Medical Properties Trust (MPT) has agreed to acquire 40 rehabilitation hospitals in Germany, in a transaction worth $900m.

The acquisition is part of definitive agreements signed to purchase and lease back substantially all of the real estate assets of theprivately-held Median Kliniken Group, which is a provider of post-acute and acute rehabilitation services in Germany.

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Medical Properties Trust CEO Edward K Aldag, Jr, said: "This is an important transaction because it significantly increases our asset base to approximately $4.5bn, and builds on our recent entry into the attractive Western European market.

"The acquisition of the Median real estate is a very compelling and unique opportunity for MPT and is fully aligned with our strategy to diversify our market-leading hospital portfolio across geography, operator and facility type."

"The acquisitions will increase its number of beds by 98% to nearly 20,000."

Under the terms of the sale and leaseback agreement, the 40 hospitals include 38 rehabilitation and two acute care hospitals throughout Germany.

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MPT also revealed previously undisclosed commitments and investments of nearly $155m in hospital assets including three acute facilities in the US and three additional German rehabilitation hospitals.

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The transactions are expected to be completed during the first quarter of 2015, and the acquisitions will increase its number of beds by 98% to nearly 20,000.

With these transactions, MPT has committed to investments totalling to more than $1.4bn in the year-to-date.