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  <element name="NumberOfLeasedHospitals" id="mpw_NumberOfLeasedHospitals" type="xbrli:integerItemType" abstract="false" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="NumberOfOtherPartners" id="mpw_NumberOfOtherPartners" type="xbrli:integerItemType" abstract="false" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="NumberOfPartnersSharedRemainingOwnershipPercentage" id="mpw_NumberOfPartnersSharedRemainingOwnershipPercentage" type="xbrli:integerItemType" abstract="false" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="NumberOfProjectsCompleted" id="mpw_NumberOfProjectsCompleted" type="xbrli:integerItemType" abstract="false" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="NumberOfPropertiesSold" id="mpw_NumberOfPropertiesSold" type="xbrli:integerItemType" abstract="false" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="OperatingLeasesRentInterestAndOtherChargesOutstanding" id="mpw_OperatingLeasesRentInterestAndOtherChargesOutstanding" type="xbrli:monetaryItemType" abstract="false" xbrli:periodType="duration" xbrli:balance="credit" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="OperatorFourMember" id="mpw_OperatorFourMember" type="nonnum:domainItemType" abstract="true" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="OperatorOneMember" id="mpw_OperatorOneMember" type="nonnum:domainItemType" abstract="true" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="OperatorThreeMember" id="mpw_OperatorThreeMember" type="nonnum:domainItemType" abstract="true" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="OperatorTwoMember" id="mpw_OperatorTwoMember" type="nonnum:domainItemType" abstract="true" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="OtherLoans" id="mpw_OtherLoans" type="xbrli:monetaryItemType" abstract="false" xbrli:periodType="instant" xbrli:balance="debit" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="OtherLoansMember" id="mpw_OtherLoansMember" type="nonnum:domainItemType" abstract="true" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="PayableDueToParentCompany" id="mpw_PayableDueToParentCompany" type="xbrli:monetaryItemType" abstract="false" xbrli:periodType="instant" xbrli:balance="credit" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="PercentageOfDividendsPayableOnBasisOfAdjustedOperatingFunds" id="mpw_PercentageOfDividendsPayableOnBasisOfAdjustedOperatingFunds" type="num:percentItemType" abstract="false" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="PercentageOfDividendsPayableOnBasisOfAdjustedOperatingFundsForOneYear" id="mpw_PercentageOfDividendsPayableOnBasisOfAdjustedOperatingFundsForOneYear" type="num:percentItemType" abstract="false" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="PercentageOfDividendsPayableOnSeniorUnsecuredNotes" id="mpw_PercentageOfDividendsPayableOnSeniorUnsecuredNotes" type="num:percentItemType" abstract="false" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="PercentageOfEquitySharesFromConvertibleDebt" id="mpw_PercentageOfEquitySharesFromConvertibleDebt" type="num:percentItemType" abstract="false" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="PercentageOfRentalRate" id="mpw_PercentageOfRentalRate" type="num:percentItemType" abstract="false" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="PercentageOfRentEscalation" id="mpw_PercentageOfRentEscalation" type="num:percentItemType" abstract="false" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="PercentageOfTotalAssetsAccounted" id="mpw_PercentageOfTotalAssetsAccounted" type="num:percentItemType" abstract="false" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="PerformanceBasedAwardsMember" id="mpw_PerformanceBasedAwardsMember" type="nonnum:domainItemType" abstract="true" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="PlusHundredBasisPointsMember" id="mpw_PlusHundredBasisPointsMember" type="nonnum:domainItemType" abstract="true" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="PortionOfDebtInstrumentFaceAmount" id="mpw_PortionOfDebtInstrumentFaceAmount" type="xbrli:monetaryItemType" abstract="false" xbrli:periodType="duration" xbrli:balance="credit" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="PreferentialRateOfReturnOnLoan" id="mpw_PreferentialRateOfReturnOnLoan" type="num:percentItemType" abstract="false" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="PrimeHealthCareServicesMember" id="mpw_PrimeHealthCareServicesMember" type="nonnum:domainItemType" abstract="true" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="ProceedsFromLeaseDepositsAndOtherObligationsToTenants" id="mpw_ProceedsFromLeaseDepositsAndOtherObligationsToTenants" type="xbrli:monetaryItemType" abstract="false" xbrli:periodType="duration" xbrli:balance="debit" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="PropertyFiveMember" id="mpw_PropertyFiveMember" type="nonnum:domainItemType" abstract="true" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="PropertyFourMember" id="mpw_PropertyFourMember" type="nonnum:domainItemType" abstract="true" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="PropertyOneMember" id="mpw_PropertyOneMember" type="nonnum:domainItemType" abstract="true" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="PropertySubjectToLeaseOccupancyPercentage" id="mpw_PropertySubjectToLeaseOccupancyPercentage" type="num:percentItemType" abstract="false" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="PropertyThreeMember" id="mpw_PropertyThreeMember" type="nonnum:domainItemType" abstract="true" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="PropertyTwoMember" id="mpw_PropertyTwoMember" type="nonnum:domainItemType" abstract="true" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="PropertyTypeOneMember" id="mpw_PropertyTypeOneMember" type="nonnum:domainItemType" abstract="true" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="PropertyTypeThreeMember" id="mpw_PropertyTypeThreeMember" type="nonnum:domainItemType" abstract="true" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="PropertyTypeTwoMember" id="mpw_PropertyTypeTwoMember" type="nonnum:domainItemType" abstract="true" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="PublicOfferingMember" id="mpw_PublicOfferingMember" type="nonnum:domainItemType" abstract="true" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="PublicOfferingPriceForCommonStock" id="mpw_PublicOfferingPriceForCommonStock" type="num:perShareItemType" abstract="false" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="RealEstateAndLoansReceivablesTextBlock" id="mpw_RealEstateAndLoansReceivablesTextBlock" type="nonnum:textBlockItemType" abstract="false" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="RealEstateAssetsAbstract" id="mpw_RealEstateAssetsAbstract" type="xbrli:stringItemType" abstract="true" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="ReceivablesGuaranteedByParent" id="mpw_ReceivablesGuaranteedByParent" type="xbrli:monetaryItemType" abstract="false" xbrli:periodType="instant" xbrli:balance="debit" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="ReclassificationsPolicyTextBlock" id="mpw_ReclassificationsPolicyTextBlock" type="nonnum:textBlockItemType" abstract="false" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="RecognitionOfUnearnedIncomeOnDirectFinancingAndSalesTypeLeases" id="mpw_RecognitionOfUnearnedIncomeOnDirectFinancingAndSalesTypeLeases" type="xbrli:monetaryItemType" abstract="false" xbrli:periodType="duration" xbrli:balance="credit" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="RehabilitationHospitalsMember" id="mpw_RehabilitationHospitalsMember" type="nonnum:domainItemType" abstract="true" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="RemainingConvertibleDebtAfterConversionOfPartOfDebt" id="mpw_RemainingConvertibleDebtAfterConversionOfPartOfDebt" type="xbrli:monetaryItemType" abstract="false" xbrli:periodType="instant" xbrli:balance="credit" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="RentBilled" id="mpw_RentBilled" type="xbrli:monetaryItemType" abstract="false" xbrli:periodType="duration" xbrli:balance="credit" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="RevenueFromTransactionAsPercentage" id="mpw_RevenueFromTransactionAsPercentage" type="num:percentItemType" abstract="false" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="RevolvingCreditFacilitiesNet" id="mpw_RevolvingCreditFacilitiesNet" type="xbrli:monetaryItemType" abstract="false" xbrli:periodType="duration" xbrli:balance="credit" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="ScheduleOfDevelopmentProjectsTableTextBlock" id="mpw_ScheduleOfDevelopmentProjectsTableTextBlock" type="nonnum:textBlockItemType" abstract="false" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="ScheduleOfLoansReceivableTableTextBlock" id="mpw_ScheduleOfLoansReceivableTableTextBlock" type="nonnum:textBlockItemType" abstract="false" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="StraightLineRentReceivable" id="mpw_StraightLineRentReceivable" type="xbrli:monetaryItemType" abstract="false" xbrli:periodType="instant" xbrli:balance="debit" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="StraightLineRentReceivablesWriteOff" id="mpw_StraightLineRentReceivablesWriteOff" type="xbrli:monetaryItemType" abstract="false" xbrli:periodType="duration" xbrli:balance="debit" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="StraightLineRentRevenue" id="mpw_StraightLineRentRevenue" type="xbrli:monetaryItemType" abstract="false" xbrli:periodType="duration" xbrli:balance="credit" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="SummaryOfCondensedConsolidatedBalanceSheetTableTextBlock" id="mpw_SummaryOfCondensedConsolidatedBalanceSheetTableTextBlock" type="nonnum:textBlockItemType" abstract="false" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="SummaryOfCondensedConsolidatedStatementOfIncomeTableTextBlock" id="mpw_SummaryOfCondensedConsolidatedStatementOfIncomeTableTextBlock" type="nonnum:textBlockItemType" abstract="false" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="SummaryOfCondensedConsolidatedStatementsOfCashFlowsTableTextBlock" id="mpw_SummaryOfCondensedConsolidatedStatementsOfCashFlowsTableTextBlock" type="nonnum:textBlockItemType" abstract="false" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="SupplementalScheduleOfNonCashFinancingActivitiesAbstract" id="mpw_SupplementalScheduleOfNonCashFinancingActivitiesAbstract" type="xbrli:stringItemType" abstract="true" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="TermLoansMember" id="mpw_TermLoansMember" type="nonnum:domainItemType" abstract="true" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="TermsOfAgreement" id="mpw_TermsOfAgreement" type="xbrli:stringItemType" abstract="false" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="TexasMember" id="mpw_TexasMember" type="nonnum:domainItemType" abstract="true" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="ThorntonMember" id="mpw_ThorntonMember" type="nonnum:domainItemType" abstract="true" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="TimeBasedAwardsMember" id="mpw_TimeBasedAwardsMember" type="nonnum:domainItemType" abstract="true" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="TwoThousandTwelveSeniorUnsecuredNotesMember" id="mpw_TwoThousandTwelveSeniorUnsecuredNotesMember" type="nonnum:domainItemType" abstract="true" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="TwoThousandTwelveTermLoansMember" id="mpw_TwoThousandTwelveTermLoansMember" type="nonnum:domainItemType" abstract="true" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="UnderwritersPurchaseOfSharesToCoverOverAllotments" id="mpw_UnderwritersPurchaseOfSharesToCoverOverAllotments" type="xbrli:sharesItemType" abstract="false" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="WorkingCapitalLoansMember" id="mpw_WorkingCapitalLoansMember" type="nonnum:domainItemType" abstract="true" xbrli:periodType="duration" nillable="true" substitutionGroup="xbrli:item"/>
  <element name="WriteOffRentReceivables" id="mpw_WriteOffRentReceivables" type="xbrli:monetaryItemType" abstract="false" xbrli:periodType="duration" xbrli:balance="debit" nillable="true" substitutionGroup="xbrli:item"/>
</schema>
