpaidInterest_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_SeniorUnsecuredNotesDueTwoThousandTwentyTwoMember" xlink:type="locator" xlink:label="mpw_SeniorUnsecuredNotesDueTwoThousandTwentyTwoMember" />
    <label xml:lang="en-US" xlink:label="mpw_SeniorUnsecuredNotesDueTwoThousandTwentyTwoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Senior unsecured notes due two thousand twenty two.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_SeniorUnsecuredNotesDueTwoThousandTwentyTwoMember" xlink:to="mpw_SeniorUnsecuredNotesDueTwoThousandTwentyTwoMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_SeniorUnsecuredNotesDueTwoThousandTwentyTwoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">4.000% Senior Unsecured Notes Due 2022 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_SeniorUnsecuredNotesDueTwoThousandTwentyTwoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Senior Unsecured Notes Due Two Thousand Twenty Two [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DebtInstrumentRedemptionPeriodAxis" xlink:type="locator" xlink:label="us-gaap_DebtInstrumentRedemptionPeriodAxis" />
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentRedemptionPeriodAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Debt Instrument, Redemption, Period</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DebtInstrumentRedemptionPeriodAxis" xlink:to="us-gaap_DebtInstrumentRedemptionPeriodAxis_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentRedemptionPeriodAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Debt Instrument Redemption Period [Axis]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DebtInstrumentRedemptionPeriodDomain" xlink:type="locator" xlink:label="us-gaap_DebtInstrumentRedemptionPeriodDomain" />
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentRedemptionPeriodDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Debt Instrument, Redemption, Period</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DebtInstrumentRedemptionPeriodDomain" xlink:to="us-gaap_DebtInstrumentRedemptionPeriodDomain_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentRedemptionPeriodDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Debt Instrument Redemption Period [Domain]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DebtInstrumentRedemptionPeriodOneMember" xlink:type="locator" xlink:label="us-gaap_DebtInstrumentRedemptionPeriodOneMember" />
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentRedemptionPeriodOneMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Redeemed Prior to 90 Days [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DebtInstrumentRedemptionPeriodOneMember" xlink:to="us-gaap_DebtInstrumentRedemptionPeriodOneMember_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentRedemptionPeriodOneMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Debt Instrument Redemption Period One [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DebtInstrumentRedemptionPeriodTwoMember" xlink:type="locator" xlink:label="us-gaap_DebtInstrumentRedemptionPeriodTwoMember" />
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentRedemptionPeriodTwoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Redeemed Beginning on or After 90 Days [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DebtInstrumentRedemptionPeriodTwoMember" xlink:to="us-gaap_DebtInstrumentRedemptionPeriodTwoMember_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentRedemptionPeriodTwoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Debt Instrument Redemption Period Two [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DebtInstrumentFaceAmount" xlink:type="locator" xlink:label="us-gaap_DebtInstrumentFaceAmount" />
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentFaceAmount_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Senior unsecured notes face amount</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DebtInstrumentFaceAmount" xlink:to="us-gaap_DebtInstrumentFaceAmount_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentFaceAmount_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Debt Instrument Face Amount</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DebtInstrumentFrequencyOfPeriodicPayment" xlink:type="locator" xlink:label="us-gaap_DebtInstrumentFrequencyOfPeriodicPayment" />
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentFrequencyOfPeriodicPayment_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel">Senior unsecured notes, payable term</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DebtInstrumentFrequencyOfPeriodicPayment" xlink:to="us-gaap_DebtInstrumentFrequencyOfPeriodicPayment_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentFrequencyOfPeriodicPayment_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Debt Instrument Frequency Of Periodic Payment</label>
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentMaturityDate_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel">Senior unsecured notes, maturity date</label>
    <label xml:lang="en-US" xlink:label="mpw_DebtInstrumentRedemptionPeriod_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Senior unsecured notes, redemption period</label>
    <label xml:lang="en-US" xlink:label="mpw_DebtInstrumentRedemptionPeriod_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Debt Instrument Redemption Period</label>
    <label xml:lang="en-US" xlink:label="mpw_DebtInstrumentRepurchasePricePercentageOnPrincipalAmountPlusAccruedAndUnpaidInterest_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Senior notes, repurchased price percentage on principal amount plus accrued and unpaid interest</label>
    <label xml:lang="en-US" xlink:label="mpw_DebtInstrumentRepurchasePricePercentageOnPrincipalAmountPlusAccruedAndUnpaidInterest_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Debt Instrument Repurchase Price Percentage On Principal Amount Plus Accrued And Unpaid Interest</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DebtInstrumentRedemptionDescription" xlink:type="locator" xlink:label="us-gaap_DebtInstrumentRedemptionDescription" />
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentRedemptionDescription_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Senior unsecured notes, redemption description</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DebtInstrumentRedemptionDescription" xlink:to="us-gaap_DebtInstrumentRedemptionDescription_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentRedemptionDescription_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Debt Instrument Redemption Description</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DebtInstrumentRedemptionPricePercentage" xlink:type="locator" xlink:label="us-gaap_DebtInstrumentRedemptionPricePercentage" />
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentRedemptionPricePercentage_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel">Senior unsecured notes, redemption price percentage</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DebtInstrumentRedemptionPricePercentage" xlink:to="us-gaap_DebtInstrumentRedemptionPricePercentage_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentRedemptionPricePercentage_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Debt Instrument Redemption Price Percentage</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DebtInstrumentRedemptionPeriodStartDate" xlink:type="locator" xlink:label="us-gaap_DebtInstrumentRedemptionPeriodStartDate" />
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentRedemptionPeriodStartDate_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Senior notes, earliest redemption date</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DebtInstrumentRedemptionPeriodStartDate" xlink:to="us-gaap_DebtInstrumentRedemptionPeriodStartDate_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentRedemptionPeriodStartDate_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Debt Instrument Redemption Period Start Date</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DebtInstrumentRedemptionPricePercentageOfPrincipalAmountRedeemed" xlink:type="locator" xlink:label="us-gaap_DebtInstrumentRedemptionPricePercentageOfPrincipalAmountRedeemed" />
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentRedemptionPricePercentageOfPrincipalAmountRedeemed_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Debt instrument, redemption price percentage</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DebtInstrumentRedemptionPricePercentageOfPrincipalAmountRedeemed" xlink:to="us-gaap_DebtInstrumentRedemptionPricePercentageOfPrincipalAmountRedeemed_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentRedemptionPricePercentageOfPrincipalAmountRedeemed_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Debt Instrument Redemption Price Percentage Of Principal Amount Redeemed</label>
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentRedemptionPricePercentage_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/positiveLabel">Senior unsecured notes, redemption percentage on principal amount</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_LineOfCreditFacilityAxis" xlink:type="locator" xlink:label="us-gaap_LineOfCreditFacilityAxis" />
    <label xml:lang="en-US" xlink:label="us-gaap_LineOfCreditFacilityAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Lender Name</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_LineOfCreditFacilityAxis" xlink:to="us-gaap_LineOfCreditFacilityAxis_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_LineOfCreditFacilityAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Line Of Credit Facility [Axis]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_LineOfCreditFacilityLenderDomain" xlink:type="locator" xlink:label="us-gaap_LineOfCreditFacilityLenderDomain" />
    <label xml:lang="en-US" xlink:label="us-gaap_LineOfCreditFacilityLenderDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Line of Credit Facility, Lender</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_LineOfCreditFacilityLenderDomain" xlink:to="us-gaap_LineOfCreditFacilityLenderDomain_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_LineOfCreditFacilityLenderDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Line Of Credit Facility Lender [Domain]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_JPMorganChaseBankMember" xlink:type="locator" xlink:label="mpw_JPMorganChaseBankMember" />
    <label xml:lang="en-US" xlink:label="mpw_JPMorganChaseBankMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">JP Morgan Chase Bank.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_JPMorganChaseBankMember" xlink:to="mpw_JPMorganChaseBankMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_JPMorganChaseBankMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">J P Morgan Chase Bank [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_JPMorganChaseBankMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">J P Morgan Chase Bank [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_SixPointEightSevenFivePercentageSeniorUnsecuredNotesDueTwoThousandTwentyOneMember" xlink:type="locator" xlink:label="mpw_SixPointEightSevenFivePercentageSeniorUnsecuredNotesDueTwoThousandTwentyOneMember" />
    <label xml:lang="en-US" xlink:label="mpw_SixPointEightSevenFivePercentageSeniorUnsecuredNotesDueTwoThousandTwentyOneMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Six point eight seven five percentage senior unsecured notes due two thousand twenty one.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_SixPointEightSevenFivePercentageSeniorUnsecuredNotesDueTwoThousandTwentyOneMember" xlink:to="mpw_SixPointEightSevenFivePercentageSeniorUnsecuredNotesDueTwoThousandTwentyOneMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_SixPointEightSevenFivePercentageSeniorUnsecuredNotesDueTwoThousandTwentyOneMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">6.875% Senior Unsecured Notes Due 2021 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_SixPointEightSevenFivePercentageSeniorUnsecuredNotesDueTwoThousandTwentyOneMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Six Point Eight Seven Five Percentage Senior Unsecured Notes Due Two Thousand Twenty One [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ExtinguishmentOfDebtAmount" xlink:type="locator" xlink:label="us-gaap_ExtinguishmentOfDebtAmount" />
    <label xml:lang="en-US" xlink:label="us-gaap_ExtinguishmentOfDebtAmount_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Cancellation of loan</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ExtinguishmentOfDebtAmount" xlink:to="us-gaap_ExtinguishmentOfDebtAmount_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ExtinguishmentOfDebtAmount_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Extinguishment Of Debt Amount</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_SecuredDebtMember" xlink:type="locator" xlink:label="us-gaap_SecuredDebtMember" />
    <label xml:lang="en-US" xlink:label="us-gaap_SecuredDebtMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Secured Debt [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_SecuredDebtMember" xlink:to="us-gaap_SecuredDebtMember_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_SecuredDebtMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Secured Debt [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ProceedsFromIssuanceOfSecuredDebt" xlink:type="locator" xlink:label="us-gaap_ProceedsFromIssuanceOfSecuredDebt" />
    <label xml:lang="en-US" xlink:label="us-gaap_ProceedsFromIssuanceOfSecuredDebt_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Proceeds from issuance of new secured debt</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ProceedsFromIssuanceOfSecuredDebt" xlink:to="us-gaap_ProceedsFromIssuanceOfSecuredDebt_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ProceedsFromIssuanceOfSecuredDebt_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Proceeds From Issuance Of Secured Debt</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DebtInstrumentTerm" xlink:type="locator" xlink:label="us-gaap_DebtInstrumentTerm" />
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentTerm_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Debt instrument term</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DebtInstrumentTerm" xlink:to="us-gaap_DebtInstrumentTerm_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentTerm_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Debt Instrument Term</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_LongTermDebtPercentageBearingFixedInterestRate" xlink:type="locator" xlink:label="us-gaap_LongTermDebtPercentageBearingFixedInterestRate" />
    <label xml:lang="en-US" xlink:label="us-gaap_LongTermDebtPercentageBearingFixedInterestRate_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Debt instrument swapped fixed rate</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_LongTermDebtPercentageBearingFixedInterestRate" xlink:to="us-gaap_LongTermDebtPercentageBearingFixedInterestRate_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_LongTermDebtPercentageBearingFixedInterestRate_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Long Term Debt Percentage Bearing Fixed Interest Rate</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_MortgageNotePayableAmortizationPeriod" xlink:type="locator" xlink:label="mpw_MortgageNotePayableAmortizationPeriod" />
    <label xml:lang="en-US" xlink:label="mpw_MortgageNotePayableAmortizationPeriod_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Mortgage note payable amortization period.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_MortgageNotePayableAmortizationPeriod" xlink:to="mpw_MortgageNotePayableAmortizationPeriod_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_DebtInstrumentPrepaymentPeriodWithoutPenalty" xlink:type="locator" xlink:label="mpw_DebtInstrumentPrepaymentPeriodWithoutPenalty" />
    <label xml:lang="en-US" xlink:label="mpw_DebtInstrumentPrepaymentPeriodWithoutPenalty_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Debt instrument prepayment period without penalty.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_DebtInstrumentPrepaymentPeriodWithoutPenalty" xlink:to="mpw_DebtInstrumentPrepaymentPeriodWithoutPenalty_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_NorthlandLtachHospitalMember" xlink:type="locator" xlink:label="mpw_NorthlandLtachHospitalMember" />
    <label xml:lang="en-US" xlink:label="mpw_NorthlandLtachHospitalMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Northland LTACH Hospital</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NorthlandLtachHospitalMember" xlink:to="mpw_NorthlandLtachHospitalMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NorthlandLtachHospitalMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Northland LTACH Hospital [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NorthlandLtachHospitalMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Northland Ltach Hospital [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_BusinessCombinationConsiderationTransferredLiabilitiesIncurred" xlink:type="locator" xlink:label="us-gaap_BusinessCombinationConsiderationTransferredLiabilitiesIncurred" />
    <label xml:lang="en-US" xlink:label="us-gaap_BusinessCombinationConsiderationTransferredLiabilitiesIncurred_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Liabilities acquired</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_BusinessCombinationConsiderationTransferredLiabilitiesIncurred" xlink:to="us-gaap_BusinessCombinationConsiderationTransferredLiabilitiesIncurred_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_BusinessCombinationConsiderationTransferredLiabilitiesIncurred_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Business Combination Consideration Transferred Liabilities Incurred</label>
    <label xml:lang="en-US" xlink:label="mpw_MortgageNotePayableAmortizationPeriod_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Amortization period</label>
    <label xml:lang="en-US" xlink:label="mpw_MortgageNotePayableAmortizationPeriod_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Mortgage Note Payable Amortization Period</label>
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentInterestRateStatedPercentage_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/positiveLabel">Interest rate</label>
    <label xml:lang="en-US" xlink:label="mpw_DebtInstrumentPrepaymentPeriodWithoutPenalty_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Term of loan to pay without penalty</label>
    <label xml:lang="en-US" xlink:label="mpw_DebtInstrumentPrepaymentPeriodWithoutPenalty_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Debt Instrument Prepayment Period Without Penalty</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_EarlyRepaymentOfSeniorDebt" xlink:type="locator" xlink:label="us-gaap_EarlyRepaymentOfSeniorDebt" />
    <label xml:lang="en-US" xlink:label="us-gaap_EarlyRepaymentOfSeniorDebt_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Prepayment of mortgage loans</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_EarlyRepaymentOfSeniorDebt" xlink:to="us-gaap_EarlyRepaymentOfSeniorDebt_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_EarlyRepaymentOfSeniorDebt_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Early Repayment Of Senior Debt</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_SixPointThreeSevenFivePercentageSeniorUnsecuredNotesDueTwoThousandTwentyTwoMember" xlink:type="locator" xlink:label="mpw_SixPointThreeSevenFivePercentageSeniorUnsecuredNotesDueTwoThousandTwentyTwoMember" />
    <label xml:lang="en-US" xlink:label="mpw_SixPointThreeSevenFivePercentageSeniorUnsecuredNotesDueTwoThousandTwentyTwoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Six point three seven five percentage senior unsecured notes due two thousand twenty two.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_SixPointThreeSevenFivePercentageSeniorUnsecuredNotesDueTwoThousandTwentyTwoMember" xlink:to="mpw_SixPointThreeSevenFivePercentageSeniorUnsecuredNotesDueTwoThousandTwentyTwoMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_SixPointThreeSevenFivePercentageSeniorUnsecuredNotesDueTwoThousandTwentyTwoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">6.375% Senior Unsecured Notes Due 2022 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_SixPointThreeSevenFivePercentageSeniorUnsecuredNotesDueTwoThousandTwentyTwoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Six Point Three Seven Five Percentage Senior Unsecured Notes Due Two Thousand Twenty Two [Member]</label>
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentRedemptionPricePercentage_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Debt instrument redemption price</label>
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentInterestRateEffectivePercentage_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel">Debt instrument effective rate</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_RedemptionPremium" xlink:type="locator" xlink:label="us-gaap_RedemptionPremium" />
    <label xml:lang="en-US" xlink:label="us-gaap_RedemptionPremium_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Redemption Premium</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_RedemptionPremium" xlink:to="us-gaap_RedemptionPremium_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_RedemptionPremium_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Redemption Premium</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_FivePointSevenFiveZeroPercentageSeniorUnsecuredNotesDueTwoThousandAndTwentyMember" xlink:type="locator" xlink:label="mpw_FivePointSevenFiveZeroPercentageSeniorUnsecuredNotesDueTwoThousandAndTwentyMember" />
    <label xml:lang="en-US" xlink:label="mpw_FivePointSevenFiveZeroPercentageSeniorUnsecuredNotesDueTwoThousandAndTwentyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Five point seven five zero percentage senior unsecured notes due two thousand and twenty.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_FivePointSevenFiveZeroPercentageSeniorUnsecuredNotesDueTwoThousandAndTwentyMember" xlink:to="mpw_FivePointSevenFiveZeroPercentageSeniorUnsecuredNotesDueTwoThousandAndTwentyMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_FivePointSevenFiveZeroPercentageSeniorUnsecuredNotesDueTwoThousandAndTwentyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">5.750% Senior Unsecured Notes Due 2020 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_FivePointSevenFiveZeroPercentageSeniorUnsecuredNotesDueTwoThousandAndTwentyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Five Point Seven Five Zero Percentage Senior Unsecured Notes Due Two Thousand And Twenty [Member]</label>
    <label xml:lang="en-US" xlink:label="us-gaap_UnsecuredDebt_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel">Senior unsecured notes, value of offering</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DebtInstrumentRedemptionPeriodEndDate" xlink:type="locator" xlink:label="us-gaap_DebtInstrumentRedemptionPeriodEndDate" />
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentRedemptionPeriodEndDate_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Senior notes, redemption date</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DebtInstrumentRedemptionPeriodEndDate" xlink:to="us-gaap_DebtInstrumentRedemptionPeriodEndDate_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DebtInstrumentRedemptionPeriodEndDate_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Debt Instrument Redemption Period End Date</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_RepaymentsOfUnsecuredDebt" xlink:type="locator" xlink:label="us-gaap_RepaymentsOfUnsecuredDebt" />
    <label xml:lang="en-US" xlink:label="us-gaap_RepaymentsOfUnsecuredDebt_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Amount of senior unsecured debt redeemed</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_RepaymentsOfUnsecuredDebt" xlink:to="us-gaap_RepaymentsOfUnsecuredDebt_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_RepaymentsOfUnsecuredDebt_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Repayments Of Unsecured Debt</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NotesRedeemedValue" xlink:type="locator" xlink:label="mpw_NotesRedeemedValue" />
    <label xml:lang="en-US" xlink:label="mpw_NotesRedeemedValue_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Notes redeemed value.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NotesRedeemedValue" xlink:to="mpw_NotesRedeemedValue_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NotesRedeemedValue_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Note redeemed</label>
    <label xml:lang="en-US" xlink:label="mpw_NotesRedeemedValue_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Notes Redeemed Value</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_PercentageOfDividendsPayableOnBasisOfAdjustedOperatingFunds" xlink:type="locator" xlink:label="mpw_PercentageOfDividendsPayableOnBasisOfAdjustedOperatingFunds" />
    <label xml:lang="en-US" xlink:label="mpw_PercentageOfDividendsPayableOnBasisOfAdjustedOperatingFunds_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Percentage of dividends payable on basis of adjusted operating funds.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_PercentageOfDividendsPayableOnBasisOfAdjustedOperatingFunds" xlink:to="mpw_PercentageOfDividendsPayableOnBasisOfAdjustedOperatingFunds_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_PercentageOfDividendsPayableOnSeniorUnsecuredNotes" xlink:type="locator" xlink:label="mpw_PercentageOfDividendsPayableOnSeniorUnsecuredNotes" />
    <label xml:lang="en-US" xlink:label="mpw_PercentageOfDividendsPayableOnSeniorUnsecuredNotes_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Percentage of dividends payable on senior unsecured notes.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_PercentageOfDividendsPayableOnSeniorUnsecuredNotes" xlink:to="mpw_PercentageOfDividendsPayableOnSeniorUnsecuredNotes_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_MaximumPercentageOfUnencumberedAssets" xlink:type="locator" xlink:label="mpw_MaximumPercentageOfUnencumberedAssets" />
    <label xml:lang="en-US" xlink:label="mpw_MaximumPercentageOfUnencumberedAssets_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Maximum percentage of unencumbered assets.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_MaximumPercentageOfUnencumberedAssets" xlink:to="mpw_MaximumPercentageOfUnencumberedAssets_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_PercentageOfDividendsPayableOnBasisOfAdjustedOperatingFunds_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Percentage of dividends which could be paid from adjusted operating funds</label>
    <label xml:lang="en-US" xlink:label="mpw_PercentageOfDividendsPayableOnBasisOfAdjustedOperatingFunds_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Percentage Of Dividends Payable On Basis Of Adjusted Operating Funds</label>
    <label xml:lang="en-US" xlink:label="mpw_PercentageOfDividendsPayableOnSeniorUnsecuredNotes_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Percentage of dividends which could be paid from operation funds</label>
    <label xml:lang="en-US" xlink:label="mpw_PercentageOfDividendsPayableOnSeniorUnsecuredNotes_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Percentage Of Dividends Payable On Senior Unsecured Notes</label>
    <label xml:lang="en-US" xlink:label="mpw_MaximumPercentageOfUnencumberedAssets_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Maximum percentage of total unencumbered assets</label>
    <label xml:lang="en-US" xlink:label="mpw_MaximumPercentageOfUnencumberedAssets_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Maximum Percentage Of Unencumbered Assets</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_PercentageOfTaxableIncomeToBeDistributedForFederalIncomeTaxExemption" xlink:type="locator" xlink:label="mpw_PercentageOfTaxableIncomeToBeDistributedForFederalIncomeTaxExemption" />
    <label xml:lang="en-US" xlink:label="mpw_PercentageOfTaxableIncomeToBeDistributedForFederalIncomeTaxExemption_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Percentage of taxable income to be distributed for federal income tax exemption.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_PercentageOfTaxableIncomeToBeDistributedForFederalIncomeTaxExemption" xlink:to="mpw_PercentageOfTaxableIncomeToBeDistributedForFederalIncomeTaxExemption_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_IncomeTaxesLineItems" xlink:type="locator" xlink:label="mpw_IncomeTaxesLineItems" />
    <label xml:lang="en-US" xlink:label="mpw_IncomeTaxesLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Income Taxes [Line Items]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_IncomeTaxesLineItems" xlink:to="mpw_IncomeTaxesLineItems_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_IncomeTaxesTable" xlink:type="locator" xlink:label="mpw_IncomeTaxesTable" />
    <label xml:lang="en-US" xlink:label="mpw_IncomeTaxesTable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Income Taxes [Table]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_IncomeTaxesTable" xlink:to="mpw_IncomeTaxesTable_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_IncomeTaxesTable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Income Taxes [Table]</label>
    <label xml:lang="en-US" xlink:label="mpw_IncomeTaxesTable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Income Taxes [Table]</label>
    <label xml:lang="en-US" xlink:label="mpw_IncomeTaxesLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Income Taxes [Line Items]</label>
    <label xml:lang="en-US" xlink:label="mpw_IncomeTaxesLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Income Taxes [Line Items]</label>
    <label xml:lang="en-US" xlink:label="mpw_PercentageOfTaxableIncomeToBeDistributedForFederalIncomeTaxExemption_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Percentage of taxable income to be distributed for federal income tax assumption</label>
    <label xml:lang="en-US" xlink:label="mpw_PercentageOfTaxableIncomeToBeDistributedForFederalIncomeTaxExemption_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Percentage Of Taxable Income To Be Distributed For Federal Income Tax Exemption</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_CurrentIncomeTaxExpenseBenefitContinuingOperationsAbstract" xlink:type="locator" xlink:label="us-gaap_CurrentIncomeTaxExpenseBenefitContinuingOperationsAbstract" />
    <label xml:lang="en-US" xlink:label="us-gaap_CurrentIncomeTaxExpenseBenefitContinuingOperationsAbstract_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Current income tax (benefit) expense:</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_CurrentIncomeTaxExpenseBenefitContinuingOperationsAbstract" xlink:to="us-gaap_CurrentIncomeTaxExpenseBenefitContinuingOperationsAbstract_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_CurrentIncomeTaxExpenseBenefitContinuingOperationsAbstract_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Current Income Tax Expense Benefit Continuing Operations [Abstract]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_CurrentFederalTaxExpenseBenefit" xlink:type="locator" xlink:label="us-gaap_CurrentFederalTaxExpenseBenefit" />
    <label xml:lang="en-US" xlink:label="us-gaap_CurrentFederalTaxExpenseBenefit_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Domestic</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_CurrentFederalTaxExpenseBenefit" xlink:to="us-gaap_CurrentFederalTaxExpenseBenefit_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_CurrentFederalTaxExpenseBenefit_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Current Federal Tax Expense Benefit</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_CurrentForeignTaxExpenseBenefit" xlink:type="locator" xlink:label="us-gaap_CurrentForeignTaxExpenseBenefit" />
    <label xml:lang="en-US" xlink:label="us-gaap_CurrentForeignTaxExpenseBenefit_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Foreign</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_CurrentForeignTaxExpenseBenefit" xlink:to="us-gaap_CurrentForeignTaxExpenseBenefit_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_CurrentForeignTaxExpenseBenefit_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Current Foreign Tax Expense Benefit</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_CurrentIncomeTaxExpenseBenefit" xlink:type="locator" xlink:label="us-gaap_CurrentIncomeTaxExpenseBenefit" />
    <label xml:lang="en-US" xlink:label="us-gaap_CurrentIncomeTaxExpenseBenefit_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/totalLabel">Total income tax expense</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_CurrentIncomeTaxExpenseBenefit" xlink:to="us-gaap_CurrentIncomeTaxExpenseBenefit_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_CurrentIncomeTaxExpenseBenefit_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Current Income Tax Expense Benefit</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DeferredIncomeTaxExpenseBenefitContinuingOperationsAbstract" xlink:type="locator" xlink:label="us-gaap_DeferredIncomeTaxExpenseBenefitContinuingOperationsAbstract" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredIncomeTaxExpenseBenefitContinuingOperationsAbstract_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Deferred income tax (benefit) expense:</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DeferredIncomeTaxExpenseBenefitContinuingOperationsAbstract" xlink:to="us-gaap_DeferredIncomeTaxExpenseBenefitContinuingOperationsAbstract_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredIncomeTaxExpenseBenefitContinuingOperationsAbstract_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Deferred Income Tax Expense Benefit Continuing Operations [Abstract]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DeferredFederalIncomeTaxExpenseBenefit" xlink:type="locator" xlink:label="us-gaap_DeferredFederalIncomeTaxExpenseBenefit" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredFederalIncomeTaxExpenseBenefit_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Domestic</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DeferredFederalIncomeTaxExpenseBenefit" xlink:to="us-gaap_DeferredFederalIncomeTaxExpenseBenefit_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredFederalIncomeTaxExpenseBenefit_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Deferred Federal Income Tax Expense Benefit</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DeferredForeignIncomeTaxExpenseBenefit" xlink:type="locator" xlink:label="us-gaap_DeferredForeignIncomeTaxExpenseBenefit" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredForeignIncomeTaxExpenseBenefit_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Foreign</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DeferredForeignIncomeTaxExpenseBenefit" xlink:to="us-gaap_DeferredForeignIncomeTaxExpenseBenefit_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredForeignIncomeTaxExpenseBenefit_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Deferred Foreign Income Tax Expense Benefit</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DeferredIncomeTaxExpenseBenefit" xlink:type="locator" xlink:label="us-gaap_DeferredIncomeTaxExpenseBenefit" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredIncomeTaxExpenseBenefit_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/totalLabel">Total income tax expense</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DeferredIncomeTaxExpenseBenefit" xlink:to="us-gaap_DeferredIncomeTaxExpenseBenefit_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredIncomeTaxExpenseBenefit_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Deferred Income Tax Expense Benefit</label>
    <label xml:lang="en-US" xlink:label="us-gaap_IncomeTaxExpenseBenefit_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/totalLabel">Income tax expense (benefit)</label>
    <label xml:lang="en-US" xlink:label="us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Income before income tax</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_IncomeTaxReconciliationIncomeTaxExpenseBenefitAtFederalStatutoryIncomeTaxRate" xlink:type="locator" xlink:label="us-gaap_IncomeTaxReconciliationIncomeTaxExpenseBenefitAtFederalStatutoryIncomeTaxRate" />
    <label xml:lang="en-US" xlink:label="us-gaap_IncomeTaxReconciliationIncomeTaxExpenseBenefitAtFederalStatutoryIncomeTaxRate_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Income tax at the U.S. statutory federal rate (21% in 2018 and 35% in 2017 and 2016)</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_IncomeTaxReconciliationIncomeTaxExpenseBenefitAtFederalStatutoryIncomeTaxRate" xlink:to="us-gaap_IncomeTaxReconciliationIncomeTaxExpenseBenefitAtFederalStatutoryIncomeTaxRate_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_IncomeTaxReconciliationIncomeTaxExpenseBenefitAtFederalStatutoryIncomeTaxRate_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Income Tax Reconciliation Income Tax Expense Benefit At Federal Statutory Income Tax Rate</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_IncomeTaxExpenseBenefitContinuingOperationsIncomeTaxReconciliationAbstract" xlink:type="locator" xlink:label="us-gaap_IncomeTaxExpenseBenefitContinuingOperationsIncomeTaxReconciliationAbstract" />
    <label xml:lang="en-US" xlink:label="us-gaap_IncomeTaxExpenseBenefitContinuingOperationsIncomeTaxReconciliationAbstract_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Increase (decrease) resulting from:</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_IncomeTaxExpenseBenefitContinuingOperationsIncomeTaxReconciliationAbstract" xlink:to="us-gaap_IncomeTaxExpenseBenefitContinuingOperationsIncomeTaxReconciliationAbstract_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_IncomeTaxExpenseBenefitContinuingOperationsIncomeTaxReconciliationAbstract_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Income Tax Expense Benefit Continuing Operations Income Tax Reconciliation [Abstract]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_IncomeTaxReconciliationForeignIncomeTaxRateDifferential" xlink:type="locator" xlink:label="us-gaap_IncomeTaxReconciliationForeignIncomeTaxRateDifferential" />
    <label xml:lang="en-US" xlink:label="us-gaap_IncomeTaxReconciliationForeignIncomeTaxRateDifferential_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Foreign rate differential</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_IncomeTaxReconciliationForeignIncomeTaxRateDifferential" xlink:to="us-gaap_IncomeTaxReconciliationForeignIncomeTaxRateDifferential_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_IncomeTaxReconciliationForeignIncomeTaxRateDifferential_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Income Tax Reconciliation Foreign Income Tax Rate Differential</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_IncomeTaxReconciliationStateAndLocalIncomeTaxes" xlink:type="locator" xlink:label="us-gaap_IncomeTaxReconciliationStateAndLocalIncomeTaxes" />
    <label xml:lang="en-US" xlink:label="us-gaap_IncomeTaxReconciliationStateAndLocalIncomeTaxes_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">State income taxes, net of federal benefit</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_IncomeTaxReconciliationStateAndLocalIncomeTaxes" xlink:to="us-gaap_IncomeTaxReconciliationStateAndLocalIncomeTaxes_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_IncomeTaxReconciliationStateAndLocalIncomeTaxes_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Income Tax Reconciliation State And Local Income Taxes</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_IncomeTaxReconciliationTaxExemptIncome" xlink:type="locator" xlink:label="us-gaap_IncomeTaxReconciliationTaxExemptIncome" />
    <label xml:lang="en-US" xlink:label="us-gaap_IncomeTaxReconciliationTaxExemptIncome_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">U.S. earnings not subject to federal income tax</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_IncomeTaxReconciliationTaxExemptIncome" xlink:to="us-gaap_IncomeTaxReconciliationTaxExemptIncome_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_IncomeTaxReconciliationTaxExemptIncome_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Income Tax Reconciliation Tax Exempt Income</label>
    <label xml:lang="en-US" xlink:label="mpw_IncomeTaxReconciliationEquityInvestment_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Equity investments</label>
    <label xml:lang="en-US" xlink:label="mpw_IncomeTaxReconciliationEquityInvestment_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Income Tax Reconciliation Equity Investment</label>
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    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_IncomeTaxReconciliationOtherAdjustments" xlink:type="locator" xlink:label="us-gaap_IncomeTaxReconciliationOtherAdjustments" />
    <label xml:lang="en-US" xlink:label="us-gaap_IncomeTaxReconciliationOtherAdjustments_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Other items, net</label>
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    <label xml:lang="en-US" xlink:label="us-gaap_IncomeTaxReconciliationOtherAdjustments_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Income Tax Reconciliation Other Adjustments</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_EffectiveIncomeTaxRateReconciliationForeignIncomeTaxRateDifferential" xlink:type="locator" xlink:label="us-gaap_EffectiveIncomeTaxRateReconciliationForeignIncomeTaxRateDifferential" />
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    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesForeign" xlink:type="locator" xlink:label="us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesForeign" />
    <label xml:lang="en-US" xlink:label="us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesForeign_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Amount of foreign income (loss) before income taxes</label>
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    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesDomestic" xlink:type="locator" xlink:label="us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesDomestic" />
    <label xml:lang="en-US" xlink:label="us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesDomestic_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Amount of domestic income (loss) before income taxes</label>
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    <loc xlink:href="mpw-20181231.xsd#mpw_DeferredTaxLiabilityNetUnbilledRevenue" xlink:type="locator" xlink:label="mpw_DeferredTaxLiabilityNetUnbilledRevenue" />
    <label xml:lang="en-US" xlink:label="mpw_DeferredTaxLiabilityNetUnbilledRevenue_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Deferred tax liability net unbilled revenue</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_DeferredTaxLiabilityNetUnbilledRevenue" xlink:to="mpw_DeferredTaxLiabilityNetUnbilledRevenue_lbl" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DeferredTaxAssetsOperatingLossCarryforwards" xlink:type="locator" xlink:label="us-gaap_DeferredTaxAssetsOperatingLossCarryforwards" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredTaxAssetsOperatingLossCarryforwards_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Operating loss and interest deduction carry forwards</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DeferredTaxAssetsOperatingLossCarryforwards" xlink:to="us-gaap_DeferredTaxAssetsOperatingLossCarryforwards_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredTaxAssetsOperatingLossCarryforwards_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Deferred Tax Assets Operating Loss Carryforwards</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DeferredTaxAssetsOther" xlink:type="locator" xlink:label="us-gaap_DeferredTaxAssetsOther" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredTaxAssetsOther_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Other</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DeferredTaxAssetsOther" xlink:to="us-gaap_DeferredTaxAssetsOther_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredTaxAssetsOther_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Deferred Tax Assets Other</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DeferredTaxAssetsGross" xlink:type="locator" xlink:label="us-gaap_DeferredTaxAssetsGross" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredTaxAssetsGross_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/totalLabel">Total deferred tax assets</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DeferredTaxAssetsGross" xlink:to="us-gaap_DeferredTaxAssetsGross_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredTaxAssetsGross_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Deferred Tax Assets Gross</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DeferredTaxAssetsValuationAllowance" xlink:type="locator" xlink:label="us-gaap_DeferredTaxAssetsValuationAllowance" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredTaxAssetsValuationAllowance_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">Valuation allowance</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DeferredTaxAssetsValuationAllowance" xlink:to="us-gaap_DeferredTaxAssetsValuationAllowance_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredTaxAssetsValuationAllowance_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Deferred Tax Assets Valuation Allowance</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DeferredTaxAssetsNet" xlink:type="locator" xlink:label="us-gaap_DeferredTaxAssetsNet" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredTaxAssetsNet_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/totalLabel">Total net deferred tax assets</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DeferredTaxAssetsNet" xlink:to="us-gaap_DeferredTaxAssetsNet_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredTaxAssetsNet_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Deferred Tax Assets Net</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DeferredTaxLiabilitiesPropertyPlantAndEquipment" xlink:type="locator" xlink:label="us-gaap_DeferredTaxLiabilitiesPropertyPlantAndEquipment" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredTaxLiabilitiesPropertyPlantAndEquipment_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">Property and equipment</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DeferredTaxLiabilitiesPropertyPlantAndEquipment" xlink:to="us-gaap_DeferredTaxLiabilitiesPropertyPlantAndEquipment_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredTaxLiabilitiesPropertyPlantAndEquipment_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Deferred Tax Liabilities Property Plant And Equipment</label>
    <label xml:lang="en-US" xlink:label="mpw_DeferredTaxLiabilityNetUnbilledRevenue_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">Net unbilled revenue</label>
    <label xml:lang="en-US" xlink:label="mpw_DeferredTaxLiabilityNetUnbilledRevenue_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Deferred Tax Liability Net Unbilled Revenue</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DeferredTaxLiabilitiesInvestments" xlink:type="locator" xlink:label="us-gaap_DeferredTaxLiabilitiesInvestments" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredTaxLiabilitiesInvestments_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">Partnership investments</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DeferredTaxLiabilitiesInvestments" xlink:to="us-gaap_DeferredTaxLiabilitiesInvestments_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredTaxLiabilitiesInvestments_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Deferred Tax Liabilities Investments</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DeferredTaxLiabilitiesOther" xlink:type="locator" xlink:label="us-gaap_DeferredTaxLiabilitiesOther" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredTaxLiabilitiesOther_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">Other</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DeferredTaxLiabilitiesOther" xlink:to="us-gaap_DeferredTaxLiabilitiesOther_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredTaxLiabilitiesOther_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Deferred Tax Liabilities Other</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DeferredIncomeTaxLiabilities" xlink:type="locator" xlink:label="us-gaap_DeferredIncomeTaxLiabilities" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredIncomeTaxLiabilities_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedTotalLabel">Total deferred tax liabilities</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DeferredIncomeTaxLiabilities" xlink:to="us-gaap_DeferredIncomeTaxLiabilities_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredIncomeTaxLiabilities_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Deferred Income Tax Liabilities</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DeferredTaxAssetsLiabilitiesNet" xlink:type="locator" xlink:label="us-gaap_DeferredTaxAssetsLiabilitiesNet" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredTaxAssetsLiabilitiesNet_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/totalLabel">Net deferred tax asset (liability)</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DeferredTaxAssetsLiabilitiesNet" xlink:to="us-gaap_DeferredTaxAssetsLiabilitiesNet_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredTaxAssetsLiabilitiesNet_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Deferred Tax Assets Liabilities Net</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_OperatingLossCarryForwardExpirationYear" xlink:type="locator" xlink:label="mpw_OperatingLossCarryForwardExpirationYear" />
    <label xml:lang="en-US" xlink:label="mpw_OperatingLossCarryForwardExpirationYear_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Operating loss carry forward expiration year.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_OperatingLossCarryForwardExpirationYear" xlink:to="mpw_OperatingLossCarryForwardExpirationYear_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_AlternativeMinimumTaxCreditRefundableDescription" xlink:type="locator" xlink:label="mpw_AlternativeMinimumTaxCreditRefundableDescription" />
    <label xml:lang="en-US" xlink:label="mpw_AlternativeMinimumTaxCreditRefundableDescription_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Alternative minimum tax credit refundable description.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_AlternativeMinimumTaxCreditRefundableDescription" xlink:to="mpw_AlternativeMinimumTaxCreditRefundableDescription_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_PercentageOfAlternativeMinimumTaxCreditRefundable" xlink:type="locator" xlink:label="mpw_PercentageOfAlternativeMinimumTaxCreditRefundable" />
    <label xml:lang="en-US" xlink:label="mpw_PercentageOfAlternativeMinimumTaxCreditRefundable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Percentage of alternative minimum tax credit refundable.</label>
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    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DeferredTaxAssetsOperatingLossCarryforwardsDomestic" xlink:type="locator" xlink:label="us-gaap_DeferredTaxAssetsOperatingLossCarryforwardsDomestic" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredTaxAssetsOperatingLossCarryforwardsDomestic_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">U.S federal NOLs</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DeferredTaxAssetsOperatingLossCarryforwardsDomestic" xlink:to="us-gaap_DeferredTaxAssetsOperatingLossCarryforwardsDomestic_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredTaxAssetsOperatingLossCarryforwardsDomestic_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Deferred Tax Assets Operating Loss Carryforwards Domestic</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DeferredTaxAssetsOperatingLossCarryforwardsStateAndLocal" xlink:type="locator" xlink:label="us-gaap_DeferredTaxAssetsOperatingLossCarryforwardsStateAndLocal" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredTaxAssetsOperatingLossCarryforwardsStateAndLocal_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">U.S. state NOLs</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DeferredTaxAssetsOperatingLossCarryforwardsStateAndLocal" xlink:to="us-gaap_DeferredTaxAssetsOperatingLossCarryforwardsStateAndLocal_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredTaxAssetsOperatingLossCarryforwardsStateAndLocal_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Deferred Tax Assets Operating Loss Carryforwards State And Local</label>
    <label xml:lang="en-US" xlink:label="mpw_OperatingLossCarryForwardExpirationYear_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">U.S. federal and state NOLs, expiration period</label>
    <label xml:lang="en-US" xlink:label="mpw_OperatingLossCarryForwardExpirationYear_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Operating Loss Carry Forward Expiration Year</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DeferredTaxAssetsTaxCreditCarryforwardsAlternativeMinimumTax" xlink:type="locator" xlink:label="us-gaap_DeferredTaxAssetsTaxCreditCarryforwardsAlternativeMinimumTax" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredTaxAssetsTaxCreditCarryforwardsAlternativeMinimumTax_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">U.S federal alternative minimum tax credits carry forward</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DeferredTaxAssetsTaxCreditCarryforwardsAlternativeMinimumTax" xlink:to="us-gaap_DeferredTaxAssetsTaxCreditCarryforwardsAlternativeMinimumTax_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredTaxAssetsTaxCreditCarryforwardsAlternativeMinimumTax_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Deferred Tax Assets Tax Credit Carryforwards Alternative Minimum Tax</label>
    <label xml:lang="en-US" xlink:label="mpw_AlternativeMinimumTaxCreditRefundableDescription_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Tax credit description</label>
    <label xml:lang="en-US" xlink:label="mpw_AlternativeMinimumTaxCreditRefundableDescription_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Alternative Minimum Tax Credit Refundable Description</label>
    <label xml:lang="en-US" xlink:label="mpw_PercentageOfAlternativeMinimumTaxCreditRefundable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Percentage of credit refundable</label>
    <label xml:lang="en-US" xlink:label="mpw_PercentageOfAlternativeMinimumTaxCreditRefundable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Percentage Of Alternative Minimum Tax Credit Refundable</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DeferredTaxAssetsOperatingLossCarryforwardsForeign" xlink:type="locator" xlink:label="us-gaap_DeferredTaxAssetsOperatingLossCarryforwardsForeign" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredTaxAssetsOperatingLossCarryforwardsForeign_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Foreign NOLs</label>
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    <label xml:lang="en-US" xlink:label="us-gaap_DeferredTaxAssetsOperatingLossCarryforwardsForeign_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Deferred Tax Assets Operating Loss Carryforwards Foreign</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_CumulativePretaxLossPositionPeriod" xlink:type="locator" xlink:label="mpw_CumulativePretaxLossPositionPeriod" />
    <label xml:lang="en-US" xlink:label="mpw_CumulativePretaxLossPositionPeriod_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Cumulative pretax loss position period.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_CumulativePretaxLossPositionPeriod" xlink:to="mpw_CumulativePretaxLossPositionPeriod_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_DeferredTaxAssetsValuationAllowancesExpectedNotRealized" xlink:type="locator" xlink:label="mpw_DeferredTaxAssetsValuationAllowancesExpectedNotRealized" />
    <label xml:lang="en-US" xlink:label="mpw_DeferredTaxAssetsValuationAllowancesExpectedNotRealized_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Deferred tax assets valuation allowances expected not realized.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_DeferredTaxAssetsValuationAllowancesExpectedNotRealized" xlink:to="mpw_DeferredTaxAssetsValuationAllowancesExpectedNotRealized_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_CumulativePretaxLossPositionPeriod_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Cumulative pre-tax loss position period</label>
    <label xml:lang="en-US" xlink:label="mpw_CumulativePretaxLossPositionPeriod_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Cumulative Pretax Loss Position Period</label>
    <label xml:lang="en-US" xlink:label="mpw_DeferredTaxAssetsValuationAllowancesExpectedNotRealized_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Valuation allowance not expected to be realized</label>
    <label xml:lang="en-US" xlink:label="mpw_DeferredTaxAssetsValuationAllowancesExpectedNotRealized_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Deferred Tax Assets Valuation Allowances Expected Not Realized</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_UnrecognizedTaxBenefitsIncomeTaxPenaltiesAndInterestAccrued" xlink:type="locator" xlink:label="us-gaap_UnrecognizedTaxBenefitsIncomeTaxPenaltiesAndInterestAccrued" />
    <label xml:lang="en-US" xlink:label="us-gaap_UnrecognizedTaxBenefitsIncomeTaxPenaltiesAndInterestAccrued_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Uncertain tax position liabilities and related interest or penalties</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_UnrecognizedTaxBenefitsIncomeTaxPenaltiesAndInterestAccrued" xlink:to="us-gaap_UnrecognizedTaxBenefitsIncomeTaxPenaltiesAndInterestAccrued_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_UnrecognizedTaxBenefitsIncomeTaxPenaltiesAndInterestAccrued_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Unrecognized Tax Benefits Income Tax Penalties And Interest Accrued</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_OrdinaryIncomePerShare" xlink:type="locator" xlink:label="mpw_OrdinaryIncomePerShare" />
    <label xml:lang="en-US" xlink:label="mpw_OrdinaryIncomePerShare_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Ordinary income per share</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_OrdinaryIncomePerShare" xlink:to="mpw_OrdinaryIncomePerShare_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_CapitalGainsPerShare" xlink:type="locator" xlink:label="mpw_CapitalGainsPerShare" />
    <label xml:lang="en-US" xlink:label="mpw_CapitalGainsPerShare_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Capital gains per share</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_CapitalGainsPerShare" xlink:to="mpw_CapitalGainsPerShare_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_DistributionUnrecapturedSectionOneTwoFiveZeroGainPerShare" xlink:type="locator" xlink:label="mpw_DistributionUnrecapturedSectionOneTwoFiveZeroGainPerShare" />
    <label xml:lang="en-US" xlink:label="mpw_DistributionUnrecapturedSectionOneTwoFiveZeroGainPerShare_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Distribution, unrecaptured section one two five zero gain per share</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_DistributionUnrecapturedSectionOneTwoFiveZeroGainPerShare" xlink:to="mpw_DistributionUnrecapturedSectionOneTwoFiveZeroGainPerShare_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_SectionOneNineADividends" xlink:type="locator" xlink:label="mpw_SectionOneNineADividends" />
    <label xml:lang="en-US" xlink:label="mpw_SectionOneNineADividends_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Section 19A dividends.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_SectionOneNineADividends" xlink:to="mpw_SectionOneNineADividends_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_ReturnOfCapitalPerShare" xlink:type="locator" xlink:label="mpw_ReturnOfCapitalPerShare" />
    <label xml:lang="en-US" xlink:label="mpw_ReturnOfCapitalPerShare_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Return of capital per share</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_ReturnOfCapitalPerShare" xlink:to="mpw_ReturnOfCapitalPerShare_lbl" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_CommonStockDividendsPerShareCashPaid" xlink:type="locator" xlink:label="us-gaap_CommonStockDividendsPerShareCashPaid" />
    <label xml:lang="en-US" xlink:label="us-gaap_CommonStockDividendsPerShareCashPaid_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Common share distribution</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_CommonStockDividendsPerShareCashPaid" xlink:to="us-gaap_CommonStockDividendsPerShareCashPaid_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_CommonStockDividendsPerShareCashPaid_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Common Stock Dividends Per Share Cash Paid</label>
    <label xml:lang="en-US" xlink:label="mpw_OrdinaryIncomePerShare_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Ordinary income</label>
    <label xml:lang="en-US" xlink:label="mpw_OrdinaryIncomePerShare_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Ordinary Income Per Share</label>
    <label xml:lang="en-US" xlink:label="mpw_CapitalGainsPerShare_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Capital gains</label>
    <label xml:lang="en-US" xlink:label="mpw_CapitalGainsPerShare_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Capital Gains Per Share</label>
    <label xml:lang="en-US" xlink:label="mpw_DistributionUnrecapturedSectionOneTwoFiveZeroGainPerShare_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Unrecaptured Sec. 1250 gain</label>
    <label xml:lang="en-US" xlink:label="mpw_DistributionUnrecapturedSectionOneTwoFiveZeroGainPerShare_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Distribution Unrecaptured Section One Two Five Zero Gain Per Share</label>
    <label xml:lang="en-US" xlink:label="mpw_SectionOneNineADividends_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Section 19A Dividends</label>
    <label xml:lang="en-US" xlink:label="mpw_SectionOneNineADividends_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Section One Nine A Dividends</label>
    <label xml:lang="en-US" xlink:label="mpw_ReturnOfCapitalPerShare_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Return of capital</label>
    <label xml:lang="en-US" xlink:label="mpw_ReturnOfCapitalPerShare_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Return Of Capital Per Share</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NetIncomeLessParticipatingSecuritiesShareInEarnings" xlink:type="locator" xlink:label="mpw_NetIncomeLessParticipatingSecuritiesShareInEarnings" />
    <label xml:lang="en-US" xlink:label="mpw_NetIncomeLessParticipatingSecuritiesShareInEarnings_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Net income less participating securities share in earnings.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NetIncomeLessParticipatingSecuritiesShareInEarnings" xlink:to="mpw_NetIncomeLessParticipatingSecuritiesShareInEarnings_lbl" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ScheduleOfEarningsPerShareBasicByCommonClassTable" xlink:type="locator" xlink:label="us-gaap_ScheduleOfEarningsPerShareBasicByCommonClassTable" />
    <label xml:lang="en-US" xlink:label="us-gaap_ScheduleOfEarningsPerShareBasicByCommonClassTable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Schedule Of Earnings Per Share Basic By Common Class [Table]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ScheduleOfEarningsPerShareBasicByCommonClassTable" xlink:to="us-gaap_ScheduleOfEarningsPerShareBasicByCommonClassTable_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ScheduleOfEarningsPerShareBasicByCommonClassTable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Schedule Of Earnings Per Share Basic By Common Class [Table]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_EarningsPerShareBasicLineItems" xlink:type="locator" xlink:label="us-gaap_EarningsPerShareBasicLineItems" />
    <label xml:lang="en-US" xlink:label="us-gaap_EarningsPerShareBasicLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Earnings Per Share, Basic, by Common Class, Including Two Class Method [Line Items]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_EarningsPerShareBasicLineItems" xlink:to="us-gaap_EarningsPerShareBasicLineItems_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_EarningsPerShareBasicLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Earnings Per Share Basic [Line Items]</label>
    <label xml:lang="en-US" xlink:label="mpw_UndistributedEarningAllocatedToParticipatingSecurities_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">Participating securities&#8217; share in earnings</label>
    <label xml:lang="en-US" xlink:label="mpw_UndistributedEarningAllocatedToParticipatingSecurities_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Undistributed Earning Allocated To Participating Securities</label>
    <label xml:lang="en-US" xlink:label="mpw_NetIncomeLessParticipatingSecuritiesShareInEarnings_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/totalLabel">Net income, less participating securities&#8217; share in earnings</label>
    <label xml:lang="en-US" xlink:label="mpw_NetIncomeLessParticipatingSecuritiesShareInEarnings_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Net Income Less Participating Securities Share In Earnings</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_IncrementalCommonSharesAttributableToShareBasedPaymentArrangements" xlink:type="locator" xlink:label="us-gaap_IncrementalCommonSharesAttributableToShareBasedPaymentArrangements" />
    <label xml:lang="en-US" xlink:label="us-gaap_IncrementalCommonSharesAttributableToShareBasedPaymentArrangements_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Dilutive potential common shares</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_IncrementalCommonSharesAttributableToShareBasedPaymentArrangements" xlink:to="us-gaap_IncrementalCommonSharesAttributableToShareBasedPaymentArrangements_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_IncrementalCommonSharesAttributableToShareBasedPaymentArrangements_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Incremental Common Shares Attributable To Share Based Payment Arrangements</label>
    <label xml:lang="en-US" xlink:label="us-gaap_WeightedAverageNumberOfDilutedSharesOutstanding_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/totalLabel">Diluted weighted average common shares</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable" xlink:type="locator" xlink:label="us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable" />
    <label xml:lang="en-US" xlink:label="us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Schedule Of Share Based Compensation Arrangements By Share Based Payment Award [Table]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable" xlink:to="us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Schedule Of Share Based Compensation Arrangements By Share Based Payment Award [Table]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_EquityIncentivePlanMember" xlink:type="locator" xlink:label="mpw_EquityIncentivePlanMember" />
    <label xml:lang="en-US" xlink:label="mpw_EquityIncentivePlanMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Equity incentive plan member.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_EquityIncentivePlanMember" xlink:to="mpw_EquityIncentivePlanMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_EquityIncentivePlanMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Equity Incentive Plan [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_EquityIncentivePlanMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Equity Incentive Plan [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_ServiceBasedAwardsMember" xlink:type="locator" xlink:label="mpw_ServiceBasedAwardsMember" />
    <label xml:lang="en-US" xlink:label="mpw_ServiceBasedAwardsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Service-Based Awards [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_ServiceBasedAwardsMember" xlink:to="mpw_ServiceBasedAwardsMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_ServiceBasedAwardsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Service-Based Awards [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_ServiceBasedAwardsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Service Based Awards [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_FortyPercentageOfTwoThousandEighteenPerformanceAwardsMember" xlink:type="locator" xlink:label="mpw_FortyPercentageOfTwoThousandEighteenPerformanceAwardsMember" />
    <label xml:lang="en-US" xlink:label="mpw_FortyPercentageOfTwoThousandEighteenPerformanceAwardsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Forty percentage of two thousand eighteen performance awards.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_FortyPercentageOfTwoThousandEighteenPerformanceAwardsMember" xlink:to="mpw_FortyPercentageOfTwoThousandEighteenPerformanceAwardsMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_FortyPercentageOfTwoThousandEighteenPerformanceAwardsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">40% of 2018 Performance Awards [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_FortyPercentageOfTwoThousandEighteenPerformanceAwardsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Forty Percentage Of Two Thousand Eighteen Performance Awards [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ValuationTechniqueAxis" xlink:type="locator" xlink:label="us-gaap_ValuationTechniqueAxis" />
    <label xml:lang="en-US" xlink:label="us-gaap_ValuationTechniqueAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Valuation Approach and Technique</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ValuationTechniqueAxis" xlink:to="us-gaap_ValuationTechniqueAxis_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ValuationTechniqueAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Valuation Technique [Axis]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ValuationTechniqueDomain" xlink:type="locator" xlink:label="us-gaap_ValuationTechniqueDomain" />
    <label xml:lang="en-US" xlink:label="us-gaap_ValuationTechniqueDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Valuation Approach and Technique</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ValuationTechniqueDomain" xlink:to="us-gaap_ValuationTechniqueDomain_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ValuationTechniqueDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Valuation Technique [Domain]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_ReturnOnEquityEqualToTwelvePointFivePercentMember" xlink:type="locator" xlink:label="mpw_ReturnOnEquityEqualToTwelvePointFivePercentMember" />
    <label xml:lang="en-US" xlink:label="mpw_ReturnOnEquityEqualToTwelvePointFivePercentMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Return on equity equal to twelve point five percent.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_ReturnOnEquityEqualToTwelvePointFivePercentMember" xlink:to="mpw_ReturnOnEquityEqualToTwelvePointFivePercentMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_ReturnOnEquityEqualToTwelvePointFivePercentMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Return on Equity Equal to 12.5% [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_ReturnOnEquityEqualToTwelvePointFivePercentMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Return On Equity Equal To Twelve Point Five Percent [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_ReturnOnEquityGreaterThanEqualToThirteenPointFivePercentMember" xlink:type="locator" xlink:label="mpw_ReturnOnEquityGreaterThanEqualToThirteenPointFivePercentMember" />
    <label xml:lang="en-US" xlink:label="mpw_ReturnOnEquityGreaterThanEqualToThirteenPointFivePercentMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Return on equity greater than equal to thirteen point five percent.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_ReturnOnEquityGreaterThanEqualToThirteenPointFivePercentMember" xlink:to="mpw_ReturnOnEquityGreaterThanEqualToThirteenPointFivePercentMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_ReturnOnEquityGreaterThanEqualToThirteenPointFivePercentMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Return on Equity Greater than or Equal to 13.5% [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_ReturnOnEquityGreaterThanEqualToThirteenPointFivePercentMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Return On Equity Greater Than Equal To Thirteen Point Five Percent [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_EBITDAEqualToSevenHundredAndTwentyMillionMember" xlink:type="locator" xlink:label="mpw_EBITDAEqualToSevenHundredAndTwentyMillionMember" />
    <label xml:lang="en-US" xlink:label="mpw_EBITDAEqualToSevenHundredAndTwentyMillionMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">EBITDA equal to seven hundred and twenty million.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_EBITDAEqualToSevenHundredAndTwentyMillionMember" xlink:to="mpw_EBITDAEqualToSevenHundredAndTwentyMillionMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_EBITDAEqualToSevenHundredAndTwentyMillionMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">EBITDA Equal to $720 Million [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_EBITDAEqualToSevenHundredAndTwentyMillionMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">E B I T D A Equal To Seven Hundred And Twenty Million [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_EBITDAEqualToSevenHundredAndSeventyFiveMillionMember" xlink:type="locator" xlink:label="mpw_EBITDAEqualToSevenHundredAndSeventyFiveMillionMember" />
    <label xml:lang="en-US" xlink:label="mpw_EBITDAEqualToSevenHundredAndSeventyFiveMillionMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">EBITDA equal to seven hundred and seventy five million.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_EBITDAEqualToSevenHundredAndSeventyFiveMillionMember" xlink:to="mpw_EBITDAEqualToSevenHundredAndSeventyFiveMillionMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_EBITDAEqualToSevenHundredAndSeventyFiveMillionMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">EBITDA Equal to $775 Million [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_EBITDAEqualToSevenHundredAndSeventyFiveMillionMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">E B I T D A Equal To Seven Hundred And Seventy Five Million [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_EBITDAEqualToSevenHundredAndFortyMillionMember" xlink:type="locator" xlink:label="mpw_EBITDAEqualToSevenHundredAndFortyMillionMember" />
    <label xml:lang="en-US" xlink:label="mpw_EBITDAEqualToSevenHundredAndFortyMillionMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">EBITDA equal to seven hundred and forty million.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_EBITDAEqualToSevenHundredAndFortyMillionMember" xlink:to="mpw_EBITDAEqualToSevenHundredAndFortyMillionMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_EBITDAEqualToSevenHundredAndFortyMillionMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">EBITDA Equal to $740 Million [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_EBITDAEqualToSevenHundredAndFortyMillionMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">E B I T D A Equal To Seven Hundred And Forty Million [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_EBITDAEqualToEightHundredMillionMember" xlink:type="locator" xlink:label="mpw_EBITDAEqualToEightHundredMillionMember" />
    <label xml:lang="en-US" xlink:label="mpw_EBITDAEqualToEightHundredMillionMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">EBITDA equal to eight hundred million .</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_EBITDAEqualToEightHundredMillionMember" xlink:to="mpw_EBITDAEqualToEightHundredMillionMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_EBITDAEqualToEightHundredMillionMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">EBITDA Equal to $800 Million [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_EBITDAEqualToEightHundredMillionMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">E B I T D A Equal To Eight Hundred Million [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_EBITDAEqualToSevenHundredAndSixtyMillionMember" xlink:type="locator" xlink:label="mpw_EBITDAEqualToSevenHundredAndSixtyMillionMember" />
    <label xml:lang="en-US" xlink:label="mpw_EBITDAEqualToSevenHundredAndSixtyMillionMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">EBITDA equal to seven hundred and sixty million.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_EBITDAEqualToSevenHundredAndSixtyMillionMember" xlink:to="mpw_EBITDAEqualToSevenHundredAndSixtyMillionMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_EBITDAEqualToSevenHundredAndSixtyMillionMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">EBITDA Equal to $760 Million [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_EBITDAEqualToSevenHundredAndSixtyMillionMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">E B I T D A Equal To Seven Hundred And Sixty Million [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_EBITDAEqualToEightHundredAndTwentyFiveMillionMember" xlink:type="locator" xlink:label="mpw_EBITDAEqualToEightHundredAndTwentyFiveMillionMember" />
    <label xml:lang="en-US" xlink:label="mpw_EBITDAEqualToEightHundredAndTwentyFiveMillionMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">EBITDA equal to eight hundred and twenty five million.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_EBITDAEqualToEightHundredAndTwentyFiveMillionMember" xlink:to="mpw_EBITDAEqualToEightHundredAndTwentyFiveMillionMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_EBITDAEqualToEightHundredAndTwentyFiveMillionMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">EBITDA Equal to $825 Million [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_EBITDAEqualToEightHundredAndTwentyFiveMillionMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">E B I T D A Equal To Eight Hundred And Twenty Five Million [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_TwentyPercentageOfTwoThousandEighteenPerformanceAwardsMember" xlink:type="locator" xlink:label="mpw_TwentyPercentageOfTwoThousandEighteenPerformanceAwardsMember" />
    <label xml:lang="en-US" xlink:label="mpw_TwentyPercentageOfTwoThousandEighteenPerformanceAwardsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Twenty percentage of two thousand eighteen performance awards.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_TwentyPercentageOfTwoThousandEighteenPerformanceAwardsMember" xlink:to="mpw_TwentyPercentageOfTwoThousandEighteenPerformanceAwardsMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_TwentyPercentageOfTwoThousandEighteenPerformanceAwardsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">20% of 2018 Performance Awards [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_TwentyPercentageOfTwoThousandEighteenPerformanceAwardsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Twenty Percentage Of Two Thousand Eighteen Performance Awards [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_AcquisitionsEqualToFiveHundredMillionMember" xlink:type="locator" xlink:label="mpw_AcquisitionsEqualToFiveHundredMillionMember" />
    <label xml:lang="en-US" xlink:label="mpw_AcquisitionsEqualToFiveHundredMillionMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Acquisitions equal to five hundred million.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_AcquisitionsEqualToFiveHundredMillionMember" xlink:to="mpw_AcquisitionsEqualToFiveHundredMillionMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_AcquisitionsEqualToFiveHundredMillionMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Acquisitions Equal to $500 Million [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_AcquisitionsEqualToFiveHundredMillionMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Acquisitions Equal To Five Hundred Million [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_AcquisitionsEqualToOnePointFiveBillionMember" xlink:type="locator" xlink:label="mpw_AcquisitionsEqualToOnePointFiveBillionMember" />
    <label xml:lang="en-US" xlink:label="mpw_AcquisitionsEqualToOnePointFiveBillionMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Acquisitions equal to one point five billion.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_AcquisitionsEqualToOnePointFiveBillionMember" xlink:to="mpw_AcquisitionsEqualToOnePointFiveBillionMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_AcquisitionsEqualToOnePointFiveBillionMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Acquisitions Equal to $1.5 Billion [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_AcquisitionsEqualToOnePointFiveBillionMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Acquisitions Equal To One Point Five Billion [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_AcquisitionsEqualToSevenFiftyMillionMember" xlink:type="locator" xlink:label="mpw_AcquisitionsEqualToSevenFiftyMillionMember" />
    <label xml:lang="en-US" xlink:label="mpw_AcquisitionsEqualToSevenFiftyMillionMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Acquisitions equal to seven fifty million.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_AcquisitionsEqualToSevenFiftyMillionMember" xlink:to="mpw_AcquisitionsEqualToSevenFiftyMillionMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_AcquisitionsEqualToSevenFiftyMillionMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Acquisitions Equal to $750 Million [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_AcquisitionsEqualToSevenFiftyMillionMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Acquisitions Equal To Seven Fifty Million [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_AcquisitionsEqualToTwoPointTwoFiveBillionMember" xlink:type="locator" xlink:label="mpw_AcquisitionsEqualToTwoPointTwoFiveBillionMember" />
    <label xml:lang="en-US" xlink:label="mpw_AcquisitionsEqualToTwoPointTwoFiveBillionMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Acquisitions equal to two point two five billion.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_AcquisitionsEqualToTwoPointTwoFiveBillionMember" xlink:to="mpw_AcquisitionsEqualToTwoPointTwoFiveBillionMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_AcquisitionsEqualToTwoPointTwoFiveBillionMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Acquisitions Equal to $2.25 Billion [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_AcquisitionsEqualToTwoPointTwoFiveBillionMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Acquisitions Equal To Two Point Two Five Billion [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_AcquisitionsEqualToOnePointZeroBillionMember" xlink:type="locator" xlink:label="mpw_AcquisitionsEqualToOnePointZeroBillionMember" />
    <label xml:lang="en-US" xlink:label="mpw_AcquisitionsEqualToOnePointZeroBillionMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Acquisitions equal to one point zero billion.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_AcquisitionsEqualToOnePointZeroBillionMember" xlink:to="mpw_AcquisitionsEqualToOnePointZeroBillionMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_AcquisitionsEqualToOnePointZeroBillionMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Acquisitions Equal to $1.0 Billion [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_AcquisitionsEqualToOnePointZeroBillionMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Acquisitions Equal To One Point Zero Billion [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_AcquisitionsEqualToThreePointZeroBillionMember" xlink:type="locator" xlink:label="mpw_AcquisitionsEqualToThreePointZeroBillionMember" />
    <label xml:lang="en-US" xlink:label="mpw_AcquisitionsEqualToThreePointZeroBillionMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Acquisitions equal to three point zero billion,</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_AcquisitionsEqualToThreePointZeroBillionMember" xlink:to="mpw_AcquisitionsEqualToThreePointZeroBillionMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_AcquisitionsEqualToThreePointZeroBillionMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Acquisitions Equal to $3.0 Billion [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_AcquisitionsEqualToThreePointZeroBillionMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Acquisitions Equal To Three Point Zero Billion [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_FinalPortionOfTwoThousandEighteenPerformanceAwardsMember" xlink:type="locator" xlink:label="mpw_FinalPortionOfTwoThousandEighteenPerformanceAwardsMember" />
    <label xml:lang="en-US" xlink:label="mpw_FinalPortionOfTwoThousandEighteenPerformanceAwardsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Final portion of two thousand eighteen performance awards.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_FinalPortionOfTwoThousandEighteenPerformanceAwardsMember" xlink:to="mpw_FinalPortionOfTwoThousandEighteenPerformanceAwardsMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_FinalPortionOfTwoThousandEighteenPerformanceAwardsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Final Portion of 2018 Performance Awards [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_FinalPortionOfTwoThousandEighteenPerformanceAwardsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Final Portion Of Two Thousand Eighteen Performance Awards [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_SnlIndexGreaterThanSeventyFivePercentMember" xlink:type="locator" xlink:label="mpw_SnlIndexGreaterThanSeventyFivePercentMember" />
    <label xml:lang="en-US" xlink:label="mpw_SnlIndexGreaterThanSeventyFivePercentMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">SNL index greater than seventy five percent.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_SnlIndexGreaterThanSeventyFivePercentMember" xlink:to="mpw_SnlIndexGreaterThanSeventyFivePercentMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_SnlIndexGreaterThanSeventyFivePercentMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">SNL Index, Greater than Seventy Five Percent [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_SnlIndexGreaterThanSeventyFivePercentMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Snl Index Greater Than Seventy Five Percent [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_SnlIndexGreaterThanFiftyFivePercentMember" xlink:type="locator" xlink:label="mpw_SnlIndexGreaterThanFiftyFivePercentMember" />
    <label xml:lang="en-US" xlink:label="mpw_SnlIndexGreaterThanFiftyFivePercentMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">SNL index greater than fifty five percent.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_SnlIndexGreaterThanFiftyFivePercentMember" xlink:to="mpw_SnlIndexGreaterThanFiftyFivePercentMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_SnlIndexGreaterThanFiftyFivePercentMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">SNL Index, Greater than Fifty Five Percent [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_SnlIndexGreaterThanFiftyFivePercentMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Snl Index Greater Than Fifty Five Percent [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_SnlIndexGreaterThanThirtyFivePercentMember" xlink:type="locator" xlink:label="mpw_SnlIndexGreaterThanThirtyFivePercentMember" />
    <label xml:lang="en-US" xlink:label="mpw_SnlIndexGreaterThanThirtyFivePercentMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">SNL index greater than thirty five percent.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_SnlIndexGreaterThanThirtyFivePercentMember" xlink:to="mpw_SnlIndexGreaterThanThirtyFivePercentMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_SnlIndexGreaterThanThirtyFivePercentMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">SNL Index, Greater than Thirty Five Percent [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_SnlIndexGreaterThanThirtyFivePercentMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Snl Index Greater Than Thirty Five Percent [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_SnlIndexGreaterThanNinetyFivePercentMember" xlink:type="locator" xlink:label="mpw_SnlIndexGreaterThanNinetyFivePercentMember" />
    <label xml:lang="en-US" xlink:label="mpw_SnlIndexGreaterThanNinetyFivePercentMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">SNL index greater than ninety five percent.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_SnlIndexGreaterThanNinetyFivePercentMember" xlink:to="mpw_SnlIndexGreaterThanNinetyFivePercentMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_SnlIndexGreaterThanNinetyFivePercentMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">SNL Index, Greater than Ninety Five Percent [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_SnlIndexGreaterThanNinetyFivePercentMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Snl Index Greater Than Ninety Five Percent [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_TwoThousandEightPerformanceAwardsMember" xlink:type="locator" xlink:label="mpw_TwoThousandEightPerformanceAwardsMember" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandEightPerformanceAwardsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Two thousand eight performance awards.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_TwoThousandEightPerformanceAwardsMember" xlink:to="mpw_TwoThousandEightPerformanceAwardsMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandEightPerformanceAwardsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2018 Performance Awards [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandEightPerformanceAwardsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Two Thousand Eight Performance Awards [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_FortyTwoPercentageOfTwoThousandSeventeenPerformanceAwardsMember" xlink:type="locator" xlink:label="mpw_FortyTwoPercentageOfTwoThousandSeventeenPerformanceAwardsMember" />
    <label xml:lang="en-US" xlink:label="mpw_FortyTwoPercentageOfTwoThousandSeventeenPerformanceAwardsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Forty two percentage of two thousand seventeen performance awards.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_FortyTwoPercentageOfTwoThousandSeventeenPerformanceAwardsMember" xlink:to="mpw_FortyTwoPercentageOfTwoThousandSeventeenPerformanceAwardsMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_FortyTwoPercentageOfTwoThousandSeventeenPerformanceAwardsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">42% of 2017 Performance Awards [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_FortyTwoPercentageOfTwoThousandSeventeenPerformanceAwardsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Forty Two Percentage Of Two Thousand Seventeen Performance Awards [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_UsReitHealthcareIndexMinusThreePercentMember" xlink:type="locator" xlink:label="mpw_UsReitHealthcareIndexMinusThreePercentMember" />
    <label xml:lang="en-US" xlink:label="mpw_UsReitHealthcareIndexMinusThreePercentMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">US REIT Healthcare index minus three percent.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_UsReitHealthcareIndexMinusThreePercentMember" xlink:to="mpw_UsReitHealthcareIndexMinusThreePercentMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_UsReitHealthcareIndexMinusThreePercentMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">U.S. REIT Healthcare Index Minus 3% [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_UsReitHealthcareIndexMinusThreePercentMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Us Reit Healthcare Index Minus Three Percent [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_UsReitHealthcareIndexPlusThreePercentMember" xlink:type="locator" xlink:label="mpw_UsReitHealthcareIndexPlusThreePercentMember" />
    <label xml:lang="en-US" xlink:label="mpw_UsReitHealthcareIndexPlusThreePercentMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">US REIT Healthcare index plus three percent.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_UsReitHealthcareIndexPlusThreePercentMember" xlink:to="mpw_UsReitHealthcareIndexPlusThreePercentMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_UsReitHealthcareIndexPlusThreePercentMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">U.S. REIT Healthcare Index Plus 3% [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_UsReitHealthcareIndexPlusThreePercentMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Us Reit Healthcare Index Plus Three Percent [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_FortySevenPercentageOfTwoThousandSeventeenPerformanceAwardsMember" xlink:type="locator" xlink:label="mpw_FortySevenPercentageOfTwoThousandSeventeenPerformanceAwardsMember" />
    <label xml:lang="en-US" xlink:label="mpw_FortySevenPercentageOfTwoThousandSeventeenPerformanceAwardsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Forty seven percentage of two thousand seventeen performance awards.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_FortySevenPercentageOfTwoThousandSeventeenPerformanceAwardsMember" xlink:to="mpw_FortySevenPercentageOfTwoThousandSeventeenPerformanceAwardsMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_FortySevenPercentageOfTwoThousandSeventeenPerformanceAwardsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">47% of 2017 Performance Awards [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_FortySevenPercentageOfTwoThousandSeventeenPerformanceAwardsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Forty Seven Percentage Of Two Thousand Seventeen Performance Awards [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_ElevenPercentageOfTwoThousandSeventeenPerformanceAwardsMember" xlink:type="locator" xlink:label="mpw_ElevenPercentageOfTwoThousandSeventeenPerformanceAwardsMember" />
    <label xml:lang="en-US" xlink:label="mpw_ElevenPercentageOfTwoThousandSeventeenPerformanceAwardsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Eleven percentage of two thousand seventeen performance awards.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_ElevenPercentageOfTwoThousandSeventeenPerformanceAwardsMember" xlink:to="mpw_ElevenPercentageOfTwoThousandSeventeenPerformanceAwardsMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_ElevenPercentageOfTwoThousandSeventeenPerformanceAwardsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">11% of 2017 Performance Awards [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_ElevenPercentageOfTwoThousandSeventeenPerformanceAwardsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Eleven Percentage Of Two Thousand Seventeen Performance Awards [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_GeneralAndAdministrativeExpensesToRevenueRatioEqualToTenPercentMember" xlink:type="locator" xlink:label="mpw_GeneralAndAdministrativeExpensesToRevenueRatioEqualToTenPercentMember" />
    <label xml:lang="en-US" xlink:label="mpw_GeneralAndAdministrativeExpensesToRevenueRatioEqualToTenPercentMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">General and administrative expenses to revenue ratio equal to ten percent.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_GeneralAndAdministrativeExpensesToRevenueRatioEqualToTenPercentMember" xlink:to="mpw_GeneralAndAdministrativeExpensesToRevenueRatioEqualToTenPercentMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_GeneralAndAdministrativeExpensesToRevenueRatioEqualToTenPercentMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">General and Administrative Expense to Revenue Ratio Equal to 10% [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_GeneralAndAdministrativeExpensesToRevenueRatioEqualToTenPercentMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">General And Administrative Expenses To Revenue Ratio Equal To Ten Percent [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_GeneralAndAdministrativeExpensesToRevenueRatioLessThanEqualToNinePercentMember" xlink:type="locator" xlink:label="mpw_GeneralAndAdministrativeExpensesToRevenueRatioLessThanEqualToNinePercentMember" />
    <label xml:lang="en-US" xlink:label="mpw_GeneralAndAdministrativeExpensesToRevenueRatioLessThanEqualToNinePercentMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">General and administrative expenses to revenue ratio less than equal to nine percent.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_GeneralAndAdministrativeExpensesToRevenueRatioLessThanEqualToNinePercentMember" xlink:to="mpw_GeneralAndAdministrativeExpensesToRevenueRatioLessThanEqualToNinePercentMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_GeneralAndAdministrativeExpensesToRevenueRatioLessThanEqualToNinePercentMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">General and Administrative Expense to Revenue Ratio is Less Than Equal to 9% [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_GeneralAndAdministrativeExpensesToRevenueRatioLessThanEqualToNinePercentMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">General And Administrative Expenses To Revenue Ratio Less Than Equal To Nine Percent [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_GeneralAndAdministrativeExpensesToRevenueRatioLessThanEqualToTenPercentMember" xlink:type="locator" xlink:label="mpw_GeneralAndAdministrativeExpensesToRevenueRatioLessThanEqualToTenPercentMember" />
    <label xml:lang="en-US" xlink:label="mpw_GeneralAndAdministrativeExpensesToRevenueRatioLessThanEqualToTenPercentMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">General and administrative expenses to revenue ratio less than equal to ten percent.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_GeneralAndAdministrativeExpensesToRevenueRatioLessThanEqualToTenPercentMember" xlink:to="mpw_GeneralAndAdministrativeExpensesToRevenueRatioLessThanEqualToTenPercentMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_GeneralAndAdministrativeExpensesToRevenueRatioLessThanEqualToTenPercentMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">General and Administrative Expenses to Revenue Ratio Less Than Equal to Ten Percent [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_GeneralAndAdministrativeExpensesToRevenueRatioLessThanEqualToTenPercentMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">General And Administrative Expenses To Revenue Ratio Less Than Equal To Ten Percent [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_SixtyFivePercentageOfTwoThousandSeventeenPerformanceAwardsMember" xlink:type="locator" xlink:label="mpw_SixtyFivePercentageOfTwoThousandSeventeenPerformanceAwardsMember" />
    <label xml:lang="en-US" xlink:label="mpw_SixtyFivePercentageOfTwoThousandSeventeenPerformanceAwardsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Sixty five percentage of two thousand seventeen performance awards.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_SixtyFivePercentageOfTwoThousandSeventeenPerformanceAwardsMember" xlink:to="mpw_SixtyFivePercentageOfTwoThousandSeventeenPerformanceAwardsMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_SixtyFivePercentageOfTwoThousandSeventeenPerformanceAwardsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">65% of 2017 Performance Awards [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_SixtyFivePercentageOfTwoThousandSeventeenPerformanceAwardsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Sixty Five Percentage Of Two Thousand Seventeen Performance Awards [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_PlanNameAxis" xlink:type="locator" xlink:label="us-gaap_PlanNameAxis" />
    <label xml:lang="en-US" xlink:label="us-gaap_PlanNameAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Plan Name</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_PlanNameAxis" xlink:to="us-gaap_PlanNameAxis_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_PlanNameAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Plan Name [Axis]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_PlanNameDomain" xlink:type="locator" xlink:label="us-gaap_PlanNameDomain" />
    <label xml:lang="en-US" xlink:label="us-gaap_PlanNameDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Plan Name</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_PlanNameDomain" xlink:to="us-gaap_PlanNameDomain_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_PlanNameDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Plan Name [Domain]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_TwoThousandNineteenAwardMember" xlink:type="locator" xlink:label="mpw_TwoThousandNineteenAwardMember" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandNineteenAwardMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Two thousand nineteen award.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_TwoThousandNineteenAwardMember" xlink:to="mpw_TwoThousandNineteenAwardMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandNineteenAwardMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2019 Award [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandNineteenAwardMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Two Thousand Nineteen Award [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_TwoThousandTwentyAwardMember" xlink:type="locator" xlink:label="mpw_TwoThousandTwentyAwardMember" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandTwentyAwardMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Two thousand twenty award.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_TwoThousandTwentyAwardMember" xlink:to="mpw_TwoThousandTwentyAwardMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandTwentyAwardMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2020 Award [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandTwentyAwardMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Two Thousand Twenty Award [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_TwoThousandNineteenAndTwoThousandTwentyAwardMember" xlink:type="locator" xlink:label="mpw_TwoThousandNineteenAndTwoThousandTwentyAwardMember" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandNineteenAndTwoThousandTwentyAwardMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Two thousand nineteen and two thousand twenty award.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_TwoThousandNineteenAndTwoThousandTwentyAwardMember" xlink:to="mpw_TwoThousandNineteenAndTwoThousandTwentyAwardMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandNineteenAndTwoThousandTwentyAwardMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2019 and 2020 Awards [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandNineteenAndTwoThousandTwentyAwardMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Two Thousand Nineteen And Two Thousand Twenty Award [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_FinalPortionOfTwoThousandSeventeenPerformanceAwardsMember" xlink:type="locator" xlink:label="mpw_FinalPortionOfTwoThousandSeventeenPerformanceAwardsMember" />
    <label xml:lang="en-US" xlink:label="mpw_FinalPortionOfTwoThousandSeventeenPerformanceAwardsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Final portion of two thousand seventeen performance awards.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_FinalPortionOfTwoThousandSeventeenPerformanceAwardsMember" xlink:to="mpw_FinalPortionOfTwoThousandSeventeenPerformanceAwardsMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_FinalPortionOfTwoThousandSeventeenPerformanceAwardsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Final Portion of 2017 Performance Awards [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_FinalPortionOfTwoThousandSeventeenPerformanceAwardsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Final Portion Of Two Thousand Seventeen Performance Awards [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_SnlIndexGreaterThanThreePercentMember" xlink:type="locator" xlink:label="mpw_SnlIndexGreaterThanThreePercentMember" />
    <label xml:lang="en-US" xlink:label="mpw_SnlIndexGreaterThanThreePercentMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">SNL Index, Greater than Three Percent [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_SnlIndexGreaterThanThreePercentMember" xlink:to="mpw_SnlIndexGreaterThanThreePercentMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_SnlIndexGreaterThanThreePercentMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">SNL Index, Greater than Three Percent [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_SnlIndexGreaterThanThreePercentMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Snl Index Greater Than Three Percent [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_TwoThousandSeventeenPerformanceAwardsMember" xlink:type="locator" xlink:label="mpw_TwoThousandSeventeenPerformanceAwardsMember" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandSeventeenPerformanceAwardsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Two thousand seventeen performance awards.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_TwoThousandSeventeenPerformanceAwardsMember" xlink:to="mpw_TwoThousandSeventeenPerformanceAwardsMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandSeventeenPerformanceAwardsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2017 Performance Awards [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandSeventeenPerformanceAwardsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Two Thousand Seventeen Performance Awards [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_FiftyPercentageOfTwoThousandSixteenPerformanceAwardsMember" xlink:type="locator" xlink:label="mpw_FiftyPercentageOfTwoThousandSixteenPerformanceAwardsMember" />
    <label xml:lang="en-US" xlink:label="mpw_FiftyPercentageOfTwoThousandSixteenPerformanceAwardsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Fifty percentage of two thousand sixteen performance awards.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_FiftyPercentageOfTwoThousandSixteenPerformanceAwardsMember" xlink:to="mpw_FiftyPercentageOfTwoThousandSixteenPerformanceAwardsMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_FiftyPercentageOfTwoThousandSixteenPerformanceAwardsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">50% of 2016 Performance Awards [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_FiftyPercentageOfTwoThousandSixteenPerformanceAwardsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Fifty Percentage Of Two Thousand Sixteen Performance Awards [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ScenarioPlanMember" xlink:type="locator" xlink:label="us-gaap_ScenarioPlanMember" />
    <label xml:lang="en-US" xlink:label="us-gaap_ScenarioPlanMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">If Any Shares are Earned from this Award [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ScenarioPlanMember" xlink:to="us-gaap_ScenarioPlanMember_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ScenarioPlanMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Scenario Plan [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_RemainingPercentageOfTwoThousandSixteenPerformanceAwardsMember" xlink:type="locator" xlink:label="mpw_RemainingPercentageOfTwoThousandSixteenPerformanceAwardsMember" />
    <label xml:lang="en-US" xlink:label="mpw_RemainingPercentageOfTwoThousandSixteenPerformanceAwardsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Remaining percentage of two thousand sixteen performance awards.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_RemainingPercentageOfTwoThousandSixteenPerformanceAwardsMember" xlink:to="mpw_RemainingPercentageOfTwoThousandSixteenPerformanceAwardsMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_RemainingPercentageOfTwoThousandSixteenPerformanceAwardsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Remaining % of 2016 Performance Awards [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_RemainingPercentageOfTwoThousandSixteenPerformanceAwardsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Remaining Percentage Of Two Thousand Sixteen Performance Awards [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_WithinThreePercentOfMSCIIndexMember" xlink:type="locator" xlink:label="mpw_WithinThreePercentOfMSCIIndexMember" />
    <label xml:lang="en-US" xlink:label="mpw_WithinThreePercentOfMSCIIndexMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Within Three Percent of MSCI Index [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_WithinThreePercentOfMSCIIndexMember" xlink:to="mpw_WithinThreePercentOfMSCIIndexMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_WithinThreePercentOfMSCIIndexMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Within Three Percent of MSCI Index [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_WithinThreePercentOfMSCIIndexMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Within Three Percent Of M S C I Index [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_MSCIIndexPlusThreePercentMember" xlink:type="locator" xlink:label="mpw_MSCIIndexPlusThreePercentMember" />
    <label xml:lang="en-US" xlink:label="mpw_MSCIIndexPlusThreePercentMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">MSCI Index Plus Three Percent [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_MSCIIndexPlusThreePercentMember" xlink:to="mpw_MSCIIndexPlusThreePercentMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_MSCIIndexPlusThreePercentMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">MSCI Index Plus Three Percent [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_MSCIIndexPlusThreePercentMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">M S C I Index Plus Three Percent [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_TwoThousandSixteenPerformanceAwardsMember" xlink:type="locator" xlink:label="mpw_TwoThousandSixteenPerformanceAwardsMember" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandSixteenPerformanceAwardsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Two thousand sixteen performance awards.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_TwoThousandSixteenPerformanceAwardsMember" xlink:to="mpw_TwoThousandSixteenPerformanceAwardsMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandSixteenPerformanceAwardsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2016 Performance Awards [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandSixteenPerformanceAwardsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Two Thousand Sixteen Performance Awards [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems" xlink:type="locator" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems" />
    <label xml:lang="en-US" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Share-based Compensation Arrangement by Share-based Payment Award [Line Items]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems" xlink:to="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Share Based Compensation Arrangement By Share Based Payment Award [Line Items]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesAuthorized" xlink:type="locator" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesAuthorized" />
    <label xml:lang="en-US" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesAuthorized_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Reserved shares of common stock for awards under the Equity Incentive Plan</label>
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    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesAvailableForGrant" xlink:type="locator" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesAvailableForGrant" />
    <label xml:lang="en-US" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesAvailableForGrant_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Common stock remaining for future stock awards transferred to the equity incentive plan</label>
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    <label xml:lang="en-US" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesAvailableForGrant_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Share Based Compensation Arrangement By Share Based Payment Award Number Of Shares Available For Grant</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardMaximumNumberOfSharesPerEmployee" xlink:type="locator" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardMaximumNumberOfSharesPerEmployee" />
    <label xml:lang="en-US" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardMaximumNumberOfSharesPerEmployee_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Maximum number of shares of common stock that may be awarded</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardMaximumNumberOfSharesPerEmployee" xlink:to="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardMaximumNumberOfSharesPerEmployee_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardMaximumNumberOfSharesPerEmployee_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Share Based Compensation Arrangement By Share Based Payment Award Maximum Number Of Shares Per Employee</label>
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    <label xml:lang="en-US" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardAwardRequisiteServicePeriod1_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Share-based compensation arrangement by share based payment award, expected service period (in years)</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardAwardRequisiteServicePeriod1" xlink:to="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardAwardRequisiteServicePeriod1_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardAwardRequisiteServicePeriod1_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Share Based Compensation Arrangement By Share Based Payment Award Award Requisite Service Period1</label>
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    <label xml:lang="en-US" xlink:label="mpw_ShareholderReturnAchievingPeriod_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Shareholder Return Achieving Period</label>
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    <label xml:lang="en-US" xlink:label="mpw_PercentageOfPerformanceAwardGrantInPeriod_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Percentage of performance award grant in period</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_PercentageOfPerformanceAwardGrantInPeriod" xlink:to="mpw_PercentageOfPerformanceAwardGrantInPeriod_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_PercentageOfShareholderReturnToBeEarned" xlink:type="locator" xlink:label="mpw_PercentageOfShareholderReturnToBeEarned" />
    <label xml:lang="en-US" xlink:label="mpw_PercentageOfShareholderReturnToBeEarned_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Percentage of shareholder return to be earned</label>
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    <loc xlink:href="mpw-20181231.xsd#mpw_PercentageOfPerformanceAwardToBeEarnedIfShareholderReturnReachesShareholderLimit" xlink:type="locator" xlink:label="mpw_PercentageOfPerformanceAwardToBeEarnedIfShareholderReturnReachesShareholderLimit" />
    <label xml:lang="en-US" xlink:label="mpw_PercentageOfPerformanceAwardToBeEarnedIfShareholderReturnReachesShareholderLimit_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Percentage of performance award to be earned of shareholder return reaches shareholder limit</label>
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    <label xml:lang="en-US" xlink:label="mpw_ShareholderReturnAchievingPeriod_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Annual total shareholder return (in years)</label>
    <label xml:lang="en-US" xlink:label="mpw_ShareholderReturnAchievingPeriod_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Shareholder Return Achieving Period</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardExpirationDate" xlink:type="locator" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardExpirationDate" />
    <label xml:lang="en-US" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardExpirationDate_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Stock-based awards expiration date</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardExpirationDate" xlink:to="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardExpirationDate_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardExpirationDate_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Share Based Compensation Arrangement By Share Based Payment Award Expiration Date</label>
    <label xml:lang="en-US" xlink:label="mpw_PercentageOfPerformanceAwardGrantInPeriod_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Percentage of performance award grant in period</label>
    <label xml:lang="en-US" xlink:label="mpw_PercentageOfPerformanceAwardGrantInPeriod_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Percentage Of Performance Award Grant In Period</label>
    <label xml:lang="en-US" xlink:label="mpw_PercentageOfShareholderReturnToBeEarned_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Percentage of shareholder return to be earned</label>
    <label xml:lang="en-US" xlink:label="mpw_PercentageOfShareholderReturnToBeEarned_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Percentage Of Shareholder Return To Be Earned</label>
    <label xml:lang="en-US" xlink:label="mpw_PercentageOfPerformanceAwardToBeEarnedIfShareholderReturnReachesShareholderLimit_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Percentage of performance award to be earned of shareholder return reaches shareholder limit</label>
    <label xml:lang="en-US" xlink:label="mpw_PercentageOfPerformanceAwardToBeEarnedIfShareholderReturnReachesShareholderLimit_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Percentage Of Performance Award To Be Earned If Shareholder Return Reaches Shareholder Limit</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_EarningsBeforeInterestExpenseTaxesDepreciationAndAmortizationAchievingPeriod" xlink:type="locator" xlink:label="mpw_EarningsBeforeInterestExpenseTaxesDepreciationAndAmortizationAchievingPeriod" />
    <label xml:lang="en-US" xlink:label="mpw_EarningsBeforeInterestExpenseTaxesDepreciationAndAmortizationAchievingPeriod_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Earnings before interest expense taxes depreciation and amortization achieving period.</label>
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    <loc xlink:href="mpw-20181231.xsd#mpw_EarningsBeforeInterestExpenseTaxesDepreciationAndAmortizationToBeEarned" xlink:type="locator" xlink:label="mpw_EarningsBeforeInterestExpenseTaxesDepreciationAndAmortizationToBeEarned" />
    <label xml:lang="en-US" xlink:label="mpw_EarningsBeforeInterestExpenseTaxesDepreciationAndAmortizationToBeEarned_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Earnings before interest expense taxes depreciation and amortization to be earned.</label>
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    <loc xlink:href="mpw-20181231.xsd#mpw_PercentageOfPerformanceAwardToBeEarnedIfEBITDAReachesThresholdLimit" xlink:type="locator" xlink:label="mpw_PercentageOfPerformanceAwardToBeEarnedIfEBITDAReachesThresholdLimit" />
    <label xml:lang="en-US" xlink:label="mpw_PercentageOfPerformanceAwardToBeEarnedIfEBITDAReachesThresholdLimit_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Percentage of performance award to be earned if EBITDA reaches threshold limit.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_PercentageOfPerformanceAwardToBeEarnedIfEBITDAReachesThresholdLimit" xlink:to="mpw_PercentageOfPerformanceAwardToBeEarnedIfEBITDAReachesThresholdLimit_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_EarningsBeforeInterestExpenseTaxesDepreciationAndAmortizationAchievingPeriod_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">EBITDA achieving period</label>
    <label xml:lang="en-US" xlink:label="mpw_EarningsBeforeInterestExpenseTaxesDepreciationAndAmortizationAchievingPeriod_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Earnings Before Interest Expense Taxes Depreciation And Amortization Achieving Period</label>
    <label xml:lang="en-US" xlink:label="mpw_EarningsBeforeInterestExpenseTaxesDepreciationAndAmortizationToBeEarned_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">EBITDA to be earned</label>
    <label xml:lang="en-US" xlink:label="mpw_EarningsBeforeInterestExpenseTaxesDepreciationAndAmortizationToBeEarned_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Earnings Before Interest Expense Taxes Depreciation And Amortization To Be Earned</label>
    <label xml:lang="en-US" xlink:label="mpw_PercentageOfPerformanceAwardToBeEarnedIfEBITDAReachesThresholdLimit_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Percentage of performance award to be earned if EBITDA reaches limit</label>
    <label xml:lang="en-US" xlink:label="mpw_PercentageOfPerformanceAwardToBeEarnedIfEBITDAReachesThresholdLimit_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Percentage Of Performance Award To Be Earned If E B I T D A Reaches Threshold Limit</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_AmountToBeSpendOnAcquisition" xlink:type="locator" xlink:label="mpw_AmountToBeSpendOnAcquisition" />
    <label xml:lang="en-US" xlink:label="mpw_AmountToBeSpendOnAcquisition_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Amount to be spend on acquisition.</label>
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    <loc xlink:href="mpw-20181231.xsd#mpw_PercentageOfPerformanceAwardToBeEarnedIfAcquisitionsReachesThresholdLimit" xlink:type="locator" xlink:label="mpw_PercentageOfPerformanceAwardToBeEarnedIfAcquisitionsReachesThresholdLimit" />
    <label xml:lang="en-US" xlink:label="mpw_PercentageOfPerformanceAwardToBeEarnedIfAcquisitionsReachesThresholdLimit_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Percentage of performance award to be earned if acquisitions reaches acquisitions threshold limit.</label>
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    <loc xlink:href="mpw-20181231.xsd#mpw_AmountToBeSpendOnAcquisitionAchievingPeriod" xlink:type="locator" xlink:label="mpw_AmountToBeSpendOnAcquisitionAchievingPeriod" />
    <label xml:lang="en-US" xlink:label="mpw_AmountToBeSpendOnAcquisitionAchievingPeriod_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Amount to be spend on acquisition achieving period.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_AmountToBeSpendOnAcquisitionAchievingPeriod" xlink:to="mpw_AmountToBeSpendOnAcquisitionAchievingPeriod_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_AmountToBeSpendOnAcquisitionAchievingPeriod_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Acquisition achieving period</label>
    <label xml:lang="en-US" xlink:label="mpw_AmountToBeSpendOnAcquisitionAchievingPeriod_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Amount To Be Spend On Acquisition Achieving Period</label>
    <label xml:lang="en-US" xlink:label="mpw_AmountToBeSpendOnAcquisition_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Acquisitions</label>
    <label xml:lang="en-US" xlink:label="mpw_AmountToBeSpendOnAcquisition_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Amount To Be Spend On Acquisition</label>
    <label xml:lang="en-US" xlink:label="mpw_PercentageOfPerformanceAwardToBeEarnedIfAcquisitionsReachesThresholdLimit_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Percentage of performance award to be earned if acquisitions reaches threshold limit</label>
    <label xml:lang="en-US" xlink:label="mpw_PercentageOfPerformanceAwardToBeEarnedIfAcquisitionsReachesThresholdLimit_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Percentage Of Performance Award To Be Earned If Acquisitions Reaches Threshold Limit</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_IncreaseDecreaseInPercentageOfPerformanceAwardToBeEarnedIfShareholderReturnReachesShareholderLimit" xlink:type="locator" xlink:label="mpw_IncreaseDecreaseInPercentageOfPerformanceAwardToBeEarnedIfShareholderReturnReachesShareholderLimit" />
    <label xml:lang="en-US" xlink:label="mpw_IncreaseDecreaseInPercentageOfPerformanceAwardToBeEarnedIfShareholderReturnReachesShareholderLimit_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Increase (decrease) in percentage of performance award to be earned if shareholder return reaches shareholder limit.</label>
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    <label xml:lang="en-US" xlink:label="mpw_IncreaseDecreaseInPercentageOfPerformanceAwardToBeEarnedIfShareholderReturnReachesShareholderLimit_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Increase (decrease) in percentage of performance award to be earned If shareholder return reaches shareholder limit</label>
    <label xml:lang="en-US" xlink:label="mpw_IncreaseDecreaseInPercentageOfPerformanceAwardToBeEarnedIfShareholderReturnReachesShareholderLimit_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Increase Decrease In Percentage Of Performance Award To Be Earned If Shareholder Return Reaches Shareholder Limit</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNotEarnedInPeriod" xlink:type="locator" xlink:label="mpw_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNotEarnedInPeriod" />
    <label xml:lang="en-US" xlink:label="mpw_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNotEarnedInPeriod_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Share based compensation arrangement by share based payment award equity instruments other than options not earned in period.</label>
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    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsForfeitedInPeriod" xlink:type="locator" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsForfeitedInPeriod" />
    <label xml:lang="en-US" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsForfeitedInPeriod_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Number of performance awards forfeited</label>
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    <label xml:lang="en-US" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsForfeitedInPeriod_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Forfeited In Period</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedNumber" xlink:type="locator" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedNumber" />
    <label xml:lang="en-US" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedNumber_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Number of performance awards earned and unvested</label>
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    <label xml:lang="en-US" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedNumber_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Nonvested Number</label>
    <label xml:lang="en-US" xlink:label="mpw_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNotEarnedInPeriod_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Number of performance awards to be earned</label>
    <label xml:lang="en-US" xlink:label="mpw_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNotEarnedInPeriod_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Not Earned In Period</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate" xlink:type="locator" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate" />
    <label xml:lang="en-US" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Share based payment award, weighted average risk-free rate of return</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate" xlink:to="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Risk Free Interest Rate</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedVolatilityRate" xlink:type="locator" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedVolatilityRate" />
    <label xml:lang="en-US" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedVolatilityRate_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Share based payment award, expected volatility rate</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedVolatilityRate" xlink:to="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedVolatilityRate_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedVolatilityRate_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Expected Volatility Rate</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedDividendRate" xlink:type="locator" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedDividendRate" />
    <label xml:lang="en-US" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedDividendRate_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Common stock options awarded, dividend yield</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedDividendRate" xlink:to="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedDividendRate_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedDividendRate_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Expected Dividend Rate</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_PercentageOfPerformanceAwardToBeEarnedIfProportionOfGeneralAndAdministrativeExpenseToRevenueReachesThresholdLimit" xlink:type="locator" xlink:label="mpw_PercentageOfPerformanceAwardToBeEarnedIfProportionOfGeneralAndAdministrativeExpenseToRevenueReachesThresholdLimit" />
    <label xml:lang="en-US" xlink:label="mpw_PercentageOfPerformanceAwardToBeEarnedIfProportionOfGeneralAndAdministrativeExpenseToRevenueReachesThresholdLimit_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Percentage of performance award to be earned if proportion of general and administrative expense to revenue reaches threshold limit.</label>
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    <loc xlink:href="mpw-20181231.xsd#mpw_GeneralAndAdministrativeExpenseAsPercentageOfRevenueThreshold" xlink:type="locator" xlink:label="mpw_GeneralAndAdministrativeExpenseAsPercentageOfRevenueThreshold" />
    <label xml:lang="en-US" xlink:label="mpw_GeneralAndAdministrativeExpenseAsPercentageOfRevenueThreshold_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">General and Administrative Expense as a Percentage of Revenue, Threshold</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_GeneralAndAdministrativeExpenseAsPercentageOfRevenueThreshold" xlink:to="mpw_GeneralAndAdministrativeExpenseAsPercentageOfRevenueThreshold_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_PercentageOfPerformanceAwardToBeEarnedIfProportionOfGeneralAndAdministrativeExpenseToRevenueReachesThresholdLimit_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Percentage of performance award to be earned if G&amp;A stays at or below limit</label>
    <label xml:lang="en-US" xlink:label="mpw_PercentageOfPerformanceAwardToBeEarnedIfProportionOfGeneralAndAdministrativeExpenseToRevenueReachesThresholdLimit_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Percentage Of Performance Award To Be Earned If Proportion Of General And Administrative Expense To Revenue Reaches Threshold Limit</label>
    <label xml:lang="en-US" xlink:label="mpw_GeneralAndAdministrativeExpenseAsPercentageOfRevenueThreshold_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">G&amp;A as a percentage of revenue threshold</label>
    <label xml:lang="en-US" xlink:label="mpw_GeneralAndAdministrativeExpenseAsPercentageOfRevenueThreshold_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">General And Administrative Expense As Percentage Of Revenue Threshold</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardAwardVestingRights" xlink:type="locator" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardAwardVestingRights" />
    <label xml:lang="en-US" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardAwardVestingRights_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Share-based compensation award vesting rights</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardAwardVestingRights" xlink:to="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardAwardVestingRights_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardAwardVestingRights_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Share Based Compensation Arrangement By Share Based Payment Award Award Vesting Rights</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_PerformanceBasedAwardShareAmountEarnedAndVested" xlink:type="locator" xlink:label="mpw_PerformanceBasedAwardShareAmountEarnedAndVested" />
    <label xml:lang="en-US" xlink:label="mpw_PerformanceBasedAwardShareAmountEarnedAndVested_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Performance based award share amount earned and vested.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_PerformanceBasedAwardShareAmountEarnedAndVested" xlink:to="mpw_PerformanceBasedAwardShareAmountEarnedAndVested_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_PerformanceBasedAwardShareAmountEarnedAndVested_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Number of performance awards earned and unvested</label>
    <label xml:lang="en-US" xlink:label="mpw_PerformanceBasedAwardShareAmountEarnedAndVested_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Performance Based Award Share Amount Earned And Vested</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_EmployeeRestrictedEquityAwardsVestingActivityLineItems" xlink:type="locator" xlink:label="mpw_EmployeeRestrictedEquityAwardsVestingActivityLineItems" />
    <label xml:lang="en-US" xlink:label="mpw_EmployeeRestrictedEquityAwardsVestingActivityLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Employee Restricted Equity Awards Vesting Activity [Line Items]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_EmployeeRestrictedEquityAwardsVestingActivityLineItems" xlink:to="mpw_EmployeeRestrictedEquityAwardsVestingActivityLineItems_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_EmployeeRestrictedEquityAwardsVestingActivityTable" xlink:type="locator" xlink:label="mpw_EmployeeRestrictedEquityAwardsVestingActivityTable" />
    <label xml:lang="en-US" xlink:label="mpw_EmployeeRestrictedEquityAwardsVestingActivityTable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Employee Restricted Equity Awards Vesting Activity [Table]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_EmployeeRestrictedEquityAwardsVestingActivityTable" xlink:to="mpw_EmployeeRestrictedEquityAwardsVestingActivityTable_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_EmployeeRestrictedEquityAwardsVestingActivityTable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Employee Restricted Equity Awards Vesting Activity [Table]</label>
    <label xml:lang="en-US" xlink:label="mpw_EmployeeRestrictedEquityAwardsVestingActivityTable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Employee Restricted Equity Awards Vesting Activity [Table]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_VestingBasedOnServiceMember" xlink:type="locator" xlink:label="mpw_VestingBasedOnServiceMember" />
    <label xml:lang="en-US" xlink:label="mpw_VestingBasedOnServiceMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Vesting based on service [member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_VestingBasedOnServiceMember" xlink:to="mpw_VestingBasedOnServiceMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_VestingBasedOnServiceMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Vesting Based on Service [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_VestingBasedOnServiceMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Vesting Based On Service [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_VestingBasedOnMarketPerformanceConditionsSharesMember" xlink:type="locator" xlink:label="mpw_VestingBasedOnMarketPerformanceConditionsSharesMember" />
    <label xml:lang="en-US" xlink:label="mpw_VestingBasedOnMarketPerformanceConditionsSharesMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Vesting based on market/performance conditions shares [member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_VestingBasedOnMarketPerformanceConditionsSharesMember" xlink:to="mpw_VestingBasedOnMarketPerformanceConditionsSharesMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_VestingBasedOnMarketPerformanceConditionsSharesMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Vesting Based on Market/Performance Conditions [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_VestingBasedOnMarketPerformanceConditionsSharesMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Vesting Based On Market Performance Conditions Shares [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_EmployeeRestrictedEquityAwardsVestingActivityLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Employee Restricted Equity Awards Vesting Activity [Line Items]</label>
    <label xml:lang="en-US" xlink:label="mpw_EmployeeRestrictedEquityAwardsVestingActivityLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Employee Restricted Equity Awards Vesting Activity [Line Items]</label>
    <label xml:lang="en-US" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedNumber_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/periodStartLabel">Nonvested awards at beginning of the year, Shares</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriod" xlink:type="locator" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriod" />
    <label xml:lang="en-US" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriod_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Awarded, Shares</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriod" xlink:to="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriod_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriod_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Grants In Period</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriod" xlink:type="locator" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriod" />
    <label xml:lang="en-US" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriod_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">Vested, Shares</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriod" xlink:to="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriod_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriod_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Vested In Period</label>
    <label xml:lang="en-US" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsForfeitedInPeriod_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">Forfeited, Shares</label>
    <label xml:lang="en-US" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedNumber_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/periodEndLabel">Nonvested awards at end of year, Shares</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsForfeitedInPeriodWeightedAverageGrantDateFairValues" xlink:type="locator" xlink:label="mpw_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsForfeitedInPeriodWeightedAverageGrantDateFairValues" />
    <label xml:lang="en-US" xlink:label="mpw_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsForfeitedInPeriodWeightedAverageGrantDateFairValues_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Forfeited In Period Weighted Average Grant Date Fair Values</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsForfeitedInPeriodWeightedAverageGrantDateFairValues" xlink:to="mpw_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsForfeitedInPeriodWeightedAverageGrantDateFairValues_lbl" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedWeightedAverageGrantDateFairValue" xlink:type="locator" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedWeightedAverageGrantDateFairValue" />
    <label xml:lang="en-US" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedWeightedAverageGrantDateFairValue_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/periodStartLabel">Nonvested awards at beginning of the year, Weighted Average Value at Award Date</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedWeightedAverageGrantDateFairValue" xlink:to="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedWeightedAverageGrantDateFairValue_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedWeightedAverageGrantDateFairValue_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Nonvested Weighted Average Grant Date Fair Value</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriodWeightedAverageGrantDateFairValue" xlink:type="locator" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriodWeightedAverageGrantDateFairValue" />
    <label xml:lang="en-US" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriodWeightedAverageGrantDateFairValue_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Awarded, Weighted Average Value at Award Date</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriodWeightedAverageGrantDateFairValue" xlink:to="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriodWeightedAverageGrantDateFairValue_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriodWeightedAverageGrantDateFairValue_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Grants In Period Weighted Average Grant Date Fair Value</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodWeightedAverageGrantDateFairValue" xlink:type="locator" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodWeightedAverageGrantDateFairValue" />
    <label xml:lang="en-US" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodWeightedAverageGrantDateFairValue_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Vested, Weighted Average Value at Award Date</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodWeightedAverageGrantDateFairValue" xlink:to="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodWeightedAverageGrantDateFairValue_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodWeightedAverageGrantDateFairValue_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Vested In Period Weighted Average Grant Date Fair Value</label>
    <label xml:lang="en-US" xlink:label="mpw_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsForfeitedInPeriodWeightedAverageGrantDateFairValues_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Forfeited, Weighted Average Value at Award Date</label>
    <label xml:lang="en-US" xlink:label="mpw_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsForfeitedInPeriodWeightedAverageGrantDateFairValues_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Forfeited In Period Weighted Average Grant Date Fair Values</label>
    <label xml:lang="en-US" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedWeightedAverageGrantDateFairValue_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/periodEndLabel">Nonvested awards at end of year, Weighted Average Value at Award Date</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognized" xlink:type="locator" xlink:label="us-gaap_EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognized" />
    <label xml:lang="en-US" xlink:label="us-gaap_EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognized_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Stock-based compensation expense, unrecognized cost</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognized" xlink:to="us-gaap_EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognized_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognized_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognizedPeriodForRecognition1" xlink:type="locator" xlink:label="us-gaap_EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognizedPeriodForRecognition1" />
    <label xml:lang="en-US" xlink:label="us-gaap_EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognizedPeriodForRecognition1_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Stock-based compensation expense, unrecognized cost, reorganization period (in years)</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognizedPeriodForRecognition1" xlink:to="us-gaap_EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognizedPeriodForRecognition1_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognizedPeriodForRecognition1_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized Period For Recognition1</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodTotalFairValue" xlink:type="locator" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodTotalFairValue" />
    <label xml:lang="en-US" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodTotalFairValue_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Restricted equity awards, fair value</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodTotalFairValue" xlink:to="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodTotalFairValue_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodTotalFairValue_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Vested In Period Total Fair Value</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_TermsOfLeasePeriod" xlink:type="locator" xlink:label="mpw_TermsOfLeasePeriod" />
    <label xml:lang="en-US" xlink:label="mpw_TermsOfLeasePeriod_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Terms of Lease Period</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_TermsOfLeasePeriod" xlink:to="mpw_TermsOfLeasePeriod_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_TermsOfLeasePeriod_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Term of lease period</label>
    <label xml:lang="en-US" xlink:label="mpw_TermsOfLeasePeriod_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Terms Of Lease Period</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_LeaseAndRentalExpense" xlink:type="locator" xlink:label="us-gaap_LeaseAndRentalExpense" />
    <label xml:lang="en-US" xlink:label="us-gaap_LeaseAndRentalExpense_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Lease and Rental Expenses</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_LeaseAndRentalExpense" xlink:to="us-gaap_LeaseAndRentalExpense_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_LeaseAndRentalExpense_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Lease And Rental Expense</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_OperatingLeasesRentExpenseSubleaseRentals1" xlink:type="locator" xlink:label="us-gaap_OperatingLeasesRentExpenseSubleaseRentals1" />
    <label xml:lang="en-US" xlink:label="us-gaap_OperatingLeasesRentExpenseSubleaseRentals1_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Sublease rental income</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_OperatingLeasesRentExpenseSubleaseRentals1" xlink:to="us-gaap_OperatingLeasesRentExpenseSubleaseRentals1_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_OperatingLeasesRentExpenseSubleaseRentals1_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Operating Leases Rent Expense Sublease Rentals1</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_FutureMinimumPaymentsReceivableNet" xlink:type="locator" xlink:label="mpw_FutureMinimumPaymentsReceivableNet" />
    <label xml:lang="en-US" xlink:label="mpw_FutureMinimumPaymentsReceivableNet_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Future Minimum Payments Receivable Net</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_FutureMinimumPaymentsReceivableNet" xlink:to="mpw_FutureMinimumPaymentsReceivableNet_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_FutureMinimumPaymentsReceivableCurrentNet" xlink:type="locator" xlink:label="mpw_FutureMinimumPaymentsReceivableCurrentNet" />
    <label xml:lang="en-US" xlink:label="mpw_FutureMinimumPaymentsReceivableCurrentNet_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Future Minimum Payments Receivable, Current Net</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_FutureMinimumPaymentsReceivableCurrentNet" xlink:to="mpw_FutureMinimumPaymentsReceivableCurrentNet_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_FutureMinimumPaymentsReceivableInTwoYearsNet" xlink:type="locator" xlink:label="mpw_FutureMinimumPaymentsReceivableInTwoYearsNet" />
    <label xml:lang="en-US" xlink:label="mpw_FutureMinimumPaymentsReceivableInTwoYearsNet_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Future Minimum Payments Receivable, In Two Years Net</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_FutureMinimumPaymentsReceivableInTwoYearsNet" xlink:to="mpw_FutureMinimumPaymentsReceivableInTwoYearsNet_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_FutureMinimumPaymentsReceivableInThreeYearsNet" xlink:type="locator" xlink:label="mpw_FutureMinimumPaymentsReceivableInThreeYearsNet" />
    <label xml:lang="en-US" xlink:label="mpw_FutureMinimumPaymentsReceivableInThreeYearsNet_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Future Minimum Payments Receivable, in Three Years Net</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_FutureMinimumPaymentsReceivableInThreeYearsNet" xlink:to="mpw_FutureMinimumPaymentsReceivableInThreeYearsNet_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_FutureMinimumPaymentsReceivableInFourYearsNet" xlink:type="locator" xlink:label="mpw_FutureMinimumPaymentsReceivableInFourYearsNet" />
    <label xml:lang="en-US" xlink:label="mpw_FutureMinimumPaymentsReceivableInFourYearsNet_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Future Minimum Payments Receivable, in Four Years Net</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_FutureMinimumPaymentsReceivableInFourYearsNet" xlink:to="mpw_FutureMinimumPaymentsReceivableInFourYearsNet_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_FutureMinimumPaymentsReceivableInFiveYearsNet" xlink:type="locator" xlink:label="mpw_FutureMinimumPaymentsReceivableInFiveYearsNet" />
    <label xml:lang="en-US" xlink:label="mpw_FutureMinimumPaymentsReceivableInFiveYearsNet_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Future Minimum Payments Receivable, in Five Years Net</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_FutureMinimumPaymentsReceivableInFiveYearsNet" xlink:to="mpw_FutureMinimumPaymentsReceivableInFiveYearsNet_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_FutureMinimumPaymentsReceivableThereafterNet" xlink:type="locator" xlink:label="mpw_FutureMinimumPaymentsReceivableThereafterNet" />
    <label xml:lang="en-US" xlink:label="mpw_FutureMinimumPaymentsReceivableThereafterNet_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Future Minimum Payments Receivable, Thereafter Net</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_FutureMinimumPaymentsReceivableThereafterNet" xlink:to="mpw_FutureMinimumPaymentsReceivableThereafterNet_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_SubLeasesFutureMinimumPaymentsReceivable" xlink:type="locator" xlink:label="mpw_SubLeasesFutureMinimumPaymentsReceivable" />
    <label xml:lang="en-US" xlink:label="mpw_SubLeasesFutureMinimumPaymentsReceivable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Sub Leases, Future Minimum Payments Receivable</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_SubLeasesFutureMinimumPaymentsReceivable" xlink:to="mpw_SubLeasesFutureMinimumPaymentsReceivable_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_SubLeasesFutureMinimumPaymentsReceivableCurrent" xlink:type="locator" xlink:label="mpw_SubLeasesFutureMinimumPaymentsReceivableCurrent" />
    <label xml:lang="en-US" xlink:label="mpw_SubLeasesFutureMinimumPaymentsReceivableCurrent_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Sub Leases, Future Minimum Payments Receivable, Current</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_SubLeasesFutureMinimumPaymentsReceivableCurrent" xlink:to="mpw_SubLeasesFutureMinimumPaymentsReceivableCurrent_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_SubLeasesFutureMinimumPaymentsReceivableInTwoYears" xlink:type="locator" xlink:label="mpw_SubLeasesFutureMinimumPaymentsReceivableInTwoYears" />
    <label xml:lang="en-US" xlink:label="mpw_SubLeasesFutureMinimumPaymentsReceivableInTwoYears_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Sub Leases, Future Minimum Payments Receivable, In Two Years</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_SubLeasesFutureMinimumPaymentsReceivableInTwoYears" xlink:to="mpw_SubLeasesFutureMinimumPaymentsReceivableInTwoYears_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_SubLeasesFutureMinimumPaymentsReceivableInThreeYears" xlink:type="locator" xlink:label="mpw_SubLeasesFutureMinimumPaymentsReceivableInThreeYears" />
    <label xml:lang="en-US" xlink:label="mpw_SubLeasesFutureMinimumPaymentsReceivableInThreeYears_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Sub Leases, Future Minimum Payments Receivable, in Three Years</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_SubLeasesFutureMinimumPaymentsReceivableInThreeYears" xlink:to="mpw_SubLeasesFutureMinimumPaymentsReceivableInThreeYears_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_SubLeasesFutureMinimumPaymentsReceivableInFourYears" xlink:type="locator" xlink:label="mpw_SubLeasesFutureMinimumPaymentsReceivableInFourYears" />
    <label xml:lang="en-US" xlink:label="mpw_SubLeasesFutureMinimumPaymentsReceivableInFourYears_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Sub Leases, Future Minimum Payments Receivable, in Four Years</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_SubLeasesFutureMinimumPaymentsReceivableInFourYears" xlink:to="mpw_SubLeasesFutureMinimumPaymentsReceivableInFourYears_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_SubLeasesFutureMinimumPaymentsReceivableInFiveYears" xlink:type="locator" xlink:label="mpw_SubLeasesFutureMinimumPaymentsReceivableInFiveYears" />
    <label xml:lang="en-US" xlink:label="mpw_SubLeasesFutureMinimumPaymentsReceivableInFiveYears_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Sub Leases, Future Minimum Payments Receivable, in Five Years</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_SubLeasesFutureMinimumPaymentsReceivableInFiveYears" xlink:to="mpw_SubLeasesFutureMinimumPaymentsReceivableInFiveYears_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_SubLeasesFutureMinimumPaymentsReceivableThereafter" xlink:type="locator" xlink:label="mpw_SubLeasesFutureMinimumPaymentsReceivableThereafter" />
    <label xml:lang="en-US" xlink:label="mpw_SubLeasesFutureMinimumPaymentsReceivableThereafter_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Sub Leases, Future Minimum Payments Receivable, Thereafter</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_SubLeasesFutureMinimumPaymentsReceivableThereafter" xlink:to="mpw_SubLeasesFutureMinimumPaymentsReceivableThereafter_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_SubLeasesFutureMinimumPaymentsReceivableCurrent_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">2019</label>
    <label xml:lang="en-US" xlink:label="mpw_SubLeasesFutureMinimumPaymentsReceivableCurrent_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Sub Leases Future Minimum Payments Receivable Current</label>
    <label xml:lang="en-US" xlink:label="mpw_SubLeasesFutureMinimumPaymentsReceivableInTwoYears_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">2020</label>
    <label xml:lang="en-US" xlink:label="mpw_SubLeasesFutureMinimumPaymentsReceivableInTwoYears_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Sub Leases Future Minimum Payments Receivable In Two Years</label>
    <label xml:lang="en-US" xlink:label="mpw_SubLeasesFutureMinimumPaymentsReceivableInThreeYears_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">2021</label>
    <label xml:lang="en-US" xlink:label="mpw_SubLeasesFutureMinimumPaymentsReceivableInThreeYears_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Sub Leases Future Minimum Payments Receivable In Three Years</label>
    <label xml:lang="en-US" xlink:label="mpw_SubLeasesFutureMinimumPaymentsReceivableInFourYears_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">2022</label>
    <label xml:lang="en-US" xlink:label="mpw_SubLeasesFutureMinimumPaymentsReceivableInFourYears_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Sub Leases Future Minimum Payments Receivable In Four Years</label>
    <label xml:lang="en-US" xlink:label="mpw_SubLeasesFutureMinimumPaymentsReceivableInFiveYears_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">2023</label>
    <label xml:lang="en-US" xlink:label="mpw_SubLeasesFutureMinimumPaymentsReceivableInFiveYears_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Sub Leases Future Minimum Payments Receivable In Five Years</label>
    <label xml:lang="en-US" xlink:label="mpw_SubLeasesFutureMinimumPaymentsReceivableThereafter_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">Thereafter</label>
    <label xml:lang="en-US" xlink:label="mpw_SubLeasesFutureMinimumPaymentsReceivableThereafter_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Sub Leases Future Minimum Payments Receivable Thereafter</label>
    <label xml:lang="en-US" xlink:label="mpw_SubLeasesFutureMinimumPaymentsReceivable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedTotalLabel">Sub lease minimum rental payments receivable, total</label>
    <label xml:lang="en-US" xlink:label="mpw_SubLeasesFutureMinimumPaymentsReceivable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Sub Leases Future Minimum Payments Receivable</label>
    <label xml:lang="en-US" xlink:label="mpw_FutureMinimumPaymentsReceivableCurrentNet_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2019</label>
    <label xml:lang="en-US" xlink:label="mpw_FutureMinimumPaymentsReceivableCurrentNet_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Future Minimum Payments Receivable Current Net</label>
    <label xml:lang="en-US" xlink:label="mpw_FutureMinimumPaymentsReceivableInTwoYearsNet_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2020</label>
    <label xml:lang="en-US" xlink:label="mpw_FutureMinimumPaymentsReceivableInTwoYearsNet_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Future Minimum Payments Receivable In Two Years Net</label>
    <label xml:lang="en-US" xlink:label="mpw_FutureMinimumPaymentsReceivableInThreeYearsNet_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2021</label>
    <label xml:lang="en-US" xlink:label="mpw_FutureMinimumPaymentsReceivableInThreeYearsNet_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Future Minimum Payments Receivable In Three Years Net</label>
    <label xml:lang="en-US" xlink:label="mpw_FutureMinimumPaymentsReceivableInFourYearsNet_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2022</label>
    <label xml:lang="en-US" xlink:label="mpw_FutureMinimumPaymentsReceivableInFourYearsNet_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Future Minimum Payments Receivable In Four Years Net</label>
    <label xml:lang="en-US" xlink:label="mpw_FutureMinimumPaymentsReceivableInFiveYearsNet_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2023</label>
    <label xml:lang="en-US" xlink:label="mpw_FutureMinimumPaymentsReceivableInFiveYearsNet_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Future Minimum Payments Receivable In Five Years Net</label>
    <label xml:lang="en-US" xlink:label="mpw_FutureMinimumPaymentsReceivableThereafterNet_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Thereafter</label>
    <label xml:lang="en-US" xlink:label="mpw_FutureMinimumPaymentsReceivableThereafterNet_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Future Minimum Payments Receivable Thereafter Net</label>
    <label xml:lang="en-US" xlink:label="mpw_FutureMinimumPaymentsReceivableNet_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/totalLabel">Minimum rental payments, total</label>
    <label xml:lang="en-US" xlink:label="mpw_FutureMinimumPaymentsReceivableNet_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Future Minimum Payments Receivable Net</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ScheduleOfStockByClassTable" xlink:type="locator" xlink:label="us-gaap_ScheduleOfStockByClassTable" />
    <label xml:lang="en-US" xlink:label="us-gaap_ScheduleOfStockByClassTable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Schedule Of Stock By Class [Table]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ScheduleOfStockByClassTable" xlink:to="us-gaap_ScheduleOfStockByClassTable_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ScheduleOfStockByClassTable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Schedule Of Stock By Class [Table]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_SubsidiarySaleOfStockAxis" xlink:type="locator" xlink:label="us-gaap_SubsidiarySaleOfStockAxis" />
    <label xml:lang="en-US" xlink:label="us-gaap_SubsidiarySaleOfStockAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Sale of Stock</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_SubsidiarySaleOfStockAxis" xlink:to="us-gaap_SubsidiarySaleOfStockAxis_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_SubsidiarySaleOfStockAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Subsidiary Sale Of Stock [Axis]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_SaleOfStockNameOfTransactionDomain" xlink:type="locator" xlink:label="us-gaap_SaleOfStockNameOfTransactionDomain" />
    <label xml:lang="en-US" xlink:label="us-gaap_SaleOfStockNameOfTransactionDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Sale of Stock</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_SaleOfStockNameOfTransactionDomain" xlink:to="us-gaap_SaleOfStockNameOfTransactionDomain_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_SaleOfStockNameOfTransactionDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Sale Of Stock Name Of Transaction [Domain]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_PublicOfferingMember" xlink:type="locator" xlink:label="mpw_PublicOfferingMember" />
    <label xml:lang="en-US" xlink:label="mpw_PublicOfferingMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Public&#8203; offering.&#8203;</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_PublicOfferingMember" xlink:to="mpw_PublicOfferingMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_PublicOfferingMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Public Offering [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_PublicOfferingMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Public Offering [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_EquityInterestIssuedOrIssuableByTypeAxis" xlink:type="locator" xlink:label="us-gaap_EquityInterestIssuedOrIssuableByTypeAxis" />
    <label xml:lang="en-US" xlink:label="us-gaap_EquityInterestIssuedOrIssuableByTypeAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Equity Interest Type</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_EquityInterestIssuedOrIssuableByTypeAxis" xlink:to="us-gaap_EquityInterestIssuedOrIssuableByTypeAxis_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_EquityInterestIssuedOrIssuableByTypeAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Equity Interest Issued Or Issuable By Type [Axis]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_EquityInterestIssuedOrIssuableTypeDomain" xlink:type="locator" xlink:label="us-gaap_EquityInterestIssuedOrIssuableTypeDomain" />
    <label xml:lang="en-US" xlink:label="us-gaap_EquityInterestIssuedOrIssuableTypeDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Equity Interest Issued or Issuable, Type</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_EquityInterestIssuedOrIssuableTypeDomain" xlink:to="us-gaap_EquityInterestIssuedOrIssuableTypeDomain_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_EquityInterestIssuedOrIssuableTypeDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Equity Interest Issued Or Issuable Type [Domain]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_MarketEquityOfferingProgramMember" xlink:type="locator" xlink:label="mpw_MarketEquityOfferingProgramMember" />
    <label xml:lang="en-US" xlink:label="mpw_MarketEquityOfferingProgramMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Market equity offering program.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_MarketEquityOfferingProgramMember" xlink:to="mpw_MarketEquityOfferingProgramMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_MarketEquityOfferingProgramMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Market Equity Offering Program [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_MarketEquityOfferingProgramMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Market Equity Offering Program [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_PrivatePlacementMember" xlink:type="locator" xlink:label="us-gaap_PrivatePlacementMember" />
    <label xml:lang="en-US" xlink:label="us-gaap_PrivatePlacementMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Private Placement [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_PrivatePlacementMember" xlink:to="us-gaap_PrivatePlacementMember_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_PrivatePlacementMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Private Placement [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_CerberusCapitalManagementMember" xlink:type="locator" xlink:label="mpw_CerberusCapitalManagementMember" />
    <label xml:lang="en-US" xlink:label="mpw_CerberusCapitalManagementMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Cerberus capital management.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_CerberusCapitalManagementMember" xlink:to="mpw_CerberusCapitalManagementMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_CerberusCapitalManagementMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Cerberus Capital Management [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_CerberusCapitalManagementMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Cerberus Capital Management [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/srt/2018/elts/srt-2018-01-31.xsd#srt_OwnershipAxis" xlink:type="locator" xlink:label="srt_OwnershipAxis" />
    <label xml:lang="en-US" xlink:label="srt_OwnershipAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Ownership</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="srt_OwnershipAxis" xlink:to="srt_OwnershipAxis_lbl" />
    <label xml:lang="en-US" xlink:label="srt_OwnershipAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Ownership [Axis]</label>
    <loc xlink:href="http://xbrl.fasb.org/srt/2018/elts/srt-2018-01-31.xsd#srt_OwnershipDomain" xlink:type="locator" xlink:label="srt_OwnershipDomain" />
    <label xml:lang="en-US" xlink:label="srt_OwnershipDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Ownership</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="srt_OwnershipDomain" xlink:to="srt_OwnershipDomain_lbl" />
    <label xml:lang="en-US" xlink:label="srt_OwnershipDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Ownership [Domain]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_MedicalPropertiesTrustIncMember" xlink:type="locator" xlink:label="mpw_MedicalPropertiesTrustIncMember" />
    <label xml:lang="en-US" xlink:label="mpw_MedicalPropertiesTrustIncMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Medical Properties Trust, Inc.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_MedicalPropertiesTrustIncMember" xlink:to="mpw_MedicalPropertiesTrustIncMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_MedicalPropertiesTrustIncMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Medical Properties Trust, Inc. [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_MedicalPropertiesTrustIncMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Medical Properties Trust Inc [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_TitleOfIndividualAxis" xlink:type="locator" xlink:label="us-gaap_TitleOfIndividualAxis" />
    <label xml:lang="en-US" xlink:label="us-gaap_TitleOfIndividualAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Title of Individual</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_TitleOfIndividualAxis" xlink:to="us-gaap_TitleOfIndividualAxis_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_TitleOfIndividualAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Title Of Individual [Axis]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_TitleOfIndividualWithRelationshipToEntityDomain" xlink:type="locator" xlink:label="us-gaap_TitleOfIndividualWithRelationshipToEntityDomain" />
    <label xml:lang="en-US" xlink:label="us-gaap_TitleOfIndividualWithRelationshipToEntityDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Relationship to Entity</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_TitleOfIndividualWithRelationshipToEntityDomain" xlink:to="us-gaap_TitleOfIndividualWithRelationshipToEntityDomain_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_TitleOfIndividualWithRelationshipToEntityDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Title Of Individual With Relationship To Entity [Domain]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_EmployeeMember" xlink:type="locator" xlink:label="mpw_EmployeeMember" />
    <label xml:lang="en-US" xlink:label="mpw_EmployeeMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Employee</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_EmployeeMember" xlink:to="mpw_EmployeeMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_EmployeeMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Employee [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_EmployeeMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Employee [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ClassOfStockLineItems" xlink:type="locator" xlink:label="us-gaap_ClassOfStockLineItems" />
    <label xml:lang="en-US" xlink:label="us-gaap_ClassOfStockLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Class of Stock [Line Items]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ClassOfStockLineItems" xlink:to="us-gaap_ClassOfStockLineItems_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ClassOfStockLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Class Of Stock [Line Items]</label>
    <label xml:lang="en-US" xlink:label="us-gaap_StockIssuedDuringPeriodSharesNewIssues_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel">Number of share sold</label>
    <label xml:lang="en-US" xlink:label="us-gaap_ProceedsFromIssuanceOfCommonStock_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel">Proceeds from sale of common shares / units, net of offering costs</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_UnderwritersPurchaseOfSharesToCoverOverAllotments" xlink:type="locator" xlink:label="mpw_UnderwritersPurchaseOfSharesToCoverOverAllotments" />
    <label xml:lang="en-US" xlink:label="mpw_UnderwritersPurchaseOfSharesToCoverOverAllotments_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Underwriters Purchase Of Shares To Cover Over Allotments.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_UnderwritersPurchaseOfSharesToCoverOverAllotments" xlink:to="mpw_UnderwritersPurchaseOfSharesToCoverOverAllotments_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_UnderwritersPurchaseOfSharesToCoverOverAllotments_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Additional shares purchased by underwriters</label>
    <label xml:lang="en-US" xlink:label="mpw_UnderwritersPurchaseOfSharesToCoverOverAllotments_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Underwriters Purchase Of Shares To Cover Over Allotments</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_SalesCommission" xlink:type="locator" xlink:label="mpw_SalesCommission" />
    <label xml:lang="en-US" xlink:label="mpw_SalesCommission_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Sales commission.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_SalesCommission" xlink:to="mpw_SalesCommission_lbl" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_CommonStockValueOutstanding" xlink:type="locator" xlink:label="us-gaap_CommonStockValueOutstanding" />
    <label xml:lang="en-US" xlink:label="us-gaap_CommonStockValueOutstanding_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Value of stock</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_CommonStockValueOutstanding" xlink:to="us-gaap_CommonStockValueOutstanding_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_CommonStockValueOutstanding_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Common Stock Value Outstanding</label>
    <label xml:lang="en-US" xlink:label="mpw_SalesCommission_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Sales commission percentage</label>
    <label xml:lang="en-US" xlink:label="mpw_SalesCommission_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Sales Commission</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_SaleOfStockPricePerShare" xlink:type="locator" xlink:label="us-gaap_SaleOfStockPricePerShare" />
    <label xml:lang="en-US" xlink:label="us-gaap_SaleOfStockPricePerShare_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Sale of Stock, price per share</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_SaleOfStockPricePerShare" xlink:to="us-gaap_SaleOfStockPricePerShare_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_SaleOfStockPricePerShare_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Sale Of Stock Price Per Share</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_SalesCommissionAmount" xlink:type="locator" xlink:label="mpw_SalesCommissionAmount" />
    <label xml:lang="en-US" xlink:label="mpw_SalesCommissionAmount_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Sales commission amount.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_SalesCommissionAmount" xlink:to="mpw_SalesCommissionAmount_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_SalesCommissionAmount_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Sales commissions, amount</label>
    <label xml:lang="en-US" xlink:label="mpw_SalesCommissionAmount_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Sales Commission Amount</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NumberOfOtherPartners" xlink:type="locator" xlink:label="mpw_NumberOfOtherPartners" />
    <label xml:lang="en-US" xlink:label="mpw_NumberOfOtherPartners_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Number of other partners</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NumberOfOtherPartners" xlink:to="mpw_NumberOfOtherPartners_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_NumberOfPartnersSharedRemainingOwnershipPercentage" xlink:type="locator" xlink:label="mpw_NumberOfPartnersSharedRemainingOwnershipPercentage" />
    <label xml:lang="en-US" xlink:label="mpw_NumberOfPartnersSharedRemainingOwnershipPercentage_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Number of partners shared remaining ownership percentage</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NumberOfPartnersSharedRemainingOwnershipPercentage" xlink:to="mpw_NumberOfPartnersSharedRemainingOwnershipPercentage_lbl" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_LimitedLiabilityCompanyLLCOrLimitedPartnershipLPManagingMemberOrGeneralPartnerOwnershipInterest" xlink:type="locator" xlink:label="us-gaap_LimitedLiabilityCompanyLLCOrLimitedPartnershipLPManagingMemberOrGeneralPartnerOwnershipInterest" />
    <label xml:lang="en-US" xlink:label="us-gaap_LimitedLiabilityCompanyLLCOrLimitedPartnershipLPManagingMemberOrGeneralPartnerOwnershipInterest_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Percentage of ownership of general partner</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_LimitedLiabilityCompanyLLCOrLimitedPartnershipLPManagingMemberOrGeneralPartnerOwnershipInterest" xlink:to="us-gaap_LimitedLiabilityCompanyLLCOrLimitedPartnershipLPManagingMemberOrGeneralPartnerOwnershipInterest_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_LimitedLiabilityCompanyLLCOrLimitedPartnershipLPManagingMemberOrGeneralPartnerOwnershipInterest_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Limited Liability Company L L C Or Limited Partnership L P Managing Member Or General Partner Ownership Interest</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_MinorityInterestOwnershipPercentageByParent" xlink:type="locator" xlink:label="us-gaap_MinorityInterestOwnershipPercentageByParent" />
    <label xml:lang="en-US" xlink:label="us-gaap_MinorityInterestOwnershipPercentageByParent_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel">Ownership interest in equity</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_MinorityInterestOwnershipPercentageByParent" xlink:to="us-gaap_MinorityInterestOwnershipPercentageByParent_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_MinorityInterestOwnershipPercentageByParent_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Minority Interest Ownership Percentage By Parent</label>
    <label xml:lang="en-US" xlink:label="mpw_NumberOfOtherPartners_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Number of other partners</label>
    <label xml:lang="en-US" xlink:label="mpw_NumberOfOtherPartners_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Number Of Other Partners</label>
    <label xml:lang="en-US" xlink:label="mpw_NumberOfPartnersSharedRemainingOwnershipPercentage_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Number of partners shared remaining ownership percentage</label>
    <label xml:lang="en-US" xlink:label="mpw_NumberOfPartnersSharedRemainingOwnershipPercentage_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Number Of Partners Shared Remaining Ownership Percentage</label>
    <label xml:lang="en-US" xlink:label="us-gaap_StockIssuedDuringPeriodSharesConversionOfUnits_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel">Conversion of LTIP units to common units</label>
    <label xml:lang="en-US" xlink:label="us-gaap_PartnersCapitalAccountRedemptions_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Redemption of common units</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_Loans" xlink:type="locator" xlink:label="mpw_Loans" />
    <label xml:lang="en-US" xlink:label="mpw_Loans_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Loans.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_Loans" xlink:to="mpw_Loans_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_InterestAndRentReceivable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel">Interest and rent receivables, Book value</label>
    <label xml:lang="en-US" xlink:label="mpw_Loans_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Loans, Book value</label>
    <label xml:lang="en-US" xlink:label="mpw_Loans_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Loans</label>
    <label xml:lang="en-US" xlink:label="us-gaap_LongTermDebt_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">Debt, net Book value</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ReceivablesFairValueDisclosure" xlink:type="locator" xlink:label="us-gaap_ReceivablesFairValueDisclosure" />
    <label xml:lang="en-US" xlink:label="us-gaap_ReceivablesFairValueDisclosure_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Interest and rent receivables, Fair value</label>
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    <label xml:lang="en-US" xlink:label="us-gaap_ReceivablesFairValueDisclosure_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Receivables Fair Value Disclosure</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_LoansHeldForSaleFairValueDisclosure" xlink:type="locator" xlink:label="us-gaap_LoansHeldForSaleFairValueDisclosure" />
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    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_LoansHeldForSaleFairValueDisclosure" xlink:to="us-gaap_LoansHeldForSaleFairValueDisclosure_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_LoansHeldForSaleFairValueDisclosure_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Loans Held For Sale Fair Value Disclosure</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_LongTermDebtFairValue" xlink:type="locator" xlink:label="us-gaap_LongTermDebtFairValue" />
    <label xml:lang="en-US" xlink:label="us-gaap_LongTermDebtFairValue_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">Debt, net Fair value</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_LongTermDebtFairValue" xlink:to="us-gaap_LongTermDebtFairValue_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_LongTermDebtFairValue_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Long Term Debt Fair Value</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_FinancialInstrumentsMeasuredAtFairValueOnRecurringBasisLineItems" xlink:type="locator" xlink:label="mpw_FinancialInstrumentsMeasuredAtFairValueOnRecurringBasisLineItems" />
    <label xml:lang="en-US" xlink:label="mpw_FinancialInstrumentsMeasuredAtFairValueOnRecurringBasisLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Financial Instruments Measured At Fair Value On Recurring Basis [Line Items]</label>
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    <loc xlink:href="mpw-20181231.xsd#mpw_FinancialInstrumentsMeasuredAtFairValueOnRecurringBasisTable" xlink:type="locator" xlink:label="mpw_FinancialInstrumentsMeasuredAtFairValueOnRecurringBasisTable" />
    <label xml:lang="en-US" xlink:label="mpw_FinancialInstrumentsMeasuredAtFairValueOnRecurringBasisTable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Financial Instruments Measured At Fair Value On Recurring Basis [Table]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_FinancialInstrumentsMeasuredAtFairValueOnRecurringBasisTable" xlink:to="mpw_FinancialInstrumentsMeasuredAtFairValueOnRecurringBasisTable_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_FinancialInstrumentsMeasuredAtFairValueOnRecurringBasisTable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Financial Instruments Measured At Fair Value On Recurring Basis [Table]</label>
    <label xml:lang="en-US" xlink:label="mpw_FinancialInstrumentsMeasuredAtFairValueOnRecurringBasisTable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Financial Instruments Measured At Fair Value On Recurring Basis [Table]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_FairValueByMeasurementFrequencyAxis" xlink:type="locator" xlink:label="us-gaap_FairValueByMeasurementFrequencyAxis" />
    <label xml:lang="en-US" xlink:label="us-gaap_FairValueByMeasurementFrequencyAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Measurement Frequency</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_FairValueByMeasurementFrequencyAxis" xlink:to="us-gaap_FairValueByMeasurementFrequencyAxis_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_FairValueByMeasurementFrequencyAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Fair Value By Measurement Frequency [Axis]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_FairValueMeasurementFrequencyDomain" xlink:type="locator" xlink:label="us-gaap_FairValueMeasurementFrequencyDomain" />
    <label xml:lang="en-US" xlink:label="us-gaap_FairValueMeasurementFrequencyDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Fair Value, Measurement Frequency</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_FairValueMeasurementFrequencyDomain" xlink:to="us-gaap_FairValueMeasurementFrequencyDomain_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_FairValueMeasurementFrequencyDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Fair Value Measurement Frequency [Domain]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_FairValueMeasurementsRecurringMember" xlink:type="locator" xlink:label="us-gaap_FairValueMeasurementsRecurringMember" />
    <label xml:lang="en-US" xlink:label="us-gaap_FairValueMeasurementsRecurringMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Fair Value Measurements, Recurring [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_FairValueMeasurementsRecurringMember" xlink:to="us-gaap_FairValueMeasurementsRecurringMember_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_FairValueMeasurementsRecurringMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Fair Value Measurements Recurring [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_EquityMethodInvestmentsAndOtherLoansMember" xlink:type="locator" xlink:label="mpw_EquityMethodInvestmentsAndOtherLoansMember" />
    <label xml:lang="en-US" xlink:label="mpw_EquityMethodInvestmentsAndOtherLoansMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Equity method investments and other loans.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_EquityMethodInvestmentsAndOtherLoansMember" xlink:to="mpw_EquityMethodInvestmentsAndOtherLoansMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_EquityMethodInvestmentsAndOtherLoansMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Equity Method Investment and Other Loans [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_EquityMethodInvestmentsAndOtherLoansMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Equity Method Investments And Other Loans [Member]</label>
    <loc xlink:href="https://xbrl.sec.gov/invest/2013/invest-2013-01-31.xsd#invest_InvestmentAxis" xlink:type="locator" xlink:label="invest_InvestmentAxis" />
    <label xml:lang="en-US" xlink:label="invest_InvestmentAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Investment</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="invest_InvestmentAxis" xlink:to="invest_InvestmentAxis_lbl" />
    <label xml:lang="en-US" xlink:label="invest_InvestmentAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Investment [Axis]</label>
    <loc xlink:href="https://xbrl.sec.gov/invest/2013/invest-2013-01-31.xsd#invest_InvestmentDomain" xlink:type="locator" xlink:label="invest_InvestmentDomain" />
    <label xml:lang="en-US" xlink:label="invest_InvestmentDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Investment</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="invest_InvestmentDomain" xlink:to="invest_InvestmentDomain_lbl" />
    <label xml:lang="en-US" xlink:label="invest_InvestmentDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Investment [Domain]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_MortgageLoansMember" xlink:type="locator" xlink:label="mpw_MortgageLoansMember" />
    <label xml:lang="en-US" xlink:label="mpw_MortgageLoansMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Mortgage Loans [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_MortgageLoansMember" xlink:to="mpw_MortgageLoansMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_MortgageLoansMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Mortgage Loans [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_MortgageLoansMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Mortgage Loans [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_OtherLoansAndOtherAssetsMember" xlink:type="locator" xlink:label="mpw_OtherLoansAndOtherAssetsMember" />
    <label xml:lang="en-US" xlink:label="mpw_OtherLoansAndOtherAssetsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Other loans and other assets.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_OtherLoansAndOtherAssetsMember" xlink:to="mpw_OtherLoansAndOtherAssetsMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_OtherLoansAndOtherAssetsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Other Loans and Other Assets [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_OtherLoansAndOtherAssetsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Other Loans And Other Assets [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_FinancialInstrumentsMeasuredAtFairValueOnRecurringBasisLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Financial Instruments Measured At Fair Value On Recurring Basis [Line Items]</label>
    <label xml:lang="en-US" xlink:label="mpw_FinancialInstrumentsMeasuredAtFairValueOnRecurringBasisLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Financial Instruments Measured At Fair Value On Recurring Basis [Line Items]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_InvestmentOwnedAtFairValue" xlink:type="locator" xlink:label="us-gaap_InvestmentOwnedAtFairValue" />
    <label xml:lang="en-US" xlink:label="us-gaap_InvestmentOwnedAtFairValue_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Fair Value</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_InvestmentOwnedAtFairValue" xlink:to="us-gaap_InvestmentOwnedAtFairValue_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_InvestmentOwnedAtFairValue_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Investment Owned At Fair Value</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_InvestmentOwnedAtCost" xlink:type="locator" xlink:label="us-gaap_InvestmentOwnedAtCost" />
    <label xml:lang="en-US" xlink:label="us-gaap_InvestmentOwnedAtCost_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Original Cost</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_InvestmentOwnedAtCost" xlink:to="us-gaap_InvestmentOwnedAtCost_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_InvestmentOwnedAtCost_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Investment Owned At Cost</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_FairValueAssetsAndLiabilitiesMeasuredOnRecurringAndNonrecurringBasisTable" xlink:type="locator" xlink:label="us-gaap_FairValueAssetsAndLiabilitiesMeasuredOnRecurringAndNonrecurringBasisTable" />
    <label xml:lang="en-US" xlink:label="us-gaap_FairValueAssetsAndLiabilitiesMeasuredOnRecurringAndNonrecurringBasisTable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Table]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_FairValueAssetsAndLiabilitiesMeasuredOnRecurringAndNonrecurringBasisTable" xlink:to="us-gaap_FairValueAssetsAndLiabilitiesMeasuredOnRecurringAndNonrecurringBasisTable_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_FairValueAssetsAndLiabilitiesMeasuredOnRecurringAndNonrecurringBasisTable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Table]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ValuationTechniqueDiscountedCashFlowMember" xlink:type="locator" xlink:label="us-gaap_ValuationTechniqueDiscountedCashFlowMember" />
    <label xml:lang="en-US" xlink:label="us-gaap_ValuationTechniqueDiscountedCashFlowMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Valuation Technique, Discounted Cash Flow [Member]</label>
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    <label xml:lang="en-US" xlink:label="us-gaap_ValuationTechniqueDiscountedCashFlowMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Valuation Technique Discounted Cash Flow [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_MeasurementInputTypeAxis" xlink:type="locator" xlink:label="us-gaap_MeasurementInputTypeAxis" />
    <label xml:lang="en-US" xlink:label="us-gaap_MeasurementInputTypeAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Measurement Input Type</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_MeasurementInputTypeAxis" xlink:to="us-gaap_MeasurementInputTypeAxis_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_MeasurementInputTypeAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Measurement Input Type [Axis]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_MeasurementInputTypeDomain" xlink:type="locator" xlink:label="us-gaap_MeasurementInputTypeDomain" />
    <label xml:lang="en-US" xlink:label="us-gaap_MeasurementInputTypeDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Measurement Input Type</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_MeasurementInputTypeDomain" xlink:to="us-gaap_MeasurementInputTypeDomain_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_MeasurementInputTypeDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Measurement Input Type [Domain]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_MeasurementInputDiscountRateMember" xlink:type="locator" xlink:label="us-gaap_MeasurementInputDiscountRateMember" />
    <label xml:lang="en-US" xlink:label="us-gaap_MeasurementInputDiscountRateMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Measurement Input, Discount Rate [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_MeasurementInputDiscountRateMember" xlink:to="us-gaap_MeasurementInputDiscountRateMember_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_MeasurementInputDiscountRateMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Measurement Input Discount Rate [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_FairValueAssetsAndLiabilitiesMeasuredOnRecurringAndNonrecurringBasisLineItems" xlink:type="locator" xlink:label="us-gaap_FairValueAssetsAndLiabilitiesMeasuredOnRecurringAndNonrecurringBasisLineItems" />
    <label xml:lang="en-US" xlink:label="us-gaap_FairValueAssetsAndLiabilitiesMeasuredOnRecurringAndNonrecurringBasisLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_FairValueAssetsAndLiabilitiesMeasuredOnRecurringAndNonrecurringBasisLineItems" xlink:to="us-gaap_FairValueAssetsAndLiabilitiesMeasuredOnRecurringAndNonrecurringBasisLineItems_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_FairValueAssetsAndLiabilitiesMeasuredOnRecurringAndNonrecurringBasisLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_AlternativeInvestmentMeasurementInput" xlink:type="locator" xlink:label="us-gaap_AlternativeInvestmentMeasurementInput" />
    <label xml:lang="en-US" xlink:label="us-gaap_AlternativeInvestmentMeasurementInput_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Adjustment for DLOM on our equity investment</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_AlternativeInvestmentMeasurementInput" xlink:to="us-gaap_AlternativeInvestmentMeasurementInput_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_AlternativeInvestmentMeasurementInput_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Alternative Investment Measurement Input</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_UnrealizedGainLossOnInvestments" xlink:type="locator" xlink:label="us-gaap_UnrealizedGainLossOnInvestments" />
    <label xml:lang="en-US" xlink:label="us-gaap_UnrealizedGainLossOnInvestments_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Unrealized gains/losses on investments</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_UnrealizedGainLossOnInvestments" xlink:to="us-gaap_UnrealizedGainLossOnInvestments_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_UnrealizedGainLossOnInvestments_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Unrealized Gain Loss On Investments</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_DebtIssueCostsNet" xlink:type="locator" xlink:label="mpw_DebtIssueCostsNet" />
    <label xml:lang="en-US" xlink:label="mpw_DebtIssueCostsNet_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Debt issue costs, net.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_DebtIssueCostsNet" xlink:to="mpw_DebtIssueCostsNet_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_OtherCorporateAssets" xlink:type="locator" xlink:label="mpw_OtherCorporateAssets" />
    <label xml:lang="en-US" xlink:label="mpw_OtherCorporateAssets_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Other corporate assets include leasehold improvements associated with our corporate office space, furniture and fixtures, equipment, software, deposits, etc.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_OtherCorporateAssets" xlink:to="mpw_OtherCorporateAssets_lbl" />
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_OtherAssetsAbstract" xlink:type="locator" xlink:label="us-gaap_OtherAssetsAbstract" />
    <label xml:lang="en-US" xlink:label="us-gaap_OtherAssetsAbstract_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Other Assets [Abstract]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_OtherAssetsAbstract" xlink:to="us-gaap_OtherAssetsAbstract_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_DebtIssueCostsNet_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Debt issue costs, net</label>
    <label xml:lang="en-US" xlink:label="mpw_DebtIssueCostsNet_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Debt Issue Costs Net</label>
    <label xml:lang="en-US" xlink:label="us-gaap_EquityMethodInvestments_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Equity investments</label>
    <label xml:lang="en-US" xlink:label="mpw_OtherCorporateAssets_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Other corporate assets</label>
    <label xml:lang="en-US" xlink:label="mpw_OtherCorporateAssets_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Other Corporate Assets</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_PrepaidExpenseAndOtherAssets" xlink:type="locator" xlink:label="us-gaap_PrepaidExpenseAndOtherAssets" />
    <label xml:lang="en-US" xlink:label="us-gaap_PrepaidExpenseAndOtherAssets_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Prepaids and other assets</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_PrepaidExpenseAndOtherAssets" xlink:to="us-gaap_PrepaidExpenseAndOtherAssets_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_PrepaidExpenseAndOtherAssets_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Prepaid Expense And Other Assets</label>
    <label xml:lang="en-US" xlink:label="us-gaap_OtherAssets_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/totalLabel">Total other assets</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_OtherAssetsLineItems" xlink:type="locator" xlink:label="mpw_OtherAssetsLineItems" />
    <label xml:lang="en-US" xlink:label="mpw_OtherAssetsLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Other Assets [Line Items]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_OtherAssetsLineItems" xlink:to="mpw_OtherAssetsLineItems_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_OtherAssetsTable" xlink:type="locator" xlink:label="mpw_OtherAssetsTable" />
    <label xml:lang="en-US" xlink:label="mpw_OtherAssetsTable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Other Assets [Table]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_OtherAssetsTable" xlink:to="mpw_OtherAssetsTable_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_OtherAssetsTable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Other Assets [Table]</label>
    <label xml:lang="en-US" xlink:label="mpw_OtherAssetsTable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Other Assets [Table]</label>
    <label xml:lang="en-US" xlink:label="mpw_OtherAssetsLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Other Assets [Line Items]</label>
    <label xml:lang="en-US" xlink:label="mpw_OtherAssetsLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Other Assets [Line Items]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_EquityMethodInvestmentSummarizedFinancialInformationRevenue" xlink:type="locator" xlink:label="us-gaap_EquityMethodInvestmentSummarizedFinancialInformationRevenue" />
    <label xml:lang="en-US" xlink:label="us-gaap_EquityMethodInvestmentSummarizedFinancialInformationRevenue_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Revenue</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_EquityMethodInvestmentSummarizedFinancialInformationRevenue" xlink:to="us-gaap_EquityMethodInvestmentSummarizedFinancialInformationRevenue_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_EquityMethodInvestmentSummarizedFinancialInformationRevenue_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Equity Method Investment Summarized Financial Information Revenue</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_EquityMethodInvestmentSummarizedFinancialInformationNetIncomeLoss" xlink:type="locator" xlink:label="us-gaap_EquityMethodInvestmentSummarizedFinancialInformationNetIncomeLoss" />
    <label xml:lang="en-US" xlink:label="us-gaap_EquityMethodInvestmentSummarizedFinancialInformationNetIncomeLoss_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Net income</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_EquityMethodInvestmentSummarizedFinancialInformationNetIncomeLoss" xlink:to="us-gaap_EquityMethodInvestmentSummarizedFinancialInformationNetIncomeLoss_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_EquityMethodInvestmentSummarizedFinancialInformationNetIncomeLoss_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Equity Method Investment Summarized Financial Information Net Income Loss</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_EquityMethodInvestmentSummarizedFinancialInformationAssets" xlink:type="locator" xlink:label="us-gaap_EquityMethodInvestmentSummarizedFinancialInformationAssets" />
    <label xml:lang="en-US" xlink:label="us-gaap_EquityMethodInvestmentSummarizedFinancialInformationAssets_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Assets</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_EquityMethodInvestmentSummarizedFinancialInformationAssets" xlink:to="us-gaap_EquityMethodInvestmentSummarizedFinancialInformationAssets_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_EquityMethodInvestmentSummarizedFinancialInformationAssets_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Equity Method Investment Summarized Financial Information Assets</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_EquityMethodInvestmentSummarizedFinancialInformationLiabilities" xlink:type="locator" xlink:label="us-gaap_EquityMethodInvestmentSummarizedFinancialInformationLiabilities" />
    <label xml:lang="en-US" xlink:label="us-gaap_EquityMethodInvestmentSummarizedFinancialInformationLiabilities_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Liabilities</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_EquityMethodInvestmentSummarizedFinancialInformationLiabilities" xlink:to="us-gaap_EquityMethodInvestmentSummarizedFinancialInformationLiabilities_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_EquityMethodInvestmentSummarizedFinancialInformationLiabilities_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Equity Method Investment Summarized Financial Information Liabilities</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_QuarterlyFinancialInformationLineItems" xlink:type="locator" xlink:label="mpw_QuarterlyFinancialInformationLineItems" />
    <label xml:lang="en-US" xlink:label="mpw_QuarterlyFinancialInformationLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Quarterly Financial Information [Line Items]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_QuarterlyFinancialInformationLineItems" xlink:to="mpw_QuarterlyFinancialInformationLineItems_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_QuarterlyFinancialInformationTable" xlink:type="locator" xlink:label="mpw_QuarterlyFinancialInformationTable" />
    <label xml:lang="en-US" xlink:label="mpw_QuarterlyFinancialInformationTable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Quarterly Financial Information [Table]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_QuarterlyFinancialInformationTable" xlink:to="mpw_QuarterlyFinancialInformationTable_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_QuarterlyFinancialInformationTable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Quarterly Financial Information [Table]</label>
    <label xml:lang="en-US" xlink:label="mpw_QuarterlyFinancialInformationTable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Quarterly Financial Information [Table]</label>
    <label xml:lang="en-US" xlink:label="mpw_QuarterlyFinancialInformationLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Quarterly Financial Information [Line Items]</label>
    <label xml:lang="en-US" xlink:label="mpw_QuarterlyFinancialInformationLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Quarterly Financial Information [Line Items]</label>
    <label xml:lang="en-US" xlink:label="us-gaap_Revenues_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel">Revenues</label>
    <label xml:lang="en-US" xlink:label="us-gaap_NetIncomeLoss_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Net income attributable to MPT common stockholders</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_SubsequentEventTable" xlink:type="locator" xlink:label="us-gaap_SubsequentEventTable" />
    <label xml:lang="en-US" xlink:label="us-gaap_SubsequentEventTable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Subsequent Event [Table]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_SubsequentEventTable" xlink:to="us-gaap_SubsequentEventTable_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_SubsequentEventTable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Subsequent Event [Table]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_HealthscopeMember" xlink:type="locator" xlink:label="mpw_HealthscopeMember" />
    <label xml:lang="en-US" xlink:label="mpw_HealthscopeMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Health scope member</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_HealthscopeMember" xlink:to="mpw_HealthscopeMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_HealthscopeMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Healthscope [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_HealthscopeMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Healthscope [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_SubsequentEventTypeAxis" xlink:type="locator" xlink:label="us-gaap_SubsequentEventTypeAxis" />
    <label xml:lang="en-US" xlink:label="us-gaap_SubsequentEventTypeAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Subsequent Event Type</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_SubsequentEventTypeAxis" xlink:to="us-gaap_SubsequentEventTypeAxis_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_SubsequentEventTypeAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Subsequent Event Type [Axis]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_SubsequentEventTypeDomain" xlink:type="locator" xlink:label="us-gaap_SubsequentEventTypeDomain" />
    <label xml:lang="en-US" xlink:label="us-gaap_SubsequentEventTypeDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Subsequent Event Type</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_SubsequentEventTypeDomain" xlink:to="us-gaap_SubsequentEventTypeDomain_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_SubsequentEventTypeDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Subsequent Event Type [Domain]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_SubsequentEventMember" xlink:type="locator" xlink:label="us-gaap_SubsequentEventMember" />
    <label xml:lang="en-US" xlink:label="us-gaap_SubsequentEventMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Subsequent Event [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_SubsequentEventMember" xlink:to="us-gaap_SubsequentEventMember_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_SubsequentEventMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Subsequent Event [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_SubsequentEventLineItems" xlink:type="locator" xlink:label="us-gaap_SubsequentEventLineItems" />
    <label xml:lang="en-US" xlink:label="us-gaap_SubsequentEventLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Subsequent Event [Line Items]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_SubsequentEventLineItems" xlink:to="us-gaap_SubsequentEventLineItems_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_SubsequentEventLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Subsequent Event [Line Items]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ValuationAllowancesAndReservesBalance" xlink:type="locator" xlink:label="us-gaap_ValuationAllowancesAndReservesBalance" />
    <label xml:lang="en-US" xlink:label="us-gaap_ValuationAllowancesAndReservesBalance_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/periodStartLabel">Balance at Beginning of Year</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ValuationAllowancesAndReservesBalance" xlink:to="us-gaap_ValuationAllowancesAndReservesBalance_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ValuationAllowancesAndReservesBalance_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Valuation Allowances And Reserves Balance</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ValuationAllowancesAndReservesChargedToOtherAccounts" xlink:type="locator" xlink:label="us-gaap_ValuationAllowancesAndReservesChargedToOtherAccounts" />
    <label xml:lang="en-US" xlink:label="us-gaap_ValuationAllowancesAndReservesChargedToOtherAccounts_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Additions charged against operations</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ValuationAllowancesAndReservesChargedToOtherAccounts" xlink:to="us-gaap_ValuationAllowancesAndReservesChargedToOtherAccounts_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ValuationAllowancesAndReservesChargedToOtherAccounts_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Valuation Allowances And Reserves Charged To Other Accounts</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ValuationAllowancesAndReservesDeductions" xlink:type="locator" xlink:label="us-gaap_ValuationAllowancesAndReservesDeductions" />
    <label xml:lang="en-US" xlink:label="us-gaap_ValuationAllowancesAndReservesDeductions_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">Deductions,Net recoveries/write offs</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ValuationAllowancesAndReservesDeductions" xlink:to="us-gaap_ValuationAllowancesAndReservesDeductions_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ValuationAllowancesAndReservesDeductions_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Valuation Allowances And Reserves Deductions</label>
    <label xml:lang="en-US" xlink:label="us-gaap_ValuationAllowancesAndReservesBalance_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/periodEndLabel">Balance at end of year</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_DeferredTaxAssetsTaxDeferredExpenseWriteOffsRelatedToPaymentOfRentLateFeesAndLoans" xlink:type="locator" xlink:label="mpw_DeferredTaxAssetsTaxDeferredExpenseWriteOffsRelatedToPaymentOfRentLateFeesAndLoans" />
    <label xml:lang="en-US" xlink:label="mpw_DeferredTaxAssetsTaxDeferredExpenseWriteOffsRelatedToPaymentOfRentLateFeesAndLoans_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Deferred tax assets, tax deferred expense, write offs related to payment of rent, late fees, and loans.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_DeferredTaxAssetsTaxDeferredExpenseWriteOffsRelatedToPaymentOfRentLateFeesAndLoans" xlink:to="mpw_DeferredTaxAssetsTaxDeferredExpenseWriteOffsRelatedToPaymentOfRentLateFeesAndLoans_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsDeferredRentAndInterest" xlink:type="locator" xlink:label="mpw_DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsDeferredRentAndInterest" />
    <label xml:lang="en-US" xlink:label="mpw_DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsDeferredRentAndInterest_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Deferred Tax Assets, Tax Deferred Expense, Reserves and Accruals, Deferred Rent and Interest</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsDeferredRentAndInterest" xlink:to="mpw_DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsDeferredRentAndInterest_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_IncreaseDecreaseInRealEstateImpairmentReserve" xlink:type="locator" xlink:label="mpw_IncreaseDecreaseInRealEstateImpairmentReserve" />
    <label xml:lang="en-US" xlink:label="mpw_IncreaseDecreaseInRealEstateImpairmentReserve_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Increase decrease in real estate impairment reserve.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_IncreaseDecreaseInRealEstateImpairmentReserve" xlink:to="mpw_IncreaseDecreaseInRealEstateImpairmentReserve_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_IncreaseDecreaseInAccountsReceivableReserve" xlink:type="locator" xlink:label="mpw_IncreaseDecreaseInAccountsReceivableReserve" />
    <label xml:lang="en-US" xlink:label="mpw_IncreaseDecreaseInAccountsReceivableReserve_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Increase decrease in accounts receivable reserve.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_IncreaseDecreaseInAccountsReceivableReserve" xlink:to="mpw_IncreaseDecreaseInAccountsReceivableReserve_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_TwelveOaksFacilityMember" xlink:type="locator" xlink:label="mpw_TwelveOaksFacilityMember" />
    <label xml:lang="en-US" xlink:label="mpw_TwelveOaksFacilityMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Twelve Oaks facility.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_TwelveOaksFacilityMember" xlink:to="mpw_TwelveOaksFacilityMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_TwelveOaksFacilityMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Twelve Oaks Facility [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_TwelveOaksFacilityMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Twelve Oaks Facility [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_CorinthFacilityMember" xlink:type="locator" xlink:label="mpw_CorinthFacilityMember" />
    <label xml:lang="en-US" xlink:label="mpw_CorinthFacilityMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Corinth facility.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_CorinthFacilityMember" xlink:to="mpw_CorinthFacilityMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_CorinthFacilityMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Corinth Facility [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_CorinthFacilityMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Corinth Facility [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_McHealthcareLoanMember" xlink:type="locator" xlink:label="mpw_McHealthcareLoanMember" />
    <label xml:lang="en-US" xlink:label="mpw_McHealthcareLoanMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Mc Healthcare loan.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_McHealthcareLoanMember" xlink:to="mpw_McHealthcareLoanMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_McHealthcareLoanMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">M/C Healthcare Loan [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_McHealthcareLoanMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Mc Healthcare Loan [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ValuationAllowanceByDeferredTaxAssetAxis" xlink:type="locator" xlink:label="us-gaap_ValuationAllowanceByDeferredTaxAssetAxis" />
    <label xml:lang="en-US" xlink:label="us-gaap_ValuationAllowanceByDeferredTaxAssetAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Valuation Allowance by Deferred Tax Asset</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ValuationAllowanceByDeferredTaxAssetAxis" xlink:to="us-gaap_ValuationAllowanceByDeferredTaxAssetAxis_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ValuationAllowanceByDeferredTaxAssetAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Valuation Allowance By Deferred Tax Asset [Axis]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DeferredTaxAssetDomain" xlink:type="locator" xlink:label="us-gaap_DeferredTaxAssetDomain" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredTaxAssetDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Deferred Tax Asset</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DeferredTaxAssetDomain" xlink:to="us-gaap_DeferredTaxAssetDomain_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredTaxAssetDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Deferred Tax Asset [Domain]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_DomesticValuationAllowancesMember" xlink:type="locator" xlink:label="mpw_DomesticValuationAllowancesMember" />
    <label xml:lang="en-US" xlink:label="mpw_DomesticValuationAllowancesMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Domestic valuation allowances.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_DomesticValuationAllowancesMember" xlink:to="mpw_DomesticValuationAllowancesMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_DomesticValuationAllowancesMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Domestic Valuation Allowances [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_DomesticValuationAllowancesMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Domestic Valuation Allowances [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_ForeignValuationAllowancesMember" xlink:type="locator" xlink:label="mpw_ForeignValuationAllowancesMember" />
    <label xml:lang="en-US" xlink:label="mpw_ForeignValuationAllowancesMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Foreign valuation allowances.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_ForeignValuationAllowancesMember" xlink:to="mpw_ForeignValuationAllowancesMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_ForeignValuationAllowancesMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Foreign Valuation Allowances [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_ForeignValuationAllowancesMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Foreign Valuation Allowances [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_IncreaseDecreaseInRealEstateImpairmentReserve_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Increase in real estate impairment reserve</label>
    <label xml:lang="en-US" xlink:label="mpw_IncreaseDecreaseInRealEstateImpairmentReserve_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Increase Decrease In Real Estate Impairment Reserve</label>
    <label xml:lang="en-US" xlink:label="mpw_IncreaseDecreaseInAccountsReceivableReserve_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Increase in accounts receivable reserve</label>
    <label xml:lang="en-US" xlink:label="mpw_IncreaseDecreaseInAccountsReceivableReserve_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Increase Decrease In Accounts Receivable Reserve</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ValuationAllowancesAndReservesPeriodIncreaseDecrease" xlink:type="locator" xlink:label="us-gaap_ValuationAllowancesAndReservesPeriodIncreaseDecrease" />
    <label xml:lang="en-US" xlink:label="us-gaap_ValuationAllowancesAndReservesPeriodIncreaseDecrease_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Increase (decrease) in valuation allowance</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ValuationAllowancesAndReservesPeriodIncreaseDecrease" xlink:to="us-gaap_ValuationAllowancesAndReservesPeriodIncreaseDecrease_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_ValuationAllowancesAndReservesPeriodIncreaseDecrease_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Valuation Allowances And Reserves Period Increase Decrease</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsDeferredRent" xlink:type="locator" xlink:label="us-gaap_DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsDeferredRent" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsDeferredRent_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Rent reserves</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsDeferredRent" xlink:to="us-gaap_DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsDeferredRent_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsDeferredRent_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Deferred Rent</label>
    <label xml:lang="en-US" xlink:label="mpw_DeferredTaxAssetsTaxDeferredExpenseWriteOffsRelatedToPaymentOfRentLateFeesAndLoans_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Write offs related to payment of rent, late fees, and loans</label>
    <label xml:lang="en-US" xlink:label="mpw_DeferredTaxAssetsTaxDeferredExpenseWriteOffsRelatedToPaymentOfRentLateFeesAndLoans_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Deferred Tax Assets Tax Deferred Expense Write Offs Related To Payment Of Rent Late Fees And Loans</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsProvisionForLoanLosses" xlink:type="locator" xlink:label="us-gaap_DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsProvisionForLoanLosses" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsProvisionForLoanLosses_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Write offs related to loan</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsProvisionForLoanLosses" xlink:to="us-gaap_DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsProvisionForLoanLosses_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsProvisionForLoanLosses_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Provision For Loan Losses</label>
    <label xml:lang="en-US" xlink:label="mpw_DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsDeferredRentAndInterest_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Write offs for rent and interest reserves</label>
    <label xml:lang="en-US" xlink:label="mpw_DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsDeferredRentAndInterest_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Deferred Rent And Interest</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_RealEstateAndAccumulatedDepreciationPropertyDescription" xlink:type="locator" xlink:label="mpw_RealEstateAndAccumulatedDepreciationPropertyDescription" />
    <label xml:lang="en-US" xlink:label="mpw_RealEstateAndAccumulatedDepreciationPropertyDescription_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Real Estate And Accumulated Depreciation Property Description</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_RealEstateAndAccumulatedDepreciationPropertyDescription" xlink:to="mpw_RealEstateAndAccumulatedDepreciationPropertyDescription_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_RealEstateAndAccumulatedDepreciationCostsCapitalizedSubsequentToAcquisitionImpairmentAdjustments" xlink:type="locator" xlink:label="mpw_RealEstateAndAccumulatedDepreciationCostsCapitalizedSubsequentToAcquisitionImpairmentAdjustments" />
    <label xml:lang="en-US" xlink:label="mpw_RealEstateAndAccumulatedDepreciationCostsCapitalizedSubsequentToAcquisitionImpairmentAdjustments_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">SEC Schedule III, Real Estate and Accumulated Depreciation, Costs Capitalized Subsequent to Acquisition, Impairment Adjustments</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_RealEstateAndAccumulatedDepreciationCostsCapitalizedSubsequentToAcquisitionImpairmentAdjustments" xlink:to="mpw_RealEstateAndAccumulatedDepreciationCostsCapitalizedSubsequentToAcquisitionImpairmentAdjustments_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_RealEstateAndAccumulatedDepreciationCostsCapitalizedSubsequentToAcquisitionCarryingCostsAdjustments" xlink:type="locator" xlink:label="mpw_RealEstateAndAccumulatedDepreciationCostsCapitalizedSubsequentToAcquisitionCarryingCostsAdjustments" />
    <label xml:lang="en-US" xlink:label="mpw_RealEstateAndAccumulatedDepreciationCostsCapitalizedSubsequentToAcquisitionCarryingCostsAdjustments_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">SEC Schedule III, Real estate and accumulated depreciation, costs capitalized subsequent to acquisition, carrying costs including adjustments.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_RealEstateAndAccumulatedDepreciationCostsCapitalizedSubsequentToAcquisitionCarryingCostsAdjustments" xlink:to="mpw_RealEstateAndAccumulatedDepreciationCostsCapitalizedSubsequentToAcquisitionCarryingCostsAdjustments_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_RealEstateAndAccumulatedDepreciationYearOfConstruction" xlink:type="locator" xlink:label="mpw_RealEstateAndAccumulatedDepreciationYearOfConstruction" />
    <label xml:lang="en-US" xlink:label="mpw_RealEstateAndAccumulatedDepreciationYearOfConstruction_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Real Estate And Accumulated Depreciation Year Of Construction</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_RealEstateAndAccumulatedDepreciationYearOfConstruction" xlink:to="mpw_RealEstateAndAccumulatedDepreciationYearOfConstruction_lbl" />
    <loc xlink:href="http://xbrl.fasb.org/srt/2018/elts/srt-2018-01-31.xsd#srt_RealEstateAndAccumulatedDepreciationByPropertyTable" xlink:type="locator" xlink:label="srt_RealEstateAndAccumulatedDepreciationByPropertyTable" />
    <label xml:lang="en-US" xlink:label="srt_RealEstateAndAccumulatedDepreciationByPropertyTable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Real Estate And Accumulated Depreciation By Property [Table]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="srt_RealEstateAndAccumulatedDepreciationByPropertyTable" xlink:to="srt_RealEstateAndAccumulatedDepreciationByPropertyTable_lbl" />
    <label xml:lang="en-US" xlink:label="srt_RealEstateAndAccumulatedDepreciationByPropertyTable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Real Estate And Accumulated Depreciation By Property [Table]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_AwardDateAxis" xlink:type="locator" xlink:label="us-gaap_AwardDateAxis" />
    <label xml:lang="en-US" xlink:label="us-gaap_AwardDateAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Award Date</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_AwardDateAxis" xlink:to="us-gaap_AwardDateAxis_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_AwardDateAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Award Date [Axis]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_AwardDateDomain" xlink:type="locator" xlink:label="us-gaap_AwardDateDomain" />
    <label xml:lang="en-US" xlink:label="us-gaap_AwardDateDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Award Date</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_AwardDateDomain" xlink:to="us-gaap_AwardDateDomain_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_AwardDateDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Award Date [Domain]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_TwoThousandEightMember" xlink:type="locator" xlink:label="mpw_TwoThousandEightMember" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandEightMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Two thousand eight.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_TwoThousandEightMember" xlink:to="mpw_TwoThousandEightMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandEightMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2008 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandEightMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Two Thousand Eight [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_TwoThousandNineMember" xlink:type="locator" xlink:label="mpw_TwoThousandNineMember" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandNineMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Two thousand nine.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_TwoThousandNineMember" xlink:to="mpw_TwoThousandNineMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandNineMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2009 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandNineMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Two Thousand Nine [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NineteenSeventySevenMember" xlink:type="locator" xlink:label="mpw_NineteenSeventySevenMember" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenSeventySevenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Nineteen seventy seven.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NineteenSeventySevenMember" xlink:to="mpw_NineteenSeventySevenMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenSeventySevenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">1977 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NineteenSeventySevenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Nineteen Seventy Seven [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_EighteenEightyFiveMember" xlink:type="locator" xlink:label="mpw_EighteenEightyFiveMember" />
    <label xml:lang="en-US" xlink:label="mpw_EighteenEightyFiveMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Eighteen eighty five.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_EighteenEightyFiveMember" xlink:to="mpw_EighteenEightyFiveMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_EighteenEightyFiveMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">1885 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_EighteenEightyFiveMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Eighteen Eighty Five [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NineteenNinetyOneMember" xlink:type="locator" xlink:label="mpw_NineteenNinetyOneMember" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenNinetyOneMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Nineteen ninety one.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NineteenNinetyOneMember" xlink:to="mpw_NineteenNinetyOneMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenNinetyOneMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">1991 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NineteenNinetyOneMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Nineteen Ninety One [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_TwoThousandElevenMember" xlink:type="locator" xlink:label="mpw_TwoThousandElevenMember" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandElevenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Two thousand eleven.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_TwoThousandElevenMember" xlink:to="mpw_TwoThousandElevenMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandElevenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2011 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandElevenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Two Thousand Eleven [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NineteenSeventyFourMember" xlink:type="locator" xlink:label="mpw_NineteenSeventyFourMember" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenSeventyFourMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Nineteen seventy four.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NineteenSeventyFourMember" xlink:to="mpw_NineteenSeventyFourMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenSeventyFourMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">1974 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NineteenSeventyFourMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Nineteen Seventy Four [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NineteenEightyNineMember" xlink:type="locator" xlink:label="mpw_NineteenEightyNineMember" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenEightyNineMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Nineteen eighty Nine.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NineteenEightyNineMember" xlink:to="mpw_NineteenEightyNineMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenEightyNineMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">1989 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NineteenEightyNineMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Nineteen Eighty Nine [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_TwoThousandSixteenOneMember" xlink:type="locator" xlink:label="mpw_TwoThousandSixteenOneMember" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandSixteenOneMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Two thousand sixteen one.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_TwoThousandSixteenOneMember" xlink:to="mpw_TwoThousandSixteenOneMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandSixteenOneMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2016 One [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandSixteenOneMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Two Thousand Sixteen One [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NineteenSixtyMember" xlink:type="locator" xlink:label="mpw_NineteenSixtyMember" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenSixtyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Nineteen sixty.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NineteenSixtyMember" xlink:to="mpw_NineteenSixtyMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenSixtyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">1960 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NineteenSixtyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Nineteen Sixty [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NineteenSeventyThreeMember" xlink:type="locator" xlink:label="mpw_NineteenSeventyThreeMember" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenSeventyThreeMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Nineteen seventy three.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NineteenSeventyThreeMember" xlink:to="mpw_NineteenSeventyThreeMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenSeventyThreeMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">1973 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NineteenSeventyThreeMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Nineteen Seventy Three [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_TwoThousandTenMember" xlink:type="locator" xlink:label="mpw_TwoThousandTenMember" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandTenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Two thousand ten.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_TwoThousandTenMember" xlink:to="mpw_TwoThousandTenMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandTenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2010 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandTenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Two Thousand Ten [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NineteenNinetyThreeMember" xlink:type="locator" xlink:label="mpw_NineteenNinetyThreeMember" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenNinetyThreeMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Nineteen ninety three .</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NineteenNinetyThreeMember" xlink:to="mpw_NineteenNinetyThreeMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenNinetyThreeMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">1993 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NineteenNinetyThreeMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Nineteen Ninety Three [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_TwoThousandSixMember" xlink:type="locator" xlink:label="mpw_TwoThousandSixMember" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandSixMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Two thousand six.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_TwoThousandSixMember" xlink:to="mpw_TwoThousandSixMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandSixMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2006 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandSixMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Two Thousand Six [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_EighteenEightySixMember" xlink:type="locator" xlink:label="mpw_EighteenEightySixMember" />
    <label xml:lang="en-US" xlink:label="mpw_EighteenEightySixMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Eighteen eighty six.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_EighteenEightySixMember" xlink:to="mpw_EighteenEightySixMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_EighteenEightySixMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">1886 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_EighteenEightySixMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Eighteen Eighty Six [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NineteenEightyThreeMember" xlink:type="locator" xlink:label="mpw_NineteenEightyThreeMember" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenEightyThreeMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Nineteen eighty three.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NineteenEightyThreeMember" xlink:to="mpw_NineteenEightyThreeMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenEightyThreeMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">1983 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NineteenEightyThreeMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Nineteen Eighty Three [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NineteenFiftyOneMember" xlink:type="locator" xlink:label="mpw_NineteenFiftyOneMember" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenFiftyOneMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Nineteen fifty one.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NineteenFiftyOneMember" xlink:to="mpw_NineteenFiftyOneMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenFiftyOneMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">1951 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NineteenFiftyOneMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Nineteen Fifty One [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_TwoThousandFourteenMember" xlink:type="locator" xlink:label="mpw_TwoThousandFourteenMember" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandFourteenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Two thousand fourteen.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_TwoThousandFourteenMember" xlink:to="mpw_TwoThousandFourteenMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandFourteenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2014 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandFourteenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Two Thousand Fourteen [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_TwoThousandFifteenMember" xlink:type="locator" xlink:label="mpw_TwoThousandFifteenMember" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandFifteenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Two thousand fifteen.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_TwoThousandFifteenMember" xlink:to="mpw_TwoThousandFifteenMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandFifteenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2015 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandFifteenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Two Thousand Fifteen [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NineteenSeventyMember" xlink:type="locator" xlink:label="mpw_NineteenSeventyMember" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenSeventyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Nineteen seventy.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NineteenSeventyMember" xlink:to="mpw_NineteenSeventyMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenSeventyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">1970 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NineteenSeventyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Nineteen Seventy [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_TwoThousandThirteenMember" xlink:type="locator" xlink:label="mpw_TwoThousandThirteenMember" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandThirteenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Two thousand thirteen.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_TwoThousandThirteenMember" xlink:to="mpw_TwoThousandThirteenMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandThirteenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2013 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandThirteenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Two Thousand Thirteen [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NineteenEighteenMember" xlink:type="locator" xlink:label="mpw_NineteenEighteenMember" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenEighteenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Nineteen eighteen.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NineteenEighteenMember" xlink:to="mpw_NineteenEighteenMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenEighteenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">1918 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NineteenEighteenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Nineteen Eighteen [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NineteenEightyFourMember" xlink:type="locator" xlink:label="mpw_NineteenEightyFourMember" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenEightyFourMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Nineteen eighty four.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NineteenEightyFourMember" xlink:to="mpw_NineteenEightyFourMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenEightyFourMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">1984 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NineteenEightyFourMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Nineteen Eighty Four [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NineteenEightyMember" xlink:type="locator" xlink:label="mpw_NineteenEightyMember" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenEightyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Nineteen eighty.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NineteenEightyMember" xlink:to="mpw_NineteenEightyMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenEightyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">1980 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NineteenEightyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Nineteen Eighty [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NineteenEightyTwoMember" xlink:type="locator" xlink:label="mpw_NineteenEightyTwoMember" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenEightyTwoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Nineteen eighty two.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NineteenEightyTwoMember" xlink:to="mpw_NineteenEightyTwoMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenEightyTwoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">1982 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NineteenEightyTwoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Nineteen Eighty Two [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NineteenSeventeenMember" xlink:type="locator" xlink:label="mpw_NineteenSeventeenMember" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenSeventeenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Nineteen seventeen .</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NineteenSeventeenMember" xlink:to="mpw_NineteenSeventeenMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenSeventeenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">1917 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NineteenSeventeenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Nineteen Seventeen [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NineteenSixtyFiveMember" xlink:type="locator" xlink:label="mpw_NineteenSixtyFiveMember" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenSixtyFiveMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Nineteen sixty five.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NineteenSixtyFiveMember" xlink:to="mpw_NineteenSixtyFiveMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenSixtyFiveMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">1965 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NineteenSixtyFiveMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Nineteen Sixty Five [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_BathUnitedKingdomMember" xlink:type="locator" xlink:label="mpw_BathUnitedKingdomMember" />
    <label xml:lang="en-US" xlink:label="mpw_BathUnitedKingdomMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Bath United kingdom.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_BathUnitedKingdomMember" xlink:to="mpw_BathUnitedKingdomMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_BathUnitedKingdomMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Bath, UK [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_BathUnitedKingdomMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Bath United Kingdom [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_BraunfelsGermanyMember" xlink:type="locator" xlink:label="mpw_BraunfelsGermanyMember" />
    <label xml:lang="en-US" xlink:label="mpw_BraunfelsGermanyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Braunfels, Germany.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_BraunfelsGermanyMember" xlink:to="mpw_BraunfelsGermanyMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_BraunfelsGermanyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Braunfels, Germany [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_BraunfelsGermanyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Braunfels Germany [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_HeidelbergGermanyMember" xlink:type="locator" xlink:label="mpw_HeidelbergGermanyMember" />
    <label xml:lang="en-US" xlink:label="mpw_HeidelbergGermanyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Heidelberg Germany.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_HeidelbergGermanyMember" xlink:to="mpw_HeidelbergGermanyMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_HeidelbergGermanyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Heidelberg, Germany [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_HeidelbergGermanyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Heidelberg Germany [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_CologneGermanyMember" xlink:type="locator" xlink:label="mpw_CologneGermanyMember" />
    <label xml:lang="en-US" xlink:label="mpw_CologneGermanyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Cologne Germany.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_CologneGermanyMember" xlink:to="mpw_CologneGermanyMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_CologneGermanyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Cologne, Germany [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_CologneGermanyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Cologne Germany [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_BadSalzuflenGermanyMember" xlink:type="locator" xlink:label="mpw_BadSalzuflenGermanyMember" />
    <label xml:lang="en-US" xlink:label="mpw_BadSalzuflenGermanyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Bad Salzuflen Germany.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_BadSalzuflenGermanyMember" xlink:to="mpw_BadSalzuflenGermanyMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_BadSalzuflenGermanyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Bad Salzuflen, Germany [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_BadSalzuflenGermanyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Bad Salzuflen Germany [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_HoustonTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Houston, TX [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_BadOeynhausenGermanyMember" xlink:type="locator" xlink:label="mpw_BadOeynhausenGermanyMember" />
    <label xml:lang="en-US" xlink:label="mpw_BadOeynhausenGermanyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Bad Oeynhausen Germany.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_BadOeynhausenGermanyMember" xlink:to="mpw_BadOeynhausenGermanyMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_BadOeynhausenGermanyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Bad Oeynhausen, Germany [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_BadOeynhausenGermanyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Bad Oeynhausen Germany [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_DormagenGermanyMember" xlink:type="locator" xlink:label="mpw_DormagenGermanyMember" />
    <label xml:lang="en-US" xlink:label="mpw_DormagenGermanyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Dormagen, Germany.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_DormagenGermanyMember" xlink:to="mpw_DormagenGermanyMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_DormagenGermanyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Dormagen, Germany [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_DormagenGermanyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Dormagen Germany [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_GrefathGermanyMember" xlink:type="locator" xlink:label="mpw_GrefathGermanyMember" />
    <label xml:lang="en-US" xlink:label="mpw_GrefathGermanyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Grefath, Germany.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_GrefathGermanyMember" xlink:to="mpw_GrefathGermanyMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_GrefathGermanyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Grefath, Germany [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_GrefathGermanyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Grefath Germany [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_RemscheidGermanyMember" xlink:type="locator" xlink:label="mpw_RemscheidGermanyMember" />
    <label xml:lang="en-US" xlink:label="mpw_RemscheidGermanyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Remscheid, Germany,</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_RemscheidGermanyMember" xlink:to="mpw_RemscheidGermanyMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_RemscheidGermanyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Remscheid, Germany [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_RemscheidGermanyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Remscheid Germany [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_AllenTexasMember" xlink:type="locator" xlink:label="mpw_AllenTexasMember" />
    <label xml:lang="en-US" xlink:label="mpw_AllenTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Allen Texas.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_AllenTexasMember" xlink:to="mpw_AllenTexasMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_AllenTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Allen, TX [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_AllenTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Allen Texas [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_SanDiegoCaliforniaTwoMember" xlink:type="locator" xlink:label="mpw_SanDiegoCaliforniaTwoMember" />
    <label xml:lang="en-US" xlink:label="mpw_SanDiegoCaliforniaTwoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">San Diego, California two.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_SanDiegoCaliforniaTwoMember" xlink:to="mpw_SanDiegoCaliforniaTwoMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_SanDiegoCaliforniaTwoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">San Diego, CA [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_SanDiegoCaliforniaTwoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">San Diego California Two [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_AlvinTexasMember" xlink:type="locator" xlink:label="mpw_AlvinTexasMember" />
    <label xml:lang="en-US" xlink:label="mpw_AlvinTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Alvin Texas.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_AlvinTexasMember" xlink:to="mpw_AlvinTexasMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_AlvinTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Alvin, TX [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_AlvinTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Alvin Texas [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_AuroraCoMember" xlink:type="locator" xlink:label="mpw_AuroraCoMember" />
    <label xml:lang="en-US" xlink:label="mpw_AuroraCoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Aurora, CO.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_AuroraCoMember" xlink:to="mpw_AuroraCoMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_AuroraCoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Aurora, CO [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_AuroraCoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Aurora Co [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_FtWorthTexasMember" xlink:type="locator" xlink:label="mpw_FtWorthTexasMember" />
    <label xml:lang="en-US" xlink:label="mpw_FtWorthTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Ft Worth, Texas.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_FtWorthTexasMember" xlink:to="mpw_FtWorthTexasMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_FtWorthTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Ft. Worth, TX [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_FtWorthTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Ft Worth Texas [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_AyerMAMember" xlink:type="locator" xlink:label="mpw_AyerMAMember" />
    <label xml:lang="en-US" xlink:label="mpw_AyerMAMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Ayer, MA.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_AyerMAMember" xlink:to="mpw_AyerMAMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_AyerMAMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Ayer, MA [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_AyerMAMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Ayer M A [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_BayonneNewJerseyMember" xlink:type="locator" xlink:label="mpw_BayonneNewJerseyMember" />
    <label xml:lang="en-US" xlink:label="mpw_BayonneNewJerseyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Bayonne, New Jersey.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_BayonneNewJerseyMember" xlink:to="mpw_BayonneNewJerseyMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_BayonneNewJerseyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Bayonne, NJ [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_BayonneNewJerseyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Bayonne New Jersey [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_BennettsvilleSouthCarolinaMember" xlink:type="locator" xlink:label="mpw_BennettsvilleSouthCarolinaMember" />
    <label xml:lang="en-US" xlink:label="mpw_BennettsvilleSouthCarolinaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Bennettsville, South Carolina.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_BennettsvilleSouthCarolinaMember" xlink:to="mpw_BennettsvilleSouthCarolinaMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_BennettsvilleSouthCarolinaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Bennettsville, SC [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_BennettsvilleSouthCarolinaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Bennettsville South Carolina [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_BlueSpringsMOMember" xlink:type="locator" xlink:label="mpw_BlueSpringsMOMember" />
    <label xml:lang="en-US" xlink:label="mpw_BlueSpringsMOMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Blue Springs, MO.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_BlueSpringsMOMember" xlink:to="mpw_BlueSpringsMOMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_BlueSpringsMOMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Blue Springs, MO [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_BlueSpringsMOMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Blue Springs M O [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_BoiseIDMember" xlink:type="locator" xlink:label="mpw_BoiseIDMember" />
    <label xml:lang="en-US" xlink:label="mpw_BoiseIDMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Boise, ID.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_BoiseIDMember" xlink:to="mpw_BoiseIDMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_BoiseIDMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Boise, ID [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_BoiseIDMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Boise I D [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_BossierCityLosAngelesMember" xlink:type="locator" xlink:label="mpw_BossierCityLosAngelesMember" />
    <label xml:lang="en-US" xlink:label="mpw_BossierCityLosAngelesMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Bossier City, Los Angeles.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_BossierCityLosAngelesMember" xlink:to="mpw_BossierCityLosAngelesMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_BossierCityLosAngelesMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Bossier City, LA [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_BossierCityLosAngelesMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Bossier City Los Angeles [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_BrightonMAMember" xlink:type="locator" xlink:label="mpw_BrightonMAMember" />
    <label xml:lang="en-US" xlink:label="mpw_BrightonMAMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Brighton, MA.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_BrightonMAMember" xlink:to="mpw_BrightonMAMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_BrightonMAMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Brighton, MA [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_BrightonMAMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Brighton M A [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_BrocktonMAMember" xlink:type="locator" xlink:label="mpw_BrocktonMAMember" />
    <label xml:lang="en-US" xlink:label="mpw_BrocktonMAMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Brockton, MA.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_BrocktonMAMember" xlink:to="mpw_BrocktonMAMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_BrocktonMAMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Brockton, MA [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_BrocktonMAMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Brockton M A [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_GlendaleAZMember" xlink:type="locator" xlink:label="mpw_GlendaleAZMember" />
    <label xml:lang="en-US" xlink:label="mpw_GlendaleAZMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Glendale, AZ.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_GlendaleAZMember" xlink:to="mpw_GlendaleAZMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_GlendaleAZMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Glendale, AZ [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_GlendaleAZMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Glendale A Z [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_AustinTexasMember" xlink:type="locator" xlink:label="mpw_AustinTexasMember" />
    <label xml:lang="en-US" xlink:label="mpw_AustinTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Austin Texas.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_AustinTexasMember" xlink:to="mpw_AustinTexasMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_AustinTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Austin, TX [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_AustinTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Austin Texas [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_BroomfieldCOMember" xlink:type="locator" xlink:label="mpw_BroomfieldCOMember" />
    <label xml:lang="en-US" xlink:label="mpw_BroomfieldCOMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Broomfield, CO.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_BroomfieldCOMember" xlink:to="mpw_BroomfieldCOMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_BroomfieldCOMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Broomfield, CO [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_BroomfieldCOMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Broomfield C O [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NewOrleansLouisianaMember" xlink:type="locator" xlink:label="mpw_NewOrleansLouisianaMember" />
    <label xml:lang="en-US" xlink:label="mpw_NewOrleansLouisianaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">New Orleans Louisiana.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NewOrleansLouisianaMember" xlink:to="mpw_NewOrleansLouisianaMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NewOrleansLouisianaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">New Orleans, LA [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NewOrleansLouisianaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">New Orleans Louisiana [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_CarrolltonTXMember" xlink:type="locator" xlink:label="mpw_CarrolltonTXMember" />
    <label xml:lang="en-US" xlink:label="mpw_CarrolltonTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Carrollton, TX.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_CarrolltonTXMember" xlink:to="mpw_CarrolltonTXMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_CarrolltonTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Carrollton, TX [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_CarrolltonTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Carrollton T X [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_CedarHillTexasMember" xlink:type="locator" xlink:label="mpw_CedarHillTexasMember" />
    <label xml:lang="en-US" xlink:label="mpw_CedarHillTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Cedar Hill Texas.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_CedarHillTexasMember" xlink:to="mpw_CedarHillTexasMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_CedarHillTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Cedar Hill. TX [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_CedarHillTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Cedar Hill Texas [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_SpringTexasMember" xlink:type="locator" xlink:label="mpw_SpringTexasMember" />
    <label xml:lang="en-US" xlink:label="mpw_SpringTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Spring Texas.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_SpringTexasMember" xlink:to="mpw_SpringTexasMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_SpringTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Spring, TX [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_SpringTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Spring Texas [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_TwoThousandFifteenOneMember" xlink:type="locator" xlink:label="mpw_TwoThousandFifteenOneMember" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandFifteenOneMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Two thousand fifteen one.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_TwoThousandFifteenOneMember" xlink:to="mpw_TwoThousandFifteenOneMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandFifteenOneMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2015 One [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandFifteenOneMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Two Thousand Fifteen One [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_TwoThousandFourMember" xlink:type="locator" xlink:label="mpw_TwoThousandFourMember" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandFourMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Two thousand four.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_TwoThousandFourMember" xlink:to="mpw_TwoThousandFourMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandFourMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2004 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandFourMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Two Thousand Four [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NineteenFiftySixMember" xlink:type="locator" xlink:label="mpw_NineteenFiftySixMember" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenFiftySixMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Nineteen fifty six.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NineteenFiftySixMember" xlink:to="mpw_NineteenFiftySixMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenFiftySixMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">1956 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NineteenFiftySixMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Nineteen Fifty Six [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NineteenFiftyThreeMember" xlink:type="locator" xlink:label="mpw_NineteenFiftyThreeMember" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenFiftyThreeMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Nineteen fifty three.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NineteenFiftyThreeMember" xlink:to="mpw_NineteenFiftyThreeMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenFiftyThreeMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">1953 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NineteenFiftyThreeMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Nineteen Fifty Three [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NineteenThirtyMember" xlink:type="locator" xlink:label="mpw_NineteenThirtyMember" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenThirtyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Nineteen thirty.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NineteenThirtyMember" xlink:to="mpw_NineteenThirtyMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenThirtyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">1930 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NineteenThirtyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Nineteen Thirty [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_TwoThousandFiveMember" xlink:type="locator" xlink:label="mpw_TwoThousandFiveMember" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandFiveMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Two thousand five.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_TwoThousandFiveMember" xlink:to="mpw_TwoThousandFiveMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandFiveMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2005 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandFiveMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Two Thousand Five [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NineteenThirtyNineMember" xlink:type="locator" xlink:label="mpw_NineteenThirtyNineMember" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenThirtyNineMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Nineteen thirty nine.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NineteenThirtyNineMember" xlink:to="mpw_NineteenThirtyNineMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenThirtyNineMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">1939 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NineteenThirtyNineMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Nineteen Thirty Nine [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NineteenFiftyMember" xlink:type="locator" xlink:label="mpw_NineteenFiftyMember" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenFiftyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Nineteen fifty .</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NineteenFiftyMember" xlink:to="mpw_NineteenFiftyMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenFiftyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">1950 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NineteenFiftyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Nineteen Fifty [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NineteenSeventyTwoMember" xlink:type="locator" xlink:label="mpw_NineteenSeventyTwoMember" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenSeventyTwoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Nineteen seventy two.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NineteenSeventyTwoMember" xlink:to="mpw_NineteenSeventyTwoMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenSeventyTwoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">1972 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NineteenSeventyTwoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Nineteen Seventy Two [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NineteenEightyFiveMember" xlink:type="locator" xlink:label="mpw_NineteenEightyFiveMember" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenEightyFiveMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Nineteen eighty five.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NineteenEightyFiveMember" xlink:to="mpw_NineteenEightyFiveMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenEightyFiveMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">1985 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NineteenEightyFiveMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Nineteen Eighty Five [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_TwoThousandTwelveMember" xlink:type="locator" xlink:label="mpw_TwoThousandTwelveMember" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandTwelveMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Two thousand twelve.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_TwoThousandTwelveMember" xlink:to="mpw_TwoThousandTwelveMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandTwelveMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Two Thousand Twelve</label>
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandTwelveMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Two Thousand Twelve [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NineteenEightyTwoOneMember" xlink:type="locator" xlink:label="mpw_NineteenEightyTwoOneMember" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenEightyTwoOneMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Nineteen eighty two one.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NineteenEightyTwoOneMember" xlink:to="mpw_NineteenEightyTwoOneMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenEightyTwoOneMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">1982 One [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NineteenEightyTwoOneMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Nineteen Eighty Two One [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NineteenNinetyNineMember" xlink:type="locator" xlink:label="mpw_NineteenNinetyNineMember" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenNinetyNineMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Nineteen ninety nine.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NineteenNinetyNineMember" xlink:to="mpw_NineteenNinetyNineMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenNinetyNineMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Nineteen Ninety Nine</label>
    <label xml:lang="en-US" xlink:label="mpw_NineteenNinetyNineMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Nineteen Ninety Nine [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_ChandlerAZMember" xlink:type="locator" xlink:label="mpw_ChandlerAZMember" />
    <label xml:lang="en-US" xlink:label="mpw_ChandlerAZMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Chandler AZ.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_ChandlerAZMember" xlink:to="mpw_ChandlerAZMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_ChandlerAZMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Chandler, AZ [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_ChandlerAZMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Chandler A Z [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_CherawSouthCarolinaMember" xlink:type="locator" xlink:label="mpw_CherawSouthCarolinaMember" />
    <label xml:lang="en-US" xlink:label="mpw_CherawSouthCarolinaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Cheraw, South Carolina.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_CherawSouthCarolinaMember" xlink:to="mpw_CherawSouthCarolinaMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_CherawSouthCarolinaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Cheraw, SC [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_CherawSouthCarolinaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Cheraw South Carolina [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_KatyTXMember" xlink:type="locator" xlink:label="mpw_KatyTXMember" />
    <label xml:lang="en-US" xlink:label="mpw_KatyTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Katy, TX.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_KatyTXMember" xlink:to="mpw_KatyTXMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_KatyTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Katy, TX [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_KatyTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Katy T X [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_WebsterTexasMember" xlink:type="locator" xlink:label="mpw_WebsterTexasMember" />
    <label xml:lang="en-US" xlink:label="mpw_WebsterTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Webster, Texas.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_WebsterTexasMember" xlink:to="mpw_WebsterTexasMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_WebsterTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Webster, TX [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_WebsterTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Webster Texas [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_CommerceCityTXMember" xlink:type="locator" xlink:label="mpw_CommerceCityTXMember" />
    <label xml:lang="en-US" xlink:label="mpw_CommerceCityTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Commerce City, TX.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_CommerceCityTXMember" xlink:to="mpw_CommerceCityTXMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_CommerceCityTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Commerce City, TX [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_CommerceCityTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Commerce City T X [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_ConroeTXMember" xlink:type="locator" xlink:label="mpw_ConroeTXMember" />
    <label xml:lang="en-US" xlink:label="mpw_ConroeTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Conroe, TX.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_ConroeTXMember" xlink:to="mpw_ConroeTXMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_ConroeTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Conroe, TX [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_ConroeTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Conroe T X [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_ConverseTXMember" xlink:type="locator" xlink:label="mpw_ConverseTXMember" />
    <label xml:lang="en-US" xlink:label="mpw_ConverseTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Converse,TX.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_ConverseTXMember" xlink:to="mpw_ConverseTXMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_ConverseTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Converse, TX [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_ConverseTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Converse T X [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_TheWoodlandsTexasMember" xlink:type="locator" xlink:label="mpw_TheWoodlandsTexasMember" />
    <label xml:lang="en-US" xlink:label="mpw_TheWoodlandsTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">The woodlands Texas.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_TheWoodlandsTexasMember" xlink:to="mpw_TheWoodlandsTexasMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_TheWoodlandsTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">The Woodlands, TX [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_TheWoodlandsTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">The Woodlands Texas [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_DallasTexasMember" xlink:type="locator" xlink:label="mpw_DallasTexasMember" />
    <label xml:lang="en-US" xlink:label="mpw_DallasTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Dallas, Texas.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_DallasTexasMember" xlink:to="mpw_DallasTexasMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_DallasTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Dallas, TX [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_DallasTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Dallas Texas [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_DenverCOMember" xlink:type="locator" xlink:label="mpw_DenverCOMember" />
    <label xml:lang="en-US" xlink:label="mpw_DenverCOMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Denver, CO.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_DenverCOMember" xlink:to="mpw_DenverCOMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_DenverCOMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Denver, CO [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_DenverCOMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Denver C O [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_DesotoTexasMember" xlink:type="locator" xlink:label="mpw_DesotoTexasMember" />
    <label xml:lang="en-US" xlink:label="mpw_DesotoTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">DeSoto, Texas [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_DesotoTexasMember" xlink:to="mpw_DesotoTexasMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_DesotoTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">DeSoto, TX [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_DesotoTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Desoto Texas [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_DetroitMichiganMember" xlink:type="locator" xlink:label="mpw_DetroitMichiganMember" />
    <label xml:lang="en-US" xlink:label="mpw_DetroitMichiganMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Detroit, Michigan.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_DetroitMichiganMember" xlink:to="mpw_DetroitMichiganMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_DetroitMichiganMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Detroit, MI [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_DetroitMichiganMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Detroit Michigan [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_SanAntonioTexasMember" xlink:type="locator" xlink:label="mpw_SanAntonioTexasMember" />
    <label xml:lang="en-US" xlink:label="mpw_SanAntonioTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">San Antonio, Texas.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_SanAntonioTexasMember" xlink:to="mpw_SanAntonioTexasMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_SanAntonioTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">San Antonio, TX [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_SanAntonioTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">San Antonio Texas [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_DorchesterMassachusettsMember" xlink:type="locator" xlink:label="mpw_DorchesterMassachusettsMember" />
    <label xml:lang="en-US" xlink:label="mpw_DorchesterMassachusettsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Dorchester Massachusetts.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_DorchesterMassachusettsMember" xlink:to="mpw_DorchesterMassachusettsMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_DorchesterMassachusettsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Dorchester, MA [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_DorchesterMassachusettsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Dorchester Massachusetts [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_DullesTexasMember" xlink:type="locator" xlink:label="mpw_DullesTexasMember" />
    <label xml:lang="en-US" xlink:label="mpw_DullesTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Dulles Texas.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_DullesTexasMember" xlink:to="mpw_DullesTexasMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_DullesTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Dulles, TX [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_DullesTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Dulles Texas [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_EastonPAMember" xlink:type="locator" xlink:label="mpw_EastonPAMember" />
    <label xml:lang="en-US" xlink:label="mpw_EastonPAMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Easton, PA.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_EastonPAMember" xlink:to="mpw_EastonPAMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_EastonPAMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Easton, PA [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_EastonPAMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Easton P A [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_FairmontCaliforniaMember" xlink:type="locator" xlink:label="mpw_FairmontCaliforniaMember" />
    <label xml:lang="en-US" xlink:label="mpw_FairmontCaliforniaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Fairmont California.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_FairmontCaliforniaMember" xlink:to="mpw_FairmontCaliforniaMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_FairmontCaliforniaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Fairmont, CA [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_FairmontCaliforniaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Fairmont California [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_FallRiverMassachusettsMember" xlink:type="locator" xlink:label="mpw_FallRiverMassachusettsMember" />
    <label xml:lang="en-US" xlink:label="mpw_FallRiverMassachusettsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Fall river Massachusetts.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_FallRiverMassachusettsMember" xlink:to="mpw_FallRiverMassachusettsMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_FallRiverMassachusettsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Fall River, MA [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_FallRiverMassachusettsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Fall River Massachusetts [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_FirestoneTexasMember" xlink:type="locator" xlink:label="mpw_FirestoneTexasMember" />
    <label xml:lang="en-US" xlink:label="mpw_FirestoneTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Firestone, Texas.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_FirestoneTexasMember" xlink:to="mpw_FirestoneTexasMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_FirestoneTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Firestone, TX [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_FirestoneTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Firestone Texas [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_FlagstaffArizonaMember" xlink:type="locator" xlink:label="mpw_FlagstaffArizonaMember" />
    <label xml:lang="en-US" xlink:label="mpw_FlagstaffArizonaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Flagstaff Arizona.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_FlagstaffArizonaMember" xlink:to="mpw_FlagstaffArizonaMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_FlagstaffArizonaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Flagstaff, AZ [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_FlagstaffArizonaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Flagstaff Arizona [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_FlorenceAZMember" xlink:type="locator" xlink:label="mpw_FlorenceAZMember" />
    <label xml:lang="en-US" xlink:label="mpw_FlorenceAZMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Florence, AZ.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_FlorenceAZMember" xlink:to="mpw_FlorenceAZMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_FlorenceAZMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Florence, AZ [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_FlorenceAZMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Florence A Z [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_FortLauderdaleFloridaMember" xlink:type="locator" xlink:label="mpw_FortLauderdaleFloridaMember" />
    <label xml:lang="en-US" xlink:label="mpw_FortLauderdaleFloridaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Fort Lauderdale, Florida.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_FortLauderdaleFloridaMember" xlink:to="mpw_FortLauderdaleFloridaMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_FortLauderdaleFloridaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Fort Lauderdale, FL [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_FortLauderdaleFloridaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Fort Lauderdale Florida [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_FountainCOMember" xlink:type="locator" xlink:label="mpw_FountainCOMember" />
    <label xml:lang="en-US" xlink:label="mpw_FountainCOMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Fountain, CO.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_FountainCOMember" xlink:to="mpw_FountainCOMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_FountainCOMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Fountain, CO [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_FountainCOMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Fountain C O [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_FriscoTexasMember" xlink:type="locator" xlink:label="mpw_FriscoTexasMember" />
    <label xml:lang="en-US" xlink:label="mpw_FriscoTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Frisco Texas.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_FriscoTexasMember" xlink:to="mpw_FriscoTexasMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_FriscoTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Frisco, TX [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_FriscoTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Frisco Texas [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_GardenGroveCaliforniaMember" xlink:type="locator" xlink:label="mpw_GardenGroveCaliforniaMember" />
    <label xml:lang="en-US" xlink:label="mpw_GardenGroveCaliforniaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Garden Grove, California.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_GardenGroveCaliforniaMember" xlink:to="mpw_GardenGroveCaliforniaMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_GardenGroveCaliforniaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Garden Grove, CA [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_GardenGroveCaliforniaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Garden Grove California [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_GarlandTexasMember" xlink:type="locator" xlink:label="mpw_GarlandTexasMember" />
    <label xml:lang="en-US" xlink:label="mpw_GarlandTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Garland Texas.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_GarlandTexasMember" xlink:to="mpw_GarlandTexasMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_GarlandTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Garland, TX [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_GarlandTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Garland Texas [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_GilbertArizonaMember" xlink:type="locator" xlink:label="mpw_GilbertArizonaMember" />
    <label xml:lang="en-US" xlink:label="mpw_GilbertArizonaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Gilbert, Arizona.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_GilbertArizonaMember" xlink:to="mpw_GilbertArizonaMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_GilbertArizonaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Gilbert, AZ [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_GilbertArizonaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Gilbert Arizona [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_GoodyearArizonaMember" xlink:type="locator" xlink:label="mpw_GoodyearArizonaMember" />
    <label xml:lang="en-US" xlink:label="mpw_GoodyearArizonaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Goodyear Arizona.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_GoodyearArizonaMember" xlink:to="mpw_GoodyearArizonaMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_GoodyearArizonaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Goodyear, AZ [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_GoodyearArizonaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Goodyear Arizona [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_HartsvilleSouthCarolinaMember" xlink:type="locator" xlink:label="mpw_HartsvilleSouthCarolinaMember" />
    <label xml:lang="en-US" xlink:label="mpw_HartsvilleSouthCarolinaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Hartsville south Carolina.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_HartsvilleSouthCarolinaMember" xlink:to="mpw_HartsvilleSouthCarolinaMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_HartsvilleSouthCarolinaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Hartsville, SC [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_HartsvilleSouthCarolinaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Hartsville South Carolina [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_HausmanTXMember" xlink:type="locator" xlink:label="mpw_HausmanTXMember" />
    <label xml:lang="en-US" xlink:label="mpw_HausmanTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Hausman, TX.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_HausmanTXMember" xlink:to="mpw_HausmanTXMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_HausmanTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Hausman, TX [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_HausmanTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Hausman T X [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_HaverhillMassachusettsMember" xlink:type="locator" xlink:label="mpw_HaverhillMassachusettsMember" />
    <label xml:lang="en-US" xlink:label="mpw_HaverhillMassachusettsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Haverhill, Massachusetts.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_HaverhillMassachusettsMember" xlink:to="mpw_HaverhillMassachusettsMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_HaverhillMassachusettsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Haverhill, MA [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_HaverhillMassachusettsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Haverhill Massachusetts [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_HelotesTexasMember" xlink:type="locator" xlink:label="mpw_HelotesTexasMember" />
    <label xml:lang="en-US" xlink:label="mpw_HelotesTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Helotes Texas.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_HelotesTexasMember" xlink:to="mpw_HelotesTexasMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_HelotesTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Helotes, TX [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_HelotesTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Helotes Texas [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NineteenTwentyTwoMember" xlink:type="locator" xlink:label="mpw_NineteenTwentyTwoMember" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenTwentyTwoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Nineteen Twenty Two.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NineteenTwentyTwoMember" xlink:to="mpw_NineteenTwentyTwoMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenTwentyTwoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">1922 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NineteenTwentyTwoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Nineteen Twenty Two [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_TwoThousandMember" xlink:type="locator" xlink:label="mpw_TwoThousandMember" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Two thousand.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_TwoThousandMember" xlink:to="mpw_TwoThousandMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2000 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Two Thousand [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_EighteenSixtyThreeMember" xlink:type="locator" xlink:label="mpw_EighteenSixtyThreeMember" />
    <label xml:lang="en-US" xlink:label="mpw_EighteenSixtyThreeMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Eighteen sixty three.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_EighteenSixtyThreeMember" xlink:to="mpw_EighteenSixtyThreeMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_EighteenSixtyThreeMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">1863 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_EighteenSixtyThreeMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Eighteen Sixty Three [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_TwoThousandOneMember" xlink:type="locator" xlink:label="mpw_TwoThousandOneMember" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandOneMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Two thousand one .</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_TwoThousandOneMember" xlink:to="mpw_TwoThousandOneMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandOneMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2001 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandOneMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Two Thousand One [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NineteenFortyMember" xlink:type="locator" xlink:label="mpw_NineteenFortyMember" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenFortyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Nineteen forty.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NineteenFortyMember" xlink:to="mpw_NineteenFortyMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenFortyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">1940 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NineteenFortyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Nineteen Forty [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_TwoThousandTwoMember" xlink:type="locator" xlink:label="mpw_TwoThousandTwoMember" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandTwoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Two thousand two.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_TwoThousandTwoMember" xlink:to="mpw_TwoThousandTwoMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandTwoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2002 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandTwoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Two Thousand Two [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NineteenSeventyEightMember" xlink:type="locator" xlink:label="mpw_NineteenSeventyEightMember" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenSeventyEightMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Nineteen seventy eight.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NineteenSeventyEightMember" xlink:to="mpw_NineteenSeventyEightMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenSeventyEightMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">1978 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NineteenSeventyEightMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Nineteen Seventy Eight [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NineteenFiftyFourMember" xlink:type="locator" xlink:label="mpw_NineteenFiftyFourMember" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenFiftyFourMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Nineteen fifty four.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NineteenFiftyFourMember" xlink:to="mpw_NineteenFiftyFourMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenFiftyFourMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">1954 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NineteenFiftyFourMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Nineteen Fifty Four [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NineteenNinetySixMember" xlink:type="locator" xlink:label="mpw_NineteenNinetySixMember" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenNinetySixMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Nineteen ninety six.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NineteenNinetySixMember" xlink:to="mpw_NineteenNinetySixMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenNinetySixMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">1996 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NineteenNinetySixMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Nineteen Ninety Six [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_TwoThousandSevenMember" xlink:type="locator" xlink:label="mpw_TwoThousandSevenMember" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandSevenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Two thousand seven.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_TwoThousandSevenMember" xlink:to="mpw_TwoThousandSevenMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandSevenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2007 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandSevenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Two Thousand Seven [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NineteenTwentyMember" xlink:type="locator" xlink:label="mpw_NineteenTwentyMember" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenTwentyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Nineteen twenty.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NineteenTwentyMember" xlink:to="mpw_NineteenTwentyMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenTwentyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">1920 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NineteenTwentyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Nineteen Twenty [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NineteenTwentySixMember" xlink:type="locator" xlink:label="mpw_NineteenTwentySixMember" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenTwentySixMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Nineteen twenty six.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NineteenTwentySixMember" xlink:to="mpw_NineteenTwentySixMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenTwentySixMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">1926 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NineteenTwentySixMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Nineteen Twenty Six [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NineteenSixtyFourMember" xlink:type="locator" xlink:label="mpw_NineteenSixtyFourMember" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenSixtyFourMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Nineteen sixty four.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NineteenSixtyFourMember" xlink:to="mpw_NineteenSixtyFourMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenSixtyFourMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">1964 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NineteenSixtyFourMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Nineteen Sixty Four [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_HighlandVillageTXMember" xlink:type="locator" xlink:label="mpw_HighlandVillageTXMember" />
    <label xml:lang="en-US" xlink:label="mpw_HighlandVillageTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Highland Village, TX.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_HighlandVillageTXMember" xlink:to="mpw_HighlandVillageTXMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_HighlandVillageTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Highland Village, TX [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_HighlandVillageTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Highland Village T X [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_HillCountyTexasMember" xlink:type="locator" xlink:label="mpw_HillCountyTexasMember" />
    <label xml:lang="en-US" xlink:label="mpw_HillCountyTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Hill County, Texas.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_HillCountyTexasMember" xlink:to="mpw_HillCountyTexasMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_HillCountyTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Hill County, TX [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_HillCountyTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Hill County Texas [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_WarrenOHMember" xlink:type="locator" xlink:label="mpw_WarrenOHMember" />
    <label xml:lang="en-US" xlink:label="mpw_WarrenOHMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Warren, OH.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_WarrenOHMember" xlink:to="mpw_WarrenOHMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_WarrenOHMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Warren, OH [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_WarrenOHMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Warren O H [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_HobokenNewJerseyMember" xlink:type="locator" xlink:label="mpw_HobokenNewJerseyMember" />
    <label xml:lang="en-US" xlink:label="mpw_HobokenNewJerseyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Hoboken, New Jersey.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_HobokenNewJerseyMember" xlink:to="mpw_HobokenNewJerseyMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_HobokenNewJerseyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Hoboken, NJ [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_HobokenNewJerseyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Hoboken New Jersey [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_HooverAlMember" xlink:type="locator" xlink:label="mpw_HooverAlMember" />
    <label xml:lang="en-US" xlink:label="mpw_HooverAlMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Hoover, AL.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_HooverAlMember" xlink:to="mpw_HooverAlMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_HooverAlMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Hoover, AL [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_HooverAlMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Hoover Al [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_HopeARMember" xlink:type="locator" xlink:label="mpw_HopeARMember" />
    <label xml:lang="en-US" xlink:label="mpw_HopeARMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Hope, AR.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_HopeARMember" xlink:to="mpw_HopeARMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_HopeARMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Hope, AR [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_HopeARMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Hope A R [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_HotSpringsARMember" xlink:type="locator" xlink:label="mpw_HotSpringsARMember" />
    <label xml:lang="en-US" xlink:label="mpw_HotSpringsARMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Hot Springs, AR.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_HotSpringsARMember" xlink:to="mpw_HotSpringsARMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_HotSpringsARMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Hot Springs, AR [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_HotSpringsARMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Hot Springs A R [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_HighlandsRanchColoradoMember" xlink:type="locator" xlink:label="mpw_HighlandsRanchColoradoMember" />
    <label xml:lang="en-US" xlink:label="mpw_HighlandsRanchColoradoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Highlands Ranch Colorado.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_HighlandsRanchColoradoMember" xlink:to="mpw_HighlandsRanchColoradoMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_HighlandsRanchColoradoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Highlands Ranch, CO [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_HighlandsRanchColoradoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Highlands Ranch Colorado [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_KansasCityMOMember" xlink:type="locator" xlink:label="mpw_KansasCityMOMember" />
    <label xml:lang="en-US" xlink:label="mpw_KansasCityMOMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Kansas City, MO.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_KansasCityMOMember" xlink:to="mpw_KansasCityMOMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_KansasCityMOMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Kansas City, MO [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_KansasCityMOMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Kansas City M O [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_CamdenSouthCarolinaMember" xlink:type="locator" xlink:label="mpw_CamdenSouthCarolinaMember" />
    <label xml:lang="en-US" xlink:label="mpw_CamdenSouthCarolinaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Camden south Carolina.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_CamdenSouthCarolinaMember" xlink:to="mpw_CamdenSouthCarolinaMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_CamdenSouthCarolinaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Camden, SC [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_CamdenSouthCarolinaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Camden South Carolina [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_LafayetteINMember" xlink:type="locator" xlink:label="mpw_LafayetteINMember" />
    <label xml:lang="en-US" xlink:label="mpw_LafayetteINMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Lafayette IN.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_LafayetteINMember" xlink:to="mpw_LafayetteINMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_LafayetteINMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Lafayette, IN [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_LafayetteINMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Lafayette I N [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_LittleElmTXMember" xlink:type="locator" xlink:label="mpw_LittleElmTXMember" />
    <label xml:lang="en-US" xlink:label="mpw_LittleElmTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Little Elm, TX.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_LittleElmTXMember" xlink:to="mpw_LittleElmTXMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_LittleElmTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Lehi, UT [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_LittleElmTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Little Elm T X [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_LewistonIDMember" xlink:type="locator" xlink:label="mpw_LewistonIDMember" />
    <label xml:lang="en-US" xlink:label="mpw_LewistonIDMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Lewiston, ID.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_LewistonIDMember" xlink:to="mpw_LewistonIDMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_LewistonIDMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Lewiston, ID [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_LewistonIDMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Lewiston I D [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_LongmontColoradoMember" xlink:type="locator" xlink:label="mpw_LongmontColoradoMember" />
    <label xml:lang="en-US" xlink:label="mpw_LongmontColoradoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Longmont Colorado.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_LongmontColoradoMember" xlink:to="mpw_LongmontColoradoMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_LongmontColoradoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Longmont, CO [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_LongmontColoradoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Longmont Colorado [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_LubbockTXMember" xlink:type="locator" xlink:label="mpw_LubbockTXMember" />
    <label xml:lang="en-US" xlink:label="mpw_LubbockTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Lubbock TX.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_LubbockTXMember" xlink:to="mpw_LubbockTXMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_LubbockTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Lubbock, TX [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_LubbockTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Lubbock T X [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_MandevilleLouisianaMember" xlink:type="locator" xlink:label="mpw_MandevilleLouisianaMember" />
    <label xml:lang="en-US" xlink:label="mpw_MandevilleLouisianaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Mandeville Louisiana.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_MandevilleLouisianaMember" xlink:to="mpw_MandevilleLouisianaMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_MandevilleLouisianaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Mandeville, LA [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_MandevilleLouisianaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Mandeville Louisiana [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_MarreroLouisianaMember" xlink:type="locator" xlink:label="mpw_MarreroLouisianaMember" />
    <label xml:lang="en-US" xlink:label="mpw_MarreroLouisianaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Marrero Louisiana.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_MarreroLouisianaMember" xlink:to="mpw_MarreroLouisianaMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_MarreroLouisianaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Marrero, LA [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_MarreroLouisianaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Marrero Louisiana [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_McKinneyTXMember" xlink:type="locator" xlink:label="mpw_McKinneyTXMember" />
    <label xml:lang="en-US" xlink:label="mpw_McKinneyTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">McKinney, TX.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_McKinneyTXMember" xlink:to="mpw_McKinneyTXMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_McKinneyTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">McKinney, TX [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_McKinneyTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Mc Kinney T X [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_McminnvilleOregonMember" xlink:type="locator" xlink:label="mpw_McminnvilleOregonMember" />
    <label xml:lang="en-US" xlink:label="mpw_McminnvilleOregonMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">McMinnville Oregon.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_McminnvilleOregonMember" xlink:to="mpw_McminnvilleOregonMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_McminnvilleOregonMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">McMinnville, OR [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_McminnvilleOregonMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Mcminnville Oregon [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_MelbourneFLMember" xlink:type="locator" xlink:label="mpw_MelbourneFLMember" />
    <label xml:lang="en-US" xlink:label="mpw_MelbourneFLMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Melbourne, FL.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_MelbourneFLMember" xlink:to="mpw_MelbourneFLMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_MelbourneFLMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Melbourne, FL [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_MelbourneFLMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Melbourne F L [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_MesaArizonaMember" xlink:type="locator" xlink:label="mpw_MesaArizonaMember" />
    <label xml:lang="en-US" xlink:label="mpw_MesaArizonaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Mesa - Arizona.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_MesaArizonaMember" xlink:to="mpw_MesaArizonaMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_MesaArizonaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Mesa, AZ [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_MesaArizonaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Mesa Arizona [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_PhoenixAZMember" xlink:type="locator" xlink:label="mpw_PhoenixAZMember" />
    <label xml:lang="en-US" xlink:label="mpw_PhoenixAZMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Phoenix, AZ.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_PhoenixAZMember" xlink:to="mpw_PhoenixAZMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_PhoenixAZMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Phoenix, AZ [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_PhoenixAZMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Phoenix A Z [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_MethuenMassachusettsMember" xlink:type="locator" xlink:label="mpw_MethuenMassachusettsMember" />
    <label xml:lang="en-US" xlink:label="mpw_MethuenMassachusettsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Methuen Massachusetts.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_MethuenMassachusettsMember" xlink:to="mpw_MethuenMassachusettsMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_MethuenMassachusettsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Methuen, MA [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_MethuenMassachusettsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Methuen Massachusetts [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_BloomingtonIndianaMember" xlink:type="locator" xlink:label="mpw_BloomingtonIndianaMember" />
    <label xml:lang="en-US" xlink:label="mpw_BloomingtonIndianaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Bloomington, Indiana.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_BloomingtonIndianaMember" xlink:to="mpw_BloomingtonIndianaMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_BloomingtonIndianaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Bloomington, IN [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_BloomingtonIndianaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Bloomington Indiana [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_MontclairNewJerseyMember" xlink:type="locator" xlink:label="mpw_MontclairNewJerseyMember" />
    <label xml:lang="en-US" xlink:label="mpw_MontclairNewJerseyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Montclair New Jersey.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_MontclairNewJerseyMember" xlink:to="mpw_MontclairNewJerseyMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_MontclairNewJerseyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Montclair, NJ [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_MontclairNewJerseyMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Montclair New Jersey [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_SaltLakeCityUTMember" xlink:type="locator" xlink:label="mpw_SaltLakeCityUTMember" />
    <label xml:lang="en-US" xlink:label="mpw_SaltLakeCityUTMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Salt Lake City, UT.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_SaltLakeCityUTMember" xlink:to="mpw_SaltLakeCityUTMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_SaltLakeCityUTMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">San Antonio, TX [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_SaltLakeCityUTMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Salt Lake City U T [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_ColoradoSpringsColoradoMember" xlink:type="locator" xlink:label="mpw_ColoradoSpringsColoradoMember" />
    <label xml:lang="en-US" xlink:label="mpw_ColoradoSpringsColoradoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Colorado Springs Colorado.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_ColoradoSpringsColoradoMember" xlink:to="mpw_ColoradoSpringsColoradoMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_ColoradoSpringsColoradoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Colorado Springs, CO [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_ColoradoSpringsColoradoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Colorado Springs Colorado [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NorthlandMissouriMember" xlink:type="locator" xlink:label="mpw_NorthlandMissouriMember" />
    <label xml:lang="en-US" xlink:label="mpw_NorthlandMissouriMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Northland, Missouri.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NorthlandMissouriMember" xlink:to="mpw_NorthlandMissouriMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NorthlandMissouriMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Northland, MO [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NorthlandMissouriMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Northland Missouri [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NorwoodMassachusettsMember" xlink:type="locator" xlink:label="mpw_NorwoodMassachusettsMember" />
    <label xml:lang="en-US" xlink:label="mpw_NorwoodMassachusettsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Norwood Massachusetts.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NorwoodMassachusettsMember" xlink:to="mpw_NorwoodMassachusettsMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NorwoodMassachusettsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Norwood, MA [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NorwoodMassachusettsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Norwood Massachusetts [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_AltoonaWIMember" xlink:type="locator" xlink:label="mpw_AltoonaWIMember" />
    <label xml:lang="en-US" xlink:label="mpw_AltoonaWIMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Altoona, WI.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_AltoonaWIMember" xlink:to="mpw_AltoonaWIMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_AltoonaWIMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Altoona, WI [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_AltoonaWIMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Altoona W I [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_OdessaTXMember" xlink:type="locator" xlink:label="mpw_OdessaTXMember" />
    <label xml:lang="en-US" xlink:label="mpw_OdessaTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Odessa, TX.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_OdessaTXMember" xlink:to="mpw_OdessaTXMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_OdessaTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Odessa, TX [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_OdessaTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Odessa T X [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_OgdenUtahMember" xlink:type="locator" xlink:label="mpw_OgdenUtahMember" />
    <label xml:lang="en-US" xlink:label="mpw_OgdenUtahMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Ogden Utah.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_OgdenUtahMember" xlink:to="mpw_OgdenUtahMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_OgdenUtahMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Ogden, UT [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_OgdenUtahMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Ogden Utah [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_OverlookTXMember" xlink:type="locator" xlink:label="mpw_OverlookTXMember" />
    <label xml:lang="en-US" xlink:label="mpw_OverlookTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Overlook, TX</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_OverlookTXMember" xlink:to="mpw_OverlookTXMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_OverlookTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Overlook, TX [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_OverlookTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Overlook T X [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_SanDiegoCAMember" xlink:type="locator" xlink:label="mpw_SanDiegoCAMember" />
    <label xml:lang="en-US" xlink:label="mpw_SanDiegoCAMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">San Diego, CA.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_SanDiegoCAMember" xlink:to="mpw_SanDiegoCAMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_SanDiegoCAMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">San Diego, CA [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_SanDiegoCAMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">San Diego C A [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NineteenSeventyNineMember" xlink:type="locator" xlink:label="mpw_NineteenSeventyNineMember" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenSeventyNineMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Nineteen seventy nine.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NineteenSeventyNineMember" xlink:to="mpw_NineteenSeventyNineMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenSeventyNineMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">1979 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NineteenSeventyNineMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Nineteen Seventy Nine [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NineteenSixtyEightMember" xlink:type="locator" xlink:label="mpw_NineteenSixtyEightMember" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenSixtyEightMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Nineteen sixty eight.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NineteenSixtyEightMember" xlink:to="mpw_NineteenSixtyEightMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenSixtyEightMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">1968 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NineteenSixtyEightMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Nineteen Sixty Eight [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NineteenSeventySixMember" xlink:type="locator" xlink:label="mpw_NineteenSeventySixMember" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenSeventySixMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Nineteen seventy six.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NineteenSeventySixMember" xlink:to="mpw_NineteenSeventySixMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenSeventySixMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">1976 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NineteenSeventySixMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Nineteen Seventy Six [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NineteenZeroSixMember" xlink:type="locator" xlink:label="mpw_NineteenZeroSixMember" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenZeroSixMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Nineteen zero six.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NineteenZeroSixMember" xlink:to="mpw_NineteenZeroSixMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenZeroSixMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">1906 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NineteenZeroSixMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Nineteen Zero Six [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NineteenEightySevenMember" xlink:type="locator" xlink:label="mpw_NineteenEightySevenMember" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenEightySevenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Nineteen eighty seven.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NineteenEightySevenMember" xlink:to="mpw_NineteenEightySevenMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenEightySevenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">1987 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NineteenEightySevenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Nineteen Eighty Seven [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_TwoThousandSeventeenOneMember" xlink:type="locator" xlink:label="mpw_TwoThousandSeventeenOneMember" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandSeventeenOneMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Two thousand seventeen one.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_TwoThousandSeventeenOneMember" xlink:to="mpw_TwoThousandSeventeenOneMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandSeventeenOneMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2017 One [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandSeventeenOneMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Two Thousand Seventeen One [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NineteenThirteenMember" xlink:type="locator" xlink:label="mpw_NineteenThirteenMember" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenThirteenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Nineteen thirteen.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NineteenThirteenMember" xlink:to="mpw_NineteenThirteenMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenThirteenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">1913 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NineteenThirteenMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Nineteen Thirteen [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NineteenSixtyTwoMember" xlink:type="locator" xlink:label="mpw_NineteenSixtyTwoMember" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenSixtyTwoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Nineteen sixty two.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NineteenSixtyTwoMember" xlink:to="mpw_NineteenSixtyTwoMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenSixtyTwoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">1962 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NineteenSixtyTwoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Nineteen Sixty Two [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NineteenNinetyTwoMember" xlink:type="locator" xlink:label="mpw_NineteenNinetyTwoMember" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenNinetyTwoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Nineteen ninety two.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NineteenNinetyTwoMember" xlink:to="mpw_NineteenNinetyTwoMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenNinetyTwoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">1992 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NineteenNinetyTwoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Nineteen Ninety Two [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NineteenTwentyNineMember" xlink:type="locator" xlink:label="mpw_NineteenTwentyNineMember" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenTwentyNineMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Nineteen twenty nine.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NineteenTwentyNineMember" xlink:to="mpw_NineteenTwentyNineMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_NineteenTwentyNineMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">1929 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_NineteenTwentyNineMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Nineteen Twenty Nine [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_TwoThousandThreeMember" xlink:type="locator" xlink:label="mpw_TwoThousandThreeMember" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandThreeMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Two thousand three.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_TwoThousandThreeMember" xlink:to="mpw_TwoThousandThreeMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandThreeMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">2003 [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_TwoThousandThreeMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Two Thousand Three [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_ParkerCOMember" xlink:type="locator" xlink:label="mpw_ParkerCOMember" />
    <label xml:lang="en-US" xlink:label="mpw_ParkerCOMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Parker, CO.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_ParkerCOMember" xlink:to="mpw_ParkerCOMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_ParkerCOMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Parker, CO [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_ParkerCOMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Parker C O [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_PascoWashingtonMember" xlink:type="locator" xlink:label="mpw_PascoWashingtonMember" />
    <label xml:lang="en-US" xlink:label="mpw_PascoWashingtonMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Pasco, Washington.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_PascoWashingtonMember" xlink:to="mpw_PascoWashingtonMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_PascoWashingtonMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Pasco, WA [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_PascoWashingtonMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Pasco Washington [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_PearlandTXMember" xlink:type="locator" xlink:label="mpw_PearlandTXMember" />
    <label xml:lang="en-US" xlink:label="mpw_PearlandTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Pearland, TX.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_PearlandTXMember" xlink:to="mpw_PearlandTXMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_PearlandTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Pearland, TX [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_PearlandTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Pearland T X [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_PetersburgVirginiaMember" xlink:type="locator" xlink:label="mpw_PetersburgVirginiaMember" />
    <label xml:lang="en-US" xlink:label="mpw_PetersburgVirginiaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Petersburg, Virginia.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_PetersburgVirginiaMember" xlink:to="mpw_PetersburgVirginiaMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_PetersburgVirginiaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Petersburg, VA [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_PetersburgVirginiaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Petersburg Virginia [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_PlanoTXMember" xlink:type="locator" xlink:label="mpw_PlanoTXMember" />
    <label xml:lang="en-US" xlink:label="mpw_PlanoTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Plano, TX.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_PlanoTXMember" xlink:to="mpw_PlanoTXMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_PlanoTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Plano, TX [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_PlanoTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Plano T X [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_PoplarBluffMissouriMember" xlink:type="locator" xlink:label="mpw_PoplarBluffMissouriMember" />
    <label xml:lang="en-US" xlink:label="mpw_PoplarBluffMissouriMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Poplar Bluff, Missouri.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_PoplarBluffMissouriMember" xlink:to="mpw_PoplarBluffMissouriMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_PoplarBluffMissouriMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Poplar Bluff, MO [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_PoplarBluffMissouriMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Poplar Bluff Missouri [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_PortArthurTXMember" xlink:type="locator" xlink:label="mpw_PortArthurTXMember" />
    <label xml:lang="en-US" xlink:label="mpw_PortArthurTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Port Arthur, TX.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_PortArthurTXMember" xlink:to="mpw_PortArthurTXMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_PortArthurTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Port Arthur, TX [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_PortArthurTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Port Arthur T X [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_PortHuronMIMember" xlink:type="locator" xlink:label="mpw_PortHuronMIMember" />
    <label xml:lang="en-US" xlink:label="mpw_PortHuronMIMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Port Huron MI.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_PortHuronMIMember" xlink:to="mpw_PortHuronMIMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_PortHuronMIMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Port Huron, MI [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_PortHuronMIMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Port Huron M I [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_PostfallsIdahoMember" xlink:type="locator" xlink:label="mpw_PostfallsIdahoMember" />
    <label xml:lang="en-US" xlink:label="mpw_PostfallsIdahoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Postfalls Idaho.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_PostfallsIdahoMember" xlink:to="mpw_PostfallsIdahoMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_PostfallsIdahoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Post Falls, ID [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_PostfallsIdahoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Postfalls Idaho [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_SanAntonioMember" xlink:type="locator" xlink:label="mpw_SanAntonioMember" />
    <label xml:lang="en-US" xlink:label="mpw_SanAntonioMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">San Antonio.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_SanAntonioMember" xlink:to="mpw_SanAntonioMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_SanAntonioMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">San Antonio, TX [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_SanAntonioMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">San Antonio [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_ReddingCaliforniaMember" xlink:type="locator" xlink:label="mpw_ReddingCaliforniaMember" />
    <label xml:lang="en-US" xlink:label="mpw_ReddingCaliforniaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Redding, California.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_ReddingCaliforniaMember" xlink:to="mpw_ReddingCaliforniaMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_ReddingCaliforniaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Redding, CA [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_ReddingCaliforniaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Redding California [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_RockledgeFLMember" xlink:type="locator" xlink:label="mpw_RockledgeFLMember" />
    <label xml:lang="en-US" xlink:label="mpw_RockledgeFLMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Rockledge, FL.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_RockledgeFLMember" xlink:to="mpw_RockledgeFLMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_RockledgeFLMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Rockledge, FL [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_RockledgeFLMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Rockledge F L [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_RosenbergTexasMember" xlink:type="locator" xlink:label="mpw_RosenbergTexasMember" />
    <label xml:lang="en-US" xlink:label="mpw_RosenbergTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Rosenberg Texas.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_RosenbergTexasMember" xlink:to="mpw_RosenbergTexasMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_RosenbergTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Rosenberg, TX [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_RosenbergTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Rosenberg Texas [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_ColumbusOHMember" xlink:type="locator" xlink:label="mpw_ColumbusOHMember" />
    <label xml:lang="en-US" xlink:label="mpw_ColumbusOHMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Columbus, OH.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_ColumbusOHMember" xlink:to="mpw_ColumbusOHMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_ColumbusOHMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Columbus, OH [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_ColumbusOHMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Columbus O H [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_SanDimasCaliforniaMember" xlink:type="locator" xlink:label="mpw_SanDimasCaliforniaMember" />
    <label xml:lang="en-US" xlink:label="mpw_SanDimasCaliforniaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">San Dimas, California.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_SanDimasCaliforniaMember" xlink:to="mpw_SanDimasCaliforniaMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_SanDimasCaliforniaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">San Dimas, CA [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_SanDimasCaliforniaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">San Dimas California [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_SebastianFlMember" xlink:type="locator" xlink:label="mpw_SebastianFlMember" />
    <label xml:lang="en-US" xlink:label="mpw_SebastianFlMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Sebastian FL.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_SebastianFlMember" xlink:to="mpw_SebastianFlMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_SebastianFlMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Sebastian, FL [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_SebastianFlMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Sebastian Fl [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_SharonPAMember" xlink:type="locator" xlink:label="mpw_SharonPAMember" />
    <label xml:lang="en-US" xlink:label="mpw_SharonPAMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Sharon PA.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_SharonPAMember" xlink:to="mpw_SharonPAMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_SharonPAMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Sharon, PA [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_SharonPAMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Sharon P A [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_ShermanTexasMember" xlink:type="locator" xlink:label="mpw_ShermanTexasMember" />
    <label xml:lang="en-US" xlink:label="mpw_ShermanTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Sherman, Texas.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_ShermanTexasMember" xlink:to="mpw_ShermanTexasMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_ShermanTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Sherman, TX [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_ShermanTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Sherman Texas [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_SiennaTexasMember" xlink:type="locator" xlink:label="mpw_SiennaTexasMember" />
    <label xml:lang="en-US" xlink:label="mpw_SiennaTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Sienna, Texas.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_SiennaTexasMember" xlink:to="mpw_SiennaTexasMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_SiennaTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Sienna, TX [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_SiennaTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Sienna Texas [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_SpartanburgSCMember" xlink:type="locator" xlink:label="mpw_SpartanburgSCMember" />
    <label xml:lang="en-US" xlink:label="mpw_SpartanburgSCMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Spartanburg SC.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_SpartanburgSCMember" xlink:to="mpw_SpartanburgSCMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_SpartanburgSCMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Spartanburg, SC [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_SpartanburgSCMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Spartanburg S C [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_TauntonMassachusettsMember" xlink:type="locator" xlink:label="mpw_TauntonMassachusettsMember" />
    <label xml:lang="en-US" xlink:label="mpw_TauntonMassachusettsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Taunton Massachusetts.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_TauntonMassachusettsMember" xlink:to="mpw_TauntonMassachusettsMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_TauntonMassachusettsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Taunton, MA [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_TauntonMassachusettsMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Taunton Massachusetts [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_TempeAZMember" xlink:type="locator" xlink:label="mpw_TempeAZMember" />
    <label xml:lang="en-US" xlink:label="mpw_TempeAZMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Tempe AZ.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_TempeAZMember" xlink:to="mpw_TempeAZMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_TempeAZMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Tempe, AZ [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_TempeAZMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Tempe A Z [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_TexarkanaTXMember" xlink:type="locator" xlink:label="mpw_TexarkanaTXMember" />
    <label xml:lang="en-US" xlink:label="mpw_TexarkanaTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Texarkana TX.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_TexarkanaTXMember" xlink:to="mpw_TexarkanaTXMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_TexarkanaTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Texarkana, TX [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_TexarkanaTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Texarkana T X [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_ThorntonColoradoMember" xlink:type="locator" xlink:label="mpw_ThorntonColoradoMember" />
    <label xml:lang="en-US" xlink:label="mpw_ThorntonColoradoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Thornton, Colorado.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_ThorntonColoradoMember" xlink:to="mpw_ThorntonColoradoMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_ThorntonColoradoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Thornton, CO [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_ThorntonColoradoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Thornton Colorado [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_ToledoOhioMember" xlink:type="locator" xlink:label="mpw_ToledoOhioMember" />
    <label xml:lang="en-US" xlink:label="mpw_ToledoOhioMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Toledo Ohio.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_ToledoOhioMember" xlink:to="mpw_ToledoOhioMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_ToledoOhioMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Toledo, OH [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_ToledoOhioMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Toledo Ohio [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_TomballTexasMember" xlink:type="locator" xlink:label="mpw_TomballTexasMember" />
    <label xml:lang="en-US" xlink:label="mpw_TomballTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Tomball, Texas.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_TomballTexasMember" xlink:to="mpw_TomballTexasMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_TomballTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Tomball, TX [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_TomballTexasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Tomball Texas [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_LeagueCityTXMember" xlink:type="locator" xlink:label="mpw_LeagueCityTXMember" />
    <label xml:lang="en-US" xlink:label="mpw_LeagueCityTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">League City TX.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_LeagueCityTXMember" xlink:to="mpw_LeagueCityTXMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_LeagueCityTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">League City, TX [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_LeagueCityTXMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">League City T X [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_AnaheimCaliforniaMember" xlink:type="locator" xlink:label="mpw_AnaheimCaliforniaMember" />
    <label xml:lang="en-US" xlink:label="mpw_AnaheimCaliforniaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Anaheim, California.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_AnaheimCaliforniaMember" xlink:to="mpw_AnaheimCaliforniaMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_AnaheimCaliforniaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Anaheim, CA [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_AnaheimCaliforniaMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Anaheim California [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_WestMonroeLAMember" xlink:type="locator" xlink:label="mpw_WestMonroeLAMember" />
    <label xml:lang="en-US" xlink:label="mpw_WestMonroeLAMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">West Monroe LA.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_WestMonroeLAMember" xlink:to="mpw_WestMonroeLAMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_WestMonroeLAMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">West Monroe, LA [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_WestMonroeLAMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">West Monroe L A [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_WestValleyCityUtahMember" xlink:type="locator" xlink:label="mpw_WestValleyCityUtahMember" />
    <label xml:lang="en-US" xlink:label="mpw_WestValleyCityUtahMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">West Valley City, Utah.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_WestValleyCityUtahMember" xlink:to="mpw_WestValleyCityUtahMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_WestValleyCityUtahMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">West Valley City, UT [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_WestValleyCityUtahMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">West Valley City Utah [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_WichitaKansasMember" xlink:type="locator" xlink:label="mpw_WichitaKansasMember" />
    <label xml:lang="en-US" xlink:label="mpw_WichitaKansasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Wichita, Kansas.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_WichitaKansasMember" xlink:to="mpw_WichitaKansasMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_WichitaKansasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Wichita, KS [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_WichitaKansasMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Wichita Kansas [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_YoungstownOHMember" xlink:type="locator" xlink:label="mpw_YoungstownOHMember" />
    <label xml:lang="en-US" xlink:label="mpw_YoungstownOHMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Youngstown OH.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_YoungstownOHMember" xlink:to="mpw_YoungstownOHMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_YoungstownOHMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Youngstown, OH [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_YoungstownOHMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Youngstown O H [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/srt/2018/elts/srt-2018-01-31.xsd#srt_RealEstateAndAccumulatedDepreciationLineItems" xlink:type="locator" xlink:label="srt_RealEstateAndAccumulatedDepreciationLineItems" />
    <label xml:lang="en-US" xlink:label="srt_RealEstateAndAccumulatedDepreciationLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="srt_RealEstateAndAccumulatedDepreciationLineItems" xlink:to="srt_RealEstateAndAccumulatedDepreciationLineItems_lbl" />
    <label xml:lang="en-US" xlink:label="srt_RealEstateAndAccumulatedDepreciationLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Real Estate And Accumulated Depreciation [Line Items]</label>
    <label xml:lang="en-US" xlink:label="mpw_RealEstateAndAccumulatedDepreciationPropertyDescription_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Type of property</label>
    <label xml:lang="en-US" xlink:label="mpw_RealEstateAndAccumulatedDepreciationPropertyDescription_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Real Estate And Accumulated Depreciation Property Description</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_RealEstateAndAccumulatedDepreciationInitialCostOfLand" xlink:type="locator" xlink:label="us-gaap_RealEstateAndAccumulatedDepreciationInitialCostOfLand" />
    <label xml:lang="en-US" xlink:label="us-gaap_RealEstateAndAccumulatedDepreciationInitialCostOfLand_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Initial costs, land</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_RealEstateAndAccumulatedDepreciationInitialCostOfLand" xlink:to="us-gaap_RealEstateAndAccumulatedDepreciationInitialCostOfLand_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_RealEstateAndAccumulatedDepreciationInitialCostOfLand_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Real Estate And Accumulated Depreciation Initial Cost Of Land</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_RealEstateAndAccumulatedDepreciationInitialCostOfBuildingsAndImprovements" xlink:type="locator" xlink:label="us-gaap_RealEstateAndAccumulatedDepreciationInitialCostOfBuildingsAndImprovements" />
    <label xml:lang="en-US" xlink:label="us-gaap_RealEstateAndAccumulatedDepreciationInitialCostOfBuildingsAndImprovements_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Initial costs, buildings</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_RealEstateAndAccumulatedDepreciationInitialCostOfBuildingsAndImprovements" xlink:to="us-gaap_RealEstateAndAccumulatedDepreciationInitialCostOfBuildingsAndImprovements_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_RealEstateAndAccumulatedDepreciationInitialCostOfBuildingsAndImprovements_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Real Estate And Accumulated Depreciation Initial Cost Of Buildings And Improvements</label>
    <label xml:lang="en-US" xlink:label="mpw_RealEstateAndAccumulatedDepreciationCostsCapitalizedSubsequentToAcquisitionImpairmentAdjustments_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Additions subsequent to acquisition, Improvements</label>
    <label xml:lang="en-US" xlink:label="mpw_RealEstateAndAccumulatedDepreciationCostsCapitalizedSubsequentToAcquisitionImpairmentAdjustments_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Real Estate And Accumulated Depreciation Costs Capitalized Subsequent To Acquisition Impairment Adjustments</label>
    <label xml:lang="en-US" xlink:label="mpw_RealEstateAndAccumulatedDepreciationCostsCapitalizedSubsequentToAcquisitionCarryingCostsAdjustments_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Additions subsequent to acquisition, carrying costs</label>
    <label xml:lang="en-US" xlink:label="mpw_RealEstateAndAccumulatedDepreciationCostsCapitalizedSubsequentToAcquisitionCarryingCostsAdjustments_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Real Estate And Accumulated Depreciation Costs Capitalized Subsequent To Acquisition Carrying Costs Adjustments</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_RealEstateAndAccumulatedDepreciationCarryingAmountOfLand" xlink:type="locator" xlink:label="us-gaap_RealEstateAndAccumulatedDepreciationCarryingAmountOfLand" />
    <label xml:lang="en-US" xlink:label="us-gaap_RealEstateAndAccumulatedDepreciationCarryingAmountOfLand_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Land at cost</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_RealEstateAndAccumulatedDepreciationCarryingAmountOfLand" xlink:to="us-gaap_RealEstateAndAccumulatedDepreciationCarryingAmountOfLand_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_RealEstateAndAccumulatedDepreciationCarryingAmountOfLand_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Real Estate And Accumulated Depreciation Carrying Amount Of Land</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_RealEstateAndAccumulatedDepreciationCarryingAmountOfBuildingsAndImprovements" xlink:type="locator" xlink:label="us-gaap_RealEstateAndAccumulatedDepreciationCarryingAmountOfBuildingsAndImprovements" />
    <label xml:lang="en-US" xlink:label="us-gaap_RealEstateAndAccumulatedDepreciationCarryingAmountOfBuildingsAndImprovements_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Buildings at cost</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_RealEstateAndAccumulatedDepreciationCarryingAmountOfBuildingsAndImprovements" xlink:to="us-gaap_RealEstateAndAccumulatedDepreciationCarryingAmountOfBuildingsAndImprovements_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_RealEstateAndAccumulatedDepreciationCarryingAmountOfBuildingsAndImprovements_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Real Estate And Accumulated Depreciation Carrying Amount Of Buildings And Improvements</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_RealEstateGrossAtCarryingValue" xlink:type="locator" xlink:label="us-gaap_RealEstateGrossAtCarryingValue" />
    <label xml:lang="en-US" xlink:label="us-gaap_RealEstateGrossAtCarryingValue_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/totalLabel">Total at cost</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_RealEstateGrossAtCarryingValue" xlink:to="us-gaap_RealEstateGrossAtCarryingValue_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_RealEstateGrossAtCarryingValue_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Real Estate Gross At Carrying Value</label>
    <label xml:lang="en-US" xlink:label="us-gaap_RealEstateAccumulatedDepreciation_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Accumulated Depreciation</label>
    <loc xlink:href="http://xbrl.fasb.org/srt/2018/elts/srt-2018-01-31.xsd#srt_RealEstateAndAccumulatedDepreciationAmountOfEncumbrances" xlink:type="locator" xlink:label="srt_RealEstateAndAccumulatedDepreciationAmountOfEncumbrances" />
    <label xml:lang="en-US" xlink:label="srt_RealEstateAndAccumulatedDepreciationAmountOfEncumbrances_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Encumbrances</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="srt_RealEstateAndAccumulatedDepreciationAmountOfEncumbrances" xlink:to="srt_RealEstateAndAccumulatedDepreciationAmountOfEncumbrances_lbl" />
    <label xml:lang="en-US" xlink:label="srt_RealEstateAndAccumulatedDepreciationAmountOfEncumbrances_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Real Estate And Accumulated Depreciation Amount Of Encumbrances</label>
    <label xml:lang="en-US" xlink:label="mpw_RealEstateAndAccumulatedDepreciationYearOfConstruction_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Date of Construction</label>
    <label xml:lang="en-US" xlink:label="mpw_RealEstateAndAccumulatedDepreciationYearOfConstruction_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Real Estate And Accumulated Depreciation Year Of Construction</label>
    <loc xlink:href="http://xbrl.fasb.org/srt/2018/elts/srt-2018-01-31.xsd#srt_RealEstateAndAccumulatedDepreciationDateAcquired1" xlink:type="locator" xlink:label="srt_RealEstateAndAccumulatedDepreciationDateAcquired1" />
    <label xml:lang="en-US" xlink:label="srt_RealEstateAndAccumulatedDepreciationDateAcquired1_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Date Acquired</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="srt_RealEstateAndAccumulatedDepreciationDateAcquired1" xlink:to="srt_RealEstateAndAccumulatedDepreciationDateAcquired1_lbl" />
    <label xml:lang="en-US" xlink:label="srt_RealEstateAndAccumulatedDepreciationDateAcquired1_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Real Estate And Accumulated Depreciation Date Acquired1</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_RealEstateAndAccumulatedDepreciationLifeUsedForDepreciation1" xlink:type="locator" xlink:label="us-gaap_RealEstateAndAccumulatedDepreciationLifeUsedForDepreciation1" />
    <label xml:lang="en-US" xlink:label="us-gaap_RealEstateAndAccumulatedDepreciationLifeUsedForDepreciation1_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Life on which depreciation in latest income statements is computed (Years)</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_RealEstateAndAccumulatedDepreciationLifeUsedForDepreciation1" xlink:to="us-gaap_RealEstateAndAccumulatedDepreciationLifeUsedForDepreciation1_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_RealEstateAndAccumulatedDepreciationLifeUsedForDepreciation1_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Real Estate And Accumulated Depreciation Life Used For Depreciation1</label>
    <loc xlink:href="http://xbrl.fasb.org/srt/2018/elts/srt-2018-01-31.xsd#srt_RealEstateFederalIncomeTaxBasis" xlink:type="locator" xlink:label="srt_RealEstateFederalIncomeTaxBasis" />
    <label xml:lang="en-US" xlink:label="srt_RealEstateFederalIncomeTaxBasis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Aggregate cost for federal income tax purposes</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="srt_RealEstateFederalIncomeTaxBasis" xlink:to="srt_RealEstateFederalIncomeTaxBasis_lbl" />
    <label xml:lang="en-US" xlink:label="srt_RealEstateFederalIncomeTaxBasis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Real Estate Federal Income Tax Basis</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_RealEstateAccumulatedDepreciationCapitalExpendituresAndTransfersFromConstructionInProgress" xlink:type="locator" xlink:label="mpw_RealEstateAccumulatedDepreciationCapitalExpendituresAndTransfersFromConstructionInProgress" />
    <label xml:lang="en-US" xlink:label="mpw_RealEstateAccumulatedDepreciationCapitalExpendituresAndTransfersFromConstructionInProgress_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Real estate accumulated depreciation capital expenditures and transfers from construction in progress.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_RealEstateAccumulatedDepreciationCapitalExpendituresAndTransfersFromConstructionInProgress" xlink:to="mpw_RealEstateAccumulatedDepreciationCapitalExpendituresAndTransfersFromConstructionInProgress_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_RealEstateGrossAtCarryingValue_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/periodStartLabel">Balance at beginning of period</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_RealEstateOtherAcquisitions" xlink:type="locator" xlink:label="us-gaap_RealEstateOtherAcquisitions" />
    <label xml:lang="en-US" xlink:label="us-gaap_RealEstateOtherAcquisitions_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Acquisitions</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_RealEstateOtherAcquisitions" xlink:to="us-gaap_RealEstateOtherAcquisitions_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_RealEstateOtherAcquisitions_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Real Estate Other Acquisitions</label>
    <label xml:lang="en-US" xlink:label="mpw_RealEstateAccumulatedDepreciationCapitalExpendituresAndTransfersFromConstructionInProgress_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Transfers from construction in progress</label>
    <label xml:lang="en-US" xlink:label="mpw_RealEstateAccumulatedDepreciationCapitalExpendituresAndTransfersFromConstructionInProgress_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Real Estate Accumulated Depreciation Capital Expenditures And Transfers From Construction In Progress</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_RealEstateOtherAdditions" xlink:type="locator" xlink:label="us-gaap_RealEstateOtherAdditions" />
    <label xml:lang="en-US" xlink:label="us-gaap_RealEstateOtherAdditions_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Additions</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_RealEstateOtherAdditions" xlink:to="us-gaap_RealEstateOtherAdditions_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_RealEstateOtherAdditions_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Real Estate Other Additions</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_RealEstateCostOfRealEstateSold" xlink:type="locator" xlink:label="us-gaap_RealEstateCostOfRealEstateSold" />
    <label xml:lang="en-US" xlink:label="us-gaap_RealEstateCostOfRealEstateSold_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">Dispositions</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_RealEstateCostOfRealEstateSold" xlink:to="us-gaap_RealEstateCostOfRealEstateSold_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_RealEstateCostOfRealEstateSold_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Real Estate Cost Of Real Estate Sold</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_RealEstatePeriodIncreaseDecrease" xlink:type="locator" xlink:label="us-gaap_RealEstatePeriodIncreaseDecrease" />
    <label xml:lang="en-US" xlink:label="us-gaap_RealEstatePeriodIncreaseDecrease_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Other</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_RealEstatePeriodIncreaseDecrease" xlink:to="us-gaap_RealEstatePeriodIncreaseDecrease_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_RealEstatePeriodIncreaseDecrease_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Real Estate Period Increase Decrease</label>
    <label xml:lang="en-US" xlink:label="us-gaap_RealEstateGrossAtCarryingValue_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/periodEndLabel">Balance at end of period</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_RealEstateAssetsAccumulatedDepreciation" xlink:type="locator" xlink:label="mpw_RealEstateAssetsAccumulatedDepreciation" />
    <label xml:lang="en-US" xlink:label="mpw_RealEstateAssetsAccumulatedDepreciation_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Real estate assets accumulated depreciation.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_RealEstateAssetsAccumulatedDepreciation" xlink:to="mpw_RealEstateAssetsAccumulatedDepreciation_lbl" />
    <loc xlink:href="mpw-20181231.xsd#mpw_RealEstateAccumulatedDepreciationForeignCurrencyTranslationDifference" xlink:type="locator" xlink:label="mpw_RealEstateAccumulatedDepreciationForeignCurrencyTranslationDifference" />
    <label xml:lang="en-US" xlink:label="mpw_RealEstateAccumulatedDepreciationForeignCurrencyTranslationDifference_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Real estate accumulated depreciation, foreign currency translation difference.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_RealEstateAccumulatedDepreciationForeignCurrencyTranslationDifference" xlink:to="mpw_RealEstateAccumulatedDepreciationForeignCurrencyTranslationDifference_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_RealEstateAssetsAccumulatedDepreciation_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/periodStartLabel">Balance at beginning of period</label>
    <label xml:lang="en-US" xlink:label="mpw_RealEstateAssetsAccumulatedDepreciation_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Real Estate Assets Accumulated Depreciation</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_SECScheduleIIIRealEstateAccumulatedDepreciationDepreciationExpense" xlink:type="locator" xlink:label="us-gaap_SECScheduleIIIRealEstateAccumulatedDepreciationDepreciationExpense" />
    <label xml:lang="en-US" xlink:label="us-gaap_SECScheduleIIIRealEstateAccumulatedDepreciationDepreciationExpense_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Depreciation</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_SECScheduleIIIRealEstateAccumulatedDepreciationDepreciationExpense" xlink:to="us-gaap_SECScheduleIIIRealEstateAccumulatedDepreciationDepreciationExpense_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_SECScheduleIIIRealEstateAccumulatedDepreciationDepreciationExpense_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">S E C Schedule I I I Real Estate Accumulated Depreciation Depreciation Expense</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_RealEstateAccumulatedDepreciationRealEstateSold" xlink:type="locator" xlink:label="us-gaap_RealEstateAccumulatedDepreciationRealEstateSold" />
    <label xml:lang="en-US" xlink:label="us-gaap_RealEstateAccumulatedDepreciationRealEstateSold_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">Depreciation on disposed property</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_RealEstateAccumulatedDepreciationRealEstateSold" xlink:to="us-gaap_RealEstateAccumulatedDepreciationRealEstateSold_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_RealEstateAccumulatedDepreciationRealEstateSold_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Real Estate Accumulated Depreciation Real Estate Sold</label>
    <label xml:lang="en-US" xlink:label="mpw_RealEstateAccumulatedDepreciationForeignCurrencyTranslationDifference_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">Other</label>
    <label xml:lang="en-US" xlink:label="mpw_RealEstateAccumulatedDepreciationForeignCurrencyTranslationDifference_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Real Estate Accumulated Depreciation Foreign Currency Translation Difference</label>
    <label xml:lang="en-US" xlink:label="mpw_RealEstateAssetsAccumulatedDepreciation_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/periodEndLabel">Balance at end of period</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_RealEstateHeldForSaleMember" xlink:type="locator" xlink:label="mpw_RealEstateHeldForSaleMember" />
    <label xml:lang="en-US" xlink:label="mpw_RealEstateHeldForSaleMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Real Estate Held for Sale.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_RealEstateHeldForSaleMember" xlink:to="mpw_RealEstateHeldForSaleMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_RealEstateHeldForSaleMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Real Estate Held For Sale [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_RealEstateHeldForSaleMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Real Estate Held For Sale [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_LandAndBuildingMember" xlink:type="locator" xlink:label="us-gaap_LandAndBuildingMember" />
    <label xml:lang="en-US" xlink:label="us-gaap_LandAndBuildingMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Land and Building [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_LandAndBuildingMember" xlink:to="us-gaap_LandAndBuildingMember_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_LandAndBuildingMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Land And Building [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_RealEstateAssetsAccumulatedDepreciation_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Accumulated Depreciation</label>
    <label xml:lang="en-US" xlink:label="mpw_RealEstateAssetsAccumulatedAmortization_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Accumulated amortization</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_MortgageLoanOnRealEstateFinalMaturityYear" xlink:type="locator" xlink:label="mpw_MortgageLoanOnRealEstateFinalMaturityYear" />
    <label xml:lang="en-US" xlink:label="mpw_MortgageLoanOnRealEstateFinalMaturityYear_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Mortgage Loan on Real Estate, Final Maturity Year</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_MortgageLoanOnRealEstateFinalMaturityYear" xlink:to="mpw_MortgageLoanOnRealEstateFinalMaturityYear_lbl" />
    <loc xlink:href="http://xbrl.fasb.org/srt/2018/elts/srt-2018-01-31.xsd#srt_MortgageLoansOnRealEstateScheduleTable" xlink:type="locator" xlink:label="srt_MortgageLoansOnRealEstateScheduleTable" />
    <label xml:lang="en-US" xlink:label="srt_MortgageLoansOnRealEstateScheduleTable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Mortgage Loans On Real Estate Schedule [Table]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="srt_MortgageLoansOnRealEstateScheduleTable" xlink:to="srt_MortgageLoansOnRealEstateScheduleTable_lbl" />
    <label xml:lang="en-US" xlink:label="srt_MortgageLoansOnRealEstateScheduleTable_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Mortgage Loans On Real Estate Schedule [Table]</label>
    <loc xlink:href="http://xbrl.fasb.org/srt/2018/elts/srt-2018-01-31.xsd#srt_MortgageLoansOnRealEstateDescriptionLoanCategoryAxis" xlink:type="locator" xlink:label="srt_MortgageLoansOnRealEstateDescriptionLoanCategoryAxis" />
    <label xml:lang="en-US" xlink:label="srt_MortgageLoansOnRealEstateDescriptionLoanCategoryAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Loan Category</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="srt_MortgageLoansOnRealEstateDescriptionLoanCategoryAxis" xlink:to="srt_MortgageLoansOnRealEstateDescriptionLoanCategoryAxis_lbl" />
    <label xml:lang="en-US" xlink:label="srt_MortgageLoansOnRealEstateDescriptionLoanCategoryAxis_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Mortgage Loans On Real Estate Description Loan Category [Axis]</label>
    <loc xlink:href="http://xbrl.fasb.org/srt/2018/elts/srt-2018-01-31.xsd#srt_MortgageLoansOnRealEstateLoanCategoryDomain" xlink:type="locator" xlink:label="srt_MortgageLoansOnRealEstateLoanCategoryDomain" />
    <label xml:lang="en-US" xlink:label="srt_MortgageLoansOnRealEstateLoanCategoryDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate, Loan Category</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="srt_MortgageLoansOnRealEstateLoanCategoryDomain" xlink:to="srt_MortgageLoansOnRealEstateLoanCategoryDomain_lbl" />
    <label xml:lang="en-US" xlink:label="srt_MortgageLoansOnRealEstateLoanCategoryDomain_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Mortgage Loans On Real Estate Loan Category [Domain]</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_FirstMortgageMember" xlink:type="locator" xlink:label="us-gaap_FirstMortgageMember" />
    <label xml:lang="en-US" xlink:label="us-gaap_FirstMortgageMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Long-Term First Mortgage Loan [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_FirstMortgageMember" xlink:to="us-gaap_FirstMortgageMember_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_FirstMortgageMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">First Mortgage [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_DesertValleyHospitalMember" xlink:type="locator" xlink:label="mpw_DesertValleyHospitalMember" />
    <label xml:lang="en-US" xlink:label="mpw_DesertValleyHospitalMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Desert Valley Hospital [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_DesertValleyHospitalMember" xlink:to="mpw_DesertValleyHospitalMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_DesertValleyHospitalMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Desert Valley Hospital [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_DesertValleyHospitalMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Desert Valley Hospital [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_DesertValleyHospitalTwoMember" xlink:type="locator" xlink:label="mpw_DesertValleyHospitalTwoMember" />
    <label xml:lang="en-US" xlink:label="mpw_DesertValleyHospitalTwoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Desert Valley Hospital Two [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_DesertValleyHospitalTwoMember" xlink:to="mpw_DesertValleyHospitalTwoMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_DesertValleyHospitalTwoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Desert Valley Hospital [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_DesertValleyHospitalTwoMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Desert Valley Hospital Two [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_DesertValleyHospitalThreeMember" xlink:type="locator" xlink:label="mpw_DesertValleyHospitalThreeMember" />
    <label xml:lang="en-US" xlink:label="mpw_DesertValleyHospitalThreeMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Desert Valley Hospital Three [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_DesertValleyHospitalThreeMember" xlink:to="mpw_DesertValleyHospitalThreeMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_DesertValleyHospitalThreeMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Desert Valley Hospital [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_DesertValleyHospitalThreeMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Desert Valley Hospital Three [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_ChinoValleyMedicalCenterMember" xlink:type="locator" xlink:label="mpw_ChinoValleyMedicalCenterMember" />
    <label xml:lang="en-US" xlink:label="mpw_ChinoValleyMedicalCenterMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Chino Valley Medical Center [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_ChinoValleyMedicalCenterMember" xlink:to="mpw_ChinoValleyMedicalCenterMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_ChinoValleyMedicalCenterMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Chino Valley Medical Center [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_ChinoValleyMedicalCenterMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Chino Valley Medical Center [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_ParadiseValleyHospitalMember" xlink:type="locator" xlink:label="mpw_ParadiseValleyHospitalMember" />
    <label xml:lang="en-US" xlink:label="mpw_ParadiseValleyHospitalMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Paradise Valley Hospital [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_ParadiseValleyHospitalMember" xlink:to="mpw_ParadiseValleyHospitalMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_ParadiseValleyHospitalMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Paradise Valley Hospital [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_ParadiseValleyHospitalMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Paradise Valley Hospital [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_ErnestMortgageLoanMember" xlink:type="locator" xlink:label="mpw_ErnestMortgageLoanMember" />
    <label xml:lang="en-US" xlink:label="mpw_ErnestMortgageLoanMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Ernest Mortgage Loan [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_ErnestMortgageLoanMember" xlink:to="mpw_ErnestMortgageLoanMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_ErnestMortgageLoanMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Ernest Mortgage Loan [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_ErnestMortgageLoanMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Ernest Mortgage Loan [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_CentinelaMedicalBuildingComplexMember" xlink:type="locator" xlink:label="mpw_CentinelaMedicalBuildingComplexMember" />
    <label xml:lang="en-US" xlink:label="mpw_CentinelaMedicalBuildingComplexMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Centinela Medical Building Complex [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_CentinelaMedicalBuildingComplexMember" xlink:to="mpw_CentinelaMedicalBuildingComplexMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_CentinelaMedicalBuildingComplexMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Centinela Hospital Medical Center [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_CentinelaMedicalBuildingComplexMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Centinela Medical Building Complex [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_OlympiaMedicalCenterMember" xlink:type="locator" xlink:label="mpw_OlympiaMedicalCenterMember" />
    <label xml:lang="en-US" xlink:label="mpw_OlympiaMedicalCenterMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Olympia Medical Center [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_OlympiaMedicalCenterMember" xlink:to="mpw_OlympiaMedicalCenterMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_OlympiaMedicalCenterMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Olympia Medical Center [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_OlympiaMedicalCenterMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Olympia Medical Center [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_StMarysMedicalCenterMember" xlink:type="locator" xlink:label="mpw_StMarysMedicalCenterMember" />
    <label xml:lang="en-US" xlink:label="mpw_StMarysMedicalCenterMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">St. Mary&apos;s Medical Center.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_StMarysMedicalCenterMember" xlink:to="mpw_StMarysMedicalCenterMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_StMarysMedicalCenterMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">St. Mary&apos;s Medical Center [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_StMarysMedicalCenterMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">St Marys Medical Center [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_LakeHuronMedicalCenterMember" xlink:type="locator" xlink:label="mpw_LakeHuronMedicalCenterMember" />
    <label xml:lang="en-US" xlink:label="mpw_LakeHuronMedicalCenterMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Lake Huron Medical Center [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_LakeHuronMedicalCenterMember" xlink:to="mpw_LakeHuronMedicalCenterMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_LakeHuronMedicalCenterMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Lake Huron Medical Center [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_LakeHuronMedicalCenterMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Lake Huron Medical Center [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_StewardMortgageLoanMember" xlink:type="locator" xlink:label="mpw_StewardMortgageLoanMember" />
    <label xml:lang="en-US" xlink:label="mpw_StewardMortgageLoanMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Steward Mortgage Loan [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_StewardMortgageLoanMember" xlink:to="mpw_StewardMortgageLoanMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_StewardMortgageLoanMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Steward Mortgage Loan [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_StewardMortgageLoanMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Steward Mortgage Loan [Member]</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_VibraMortgageLoanMember" xlink:type="locator" xlink:label="mpw_VibraMortgageLoanMember" />
    <label xml:lang="en-US" xlink:label="mpw_VibraMortgageLoanMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Vibra Mortgage Loan [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_VibraMortgageLoanMember" xlink:to="mpw_VibraMortgageLoanMember_lbl" />
    <label xml:lang="en-US" xlink:label="mpw_VibraMortgageLoanMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Vibra Mortgage Loan [Member]</label>
    <label xml:lang="en-US" xlink:label="mpw_VibraMortgageLoanMember_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Vibra Mortgage Loan [Member]</label>
    <loc xlink:href="http://xbrl.fasb.org/srt/2018/elts/srt-2018-01-31.xsd#srt_MortgageLoansOnRealEstateLineItems" xlink:type="locator" xlink:label="srt_MortgageLoansOnRealEstateLineItems" />
    <label xml:lang="en-US" xlink:label="srt_MortgageLoansOnRealEstateLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Mortgage Loans on Real Estate [Line Items]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="srt_MortgageLoansOnRealEstateLineItems" xlink:to="srt_MortgageLoansOnRealEstateLineItems_lbl" />
    <label xml:lang="en-US" xlink:label="srt_MortgageLoansOnRealEstateLineItems_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Mortgage Loans On Real Estate [Line Items]</label>
    <label xml:lang="en-US" xlink:label="srt_MortgageLoansOnRealEstateInterestRate_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel">Interest Rate</label>
    <label xml:lang="en-US" xlink:label="mpw_MortgageLoanOnRealEstateFinalMaturityYear_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Final Maturity Date</label>
    <label xml:lang="en-US" xlink:label="mpw_MortgageLoanOnRealEstateFinalMaturityYear_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Mortgage Loan On Real Estate Final Maturity Year</label>
    <loc xlink:href="http://xbrl.fasb.org/srt/2018/elts/srt-2018-01-31.xsd#srt_MortgageLoansOnRealEstatePeriodicPaymentTerms" xlink:type="locator" xlink:label="srt_MortgageLoansOnRealEstatePeriodicPaymentTerms" />
    <label xml:lang="en-US" xlink:label="srt_MortgageLoansOnRealEstatePeriodicPaymentTerms_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Periodic Payment Terms</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="srt_MortgageLoansOnRealEstatePeriodicPaymentTerms" xlink:to="srt_MortgageLoansOnRealEstatePeriodicPaymentTerms_lbl" />
    <label xml:lang="en-US" xlink:label="srt_MortgageLoansOnRealEstatePeriodicPaymentTerms_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Mortgage Loans On Real Estate Periodic Payment Terms</label>
    <loc xlink:href="http://xbrl.fasb.org/srt/2018/elts/srt-2018-01-31.xsd#srt_MortgageLoansOnRealEstatePriorLiens1" xlink:type="locator" xlink:label="srt_MortgageLoansOnRealEstatePriorLiens1" />
    <label xml:lang="en-US" xlink:label="srt_MortgageLoansOnRealEstatePriorLiens1_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Prior Liens</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="srt_MortgageLoansOnRealEstatePriorLiens1" xlink:to="srt_MortgageLoansOnRealEstatePriorLiens1_lbl" />
    <label xml:lang="en-US" xlink:label="srt_MortgageLoansOnRealEstatePriorLiens1_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Mortgage Loans On Real Estate Prior Liens1</label>
    <loc xlink:href="http://xbrl.fasb.org/srt/2018/elts/srt-2018-01-31.xsd#srt_MortgageLoansOnRealEstateFaceAmountOfMortgages" xlink:type="locator" xlink:label="srt_MortgageLoansOnRealEstateFaceAmountOfMortgages" />
    <label xml:lang="en-US" xlink:label="srt_MortgageLoansOnRealEstateFaceAmountOfMortgages_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Face Amount of Mortgages</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="srt_MortgageLoansOnRealEstateFaceAmountOfMortgages" xlink:to="srt_MortgageLoansOnRealEstateFaceAmountOfMortgages_lbl" />
    <label xml:lang="en-US" xlink:label="srt_MortgageLoansOnRealEstateFaceAmountOfMortgages_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Mortgage Loans On Real Estate Face Amount Of Mortgages</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_MortgageLoansOnRealEstate" xlink:type="locator" xlink:label="us-gaap_MortgageLoansOnRealEstate" />
    <label xml:lang="en-US" xlink:label="us-gaap_MortgageLoansOnRealEstate_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel">Carrying Amount of Mortgages</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_MortgageLoansOnRealEstate" xlink:to="us-gaap_MortgageLoansOnRealEstate_lbl" />
    <label xml:lang="en-US" xlink:label="us-gaap_MortgageLoansOnRealEstate_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Mortgage Loans On Real Estate</label>
    <loc xlink:href="http://xbrl.fasb.org/srt/2018/elts/srt-2018-01-31.xsd#srt_MortgageLoansOnRealEstatePrincipalAmountOfDelinquentLoans" xlink:type="locator" xlink:label="srt_MortgageLoansOnRealEstatePrincipalAmountOfDelinquentLoans" />
    <label xml:lang="en-US" xlink:label="srt_MortgageLoansOnRealEstatePrincipalAmountOfDelinquentLoans_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Principal Amount of Loans Subject to Delinquent Principal or Interest</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="srt_MortgageLoansOnRealEstatePrincipalAmountOfDelinquentLoans" xlink:to="srt_MortgageLoansOnRealEstatePrincipalAmountOfDelinquentLoans_lbl" />
    <label xml:lang="en-US" xlink:label="srt_MortgageLoansOnRealEstatePrincipalAmountOfDelinquentLoans_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Mortgage Loans On Real Estate Principal Amount Of Delinquent Loans</label>
    <loc xlink:href="mpw-20181231.xsd#mpw_NumberOfProperties" xlink:type="locator" xlink:label="mpw_NumberOfProperties" />
    <label xml:lang="en-US" xlink:label="mpw_NumberOfProperties_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation">Number of Properties</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="mpw_NumberOfProperties" xlink:to="mpw_NumberOfProperties_lbl" />
    <loc xlink:href="http://xbrl.fasb.org/srt/2018/elts/srt-2018-01-31.xsd#srt_MortgageLoansOnRealEstateFederalIncomeTaxBasis1" xlink:type="locator" xlink:label="srt_MortgageLoansOnRealEstateFederalIncomeTaxBasis1" />
    <label xml:lang="en-US" xlink:label="srt_MortgageLoansOnRealEstateFederalIncomeTaxBasis1_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Carrying amount of mortgages, federal income tax purposes</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="srt_MortgageLoansOnRealEstateFederalIncomeTaxBasis1" xlink:to="srt_MortgageLoansOnRealEstateFederalIncomeTaxBasis1_lbl" />
    <label xml:lang="en-US" xlink:label="srt_MortgageLoansOnRealEstateFederalIncomeTaxBasis1_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Mortgage Loans On Real Estate Federal Income Tax Basis1</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_UnamortizedLoanCommitmentAndOriginationFeesAndUnamortizedDiscountsOrPremiums" xlink:type="locator" xlink:label="us-gaap_UnamortizedLoanCommitmentAndOriginationFeesAndUnamortizedDiscountsOrPremiums" />
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    <label xml:lang="en-US" xlink:label="mpw_NumberOfProperties_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel">Number of properties</label>
    <label xml:lang="en-US" xlink:label="mpw_NumberOfProperties_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label">Number Of Properties</label>
    <label xml:lang="en-US" xlink:label="us-gaap_MortgageLoansOnRealEstate_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/periodStartLabel">Balance at beginning of year</label>
    <label xml:lang="en-US" xlink:label="us-gaap_MortgageLoansOnRealEstateNewMortgageLoans_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/positiveLabel">New mortgage loans and additional advances on existing loans</label>
    <loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_MortgageLoansOnRealEstateOtherAdditions" xlink:type="locator" xlink:label="us-gaap_MortgageLoansOnRealEstateOtherAdditions" />
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    <label xml:lang="en-US" xlink:label="srt_MortgageLoansOnRealEstateCollectionsOfPrincipal_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">Collection of principal</label>
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    <label xml:lang="en-US" xlink:label="us-gaap_MortgageLoansOnRealEstateOtherDeductions_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2009/role/negatedLabel">Deductions during year</label>
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    <label xml:lang="en-US" xlink:label="us-gaap_MortgageLoansOnRealEstate_lbl" xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/periodEndLabel">Balance at end of year</label>
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