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Income Taxes - Additional Information (Detail) (USD $)
In Millions, unless otherwise specified
12 Months Ended
Dec. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
Income Taxes [Line Items]      
Percentage of ordinary taxable income to be distributed for real estate investment trust qualification 90.00%mpw_PercentageOfOrdinaryTaxableIncomeToBeDistributedForRealEstateInvestmentTrustQualification 90.00%mpw_PercentageOfOrdinaryTaxableIncomeToBeDistributedForRealEstateInvestmentTrustQualification 90.00%mpw_PercentageOfOrdinaryTaxableIncomeToBeDistributedForRealEstateInvestmentTrustQualification
Percentage of taxable income to be distributed for federal income tax assumption 100.00%mpw_PercentageOfTaxableIncomeToBeDistributedForFederalIncomeTaxExemption    
Amount of foreign loss before income taxes $ 7.5us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesForeign $ 12.9us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesForeign  
Amount of domestic loss before income taxes 20.9us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesDomestic 7.6us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesDomestic 0.1us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesDomestic
U.S federal NOLs 50.7us-gaap_DeferredTaxAssetsOperatingLossCarryforwardsDomestic    
U.S. state NOLs 121.8us-gaap_DeferredTaxAssetsOperatingLossCarryforwardsStateAndLocal    
Foreign NOLs 6.7us-gaap_DeferredTaxAssetsOperatingLossCarryforwardsForeign    
U.S. federal and state NOLs, expiration period 2021 through 2034    
U.S federal alternative minimum tax credits carry forward 0.1us-gaap_DeferredTaxAssetsTaxCreditCarryforwardsAlternativeMinimumTax    
Increased Valuation Allowances [Member]      
Income Taxes [Line Items]      
Acquisition-related costs on consummated deals $ 8.9mpw_AcquisitionRelatedCostsOnConsummatedDeals
/ us-gaap_BusinessAcquisitionAxis
= mpw_ValuationAllowancesMember