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Condensed Consolidating Financial Information - Condensed Consolidated Statements of Income (Detail) (USD $)
In Thousands, unless otherwise specified
3 Months Ended 12 Months Ended
Dec. 31, 2013
Sep. 30, 2013
Jun. 30, 2013
Mar. 31, 2013
Dec. 31, 2012
Sep. 30, 2012
Jun. 30, 2012
Mar. 31, 2012
Dec. 31, 2013
Dec. 31, 2012
Dec. 31, 2011
Revenues                      
Rent billed                 $ 132,578 $ 119,883 $ 105,688
Straight-line rent                 10,706 7,911 5,277
Income from direct financing leases                 40,830 21,728  
Interest and fee income                 58,409 48,603 21,357
Total revenues 67,679 60,106 57,124 57,614 56,597 52,504 48,569 40,455 242,523 198,125 132,322
Expenses                      
Real estate depreciation and amortization                 36,978 32,815 30,147
Property-related                 2,450 1,477 724
Acquisition expenses                 19,494 5,420 4,184
General and administrative                 30,063 28,562 27,091
Total operating expenses                 88,985 68,274 62,146
Operating income                 153,538 129,851 70,176
Other income (expense)                      
Interest and other (expense) income                 (319) (1,662) 18
Earnings from equity and other interests                 3,554 2,943 78
Debt refinancing costs                     (14,214)
Interest expense                 (66,746) (58,243) (43,810)
Income tax expense                 (726) (19) (128)
Net other expense                 (64,237) (56,981) (58,056)
Income (loss) from continuing operations 13,309 25,391 25,031 25,570 23,264 22,594 18,718 8,294 89,301 72,870 12,120
Income (loss) from discontinued operations 4,588 312 2,374 640 5,339 8,914 642 2,312 7,914 17,207 14,594
Net income 17,897 25,703 27,405 26,210 28,603 31,508 19,360 10,606 97,215 90,077 26,714
Net income (loss) attributable to non-controlling interests                 (224) (177) (178)
Net income attributable to MPT common stockholders 17,839 25,648 27,348 26,156 28,556 31,464 19,316 10,564 96,991 89,900 26,536
Parent [Member]
                     
Revenues                      
Rent billed                       
Straight-line rent                       
Income from direct financing leases                       
Interest and fee income                       
Total revenues                       
Expenses                      
Real estate depreciation and amortization                       
Property-related                       
Acquisition expenses                       
General and administrative                      17
Total operating expenses                      17
Operating income                      (17)
Other income (expense)                      
Interest and other (expense) income                       
Earnings from equity and other interests                       
Interest expense                       
Income tax expense                        
Net other expense                       
Income (loss) from continuing operations                      (17)
Equity in earnings of consolidated subsidiaries net of income taxes                 97,215 90,077 26,731
Net income                 97,215 90,077 26,714
Net income (loss) attributable to non-controlling interests                 (224) (177) (178)
Net income attributable to MPT common stockholders                 96,991 89,900 26,536
Subsidiary Issuers [Member]
                     
Revenues                      
Straight-line rent                       
Income from direct financing leases                       
Interest and fee income                 21,797 18,341 6,124
Total revenues                 21,797 18,341 6,124
Expenses                      
Real estate depreciation and amortization                       
Property-related                 601 495 217
Acquisition expenses                 7,356 5,420 3,713
General and administrative                 29,033 26,018 23,914
Total operating expenses                 36,990 31,933 27,844
Operating income                 (15,193) (13,592) (21,720)
Other income (expense)                      
Interest and other (expense) income                 (110) (69) 26
Earnings from equity and other interests                       
Debt refinancing costs                     (14,109)
Interest expense                 (67,484) (58,729) (43,063)
Income tax expense                         
Net other expense                 (67,594) (58,798) (57,146)
Income (loss) from continuing operations                 (82,787) (72,390) (78,866)
Income (loss) from discontinued operations                       
Equity in earnings of consolidated subsidiaries net of income taxes                 180,002 162,467 105,597
Net income                 97,215 90,077 26,731
Net income (loss) attributable to non-controlling interests                 (224) (177) (178)
Net income attributable to MPT common stockholders                 96,991 89,900 26,553
Subsidiary Guarantors [Member]
                     
Revenues                      
Rent billed                 124,651 112,573 99,494
Straight-line rent                 8,438 6,429 3,515
Income from direct financing leases                 38,522 19,870  
Interest and fee income                 38,696 29,606 17,543
Total revenues                 210,307 168,478 120,552
Expenses                      
Real estate depreciation and amortization                 35,277 31,115 28,489
Property-related                 1,356 816 458
Acquisition expenses                 12,138    
General and administrative                 375    
Total operating expenses                 49,146 31,931 28,947
Operating income                 161,161 136,547 91,605
Other income (expense)                      
Interest and other (expense) income                     2
Earnings from equity and other interests                 948 1,061 345
Debt refinancing costs                     (105)
Interest expense                 (1,912) 1,408 139
Income tax expense                 (158)      
Net other expense                 (1,122) 2,469 381
Income (loss) from continuing operations                 160,039 139,016 91,986
Income (loss) from discontinued operations                 (4) 103 (1,969)
Equity in earnings of consolidated subsidiaries net of income taxes                 4,477 4,481 4,578
Net income                 164,512 143,600 15,580
Net income (loss) attributable to non-controlling interests                       
Net income attributable to MPT common stockholders                 164,512 143,600 94,595
Non-Guarantor Subsidiaries [Member]
                     
Revenues                      
Rent billed                 20,028 16,619 9,286
Straight-line rent                 2,268 1,482 1,762
Income from direct financing leases                 22,577 18,090  
Interest and fee income                 29,834 25,387 3,926
Total revenues                 74,707 61,578 14,974
Expenses                      
Real estate depreciation and amortization                 1,701 1,700 1,658
Property-related                 32,863 25,707 3,141
Acquisition expenses                      471
General and administrative                 655 2,544 3,160
Total operating expenses                 35,219 29,951 8,430
Operating income                 39,488 31,627 6,544
Other income (expense)                      
Interest and other (expense) income                 (209) (1,593) 10
Earnings from equity and other interests                 2,606 1,882 (267)
Interest expense                 (29,268) (25,653) (7,122)
Income tax expense                 (568) (19) (128)
Net other expense                 (27,439) (25,383) (7,527)
Income (loss) from continuing operations                 12,049 6,244 (983)
Income (loss) from discontinued operations                 7,918 17,104 16,563
Equity in earnings of consolidated subsidiaries net of income taxes                       
Net income                 19,967 23,348 15,580
Net income (loss) attributable to non-controlling interests                       
Net income attributable to MPT common stockholders                 19,967 23,348 15,580
Eliminations [Member]
                     
Revenues                      
Rent billed                 (12,101) (9,309) (3,092)
Income from direct financing leases                 (20,269) (16,232)  
Interest and fee income                 (31,918) (24,731) (6,236)
Total revenues                 (64,288) (50,272) (9,328)
Expenses                      
Real estate depreciation and amortization                       
Property-related                 (32,370) (25,541) (3,092)
Acquisition expenses                       
General and administrative                       
Total operating expenses                 (32,370) (25,541) (3,092)
Operating income                 (31,918) (24,731) (6,236)
Other income (expense)                      
Interest and other (expense) income                       
Earnings from equity and other interests                       
Interest expense                 31,918 24,731 6,236
Income tax expense                        
Net other expense                 31,918 24,731 6,236
Income (loss) from continuing operations                       
Income (loss) from discontinued operations                       
Equity in earnings of consolidated subsidiaries net of income taxes                 (281,694) (257,025) (136,906)
Net income                 (281,694) (257,025) (136,906)
Net income (loss) attributable to non-controlling interests                 224 177 178
Net income attributable to MPT common stockholders                 $ (281,470) $ (256,848) $ (136,728)