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[FRIEDMAN, BILLINGS, RAMSEY & CO., INC. LETTERHEAD] July 5, 2005 Securities and Exchange Commission Division of Corporate Finance 450 Fifth Street, N.W. Washington, D.C. 20549 Attention: Owen Pinkerton and Michael McTiernan Medical Properties Trust, Inc. Registration Statement on Form S-11 File No. 333-119957 ----------------------------------- Ladies and Gentlemen: In connection with the above captioned offering and in accordance with Rule 460 of the General Rules and Regulations under the Securities Act of 1933, as amended, please be advised that the undersigned have effected approximately the following distribution of the copies of the Preliminary Prospectus dated June 17, 2005. 55 sent to 7 Prospective Underwriters 3,614 sent to 3,614 Institutions 4,438 sent to 4,438 Individuals This letter shall also confirm that the underwriters of the above captioned offering have complied and will continue to comply with all provisions of Rule 15c2-8 under the Securities Exchange Act of 1934. Sincerely, Friedman, Billings, Ramsey & Co., Inc. J.P. Morgan Securities Inc. Wachovia Capital Markets, LLC Stifel, Nicolaus & Company, Incorporated By: Friedman, Billings, Ramsey & Co., Inc., as representative of the several underwriters By: /s/ James R. Kleeblatt --------------------------------------- Name: James R. Kleeblatt ------------------------------------- Title: Senior Managing Director ------------------------------------