Exhibit 99.1
Contact: Charles Lambert
Finance Director
Medical Properties Trust, Inc.
(205) 397-8897
     Birmingham, AL — January 28, 2010 —
Medical Properties Trust, Inc. (NYSE: MPW) today announced financial and operating results for the quarter and year ended December 31, 2009.
    Reported fourth quarter normalized Funds from Operations (“FFO”) and Adjusted FFO (“AFFO”) per diluted share of $0.23 each, in-line with guidance as adjusted for certain non-routine expenses;
    Delivered 2009 full year total revenues of $129.8 million, up more than 11% over $116.8 million reported in 2008; normalized FFO and AFFO were $0.90 and $0.92 per share, respectively, in 2009 as adjusted for certain non-routine expenses;
    Continued profitability from Shasta Regional Medical Center after lease restructuring;
    Reached agreements to settle all claims asserted by Stealth, L.P. in previously disclosed litigation concerning termination of leases of Houston Town and Country Hospital and medical office building;
    Paid 2009 fourth quarter cash dividend of $0.20 per share on January 14, 2010.
     Commenting on the Company’s 2009 performance, Medical Properties Trust, Inc. President and Chief Executive Officer Edward K. Aldag, Jr. emphasized the strength of the Company’s portfolio, “Our tenants continued to perform beyond expectations in 2009 with an overall EBITDAR lease coverage ratio exceeding 5 times. The acute care, long-term acute care and inpatient rehabilitation sectors’ lease coverage improved to more than 6 times, 2 times, and 3 times, respectively. Our tenants are some of the largest, strongest and best performing leaders in the industry. Properties operated by Prime Healthcare Systems, Community Health Systems, Health Management Associates, HealthSouth, North Cypress Medical Center and IASIS Healthcare constitute more than 65% of our portfolio. In addition, other operators, such as Vibra Healthcare, which has grown to become the third largest provider of LTAC services in the country, once again performed above expectations.”


The following information was filed by Medical Properties Trust Inc (MPW) on Thursday, January 28, 2010 as an 8K 2.02 statement, which is an earnings press release pertaining to results of operations and financial condition. It may be helpful to assess the quality of management by comparing the information in the press release to the information in the accompanying 10-K Annual Report statement of earnings and operation as management may choose to highlight particular information in the press release.

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