X0303 4 2009-01-02 0 0001287865 MEDICAL PROPERTIES TRUST INC MPW 0001067414 HAMNER R STEVEN 1 1 0 0 EVP and CFO Common Stock, par value $.001 2009-01-02 4 A 0 83576 0 A 555469 D Represents an award of restricted common stock under the Second Amended and Restated Medical Properties Trust, Inc. Equity Incentive Plan, which vests in eight quarterly amounts of 6,965 on the second day of each calendar quarter from April 2, 2009 through January 2, 2011, and in four quarterly amounts of 6,964 on the second day of each calendar quarter from April 2, 2011 through January 2, 2012. Philip Summerlin, by power of attorney 2009-01-06