Market Overview

Medical Properties Trust Completes Joint Venture of 71 German Hospitals

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Largest European Healthcare Transaction in 2018

Medical Properties Trust, Inc. ("MPT" or the "Company") (NYSE:MPW),
today announced that it has completed the previously announced joint
venture among certain of its European affiliates and affiliates of
Primonial Group ("Primonial"). As previously disclosed, the joint
venture agreements establish a value of the 71 assets of €1.63 billion,
reflecting an unlevered internal rate of return exceeding 15% since
MPT's acquisition of the assets. Total proceeds to MPT, including its
portion of secured debt, are approximately €1.14 billion. The
company expects to use such proceeds to repay balances under its
revolving credit facility, make investments in additional U.S. and
European hospital assets and for other corporate purposes.

"This partnership with Primonial demonstrates MPT's unique expertise and
ability to create long term value for our shareholders, reduce our cost
of capital and provide permanent capital for reinvestment to create
additional highly attractive hospital real estate portfolios," said
Edward K. Aldag, Jr., MPT's Chairman, President and CEO. "Already we are
highly focused on reinvestment of proceeds to acquire hospital real
estate leased to high-quality operators in Europe, the U.S. and
elsewhere."

MPT also disclosed that the joint venture has entered into a €655
million secured financing arrangement with a consortium of lenders,
including Societe Generale S.A. Frankfurt Branch as Mandated Lead
Arranger and affiliates of AXA. Provisions of the financing agreement
include a term of seven years and a swapped fixed rate of approximately
2.3%.

About Medical Properties Trust, Inc.

Medical Properties Trust, Inc. is a self-advised real estate investment
trust formed to capitalize on the changing trends in healthcare delivery
by acquiring and developing net-leased healthcare facilities. MPT's
financing model helps facilitate acquisitions and recapitalizations and
allows operators of hospitals and other healthcare facilities to unlock
the value of their real estate assets to fund facility improvements,
technology upgrades and other investments in operations. Facilities
include acute care hospitals, inpatient rehabilitation hospitals,
long-term acute care hospitals, and other medical and surgical
facilities. For more information, please visit the Company's website at www.medicalpropertiestrust.com.

About Primonial Group

Primonial Group, specialized in all aspects of wealth management,
selects, combines and offers comprehensive solutions for wealth
management professionals and their clients. It is supported by a large
number of specialists in residential property investments and real
estate funds, life insurance and annuities, structured products and
asset management, and has assets under management (managed or advised)
of €23.44 billion. For more information, please visit the Company's
website at www.primonial.com.

The statements in this press release that are forward looking are
based on current expectations and actual results or future events may
differ materially. Words such as "expects," "believes," "anticipates,"
"intends," "will," "should" and variations of such words and similar
expressions are intended to identify such forward-looking statements.
Forward-looking statements involve known and unknown risks,
uncertainties and other factors that may cause the actual results of the
Company or future events to differ materially from those expressed in or
underlying such forward-looking statements, including without
limitation: the satisfaction of all conditions to, and the timely
closing (if at all) of pending transactions; the amount of acquisitions
of healthcare real estate, if any; results from potential sales and
joint venture arrangements, if any; capital markets conditions;
estimated leverage metrics; the repayment of debt arrangements;
statements concerning the additional income to the Company as a result
of ownership interests in certain hospital operations and the timing of
such income; the payment of future dividends, if any; completion of
additional debt arrangements, and additional investments; national and
international economic, business, real estate and other market
conditions; the competitive environment in which the Company operates;
the execution of the Company's business plan; financing risks; the
Company's ability to maintain its status as a REIT for income tax
purposes; acquisition and development risks; potential environmental and
other liabilities; and other factors affecting the real estate industry
generally or healthcare real estate in particular. For further
discussion of the factors that could affect outcomes, please refer to
the "Risk factors" section of the Company's Annual Report on Form 10-K
for the year ended December 31, 2017 and as updated by the Company's
subsequently filed Quarterly Reports on Form 10-Q and other SEC filings.
Except as otherwise required by the federal securities laws, the Company
undertakes no obligation to update the information in this press release.

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