Medical Properties Trust Announces Closing of Public Offering of 29.9 Million Shares of Common Stock Underwriters Exercised Over-Allotment Option in Full

BIRMINGHAM, Ala. - (BUSINESS WIRE) - Medical Properties Trust, Inc. (the "Company") (NYSE: MPW) announced today that it closed the sale of its previously announced underwritten public offering of shares of common stock, which included 26 million shares of common stock issued on April 20, 2010 and 3.9 million shares of common stock issued on April 22, 2010 pursuant to the exercise in full of the underwriters’ over-allotment option.

The Company received approximately $279 million from the offering after deducting the underwriting discounts and commissions. The Company intends to use the net proceeds from the offering to fund its concurrent tender offer for any and all of the outstanding 6.125% exchangeable senior notes due 2011 of the Company’s operating partnership, MPT Operating Partnership, L.P. The Company intends to use any remaining net proceeds from the offering, together with borrowings under a proposed new credit facility for which it has begun to secure commitments from a syndicate of lenders, for general corporate purposes, which may include the repayment of other indebtedness and funding future acquisitions and investments. The syndication efforts for the proposed new credit facility are expected to continue through the second quarter of 2010.

J.P. Morgan, Deutsche Bank Securities, KeyBanc Capital Markets, and RBC Capital Markets acted as joint book-running managers for the offering, with Morgan Keegan & Company, Inc., SunTrust Robinson Humphrey and UBS Investment Bank acting as joint-lead managers and JMP Securities and Stifel, Nicolaus & Company, Incorporated acting as co-managers.

All of the shares of common stock were issued by the Company and were issued under the Company's currently effective shelf registration statement on Form S-3 filed with the Securities and Exchange Commission ("SEC").

This press release does not constitute an offer to sell or the solicitation of an offer to buy any shares of the Company's common stock, nor shall there be any sale of these securities in any jurisdiction in which such an offer, solicitation, or sale would be unlawful prior to registration or qualification under the securities laws of any such jurisdiction.

Medical Properties Trust, Inc. is a Birmingham, Alabama based self-advised real estate investment trust formed to capitalize on the changing trends in healthcare delivery by acquiring and developing net-leased healthcare facilities. These facilities include inpatient rehabilitation hospitals, long-term acute care hospitals, regional acute care hospitals, ambulatory surgery centers and other single-discipline healthcare facilities, such as heart hospitals and orthopedic hospitals.

The statements in this press release that are forward looking are based on current expectations and actual results or future events may differ materially. Words such as "expects," "believes," "anticipates," "intends," "will," "should" and variations of such words and similar expressions are intended to identify such forward-looking statements. Forward-looking statements involve known and unknown risks, uncertainties and other factors that may cause the actual results of the Company or future events to differ materially from those expressed in or underlying such forward-looking statements, including without limitation: the Company's use of the proceeds from this offering; the Company’s ability to consummate the tender offer for the 2011 exchangeable notes and the amount of notes tendered thereunder; the Company’s ability to complete the new credit facility and the amount thereof; national and economic, business, real estate and other market conditions; the competitive environment in which the Company operates; the execution of the Company's business plan; financing risks; the Company's ability to attain and maintain its status as a REIT for federal income tax purposes; acquisition and development risks; potential environmental and other liabilities; and other factors affecting the real estate industry generally or healthcare real estate in particular. For further discussion of the facts that could affect outcomes, please refer to the "Special Note Regarding Forward-Looking Statements" and "Risk Factors" sections of the Company's Annual Report on Form 10-K for the year ended December 31, 2009, as amended, and as may be further updated by our subsequently filed Quarterly Reports on Form 10-Q and our other SEC filings. Except as otherwise required by the federal securities laws, the Company undertakes no obligation to update any forward-looking statements.