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Earnings Per Share - Calculation of Earnings Per Share (Detail) - USD ($)
shares in Thousands, $ in Thousands
3 Months Ended
Mar. 31, 2017
Mar. 31, 2016
Earnings Per Share, Basic, by Common Class, Including Two Class Method [Line Items]    
Income from continuing operations $ 68,185 $ 58,226
Non-controlling interests' share in net income (215) (298)
Participating securities' share in earnings (125) (144)
Income from continuing operations, less participating securities' share in earnings 67,845 57,784
Loss from discontinued operations   (1)
Net income, less participating securities' share in earnings $ 67,845 $ 57,783
Basic weighted-average common shares 321,057 237,510
Dilutive potential common shares 366 309
Diluted weighted-average units 321,423 237,819
MPT Operating Partnership, L.P. [Member]    
Earnings Per Share, Basic, by Common Class, Including Two Class Method [Line Items]    
Income from continuing operations $ 68,185 $ 58,226
Non-controlling interests' share in net income (215) (298)
Participating securities' share in earnings (125) (144)
Income from continuing operations, less participating securities' share in earnings 67,845 57,784
Loss from discontinued operations   (1)
Net income, less participating securities' share in earnings $ 67,845 $ 57,783
Basic weighted-average common shares 321,057 237,510
Dilutive potential common shares 366 309
Diluted weighted-average units 321,423 237,819