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Condensed Consolidated Statements of Income (Detail) (USD $)
In Thousands, unless otherwise specified
3 Months Ended 9 Months Ended
Sep. 30, 2012
Sep. 30, 2011
Sep. 30, 2012
Sep. 30, 2011
Revenues        
Rent billed $ 31,083 $ 27,760 $ 93,100 $ 81,086
Straight-line rent 2,762 1,643 5,473 5,318
Income from direct financing leases 5,773   12,979  
Interest and fee income 14,037 5,229 33,486 15,714
Total revenues 53,655 34,632 145,038 102,118
Expenses        
Real estate depreciation and amortization 8,491 7,700 25,392 22,508
Property-related 218 260 1,044 346
General and administrative 7,052 5,737 21,341 20,429
Acquisition expenses 410 530 4,115 3,186
Total operating expenses 16,171 14,227 51,892 46,469
Operating income (expense) 37,484 20,405 93,146 55,649
Other income (expense)        
Earnings from equity and other interests 1,065 9 1,944 70
Debt refinancing costs   (10,425)   (14,214)
Interest expense (15,046) (11,935) (42,730) (32,462)
Net other expense (14,004) (22,309) (40,841) (46,618)
Income (loss) from continuing operations 23,480 (1,904) 52,305 9,031
Income (loss) from discontinued operations 8,028 2,372 9,169 4,944
Net income 31,508 468 61,474 13,975
Net income (loss) attributable to non-controlling interests (44) (43) (130) (131)
Net income (loss) attributable to MPT common stockholders 31,464 425 61,344 13,844
Parent
       
Expenses        
General and administrative   18   62
Total operating expenses   18   62
Operating income (expense)   (18)   (62)
Other income (expense)        
Income (loss) from continuing operations   (18)   (62)
Equity in earnings of consolidated subsidiaries net of income taxes 31,508 486 61,474 14,037
Net income 31,508 468 61,474 13,975
Net income (loss) attributable to non-controlling interests (44) (43) (130) (131)
Net income (loss) attributable to MPT common stockholders 31,464 425 61,344 13,844
Subsidiary Issuers
       
Revenues        
Interest and fee income 5,242 1,351 13,219 4,118
Total revenues 5,242 1,351 13,219 4,118
Expenses        
Property-related 88 87 349 87
General and administrative 6,332 6,348 20,067 18,356
Acquisition expenses 410 513 4,115 2,717
Total operating expenses 6,830 6,948 24,531 21,160
Operating income (expense) (1,588) (5,597) (11,312) (17,042)
Other income (expense)        
Interest and other income (expense) (21) 44 (49) 42
Debt refinancing costs   (10,425)   (14,109)
Interest expense (15,203) (11,735) (42,905) (31,750)
Net other expense (15,224) (22,116) (42,954) (45,817)
Income (loss) from continuing operations (16,812) (27,713) (54,266) (62,859)
Equity in earnings of consolidated subsidiaries net of income taxes 48,320 28,199 115,740 76,896
Net income 31,508 486 61,474 14,037
Net income (loss) attributable to non-controlling interests (44) (43) (130) (131)
Net income (loss) attributable to MPT common stockholders 31,464 443 61,344 13,906
Subsidiary Guarantors
       
Revenues        
Rent billed 29,256 25,903 87,579 76,284
Straight-line rent 2,387 1,219 4,354 3,974
Income from direct financing leases 5,238   11,730  
Interest and fee income 8,917 4,146 20,621 13,087
Total revenues 45,798 31,268 124,284 93,345
Expenses        
Real estate depreciation and amortization 8,066 7,212 24,117 21,216
Property-related 121 171 597 213
Acquisition expenses   469   469
Total operating expenses 8,187 7,852 24,714 21,898
Operating income (expense) 37,611 23,416 99,570 71,447
Other income (expense)        
Interest and other income (expense)     (2) 2
Earnings from equity and other interests 330 84 783 84
Debt refinancing costs       (105)
Interest expense 389 63 867 (31)
Net other expense 719 147 1,648 (50)
Income (loss) from continuing operations 38,330 23,563 101,218 71,397
Income (loss) from discontinued operations 1,069 787 2,363 263
Equity in earnings of consolidated subsidiaries net of income taxes 1,129 1,112 3,367 3,457
Net income 40,528 25,462 106,948 75,117
Net income (loss) attributable to MPT common stockholders 40,528 25,462 106,948 75,117
Non-Guarantor Subsidiaries
       
Revenues        
Rent billed 4,162 2,188 12,447 5,796
Straight-line rent 375 424 1,119 1,344
Income from direct financing leases 5,394   12,600  
Interest and fee income 6,943 920 17,357 2,597
Total revenues 16,874 3,532 43,523 9,737
Expenses        
Real estate depreciation and amortization 425 488 1,275 1,292
Property-related 7,203 333 18,375 1,040
General and administrative 720 (629) 1,274 2,011
Acquisition expenses   (452)    
Total operating expenses 8,348 (260) 20,924 4,343
Operating income (expense) 8,526 3,792 22,599 5,394
Other income (expense)        
Interest and other income (expense) (2) (2) (4) (56)
Earnings from equity and other interests 735 (75) 1,161 (14)
Interest expense (7,297) (1,451) (18,403) (4,769)
Net other expense (6,564) (1,528) (17,246) (4,839)
Income (loss) from continuing operations 1,962 2,264 5,353 555
Income (loss) from discontinued operations 6,959 1,585 6,806 4,681
Net income 8,921 3,849 12,159 5,236
Net income (loss) attributable to MPT common stockholders 8,921 3,849 12,159 5,236
Eliminations
       
Revenues        
Rent billed (2,335) (331) (6,926) (994)
Income from direct financing leases (4,859)   (11,351)  
Interest and fee income (7,065) (1,188) (17,711) (4,088)
Total revenues (14,259) (1,519) (35,988) (5,082)
Expenses        
Property-related (7,194) (331) (18,277) (994)
Total operating expenses (7,194) (331) (18,277) (994)
Operating income (expense) (7,065) (1,188) (17,711) (4,088)
Other income (expense)        
Interest expense 7,065 1,188 17,711 4,088
Net other expense 7,065 1,188 17,711 4,088
Equity in earnings of consolidated subsidiaries net of income taxes (80,957) (29,797) (180,581) (94,390)
Net income (80,957) (29,797) (180,581) (94,390)
Net income (loss) attributable to non-controlling interests 44 43 130 131
Net income (loss) attributable to MPT common stockholders (80,913) (29,754) (180,451) (94,259)
Total Consolidated
       
Revenues        
Rent billed 31,083 27,760 93,100 81,086
Straight-line rent 2,762 1,643 5,473 5,318
Income from direct financing leases 5,773   12,979  
Interest and fee income 14,037 5,229 33,486 15,714
Total revenues 53,655 34,632 145,038 102,118
Expenses        
Real estate depreciation and amortization 8,491 7,700 25,392 22,508
Property-related 218 260 1,044 346
General and administrative 7,052 5,737 21,341 20,429
Acquisition expenses 410 530 4,115 3,186
Total operating expenses 16,171 14,227 51,892 46,469
Operating income (expense) 37,484 20,405 93,146 55,649
Other income (expense)        
Interest and other income (expense) (23) 42 (55) (12)
Earnings from equity and other interests 1,065 9 1,944 70
Debt refinancing costs   (10,425)   (14,214)
Interest expense (15,046) (11,935) (42,730) (32,462)
Net other expense (14,004) (22,309) (40,841) (46,618)
Income (loss) from continuing operations 23,480 (1,904) 52,305 9,031
Income (loss) from discontinued operations 8,028 2,372 9,169 4,944
Net income 31,508 468 61,474 13,975
Net income (loss) attributable to non-controlling interests (44) (43) (130) (131)
Net income (loss) attributable to MPT common stockholders $ 31,464 $ 425 $ 61,344 $ 13,844