X0303 4 2010-01-06 0 0001287865 MEDICAL PROPERTIES TRUST INC mpw 0001331608 Aldag Edward K JR 1000 URBAN CENTER DRIVE SUITE 501 BIRMINGHAM AL 35242 1 1 0 0 Chairman, President and CEO Common Stock, par value $.001 2010-01-06 4 A 0 196080 0 A 1359535 D Fifty percent of such shares vest ratably at the beginning of each of the 12 calendar quarters ending March 31, 2013; dividends are paid currently. Fifty percent of such shares vest ratably over a three-year period based on achievement of certain performance measures, with a carry-back and carry forward provision through December 31, 2014; accrued dividends are paid only upon achievement of the performance measures. Michael G. Stewart, by power of attorney 2010-01-08