Item 5.03. Amendments to Articles of Incorporation or Bylaws; Change in Fiscal


           Year.


On May 21, 2020, the Board of Directors (the "Board") of Medical Properties
Trust, Inc. (the "Company") amended the Second Amended and Restated Bylaws of
the Company (the "Bylaws") to expressly delineate the authority of the Company's
Chief Executive Officer with respect to the appointment, removal, replacement
and other matters regarding Vice Presidents, Assistant Vice Presidents,
Assistant Treasurers, Assistant Secretaries and other similar subordinate
officers of the Company. This amendment is effective as of May 21, 2020.

The foregoing description of the amendment to the Bylaws is not complete and is
qualified in its entirety by reference to the copy of such amendment filed as
Exhibit 3.1 hereto and incorporated herein by reference.

Item 5.07. Submission of Matters to a Vote of Security Holders.

(a) The Company's annual meeting of stockholders was held on May 21, 2020.



(b)  All of the proposals considered at the annual meeting were approved,
including the election of all director nominees. Set forth below are the final
voting results for each matter voted upon, including the number of votes that
were cast for and against each nominee or proposal, and the number of
abstentions and broker non-votes, as applicable.

Proposal 1: The election of eight directors to the Board, to serve until the
next annual meeting of stockholders in 2021 or until their respective successors
are elected and qualify:

Nominee:                               For:            Against:        Abstentions:       Broker Non-Votes:
Edward K. Aldag, Jr.                 393,537,309       11,919,177          677,730             63,480,093
G. Steven Dawson                     391,216,420       14,352,441          565,355             63,480,093
R. Steven Hamner                     365,149,348       40,419,906          564,962             63,480,093
Caterina A. Mozingo                  403,238,094       2,334,402           561,720             63,480,093
Elizabeth N. Pitman                  400,329,906       5,245,332           558,978             63,480,093
C. Reynolds Thompson, III            399,373,102       6,126,244           634,870             63,480,093
D. Paul Sparks, Jr.                  401,616,410       3,895,560           622,246             63,480,093
Michael G. Stewart                   397,158,660       8,368,275           607,281             63,480,093


Proposal 2: The ratification of the appointment of PricewaterhouseCoopers LLP as
the independent registered public accounting firm of the Company for the fiscal
year ending December 31, 2020:

For: Against: Abstentions: Broker Non-Votes: 462,055,374 6,712,154 846,781

              -

Proposal 3: The approval of a non-binding, advisory resolution approving named executive officer compensation:

For: Against: Abstentions: Broker Non-Votes: 385,515,258 18,568,319 2,050,639 63,480,093

Item 9.01. Financial Statements and Exhibits.




(d) Exhibits.


 Exhibit
 Number          Description

   3.1             Amendment to Second Amended and Restated Bylaws of Medical
                 Properties Trust, Inc.

   104           Cover Page Interactive Data File (embedded within the Inline XBRL
                 document)

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