X0303 4 2009-01-02 0 0001287865 MEDICAL PROPERTIES TRUST INC MPW 0001331453 Stewart Michael G 1000 URBAN CENTER DRIVE SUITE 501 BIRMINGHAM AL 35242 0 1 0 0 EVP and General Counsel Common Stock, par value $.001 2009-01-02 4 A 0 25436 0 A 254790 D Represents an award of restricted common stock under the Second Amended and Restated Medical Properties Trust, Inc. 2004 Equity Incentive Plan, which vests in eight quarterly amounts of 2,120 on the second day of each calendar quarter from April 2, 2009 through January 2, 2011, and in four quarterly amounts of 2,119 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