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Schedule III - Changes in Total Real Estate Assets Including Real Estate Held for Sale (Detail) (USD $)
In Thousands, unless otherwise specified
12 Months Ended
Dec. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
SEC Schedule III, Real Estate and Accumulated Depreciation Disclosure [Abstract]      
Balance at beginning of period $ 1,733,194us-gaap_RealEstateGrossAtCarryingValue $ 1,189,552us-gaap_RealEstateGrossAtCarryingValue $ 1,191,096us-gaap_RealEstateGrossAtCarryingValue
Acquisitions 263,811us-gaap_RealEstateOtherAcquisitions 480,503us-gaap_RealEstateOtherAcquisitions 9,460us-gaap_RealEstateOtherAcquisitions
Transfers from construction in progress 41,772mpw_RealEstateAccumulatedDepreciationCapitalExpendituresAndTransfersFromConstructionInProgress 81,347mpw_RealEstateAccumulatedDepreciationCapitalExpendituresAndTransfersFromConstructionInProgress 37,174mpw_RealEstateAccumulatedDepreciationCapitalExpendituresAndTransfersFromConstructionInProgress
Additions 84,831us-gaap_RealEstateOtherAdditions 7,749us-gaap_RealEstateOtherAdditions 19,971us-gaap_RealEstateOtherAdditions
Dispositions (56,590)us-gaap_RealEstateCostOfRealEstateSold (28,616)us-gaap_RealEstateCostOfRealEstateSold (68,149)us-gaap_RealEstateCostOfRealEstateSold
Other (26,291)us-gaap_RealEstatePeriodIncreaseDecrease 2,659us-gaap_RealEstatePeriodIncreaseDecrease  
Balance at end of period $ 2,040,727us-gaap_RealEstateGrossAtCarryingValue $ 1,733,194us-gaap_RealEstateGrossAtCarryingValue $ 1,189,552us-gaap_RealEstateGrossAtCarryingValue