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Condensed Consolidating Financial Information - Condensed Consolidated Statements of Operations (Detail) (USD $)
In Thousands, unless otherwise specified
3 Months Ended 6 Months Ended
Jun. 30, 2014
Jun. 30, 2013
Jun. 30, 2014
Jun. 30, 2013
Revenues        
Rent billed $ 45,928 $ 31,024 $ 88,889 $ 62,528
Straight-line rent 3,178 2,777 5,366 5,468
Income from direct financing leases 12,263 9,230 24,479 17,986
Interest and fee income 15,191 14,093 30,915 28,755
Total revenues 76,560 57,124 149,649 114,737
Expenses        
Real estate depreciation and amortization 12,442 8,643 26,131 17,112
Impairment charges 29,631   50,128  
Property-related (38) 649 700 1,062
General and administrative 8,206 7,111 17,165 14,877
Acquisition expenses 2,535 2,088 3,047 2,278
Total operating expenses 52,776 18,491 97,171 35,329
Operating income (expense) 23,784 38,633 52,478 79,408
Other income (expense)        
Other income (expense) 19 (22) (30) (248)
Earnings from equity and other interests 686 1,176 905 1,668
Interest income (expense) (24,362) (14,641) (45,974) (30,065)
Debt refinancing costs (290)   (290)  
Income tax benefit (expense) (40) (115) 16 (167)
Net other income (expense) (23,987) (13,602) (45,373) (28,812)
Income (loss) from continuing operations (203) 25,031 7,105 50,596
Income (loss) from discontinued operations    2,374 (2) 3,018
Equity in earnings of consolidated subsidiaries net of income taxes 0    0  
Net income (loss) (203) 27,405 7,103 53,614
Net income (loss) attributable to non-controlling interests 0 (57) (65) (110)
Net income attributable to MPT common stockholders (203) 27,348 7,038 53,504
Parent [Member]
       
Other income (expense)        
Equity in earnings of consolidated subsidiaries net of income taxes (203) 27,405 7,103 53,614
Net income (loss) (203) 27,405 7,103 53,614
Net income (loss) attributable to non-controlling interests   (57) (65) (110)
Net income attributable to MPT common stockholders (203) 27,348 7,038 53,504
Subsidiary Issuers [Member]
       
Revenues        
Interest and fee income 8,360 5,052 18,492 10,108
Total revenues 8,360 5,052 18,492 10,108
Expenses        
Impairment charges 289   289  
Property-related 168 104 339 276
General and administrative 8,500 7,674 16,649 14,419
Acquisition expenses 2,510 2,088 2,886 2,278
Total operating expenses 11,467 9,866 20,163 16,973
Operating income (expense) (3,107) (4,814) (1,671) (6,865)
Other income (expense)        
Other income (expense) 19 (20) (30) (42)
Interest income (expense) (24,724) (14,726) (46,546) (30,243)
Debt refinancing costs (290)   (290)  
Net other income (expense) (24,995) (14,746) (46,866) (30,285)
Income (loss) from continuing operations (28,102) (19,560) (48,537) (37,150)
Equity in earnings of consolidated subsidiaries net of income taxes 27,899 46,965 55,640 (90,764)
Net income (loss) (203) 27,405 7,103 53,614
Net income (loss) attributable to non-controlling interests   (57) (65) (110)
Net income attributable to MPT common stockholders (203) 27,348 7,038 53,504
Subsidiary Guarantors [Member]
       
Revenues        
Rent billed 43,592 29,051 84,543 58,657
Straight-line rent 2,491 2,171 3,888 4,489
Income from direct financing leases 11,652 8,664 23,261 16,868
Interest and fee income 13,666 9,120 28,863 18,267
Total revenues 71,401 49,006 140,555 98,281
Expenses        
Real estate depreciation and amortization 11,940 8,229 25,204 16,262
Impairment charges 21,975   21,975  
Property-related (105) 335 325 537
General and administrative 55   258  
Acquisition expenses 25   161  
Total operating expenses 33,890 8,564 47,923 16,799
Operating income (expense) 37,511 40,442 92,632 81,482
Other income (expense)        
Other income (expense)         
Earnings from equity and other interests 111 233 111 233
Interest income (expense) (6,636) 318 (16,533) 628
Income tax benefit (expense) (32)   32  
Net other income (expense) (6,557) 551 (16,390) 861
Income (loss) from continuing operations 30,954 40,993 76,242 82,343
Equity in earnings of consolidated subsidiaries net of income taxes 1,042 1,121 2,163 2,242
Net income (loss) 31,996 42,114 78,405 84,585
Net income attributable to MPT common stockholders 31,996 42,114 78,405 84,585
Non-Guarantor Subsidiaries [Member]
       
Revenues        
Rent billed 6,240 5,088 11,928 9,621
Straight-line rent 687 606 1,478 979
Income from direct financing leases 5,898 5,509 11,770 10,994
Interest and fee income 7,422 7,006 15,293 14,554
Total revenues 20,247 18,209 40,469 36,148
Expenses        
Real estate depreciation and amortization 502 414 927 850
Impairment charges 7,367   27,864  
Property-related 9,090 8,267 18,170 15,875
General and administrative (349) (563) 258 458
Total operating expenses 16,610 8,118 47,219 17,183
Operating income (expense) 3,637 10,091 (6,750) 18,965
Other income (expense)        
Other income (expense)   (2)   (206)
Earnings from equity and other interests 575 943 794 1,435
Interest income (expense) (7,259) (7,319) (14,628) (14,624)
Income tax benefit (expense) (8) (115) (16) (167)
Net other income (expense) (6,692) (6,493) (13,850) (13,562)
Income (loss) from continuing operations (3,055) 3,598 (20,600) 5,403
Income (loss) from discontinued operations   2,374 (2) 3,018
Net income (loss) (3,055) 5,972 (20,602) 8,421
Net income attributable to MPT common stockholders (3,055) 5,972 (20,602) 8,421
Eliminations [Member]
       
Revenues        
Rent billed (3,904) (3,115) (7,582) (5,750)
Income from direct financing leases (5,287) (4,943) (10,552) (9,876)
Interest and fee income (14,257) (7,085) (31,733) (14,174)
Total revenues (23,448) (15,143) (49,867) (29,800)
Expenses        
Property-related (9,191) (8,057) (18,134) (15,626)
Total operating expenses (9,191) (8,057) (18,134) (15,626)
Operating income (expense) (14,257) (7,086) (31,733) (14,174)
Other income (expense)        
Interest income (expense) 14,257 (7,086) 31,733 14,174
Net other income (expense) 14,257 (7,086) 31,733 14,174
Income (loss) from discontinued operations         
Equity in earnings of consolidated subsidiaries net of income taxes (28,738) (75,491) (64,906) (146,620)
Net income (loss) (28,738) (75,491) (64,906) (146,620)
Net income (loss) attributable to non-controlling interests   57 65 110
Net income attributable to MPT common stockholders $ (28,738) $ (75,434) $ (64,841) $ (146,510)