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Fair Value of Financial Instruments - Summary of Fair Value Information of Financial Instruments (Detail) (USD $)
In Thousands, unless otherwise specified
Mar. 31, 2015
Dec. 31, 2014
Fair Value Disclosures [Abstract]    
Interest and rent receivables, Book value $ 40,464mpw_InterestAndRentReceivable $ 41,137mpw_InterestAndRentReceivable
Loans, Book value 837,098mpw_Loans 773,311mpw_Loans
Debt, net Book value (1,882,319)us-gaap_DebtInstrumentCarryingAmount (2,201,654)us-gaap_DebtInstrumentCarryingAmount
Interest and rent receivables, Fair value 40,324us-gaap_ReceivablesFairValueDisclosure 41,005us-gaap_ReceivablesFairValueDisclosure
Loans, Fair value 867,523us-gaap_LoansHeldForSaleFairValueDisclosure 803,824us-gaap_LoansHeldForSaleFairValueDisclosure
Debt, net Fair value $ (1,981,158)us-gaap_LongTermDebtFairValue $ (2,285,727)us-gaap_LongTermDebtFairValue