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Real Estate and Loans Receivable - 2015 Activity - Additional Information (Detail)
$ in Thousands
1 Months Ended 12 Months Ended
Dec. 31, 2015
USD ($)
Property
Hospital
Dec. 03, 2015
EUR (€)
Bed
Nov. 18, 2015
EUR (€)
Facility
Oct. 30, 2015
USD ($)
Sep. 30, 2015
USD ($)
Hospital
Sep. 09, 2015
EUR (€)
Aug. 31, 2015
USD ($)
Bed
Investment
Jun. 16, 2015
USD ($)
Bed
RenewalOptions
Property
Apr. 29, 2015
EUR (€)
Hospital
Feb. 27, 2015
USD ($)
RenewalOptions
Feb. 13, 2015
USD ($)
RenewalOptions
Facility
Aug. 31, 2015
Investment
Property
Leases
Jul. 31, 2015
USD ($)
Investment
Dec. 31, 2016
USD ($)
Dec. 31, 2015
USD ($)
Dec. 31, 2014
USD ($)
Dec. 31, 2015
EUR (€)
Business Acquisition [Line Items]                                  
Mortgage financing                           $ 612,836 $ 380,000 $ 12,500  
Mortgage financing funded                           310,000 20,000 3,650  
Acquisition related costs                           $ 46,273 61,342 $ 26,389  
2015 [Member] | Lake Huron Medical Center [Member]                                  
Business Acquisition [Line Items]                                  
Acquisition costs                             20,000    
Mortgage financing             $ 30,000                    
Mortgage financing term             5 years                    
2015 [Member] | Ernest [Member]                                  
Business Acquisition [Line Items]                                  
Acquisition costs               $ 31,500                  
Loans provided for acquisition               $ 12,000                  
Term of lease, years               20 years                  
Number of lease extension options | RenewalOptions               3                  
Term of lease extension, years               5 years                  
Number of properties acquired | Property               2                  
2015 [Member] | AXA Real Estate [Member]                                  
Business Acquisition [Line Items]                                  
Ownership interest in joint venture under the equity method           50.00%                      
2015 [Member] | Acute Care Hospital [Member]                                  
Business Acquisition [Line Items]                                  
Number of facilities acquired | Facility     7                            
Purchase price of acquisition | €     € 90,000,000                            
2015 [Member] | Acute Care Hospital [Member] | Kansas [Member]                                  
Business Acquisition [Line Items]                                  
Term of lease, years                     10 years            
Number of lease extension options | RenewalOptions                     2            
Term of lease extension, years                     5 years            
Number of facilities acquired | Facility                     2            
Purchase price of acquisition                     $ 110,000            
Mortgage financing                     $ 40,000            
Mortgage financing term                     10 years            
2015 [Member] | Acute Care Hospital [Member] | Ernest [Member]                                  
Business Acquisition [Line Items]                                  
Number of beds acquired | Bed               37                  
2015 [Member] | Acute Care Hospital [Member] | AXA Real Estate [Member]                                  
Business Acquisition [Line Items]                                  
Ownership interest in joint venture under the equity method     50.00%                            
Estimated total development cost | €           € 21,400,000                      
2015 [Member] | RHM Rehabilitation Clinic [Member] | Germany [Member]                                  
Business Acquisition [Line Items]                                  
Acquisition costs | €   € 18,700,000                              
Term of lease, years   25 years                              
Number of beds acquired | Bed   266                              
Cumulative increases in the German consumer price index   70.00%                              
2015 [Member] | RHM Rehabilitation Clinic [Member] | Germany [Member] | From 2015 through 2017 [Member]                                  
Business Acquisition [Line Items]                                  
Rent escalations percentage   2.00%                              
2015 [Member] | RHM Rehabilitation Clinic [Member] | Germany [Member] | After 2017 [Member]                                  
Business Acquisition [Line Items]                                  
Rent escalations percentage   0.50%                              
2015 [Member] | General Acute Care Hospital and Healthcare System [Member]                                  
Business Acquisition [Line Items]                                  
Mortgage financing         $ 100,000                        
Number of licensed hospitals | Hospital         3                        
Number of free-standing emergency department and health center | Hospital         1                        
Mortgage financing term         5 years                        
Mortgage financing funded         $ 15,000                        
2015 [Member] | General Acute Care Hospital [Member] | Lake Huron Medical Center [Member]                                  
Business Acquisition [Line Items]                                  
Number of beds acquired | Bed             144                    
2015 [Member] | Rehabilitation Hospital with Covenant Health System [Member] | Ernest [Member]                                  
Business Acquisition [Line Items]                                  
Number of beds acquired | Bed               60                  
2015 [Member] | Inpatient Rehabilitation Hospital [Member] | Ernest [Member] | Weslaco Texas [Member]                                  
Business Acquisition [Line Items]                                  
Acquisition costs                   $ 10,700              
Term of lease, years                   17 years              
Number of lease extension options | RenewalOptions                   3              
Term of lease extension, years                   5 years              
Payments to fund long-term loans to related parties                   $ 5,000              
2015 [Member] | Median [Member]                                  
Business Acquisition [Line Items]                                  
Acquisition costs | €                 € 688,000,000                
Loans provided for acquisition | €                                 € 240,000,000
Term of lease, years                 27 years                
Number of properties closed | Property 31                                
Number of hospitals acquired | Hospital 32               32                
Lease rent increase percentage                 70.00%                
Value of properties closed | €                                 646,000,000
Real estate transfer tax $ 37,000                           37,000    
Loan amount outstanding | €                                 € 0
2015 [Member] | Capella [Member]                                  
Business Acquisition [Line Items]                                  
Combined purchase price and investment amount                         $ 900,000        
Ownership interests acquired                         49.00%        
Acquisition costs       $ 25,800                 $ 600,000        
Loans provided for acquisition       $ 9,200                 $ 290,000        
Term of lease, years                       15 years          
Number of lease extension options | Leases                       4          
Term of lease extension, years                       5 years          
Number of properties closed | Property                       6          
Increase in consumer price-index, floor rate                       2.00%          
Increase in consumer price-index, ceiling rate                       4.00%          
2015 [Member] | Capella [Member] | MPT Camaro Opco [Member]                                  
Business Acquisition [Line Items]                                  
Ownership interests acquired                         49.00%        
2015 [Member] | Capella [Member] | Acute Care Hospital [Member]                                  
Business Acquisition [Line Items]                                  
Number of portfolio investments | Investment             7         7 7        
Number of investment in form of mortgage loan | Investment             2         2 2        
2015 [Member] | Capella [Member] | Joint Venture Partner [Member]                                  
Business Acquisition [Line Items]                                  
Fixed interest rate             8.00%         8.00%          
2015 [Member] | Capella [Member] | Joint Venture Partner [Member] | ManageCo [Member]                                  
Business Acquisition [Line Items]                                  
Ownership interests acquired                         51.00%        
2015 [Member] | Business Acquisitions [Member]                                  
Business Acquisition [Line Items]                                  
Revenue contributed by the acquired entity                             102,700    
Income contributed by the acquired entity                             87,700    
Acquisition related costs                             $ 58,000