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Condensed Consolidated Statements of Comprehensive Income (Loss) (Detail) (USD $)
In Thousands, unless otherwise specified
3 Months Ended 12 Months Ended
Dec. 31, 2012
Sep. 30, 2012
Jun. 30, 2012
Mar. 31, 2012
Dec. 31, 2011
Sep. 30, 2011
Jun. 30, 2011
Mar. 31, 2011
Dec. 31, 2012
Dec. 31, 2011
Dec. 31, 2010
Comprehensive Income (Loss) [Line Items]                      
Net income $ 28,603 $ 31,508 $ 19,360 $ 10,606 $ 12,740 $ 468 $ 2,682 $ 10,824 $ 90,077 $ 26,714 $ 23,012
Other comprehensive income:                      
Unrealized loss on interest rate swap                 (251) (8,590) (3,641)
Total comprehensive income                 89,826 18,124 19,371
Comprehensive income attributable to non-controlling interests                 (177) (178) (99)
Comprehensive income attributable to MPT common stockholders                 89,649 17,946 19,272
Medical Properties Trust, Inc.
                     
Comprehensive Income (Loss) [Line Items]                      
Net income                 90,077 26,714 23,012
Other comprehensive income:                      
Unrealized loss on interest rate swap                 (251) (8,590) (3,641)
Total comprehensive income                 89,826 18,124 19,371
Comprehensive income attributable to non-controlling interests                 (177) (178) (99)
Comprehensive income attributable to MPT common stockholders                 89,649 17,946 19,272
Subsidiary Issuers
                     
Comprehensive Income (Loss) [Line Items]                      
Net income                 90,077 26,731 23,087
Other comprehensive income:                      
Unrealized loss on interest rate swap                 (251) (8,590) (3,641)
Total comprehensive income                 89,826 18,141 19,446
Comprehensive income attributable to non-controlling interests                 (177) (178) (99)
Comprehensive income attributable to MPT common stockholders                 89,649 17,963 19,347
Subsidiary Guarantors
                     
Comprehensive Income (Loss) [Line Items]                      
Net income                 146,123 96,993 72,794
Other comprehensive income:                      
Total comprehensive income                 146,123 96,993 72,794
Comprehensive income attributable to MPT common stockholders                 146,123 96,993 72,794
Non-Guarantor Subsidiaries
                     
Comprehensive Income (Loss) [Line Items]                      
Net income                 20,825 13,182 15,818
Other comprehensive income:                      
Total comprehensive income                 20,825 13,182 15,818
Comprehensive income attributable to MPT common stockholders                 20,825 13,182 15,818
Eliminations
                     
Comprehensive Income (Loss) [Line Items]                      
Net income                 (257,025) (136,906) (111,699)
Other comprehensive income:                      
Unrealized loss on interest rate swap                 251 8,590 3,641
Total comprehensive income                 (256,774) (128,316) (108,058)
Comprehensive income attributable to non-controlling interests                 177 178 99
Comprehensive income attributable to MPT common stockholders                 (256,597) (128,138) (107,959)
Total Consolidated
                     
Comprehensive Income (Loss) [Line Items]                      
Net income                 90,077 26,714 23,012
Other comprehensive income:                      
Unrealized loss on interest rate swap                 (251) (8,590) (3,641)
Total comprehensive income                 89,826 18,124 19,371
Comprehensive income attributable to non-controlling interests                 (177) (178) (99)
Comprehensive income attributable to MPT common stockholders                 $ 89,649 $ 17,946 $ 19,272