Medical Properties Trust, Inc. · NYSE:MPT

Medical Properties Trust — Investor Presentation (November 2014)

23 slides from Medical Properties Trust's investor presentation, Nov 5, 2014

  1. Slide 1: Investor Presentation November 2014

    Exhibit 99.1 Exhibit 99.1 Investor November Presentation 2014

  2. Slide 2: Safe Harbor

    Safe This such regarding other capacity conditions, of potential dispose our 2which allannual future Harbor presentation as factors conditions the those “may”, of of dividends, environmental MPT’s Company assets report Median the statements that repayment “will”, to, at may plans, on includes attrac

  3. Slide 3: Table of Contents

    Table of Contents MEDIAN Kliniken 4 German Rehabilitation 9 MPT Opportunities 15 Appendix 25

  4. Slide 4: MEDIAN Kliniken Overview

    24Weserklinik Strongly Focus MEDIAN 41 clinics onadditional capitalized neurology, are Overview Kliniken Well-conceived Well Geographically owned diversified Bad acute iswith currently orthopedics, and the dispersed plan across Gottleuba to care 2private leading are has clinical grow facilities leas

  5. Slide 5: Key Deal Elements and Summary

    Keyyear Median Purchase Lease Incremental 27 Cash Strong Highly Note: (1) Bad Berggießhübel 5Adelsberg Based Sülze Elements lease Throughout Rate(1) going-in marketed, Master Deal Price on payments EBITDA Purchase Summary 9.3% of (mm) Lease coverage MEDIAN sophisticated the9.3% increase €705 provide

  6. Slide 6: Pro Forma Effect Summary

    Effect Summary 9/30/14 Properties LQA Total Largest Medicare Portfolio Weighted Run-rate (1) equity 6Flachsheide Pro Assets EBITDA Enterprise of market Forma property PF Normalized MEDIAN with %average MPT 123 9/30/141 Wismar $3.4bn ofcap no figures 169 $292mm total Profile Value2 % ceiling + lease

  7. Slide 7: Expanding MPT's German Footprint

    27*MPT MPT’s 2013 PF Cologne Berlin Hamburg 11 Munich Stuttgart Frankfurt 1,834 RHM 52 Rehabilitation 1QHospital 11,279 hospitals &2015 Expanding Acute Dresden will ownCare German Median Beds purchased Hospitals German Hospitals added hospital 54 hospitals from facilities bedsto Footprint across MPT

  8. Slide 8: German Rehabilitation

    Table Opportunities MEDIAN German MPT 8Appendix of Rehabilitation Contents 25 Kliniken 415 9

  9. Slide 9: German Rehabilitation Regulation

    German standard Regulation Legal Germany States Goal long-term Primarily Insurance Coverage Statutory 9Rehabilitation to– maximize includes Healthcare law of Health has covered for Most care German care guarantees German aand broader important for Insurance prevention functional by mental System eve

  10. Slide 10: Favorable German Rehab Market Environment

    Favorable Germany Economy Aging Decline Demographics Increase Rehab Public Rehabilitation aFunding Decrease Market Increasing less 10focus capitalized population spending payors point consolidation Positive in inin has Germany’s Environment average quality number number acontinue is conversions stro

  11. Slide 11: German Rehabilitation Spending

    (1) German The €bn €+2.7%p.a. 2006 Public Goal Statutory Covers 112.8 7.4Inpatient 2.4 2.3 2.2 2.6 2.5 3.3most is € pension 2008 2.6 3.5 3.1 employed retirees, for Rehabilitation Includes Health important €8.0 2010 employed rehabilitation funds €8.2 housewives/husbands, 2012 Insurance private indivi

  12. Slide 12: Public Payors' Financial Result

    (1) Public Payors’ €2.4 Result (10.0) (€1.0) (€27.9)² (30.0) (20.0) Healthcare Expenditure Growth Terms)3 (1.0)% 0.0% 0.1% 1.0% Germany German More Source:beneficial (€5.9) Healthcare (€bn) (0.7%) Financial OECD (% public (3) Average 12 Statutory 1.3% Comparison vs. UK US3.0% Real 1.9% 0.0 Other Fra

  13. Slide 13: Favorable Post-Acute Trends

    513 Favorable Post-Acute 1,000 734 500 468 635 27 90A 18 15 10 verage 8926 2000 751 Source: Share Shorter Average82005 +4% 26 Length (0%) Trends p.a. Cases, oflength Federal length Single 2010p.a. of of of for Thousands 25 Stay Rehabilitation 25 inin Households Statistical 2011 stay stayin Acute Inp

  14. Slide 14: MPT Opportunities

    Table Opportunities MEDIAN German MPT Appendix 14 of Rehabilitation Contents 25 Kliniken 415 9

  15. Slide 15: MPT's Demonstrated Success and Growth

    MPT’s 33% $136 $201 $243 $323 $423 Total $5,000 $2,000 $2,306 $3,000 $3,064 $3,360 $4,000 $4,452 2010 $1,000 $1,425 Adjusted $500 $400 $200 $217 $300 $292 2011 $0 $100 $124 9/30/14 Moselschleife (1) (2) 15 Total Compound 2012 Assets(2) 2011 ($ $389 $180 Revenue(1) Demonstrated ($ $1,715 9/30/14 inas

  16. Slide 16: Key MPT Events

    Key MPT Raise 2011: Ratings 2012: $400mm 2013: Significant Investments 2014: Successful Burg Hoppegarten Wismar 16 Landshut capital upgraded; Ernest Events competition private of exceeding approximating to$800mm restart acquisition debut equity acquisition $700mm for unsecured activity $900mm $1.4bn

  17. Slide 17: Key Market Events

    Key Sülze Post-crisis, market Care Bad Berggießhübel Adelsberg 17 Market ActNon-traded Efficiency hospital Events REITs Since operators and reimbursement 2010 Large accessing and smaller stability sale/leaseback public of post-acute REITs funding Sovereign care Private validated wealth equityFund Ne

  18. Slide 18: 2014 Closed and Pending Acquisitions

    2014 Closed: ($ $9 $81 $1,375 $900 $50 Legacy $115 Health Partners Date Property Care Existing New 18 International in $25 $5 Millions) 1Q Care relationship Acquisitions Health $40 $150 CircleBath $394mm WV relationship 3Q type Rehab 3Q Texas Acute Health 3Q Care To YTD Ernest 3Q Acute be West Care

  19. Slide 19: International Geographic Investment Diversification

    (1) International Geographic Investment 72% U.S. 1% UK 27% Germany Economic Demographic Similarities Note: 19 Weighted Pro strength Criteria to Diversification(1) Forma. diversification trends U.S. by total Rule system Assumes investment of Lawcompletion Scale Level of development of health careproj

  20. Slide 20: International Healthcare Opportunities vs. U.S.

    (2) International Healthcare U.S. Government 314M Under Demographics Laws 65+ Continued Opportunities for Western Very Democratic 413M 81% Universal Increasing recognize improvements, Medicare Medicaid Payors Coverage Combination Physicians Hospital Germany Ownership Statutory Pension Regional Germa

  21. Slide 21: Appendix

  22. Slide 22: Normalized FFO Reconciliation

    Forinthe ($ Participating Net Depreciation Continuing Discontinued Loss Real Funds Acquisition Debt Loan Write-off Normalized 22 Income estate millions) (gain) refinancing and from Twelve of other impairment operations on operations costs $attributable funds FFO straight other securities’ and operat

  23. Slide 23: Adjusted EBITDA Reconciliation

    Forinthe ($ Net Interest Taxes Depreciation EBITDA Gains Impariment Write-off Acquisition Adjusted Plus: Total 23 income millions) EBITDA Pro 0.1 onTwelve expense asset $EBITDA Forma of 0.0 120.2 $charges costs straight-line other and 0.7 26.7 2011 sales from Months 57.9 Adjusted 0.2 amortization $4

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