Medical Properties Trust Inc was incorporated under Maryland law on August 27, 2003, and MPT Operating Partnership, L.P. was formed under Delaware law on September 10, 2003. It is a self-advised real estate investment trust focused on investing in and owning net-leased healthcare facilities. The Company conducts substantially all of its business through MPT Operating Partnership, L.P. It acquires and develops healthcare facilities and lease the facilities to healthcare operating companies under long-term net leases, which require the tenant to bear the costs associated with the property. It also makes mortgage loans to healthcare operators collateralized by their real estate assets. In addition, it selectively make loans to certain of its operators through its taxable REIT subsidiaries, the proceeds of which are typically used for acquisition and working capital purposes. As of February 28, 2014, its portfolio consists of 114 properties: 90 facilities (of the 105 facilities that it owns) are leased to 24 tenants, 15 are under development (including seven development projects with First Choice Emergency Room that started in 2014) and facilities consist of 51 general acute care hospitals, 24 long-term acute care hospitals, 31 inpatient rehabilitation hospitals, two medical office buildings, and six wellness centers. The Company competes in acquiring and developing facilities with financial institutions, other lenders, real estate developers, healthcare operators, other REITs, other public and private real estate companies and private real estate investors.