On December 5, 2019, MPT Operating Partnership, L.P. (the “Operating Partnership”), a Delaware limited partnership and the operating partnership of Medical Properties Trust, Inc., a Maryland corporation (the “Company”), and MPT Finance Corporation, a Delaware corporation and wholly owned subsidiary of the Operating Partnership (together with the Operating Partnership, the “Issuers”), completed a public offering of £400,000,000 aggregate principal amount of 2.550% senior notes due 2023 (the “2023 Notes”) and £600,000,000 aggregate principal amount of 3.692% senior notes due 2028 (the “2028 Notes” and, together with the 2023 Notes, the “Notes”). The 2023 Notes are governed by the terms of an Indenture, dated as of October 10, 2013 (the “Base Indenture”), among the Company, the Issuers, certain subsidiaries of the Operating Partnership and Wilmington Trust, National Association, as trustee (the “Trustee”), as supplemented by the Fourteenth Supplemental Indenture, dated as of December 5, 2019 (the “Fourteenth Supplemental Indenture” and, together with the Base Indenture, the “2023 Notes Indenture”), among the Issuers, the Company, the Trustee, Elavon Financial Services DAC, U.K. Branch, as initial paying agent (the “Paying Agent”), and Elavon Financial Services DAC, as initial registrar and transfer agent (the “Registrar and Transfer Agent”). The 2028 Notes are governed by the terms of the Base Indenture, as supplemented by the Fifteenth Supplemental Indenture, dated as of December 5, 2019 (the “Fifteenth Supplemental Indenture” and, together with the Base Indenture, the “2028 Notes Indenture”), among the Issuers, the Company, the Trustee, the Paying Agent and the Registrar and Transfer Agent.