0000950144-08-002329 Sample Contracts

REGISTRATION RIGHTS AGREEMENT
Registration Rights Agreement • March 27th, 2008 • Medical Properties Trust Inc • Real estate investment trusts • New York

THIS REGISTRATION RIGHTS AGREEMENT (the “Agreement”) is made and entered into as of March 26, 2008, by and among MPT Operating Partnership, L.P., a Delaware limited partnership (the “Issuer”), Medical Properties Trust, Inc., a Maryland corporation (the “Guarantor”), and UBS Securities LLC, as representative (the “Representative”) of the initial purchasers (collectively, the “Initial Purchasers”) pursuant to that certain Purchase Agreement, dated March 20, 2008 (the “Purchase Agreement”), among the Issuer, the Guarantor and the Initial Purchasers.

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MPT OPERATING PARTNERSHIP, L.P., as Issuer MEDICAL PROPERTIES TRUST, INC., as Guarantor WILMINGTON TRUST COMPANY, as Trustee INDENTURE Dated as of March 26, 2008 9.25% Exchangeable Senior Notes due 2013
Indenture • March 27th, 2008 • Medical Properties Trust Inc • Real estate investment trusts • New York

INDENTURE dated as of March 26, 2008 among MPT Operating Partnership, L.P., a Delaware limited partnership (hereinafter called the “Issuer”), Medical Properties Trust, Inc., a Maryland corporation (hereinafter called the “Guarantor”), each having its principal office at 1000 Urban Center Drive, Suite 501, Birmingham, Alabama 35242, and Wilmington Trust Company, a Delaware banking corporation, as trustee hereunder (hereinafter called the “Trustee”).

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