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Real Estate and Loans Receivable - 2014 Activity - Additional Information (Detail)
12 Months Ended 3 Months Ended 12 Months Ended 0 Months Ended 12 Months Ended 0 Months Ended 0 Months Ended 12 Months Ended 0 Months Ended 12 Months Ended 3 Months Ended 0 Months Ended 12 Months Ended
Dec. 31, 2014
USD ($)
Dec. 31, 2013
USD ($)
Dec. 31, 2012
USD ($)
Dec. 31, 2014
2014 [Member]
Dec. 15, 2014
2014 [Member]
Mar. 31, 2014
2014 [Member]
Acute Care Hospital [Member]
USD ($)
Dec. 31, 2014
2014 [Member]
Acute Care Hospital [Member]
Dec. 31, 2014
2014 [Member]
Acute Care Hospital [Member]
Fair value market [Member]
Dec. 15, 2014
2014 [Member]
Median And Waterland [Member]
USD ($)
Dec. 15, 2014
2014 [Member]
Median And Waterland [Member]
EUR (€)
Dec. 31, 2014
2014 [Member]
Median And Waterland [Member]
EUR (€)
Dec. 31, 2014
2014 [Member]
Minimum [Member]
Dec. 31, 2014
2014 [Member]
Maximum [Member]
Oct. 15, 2014
2014 [Member]
Median Transaction [Member]
USD ($)
State
Oct. 15, 2014
2014 [Member]
Median Transaction [Member]
EUR (€)
Oct. 15, 2014
2014 [Member]
Median Transaction [Member]
Acute Care Hospital [Member]
Facility
Oct. 15, 2014
2014 [Member]
Median Transaction [Member]
Rehabilitation Hospital [Member]
Facility
Dec. 15, 2014
2014 [Member]
Median Transaction [Member]
Waterland [Member]
Jul. 01, 2014
2014 [Member]
United Kingdom [Member]
Circle Health Ltd. [Member]
USD ($)
Jul. 01, 2014
2014 [Member]
United Kingdom [Member]
Circle Health Ltd. [Member]
GBP (£)
Dec. 31, 2014
2014 [Member]
United Kingdom [Member]
Circle Health Ltd. [Member]
Jul. 01, 2014
2014 [Member]
United Kingdom [Member]
Circle Health Ltd. [Member]
USD ($)
Jul. 01, 2014
2014 [Member]
United Kingdom [Member]
Circle Health Ltd. [Member]
GBP (£)
Sep. 19, 2014
2014 [Member]
West Virginia [Member]
Acute Care Hospital [Member]
Alecto Healthcare Services [Member]
USD ($)
Dec. 31, 2014
2014 [Member]
West Virginia [Member]
Acute Care Hospital [Member]
Alecto Healthcare Services [Member]
Sep. 19, 2014
2014 [Member]
West Virginia [Member]
Acute Care Hospital [Member]
Alecto Healthcare Services [Member]
RenewalOptions
Dec. 31, 2014
2014 [Member]
Germany [Member]
RHM Rehabilitation Facilities [Member]
USD ($)
Facility
Dec. 31, 2014
2014 [Member]
Germany [Member]
RHM Rehabilitation Facilities [Member]
EUR (€)
Facility
Dec. 31, 2014
2014 [Member]
Germany [Member]
Bad Mergentheim [Member]
RHM Rehabilitation Facilities [Member]
Bed
Dec. 31, 2014
2014 [Member]
Germany [Member]
Bad Tolz [Member]
RHM Rehabilitation Facilities [Member]
Bed
Dec. 31, 2014
2014 [Member]
Germany [Member]
Bad Liebenstein [Member]
RHM Rehabilitation Facilities [Member]
Bed
Oct. 31, 2014
2014 [Member]
Sherman TX [Member]
USD ($)
Oct. 31, 2014
2014 [Member]
Sherman TX [Member]
Alecto Healthcare Services [Member]
Dec. 31, 2014
2014 [Member]
Sherman TX [Member]
Alecto Healthcare Services [Member]
Oct. 31, 2014
2014 [Member]
Sherman TX [Member]
Alecto Healthcare Services [Member]
USD ($)
Oct. 31, 2014
2014 [Member]
Sherman TX [Member]
Acute Care Hospital [Member]
Bed
Significant Acquisitions and Disposals [Line Items]                                                                        
Purchase price of acquisition                           $ 881,000,000us-gaap_InvestmentsInAffiliatesSubsidiariesAssociatesAndJointVentures
/ us-gaap_BusinessAcquisitionAxis
= mpw_MedianMember
/ us-gaap_RealEstatePropertiesAxis
= mpw_TwoThousandFourteenMember
€ 705,000,000us-gaap_InvestmentsInAffiliatesSubsidiariesAssociatesAndJointVentures
/ us-gaap_BusinessAcquisitionAxis
= mpw_MedianMember
/ us-gaap_RealEstatePropertiesAxis
= mpw_TwoThousandFourteenMember
                      $ 81,000,000us-gaap_InvestmentsInAffiliatesSubsidiariesAssociatesAndJointVentures
/ us-gaap_MajorPropertyClassAxis
= mpw_RhmRehabilitationFacilitiesMember
/ us-gaap_RealEstatePropertiesAxis
= mpw_TwoThousandFourteenMember
/ us-gaap_StatementGeographicalAxis
= country_DE
€ 63,600,000us-gaap_InvestmentsInAffiliatesSubsidiariesAssociatesAndJointVentures
/ us-gaap_MajorPropertyClassAxis
= mpw_RhmRehabilitationFacilitiesMember
/ us-gaap_RealEstatePropertiesAxis
= mpw_TwoThousandFourteenMember
/ us-gaap_StatementGeographicalAxis
= country_DE
      $ 32,500,000us-gaap_InvestmentsInAffiliatesSubsidiariesAssociatesAndJointVentures
/ us-gaap_RealEstatePropertiesAxis
= mpw_TwoThousandFourteenMember
/ us-gaap_StatementGeographicalAxis
= mpw_ShermanTexasMember
       
Number of facilities acquired                               2us-gaap_NumberOfBusinessesAcquired
/ us-gaap_BusinessAcquisitionAxis
= mpw_MedianMember
/ us-gaap_MajorPropertyClassAxis
= mpw_AcuteCareHospitalMember
/ us-gaap_RealEstatePropertiesAxis
= mpw_TwoThousandFourteenMember
38us-gaap_NumberOfBusinessesAcquired
/ us-gaap_BusinessAcquisitionAxis
= mpw_MedianMember
/ us-gaap_MajorPropertyClassAxis
= mpw_RehabilitationHospitalsMember
/ us-gaap_RealEstatePropertiesAxis
= mpw_TwoThousandFourteenMember
                  3us-gaap_NumberOfBusinessesAcquired
/ us-gaap_MajorPropertyClassAxis
= mpw_RhmRehabilitationFacilitiesMember
/ us-gaap_RealEstatePropertiesAxis
= mpw_TwoThousandFourteenMember
/ us-gaap_StatementGeographicalAxis
= country_DE
3us-gaap_NumberOfBusinessesAcquired
/ us-gaap_MajorPropertyClassAxis
= mpw_RhmRehabilitationFacilitiesMember
/ us-gaap_RealEstatePropertiesAxis
= mpw_TwoThousandFourteenMember
/ us-gaap_StatementGeographicalAxis
= country_DE
               
Number of states                           11us-gaap_NumberOfStatesInWhichEntityOperates
/ us-gaap_BusinessAcquisitionAxis
= mpw_MedianMember
/ us-gaap_RealEstatePropertiesAxis
= mpw_TwoThousandFourteenMember
11us-gaap_NumberOfStatesInWhichEntityOperates
/ us-gaap_BusinessAcquisitionAxis
= mpw_MedianMember
/ us-gaap_RealEstatePropertiesAxis
= mpw_TwoThousandFourteenMember
                                         
Acquired percentage of the outstanding equity interest         5.10%us-gaap_BusinessCombinationStepAcquisitionEquityInterestInAcquireePercentage
/ us-gaap_RealEstatePropertiesAxis
= mpw_TwoThousandFourteenMember
                        94.90%us-gaap_BusinessCombinationStepAcquisitionEquityInterestInAcquireePercentage
/ us-gaap_BusinessAcquisitionAxis
= mpw_MedianMember
/ us-gaap_RealEstatePropertiesAxis
= mpw_TwoThousandFourteenMember
/ us-gaap_RelatedPartyTransactionsByRelatedPartyAxis
= mpw_WaterlandMember
                                   
Interim acquisition loans aggregate amount                 531,000,000us-gaap_LoansAndLeasesReceivableRelatedPartiesAdditions
/ us-gaap_RealEstatePropertiesAxis
= mpw_TwoThousandFourteenMember
/ us-gaap_RelatedPartyTransactionsByRelatedPartyAxis
= mpw_MedianAndWaterlandMember
425,000,000us-gaap_LoansAndLeasesReceivableRelatedPartiesAdditions
/ us-gaap_RealEstatePropertiesAxis
= mpw_TwoThousandFourteenMember
/ us-gaap_RelatedPartyTransactionsByRelatedPartyAxis
= mpw_MedianAndWaterlandMember
                                                   
Interim acquisition loans advanced                     349,000,000mpw_AggregatePrincipalAmountOfLoan
/ us-gaap_RealEstatePropertiesAxis
= mpw_TwoThousandFourteenMember
/ us-gaap_RelatedPartyTransactionsByRelatedPartyAxis
= mpw_MedianAndWaterlandMember
                                                 
Initial leaseback term       27 years                                                           15 years    
Lease annual escalator percentage                       1.00%mpw_PercentageOfRentalRate
/ us-gaap_RangeAxis
= us-gaap_MinimumMember
/ us-gaap_RealEstatePropertiesAxis
= mpw_TwoThousandFourteenMember
70.00%mpw_PercentageOfRentalRate
/ us-gaap_RangeAxis
= us-gaap_MaximumMember
/ us-gaap_RealEstatePropertiesAxis
= mpw_TwoThousandFourteenMember
                                             
Applicable transfer taxes on purchase price                                                     3,600,000mpw_BusinessAcquisitionPurchasePriceAllocationOtherTaxesPayable
/ us-gaap_MajorPropertyClassAxis
= mpw_RhmRehabilitationFacilitiesMember
/ us-gaap_RealEstatePropertiesAxis
= mpw_TwoThousandFourteenMember
/ us-gaap_StatementGeographicalAxis
= country_DE
3,000,000mpw_BusinessAcquisitionPurchasePriceAllocationOtherTaxesPayable
/ us-gaap_MajorPropertyClassAxis
= mpw_RhmRehabilitationFacilitiesMember
/ us-gaap_RealEstatePropertiesAxis
= mpw_TwoThousandFourteenMember
/ us-gaap_StatementGeographicalAxis
= country_DE
               
Number of beds                                                         211mpw_NumberOfBeds
/ us-gaap_BusinessAcquisitionAxis
= mpw_BadMergentheimMember
/ us-gaap_MajorPropertyClassAxis
= mpw_RhmRehabilitationFacilitiesMember
/ us-gaap_RealEstatePropertiesAxis
= mpw_TwoThousandFourteenMember
/ us-gaap_StatementGeographicalAxis
= country_DE
248mpw_NumberOfBeds
/ us-gaap_BusinessAcquisitionAxis
= mpw_BadTolzMember
/ us-gaap_MajorPropertyClassAxis
= mpw_RhmRehabilitationFacilitiesMember
/ us-gaap_RealEstatePropertiesAxis
= mpw_TwoThousandFourteenMember
/ us-gaap_StatementGeographicalAxis
= country_DE
271mpw_NumberOfBeds
/ us-gaap_BusinessAcquisitionAxis
= mpw_BadLiebensteinMember
/ us-gaap_MajorPropertyClassAxis
= mpw_RhmRehabilitationFacilitiesMember
/ us-gaap_RealEstatePropertiesAxis
= mpw_TwoThousandFourteenMember
/ us-gaap_StatementGeographicalAxis
= country_DE
        237mpw_NumberOfBeds
/ us-gaap_MajorPropertyClassAxis
= mpw_AcuteCareHospitalMember
/ us-gaap_RealEstatePropertiesAxis
= mpw_TwoThousandFourteenMember
/ us-gaap_StatementGeographicalAxis
= mpw_ShermanTexasMember
Working capital loan                                                                     7,500,000mpw_WorkingCapitalLoanToAcquiredEntity
/ us-gaap_MajorCustomersAxis
= mpw_AlectoHealthcareServicesMember
/ us-gaap_RealEstatePropertiesAxis
= mpw_TwoThousandFourteenMember
/ us-gaap_StatementGeographicalAxis
= mpw_ShermanTexasMember
 
Ownership interest, percentage                                               20.00%us-gaap_VariableInterestEntityOwnershipPercentage
/ us-gaap_MajorCustomersAxis
= mpw_AlectoHealthcareServicesMember
/ us-gaap_MajorPropertyClassAxis
= mpw_AcuteCareHospitalMember
/ us-gaap_RealEstatePropertiesAxis
= mpw_TwoThousandFourteenMember
/ us-gaap_StatementGeographicalAxis
= mpw_WestVirginiaMember
                20.00%us-gaap_VariableInterestEntityOwnershipPercentage
/ us-gaap_MajorCustomersAxis
= mpw_AlectoHealthcareServicesMember
/ us-gaap_RealEstatePropertiesAxis
= mpw_TwoThousandFourteenMember
/ us-gaap_StatementGeographicalAxis
= mpw_ShermanTexasMember
     
Acquisition costs           115,000,000us-gaap_AcquisitionCosts
/ us-gaap_MajorPropertyClassAxis
= mpw_AcuteCareHospitalMember
/ us-gaap_RealEstatePropertiesAxis
= mpw_TwoThousandFourteenMember
                                  15,000,000us-gaap_AcquisitionCosts
/ us-gaap_MajorCustomersAxis
= mpw_AlectoHealthcareServicesMember
/ us-gaap_MajorPropertyClassAxis
= mpw_AcuteCareHospitalMember
/ us-gaap_RealEstatePropertiesAxis
= mpw_TwoThousandFourteenMember
/ us-gaap_StatementGeographicalAxis
= mpw_WestVirginiaMember
                       
Term of lease, years             15 years                                   15 years                      
Term of lease extension, years             3 years 12 years                                 5 years                      
Number of lease extension options in current lease contract                                                   3mpw_NumberOfExtensionOptionsInCurrentLeaseContract
/ us-gaap_MajorCustomersAxis
= mpw_AlectoHealthcareServicesMember
/ us-gaap_MajorPropertyClassAxis
= mpw_AcuteCareHospitalMember
/ us-gaap_RealEstatePropertiesAxis
= mpw_TwoThousandFourteenMember
/ us-gaap_StatementGeographicalAxis
= mpw_WestVirginiaMember
                   
Working capital loan to the tenant                                               5,000,000us-gaap_PaymentsToAcquireInterestInJointVenture
/ us-gaap_MajorCustomersAxis
= mpw_AlectoHealthcareServicesMember
/ us-gaap_MajorPropertyClassAxis
= mpw_AcuteCareHospitalMember
/ us-gaap_RealEstatePropertiesAxis
= mpw_TwoThousandFourteenMember
/ us-gaap_StatementGeographicalAxis
= mpw_WestVirginiaMember
                       
Additional lease period                                                 5 years                      
Additional fund committed to the tenant for capital improvements                                               5,000,000us-gaap_PaymentsForCapitalImprovements
/ us-gaap_MajorCustomersAxis
= mpw_AlectoHealthcareServicesMember
/ us-gaap_MajorPropertyClassAxis
= mpw_AcuteCareHospitalMember
/ us-gaap_RealEstatePropertiesAxis
= mpw_TwoThousandFourteenMember
/ us-gaap_StatementGeographicalAxis
= mpw_WestVirginiaMember
                       
Acquired facility, carrying value of sale/leaseback transaction                                           48,000,000us-gaap_SaleLeasebackTransactionNetBookValue
/ us-gaap_MajorCustomersAxis
= mpw_CircleHealthMember
/ us-gaap_RealEstatePropertiesAxis
= mpw_TwoThousandFourteenMember
/ us-gaap_StatementGeographicalAxis
= country_GB
28,300,000us-gaap_SaleLeasebackTransactionNetBookValue
/ us-gaap_MajorCustomersAxis
= mpw_CircleHealthMember
/ us-gaap_RealEstatePropertiesAxis
= mpw_TwoThousandFourteenMember
/ us-gaap_StatementGeographicalAxis
= country_GB
                         
Sale/leaseback transaction, initial term period                                         15 years                              
Sale/leaseback transaction, additional term period                                         15 years                              
Percentage change in annual retail price index, floor rate                                           2.00%mpw_LeaseAgreementIncreaseInRetailPriceIndexFloorRate
/ us-gaap_MajorCustomersAxis
= mpw_CircleHealthMember
/ us-gaap_RealEstatePropertiesAxis
= mpw_TwoThousandFourteenMember
/ us-gaap_StatementGeographicalAxis
= country_GB
2.00%mpw_LeaseAgreementIncreaseInRetailPriceIndexFloorRate
/ us-gaap_MajorCustomersAxis
= mpw_CircleHealthMember
/ us-gaap_RealEstatePropertiesAxis
= mpw_TwoThousandFourteenMember
/ us-gaap_StatementGeographicalAxis
= country_GB
                         
Percentage change in annual retail price index, cap rate                                           5.00%mpw_LeaseAgreementIncreaseInRetailPriceIndexCapRate
/ us-gaap_MajorCustomersAxis
= mpw_CircleHealthMember
/ us-gaap_RealEstatePropertiesAxis
= mpw_TwoThousandFourteenMember
/ us-gaap_StatementGeographicalAxis
= country_GB
5.00%mpw_LeaseAgreementIncreaseInRetailPriceIndexCapRate
/ us-gaap_MajorCustomersAxis
= mpw_CircleHealthMember
/ us-gaap_RealEstatePropertiesAxis
= mpw_TwoThousandFourteenMember
/ us-gaap_StatementGeographicalAxis
= country_GB
                         
Acquisition related expenses $ 26,389,000us-gaap_BusinessCombinationAcquisitionRelatedCosts $ 19,494,000us-gaap_BusinessCombinationAcquisitionRelatedCosts $ 5,420,000us-gaap_BusinessCombinationAcquisitionRelatedCosts                               $ 1,900,000us-gaap_BusinessCombinationAcquisitionRelatedCosts
/ us-gaap_MajorCustomersAxis
= mpw_CircleHealthMember
/ us-gaap_RealEstatePropertiesAxis
= mpw_TwoThousandFourteenMember
/ us-gaap_StatementGeographicalAxis
= country_GB
£ 1,100,000us-gaap_BusinessCombinationAcquisitionRelatedCosts
/ us-gaap_MajorCustomersAxis
= mpw_CircleHealthMember
/ us-gaap_RealEstatePropertiesAxis
= mpw_TwoThousandFourteenMember
/ us-gaap_StatementGeographicalAxis
= country_GB