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Debt - Principal Payments Due for Debt (Detail) (USD $)
In Thousands, unless otherwise specified
Dec. 31, 2014
Debt Disclosure [Abstract]  
2015 $ 283mpw_LongTermDebtMaturitiesRepaymentsOfPrincipalInPreviousFiscalYear
2016 125,298us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInNextTwelveMonths
2017 320us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearTwo
2018 606,271us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearThree
2019 125,000us-gaap_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFour
Thereafter 1,341,960mpw_LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFiveAndThereafter
Total $ 2,199,132us-gaap_LongTermDebt