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Document and Entity Information - shares	6 Months Ended
Document and Entity Information - shares	Jun. 30, 2013	Aug. 08, 2013
Document Information [Line Items]
Document Type	10-Q
Amendment Flag	false
Document Period End Date	Jun. 30, 2013
Document Fiscal Year Focus	2013
Document Fiscal Period Focus	Q2
Trading Symbol	MPW
Entity Registrant Name	MEDICAL PROPERTIES TRUST INC.
Entity Central Index Key	0001287865
Current Fiscal Year End Date	--12-31
Entity Filer Category	Large Accelerated Filer
Entity Common Stock, Shares Outstanding		150,071,911
MPT Operating Partnership, L.P.
Document Information [Line Items]
Document Type	10-Q
Amendment Flag	false
Document Period End Date	Jun. 30, 2013
Document Fiscal Year Focus	2013
Document Fiscal Period Focus	Q2
Entity Registrant Name	MPT Operating Partnership, L.P.
Entity Central Index Key	0001524607
Current Fiscal Year End Date	--12-31
Entity Filer Category	Non-accelerated Filer

Condensed Consolidated Balance Sheets - USD ($) $ in Thousands	Jun. 30, 2013	Dec. 31, 2012
Real estate assets
Land, buildings and improvements, and intangible lease assets	$ 1,295,229	$ 1,262,099
Real estate held for sale		16,497
Mortgage loans	368,650	368,650
Net investment in direct financing leases	391,904	314,412
Gross investment in real estate assets	2,055,783	1,961,658
Accumulated depreciation and amortization	(141,877)	(124,615)
Net investment in real estate assets	1,913,906	1,837,043
Cash and cash equivalents	26,072	37,311
Interest and rent receivable	54,231	45,289
Straight-line rent receivable	41,347	35,860
Other loans	157,251	159,243
Other assets	61,669	64,140
Total Assets	2,254,476	2,178,886
Liabilities
Debt, net	929,074	1,025,160
Accounts payable and accrued expenses	58,694	65,961
Deferred revenue	25,413	20,609
Lease deposits and other obligations to tenants	18,455	17,342
Total liabilities	1,031,636	1,129,072
Capital
Preferred stock, $0.001 par value. Authorized 10,000 shares; no shares outstanding
Common stock, $0.001 par value. Authorized 250,000 shares; issued and outstanding - 149,314 shares at June 30, 2013 and 136,335 shares at December 31, 2012	149	136
Additional paid in capital	1,472,961	1,295,916
Distributions in excess of net income	(240,132)	(233,494)
Accumulated other comprehensive loss	(9,876)	(12,482)
Treasury shares, at cost	(262)	(262)
Total capital	1,222,840	1,049,814
Total Liabilities and Capital	2,254,476	2,178,886
Limited Partners
Accumulated other comprehensive loss	(9,876)	(12,482)
Total capital	1,222,840	1,049,814
Total Liabilities and Capital	2,254,476	2,178,886
MPT Operating Partnership, L.P.
Real estate assets
Land, buildings and improvements, and intangible lease assets	1,295,229	1,262,099
Real estate held for sale		16,497
Mortgage loans	368,650	368,650
Net investment in direct financing leases	391,904	314,412
Gross investment in real estate assets	2,055,783	1,961,658
Accumulated depreciation and amortization	(141,877)	(124,615)
Net investment in real estate assets	1,913,906	1,837,043
Cash and cash equivalents	26,072	37,311
Interest and rent receivable	54,231	45,289
Straight-line rent receivable	41,347	35,860
Other loans	157,251	159,243
Other assets	61,669	64,140
Total Assets	2,254,476	2,178,886
Liabilities
Debt, net	929,074	1,025,160
Accounts payable and accrued expenses	28,649	38,177
Deferred revenue	25,413	20,609
Lease deposits and other obligations to tenants	18,455	17,342
Payable due to Medical Properties Trust, Inc.	29,654	27,394
Total liabilities	1,031,245	1,128,682
Capital
Accumulated other comprehensive loss	(9,876)	(12,482)
Total capital	1,223,231	1,050,204
Total Liabilities and Capital	2,254,476	2,178,886
Limited Partners
Accumulated other comprehensive loss	(9,876)	(12,482)
Total capital	1,223,231	1,050,204
Total Liabilities and Capital	2,254,476	2,178,886
MPT Operating Partnership, L.P. \| General Partner
Capital
General Partner - issued and outstanding - 1,487 units at June 30, 2013 and 1,357 units at December 31, 2012	12,335	10,630
MPT Operating Partnership, L.P. \| Common Units
Limited Partners
Limited Partners Capital Account	1,220,772	1,052,056
MPT Operating Partnership, L.P. \| LTIP Units
Limited Partners
Limited Partners Capital Account

Condensed Consolidated Balance Sheets (Parenthetical) - $ / shares	Jun. 30, 2013	Dec. 31, 2012
Preferred stock, par value	$ 0.001	$ 0.001
Preferred stock, shares authorized	10,000,000	10,000,000
Preferred stock, shares outstanding	0	0
Common stock, par value	$ 0.001	$ 0.001
Common stock, shares authorized	250,000,000	250,000,000
Common stock, shares issued	149,314,000	136,335,000
Common stock, shares outstanding	149,314,000	136,335,000
MPT Operating Partnership, L.P.
LTIP Units, shares issued	12,650,000
General Partner \| MPT Operating Partnership, L.P.
General Partner, shares issued	1,487,000	1,357,000
General Partner, shares outstanding	1,487,000	1,357,000
Common Units \| MPT Operating Partnership, L.P.
Limited Partners, units issued	147,827,000	134,978,000
Limited Partners, units outstanding	147,827,000	134,978,000
LTIP Units \| MPT Operating Partnership, L.P.
LTIP Units, shares issued	221,000	221,000
LTIP Units, shares outstanding	221,000	221,000

Condensed Consolidated Statements of Income - USD ($) shares in Thousands, $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2013	Jun. 30, 2012
Revenues
Rent billed	$ 31,359	$ 30,696	$ 63,196	$ 60,383
Straight-line rent	2,746	1,324	5,407	2,683
Income from direct financing leases	9,230	5,371	17,986	7,206
Interest and fee income	14,138	11,527	28,855	19,449
Total revenues	57,473	48,918	115,444	89,721
Expenses
Real estate depreciation and amortization	8,718	8,337	17,262	16,518
Property-related	649	586	1,062	813
General and administrative	7,225	6,697	15,044	14,289
Acquisition expenses	2,088	279	2,278	3,704
Total operating expenses	18,680	15,899	35,646	35,324
Operating income	38,793	33,019	79,798	54,397
Other income (expense)
Interest and other income (expense)	(23)	(17)	(248)	(32)
Earnings from equity and other interests	1,176	879	1,668	879
Interest expense	(14,641)	(14,889)	(30,065)	(27,684)
Net other expense	(13,488)	(14,027)	(28,645)	(26,837)
Income from continuing operations	25,305	18,992	51,153	27,560
Income from discontinued operations	2,100	368	2,461	2,407
Net income	27,405	19,360	53,614	29,967
Net income attributable to non-controlling interests	(57)	(44)	(110)	(87)
Net income attributable to MPT common stockholders	$ 27,348	$ 19,316	$ 53,504	$ 29,880
Earnings per common share - basic
Income from continuing operations attributable to MPT common stockholders/MPT Operating Partnership partners	$ 0.17	$ 0.14	$ 0.35	$ 0.21
Income from discontinued operations attributable to MPT common stockholders/MPT Operating Partnership partners	0.01		0.02	0.02
Net income attributable to MPT common stockholders	0.18	0.14	0.37	0.23
Earnings per common share -diluted
Income from continuing operations attributable to MPT common stockholders/MPT Operating Partnership partners	0.17	0.14	0.34	0.21
Income from discontinued operations attributable to MPT common stockholders/MPT Operating Partnership partners	0.01		0.02	0.02
Net income attributable to MPT common stockholders	$ 0.18	$ 0.14	$ 0.36	$ 0.23
Weighted average shares outstanding:
Basic	149,509	134,715	144,928	129,810
Diluted	151,056	134,715	146,291	129,810
Dividends declared per common share	$ 0.20	$ 0.20	$ 0.40	$ 0.40
MPT Operating Partnership, L.P.
Revenues
Rent billed	$ 31,359	$ 30,696	$ 63,196	$ 60,383
Straight-line rent	2,746	1,324	5,407	2,683
Income from direct financing leases	9,230	5,371	17,986	7,206
Interest and fee income	14,138	11,527	28,855	19,449
Total revenues	57,473	48,918	115,444	89,721
Expenses
Real estate depreciation and amortization	8,718	8,337	17,262	16,518
Property-related	649	586	1,062	813
General and administrative	7,225	6,697	15,044	14,289
Acquisition expenses	2,088	279	2,278	3,704
Total operating expenses	18,680	15,899	35,646	35,324
Operating income	38,793	33,019	79,798	54,397
Other income (expense)
Interest and other income (expense)	(23)	(17)	(248)	(32)
Earnings from equity and other interests	1,176	879	1,668	879
Interest expense	(14,641)	(14,889)	(30,065)	(27,684)
Net other expense	(13,488)	(14,027)	(28,645)	(26,837)
Income from continuing operations	25,305	18,992	51,153	27,560
Income from discontinued operations	2,100	368	2,461	2,407
Net income	27,405	19,360	53,614	29,967
Net income attributable to non-controlling interests	(57)	(44)	(110)	(87)
Net income attributable to MPT common stockholders	$ 27,348	$ 19,316	$ 53,504	$ 29,880
Earnings per common share - basic
Income from continuing operations attributable to MPT common stockholders/MPT Operating Partnership partners	$ 0.17	$ 0.14	$ 0.35	$ 0.21
Income from discontinued operations attributable to MPT common stockholders/MPT Operating Partnership partners	0.01		0.02	0.02
Net income attributable to MPT common stockholders	0.18	0.14	0.37	0.23
Earnings per common share -diluted
Income from continuing operations attributable to MPT common stockholders/MPT Operating Partnership partners	0.17	0.14	0.34	0.21
Income from discontinued operations attributable to MPT common stockholders/MPT Operating Partnership partners	0.01		0.02	0.02
Net income attributable to MPT common stockholders	$ 0.18	$ 0.14	$ 0.36	$ 0.23
Weighted average shares outstanding:
Basic	149,509	134,715	144,928	129,810
Diluted	151,056	134,715	146,291	129,810
Dividends declared per common share	$ 0.2	$ 0.2	$ 0.4	$ 0.4

Condensed Consolidated Statements of Comprehensive Income (Loss) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2013	Jun. 30, 2012
Net income	$ 27,405	$ 19,360	$ 53,614	$ 29,967
Other comprehensive income (loss):
Unrealized gain (loss) on interest rate swap	1,779	(1,045)	2,606	(546)
Total comprehensive income (loss)	29,184	18,315	56,220	29,421
Comprehensive income attributable to non-controlling interests	(57)	(44)	(110)	(87)
Comprehensive income (loss) attributable to MPT common stockholders	29,127	18,271	56,110	29,334
MPT Operating Partnership, L.P.
Net income	27,405	19,360	53,614	29,967
Other comprehensive income (loss):
Unrealized gain (loss) on interest rate swap	1,779	(1,045)	2,606	(546)
Total comprehensive income (loss)	29,185	18,315	56,220	29,421
Comprehensive income attributable to non-controlling interests	(57)	(44)	(110)	(87)
Comprehensive income (loss) attributable to MPT common stockholders	$ 29,127	$ 18,271	$ 56,110	$ 29,334

Condensed Consolidated Statements of Cash Flow - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012
Operating Activities
Net income	$ 53,614	$ 29,967
Adjustments to reconcile net income to net cash provided by operating activities
Depreciation and amortization	17,927	17,937
Straight-line rent revenue	5,407	2,683
Direct financing lease interest accretion	(2,498)	(1,156)
Share-based compensation	4,204	3,637
(Gain) loss on sale of real estate	(2,054)	1,446
Amortization and write-off of deferred financing costs and debt discount	1,752	1,711
Other adjustments	4,605	(708)
Changes in:
Interest and rent receivable	(8,943)	(8,176)
Accounts payable and accrued expenses	(6,955)	2,642
Net cash provided by operating activities	56,245	44,423
Investing Activities
Cash paid for acquisitions and other related investments	(75,000)	(396,500)
Principal received on loans receivable	3,293	7,966
Net proceeds from sale of real estate	18,409	16,000
Investment in loans receivable	(1,300)	(1,293)
Construction in progress and other	(33,171)	(20,655)
Net cash provided by (used in) investing activities	(87,769)	(394,482)
Financing Activities
Revolving credit facilities, net	(85,000)	(89,600)
Additions to term debt		300,000
Payments of term debt	(11,124)	(114)
Distributions paid	(57,846)	(49,589)
Proceeds from sale of common shares, net of offering costs	172,853	220,160
Lease deposits and other obligations to tenants	1,516	383
Debt issuance costs paid and other financing activities	(114)	(6,268)
Net cash provided by financing activities	20,285	374,972
Increase (Decrease) in cash and cash equivalents for period	(11,239)	24,913
Cash and cash equivalents at beginning of period	37,311	102,726
Cash and cash equivalents at end of period	26,072	127,639
Interest paid	29,114	21,784
Supplemental schedule of non-cash investing activities:
Loan conversion to equity interest		1,648
Supplemental schedule of non-cash financing activities:
Distributions declared, unpaid	30,081	27,181
MPT Operating Partnership, L.P.
Operating Activities
Net income	53,614	29,967
Adjustments to reconcile net income to net cash provided by operating activities
Depreciation and amortization	17,927	17,937
Straight-line rent revenue	5,407	2,683
Direct financing lease interest accretion	(2,498)	(1,156)
Share-based compensation	4,204	3,637
(Gain) loss on sale of real estate	(2,054)	1,446
Amortization and write-off of deferred financing costs and debt discount	1,752	1,711
Other adjustments	4,605	(708)
Changes in:
Interest and rent receivable	(8,943)	(8,176)
Accounts payable and accrued expenses	(6,955)	2,642
Net cash provided by operating activities	56,245	44,423
Investing Activities
Cash paid for acquisitions and other related investments	(75,000)	(396,500)
Principal received on loans receivable	3,293	7,966
Net proceeds from sale of real estate	18,409	16,000
Investment in loans receivable	(1,300)	(1,293)
Construction in progress and other	(33,171)	(20,655)
Net cash provided by (used in) investing activities	(87,769)	(394,482)
Financing Activities
Revolving credit facilities, net	(85,000)	(89,600)
Additions to term debt		300,000
Payments of term debt	(11,124)	(114)
Distributions paid	(57,846)	(49,589)
Proceeds from sale of common shares, net of offering costs	172,853	220,160
Lease deposits and other obligations to tenants	1,516	383
Debt issuance costs paid and other financing activities	(114)	(6,268)
Net cash provided by financing activities	20,285	374,972
Increase (Decrease) in cash and cash equivalents for period	(11,239)	24,913
Cash and cash equivalents at beginning of period	37,311	102,726
Cash and cash equivalents at end of period	26,072	127,639
Interest paid	29,114	21,784
Supplemental schedule of non-cash investing activities:
Loan conversion to equity interest		1,648
Supplemental schedule of non-cash financing activities:
Distributions declared, unpaid	$ 30,081	$ 27,181

Organization	6 Months Ended
Organization	Jun. 30, 2013
Accounting Policies [Abstract]
Organization	1. Organization Medical Properties Trust, Inc., a Maryland corporation, was formed on August 27, 2003, under the General Corporation Law of Maryland for the purpose of engaging in the business of investing in, owning, and leasing commercial real estate. Our operating partnership subsidiary, MPT Operating Partnership, L.P., (the “Operating Partnership”) through which we conduct all of our operations, was formed in September 2003. Through another wholly-owned subsidiary, Medical Properties Trust, LLC, we are the sole general partner of the Operating Partnership. At present, we directly own substantially all of the limited partnership interests in the Operating Partnership and have elected to report our required disclosures and that of the Operating Partnership on a combined basis except where material differences exist. We have operated as a real estate investment trust (“REIT”) since April 6, 2004, and accordingly, elected REIT status upon the filing in September 2005 of the calendar year 2004 federal income tax return. Accordingly, we will not be subject to U.S. federal income tax, provided that we continue to qualify as a REIT and our distributions to our stockholders equal or exceed our taxable income. Certain activities we undertake must be conducted by entities which we elected to be treated as taxable REIT subsidiaries (“TRSs”). Our TRSs are subject to both federal and state income taxes. Our primary business strategy is to acquire and develop real estate and improvements, primarily for long-term lease to providers of healthcare services such as operators of general acute care hospitals, inpatient physical rehabilitation hospitals, long-term acute care hospitals, surgery centers, centers for treatment of specific conditions such as cardiac, pulmonary, cancer, and neurological hospitals, and other healthcare-oriented facilities. We also make mortgage and other loans to operators of similar facilities. In addition, we may obtain profits or equity interests in our tenants, from time to time, in order to enhance our overall return. We manage our business as a single business segment.

- Definition

The entire disclosure for organization, consolidation and basis of presentation of financial statements disclosure.

+ References

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+ Details

Summary of Significant Accounting Policies

6 Months Ended

Jun. 30, 2013

Accounting Policies [Abstract]

Summary of Significant Accounting Policies

2. Summary of Significant Accounting Policies

Unaudited Interim Condensed Consolidated Financial Statements: The accompanying unaudited interim condensed consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States for interim financial information, including rules and regulations of the Securities and Exchange Commission. Accordingly, they do not include all of the information and footnotes required by generally accepted accounting principles for complete financial statements. In the opinion of management, all adjustments (consisting of normal recurring accruals) considered necessary for a fair presentation have been included. Operating results for the three and six month period ended June 30, 2013, are not necessarily indicative of the results that may be expected for the year ending December 31, 2013. The condensed consolidated balance sheet at December 31, 2012 has been derived from the audited financial statements at that date but does not include all of the information and footnotes required by accounting principles generally accepted in the United States for complete financial statements.

For information about significant accounting policies, refer to the consolidated financial statements and footnotes thereto included in our Annual Report on Form 10-K for the year ended December 31, 2012. During the six months ended June 30, 2013, there were no material changes to these policies.

Reclassifications: Certain reclassifications have been made to the condensed consolidated financial statements to conform to the 2013 consolidated financial statement presentation. These reclassifications had no impact on stockholders’ equity or net income.

Variable Interest Entities

At June 30, 2013, we had loans to and/or equity investments in several variable interest entities (“VIEs”) for which we are not the primary beneficiary. The carrying value and classification of the related assets and maximum exposure to loss as a result of our involvement with these VIEs are presented below at June 30, 2013 (in thousands):


VIE Type	Maximum Loss Exposure(1)		Asset Type Classification	Carrying Amount(2)
Loans, net	$	279,052	Mortgage and other loans	$	225,742
Equity investments	$	19,318	Other assets	$	5,209

(1)

Our maximum loss exposure related to loans with VIEs represents our current aggregate gross carrying value of the loan plus accrued interest and any other related assets (such as rent receivables), less any liabilities. Our maximum loss exposure related to our equity investment in VIEs represents the current carrying values of such investment plus any other related assets (such as rent receivables) less any liabilities.

(2)	Carrying amount reflects the net book value of our loan or equity interest only in the VIE.

For the VIE types above, we do not consolidate the VIE because we do not have the ability to control the activities (such as the day-to-day healthcare operations of our borrower or investee) that most significantly impact the VIE’s economic performance. As of June 30, 2013, we were not required to provide financial support through a liquidity arrangement or otherwise to our unconsolidated VIEs, including circumstances in which it could be exposed to further losses (e.g., cash short falls).

Typically, our loans are collateralized by assets of the borrower (some assets of which are on the premises of facilities owned by us) and further supported by limited guarantees made by certain principals of the borrower.

See Note 3 for additional description of the nature, purpose and activities of our more significant VIEs and interests therein.

Real Estate and Lending Activities

6 Months Ended

Jun. 30, 2013

Leases [Abstract]

Real Estate and Lending Activities

3. Real Estate and Lending Activities

Acquisitions

2013 Activity

On June 11, 2013, we acquired the real estate of two acute care hospitals in Kansas from affiliates of Prime Healthcare Services, Inc. (“Prime”) for a combined purchase price of $75 million and leased the facilities to the operator under a master lease agreement. The master lease is for 10 years and contains two renewal options of five years each, and the rent increases annually based on the greater of the consumer price-index or 2%. This lease is accounted for as a direct financing lease (“DFL”).

2012 Activity

On February 29, 2012, we made loans to and acquired assets from Ernest Health Inc. (“Ernest”) for a combined purchase price and investment of $396.5 million (“Ernest Transaction”).

Real Estate Acquisition and Mortgage Loan Financing

Pursuant to a definitive real property asset purchase agreement, we acquired from Ernest and certain of its subsidiaries (i) a portfolio of five rehabilitation facilities (including a ground lease interest relating to a community-based acute rehabilitation facility in Wyoming), (ii) seven long-term acute care facilities located in seven states and (iii) undeveloped land in Provo, Utah (collectively, the “Acquired Facilities”) for an aggregate purchase price of $200 million, subject to certain adjustments. The Acquired Facilities are leased to subsidiaries of Ernest pursuant to a master lease agreement. The master lease agreement has a 20-year term with three five-year extension options and provided for an initial rental rate of 9%, with consumer price-indexed increases, limited to a 2% floor and 5% ceiling annually thereafter. In addition, we made Ernest a $100 million loan secured by a first mortgage interest in four subsidiaries of Ernest, which has terms similar to the leasing terms described above.

Acquisition Loan and Equity Contribution

Through an affiliate of one of our TRSs, we made investments of approximately $96.5 million in Ernest Health Holdings, LLC, which is the owner of Ernest. These investments are structured as a $93.2 million acquisition loan and a $3.3 million equity contribution.

The interest rate on the acquisition loan is 15%. Ernest is required to pay us a minimum of 6% and 7% of the loan amount in years one and two, respectively, and 10% thereafter, although there are provisions in the loan agreement that are expected to result in full payment of the 15% preference when funds are sufficient. Any of the 15% in excess of the minimum that is not paid may be accrued and paid upon the occurrence of a capital or liquidity event and is payable at maturity. The loan may be prepaid without penalty at any time.

As part of these acquisitions, we purchased and invested in the following: (in thousands)


	2013		2012
Net investments in direct financing leases	$	75,000	$	200,000
Mortgage loans		—		100,000
Other loans		—		93,200
Equity investments		—		3,300

Total	$	75,000	$	396,500

Development Activities

On June 11, 2013, we entered into a master funding and development agreement with First Choice ER, LLC (“First Choice”) to develop up to 25 freestanding emergency room facilities for a maximum aggregate funding of $100 million.

On May 20, 2013, we entered into an agreement to finance the development of and lease an inpatient rehabilitation facility in South Ogden, Utah for $19.2 million, which will be leased to Ernest under the 2012 master lease. The facility is expected to be completed in the 2014 third quarter. We have funded $2.7 million through the end of the 2013 second quarter.

On March 4, 2013, we entered into an agreement to finance the development of and lease an inpatient rehabilitation facility in Post Falls, Idaho for $14.4 million, which will be leased to Ernest under the 2012 master lease. The facility is expected to be completed in the fourth quarter of 2013. We have funded $4.9 million through the end of the 2013 second quarter.

In regards to our Twelve Oaks facility, approximately 55% of this facility became occupied as of January 23, 2013, pursuant to a 15 year lease.

On May 4, 2012, we agreed to develop and lease a 26-bed facility next to our current facility in Victoria, Texas. Total development cost of the new facility is estimated to be $9.4 million, and it is expected to be completed in the third quarter of 2013. We have funded $7.9 million through the end of the 2013 second quarter.

On June 13, 2012, we entered into an agreement with Ernest to fund the development of and lease a 40-bed rehabilitation hospital in Lafayette, Indiana. The facility opened in the first quarter of 2013, and the cost of the land and building for this facility approximates $15 million. The initial lease term for this property is approximately 20 years.

On October 1, 2012, we agreed to fund the construction of an inpatient rehabilitation hospital in Spartanburg, South Carolina that will be operated by Ernest. Total development cost of the new facility is $18 million, and the construction is expected to be completed during the third quarter of 2013. We have funded $12.3 million through the end of the 2013 second quarter.

On October 14, 2011, we entered into agreements with a joint venture of Emerus Holding, Inc. and Vanguard Health System, a subsidiary of Baptist Health System, to acquire, provide for development funding and lease three emergency care focused acute care hospitals for $30.0 million in the suburban markets of San Antonio, Texas. The three facilities are subject to a master lease structure with an initial term of 15 years and three five-year extension options. Rent escalates annually based on consumer priced indexed increases and to be not less than one percent or greater than three percent. One of these properties was completed in the fourth quarter of 2012 with the remaining two being completed in the first quarter of 2013.

See table below for a status update on our current development projects (in thousands):

Property

Location

Property Type

Operator

Original
Commitment

Costs
Incurred as
of June 30,
2013

Estimated
Completion
Date

Victoria

Victoria, TX

Long-term Acute

Care Hospital

Post Acute Medical

9,400

7,937

3^rd Qtr 2013

Spartanburg

Spartanburg, SC

Rehabilitation

Hospital

Ernest Health, Inc.

17,805

12,275

3^rd Qtr 2013

Post Falls

Post Falls, ID

Rehabilitation

Hospital

Ernest Health, Inc.

14,387

4,937

4^th Qtr 2013

Oakleaf

Altoona, WI

General Acute

Care Hospital

National Surgical

Hospitals

33,500

3,201

1^st Qtr 2014

Northern Utah Rehabilitation Hospital

South Ogden, UT

Rehabilitation
Hospital

Ernest Health, Inc.

19,153

2,650

3^rd Qtr 2014

First Choice Emergency Rooms

Various

General Acute

Care Hospital

First Choice

100,000

—

Various

194,245

31,000

Disposals

In April 2013, we sold two long-term acute care hospitals, Summit Hospital of Southeast Arizona and Summit Hospital of Southeast Texas, for total proceeds of $18.5 million, resulting in a gain of $2.1 million.

On June 15, 2012, we sold the HealthSouth Rehabilitation Hospital of Fayetteville in Fayetteville, Arkansas for $16 million, resulting in a loss of $1.4 million.

Leasing Operations

All of our leases are accounted for as operating leases except for the master lease of 12 Ernest facilities and four other facilities which are accounted for as DFLs. The components of our net investment in DFL consisted of the following (dollars in thousands):


	As of June 30, 2013			As of December 31, 2012
Minimum lease payments receivable	$	1,531,874		$	1,277,923
Estimated residual values		201,283			201,283
Less: Unearned income		(1,341,253	)		(1,164,794	)

Net investment in direct financing leases	$	391,904		$	314,412

Monroe facility

As of June 30, 2013, we have advanced $29.9 million to the operator/lessee of Monroe Hospital in Bloomington, Indiana, pursuant to a working capital loan agreement and also have $21.0 million of rent, interest and other charges owed to us by the operator, of which $6.0 million of interest receivables are significantly more than 90 days past due. Because the operator has not made all payments required by the working capital loan agreement and the related real estate lease agreement, we consider the loan to be impaired. During 2010, we recorded a $12 million impairment charge on the working capital loan and recorded a valuation allowance for unbilled straight-line rent in the amount of $2.5 million. We have not recognized any interest income on the Monroe loan since it was considered impaired and have not recorded any unbilled (straight-line) rent since 2010.

At June 30, 2013, our net investment (exclusive of the related real estate) of approximately $39 million is our maximum exposure to Monroe and the amount is presently deemed collectible/recoverable. In making this determination, we considered our first priority secured interest in (i) approximately $5 million in hospital patient receivables, (ii) cash balances of $0.6 million, (iii) our assessment of the realizable value of our other collateral and (iv) projected EBITDA of the hospital operations under various scenarios for sensitivity purposes. Although we believe our net investment in Monroe at June 30, 2013, is recoverable, beginning in April 2013, we stopped recognizing any future rental income until we begin receiving cash payments. However, no assurances can be made that we will not have additional impairment charges on our working capital loan or other receivables in the future.

Florence facility

On March 1, 2012, we received a certificate of occupancy for our approximate $30 million Florence acute care facility constructed near Phoenix, Arizona. With this, we started collecting and recognizing rent on this facility in March 2012. On March 6, 2013, the tenant of this facility filed for Chapter 11 bankruptcy. Florence is current on rent, and at June 30, 2013, we had less than $0.4 million of receivables outstanding. In addition, we have a letter of credit for approximately $1.2 million to cover any rent and other monetary payments not paid in the future. Although no assurances can be made that we will not have any impairment charges in the future, we believe our investment in Florence at June 30, 2013, is fully recoverable.

Loans

The following is a summary of our loans (in thousands):


	As of June 30, 2013		As of December 31, 2012
Mortgage loans	$	368,650	$	368,650
Acquisition loans		98,433		98,433
Working capital and other loans		55,466		57,458
Convertible loan		3,352		3,352

	$	525,901	$	527,893

Our mortgage loans cover 9 of our properties with three operators.

On March 1, 2012, pursuant to our convertible note agreement, we converted $1.7 million of our $5.0 million convertible note into a 9.9% equity interest in the operator of our Hoboken University Medical Center facility. At June 30, 2013, $3.3 million remains outstanding on the convertible note, and we retain the option, through November 2014, to convert this remainder into 15.1% of equity interest in the operator.

Concentrations of Credit Risk

For the three months ended June 30, 2013 and 2012, revenue from affiliates of Ernest (including rent and interest from mortgage and acquisition loans) accounted for 20.3% and 22.8%, respectively, of total revenue. For the six months ended June 30, 2013 and 2012, revenue from affiliates of Ernest (including rent and interest from mortgage and acquisition loans) accounted for 20.3% and 16.8%, respectively, of total revenue. From an investment concentration perspective, Ernest represented 18.4% and 18.2% of our total assets at June 30, 2013 and December 31, 2012, respectively.

For the three months ended June 30, 2013 and 2012, revenue from affiliates of Prime (including rent and interest from mortgage loans) accounted for 32.3% and 22.4%, respectively, of total revenue. For the six months ended June 30, 2013 and 2012, revenue from affiliates of Prime (including rent and interest from mortgage loans) accounted for 31.7% and 24.4%, respectively, of total revenue. From an investment concentration perspective, Prime represented 30.3% and 27.9% of our total assets at June 30, 2013 and December 31, 2012, respectively.

On an individual property basis, we had no investment of any single property greater than 5% of our total assets as of June 30, 2013.

From a geographic perspective, all of our properties are currently located in the United States with 23.4% and 23.2% of our total assets at June 30, 2013, located in Texas and California, respectively.

Debt

6 Months Ended

Jun. 30, 2013

Debt Disclosure [Abstract]

Debt

4. Debt

The following is a summary of debt, net of discounts (dollar amounts in thousands):


	As of June 30, 2013					As of December 31, 2012
	Balance		Interest Rate			Balance			Interest Rate
Revolving credit facility	$	40,000		Variable		$	125,000			Variable
2006 Senior Unsecured Notes		125,000		Various			125,000			Various
2011 Senior Unsecured Notes		450,000		6.875	%		450,000			6.875	%
2012 Senior Unsecured Notes		200,000		6.375	%		200,000			6.375	%
Exchangeable senior notes:
Principal amount (A)		—		N/A			11,000			9.250	%
Unamortized discount		—					(37	)

		—					10,963
Term loans		114,074		Various			114,197			Various

	$	929,074				$	1,025,160

As of June 30, 2013, principal payments due for our debt are as follows (in thousands):


2013	$	125
2014		266
2015		40,283
2016		225,299
2017		320
Thereafter		662,781

Total	$	929,074

(A)	The exchangeable senior notes were paid in full on April 1, 2013.

To help fund the 2012 acquisitions disclosed in Note 3, on February 17, 2012, we completed a $200 million offering of senior unsecured notes (“2012 Senior Unsecured Notes”), resulting in net proceeds, after underwriting discount, of $196.5 million. In addition, on March 9, 2012, we closed on a $100 million senior unsecured term loan facility (“2012 Term Loan”) and exercised the $70 million accordion feature on our revolving credit facility, increasing its capacity from $330 million to $400 million.

During the second quarter 2010, we entered into an interest rate swap to manage our exposure to variable interest rates by fixing $65 million of our 2006 Senior Unsecured Notes, which started July 31, 2011 (date on which the interest rate turned variable) through maturity date (or July 2016), at a rate of 5.507%. We also entered into an interest rate swap to fix $60 million of our 2006 Senior Unsecured Notes which started October 31, 2011 (date on which the related interest rate turned variable) through the maturity date (or October 2016) at a rate of 5.675%. The fair value of the interest rate swaps was $9.9 million and $12.5 million as of June 30, 2013 and December 31, 2012, respectively, which is reflected in accounts payable and accrued expenses on the consolidated balance sheets.

We designated our interest rate swaps as cash flow hedges. Accordingly, the effective portion of changes in the fair value of our swaps is recorded as a component of accumulated other comprehensive income/loss on the balance sheet and reclassified into earnings in the same period, or periods, during which the hedged transactions effect earnings, while any ineffective portion is recorded through earnings immediately. We did not have any hedge ineffectiveness in the periods; therefore, there was no income statement effect recorded during the three and six month periods ended June 30, 2013 or 2012. We do not expect any of the current losses included in accumulated other comprehensive loss to be reclassified into earnings in the next 12 months. At June 30, 2013 and December 31, 2012, we had $5.5 million and $6.6 million, respectively, posted as collateral, which is currently reflected in other assets on our consolidated balance sheets.

Covenants

Our debt facilities impose certain restrictions on us, including restrictions on our ability to: incur debts; create or incur liens; provide guarantees in respect of obligations of any other entity; make redemptions and repurchases of our capital stock; prepay, redeem or repurchase debt; engage in mergers or consolidations; enter into affiliated transactions; dispose of real estate or other assets; and change our business. In addition, the credit agreements governing our revolving credit facility and 2012 Term Loan limit the amount of dividends we can pay as a percentage of normalized adjusted funds from operations, as defined in the agreements, on a rolling four quarter basis. The dividend restriction decreased to 95% of normalized adjusted FFO at June 30, 2013 and thereafter. The indentures governing our 2011 and 2012 Senior Unsecured Notes also limit the amount of dividends we can pay based on the sum of 95% of funds from operations, proceeds of equity issuances and certain other net cash proceeds. Finally, our 2011 and 2012 Senior Unsecured Notes require us to maintain total unencumbered assets (as defined in the related indenture) of not less than 150% of our unsecured indebtedness.

In addition to these restrictions, the revolving credit facility and 2012 Term Loan contain customary financial and operating covenants, including covenants relating to our total leverage ratio, fixed charge coverage ratio, mortgage secured leverage ratio, recourse mortgage secured leverage ratio, consolidated adjusted net worth, facility leverage ratio, and unsecured interest coverage ratio. This facility also contains customary events of default, including among others, nonpayment of principal or interest, material inaccuracy of representations and failure to comply with our covenants. If an event of default occurs and is continuing under the facility, the entire outstanding balance may become immediately due and payable. At June 30, 2013, we were in compliance with all such financial and operating covenants.

Common Stock/Partners' Capital	6 Months Ended
Common Stock/Partners' Capital	Jun. 30, 2013
Text Block [Abstract]
Common Stock/Partners' Capital	5. Common Stock/Partners’ Capital Medical Properties Trust, Inc. On February 28, 2013, we completed an offering of 12,650,000 shares of our common stock (including 1,650,000 shares sold pursuant to the exercise in full of the underwriters’ option to purchase additional shares) at a price of $14.25 per share, resulting in net proceeds (after underwriting discount and expenses) of $172.9 million. A portion of the net proceeds from this offering were used to pay down our revolving credit facility. To help fund the 2012 acquisitions disclosed in Note 3, on February 7, 2012, we completed an offering of 23,575,000 shares of our common stock (including 3,075,000 shares sold pursuant to the exercise in full of the underwriters’ overallotment option) at a price of $9.75 per share, resulting in net proceeds (after underwriting discount) of $220.2 million. MPT Operating Partnership, L.P. At June 30, 2013, the Company has a 99.8% ownership interest in Operating Partnership with the remainder owned by three other partners, two of which are employees and one of which is a director. During the six months ended June 30, 2013 and 2012, the partnership issued 12,650,000 and 23,575,000 units, respectively, in direct response to the common stock offerings by Medical Properties Trust, Inc.

Stock Awards	6 Months Ended
Stock Awards	Jun. 30, 2013
Disclosure Of Compensation Related Costs Sharebased Payments [Abstract]
Stock Awards	6. Stock Awards We have adopted the 2013 Equity Incentive Plan (the “Equity Incentive Plan”) during the second quarter of 2013 which authorizes the issuance of common stock options, restricted stock, restricted stock units, deferred stock units, stock appreciation rights, performance units and awards of interests in our Operating Partnership. The Equity Incentive Plan replaced the 2004 Equity Incentive Plan (“2004 Plan”). The Equity Incentive Plan is administered by the Compensation Committee of the Board of Directors. We have reserved 7,395,132 shares of common stock for awards under the Equity Incentive Plan (including 495,132 shares remaining shares under the 2004 Plan that were transferred to the Equity Incentive Plan) for which 7,395,132 shares remain available for future stock awards as of June 30, 2013. For each share of common stock issued by Medical Properties Trust, Inc. pursuant to the Equity Incentive Plan, the Operating Partnership issues a corresponding number of operating partnership units. We awarded the following stock awards during the 2013 and 2012 first quarters: Time-based awards—We granted 240,425 and 275,464 shares in 2013 and 2012, respectively, of time-based restricted stock to management and independent directors. These awards vest quarterly based on service, over three years, in equal amounts. Performance-based awards—Our management team and certain employees (2012 only) were awarded 204,255 and 252,566 performance based awards in 2013 and 2012, respectively. These awards vest ratably over a three year period based on the achievement of certain total shareholder return measures, with a carry-back and carry-forward provision through December 31, 2016 (for the 2012 awards) and December 31, 2017 (for the 2013 awards). Dividends on these awards are paid only upon achievement of the performance measures. Multi-year Performance-based awards—We awarded 550,000 and 649,793 shares in 2013 and 2012, respectively, of multi-year performance-based awards to management and certain employees (2012 only). These shares are subject to three-year cumulative performance hurdles based on measures of total shareholder return. At the end of the three-year performance period, any earned shares will be subject to an additional two years of ratable time-based vesting on an annual basis. Dividends are paid on these shares only upon achievement of the performance measures.

Fair Value of Financial Instruments

6 Months Ended

Jun. 30, 2013

Fair Value Disclosures [Abstract]

Fair Value of Financial Instruments

7. Fair Value of Financial Instruments

We have various assets and liabilities that are considered financial instruments. We estimate that the carrying value of cash and cash equivalents, and accounts payable and accrued expenses approximate their fair values. Included in our accounts payable and accrued expenses are our interest rate swaps, which are recorded at fair value based on Level 2 observable market assumptions using standardized derivative pricing models. We estimate the fair value of our interest and rent receivables using Level 2 inputs such as discounting the estimated future cash flows using the current rates at which similar receivables would be made to others with similar credit ratings and for the same remaining maturities. The fair value of our mortgage loans and working capital loans are estimated by using Level 2 inputs (except for the Monroe loan which we use Level 3 inputs) such as discounting the estimated future cash flows using the current rates which similar loans would be made to borrowers with similar credit ratings and for the same remaining maturities. We determine the fair value of our exchangeable notes and 2011 and 2012 Senior Unsecured Notes, using Level 2 inputs such as quotes from securities dealers and market makers. We estimate the fair value of our 2006 Senior Unsecured Notes, revolving credit facilities, and term loans using Level 2 inputs based on the present value of future payments, discounted at a rate which we consider appropriate for such debt.

Fair value estimates are made at a specific point in time, are subjective in nature, and involve uncertainties and matters of significant judgment. Settlement of such fair value amounts may not be possible and may not be a prudent management decision. The following table summarizes fair value estimates for our financial instruments (in thousands):


	June 30, 2013						December 31, 2012
Asset (Liability)	Book Value			Fair Value			Book Value			Fair Value
Interest and rent receivables	$	54,231		$	43,291		$	45,289		$	36,700
Loans (1)		332,701			329,859			334,693			335,595
Debt, net		(929,074	)		(969,694	)		(1,025,160	)		(1,082,333	)

(1)	Excludes loans related to the Ernest Transaction since they are recorded at fair value and discussed below.

Items Measured at Fair Value on a Recurring Basis

Our equity interest in Ernest and related loans, as discussed in Note 3, are being measured at fair value on a recurring basis as we elected to account for these investments using the fair value option method. We have elected to account for these investments at fair value due to the size of the investments and because we believe this method is more reflective of current values. We have not made a similar election for other equity interests or loans in or prior to 2013.

At June 30, 2013, these amounts were as follows (in thousands):


Asset Type	Fair Value		Cost		Asset Type Classification
Mortgage loans	$	100,000	$	100,000	Mortgage loans
Acquisition loan		93,200		93,200	Other loans
Equity investments		3,300		3,300	Other assets

	$	196,500	$	196,500

Our mortgage loans with Ernest are recorded at fair value based on Level 3 inputs by discounting the estimated cash flows using the market rates which similar loans would be made to borrowers with similar credit ratings and the same remaining maturities. Our acquisition loan and equity investments in Ernest are recorded at fair value based on Level 3 inputs, by using a discounted cash flow model, which requires significant estimates of our investee such as projected revenue and expenses and appropriate consideration of the underlying risk profile of the forecast assumptions associated with the investee. We classify these loans and equity investments as Level 3, as we use certain unobservable inputs to the valuation methodology that are significant to the fair value measurement, and the valuation requires management judgment due to the absence of quoted market prices. For these cash flow models, our observable inputs include use of a capitalization rate, discount rate (which is based on a weighted-average cost of capital), and market interest rates, and our unobservable input includes an adjustment for a marketability discount (“DLOM”) on our equity investment of 40% at June 30, 2013.

In regards to the underlying projection of revenues and expenses used in the discounted cash flow model, such projections are provided by Ernest. However, we will modify such projections (including underlying assumptions used) as needed based on our review and analysis of Ernest’s historical results, meetings with key members of management, and our understanding of trends and developments within the healthcare industry.

In arriving at the DLOM, we started with a DLOM range based on the results of studies supporting valuation discounts for other transactions or structures without a public market. To select the appropriate DLOM within the range, we then considered many qualitative factors including the percent of control, the nature of the underlying investee’s business along with our rights as an investor pursuant to the operating agreement, the size of investment, expected holding period, number of shareholders, access to capital marketplace, etc. To illustrate the effect of movements in the DLOM, we performed a sensitivity analysis below by using basis point variations (dollars in thousands):


Basis Point Change in Marketability Discount		Estimated Increase (Decrease) In Fair Value
+100 basis points		$(300)
- 100 basis points		300

Because the fair value of Ernest investments noted above approximate their original cost, we did not recognize any unrealized gains/losses during the first half of 2013.

- Definition

The entire disclosure for the fair value of financial instruments (as defined), including financial assets and financial liabilities (collectively, as defined), and the measurements of those instruments as well as disclosures related to the fair value of non-financial assets and liabilities. Such disclosures about the financial instruments, assets, and liabilities would include: (1) the fair value of the required items together with their carrying amounts (as appropriate); (2) for items for which it is not practicable to estimate fair value, disclosure would include: (a) information pertinent to estimating fair value (including, carrying amount, effective interest rate, and maturity, and (b) the reasons why it is not practicable to estimate fair value; (3) significant concentrations of credit risk including: (a) information about the activity, region, or economic characteristics identifying a concentration, (b) the maximum amount of loss the entity is exposed to based on the gross fair value of the related item, (c) policy for requiring collateral or other security and information as to accessing such collateral or security, and (d) the nature and brief description of such collateral or security; (4) quantitative information about market risks and how such risks are managed; (5) for items measured on both a recurring and nonrecurring basis information regarding the inputs used to develop the fair value measurement; and (6) for items presented in the financial statement for which fair value measurement is elected: (a) information necessary to understand the reasons for the election, (b) discussion of the effect of fair value changes on earnings, (c) a description of [similar groups] items for which the election is made and the relation thereof to the balance sheet, the aggregate carrying value of items included in the balance sheet that are not eligible for the election; (7) all other required (as defined) and desired information.

+ References + Details

Discontinued Operations

6 Months Ended

Jun. 30, 2013

Discontinued Operations And Disposal Groups [Abstract]

Discontinued Operations

8. Discontinued Operations

Including those properties discussed in Note 3 under the heading “Disposals”, we sold two properties during the six month period ending June 30, 2013 and five properties during 2012. We have classified current and prior year activity related to these transactions, along with the related operating results of the facilities prior to these transactions taking place, as discontinued operations. In addition, we have reclassified the related real estate assets to Real Estate Held for Sale in all prior periods.

The following table presents the results of discontinued operations, for the three and six months ended June 30, 2013 and 2012 (dollar amounts in thousands except per share/unit amounts):


	For the Three Months Ended June 30,					For the Six Months Ended June 30,
	2013		2012			2013		2012
Revenues	$	62	$	2,750		$	531	$	5,459
Gain (loss) on sale		2,054		(1,446	)		2,054		(1,446	)
Income		2,100		368			2,461		2,407
Earnings per share/unit — diluted	$	0.01	$	—		$	0.02	$	0.02

- Definition

The entire disclosure for the facts and circumstances leading to the completed or expected disposal, manner and timing of disposal, the gain (loss) recognized in the income statement and the income statement caption that includes that gain (loss), amounts of revenues and pretax profit or loss reported in discontinued operations, the segment in which the disposal group was reported, and the classification (whether sold or classified as held for sale) and carrying value of the assets and liabilities comprising the disposal group. Includes all disposal groups, including those classified as components of the entity (discontinued operations).

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 205
-SubTopic 20
-Section 50
-Paragraph 2
-URI http://asc.fasb.org/extlink&oid=6360339&loc=d3e1436-107760

Reference 2: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 205
-SubTopic 20
-Section 50
-Paragraph 1
-URI http://asc.fasb.org/extlink&oid=6360339&loc=d3e1361-107760

Reference 3: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 205
-SubTopic 20
-Section 50
-Paragraph 3
-URI http://asc.fasb.org/extlink&oid=6360339&loc=d3e1474-107760

Reference 4: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 205
-SubTopic 20
-Section 50
-Paragraph 5
-URI http://asc.fasb.org/extlink&oid=6360339&loc=d3e1510-107760

Reference 5: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 205
-SubTopic 20
-Section 45
-Paragraph 3
-URI http://asc.fasb.org/extlink&oid=6892542&loc=d3e957-107759

Reference 6: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 205
-SubTopic 20
-Section 45
-Paragraph 5
-URI http://asc.fasb.org/extlink&oid=6892542&loc=d3e1020-107759

Reference 7: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 205
-SubTopic 20
-Section 45
-Paragraph 4
-URI http://asc.fasb.org/extlink&oid=6892542&loc=d3e1012-107759

Reference 8: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 360
-SubTopic 10
-Section 45
-Paragraph 5
-URI http://asc.fasb.org/extlink&oid=8077374&loc=d3e2443-110228

Reference 9: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 360
-SubTopic 10
-Section 50
-Paragraph 3
-URI http://asc.fasb.org/extlink&oid=6391110&loc=d3e2941-110230

+ Details

Earnings Per Share/Common Unit

6 Months Ended

Jun. 30, 2013

Earnings Per Share [Abstract]

Earnings Per Share/Common Unit

9. Earnings Per Share/Common Unit

Medical Properties Trust, Inc.

Our earnings per share were calculated based on the following (amounts in thousands):


	For the Three Months Ended June 30,
	2013			2012
Numerator:
Income from continuing operations	$	25,305		$	18,992
Non-controlling interests’ share in continuing operations		(57	)		(44	)
Participating securities’ share in earnings		(179	)		(238	)

Income from continuing operations, less participating securities’ share in earnings		25,069			18,710
Income from discontinued operations attributable to MPT common stockholders		2,100			368

Net income, less participating securities’ share in earnings	$	27,169		$	19,078

Denominator:
Basic weighted-average common shares		149,509			134,715
Dilutive potential common shares		1,547			—

Dilutive weighted-average common shares		151,056			134,715


	For the Six Months Ended June 30,
	2013			2012
Numerator:
Income from continuing operations	$	51,153		$	27,560
Non-controlling interests’ share in continuing operations		(110	)		(87	)
Participating securities’ share in earnings		(372	)		(490	)

Income from continuing operations, less participating securities’ share in earnings		50,671			26,983
Income from discontinued operations attributable to MPT common stockholders		2,461			2,407

Net income, less participating securities’ share in earnings	$	53,132		$	29,390

Denominator:
Basic weighted-average common shares		144,928			129,810
Dilutive potential common shares		1,363			—

Dilutive weighted-average common shares		146,291			129,810

MPT Operating Partnership, L.P.

Our earnings per common unit were calculated based on the following (amounts in thousands):


	For the Three Months Ended June 30,
	2013			2012
Numerator:
Income from continuing operations	$	25,305		$	18,992
Non-controlling interests’ share in continuing operations		(57	)		(44	)
Participating securities’ share in earnings		(179	)		(238	)

Income from continuing operations, less participating securities’ share in earnings		25,069			18,710
Income from discontinued operations attributable to MPT Operating Partnership partners		2,100			368

Net income, less participating securities’ share in earnings	$	27,169		$	19,078

Denominator:
Basic weighted-average units		149,509			134,715
Dilutive potential units		1,547			—

Dilutive weighted-average units		151,056			134,715


	For the Six Months Ended June 30,
	2013			2012
Numerator:
Income from continuing operations	$	51,153		$	27,560
Non-controlling interests’ share in continuing operations		(110	)		(87	)
Participating securities’ share in earnings		(372	)		(490	)

Income from continuing operations, less participating securities’ share in earnings		50,671			26,983
Income from discontinued operations attributable to MPT Operating Partnership partners		2,461			2,407

Net income, less participating securities’ share in earnings	$	53,132		$	29,390

Denominator:
Basic weighted-average units		144,928			129,810
Dilutive potential units		1,363			—

Dilutive weighted-average units		146,291			129,810

For the three and six months ended June 30, 2012, 0.1 million of options were excluded from the diluted earnings per share/unit calculation as they were not determined to be dilutive. In addition, shares/units that may be issued in the future in accordance with our exchangeable senior notes (which were paid off in April 1, 2013) were excluded from the 2012 diluted earnings per share/unit calculation as they were not determined to be dilutive.

Contingencies	6 Months Ended
Contingencies	Jun. 30, 2013
Commitments And Contingencies Disclosure [Abstract]
Contingencies	10. Contingencies We are a party to various legal proceedings incidental to our business. In the opinion of management, after consultation with legal counsel, the ultimate liability, if any, with respect to those proceedings is not presently expected to materially affect our financial position, results of operations or cash flows.

Subsequent Events	6 Months Ended
Subsequent Events	Jun. 30, 2013
Subsequent Events [Abstract]
Subsequent Events	11. Subsequent Events On August 8, 2013, we entered into an agreement to acquire the real estate of three general acute care hospitals for $283.3 million. The seller / lessee is a well-known operator of multiple acute care facilities, and the transaction is subject to customary conditions and is expected to close during the third quarter of 2013. On July 18, 2013, we acquired the real estate of Esplanade Rehab Hospital in Corpus Christi, Texas for $15.8 million and leased the facility to Ernest under the 2012 master lease.

Condensed Consolidating Financial Information

6 Months Ended

Jun. 30, 2013

Condensed Financial Information Of Parent Company Only Disclosure [Abstract]

Condensed Consolidating Financial Information

12. Condensed Consolidating Financial Information

The following tables present the condensed consolidating financial information for (a) Medical Properties Trust, Inc. (“Parent” and a guarantor to our 2011 and 2012 Senior Unsecured Notes), (b) MPT Operating Partnership, L.P. and MPT Finance Corporation (“Subsidiary Issuer”), (c) on a combined basis, the guarantors of our 2011 and 2012 Senior Unsecured Notes (“Subsidiary Guarantors”), and (d) on a combined basis, the non-guarantor subsidiaries (“Non-Guarantor Subsidiaries”). Separate financial statements of the Subsidiary Guarantors are not presented because the guarantee by each 100% owned Subsidiary Guarantor is joint and several and we believe separate financial statements and other disclosures regarding the Subsidiary Guarantors are not material to investors. Furthermore, there are no significant legal restrictions on the Parent’s ability to obtain funds from its subsidiaries by dividend or loan.

The guarantees by the Subsidiary Guarantors may be released and discharged upon: (1) any sale, exchange or transfer of all of the capital stock of a Subsidiary Guarantor; (2) the merger or consolidation of a Subsidiary Guarantor with a Subsidiary Issuer or any other Subsidiary Guarantor; (3) the proper designation of any Subsidiary Guarantor by the Subsidiary Issuers as “unrestricted” for covenant purposes under the indenture governing the 2011 and 2012 Senior Unsecured Notes; (4) the legal defeasance or covenant defeasance or satisfaction and discharge of the indenture; (5) a liquidation or dissolution of a Subsidiary Guarantor permitted under the indenture governing the 2011 and 2012 Senior Unsecured Notes; or (6) the release or discharge of the Subsidiary Guarantor from its guarantee obligations under our revolving credit facility.

Subsequent to June 30, 2012, certain of our subsidiaries were re-designated as non-guarantors of our 2011 and 2012 Senior Unsecured Notes as the underlying properties were sold in 2012 and the first half of 2013. With these re-designations, we have restated the 2012 condensed consolidating financial information below to reflect these changes.

In the second quarter of 2013, we revised our condensed consolidating balance sheets as of December 31, 2012 and 2011 to adjust negative net intercompany receivables (payable) balances from Total Assets to Total Liabilities. The impact of this revision, was to increase total assets (and, correspondingly increase total liabilities) as of December 31, 2012 and 2011 for Subsidiaries Guarantors by $1,010.4 million and $888.9 million, respectively, and also to increase total assets (and, correspondingly increase total liabilities) for Non-Guarantor Subsidiaries by $390.9 million and $5.5 million respectively, with an offset to Eliminations. This revision is not material to the related financial statements for any prior periods and had no impact on our consolidated balance sheet. As prior period financial information is presented in future filings, we will similarly revise the condensed consolidating balance sheets.

Condensed Consolidated Balance Sheet

June 30, 2013

(in thousands)


	Parent		Subsidiary Issuers			Subsidiary Guarantors			Non-Guarantor Subsidiaries			Eliminations			Total Consolidated
Assets
Real estate assets
Land, buildings and improvements and intangible lease assets	$	—	$	—		$	1,229,282		$	65,947		$	—		$	1,295,229
Mortgage loans		—		—			268,650			100,000			—			368,650
Net investment in direct financing leases		—		—			185,913			205,991			—			391,904

Gross investment in real estate assets		—		—			1,683,845			371,938			—			2,055,783
Accumulated depreciation and amortization		—		—			(134,575	)		(7,302	)		—			(141,877	)

Net investment in real estate assets		—		—			1,549,270			364,636			—			1,913,906
Cash and cash equivalents		—		25,923			—			149			—			26,072
Interest and rent receivable		—		700			29,376			24,155			—			54,231
Straight-line rent receivable		—		—			33,821			7,526			—			41,347
Other loans		—		178			—			157,073			—			157,251
Net intercompany receivable		29,654		1,371,376			—			—			(1,401,030	)		—
Investment in subsidiaries		1,223,231		736,536			43,649			—			(2,003,416	)		—
Other assets		—		29,517			2,176			29,976			—			61,669

Total Assets	$	1,252,885	$	2,164,230		$	1,658,292		$	583,515		$	(3,404,446	)	$	2,254,476

Liabilities and Equity
Liabilities
Debt, net	$	—	$	915,000		$	—		$	14,074		$	—		$	929,074
Accounts payable and accrued expenses		30,045		26,026			1,814			809			—			58,694
Net intercompany payable		—		—			1,022,643			378,387			(1,401,030	)		—
Deferred revenue		—		(27	)		19,410			6,030			—			25,413
Lease deposits and other obligations to tenants		—		—			16,677			1,778			—			18,455

Total liabilities		30,045		940,999			1,060,544			401,078			(1,401,030	)		1,031,636
Total equity		1,222,840		1,223,231			597,748			182,437			(2,003,416	)		1,222,840

Total Liabilities and Equity	$	1,252,885	$	2,164,230		$	1,658,292		$	583,515		$	(3,404,446	)	$	2,254,476

Condensed Consolidated Statements of Income

For the Three Months Ended June 30, 2013

(in thousands)


	Parent			Subsidiary Issuers			Subsidiary Guarantors			Non-Guarantor Subsidiaries			Eliminations			Total Consolidated
Revenues
Rent billed	$	—		$	—		$	29,411		$	5,063		$	(3,115	)	$	31,359
Straight-line rent		—			—			2,141			605			—			2,746
Income from direct financing leases		—			—			8,664			5,509			(4,943	)		9,230
Interest and fee income		—			5,052			9,186			6,985			(7,085	)		14,138

Total revenues		—			5,052			49,402			18,162			(15,143	)		57,473
Expenses
Real estate depreciation and amortization		—			—			8,293			425			—			8,718
Property-related		—			104			347			8,255			(8,057	)		649
General and administrative		—			7,674			—			(449	)		—			7,225
Acquisition expenses		—			2,088			—			—			—			2,088

Total operating expenses		—			9,866			8,640			8,231			(8,057	)		18,680

Operating income (expense)		—			(4,814	)		40,762			9,931			(7,086	)		38,793
Other income (expense)
Other income (expense)		—			(20	)		(1	)		(2	)		—			(23	)
Earnings from equity and other interests		—			—			233			943			—			1,176
Interest income (expense)		—			(14,726	)		319			(7,320	)		7,086			(14,641	)

Net other income (expense)		—			(14,746	)		551			(6,379	)		7,086			(13,488	)

Income (loss) from continuing operations		—			(19,560	)		41,313			3,552			—			25,305
Income from discontinued operations		—			—			—			2,100			—			2,100
Equity in earnings of consolidated subsidiaries, net of income taxes		27,405			46,965			1,121			—			(75,491	)		—

Net income		27,405			27,405			42,434			5,652			(75,491	)		27,405
Net income (loss) attributable to non-controlling interests		(57	)		(57	)		—			—			57			(57	)

Net income attributable to MPT common stockholders	$	27,348		$	27,348		$	42,434		$	5,652		$	(75,434	)	$	27,348

Condensed Consolidated Statements of Income

For the Six Months Ended June 30, 2013

(in thousands)


	Parent			Subsidiary Issuers			Subsidiary Guarantors			Non-Guarantor Subsidiaries			Eliminations			Total Consolidated
Revenues
Rent billed	$	—		$	—		$	59,379		$	9,567		$	(5,750	)	$	63,196
Straight-line rent		—			—			4,428			979			—			5,407
Income from direct financing leases		—			—			16,868			10,994			(9,876	)		17,986
Interest and fee income		—			10,108			18,404			14,517			(14,174	)		28,855

Total revenues		—			10,108			99,079			36,057			(29,800	)		115,444
Expenses
Real estate depreciation and amortization		—			—			16,412			850			—			17,262
Property-related		—			276			541			15,871			(15,626	)		1,062
General and administrative		—			14,419			—			625			—			15,044
Acquisition expenses		—			2,278			—			—			—			2,278

Total operating expenses		—			16,973			16,953			17,346			(15,626	)		35,646

Operating income (expense)		—			(6,865	)		82,126			18,711			(14,174	)		79,798
Other income (expense)
Other income (expense)		—			(42	)		—			(206	)		—			(248	)
Earnings from equity and other interests		—			—			233			1,435			—			1,668
Interest income (expense)		—			(30,243	)		629			(14,625	)		14,174			(30,065	)

Net other income (expense)		—			(30,285	)		862			(13,396	)		14,174			(28,645	)

Income (loss) from continuing operations		—			(37,150	)		82,988			5,315			—			51,153
Income from discontinued operations		—			—			(4	)		2,465			—			2,461
Equity in earnings of consolidated subsidiaries net of income taxes		53,614			90,764			2,242			—			(146,620	)		—

Net income		53,614			53,614			85,226			7,780			(146,620	)		53,614
Net income (loss) attributable to non-controlling interests		(110	)		(110	)		—			—			110			(110	)

Net income attributable to MPT common stockholders	$	53,504		$	53,504		$	85,226		$	7,780		$	(146,510	)	$	53,504

Condensed Consolidated Statements of Comprehensive Income

For the Three Months Ended June 30, 2013

(in thousands)


	Parent			Subsidiary Issuers			Subsidiary Guarantors		Non-Guarantor Subsidiaries		Eliminations			Total Consolidated
Net income	$	27,405		$	27,405		$	42,434	$	5,652	$	(75,491	)	$	27,405
Other comprehensive income:
Unrealized gain on interest rate swap		1,779			1,779			—		—		(1,779	)		1,779

Total comprehensive income		29,184			29,184			42,434		5,652		(77,270	)		29,184
Comprehensive income attributable to non-controlling interests		(57	)		(57	)		—		—		57			(57	)

Comprehensive income attributable to MPT common stockholders	$	29,127		$	29,127		$	42,434	$	5,652	$	(77,213	)	$	29,127

Condensed Consolidated Statements of Comprehensive Income

For the Six Months Ended June 30, 2013

(in thousands)


	Parent			Subsidiary Issuers			Subsidiary Guarantors		Non-Guarantor Subsidiaries		Eliminations			Total Consolidated
Net income	$	53,614		$	53,614		$	85,226	$	7,780	$	(146,620	)	$	53,614
Other comprehensive income:
Unrealized gain on interest rate swap		2,606			2,606			—		—		(2,606	)		2,606

Total comprehensive income		56,220			56,220			85,226		7,780		(149,226	)		56,220
Comprehensive income attributable to non-controlling interests		(110	)		(110	)		—		—		110			(110	)

Comprehensive income attributable to MPT common stockholders	$	56,110		$	56,110		$	85,226	$	7,780	$	(149,116	)	$	56,110

Condensed Consolidated Statements of Cash Flows

For the Six Months Ended June 30, 2013

(in thousands)


	Parent			Subsidiary Issuers			Subsidiary Guarantors			Non-Guarantor Subsidiaries			Eliminations			Total Consolidated
Operating Activities
Net cash provided by (used in) operating activities	$	(35	)	$	(29,249	)	$	83,956		$	1,573		$	—		$	56,245
Investing Activities
Cash paid for acquisitions and other related investments		—			—			(75,000	)		—			—			(75,000	)
Principal received on loans receivable		—			—			—			3,293			—			3,293
Net proceeds from sale of real estate		—			—			—			18,409			—			18,409
Investments in and advances to subsidiaries		(115,106	)		1,417			22,149			(23,601	)		115,141			—
Investments in loans receivable		—			—			—			(1,300	)		—			(1,300	)
Construction in progress and other		—			(621	)		(33,144	)		594			—			(33,171	)

Net cash provided by (used in) investing activities		(115,106	)		796			(85,995	)		(2,605	)		115,141			(87,769	)
Financing Activities
Revolving credit facilities, net		—			(85,000	)		—			—			—			(85,000	)
Payments of term debt		—			(11,000	)		—			(124	)		—			(11,124	)
Distributions paid		(57,712	)		(57,846	)		—			—			57,712			(57,846	)
Proceeds from sale of common shares/units, net of offering costs		172,853			172,853			—			—			(172,853	)		172,853
Lease deposits and other obligations to tenants		—			—			474			1,042			—			1,516
Debt issuance costs paid and other financing activities		—			(114	)		—			—			—			(114	)

Net cash provided by financing activities		115,141			18,893			474			918			(115,141	)		20,285

Increase (decrease) in cash and cash equivalents for period		—			(9,560	)		(1,565	)		(114	)		—			(11,239	)
Cash and cash equivalents at beginning of period		—			35,483			1,565			263			—			37,311

Cash and cash equivalents at end of period	$	—		$	25,923		$	—		$	149		$	—		$	26,072

Condensed Consolidated Balance Sheet

December 31, 2012

(in thousands)


	Parent		Subsidiary Issuers		Subsidiary Guarantors			Non-Guarantor Subsidiaries			Eliminations			Total Consolidated
Assets
Real estate assets
Land, buildings and improvements and intangible lease assets	$	—	$	28	$	1,196,124		$	65,947		$	—		$	1,262,099
Real estate held for sale		—		—		—			16,497			—			16,497
Mortgage loans		—		—		268,650			100,000			—			368,650
Investment in direct financing leases		—		—		110,155			204,257			—			314,412

Gross investment in real estate assets		—		28		1,574,929			386,701			—			1,961,658
Accumulated depreciation and amortization		—		—		(118,163	)		(6,452	)		—			(124,615	)

Net investment in real estate assets		—		28		1,456,766			380,249			—			1,837,043
Cash and cash equivalents		—		35,483		1,565			263			—			37,311
Interest and rent receivable		—		212		29,159			15,918			—			45,289
Straight-line rent receivable		—		—		29,314			6,546			—			35,860
Other loans		—		177		—			159,066			—			159,243
Net intercompany receivable		27,393		1,373,941		—			—			(1,401,334	)		—
Investment in subsidiaries		1,050,204		647,029		42,666			—			(1,739,899	)		—
Other assets		—		31,097		1,522			31,521			—			64,140

Total Assets	$	1,077,597	$	2,087,967	$	1,560,992		$	593,563		$	(3,141,233	)	$	2,178,886

Liabilities and Equity
Liabilities
Debt, net	$	—	$	1,010,962	$	—		$	14,198		$	—		$	1,025,160
Accounts payable and accrued expenses		27,783		26,658		10,492			1,028			—			65,961
Net intercompany payable		—		—		1,000,117			401,217			(1,401,334	)		—
Deferred revenue		—		143		19,621			845			—			20,609
Lease deposits and other obligations to tenants		—		—		16,606			736			—			17,342

Total liabilities		27,783		1,037,763		1,046,836			418,024			(1,401,334	)		1,129,072
Total equity		1,049,814		1,050,204		514,156			175,539			(1,739,899	)		1,049,814

Total Liabilities and Equity	$	1,077,597	$	2,087,967	$	1,560,992		$	593,563		$	(3,141,233	)	$	2,178,886

Condensed Consolidated Statements of Income

For the Three Months Ended June 30, 2012

(in thousands)


	Parent			Subsidiary Issuers			Subsidiary Guarantors			Non-Guarantor Subsidiaries			Eliminations			Total Consolidated
Revenues
Rent billed	$	—		$	—		$	28,674		$	4,153		$	(2,131	)	$	30,696
Straight-line rent		—			—			949			375			—			1,324
Income from direct financing leases		—			—			4,839			5,371			(4,839	)		5,371
Interest and fee income		—			5,034			6,509			7,007			(7,023	)		11,527

Total revenues		—			5,034			40,971			16,906			(13,993	)		48,918
Expenses
Real estate depreciation and amortization		—			—			7,912			425			—			8,337
Property-related		—			130			368			7,058			(6,970	)		586
General and administrative		—			6,773			—			(76	)		—			6,697
Acquisition expenses		—			279			—			—			—			279

Total operating expenses		—			7,182			8,280			7,407			(6,970	)		15,899

Operating income (loss)		—			(2,148	)		32,691			9,499			(7,023	)		33,019
Other income (expense)
Other income (expense)		—			(16	)		—			(1	)		—			(17	)
Earnings from equity and other interests		—			—			453			426			—			879
Interest income (expense)		—			(14,913	)		253			(7,252	)		7,023			(14,889	)

Net other income (expense)		—			(14,929	)		706			(6,827	)		7,023			(14,027	)

Income (loss) from continuing operations		—			(17,077	)		33,397			2,672			—			18,992
Income (loss) from discontinued operations		—			—			(92	)		460			—			368
Equity in earnings of consolidated subsidiaries, net of income taxes		19,360			36,437			1,117			—			(56,914	)		—

Net income		19,360			19,360			34,422			3,132			(56,914	)		19,360
Net income (loss) attributable to non-controlling interests		(44	)		(44	)		—			—			44			(44	)

Net income attributable to MPT common stockholders	$	19,316		$	19,316		$	34,422		$	3,132		$	(56,870	)	$	19,316

Condensed Consolidated Statements of Income

For the Six Months Ended June 30, 2012

(in thousands)


	Parent			Subsidiary Issuers			Subsidiary Guarantors			Non-Guarantor Subsidiaries			Eliminations			Total Consolidated
Revenues
Rent billed	$	—		$	—		$	56,690		$	8,284		$	(4,591	)	$	60,383
Straight-line rent		—			—			1,939			744			—			2,683
Income from direct financing leases		—			—			6,492			7,206			(6,492	)		7,206
Interest and fee income		—			7,978			11,703			10,414			(10,646	)		19,449

Total revenues		—			7,978			76,824			26,648			(21,729	)		89,721
Expenses
Real estate depreciation and amortization		—			—			15,668			850			—			16,518
Property-related		—			261			464			11,171			(11,083	)		813
General and administrative		—			13,736			—			553			—			14,289
Acquisition expenses		—			3,704			—			—			—			3,704

Total operating expenses		—			17,701			16,132			12,574			(11,083	)		35,324

Operating income (loss)		—			(9,723	)		60,692			14,074			(10,646	)		54,397
Other income (expense)
Other income (expense)		—			(28	)		—			(4	)		—			(32	)
Earnings from equity and other interests		—			—			452			427			—			879
Interest income (expense)		—			(27,702	)		479			(11,107	)		10,646			(27,684	)

Net other income (expense)		—			(27,730	)		931			(10,684	)		10,646			(26,837	)

Income (loss) from continuing operations		—			(37,453	)		61,623			3,390			—			27,560
Income (loss) from discontinued operations		—			—			(208	)		2,615			—			2,407
Equity in earnings of consolidated subsidiaries net of income taxes		29,967			67,420			2,238			—			(99,625	)		—

Net income		29,967			29,967			63,653			6,005			(99,625	)		29,967
Net income (loss) attributable to non-controlling interests		(87	)		(87	)		—			—			87			(87	)

Net income attributable to MPT common stockholders	$	29,880		$	29,880		$	63,653		$	6,005		$	(99,538	)	$	29,880

Condensed Consolidated Statements of Comprehensive Income

For the Three Months Ended June 30, 2012

(in thousands)


	Parent			Subsidiary Issuers			Subsidiary Guarantors		Non-Guarantor Subsidiaries		Eliminations			Total Consolidated
Net income	$	19,360		$	19,360		$	34,422	$	3,132	$	(56,914	)	$	19,360
Other comprehensive income (loss):
Unrealized loss on interest rate swap		(1,045	)		(1,045	)		—		—		1,045			(1,045	)

Total comprehensive income		18,315			18,315			34,422		3,132		(55,869	)		18,315
Comprehensive income attributable to non-controlling interests		(44	)		(44	)		—		—		44			(44	)

Comprehensive income attributable to MPT common stockholders	$	18,271		$	18,271		$	34,422	$	3,132	$	(55,825	)	$	18,271

Condensed Consolidated Statements of Comprehensive Income

For the Six Months Ended June 30, 2012

(in thousands)


	Parent			Subsidiary Issuers			Subsidiary Guarantors		Non-Guarantor Subsidiaries		Eliminations			Total Consolidated
Net income	$	29,967		$	29,967		$	63,653	$	6,005	$	(99,625	)	$	29,967
Other comprehensive income (loss):
Unrealized loss on interest rate swap		(546	)		(546	)		—		—		546			(546	)

Total comprehensive income		29,421			29,421			63,653		6,005		(99,079	)		29,421
Comprehensive income attributable to non-controlling interests		(87	)		(87	)		—		—		87			(87	)

Comprehensive income attributable to MPT common stockholders	$	29,334		$	29,334		$	63,653	$	6,005	$	(98,992	)	$	29,334

Condensed Consolidated Statements of Cash Flows

For the Six Months Ended June 30, 2012

(in thousands)


	Parent			Subsidiary Issuers			Subsidiary Guarantors			Non-Guarantor Subsidiaries			Eliminations			Total Consolidated
Operating Activities
Net cash provided by (used in) operating activities	$	—		$	(30,512	)	$	71,218		$	3,717		$	—		$	44,423
Investing Activities
Cash paid for acquisitions and other related investments		—			—			(200,000	)		(196,500	)		—			(396,500	)
Principal received on loans receivable		—			—			5,491			2,475			—			7,966
Net proceeds from sale of real estate		—			—			—			16,000			—			16,000
Investments in and advances to subsidiaries		(170,705	)		(359,319	)		183,197			176,122			170,705			—
Investments in loans receivable		—			—			—			(1,293	)		—			(1,293	)
Construction in progress and other		—			(47	)		(19,970	)		(638	)		—			(20,655	)

Net cash used in investing activities		(170,705	)		(359,366	)		(31,282	)		(3,834	)		170,705			(394,482	)
Financing Activities
Revolving credit facilities, net		—			(50,000	)		(39,600	)		—			—			(89,600	)
Additions to term debt		—			300,000			—			—			—			300,000
Payments of term debt		—			—			—			(114	)		—			(114	)
Distributions paid		(49,455	)		(49,589	)		—			—			49,455			(49,589	)
Proceeds from sale of common stock/units, net of offering costs		220,160			220,160			—			—			(220,160	)		220,160
Lease deposits and other obligations to tenants		—			—			(180	)		563			—			383
Debt issuance costs paid and other financing activities		—			(6,268	)		—			—			—			(6,268	)

Net cash provided by (used in) financing activities		170,705			414,303			(39,780	)		449			(170,705	)		374,972

Increase in cash and cash equivalents for period		—			24,425			156			332			—			24,913
Cash and cash equivalents at beginning of period		—			101,230			1,409			87			—			102,726

Cash and cash equivalents at end of period	$	—		$	125,655		$	1,565		$	419		$	—		$	127,639

Summary of Significant Accounting Policies (Policies)

6 Months Ended

Jun. 30, 2013

Accounting Policies [Abstract]

Unaudited Interim Condensed Consolidated Financial Statements

Reclassifications

Variable Interest Entities

Variable Interest Entities


VIE Type	Maximum Loss Exposure(1)		Asset Type Classification	Carrying Amount(2)
Loans, net	$	279,052	Mortgage and other loans	$	225,742
Equity investments	$	19,318	Other assets	$	5,209

(1)

(2)	Carrying amount reflects the net book value of our loan or equity interest only in the VIE.

See Note 3 for additional description of the nature, purpose and activities of our more significant VIEs and interests therein.

- Definition

Disclosure of accounting policy regarding (1) the principles it follows in consolidating or combining the separate financial statements, including the principles followed in determining the inclusion or exclusion of subsidiaries or other entities in the consolidated or combined financial statements and (2) its treatment of interests (for example, common stock, a partnership interest or other means of exerting influence) in other entities, for example consolidation or use of the equity or cost methods of accounting. The accounting policy may also address the accounting treatment for intercompany accounts and transactions, noncontrolling interest, and the income statement treatment in consolidation for issuances of stock by a subsidiary.

+ References + Details

- Definition

Disclosure of accounting policy for consolidation to describe the significant judgments and assumptions made in determining whether a variable interest held by the entity requires the variable interest entity to be consolidated and (or) disclose information about its involvement with the variable interest entity; the methodology used by the entity for determining whether or not it is the primary beneficiary of the variable interest entity; and the significant factors considered and judgments made in determining that the power to direct the activities that significantly impact the economic performance of the variable interest entity are shared (as defined).

+ References + Details

Summary of Significant Accounting Policies (Tables)

6 Months Ended

Jun. 30, 2013

Accounting Policies [Abstract]

Carrying Value and Classification of Related Assets and Maximum Exposure to Loss

The carrying value and classification of the related assets and maximum exposure to loss as a result of our involvement with these VIEs are presented below at June 30, 2013 (in thousands):


VIE Type	Maximum Loss Exposure(1)		Asset Type Classification	Carrying Amount(2)
Loans, net	$	279,052	Mortgage and other loans	$	225,742
Equity investments	$	19,318	Other assets	$	5,209

(1)

(2)	Carrying amount reflects the net book value of our loan or equity interest only in the VIE.

- Definition

Tabular disclosure of the significant judgments and assumptions made in determining whether a variable interest (as defined) held by the entity requires the variable interest entity (VIE) (as defined) to be consolidated and (or) disclose information about its involvement with the VIE, individually or in aggregate (as applicable); the nature of restrictions, if any, on the consolidated VIE's assets and on the settlement of its liabilities reported by an entity in its statement of financial position, including the carrying amounts of such assets and liabilities; the nature of, and changes in, the risks associated with involvement in the VIE; how involvement with the VIE affects the entity's financial position, financial performance, and cash flows; the lack of recourse if creditors (or beneficial interest holders) of the consolidated VIE have no recourse to the general credit of the primary beneficiary (if applicable); the terms of arrangements, giving consideration to both explicit arrangements and implicit variable interests, if any, that could require the entity to provide financial support to the VIE, including events or circumstances that could expose the entity to a loss; the methodology used by the entity for determining whether or not it is the primary beneficiary of the variable interest entity; the significant factors considered and judgments made in determining that the power to direct the activities of a VIE that most significantly impact the VIE's economic performance are shared (as defined); the carrying amounts and classification of assets and liabilities of the VIE included in the statement of financial position; the entity's maximum exposure to loss, if any, as a result of its involvement with the VIE, including how the maximum exposure is determined and significant sources of the entity's exposure to the VIE; a comparison of the carrying amounts of the assets and liabilities and the entity's maximum exposure to loss; information about any liquidity arrangements, guarantees, and (or) other commitments by third parties that may affect the fair value or risk of the entity's variable interest in the VIE; whether or not the entity has provided financial support or other support (explicitly or implicitly) to the VIE that it was not previously contractually required to provide or whether the entity intends to provide that support, including the type and amount of the support and the primary reasons for providing the support; and supplemental information the entity determines necessary to provide.

+ References + Details

Real Estate and Lending Activities (Tables)

6 Months Ended

Jun. 30, 2013

Leases [Abstract]

Assets Acquired

As part of these acquisitions, we purchased and invested in the following: (in thousands)


	2013		2012
Net investments in direct financing leases	$	75,000	$	200,000
Mortgage loans		—		100,000
Other loans		—		93,200
Equity investments		—		3,300

Total	$	75,000	$	396,500

Summary of Status Update on Current Development Projects

See table below for a status update on our current development projects (in thousands):

Property

Location

Property Type

Operator

Original
Commitment

Costs
Incurred as
of June 30,
2013

Estimated
Completion
Date

Victoria

Victoria, TX

Long-term Acute

Care Hospital

Post Acute Medical

9,400

7,937

3^rd Qtr 2013

Spartanburg

Spartanburg, SC

Rehabilitation

Hospital

Ernest Health, Inc.

17,805

12,275

3^rd Qtr 2013

Post Falls

Post Falls, ID

Rehabilitation

Hospital

Ernest Health, Inc.

14,387

4,937

4^th Qtr 2013

Oakleaf

Altoona, WI

General Acute

Care Hospital

National Surgical

Hospitals

33,500

3,201

1^st Qtr 2014

Northern Utah Rehabilitation Hospital

South Ogden, UT

Rehabilitation Hospital

Ernest Health, Inc.

19,153

2,650

3^rd Qtr 2014

First Choice Emergency Rooms

Various

General Acute

Care Hospital

First Choice

100,000

—

Various

194,245

31,000

Components of Net Investment in Direct Financing Leases

The components of our net investment in DFL consisted of the following (dollars in thousands):


	As of June 30, 2013			As of December 31, 2012
Minimum lease payments receivable	$	1,531,874		$	1,277,923
Estimated residual values		201,283			201,283
Less: Unearned income		(1,341,253	)		(1,164,794	)

Net investment in direct financing leases	$	391,904		$	314,412

Summary of Loans

The following is a summary of our loans (in thousands):


	As of June 30, 2013		As of December 31, 2012
Mortgage loans	$	368,650	$	368,650
Acquisition loans		98,433		98,433
Working capital and other loans		55,466		57,458
Convertible loan		3,352		3,352

	$	525,901	$	527,893

Debt (Tables)

6 Months Ended

Jun. 30, 2013

Debt Disclosure [Abstract]

Summary of Debt, Net of Discounts

The following is a summary of debt, net of discounts (dollar amounts in thousands):


	As of June 30, 2013					As of December 31, 2012
	Balance		Interest Rate			Balance			Interest Rate
Revolving credit facility	$	40,000		Variable		$	125,000			Variable
2006 Senior Unsecured Notes		125,000		Various			125,000			Various
2011 Senior Unsecured Notes		450,000		6.875	%		450,000			6.875	%
2012 Senior Unsecured Notes		200,000		6.375	%		200,000			6.375	%
Exchangeable senior notes:
Principal amount (A)		—		N/A			11,000			9.250	%
Unamortized discount		—					(37	)

		—					10,963
Term loans		114,074		Various			114,197			Various

	$	929,074				$	1,025,160

Principal Payments Due for Debt

As of June 30, 2013, principal payments due for our debt are as follows (in thousands):


2013	$	125
2014		266
2015		40,283
2016		225,299
2017		320
Thereafter		662,781

Total	$	929,074

(A)	The exchangeable senior notes were paid in full on April 1, 2013.

Fair Value of Financial Instruments (Tables)

6 Months Ended

Jun. 30, 2013

Fair Value Disclosures [Abstract]

Summary of Fair Value Information of Financial Instruments

The following table summarizes fair value estimates for our financial instruments (in thousands):


	June 30, 2013						December 31, 2012
Asset (Liability)	Book Value			Fair Value			Book Value			Fair Value
Interest and rent receivables	$	54,231		$	43,291		$	45,289		$	36,700
Loans (1)		332,701			329,859			334,693			335,595
Debt, net		(929,074	)		(969,694	)		(1,025,160	)		(1,082,333	)

(1)	Excludes loans related to the Ernest Transaction since they are recorded at fair value and discussed below.

Equity Interest in Ernest and Related Loans Measured at Fair Value on Recurring Basis

At June 30, 2013, these amounts were as follows (in thousands):


Asset Type	Fair Value		Cost		Asset Type Classification
Mortgage loans	$	100,000	$	100,000	Mortgage loans
Acquisition loan		93,200		93,200	Other loans
Equity investments		3,300		3,300	Other assets

	$	196,500	$	196,500

Summary Showing Sensitivity Analysis by Using Basis Point Variations

To illustrate the effect of movements in the DLOM, we performed a sensitivity analysis below by using basis point variations (dollars in thousands):


Basis Point Change in Marketability Discount		Estimated Increase (Decrease) In Fair Value
+100 basis points		$(300)
- 100 basis points		300

Discontinued Operations (Tables)

6 Months Ended

Jun. 30, 2013

Discontinued Operations And Disposal Groups [Abstract]

Discontinued Operations

The following table presents the results of discontinued operations, for the three and six months ended June 30, 2013 and 2012 (dollar amounts in thousands except per share amounts):


	For the Three Months Ended June 30,					For the Six Months Ended June 30,
	2013		2012			2013		2012
Revenues	$	62	$	2,750		$	531	$	5,459
Gain (loss) on sale		2,054		(1,446	)		2,054		(1,446	)
Income		2,100		368			2,461		2,407
Earnings per share/unit — diluted	$	0.01	$	—		$	0.02	$	0.02

- Definition

Tabular disclosure of disposal groups, which may include the gain (loss) recognized in the income statement and the income statement caption that includes that gain (loss), amounts of revenues and pretax profit or loss reported in discontinued operations, the classification and carrying value of the assets and liabilities comprising the disposal group, and the segment in which the disposal group was reported. Also may include the amount of adjustments to amounts previously reported in discontinued operations such as resolution of contingencies arising from the disposal transaction or the operations of the component prior to disposal.

+ References + Details

Earnings Per Share/Common Unit (Tables)

6 Months Ended

Jun. 30, 2013

Earnings Per Share [Abstract]

Calculation of Earnings Per Share

Medical Properties Trust, Inc.

Our earnings per share were calculated based on the following (amounts in thousands):


	For the Three Months Ended June 30,
	2013			2012
Numerator:
Income from continuing operations	$	25,305		$	18,992
Non-controlling interests’ share in continuing operations		(57	)		(44	)
Participating securities’ share in earnings		(179	)		(238	)

Income from continuing operations, less participating securities’ share in earnings		25,069			18,710
Income from discontinued operations attributable to MPT common stockholders		2,100			368

Net income, less participating securities’ share in earnings	$	27,169		$	19,078

Denominator:
Basic weighted-average common shares		149,509			134,715
Dilutive potential common shares		1,547			—

Dilutive weighted-average common shares		151,056			134,715


	For the Six Months Ended June 30,
	2013			2012
Numerator:
Income from continuing operations	$	51,153		$	27,560
Non-controlling interests’ share in continuing operations		(110	)		(87	)
Participating securities’ share in earnings		(372	)		(490	)

Income from continuing operations, less participating securities’ share in earnings		50,671			26,983
Income from discontinued operations attributable to MPT common stockholders		2,461			2,407

Net income, less participating securities’ share in earnings	$	53,132		$	29,390

Denominator:
Basic weighted-average common shares		144,928			129,810
Dilutive potential common shares		1,363			—

Dilutive weighted-average common shares		146,291			129,810

MPT Operating Partnership, L.P.

Our earnings per common unit were calculated based on the following (amounts in thousands):


	For the Three Months Ended June 30,
	2013			2012
Numerator:
Income from continuing operations	$	25,305		$	18,992
Non-controlling interests’ share in continuing operations		(57	)		(44	)
Participating securities’ share in earnings		(179	)		(238	)

Income from continuing operations, less participating securities’ share in earnings		25,069			18,710
Income from discontinued operations attributable to MPT Operating Partnership partners		2,100			368

Net income, less participating securities’ share in earnings	$	27,169		$	19,078

Denominator:
Basic weighted-average units		149,509			134,715
Dilutive potential units		1,547			—

Dilutive weighted-average units		151,056			134,715


	For the Six Months Ended June 30,
	2013			2012
Numerator:
Income from continuing operations	$	51,153		$	27,560
Non-controlling interests’ share in continuing operations		(110	)		(87	)
Participating securities’ share in earnings		(372	)		(490	)

Income from continuing operations, less participating securities’ share in earnings		50,671			26,983
Income from discontinued operations attributable to MPT Operating Partnership partners		2,461			2,407

Net income, less participating securities’ share in earnings	$	53,132		$	29,390

Denominator:
Basic weighted-average units		144,928			129,810
Dilutive potential units		1,363			—

Dilutive weighted-average units		146,291			129,810

Condensed Consolidating Financial Information (Tables)

6 Months Ended

Jun. 30, 2013

Condensed Financial Information Of Parent Company Only Disclosure [Abstract]

Condensed Consolidated Balance Sheet

Condensed Consolidated Balance Sheet

June 30, 2013

(in thousands)


	Parent		Subsidiary Issuers			Subsidiary Guarantors			Non-Guarantor Subsidiaries			Eliminations			Total Consolidated
Assets
Real estate assets
Land, buildings and improvements and intangible lease assets	$	—	$	—		$	1,229,282		$	65,947		$	—		$	1,295,229
Mortgage loans		—		—			268,650			100,000			—			368,650
Net investment in direct financing leases		—		—			185,913			205,991			—			391,904

Gross investment in real estate assets		—		—			1,683,845			371,938			—			2,055,783
Accumulated depreciation and amortization		—		—			(134,575	)		(7,302	)		—			(141,877	)

Net investment in real estate assets		—		—			1,549,270			364,636			—			1,913,906
Cash and cash equivalents		—		25,923			—			149			—			26,072
Interest and rent receivable		—		700			29,376			24,155			—			54,231
Straight-line rent receivable		—		—			33,821			7,526			—			41,347
Other loans		—		178			—			157,073			—			157,251
Net intercompany receivable		29,654		1,371,376			—			—			(1,401,030	)		—
Investment in subsidiaries		1,223,231		736,536			43,649			—			(2,003,416	)		—
Other assets		—		29,517			2,176			29,976			—			61,669

Total Assets	$	1,252,885	$	2,164,230		$	1,658,292		$	583,515		$	(3,404,446	)	$	2,254,476

Liabilities and Equity
Liabilities
Debt, net	$	—	$	915,000		$	—		$	14,074		$	—		$	929,074
Accounts payable and accrued expenses		30,045		26,026			1,814			809			—			58,694
Net intercompany payable		—		—			1,022,643			378,387			(1,401,030	)		—
Deferred revenue		—		(27	)		19,410			6,030			—			25,413
Lease deposits and other obligations to tenants		—		—			16,677			1,778			—			18,455

Total liabilities		30,045		940,999			1,060,544			401,078			(1,401,030	)		1,031,636
Total equity		1,222,840		1,223,231			597,748			182,437			(2,003,416	)		1,222,840

Total Liabilities and Equity	$	1,252,885	$	2,164,230		$	1,658,292		$	583,515		$	(3,404,446	)	$	2,254,476

Condensed Consolidated Balance Sheet

December 31, 2012

(in thousands)


	Parent		Subsidiary Issuers		Subsidiary Guarantors			Non-Guarantor Subsidiaries			Eliminations			Total Consolidated
Assets
Real estate assets
Land, buildings and improvements and intangible lease assets	$	—	$	28	$	1,196,124		$	65,947		$	—		$	1,262,099
Real estate held for sale		—		—		—			16,497			—			16,497
Mortgage loans		—		—		268,650			100,000			—			368,650
Investment in direct financing leases		—		—		110,155			204,257			—			314,412

Gross investment in real estate assets		—		28		1,574,929			386,701			—			1,961,658
Accumulated depreciation and amortization		—		—		(118,163	)		(6,452	)		—			(124,615	)

Net investment in real estate assets		—		28		1,456,766			380,249			—			1,837,043
Cash and cash equivalents		—		35,483		1,565			263			—			37,311
Interest and rent receivable		—		212		29,159			15,918			—			45,289
Straight-line rent receivable		—		—		29,314			6,546			—			35,860
Other loans		—		177		—			159,066			—			159,243
Net intercompany receivable		27,393		1,373,941		—			—			(1,401,334	)		—
Investment in subsidiaries		1,050,204		647,029		42,666			—			(1,739,899	)		—
Other assets		—		31,097		1,522			31,521			—			64,140

Total Assets	$	1,077,597	$	2,087,967	$	1,560,992		$	593,563		$	(3,141,233	)	$	2,178,886

Liabilities and Equity
Liabilities
Debt, net	$	—	$	1,010,962	$	—		$	14,198		$	—		$	1,025,160
Accounts payable and accrued expenses		27,783		26,658		10,492			1,028			—			65,961
Net intercompany payable		—		—		1,000,117			401,217			(1,401,334	)		—
Deferred revenue		—		143		19,621			845			—			20,609
Lease deposits and other obligations to tenants		—		—		16,606			736			—			17,342

Total liabilities		27,783		1,037,763		1,046,836			418,024			(1,401,334	)		1,129,072
Total equity		1,049,814		1,050,204		514,156			175,539			(1,739,899	)		1,049,814

Total Liabilities and Equity	$	1,077,597	$	2,087,967	$	1,560,992		$	593,563		$	(3,141,233	)	$	2,178,886

Condensed Consolidated Statements of Income

Condensed Consolidated Statements of Income

For the Three Months Ended June 30, 2013

(in thousands)


	Parent			Subsidiary Issuers			Subsidiary Guarantors			Non-Guarantor Subsidiaries			Eliminations			Total Consolidated
Revenues
Rent billed	$	—		$	—		$	29,411		$	5,063		$	(3,115	)	$	31,359
Straight-line rent		—			—			2,141			605			—			2,746
Income from direct financing leases		—			—			8,664			5,509			(4,943	)		9,230
Interest and fee income		—			5,052			9,186			6,985			(7,085	)		14,138

Total revenues		—			5,052			49,402			18,162			(15,143	)		57,473
Expenses
Real estate depreciation and amortization		—			—			8,293			425			—			8,718
Property-related		—			104			347			8,255			(8,057	)		649
General and administrative		—			7,674			—			(449	)		—			7,225
Acquisition expenses		—			2,088			—			—			—			2,088

Total operating expenses		—			9,866			8,640			8,231			(8,057	)		18,680

Operating income (expense)		—			(4,814	)		40,762			9,931			(7,086	)		38,793
Other income (expense)
Other income (expense)		—			(20	)		(1	)		(2	)		—			(23	)
Earnings from equity and other interests		—			—			233			943			—			1,176
Interest income (expense)		—			(14,726	)		319			(7,320	)		7,086			(14,641	)

Net other income (expense)		—			(14,746	)		551			(6,379	)		7,086			(13,488	)

Income (loss) from continuing operations		—			(19,560	)		41,313			3,552			—			25,305
Income from discontinued operations		—			—			—			2,100			—			2,100
Equity in earnings of consolidated subsidiaries, net of income taxes		27,405			46,965			1,121			—			(75,491	)		—

Net income		27,405			27,405			42,434			5,652			(75,491	)		27,405
Net income (loss) attributable to non-controlling interests		(57	)		(57	)		—			—			57			(57	)

Net income attributable to MPT common stockholders	$	27,348		$	27,348		$	42,434		$	5,652		$	(75,434	)	$	27,348

Condensed Consolidated Statements of Income

For the Six Months Ended June 30, 2013

(in thousands)


	Parent			Subsidiary Issuers			Subsidiary Guarantors			Non-Guarantor Subsidiaries			Eliminations			Total Consolidated
Revenues
Rent billed	$	—		$	—		$	59,379		$	9,567		$	(5,750	)	$	63,196
Straight-line rent		—			—			4,428			979			—			5,407
Income from direct financing leases		—			—			16,868			10,994			(9,876	)		17,986
Interest and fee income		—			10,108			18,404			14,517			(14,174	)		28,855

Total revenues		—			10,108			99,079			36,057			(29,800	)		115,444
Expenses
Real estate depreciation and amortization		—			—			16,412			850			—			17,262
Property-related		—			276			541			15,871			(15,626	)		1,062
General and administrative		—			14,419			—			625			—			15,044
Acquisition expenses		—			2,278			—			—			—			2,278

Total operating expenses		—			16,973			16,953			17,346			(15,626	)		35,646

Operating income (expense)		—			(6,865	)		82,126			18,711			(14,174	)		79,798
Other income (expense)
Other income (expense)		—			(42	)		—			(206	)		—			(248	)
Earnings from equity and other interests		—			—			233			1,435			—			1,668
Interest income (expense)		—			(30,243	)		629			(14,625	)		14,174			(30,065	)

Net other income (expense)		—			(30,285	)		862			(13,396	)		14,174			(28,645	)

Income (loss) from continuing operations		—			(37,150	)		82,988			5,315			—			51,153
Income from discontinued operations		—			—			(4	)		2,465			—			2,461
Equity in earnings of consolidated subsidiaries net of income taxes		53,614			90,764			2,242			—			(146,620	)		—

Net income		53,614			53,614			85,226			7,780			(146,620	)		53,614
Net income (loss) attributable to non-controlling interests		(110	)		(110	)		—			—			110			(110	)

Net income attributable to MPT common stockholders	$	53,504		$	53,504		$	85,226		$	7,780		$	(146,510	)	$	53,504

Condensed Consolidated Statements of Income

For the Three Months Ended June 30, 2012

(in thousands)


	Parent			Subsidiary Issuers			Subsidiary Guarantors			Non-Guarantor Subsidiaries			Eliminations			Total Consolidated
Revenues
Rent billed	$	—		$	—		$	28,674		$	4,153		$	(2,131	)	$	30,696
Straight-line rent		—			—			949			375			—			1,324
Income from direct financing leases		—			—			4,839			5,371			(4,839	)		5,371
Interest and fee income		—			5,034			6,509			7,007			(7,023	)		11,527

Total revenues		—			5,034			40,971			16,906			(13,993	)		48,918
Expenses
Real estate depreciation and amortization		—			—			7,912			425			—			8,337
Property-related		—			130			368			7,058			(6,970	)		586
General and administrative		—			6,773			—			(76	)		—			6,697
Acquisition expenses		—			279			—			—			—			279

Total operating expenses		—			7,182			8,280			7,407			(6,970	)		15,899

Operating income (loss)		—			(2,148	)		32,691			9,499			(7,023	)		33,019
Other income (expense)
Other income (expense)		—			(16	)		—			(1	)		—			(17	)
Earnings from equity and other interests		—			—			453			426			—			879
Interest income (expense)		—			(14,913	)		253			(7,252	)		7,023			(14,889	)

Net other income (expense)		—			(14,929	)		706			(6,827	)		7,023			(14,027	)

Income (loss) from continuing operations		—			(17,077	)		33,397			2,672			—			18,992
Income (loss) from discontinued operations		—			—			(92	)		460			—			368
Equity in earnings of consolidated subsidiaries, net of income taxes		19,360			36,437			1,117			—			(56,914	)		—

Net income		19,360			19,360			34,422			3,132			(56,914	)		19,360
Net income (loss) attributable to non-controlling interests		(44	)		(44	)		—			—			44			(44	)

Net income attributable to MPT common stockholders	$	19,316		$	19,316		$	34,422		$	3,132		$	(56,870	)	$	19,316

Condensed Consolidated Statements of Income

For the Six Months Ended June 30, 2012

(in thousands)


	Parent			Subsidiary Issuers			Subsidiary Guarantors			Non-Guarantor Subsidiaries			Eliminations			Total Consolidated
Revenues
Rent billed	$	—		$	—		$	56,690		$	8,284		$	(4,591	)	$	60,383
Straight-line rent		—			—			1,939			744			—			2,683
Income from direct financing leases		—			—			6,492			7,206			(6,492	)		7,206
Interest and fee income		—			7,978			11,703			10,414			(10,646	)		19,449

Total revenues		—			7,978			76,824			26,648			(21,729	)		89,721
Expenses
Real estate depreciation and amortization		—			—			15,668			850			—			16,518
Property-related		—			261			464			11,171			(11,083	)		813
General and administrative		—			13,736			—			553			—			14,289
Acquisition expenses		—			3,704			—			—			—			3,704

Total operating expenses		—			17,701			16,132			12,574			(11,083	)		35,324

Operating income (loss)		—			(9,723	)		60,692			14,074			(10,646	)		54,397
Other income (expense)
Other income (expense)		—			(28	)		—			(4	)		—			(32	)
Earnings from equity and other interests		—			—			452			427			—			879
Interest income (expense)		—			(27,702	)		479			(11,107	)		10,646			(27,684	)

Net other income (expense)		—			(27,730	)		931			(10,684	)		10,646			(26,837	)

Income (loss) from continuing operations		—			(37,453	)		61,623			3,390			—			27,560
Income (loss) from discontinued operations		—			—			(208	)		2,615			—			2,407
Equity in earnings of consolidated subsidiaries net of income taxes		29,967			67,420			2,238			—			(99,625	)		—

Net income		29,967			29,967			63,653			6,005			(99,625	)		29,967
Net income (loss) attributable to non-controlling interests		(87	)		(87	)		—			—			87			(87	)

Net income attributable to MPT common stockholders	$	29,880		$	29,880		$	63,653		$	6,005		$	(99,538	)	$	29,880

Condensed Consolidated Statements of Comprehensive Income (Loss)

Condensed Consolidated Statements of Comprehensive Income

For the Three Months Ended June 30, 2013

(in thousands)


	Parent			Subsidiary Issuers			Subsidiary Guarantors		Non-Guarantor Subsidiaries		Eliminations			Total Consolidated
Net income	$	27,405		$	27,405		$	42,434	$	5,652	$	(75,491	)	$	27,405
Other comprehensive income:
Unrealized gain on interest rate swap		1,779			1,779			—		—		(1,779	)		1,779

Total comprehensive income		29,184			29,184			42,434		5,652		(77,270	)		29,184
Comprehensive income attributable to non-controlling interests		(57	)		(57	)		—		—		57			(57	)

Comprehensive income attributable to MPT common stockholders	$	29,127		$	29,127		$	42,434	$	5,652	$	(77,213	)	$	29,127

Condensed Consolidated Statements of Comprehensive Income

For the Six Months Ended June 30, 2013

(in thousands)


	Parent			Subsidiary Issuers			Subsidiary Guarantors		Non-Guarantor Subsidiaries		Eliminations			Total Consolidated
Net income	$	53,614		$	53,614		$	85,226	$	7,780	$	(146,620	)	$	53,614
Other comprehensive income:
Unrealized gain on interest rate swap		2,606			2,606			—		—		(2,606	)		2,606

Total comprehensive income		56,220			56,220			85,226		7,780		(149,226	)		56,220
Comprehensive income attributable to non-controlling interests		(110	)		(110	)		—		—		110			(110	)

Comprehensive income attributable to MPT common stockholders	$	56,110		$	56,110		$	85,226	$	7,780	$	(149,116	)	$	56,110

Condensed Consolidated Statements of Comprehensive Income

For the Three Months Ended June 30, 2012

(in thousands)


	Parent			Subsidiary Issuers			Subsidiary Guarantors		Non-Guarantor Subsidiaries		Eliminations			Total Consolidated
Net income	$	19,360		$	19,360		$	34,422	$	3,132	$	(56,914	)	$	19,360
Other comprehensive income (loss):
Unrealized loss on interest rate swap		(1,045	)		(1,045	)		—		—		1,045			(1,045	)

Total comprehensive income		18,315			18,315			34,422		3,132		(55,869	)		18,315
Comprehensive income attributable to non-controlling interests		(44	)		(44	)		—		—		44			(44	)

Comprehensive income attributable to MPT common stockholders	$	18,271		$	18,271		$	34,422	$	3,132	$	(55,825	)	$	18,271

Condensed Consolidated Statements of Comprehensive Income

For the Six Months Ended June 30, 2012

(in thousands)


	Parent			Subsidiary Issuers			Subsidiary Guarantors		Non-Guarantor Subsidiaries		Eliminations			Total Consolidated
Net income	$	29,967		$	29,967		$	63,653	$	6,005	$	(99,625	)	$	29,967
Other comprehensive income (loss):
Unrealized loss on interest rate swap		(546	)		(546	)		—		—		546			(546	)

Total comprehensive income		29,421			29,421			63,653		6,005		(99,079	)		29,421
Comprehensive income attributable to non-controlling interests		(87	)		(87	)		—		—		87			(87	)

Comprehensive income attributable to MPT common stockholders	$	29,334		$	29,334		$	63,653	$	6,005	$	(98,992	)	$	29,334

Condensed Consolidated Statements of Cash Flows

Condensed Consolidated Statements of Cash Flows

For the Six Months Ended June 30, 2013

(in thousands)


	Parent			Subsidiary Issuers			Subsidiary Guarantors			Non-Guarantor Subsidiaries			Eliminations			Total Consolidated
Operating Activities
Net cash provided by (used in) operating activities	$	(35	)	$	(29,249	)	$	83,956		$	1,573		$	—		$	56,245
Investing Activities
Cash paid for acquisitions and other related investments		—			—			(75,000	)		—			—			(75,000	)
Principal received on loans receivable		—			—			—			3,293			—			3,293
Net proceeds from sale of real estate		—			—			—			18,409			—			18,409
Investments in and advances to subsidiaries		(115,106	)		1,417			22,149			(23,601	)		115,141			—
Investments in loans receivable		—			—			—			(1,300	)		—			(1,300	)
Construction in progress and other		—			(621	)		(33,144	)		594			—			(33,171	)

Net cash provided by (used in) investing activities		(115,106	)		796			(85,995	)		(2,605	)		115,141			(87,769	)
Financing Activities
Revolving credit facilities, net		—			(85,000	)		—			—			—			(85,000	)
Payments of term debt		—			(11,000	)		—			(124	)		—			(11,124	)
Distributions paid		(57,712	)		(57,846	)		—			—			57,712			(57,846	)
Proceeds from sale of common shares/units, net of offering costs		172,853			172,853			—			—			(172,853	)		172,853
Lease deposits and other obligations to tenants		—			—			474			1,042			—			1,516
Debt issuance costs paid and other financing activities		—			(114	)		—			—			—			(114	)

Net cash provided by financing activities		115,141			18,893			474			918			(115,141	)		20,285

Increase (decrease) in cash and cash equivalents for period		—			(9,560	)		(1,565	)		(114	)		—			(11,239	)
Cash and cash equivalents at beginning of period		—			35,483			1,565			263			—			37,311

Cash and cash equivalents at end of period	$	—		$	25,923		$	—		$	149		$	—		$	26,072

Condensed Consolidated Statements of Cash Flows

For the Six Months Ended June 30, 2012

(in thousands)


	Parent			Subsidiary Issuers			Subsidiary Guarantors			Non-Guarantor Subsidiaries			Eliminations			Total Consolidated
Operating Activities
Net cash provided by (used in) operating activities	$	—		$	(30,512	)	$	71,218		$	3,717		$	—		$	44,423
Investing Activities
Cash paid for acquisitions and other related investments		—			—			(200,000	)		(196,500	)		—			(396,500	)
Principal received on loans receivable		—			—			5,491			2,475			—			7,966
Net proceeds from sale of real estate		—			—			—			16,000			—			16,000
Investments in and advances to subsidiaries		(170,705	)		(359,319	)		183,197			176,122			170,705			—
Investments in loans receivable		—			—			—			(1,293	)		—			(1,293	)
Construction in progress and other		—			(47	)		(19,970	)		(638	)		—			(20,655	)

Net cash used in investing activities		(170,705	)		(359,366	)		(31,282	)		(3,834	)		170,705			(394,482	)
Financing Activities
Revolving credit facilities, net		—			(50,000	)		(39,600	)		—			—			(89,600	)
Additions to term debt		—			300,000			—			—			—			300,000
Payments of term debt		—			—			—			(114	)		—			(114	)
Distributions paid		(49,455	)		(49,589	)		—			—			49,455			(49,589	)
Proceeds from sale of common stock/units, net of offering costs		220,160			220,160			—			—			(220,160	)		220,160
Lease deposits and other obligations to tenants		—			—			(180	)		563			—			383
Debt issuance costs paid and other financing activities		—			(6,268	)		—			—			—			(6,268	)

Net cash provided by (used in) financing activities		170,705			414,303			(39,780	)		449			(170,705	)		374,972

Increase in cash and cash equivalents for period		—			24,425			156			332			—			24,913
Cash and cash equivalents at beginning of period		—			101,230			1,409			87			—			102,726

Cash and cash equivalents at end of period	$	—		$	125,655		$	1,565		$	419		$	—		$	127,639

Carrying Value and Classification of Related Assets and Maximum Exposure to Loss as Result of Involvement with Variable Interest Entities (Detail)
$ in Thousands

Jun. 30, 2013

USD ($)

Loans, net

Variable Interest Entity [Line Items]

Maximum Loss Exposure

$ 279,052

^[1]

Equity investments

Variable Interest Entity [Line Items]

Maximum Loss Exposure

19,318

^[1]

Mortgage and other loans

Variable Interest Entity [Line Items]

Carrying Amount

225,742

^[2]

Other assets

Variable Interest Entity [Line Items]

Carrying Amount

$ 5,209

^[2]

[1]

[2]

Carrying amount reflects the net book value of our loan or equity interest only in the VIE.

Real Estate and Lending Activities - Additional Information (Detail) $ in Millions	1 Months Ended							3 Months Ended		6 Months Ended				9 Months Ended	12 Months Ended
	Jun. 11, 2013 USD ($) RenewalOptions Room yr Hospital	May 20, 2013 USD ($)	Apr. 30, 2013 USD ($) Hospital	Mar. 04, 2013 USD ($)	Jun. 15, 2012 USD ($)	Mar. 31, 2012 USD ($)	Oct. 14, 2011 USD ($) Hospital	Jun. 30, 2013 USD ($) Contract State	Jun. 30, 2012	Jun. 30, 2013 USD ($) Contract State yr Property Facility d	Jun. 11, 2013 USD ($) RenewalOptions Room	Jun. 30, 2012	Jun. 30, 2010 USD ($)	Dec. 31, 2012 Property	Dec. 31, 2012	Jun. 13, 2013 USD ($) Bed	May 04, 2013 Bed	Feb. 29, 2012 USD ($)
Significant Acquisitions and Disposals [Line Items]
Number of facilities acquired \| Hospital	2
Purchase price of acquisition	$ 75.0										$ 75.0
Term of lease \| yr	10									20
Number of lease extension options in current lease contract	2							3		3	2
Term of lease extension, years	5 years									5 years
Percentage of rental rate	2.00%									9.00%
Aggregate purchase price										$ 200.0
Loan secured by mortgage interest								$ 100.0		100.0
Estimated cost of the new facility										9.4
Number of beds \| Bed																	26
Cost incurred in new facility								7.9		7.9
Rent receivables								$ 0.4		0.4
Amount of convertible note converted into equity interest						$ 1.7
Convertible note						$ 5.0
Percentage of equity shares from convertible debt						9.90%		15.10%
Remaining convertible debt after conversion of part of debt								$ 3.3		$ 3.3
Maximum percentage of entity's total assets invested on single property								5.00%		5.00%
Letter of Credit
Significant Acquisitions and Disposals [Line Items]
Letter of credit outstanding								$ 1.2		$ 1.2
Emerus Holding, Inc. and Baptist Health System JV
Significant Acquisitions and Disposals [Line Items]
Term of lease \| yr										15
Number of lease extension options in current lease contract \| Contract								3		3
Term of lease extension, years										5 years
Number of leased hospital \| Hospital							3
Business acquisition cost of acquired entity							$ 30.0
Number of properties completed \| Property										2				1
Twelve Oaks Facility
Significant Acquisitions and Disposals [Line Items]
Facility partially occupied date										Jan. 23, 2013
Percentage of facility partially occupied										55.00%
Lease agreement								15 years		15 years
Texas
Significant Acquisitions and Disposals [Line Items]
Percentage of total assets accounted								23.40%
California
Significant Acquisitions and Disposals [Line Items]
Percentage of total assets accounted								23.20%
Minimum
Significant Acquisitions and Disposals [Line Items]
Percentage of rental rate										2.00%
Minimum \| Emerus Holding, Inc. and Baptist Health System JV
Significant Acquisitions and Disposals [Line Items]
Rent escalations percentage										1.00%
Maximum
Significant Acquisitions and Disposals [Line Items]
Percentage of rental rate										5.00%
Maximum \| Emerus Holding, Inc. and Baptist Health System JV
Significant Acquisitions and Disposals [Line Items]
Rent escalations percentage										3.00%
Ernest
Significant Acquisitions and Disposals [Line Items]
Purchase price of acquisition								$ 96.5		$ 96.5
Combined purchase price and investment amount																		$ 396.5
Acquisition loan made								$ 93.2		$ 93.2
Interest rate on acquisition loan										15.00%
Coupon payable in cash in, thereafter										10.00%
Agreement terms										Although there are provisions in the loan agreement that are expected to result in full payment of the 15% preference when funds are sufficient. Any of the 15% in excess of the minimum that is not paid may be accrued and paid upon the occurrence of a capital or liquidity event and is payable at maturity
Estimated total development cost, funded										$ 12.3
Number of beds \| Bed																40
Cost incurred in new facility																$ 15.0
Total development cost										$ 18.0
Percentage of entity revenue from affiliates								20.30%	22.80%	20.30%		16.80%
Percentage of total assets accounted								18.40%							18.20%
Ernest \| Key Management Personnel
Significant Acquisitions and Disposals [Line Items]
Capital contribution								$ 3.3		$ 3.3
Ernest \| Minimum
Significant Acquisitions and Disposals [Line Items]
Coupon payable in cash, year one										6.00%
Coupon payable in cash, year two										7.00%
Rehabilitation Hospital
Significant Acquisitions and Disposals [Line Items]
Number of facilities acquired \| Facility										5
Acute Care Facility
Significant Acquisitions and Disposals [Line Items]
Number of facilities acquired \| Facility										7
Number of states \| State								7		7
Monroe Hospital
Significant Acquisitions and Disposals [Line Items]
Lease advance								$ 29.9		$ 29.9
Operating leases rent, interest and other charges outstanding										21.0
Interest receivables								6.0		$ 6.0
Impairment of working capital loan recognized													$ 12.0
Straight line rent receivables write-off													$ 2.5
Number of days past due \| d										90
Net investment to maximum exposure								39.0		$ 39.0
Impairment of working capital loan estimation-patient receivables considered for first priority secured interest										5.0
Impairment of working capital loan estimation-cash balance considered for first priority secured interest										0.6
First Choice
Significant Acquisitions and Disposals [Line Items]
Number of freestanding emergency room facility \| Room	25										25
Estimated total development cost, funded											$ 100.0
Rehabilitation Facility in South Ogden
Significant Acquisitions and Disposals [Line Items]
Estimated total development cost, funded								$ 2.7
Estimated cost of the new facility		$ 19.2
Rehabilitation Facility in Post Falls, Idaho
Significant Acquisitions and Disposals [Line Items]
Estimated total development cost, funded										$ 4.9
Estimated cost of the new facility				$ 14.4
Florence acute care facility
Significant Acquisitions and Disposals [Line Items]
Business acquisition cost of acquired entity						$ 30.0
Prime Health Care Services
Significant Acquisitions and Disposals [Line Items]
Percentage of entity revenue from affiliates								32.30%	22.40%	31.70%		24.40%
Percentage of total assets accounted								30.30%							27.90%
HealthSouth Rehabilitation Hospital of Fayetteville
Significant Acquisitions and Disposals [Line Items]
Sale of real estate					$ 16.0
Gain (loss) on sale of real estate					$ (1.4)
Health South Rehabilitation Hospital Of Southeast Arizona and Southeast Texas
Significant Acquisitions and Disposals [Line Items]
Sale of real estate			$ 18.5
Gain (loss) on sale of real estate			$ 2.1
Number of hospitals sold \| Hospital			2

Real Estate and Lending Activities - Assets Acquired (Detail) - Ernest - USD ($) $ in Thousands	Feb. 28, 2013	Feb. 29, 2012
Significant Acquisitions and Disposals [Line Items]
Total assets acquired	$ 75,000	$ 396,500
Net investments in direct financing leases
Significant Acquisitions and Disposals [Line Items]
Total assets acquired	$ 75,000	200,000
Mortgage loans
Significant Acquisitions and Disposals [Line Items]
Total assets acquired		100,000
Other loans
Significant Acquisitions and Disposals [Line Items]
Total assets acquired		93,200
Equity investments
Significant Acquisitions and Disposals [Line Items]
Total assets acquired		$ 3,300

Real Estate and Lending Activities - Summary of Status Update on Current Development Projects (Detail) $ in Thousands	6 Months Ended
	Jun. 30, 2013 USD ($)
Business Acquisition [Line Items]
Original Commitment	$ 194,245
Costs Incurred as of June 30, 2013	31,000
Property Victoria \| Location Victoria, TX \| Property Type Long-term Acute Care Hospital \| Operator Post Acute Medical
Business Acquisition [Line Items]
Original Commitment	9,400
Costs Incurred as of June 30, 2013	$ 7,937
Estimated Completion Date	3rd Qtr 2013
Property Spartanburg \| Location Spartanburg, SC \| Property Type Rehabilitation Hospital \| Operator Ernest Health, Inc.
Business Acquisition [Line Items]
Original Commitment	$ 17,805
Costs Incurred as of June 30, 2013	$ 12,275
Estimated Completion Date	3rd Qtr 2013
Property Post Falls \| Location Post Falls, ID \| Property Type Rehabilitation Hospital \| Operator Ernest Health, Inc.
Business Acquisition [Line Items]
Original Commitment	$ 14,387
Costs Incurred as of June 30, 2013	$ 4,937
Estimated Completion Date	4th Qtr 2013
Property Oakleaf \| Location Altoona, WI \| Property Type General Acute Care Hospital \| Operator National Surgical Hospitals
Business Acquisition [Line Items]
Original Commitment	$ 33,500
Costs Incurred as of June 30, 2013	$ 3,201
Estimated Completion Date	1st Qtr 2014
Property Northern Utah Rehabilitation Hospital \| Location South Ogden, UT \| Property Type Rehabilitation Hospital \| Operator Ernest Health, Inc.
Business Acquisition [Line Items]
Original Commitment	$ 19,153
Costs Incurred as of June 30, 2013	$ 2,650
Estimated Completion Date	3rd Qtr 2014
Property First Choice Emergency Rooms \| Location Various \| Property Type General Acute Care Hospital \| Operator First Choice
Business Acquisition [Line Items]
Original Commitment	$ 100,000
Estimated Completion Date	Various

Real Estate and Lending Activities - Components of Net Investment in Direct Financing Leases (Detail) - USD ($) $ in Thousands	Jun. 30, 2013	Dec. 31, 2012
Business Combinations [Abstract]
Minimum lease payments receivable	$ 1,531,874	$ 1,277,923
Estimated residual values	201,283	201,283
Less: Unearned income	(1,341,253)	(1,164,794)
Net investment in direct financing leases	$ 391,904	$ 314,412

Real Estate and Lending Activities - Summary of Loans (Detail) - USD ($) $ in Thousands	Jun. 30, 2013	Dec. 31, 2012
Loans [Line Items]
Loans Receivable Net	$ 525,901	$ 527,893
Mortgage loans
Loans [Line Items]
Loans Receivable Net	368,650	368,650
Acquisition loans
Loans [Line Items]
Loans Receivable Net	98,433	98,433
Working capital and other loans
Loans [Line Items]
Loans Receivable Net	55,466	57,458
Convertible loan
Loans [Line Items]
Loans Receivable Net	$ 3,352	$ 3,352

Debt - Summary of Debt Net of Discounts (Detail) - USD ($)
$ in Thousands

6 Months Ended

12 Months Ended

Jun. 30, 2013

Dec. 31, 2012

Debt Instrument [Line Items]

Long term debt

$ 929,074

$ 1,025,160

Revolving credit facility

Debt Instrument [Line Items]

Interest rate

Variable

Principal amount

$ 40,000

$ 125,000

2006 Senior Unsecured Notes

Debt Instrument [Line Items]

Interest rate

Various

Principal amount

$ 125,000

2011 Senior Unsecured Notes

Debt Instrument [Line Items]

Unsecured senior notes, interest rate

6.875%

Principal amount

$ 450,000

2012 Senior Unsecured Notes

Debt Instrument [Line Items]

Unsecured senior notes, interest rate

6.375%

Principal amount

$ 200,000

Exchangeable senior notes

Debt Instrument [Line Items]

Unsecured senior notes, interest rate

^[1]

9.25%

Principal amount

^[1]

$ 11,000

Unamortized discount

(37)

Debt instrument, net

$ 10,963

Term loans

Debt Instrument [Line Items]

Interest rate

Various

Debt instrument, net

$ 114,074

$ 114,197

[1]	The exchangeable senior notes were paid in full on April 1, 2013.

Debt - Principal Payments Due for Debt (Detail) $ in Thousands	Jun. 30, 2013 USD ($)
Debt Disclosure [Abstract]
2013	$ 125
2014	266
2015	40,283
2016	225,299
2017	320
Thereafter	662,781
Total	$ 929,074

Debt - Additional Information (Detail) - USD ($) $ in Thousands	1 Months Ended		3 Months Ended		6 Months Ended
	Feb. 17, 2012	Oct. 31, 2011	Mar. 09, 2012	Jun. 30, 2010	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2011	Dec. 31, 2012
Debt Instrument [Line Items]
Other assets, collateral					$ 5,500			$ 6,600
Percentage of dividends which could be paid from adjusted operating funds					95.00%
Percentage of dividends which could be paid from operation funds						95.00%
Maximum percentage of total unencumbered assets						150.00%	150.00%
Interest Rate Contract
Debt Instrument [Line Items]
Fair value of the interest rate swaps					$ 9,900			12,500
Interest Rate Contract One
Debt Instrument [Line Items]
Interest rate of interest rate derivative instrument				5.507%
Maturity date of interest rate swap				July 2016
Interest Rate Contract Two
Debt Instrument [Line Items]
Maturity date of interest rate swap		October 2016
Interest rate swap, amount fixed		$ 60,000
Interest rate of derivative instrument		5.675%
2012 Senior Unsecured Notes
Debt Instrument [Line Items]
Unsecured senior notes, value of offering	$ 200,000
Net proceeds, after underwriting discount	$ 196,500
Debt instrument face amount					200,000			200,000
2012 Term Loan
Debt Instrument [Line Items]
Paid off term loan			$ 100,000
Debt instrument face amount			70,000
2012 Term Loan \| Revolving Credit Facility \| Minimum
Debt Instrument [Line Items]
Credit facilities, amount outstanding			330,000
2012 Term Loan \| Revolving Credit Facility \| Maximum
Debt Instrument [Line Items]
Credit facilities, amount outstanding			$ 400,000
2006 Senior Unsecured Notes
Debt Instrument [Line Items]
Debt instrument face amount					$ 125,000			$ 125,000
Portion of debt instrument face amount				$ 65,000

Common Stock/Partners' Capital - Additional Information (Detail) - USD ($) $ / shares in Units, $ in Thousands	1 Months Ended		6 Months Ended
	Feb. 28, 2013	Feb. 07, 2012	Jun. 30, 2013	Jun. 30, 2012	Dec. 31, 2012
Class of Stock [Line Items]
Common stock, shares issued			149,314,000		136,335,000
Proceeds from issuance of common stock			$ 172,853	$ 220,160
Public Offering
Class of Stock [Line Items]
Common stock, shares issued	12,650,000	23,575,000
Underwriters' purchase of shares pursuant to over allotment	1,650,000	3,075,000
Public offering price for Common stock per share	$ 14.25	$ 9.75
Proceeds from issuance of common stock	$ 172,900	$ 220,200
MPT Operating Partnership, L.P.
Class of Stock [Line Items]
Proceeds from issuance of common stock			$ 172,853	$ 220,160
Partnership units issued			12,650,000	23,575,000
Ownership interest in operating partnership			99.80%

Stock Awards - Additional Information (Detail) - shares	6 Months Ended	12 Months Ended
Stock Awards - Additional Information (Detail) - shares	Jun. 30, 2013	Dec. 31, 2012
Time-Based Awards
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share - based compensation ,shares issued	240,425	275,464
Stock awards vesting period in years	3 years
Performance-Based Awards
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share - based compensation ,shares issued	204,255	252,566
Stock awards vesting period in years	3 years
Multi-Year Performance-Based Awards
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share - based compensation ,shares issued	550,000	649,793
Stock awards vesting period in years	3 years
Equity Incentive Plan
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Reserved shares of common stock for awards under the Equity Incentive Plan	7,395,132
Common stock remaining for future stock awards	495,132
Common stock remaining for future stock awards transferred to the equity incentive plan	7,395,132

Fair Value of Financial Instruments - Summary of Fair Value Information of Financial Instruments (Detail) - USD ($)
$ in Thousands

Jun. 30, 2013

Dec. 31, 2012

Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]

Interest and rent receivables

$ 54,231

$ 45,289

Loans

^[1]

332,701

334,693

Debt, net

(929,074)

(1,025,160)

Estimate of Fair Value, Fair Value Disclosure

Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]

Interest and rent receivables

43,291

36,700

Loans

^[1]

329,859

335,595

Debt, net

$ (969,694)

$ (1,082,333)

[1]	Excludes loans related to the Ernest Transaction since they are recorded at fair value and discussed below.

Fair Value of Financial Instruments - Equity Interest in Ernest and Related Loans Measured at Fair Value on Recurring Basis (Detail) - Fair Value Measurements, Recurring $ in Thousands	Jun. 30, 2013 USD ($)
Financial Instruments Measured At Fair Value On Recurring Basis [Line Items]
Fair Value	$ 196,500
Cost	196,500
Mortgage loans \| Mortgage Loans
Financial Instruments Measured At Fair Value On Recurring Basis [Line Items]
Fair Value	100,000
Cost	100,000
Acquisition Loan \| Other loans
Financial Instruments Measured At Fair Value On Recurring Basis [Line Items]
Fair Value	93,200
Cost	93,200
Equity investments \| Other assets
Financial Instruments Measured At Fair Value On Recurring Basis [Line Items]
Fair Value	3,300
Cost	$ 3,300

Fair Value of Financial Instruments - Additional information (Detail)	6 Months Ended
	Jun. 30, 2013
Fair Value Disclosures [Abstract]
Adjustment for marketability discount	40.00%

Fair Value of Financial Instruments - Summary Showing Sensitivity Analysis by Using Basis Point Variations (Detail) $ in Thousands	6 Months Ended
	Jun. 30, 2013 USD ($)
+100 basis points
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
Estimated Increase (Decrease) In Fair Value of Financial Instruments	$ (300)
- 100 basis points
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
Estimated Increase (Decrease) In Fair Value of Financial Instruments	$ 300

Discontinued Operations - Discontinued Operations (Detail) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2013	Jun. 30, 2012
Discontinued Operations And Disposal Groups [Abstract]
Revenues	$ 62	$ 2,750	$ 531	$ 5,459
Gain (loss) on sale	2,054	(1,446)	2,054	(1,446)
Income	$ 2,100	$ 368	$ 2,461	$ 2,407
Earnings per share/unit - diluted	$ 0.01		$ 0.02	$ 0.02

Earnings Per Share/Common Unit - Calculation of Earnings Per Share (Detail) - USD ($) shares in Thousands, $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2013	Jun. 30, 2012
Earnings Per Share, Basic, by Common Class, Including Two Class Method [Line Items]
Income from continuing operations	$ 25,305	$ 18,992	$ 51,153	$ 27,560
Non-controlling interests' share in continuing operations	(57)	(44)	(110)	(87)
Participating securities' share in earnings	(179)	(238)	(372)	(490)
Income from continuing operations, less participating securities' share in earnings	25,069	18,710	50,671	26,983
Income from discontinued operations attributable to MPT common stockholders	2,100	368	2,461	2,407
Net income, less participating securities' share in earnings	$ 27,169	$ 19,078	$ 53,132	$ 29,390
Basic weighted-average common shares	149,509	134,715	144,928	129,810
Dilutive potential common shares	1,547		1,363
Dilutive weighted-average common shares	151,056	134,715	146,291	129,810
MPT Operating Partnership, L.P.
Earnings Per Share, Basic, by Common Class, Including Two Class Method [Line Items]
Income from continuing operations	$ 25,305	$ 18,992	$ 51,153	$ 27,560
Non-controlling interests' share in continuing operations	(57)	(44)	(110)	(87)
Participating securities' share in earnings	(179)	(238)	(372)	(490)
Income from continuing operations, less participating securities' share in earnings	25,069	18,710	50,671	26,983
Income from discontinued operations attributable to MPT common stockholders	2,100	368	2,461	2,407
Net income, less participating securities' share in earnings	$ 27,169	$ 19,078	$ 53,132	$ 29,390
Basic weighted-average common shares	149,509	134,715	144,928	129,810
Dilutive potential common shares	1,547		1,363
Dilutive weighted-average common shares	151,056	134,715	146,291	129,810

Earnings Per Share/Common Unit - Additional Information (Detail) - shares shares in Millions	3 Months Ended	6 Months Ended
	Jun. 30, 2012	Jun. 30, 2012
Stock Options
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Options excluded from earnings per share/unit	0.1	0.1

Subsequent Events - Additional Information (Detail) - USD ($) $ in Thousands	1 Months Ended		6 Months Ended
	Aug. 08, 2013	Jul. 18, 2013	Jun. 30, 2013	Jun. 30, 2012
Subsequent Event [Line Items]
Payments to acquire real estate			$ 75,000	$ 396,500
Subsequent Event \| Acute Care Hospitals
Subsequent Event [Line Items]
Payments to acquire hospitals	$ 283,300
Subsequent Event \| Esplanade Rehab Hospital
Subsequent Event [Line Items]
Payments to acquire real estate		$ 15,800

Condensed Consolidating Financial Information - Additional Information (Detail) - USD ($) $ in Millions	Dec. 31, 2012	Dec. 31, 2011
Subsidiaries Guarantor [Member]
Condensed Financial Statements, Captions [Line Items]
Change in total assets or liabilities	$ 1,010.4	$ 888.9
Subsidiaries Non Guarantor [Member]
Condensed Financial Statements, Captions [Line Items]
Change in total assets or liabilities	$ 390.9	$ 5.5

Condensed Consolidating Financial Information - Condensed Consolidated Balance Sheets (Detail) - USD ($) $ in Thousands	Jun. 30, 2013	Dec. 31, 2012	Jun. 30, 2012	Dec. 31, 2011
Condensed Financial Statements, Captions [Line Items]
Land, buildings and improvements and intangible lease assets	$ 1,295,229	$ 1,262,099
Real estate held for sale		16,497
Mortgage loans	368,650	368,650
Net investment in direct financing leases	391,904	314,412
Gross investment in real estate assets	2,055,783	1,961,658
Accumulated depreciation and amortization	(141,877)	(124,615)
Net investment in real estate assets	1,913,906	1,837,043
Cash and cash equivalents	26,072	37,311	$ 127,639	$ 102,726
Interest and rent receivable	54,231	45,289
Straight-line rent receivable	41,347	35,860
Other loans	157,251	159,243
Other assets	61,669	64,140
Total Assets	2,254,476	2,178,886
Debt, net	929,074	1,025,160
Accounts payable and accrued expenses	58,694	65,961
Deferred revenue	25,413	20,609
Lease deposits and other obligations to tenants	18,455	17,342
Total liabilities	1,031,636	1,129,072
Total equity	1,222,840	1,049,814
Total Liabilities and Capital	2,254,476	2,178,886
Parent
Condensed Financial Statements, Captions [Line Items]
Net intercompany receivable	29,654	27,393
Investment in subsidiaries	1,223,231	1,050,204
Total Assets	1,252,885	1,077,597
Accounts payable and accrued expenses	30,045	27,783
Total liabilities	30,045	27,783
Total equity	1,222,840	1,049,814
Total Liabilities and Capital	1,252,885	1,077,597
Subsidiary Issuers
Condensed Financial Statements, Captions [Line Items]
Land, buildings and improvements and intangible lease assets		28
Gross investment in real estate assets		28
Net investment in real estate assets		28
Cash and cash equivalents	25,923	35,483	125,655	101,230
Interest and rent receivable	700	212
Other loans	178	177
Net intercompany receivable	1,371,376	1,373,941
Investment in subsidiaries	736,536	647,029
Other assets	29,517	31,097
Total Assets	2,164,230	2,087,967
Debt, net	915,000	1,010,962
Accounts payable and accrued expenses	26,026	26,658
Deferred revenue	(27)	143
Total liabilities	940,999	1,037,763
Total equity	1,223,231	1,050,204
Total Liabilities and Capital	2,164,230	2,087,967
Subsidiary Guarantors
Condensed Financial Statements, Captions [Line Items]
Land, buildings and improvements and intangible lease assets	1,229,282	1,196,124
Mortgage loans	268,650	268,650
Net investment in direct financing leases	185,913	110,155
Gross investment in real estate assets	1,683,845	1,574,929
Accumulated depreciation and amortization	(134,575)	(118,163)
Net investment in real estate assets	1,549,270	1,456,766
Cash and cash equivalents		1,565	1,565	1,409
Interest and rent receivable	29,376	29,159
Straight-line rent receivable	33,821	29,314
Investment in subsidiaries	43,649	42,666
Other assets	2,176	1,522
Total Assets	1,658,292	1,560,992
Accounts payable and accrued expenses	1,814	10,492
Net intercompany payable	1,022,643	1,000,117
Deferred revenue	19,410	19,621
Lease deposits and other obligations to tenants	16,677	16,606
Total liabilities	1,060,544	1,046,836
Total equity	597,748	514,156
Total Liabilities and Capital	1,658,292	1,560,992
Non-Guarantor Subsidiaries
Condensed Financial Statements, Captions [Line Items]
Land, buildings and improvements and intangible lease assets	65,947	65,947
Real estate held for sale		16,497
Mortgage loans	100,000	100,000
Net investment in direct financing leases	205,991	204,257
Gross investment in real estate assets	371,938	386,701
Accumulated depreciation and amortization	(7,302)	(6,452)
Net investment in real estate assets	364,636	380,249
Cash and cash equivalents	149	263	$ 419	$ 87
Interest and rent receivable	24,155	15,918
Straight-line rent receivable	7,526	6,546
Other loans	157,073	159,066
Other assets	29,976	31,521
Total Assets	583,515	593,563
Debt, net	14,074	14,198
Accounts payable and accrued expenses	809	1,028
Net intercompany payable	378,387	401,217
Deferred revenue	6,030	845
Lease deposits and other obligations to tenants	1,778	736
Total liabilities	401,078	418,024
Total equity	182,437	175,539
Total Liabilities and Capital	583,515	593,563
Eliminations
Condensed Financial Statements, Captions [Line Items]
Net intercompany receivable	(1,404,030)	(1,401,334)
Investment in subsidiaries	(2,003,416)	(1,739,899)
Total Assets	(3,404,446)	(3,141,233)
Net intercompany payable	(1,401,030)	(1,401,334)
Total liabilities	(1,401,030)	(1,401,334)
Total equity	(2,003,416)	(1,739,899)
Total Liabilities and Capital	$ (3,404,446)	$ (3,141,233)

Condensed Consolidating Financial Information - Condensed Consolidated Statements of Income (Detail) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2013	Jun. 30, 2012
Revenues
Rent billed	$ 31,359	$ 30,696	$ 63,196	$ 60,383
Straight-line rent	2,746	1,324	5,407	2,683
Income from direct financing leases	9,230	5,371	17,986	7,206
Interest and fee income	14,138	11,527	28,855	19,449
Total revenues	57,473	48,918	115,444	89,721
Expenses
Real estate depreciation and amortization	8,718	8,337	17,262	16,518
Property-related	649	586	1,062	813
General and administrative	7,225	6,697	15,044	14,289
Acquisition expenses	2,088	279	2,278	3,704
Total operating expenses	18,680	15,899	35,646	35,324
Operating income (expense)	38,793	33,019	79,798	54,397
Other income (expense)
Other income (expense)	(23)	(17)	(248)	(32)
Earnings from equity and other interests	1,176	879	1,668	879
Interest income (expense)	(14,641)	(14,889)	(30,065)	(27,684)
Net other expense	(13,488)	(14,027)	(28,645)	(26,837)
Income (loss) from continuing operations	25,305	18,992	51,153	27,560
Income (loss) from discontinued operations	2,100	368	2,461	2,407
Net income	27,405	19,360	53,614	29,967
Net income (loss) attributable to non-controlling interests	(57)	(44)	(110)	(87)
Net income attributable to MPT common stockholders	27,348	19,316	53,504	29,880
Parent
Other income (expense)
Equity in earnings of consolidated subsidiaries net of income taxes	27,405	19,360	53,614	29,967
Net income	27,405	19,360	53,614	29,967
Net income (loss) attributable to non-controlling interests	(57)	(44)	(110)	(87)
Net income attributable to MPT common stockholders	27,348	19,316	53,504	29,880
Subsidiary Issuers
Revenues
Interest and fee income	5,052	5,034	10,108	7,978
Total revenues	5,052	5,034	10,108	7,978
Expenses
Property-related	104	130	276	261
General and administrative	7,674	6,773	14,419	13,736
Acquisition expenses	2,088	279	2,278	3,704
Total operating expenses	9,866	7,182	16,973	17,701
Operating income (expense)	(4,814)	(2,148)	(6,865)	(9,723)
Other income (expense)
Other income (expense)	(20)	(16)	(42)	(28)
Interest income (expense)	(14,726)	(14,913)	(30,243)	(27,702)
Net other expense	(14,746)	(14,929)	(30,285)	(27,730)
Income (loss) from continuing operations	(19,560)	(17,077)	(37,150)	(37,453)
Equity in earnings of consolidated subsidiaries net of income taxes	46,965	36,437	90,764	67,420
Net income	27,405	19,360	53,614	29,967
Net income (loss) attributable to non-controlling interests	(57)	(44)	(110)	(87)
Net income attributable to MPT common stockholders	27,348	19,316	53,504	29,880
Subsidiary Guarantors
Revenues
Rent billed	29,411	28,674	59,379	56,690
Straight-line rent	2,141	949	4,428	1,939
Income from direct financing leases	8,664	4,839	16,868	6,492
Interest and fee income	9,186	6,509	18,404	11,703
Total revenues	49,402	40,971	99,079	76,824
Expenses
Real estate depreciation and amortization	8,293	7,912	16,412	15,668
Property-related	347	368	541	464
Total operating expenses	8,640	8,280	16,953	16,132
Operating income (expense)	40,762	32,691	82,126	60,692
Other income (expense)
Other income (expense)	(1)
Earnings from equity and other interests	233	453	233	452
Interest income (expense)	319	253	629	479
Net other expense	551	706	862	931
Income (loss) from continuing operations	41,313	33,397	82,988	61,623
Income (loss) from discontinued operations		(92)	(4)	(208)
Equity in earnings of consolidated subsidiaries net of income taxes	1,121	1,117	2,242	2,238
Net income	42,434	34,422	85,226	63,653
Net income attributable to MPT common stockholders	42,434	34,422	85,226	63,653
Non-Guarantor Subsidiaries
Revenues
Rent billed	5,063	4,153	9,567	8,284
Straight-line rent	605	375	979	744
Income from direct financing leases	5,509	5,371	10,994	7,206
Interest and fee income	6,985	7,007	14,517	10,414
Total revenues	18,162	16,906	36,057	26,648
Expenses
Real estate depreciation and amortization	425	425	850	850
Property-related	8,255	7,058	15,871	11,171
General and administrative	(449)	(76)	625	553
Total operating expenses	8,231	7,407	17,346	12,574
Operating income (expense)	9,931	9,499	18,711	14,074
Other income (expense)
Other income (expense)	(2)	(1)	(206)	(4)
Earnings from equity and other interests	943	426	1,435	427
Interest income (expense)	(7,320)	(7,252)	(14,625)	(11,107)
Net other expense	(6,379)	(6,827)	(13,396)	(10,684)
Income (loss) from continuing operations	3,552	2,672	5,315	3,390
Income (loss) from discontinued operations	2,100	460	2,465	2,615
Net income	5,652	3,132	7,780	6,005
Net income attributable to MPT common stockholders	5,652	3,132	7,780	6,005
Eliminations
Revenues
Rent billed	(3,115)	(2,131)	(5,750)	(4,591)
Income from direct financing leases	(4,943)	(4,839)	(9,876)	(6,492)
Interest and fee income	(7,085)	(7,023)	(14,174)	(10,646)
Total revenues	(15,143)	(13,993)	(29,800)	(21,729)
Expenses
Property-related	(8,057)	(6,970)	(15,626)	(11,083)
Total operating expenses	(8,057)	(6,970)	(15,626)	(11,083)
Operating income (expense)	(7,086)	(7,023)	(14,174)	(10,646)
Other income (expense)
Interest income (expense)	7,086	7,023	14,174	10,646
Net other expense	7,086	7,023	14,174	10,646
Equity in earnings of consolidated subsidiaries net of income taxes	(75,491)	(56,914)	(146,620)	(99,625)
Net income	(75,491)	(56,914)	(146,620)	(99,625)
Net income (loss) attributable to non-controlling interests	57	44	110	87
Net income attributable to MPT common stockholders	$ (75,434)	$ (56,870)	$ (146,510)	$ (99,538)

Condensed Consolidated Statements of Comprehensive Income - Condensed Consolidated Statements of Comprehensive Income (Loss) (Detail) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012	Jun. 30, 2013	Jun. 30, 2012
Comprehensive Income (Loss) [Line Items]
Net income	$ 27,405	$ 19,360	$ 53,614	$ 29,967
Other comprehensive income (loss):
Unrealized gain (loss) on interest rate swap	1,779	(1,045)	2,606	(546)
Total comprehensive income	29,184	18,315	56,220	29,421
Comprehensive income attributable to non-controlling interests	(57)	(44)	(110)	(87)
Comprehensive income attributable to MPT common stockholders	29,127	18,271	56,110	29,334
Parent
Comprehensive Income (Loss) [Line Items]
Net income	27,405	19,360	53,614	29,967
Other comprehensive income (loss):
Unrealized gain (loss) on interest rate swap	1,779	(1,045)	2,606	(546)
Total comprehensive income	29,184	18,315	56,220	29,421
Comprehensive income attributable to non-controlling interests	(57)	(44)	(110)	(87)
Comprehensive income attributable to MPT common stockholders	29,127	18,271	56,110	29,334
Subsidiary Issuers
Comprehensive Income (Loss) [Line Items]
Net income	27,405	19,360	53,614	29,967
Other comprehensive income (loss):
Unrealized gain (loss) on interest rate swap	1,779	(1,045)	2,606	(546)
Total comprehensive income	29,184	18,315	56,220	29,421
Comprehensive income attributable to non-controlling interests	(57)	(44)	(110)	(87)
Comprehensive income attributable to MPT common stockholders	29,127	18,271	56,110	29,334
Subsidiary Guarantors
Comprehensive Income (Loss) [Line Items]
Net income	42,434	34,422	85,226	63,653
Other comprehensive income (loss):
Total comprehensive income	42,434	34,422	85,226	63,653
Comprehensive income attributable to MPT common stockholders	42,434	34,422	85,226	63,653
Non-Guarantor Subsidiaries
Comprehensive Income (Loss) [Line Items]
Net income	5,652	3,132	7,780	6,005
Other comprehensive income (loss):
Total comprehensive income	5,652	3,132	7,780	6,005
Comprehensive income attributable to MPT common stockholders	5,652	3,132	7,780	6,005
Eliminations
Comprehensive Income (Loss) [Line Items]
Net income	(75,491)	(56,914)	(146,620)	(99,625)
Other comprehensive income (loss):
Unrealized gain (loss) on interest rate swap	(1,779)	1,045	(2,606)	546
Total comprehensive income	(77,270)	(55,869)	(149,226)	(99,079)
Comprehensive income attributable to non-controlling interests	57	44	110	87
Comprehensive income attributable to MPT common stockholders	$ (77,213)	$ (55,825)	$ (149,116)	$ (98,992)

Condensed Consolidating Financial Information - Condensed Consolidated Statements of Cash Flows (Detail) - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012
Operating Activities
Net cash provided by (used in) operating activities	$ 56,245	$ 44,423
Investing Activities
Cash paid for acquisitions and other related investments	(75,000)	(396,500)
Principal received on loans receivable	3,293	7,966
Net proceeds from sale of real estate	18,409	16,000
Net proceeds from sale of real estate	18,409
Investments in loans receivable	(1,300)	(1,293)
Construction in progress and other	(33,171)	(20,655)
Net cash provided by (used in) investing activities	(87,769)	(394,482)
Financing Activities
Revolving credit facilities, net	(85,000)	(89,600)
Additions to term debt		300,000
Payments of term debt	(11,124)	(114)
Distributions paid	(57,846)	(49,589)
Proceeds from sale of common shares/units, net of offering costs	172,853	220,160
Lease deposits and other obligations to tenants	1,516	383
Debt issuance costs paid and other financing activities	(114)	(6,268)
Net cash provided by (used in) financing activities	20,285	374,972
Increase (decrease) in cash and cash equivalents for period	(11,239)	24,913
Cash and cash equivalents at beginning of period	37,311	102,726
Cash and cash equivalents at end of period	26,072	127,639
Parent
Operating Activities
Net cash provided by (used in) operating activities	(35)
Investing Activities
Investments in and advances to subsidiaries	(115,106)	(170,705)
Net cash provided by (used in) investing activities	(115,106)	(170,705)
Financing Activities
Distributions paid	(57,712)	(49,455)
Proceeds from sale of common shares/units, net of offering costs	172,853	220,160
Net cash provided by (used in) financing activities	115,141	170,705
Subsidiary Issuers
Operating Activities
Net cash provided by (used in) operating activities	(29,249)	(30,512)
Investing Activities
Investments in and advances to subsidiaries	1,417	(359,319)
Construction in progress and other	(621)	(47)
Net cash provided by (used in) investing activities	796	(359,366)
Financing Activities
Revolving credit facilities, net	(85,000)	(50,000)
Additions to term debt		300,000
Payments of term debt	(11,000)
Distributions paid	(57,846)	(49,589)
Proceeds from sale of common shares/units, net of offering costs	172,853	220,160
Debt issuance costs paid and other financing activities	(114)	(6,268)
Net cash provided by (used in) financing activities	18,893	414,303
Increase (decrease) in cash and cash equivalents for period	(9,560)	24,425
Cash and cash equivalents at beginning of period	35,483	101,230
Cash and cash equivalents at end of period	25,923	125,655
Subsidiary Guarantors
Operating Activities
Net cash provided by (used in) operating activities	83,956	71,218
Investing Activities
Cash paid for acquisitions and other related investments	(75,000)	(200,000)
Principal received on loans receivable		5,491
Investments in and advances to subsidiaries	22,149	183,197
Construction in progress and other	(33,144)	(19,970)
Net cash provided by (used in) investing activities	(85,995)	(31,282)
Financing Activities
Revolving credit facilities, net		(39,600)
Lease deposits and other obligations to tenants	474	(180)
Net cash provided by (used in) financing activities	474	(39,780)
Increase (decrease) in cash and cash equivalents for period	(1,565)	156
Cash and cash equivalents at beginning of period	1,565	1,409
Cash and cash equivalents at end of period		1,565
Non-Guarantor Subsidiaries
Operating Activities
Net cash provided by (used in) operating activities	1,573	3,717
Investing Activities
Cash paid for acquisitions and other related investments		(196,500)
Principal received on loans receivable	3,293	2,475
Net proceeds from sale of real estate	18,409
Investments in and advances to subsidiaries	(23,601)	176,122
Investments in loans receivable	(1,300)	(1,293)
Construction in progress and other	594	(638)
Net cash provided by (used in) investing activities	(2,605)	(3,834)
Financing Activities
Payments of term debt	(124)	(114)
Lease deposits and other obligations to tenants	1,042	563
Net cash provided by (used in) financing activities	918	449
Increase (decrease) in cash and cash equivalents for period	(114)	332
Cash and cash equivalents at beginning of period	263	87
Cash and cash equivalents at end of period	149	419
Eliminations
Investing Activities
Investments in and advances to subsidiaries	115,141	170,705
Net cash provided by (used in) investing activities	115,141	170,705
Financing Activities
Distributions paid	57,712	49,455
Proceeds from sale of common shares/units, net of offering costs	(172,853)	(220,160)
Net cash provided by (used in) financing activities	$ (115,141)	$ (170,705)