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OMEGA HEALTHCARE
INVESTORS
INVESTOR
PRESENTATION
April 2022
• This presentation may include projections and other “forward-looking statements” within the meaning of the Private
Securities Litigation Reform Act of 1995. Such statements relate to future events and expectations and involve unknown
risks and uncertainties. Omega’s actual results or actions may differ materially from those projected in the forward-
looking statements. For a summary of the specific risk factors that could cause results to differ materially from those
expressed in the forward-looking statements, see Omega’s filings with the Securities and Exchange Commission.
• This presentation may contain certain non-GAAP financial information including EBITDA, Adjusted EBITDA, Total
Adjusted Debt (a/k/a, Funded Debt), Adjusted FFO, FAD, Total Cash Fixed Charges and certain related ratios. A
reconciliation of these non-GAAP disclosures is available in the Exhibit to this presentation or on our website under
“Non-GAAP Financial Measures” at www.omegahealthcare.com. Other financial information is also available on our
website.
• Information presented on operator revenue mix, census and coverage data is based on information provided by our
operators for the indicated periods ended. We have not independently verified this information, and we are providing
this data for informational purposes only. Information on operator coverage calculations can be found under “Portfolio
Metrics” in our most recent quarterly supplement available at our Investor Relations website at
www.omegahealthcare.com.
• Information is provided as of December 31, 2021, unless specifically stated otherwise. We assume no duty to update or
supplement the information provided.
• The sourcing of all information provided in this presentation can be found on page 60.
Disclaimers; Forward-looking Statements and Non-GAAP Information
2
INVESTOR PRESENTATION
Table of Contents
Skilled Nursing Facilities:
What Makes it an Attractive Asset Class?
Benefits of Investing in Long-term Care
Excellent Financials and Execution Track Record
Proven Investment Strategy for Future Growth
Liquidity Structure & Credit Profile
Why Invest?
Strong Portfolio & Skilled Operators
Commitment to ESG Principles
Company Profile & Strategy
4
12
16
25
35
40
46
51
57
Page
Sources & Appendix
59
3
INVESTOR PRESENTATION
Company
Profile &
Strategy
1
4
INVESTOR PRESENTATION
$10.1B
Total RE Investments
1992
Year Listed
939
Properties (US & UK)
95,703
Number of Beds
37%
3-Year TSR
9.1%
Dividend Yield
BBB-
Investment Grade
$12.6B
Enterprise Value
OMEGA SNAPSHOT
(NYSE:OHI)
63
Operators
5
INVESTOR PRESENTATION
For source information see page 60 onwards
Differentiators that Support Today’s Strength and Tomorrow’s Opportunity
Long-term triple net
master leases provide
lower risk, steady income
Positioned to benefit
from macro tailwinds
Investment grade credit
with ample liquidity
Largest Skilled
Nursing Facilities
(SNF) focused REIT
Consistent dividend
growth
Diversified geographic
exposure and tenant base
1
2
3
4
5
6
7
8
Proven acquisition and
development capabilities
Strong corporate
governance program
6
INVESTOR PRESENTATION
Experienced and Proven Management Team
Taylor Pickett
Chief Executive Officer
36 years in industry
20 years at OHI
Vikas Gupta
SVP, Acquisitions
& Development
18 years in industry
10 years at OHI
Megan Krull
SVP, Operations
21 years in industry
11 years at OHI
Bob Stephenson
Chief Financial Officer
35 years in industry
20 years at OHI
Dan Booth
Chief Operating Officer
35 years in industry
20 years at OHI
7
INVESTOR PRESENTATION
Gail Makode
Chief Legal Officer
23 years in industry
2 years at OHI
Neal Ballew
Chief Accounting Officer
11 years in industry
2 years at OHI
Matthew Gourmand
SVP, Investor Relations
23 years in industry
4 years at OHI
Strategy that Supports Long-Term Shareholder Value Creation
Growth Through
Accretive Investments
Maintain
Financial
Strength
Continued
Solid Dividend
Growth
Leverage Sound
Corporate Stewardship
Practices
Shareholder
Value Creation
8
INVESTOR PRESENTATION
COVID-19 Update
Outcomes
The contagion rate within SNFs
declined significantly in 1H21,
but has increased in 4Q21 due
to the omicron variant
1
We collected more than 93% of
our 4Q21 contractual rents and
mortgage payments, when
including collateral, and 90%
when excluding collateral
2
2
Occupancy declined ~13% between
February 2020 and January 2021 before
rebounding ~3% through December 2021
and subsequently remained range-bound
3
Expenses in November were up ~$33
per patient day from January 2020
1
COVID-19 is particularly
impactful to the old and frail,
a key cohort of SNFs and ALFs
Impact Response
Operators implemented new
and evolving protocols to
limit the spread of COVID-19
1
Staff at SNFs and ALFs have risked
their health and the health of
their families to protect residents
2
The Federal and many State
governments provided significant
and necessary financial relief to
the industry
3
However, State relief has
varied significantly, and
Federal relief has slowed in
the last 15 months
4
9
INVESTOR PRESENTATION
Information provided as of April 4th, 2022
3 However, operators representing
~18% of our 4Q21 contractual
rent and mortgage payments,
have stopped paying rent as of
March 2022
*See next page for more information
COVID-19 Operator Update
10
INVESTOR PRESENTATION
Information provided as of April 4th, 2022
As previously disclosed, operators representing approximately 12.2% of our 4Q21 annualized
contractual rent and mortgage interest did not pay all of their contractual obligations in
4Q. We were able to apply security deposits and other collateral from some of these
operators in 4Q21. However, the collateral was insufficient to fully offset the unpaid
contractual rent and mortgage interest. As a result, in 4Q21, we recorded within AFFO and
FAD 92.9% of our contractual rent and mortgage interest. As this collateral is exhausted and if
these tenants continue not to pay rent, we expect that this would further reduce our near-
term Adjusted FFO and FAD financial results.
As disclosed in Omega’s fourth quarter earnings call and 10-K filing, an operator, representing
approximately 3.5% of Omega’s 4Q21 contractual rent and mortgage interest, failed to pay its
January and February contractual rent. We are in active discussions with this operator
regarding a short-term deferral but have not reached any agreement at this time. Omega
holds letters of credit from this operator equal to $1.0M.
An additional operator, representing 2.4% of our 4Q21 annualized contractual rent and
mortgage interest, did not pay rent in March. We are in active discussions with this operator
regarding a short-term deferral but have not reached an agreement at this time. Omega
holds security deposits from this operator equal to one month’s rent.
Finally, with many operators continuing to struggle with the impact of COVID on both
occupancy and staffing, there remains an elevated risk that additional operators may be
unable to pay in accordance with their contractual terms.
For additional information, please refer to our 2021 Form 10-K at
www.omegahealthcare.com
What Will Happen Next Regarding COVID-19?
While Questions Remain …
… We Have Confidence in the Future
Will government financial
support continue to be
both sufficient and timely
through the conclusion
of this crisis?
Skilled nursing facilities still
fulfill an essential need within
the healthcare continuum
How quickly will
occupancy
recover to pre-
COVID-19 levels?
Will operator costs
remain elevated for the
foreseeable future due to
increased infection
control protocols?
If these costs occur,
will they be covered by
increased government
reimbursement?
The secular tailwind of improving
demographics will remain in
place after this pandemic
Our relationship with our operators
will be even stronger for having
faced this pandemic together
When will the
pandemic end?
11
INVESTOR PRESENTATION
Why Invest?
2
12
INVESTOR PRESENTATION
1
Established,
Experienced and
Diversified
2
Consistent
Growth, High-Yield
3
Anchored
Operating Model
5
Well Positioned to
Capitalize on
Future Growth
Investment Thesis
13
INVESTOR PRESENTATION
4
Effective
Balance Sheet
Management
Investment Thesis and Supporting Elements
Consistent Growth,
High-Yield
2
• Prudent fixed rent
escalators provide tenant
durability
• Strong dividend yield
provides equity support
• Triple-net leases provide
earnings dependability
• High margins provide
superior yields
Anchored Operating
Model
3
• A low cost, needs-base
service offering
provides security
• A stable discharge and
reimbursement
environment provides
resiliency
Established,
Experienced and
Diversified
• Experienced and proven
management team
• A diversified portfolio
provides consistency
• Long leases and limited
new supply provide clarity
• Quality operators bring
patient care expertise
1
• A conservative balance
sheet and well-laddered
debt provides stability
• Significant liquidity
provides flexibility
• Proven access to capital
markets provides
predictability
Effective
Balance Sheet
Management
4
• A growing aging
population provides
opportunity
• Leveraging existing
operator relationships
provides demand
• Acquisitions and
development provide
growth
Well Positioned to
Capitalize on Future
Growth
5
14
INVESTOR PRESENTATION
Attractive Investment Opportunity
Dividend Yield of
9.1%
Annualized AFFO
Growth of 7.8%
since 2004
Trades at
9.6x AFFO
VALUE
STOCK
GROWTH
STOCK
INCOME STOCK
15
INVESTOR PRESENTATION
Skilled Nursing Facilities:
What Makes it an
Attractive Asset Class?
3
16
INVESTOR PRESENTATION
Skilled Nursing Facilities Meet an Essential Need
HIGHER AVG.
COST
LOWER AVG.
COST
17
INVESTOR PRESENTATION
More Patients Are Discharged to Skilled Nursing
Facilities Than to Any Other Type of Facility
MEDICARE FFS HOSPITAL DISCHARGE DESTINATIONS
0.9%
3.3%
3.8%
19.3%
20.5%
LTACH
Other
IRFs
Home Health Care
Skilled Nursing
Facilities (SNFs)
Over the last decade, SNFs have consistently
been the highest discharge destination
18
INVESTOR PRESENTATION
Lowest Cost Provider of Post-Acute 24-Hour Nursing Care
SNFs provide care for much higher acuity
patients that can be handled in Senior
Housing or Home Health settings – so
hospital discharges to SNFs have held steady
ACUTE CARE POST-ACUTE CARE
Hospital IRF LTACH SNF
$547
$1,671
$1,689
$2,607
AVG. COST PER DAY
PER CARE SETTING
19
INVESTOR PRESENTATION
Skilled Nursing Facilities are Primarily Funded Through Medicare and Medicaid
MEDICARE
Patient Per Day (PPD)
MEDICAID
Patient Per Day (PPD)
$150
$175
$200
$225
$250
$275
$350
$400
$450
$500
$550
$600
$450-$575
Cost Per Day
Early 80’s
Age of Resident
20-25 Days
Length of Stay
$240
Cost Per Day
18 Months
Length of Stay
AVERAGES
Early 80’s
Age of Resident
20
INVESTOR PRESENTATION
~100
Avg. Beds in Facility
74%
Occupancy
Omega’s Average Facility Statistics
53%
14%
33%
Medicaid
Medicare
Private /
Other
OPERATOR PAYOR MIX
21
INVESTOR PRESENTATION
Limited Supply Growth Due to Regulatory Restrictions
Certificate of Need
Moratorium on New Beds
Both
None
1.3M
Patients
• Supply of facilities and beds to
meet increasing future demand
is limited due to Certificate of
Need (CON) and bed
moratorium restrictions
• Certified facilities and beds
have remained steady for many
years, with no net new supply
15,600
Certified
Facilities
1.65M
Certified
Beds
86%
States have a
moratorium on
new beds or
CON restrictions
22
INVESTOR PRESENTATION
“Stroke-of-the-Pen” Risk Overstated
• SNFs represent the lowest cost
post-acute healthcare setting
• Medicaid patients receive room,
board and access to 24-hour
healthcare for about $240 a day
on average
SNFs offer value
for money
• SNFs are a low-margin business
• Reimbursement cuts could impact
patient care. Not in anyone’s interests
Efficient and lean
business model
• Partnership between governments
and private companies places care of
aging populations in the hands of
skilled operators
• Government prefers to regulate
private operators to ensure high
quality of care
Reliant on skilled
operators
• With such a high percentage of Medicaid
patients needing care, states are required
to provide funding
• Federal match discourages states from
cutting funding to Medicaid
Federal match
encourages states
to maintain levels
of funding
1
6
2
3
4
5
6
• Patient Driven Payment Model
(PDPM) rewards quality of care
and efficiency
• “Cost-plus” reimbursement
model of the 1990s did not
achieve this goal and was
therefore modified
Current reimbursement
model aligned with
patient care and
operator efficiency
• Most patients are too sick to
care for at home, even with
home health support
• However, they do not require
hospital care
SNFs are a necessary
part of the healthcare
continuum
23
INVESTOR PRESENTATION
Highest Investment Yields Compared to Other Healthcare Real Estate Assets
Investment yields
in SNFs have
consistently been
favorable to all
other sectors
Average yield over
the last five years:
9.2%
24
INVESTOR PRESENTATION
8.7%
7.3%
6.5%
8.0%
4.0%
5.5%
3.0%
4.0%
5.0%
6.0%
7.0%
8.0%
9.0%
10.0%
11.0%
1/2015
4/2015
7/2015
10/2015
1/2016
4/2016
7/2016
10/2016
1/2017
4/2017
7/2017
10/2017
1/2018
4/2018
7/2018
10/2018
1/2019
4/2019
7/2019
10/2019
1/2020
4/2020
7/2020
10/2020
1/2021
4/2021
7/2021
10/2021
SNF
SH (NNN)
SH
Hospital
LS
MOB
Strong Portfolio &
Skilled Operators
4
25
INVESTOR PRESENTATION
Portfolio Overview
Long-term Triple Net Master Leases:
Operators are responsible for all property expenses
NEAR-TERM SUPPLY &
DEMAND OUTLOOK
FAVORABLE
77%
23%
Skilled Nursing/Transitional
Senior Housing
85.8%
8.4%
4.4%
1.4%
Rental Property
Mortgage notes
Other
RE Tax & Ground Leases
RENT/INTEREST
GEOGRAPHIC & OPERATOR
DIVERSIFICATION
63
Operators
43
States + the UK
EXPIRATIONS & RENEWAL RISK
Minimal near-term
lease expirations
Limited material
lease renewal risk
STRONG OPERATOR COVERAGE
1.52x
EBITDARM
1.18x
EBITDAR
FACILITY INVESTMENT TYPES
939
Properties
26
INVESTOR PRESENTATION
Diversified Geographic Portfolio
<10 facilities
10 to 20 facilities
>20 facilities
No presence
63
Operators
939
Facilities
42
States
1
Foreign
Country
Florida 13.4%
Texas 10.1%
Michigan 6.6%
Indiana 6.5%
California 5.9%
Ohio 5.8%
Pennsylvania 5.6%
United Kingdom 4.5%
Virginia 4.3%
New York 3.4%
Remaining States 33.8%
Investment Concentration
by Location
Omega’s geographic diversification helps
minimize impact of regulatory or
reimbursement changes in any individual state
27
INVESTOR PRESENTATION
LONDON
United Kingdom: An Attractive and Profitable Market
28
INVESTOR PRESENTATION
Highly Compelling Supply/Demand Dynamic:
Between 2012 and 2018, care home beds declined 1.5%
while the population over 75 increased by 9.6%
Attractive Investment Yields:
Initial cash yields standardly 8%+ with annual escalators
of ~2.5%
Public/Private Reimbursement Model:
Private pay augmented by needs-based local authority
“top-ups” provides a balanced reimbursement system
Consolidation of a Fragmented Market:
The top 10 operators only have 22% of the beds in
service. Our experienced operators provide an efficient
and professionalized level of service to a fragmented
industry
1
2
3
4
Triple-Net Leases Provide a Secure, Steady Source of Revenue
Expenses are generally operator’s
responsibility (insurance, property taxes,
capital expenditures)
Omega receives fixed rent payment from
tenants, with annual escalators
Long-term triple-net master leases with
cross collateralization provisions
• Seek strong credit profiles
• Security deposits of generally 3 to 6
months
• Monthly reporting requirements
97%
Revenues tied
to Master
Leases
94%
Revenues tied to
Fixed-Rate
Escalators
2.3%
Weighted-Avg.
Fixed Escalator
INVESTOR PRESENTATION 29
90.2%
55.2%
69.7%
OHI REIT Median Healthcare REIT
Median
Favorable Portfolio Composition to Peers
3rd
Highest
ALL REITs
EBITDA / Total Revenue Compared to other Healthcare REITS
Favorable
portfolio
diversification
& exposure
Concentration of
Top 5 relationships:
39%; Peer Avg: 53%
State diversification:
939 Properties spread
over 42 states and
the U.K.
Reduced state-
specific risks related
to Medicaid
exposure
30
INVESTOR PRESENTATION
0.0% 0.4%
1.2% 1.1%
4.2%
21.0%
3.9%
11.9% 11.4%
12.5%
32.4%
2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 Thereafter
Long-Term Leases with Minimal Near-Term Expirations
9.0
years
Avg. lease term
98%
of portfolio
expirations
after 2024
% OF PORTFOLIO LEASE AND
MORTGAGE EXPIRATIONS BY YEAR
31
INVESTOR PRESENTATION
OPERATOR CONCENTRATION
Diversified Group of Operators
70% of all investments in the past five
years have been with current operators
32
INVESTOR PRESENTATION
Strong Returns Start with Strong Operators
Skilled Operators with Extensive Patient Expertise
Highly Reputable
Typically repeat business with
strong relationships to local
doctors and hospitals.
Highly Engaged
Over 80% of our operator
businesses are privately
owned and operated.
Over 85% of our operators specialize in
5 or fewer states. Deep understanding of
state-specific regulatory guidelines.
Sophisticated care providers
Our operators take care of over 150,000
Medicare and 80,000 Medicaid
patients annually.
Our average operator has
been in business/our
tenant for over 10 years.
Highly Experienced Geographic Experts
33
INVESTOR PRESENTATION
0.0
0.5
1.0
1.5
2.0
2.5
EBITDARM EBITDAR
TTM Operator EBITDARM & EBITDAR Coverage
Headwinds are moderating and
demographic tailwinds should
drive occupancy and operator
performance going forward.
Since 2007, despite declining operator EBITDAR coverage across
healthcare REITs, our operators continue to be profitable.
Operators Continue to be Profitable
34
INVESTOR PRESENTATION
RUG-IV
RECENT HEADWINDS
The Baby Bust
Average birth rate between 1928 and 1940 was 15%
lower than prior decade. This smaller cohort drove
lower occupancy in the past decade.
Migration to Medicare Advantage
In 2020, nearly 40% of all Medicare beneficiaries were
enrolled in Medicare Advantage plans, up from 24% in
2010. The resulting lower reimbursement rate and
length of stay compounded occupancy headwinds.
Wage Pressures
Increasingly tight employment
environment resulted in wage growth
outpacing reimbursement growth since 2010.
Benefits of
Investing in
Long-term Care
5
35
INVESTOR PRESENTATION
56.1
65.2
73.1
78.0
80.8
2020 2025 2030 2035 2040
65+ Age Population
17%
19%
21% 21%
22%
% of Population
Census Estimates
(in millions)
Increasing occupancy should improve
operator profitability and rent coverage
A Growing Aging Population
Provides Opportunity
1
2
3
36
INVESTOR PRESENTATION
Aging Baby Boomers expected to drive a
multi-decade increase in demand for SNFs
44% projected increase in Adults 65+
in the next 20 years
Demographic Tailwinds Expected to Drive Occupancy Growth
For the Next 20 Years
The SNF industry has been
battling with unfavorable
demographics for more than
a decade with the aging of
the "baby bust" generation
Based on birth rates beginning in
the 1940s and current SNF
utilization information, we believe
the industry is at the beginning of
a 20+ year secular tailwind. This
belief is based on:
Medicare utilization of SNFs materially
increases from 75 years old
This utilization increases
through their late 80s
"Baby boomers" started
turning 75 in 2016
The age 75+ cohort will grow on both
an absolute and relative basis through at
least 2040 as the baby boomers replace
the baby bust generation within the 75+
population
1
2
3
4
37
INVESTOR PRESENTATION
0
500
1,000
1,500
2,000
2,500
3,000
3,500
4,000
4,500
5,000
5,500
6,000
6,500
65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95
SNF
Days
per
1,000
Beneficiaries
Age
SNF UTILIZATION BY AGE
849
65-74
Significant Increase in SNF Utilization by Those Aged 75+
38
INVESTOR PRESENTATION
2,461
75-84
5,331
85+
AVERAGE SNF DAYS PER
1000 BENEFICIARIES
BY AGE RANGE
SNF Demand to Outstrip Supply by 2030
Prudent incremental
supply will create
additional
development growth
opportunities.
1
Aging demographics
should drive SNF
occupancy beyond
capacity in the next
decade.
2
39
INVESTOR PRESENTATION
76%
87%
101%
112% 116%
2021 2025 2030 2035 2040
Residents Capacity Occupancy
100%
Excellent
Financials and
Execution Track
Record
6
40
INVESTOR PRESENTATION
$179
$251
$292
$350
$419
$505
$744
$901 $908
$882
$929
$892
$1,063
2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021
Consistently Performing and Growing
$1.80
$2.50
$2.83
$3.33
$3.92
$4.47
$8.11
$9.17 $9.09 $9.13
$10.40
$10.35
$10.06
2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021
Omega Gross Investments
($ in billions)
Omega Core Operations Revenue
($ in millions)
15.4%
CAGR
16.0%
CAGR
41
INVESTOR PRESENTATION
$170
$236
$279
$334
$402
$487
$716
$870 $882
$843
$893
$988
$1,047
2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021
$123
$156
$193
$236
$299
$363
$564
$689 $683
$638
$681
$760
$810
2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021
Adjusted EBITDA
($ in millions)
Adjusted Funds from Operations
($ in millions)
42
INVESTOR PRESENTATION
16.4%
CAGR
17.0%
CAGR
Strong Growth in Profitability
High return of
capital through
dividends
Resulting in:
Outstanding Financial Performance Among ALL REITs
43
INVESTOR PRESENTATION
Consistency
of Revenue
Streams
Genuine Triple-
Net Nature of
Leases
Conservative
G&A Load
Dependable
levels of
profitability
Surplus free cash
to be reinvested
at compelling
yields
Exceptional EBITDA margins are driven by:
1 2 3
94% 93% 91% 93% 92%
88% 90%
2015 2016 2017 2018 2019 2020 2021
EBITDA / TOTAL REVENUES
Rank vs. ALL REITs
#2 #2 #2 #2 #6
#2 #3
$0.64
$0.75
$0.88
$0.98
$1.11
$1.20 $1.22
$1.42
$1.59
$1.73
$1.90
$2.06
$2.22
$2.41
$2.58
$2.64 $2.66 $2.68 $2.68 $2.68
$0.00
$0.50
$1.00
$1.50
$2.00
$2.50
$3.00
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022
Dividend Annualized
High-Yield and Historically Consistent Dividend
Dividend
Yield
9.1%
Dividend
CAGR
7.8%
5 Year
Growth
11.2%
10 Year
Growth
68.6%
2021 AFFO
Payout
86.9%
44
INVESTOR PRESENTATION
Top-Tier Total Shareholder Returns
5.7%
41.1%
214.2%
10% 13%
122%
3 Yr. Returns 5 Yr. Returns 10 Yr. Returns
Omega Peers
OHI Total Returns vs. Healthcare REIT Averages
(Years ending 12/31/2021)
Shareholder Returns Through 12/31/21
TOTAL RETURN
5.7%
ANN. EQUIV.
2%
3
YEAR
TOTAL RETURN
41.4%
ANN. EQUIV.
7%
5
TOTAL RETURN
214.2%
ANN. EQUIV.
12%
10
YEAR
45
INVESTOR PRESENTATION
YEAR
Proven
Investment
Strategy for
Future Growth
7
46
INVESTOR PRESENTATION
A Long History of Prudent Capital Allocation
$0.6
$0.4
$0.5
$0.6 $0.6
$4.4
$1.3
$0.5 $0.5
$1.7
$0.3
$0.8
2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021
INVESTMENTS
$12.2
billion
New investments since
January 2010 (1)
Acquisitions
Mortgages
Capex
CIP (2)
Other (3)
In billions
47
INVESTOR PRESENTATION
Note: 2015 bar not to scale due to formatting
External Growth Augmented by Development
New Builds by In-Service Year
48
INVESTOR PRESENTATION
2021 2025E
2023E
1
Projects
$178M
Investment
174
Beds
1
Projects
$48M
Investment
105
Beds
1
Projects
$26M
Investment
154
Beds
Proven Investment Strategy for Future Growth
1
Partner with quality operators
with ambition to grow
Acquire assets using
superior cost of capital
Derive significant earnings
accretion from acquisitions
Justify the cost of capital
advantage through
strong growth
Continue to pursue accretive transactions
Leverage existing 63 operator relationships
Invest primarily in current core markets
Maintain focus on senior care facilities
Use credit facility to make acquisitions and replenish
availability with long-term debt and equity issuances
Proven ability to execute on strategies
Proven ability to handle troubled assets
2
3
4
6
7
5
49
INVESTOR PRESENTATION
Ample Opportunity to Expand Portfolio
Even as the largest owner of SNFs,
we still only own 5% of the market.
Given the accretion created from
acquisitions, the fragmented ownership
of SNFs provides a significant opportunity
for further growth.
EXPECTATION:
Double in size in the next 10 years
Omega Publicly Traded REITs Other
SNF OWNERSHIP
50
INVESTOR PRESENTATION
Liquidity
Structure &
Credit Profile
8
51
INVESTOR PRESENTATION
Effective Balance Sheet Management Provides Financial Flexibility
CONSERVATIVE
CAPITALIZATION
Debt to adjusted
pro forma EBITDA ratio:
5.28x
Availability under
$1.45B revolving credit
facility:
~$1.45B
(as of 12/31/2021)
Well-laddered debt maturities:
No material
maturities until
2023
SIGNIFICANT
LIQUIDITY
FINANCIAL
FLEXIBILITY
Minimal encumbered assets:
4.8%
Of gross real estate assets are encumbered
Funded Debt to TAV:
49%
(Determined pursuant to
bond covenants)
Adjusted Fixed Charge
Ratio >1.5x:
4.2x
DIVIDEND PAYOUT
RATIOS
AFFO Payout Ratio:
86.9%
FAD Payout Ratio:
92.5%
17 consecutive yearly
dividend increases:
$0.67
($2.68 annualized)
52
INVESTOR PRESENTATION
4.3x
4.8x 4.7x
4.4x
4.6x 4.5x
4.7x
4.9x
5.2x 5.1x 5.0x
5.3x
0.7x
0.9x 0.9x
0.6x 0.5x
0.3x
0.1x 0.1x 0.0x
0.4x 0.4x 0.4x
Total Debt/ Adj. EBITDA Secured Debt/Adj. EBITDA
3.1x
3.3x
3.5x
4.0x 4.1x
4.7x
5.1x
4.5x
4.1x 4.2x 4.3x 4.2x
Fixed Charge Coverage
Leverage
Conservative Capitalization Policy
Targeted Funded Debt to Adjusted EBITDA Ratio
4.0x – 5.0x
Typically have used drawings under the revolver to
make acquisitions and replenished revolver
availability with long-term debt and equity issuances
53
INVESTOR PRESENTATION
$350M
$400M $400M
$600M
$700M
$550M
$500M
$700M $700M
$360M
$50M
$2M
$1,450M
2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2046+
3.25%
Notes
Non-Revolving
Loan Related to JV
$1.45B Revolving
Credit Facility
Credit Facility &
Term Loans
Well-Laddered Debt Provides Stability
4.375%
Notes
4.95%
Notes
4.5%
Notes
5.25%
Notes
4.5%
Notes
4.75%
Notes
3.625%
Notes
Debt Maturity Schedule as of 12/31/21
$1.45B unsecured revolving credit facility
$50MM unsecured term loan
• No near-term bond maturities
• Minimal secured debt (~$365MM)
• 99.9% of debt is fixed rate
54
INVESTOR PRESENTATION
3.375%
Notes
Funded Debt/Adj. Ann. EBITDA 5.28x
Adj. EBITDA/Total Interest Expense Ratio 4.3x
Adj. Total Debt/Adj. Book Capitalization 56.4%
Adj. EBITDA/Fixed Coverage Ratio 4.2x
Adj. Total Debt/Total Market Capitalization 42.2%
4Q21 Funds Available for Distribution per share $0.72
Strong Balance Sheet and Secure Credit Ratings
Baa3
BBB-
55
INVESTOR PRESENTATION
The above include non-GAAPfinancial measures. See disclaimers page for further information.
Readily Accessible Capital Markets as a Seasoned Issuer
75 68
221 192
339
135
610
260
60 125
530
159 282
118
260
225
775
400
650
1,300
700
700
500
700
700
$453
$293
$33
$138
$231
$102
$996
$91
$592
$339
$785
$1,910
$960
$760
$125
$1,030
$859
$982
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021
Common Equity
Preferred Equity
Senior Unsecured Notes
Capital Markets Accessibility
56
INVESTOR PRESENTATION
Commitment to
ESG Principles
9
57
INVESTOR PRESENTATION
STEWARDS OF THE ENVIRONMENT
E
STRONG CORPORATE GOVERNANCE
Prudent and Responsible ESG Program
58
INVESTOR PRESENTATION
SOCIAL RESPONSIBILITY
S G
65%+
Of Omega’s development in the
past five years has been built to
LEED certification standards
Moved corporate HQ in 2017 to a
LEED Silver-certified Building
Provide capital to support
our tenants’ energy-efficient
CAPEX programs
One of 15 US REITs to be included in the
2022 Bloomberg Gender-Equality Index
Comprehensive Human Rights Policy shaped
by UN’s “Universal Declaration on Human
Rights” & ILO’s “Declaration on Fundamental
Principles and Rights at Work”
Extensive employee support and
development, including:
• Extremely competitive benefits program
• Financial support for continued employee
training and education
• Philanthropic support including employee
charitable donation matching program
33% of directors are female
Gender Diversity
Voluntarily opted out of the
Maryland Unsolicited Takeovers Act
(MUTA), which would have allowed
for staggering of the Board without
shareholder approval
No Board Staggering
Independence
89% of directors are independent,
including the Chairman
Sources & Appendix
59
INVESTOR PRESENTATION
SOURCE INDEX
60
INVESTOR PRESENTATION
Page 5 - Current supplemental information report located in the Investor Relations tab atwww.omegahealthcare.com. 3-Year TSR as of 12/31/2021.
Page 9 - Information as of 2/3/2022
Page 10 - Information as of 2/3/2022
Page 15 - Historical AFFO and dividend information can be found in the Investor Relations tab at www.omegahealthcare.com. AFFO per share based on TTM and share price as
of 12/31/2021
Page 18 - From proprietary analysis of Medicare Fee for Service (FFS) Standard Analytic File (SAF)
Page 19 - KFF.org Hospital Adjusted Expenses per Inpatient Day; MedPac Report to the Congress, March 2021
Page 20 - Average Medicare and Medicaid Rates by Quarter for Omega’s Entire Portfolio (through September 30, 2021)
Page 21 - Current supplemental information report located in the Investor Relations tab at www.omegahealthcare.com
Page 22 - Appendix A of VIG Digest - https://vigdigest.com/
Page 24 - Source – Public filings and disclosures of public healthcare REITs; 3rd party transaction reports.
Page 26 - TTM Rent Coverage at 9/30/2021. Current and historic supplemental information report located in the Investor Relations tab at www.omegahealthcare.com
Page 27 - Current supplemental information report located in the Investor Relations tab at www.omegahealthcare.com
Page 28 - Source: https://www.gov.uk/government/publications/end-of-life-care-profiles-february-2019-data-update/statistical-commentary-end-of-life-care-profiles-
february-2019-update
Page 30 - Source of EBITDA / Total Revenue is “December 2021 KeyBanc Capital Markets: The Leaderboard”
Page 31 - Current supplemental information report located in the Investor Relations tab at www.omegahealthcare.com
Page 32 - Represents 4Q21 Annualized Contractual Rent/Interest. Current supplemental information report located in the Investor Relations tab at www.omegahealthcare.com
Page 34 - Current supplemental information report located in the Investor Relations tab at www.omegahealthcare.com
Page 36 - Source: US Census Bureau - Projected Age Groups and Sex Composition of the Population: Main Projections Series for the United States, 2017-2060
Page 38 - Source: Avalere analysis of Medicare Part A 100% Standard Analytic File (SAF)
Page 39 - Sources: Supply data compiled by American Health Care Association (AHCA) Research Department from CMS OSCAR/CASPER survey data. Demand information
based on census information at CDC.gov.
Page 41 - Current and historic supplemental information report located in the Investor Relations tab at www.omegahealthcare.com
Page 42 - Current and historic supplemental information report located in the Investor Relations tab at www.omegahealthcare.com
Page 43 - Source for ranking is “2021 KeyBanc Capital Markets: The Leaderboard” as of 12/31/2021
Page 44 - Current and historic supplemental information report located in the Investor Relations tab at www.omegahealthcare.com
Page 45 - Source: “2021 KeyBanc Capital Markets: The Leaderboard” as of 12/31/2021. Peer returns are simple average of returns of NHI, HR, LTC, SABRA, VTR, and WELL
SOURCE INDEX
61
INVESTOR PRESENTATION
Page 47 - Current and historic supplemental information report located in the Investor Relations tab at www.omegahealthcare.com. 1) Includes the $3.9 billion Aviv acquisition
via merger on April 1, 2015; and the $623 million MRT acquisition via merger on May 17, 2019 2) Included in “Acquisitions” prior to 2016 3) Consists primarily of
mezzanine and JV investments
Page 52 - Current and historic supplemental information report located in the Investor Relations tab at www.omegahealthcare.com
Page 53 - Current and historic supplemental information report located in the Investor Relations tab at www.omegahealthcare.com
Page 54 - Current supplemental information report located in the Investor Relations tab at www.omegahealthcare.com. 1) Represents current HUD debt balance assumed via
acquisition of the Encore portfolio on 4/30/2021
Page 55 - All supporting information and reconciliations can be found in the current supplemental information report (pages 11, 17, 19, and 20) located in the Investor
Relations tab at www.omegahealthcare.com
Page 56 - Current and historic supplemental information report located in the Investor Relations tab at www.omegahealthcare.com
Page 62 - Current and historic earnings report press releases located in the Investor Relations tab at www.omegahealthcare.com
Page 63 - Current and historic earnings report press releases located in the Investor Relations tab at www.omegahealthcare.com
Page 64 - Current and historic earnings report press releases located in the Investor Relations tab at www.omegahealthcare.com
Page 65 - Source: CDC.gov
Page 66 - Source: Inpatient, SNF, Home Health and Enrollment Standard Analytic Files, 2015-2019
Page 67 - Compiled by American Health Care Association (AHCA) Research Department from CMS OSCAR/CASPER survey data (2009-2018)
2020 Quarterly Highlights
62
INVESTOR PRESENTATION
1Q 2020 2Q 2020 3Q 2020 4Q 2020
• Paid a $0.67 per share
quarterly common stock
dividend
• Sold six facilities for $18
million in cash proceeds
generating $2 million in gains
• Completed $19 million in new
investments
• Invested $39 million in capital
renovation and construction-
in-progress projects
• Paid a $0.67 per share
quarterly common stock
dividend
• Sold seven facilities for $38
million in cash proceeds
generating $13 million in gains
• Paid a $0.67 per share
quarterly common stock
dividend
• Invested $22 million in capital
renovation and construction-
in-progress projects
• Revised its revenue recognition
accounting treatment related
to operators with going
concern disclosures
• Paid a $0.67 per share
quarterly common stock
dividend
• Issued $700 million aggregate
principal amount of 3.375%
Senior Notes due 2031
• Completed $78 million of new
investments
• Invested $19 million in capital
renovation and construction-
in-progress projects
2021 Quarterly Highlights
63
INVESTOR PRESENTATION
1Q 2021 2Q 2021 3Q 2021 4Q 2021
• Paid a $0.67 per share
quarterly common stock
dividend
• Completed a $510 million
acquisition
• Included in the 2021
Bloomberg Gender-Equality
Index
• Issued $700 million aggregate
principal amount of 3.250%
Senior Notes due 2033
• Paid a $0.67 per share
quarterly cash dividend on
common stock
• Completed $6M of new
investments
• Implemented a new $1.0B ATM
program
• Closed a new $1.45 billion
unsecured credit facility
• Closed a new $50 million term
loan to an Omega operating
partnership subsidiary
• Paid a $0.67 per share
quarterly cash dividend on
common stock
• Invested $96 million in capital
renovation and construction-in-
progress projects
• Completed $66 million of
mortgage loan investments
• Completed $10 million of real
estate acquisitions
• Paid a $0.67 per share
quarterly cash dividend on
common stock
• Invested $20 million in capital
renovation and construction-
in-progress projects
• Sold 3 facilities for $8 million in
cash proceeds, generating a $1
million gain
2022 Quarterly Highlights
64
INVESTOR PRESENTATION
1Q 2022 2Q 2022 3Q 2022 4Q 2022
• Declared a $0.67 per share
quarterly common stock
dividend
• Completed $16 million of real
estate acquisitions
• Authorized a $500 million
stock repurchase program
• Was included in the 2022
Bloomberg Gender-Equality
Index
Industry Overview: Baby Boomers Started Turning 75 in 2016
65
INVESTOR PRESENTATION
U.S. Birthrates, 1909 to 1980
1,500
2,000
2,500
3,000
3,500
4,000
4,500
5,000
Births
(
000’s
)
1928 to 1940
Avg. 2,476
1941 to 1964
Avg. 3,767
Industry Overview: Percentage of Historical Hospital Discharges
to SNFs has Remained Steady in Recent Years
66
INVESTOR PRESENTATION
Discharge Disposition by Year
Skilled Nursing Facilities
Home Health Care
IRF
Other
LTCH
21.8% 21.4% 21.0% 20.9% 20.5%
19.4% 19.6% 19.7% 19.5% 19.3%
3.5% 3.5% 3.5% 3.7% 3.8%
3.3% 3.3% 3.3% 3.3% 3.3%
1.2% 1.2% 1.1% 1.0% 0.9%
2015 2016 2017 2018 2019
Industry Overview: Limited Supply Availability
67
INVESTOR PRESENTATION
Trend in Certified Nursing Facilities,
Beds and Residents
15.0k
15.1k
15.2k
15.3k
15.4k
15.5k
15.6k
15.7k
15.8k
15.9k
16.0k
1,250k
1,300k
1,350k
1,400k
1,450k
1,500k
1,550k
1,600k
1,650k
1,700k
Certified
Facilities
Beds
&
Patients
Dec-10 Dec-11 Dec-12 Dec-13 Dec-14 Dec-15 Dec-16 Dec-17 Dec-18 Dec-19
Certified Beds 1,671k 1,674k 1,675k 1,667k 1,655k 1,654k 1,656k 1,653k 1,633k 1,615k
Patients in Certified Beds 1,403k 1,397k 1,393k 1,382k 1,366k 1,362k 1,356k 1,341k 1,322k 1,306k
Certified Facilities 15.9k 15.9k 15.8k 15.8k 15.7k 15.6k 15.6k 15.6k 15.6k 15.5k

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omega-healthcare-new-investor-presentation-4q21-april-2022.pdf

  • 2. • This presentation may include projections and other “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995. Such statements relate to future events and expectations and involve unknown risks and uncertainties. Omega’s actual results or actions may differ materially from those projected in the forward- looking statements. For a summary of the specific risk factors that could cause results to differ materially from those expressed in the forward-looking statements, see Omega’s filings with the Securities and Exchange Commission. • This presentation may contain certain non-GAAP financial information including EBITDA, Adjusted EBITDA, Total Adjusted Debt (a/k/a, Funded Debt), Adjusted FFO, FAD, Total Cash Fixed Charges and certain related ratios. A reconciliation of these non-GAAP disclosures is available in the Exhibit to this presentation or on our website under “Non-GAAP Financial Measures” at www.omegahealthcare.com. Other financial information is also available on our website. • Information presented on operator revenue mix, census and coverage data is based on information provided by our operators for the indicated periods ended. We have not independently verified this information, and we are providing this data for informational purposes only. Information on operator coverage calculations can be found under “Portfolio Metrics” in our most recent quarterly supplement available at our Investor Relations website at www.omegahealthcare.com. • Information is provided as of December 31, 2021, unless specifically stated otherwise. We assume no duty to update or supplement the information provided. • The sourcing of all information provided in this presentation can be found on page 60. Disclaimers; Forward-looking Statements and Non-GAAP Information 2 INVESTOR PRESENTATION
  • 3. Table of Contents Skilled Nursing Facilities: What Makes it an Attractive Asset Class? Benefits of Investing in Long-term Care Excellent Financials and Execution Track Record Proven Investment Strategy for Future Growth Liquidity Structure & Credit Profile Why Invest? Strong Portfolio & Skilled Operators Commitment to ESG Principles Company Profile & Strategy 4 12 16 25 35 40 46 51 57 Page Sources & Appendix 59 3 INVESTOR PRESENTATION
  • 5. $10.1B Total RE Investments 1992 Year Listed 939 Properties (US & UK) 95,703 Number of Beds 37% 3-Year TSR 9.1% Dividend Yield BBB- Investment Grade $12.6B Enterprise Value OMEGA SNAPSHOT (NYSE:OHI) 63 Operators 5 INVESTOR PRESENTATION For source information see page 60 onwards
  • 6. Differentiators that Support Today’s Strength and Tomorrow’s Opportunity Long-term triple net master leases provide lower risk, steady income Positioned to benefit from macro tailwinds Investment grade credit with ample liquidity Largest Skilled Nursing Facilities (SNF) focused REIT Consistent dividend growth Diversified geographic exposure and tenant base 1 2 3 4 5 6 7 8 Proven acquisition and development capabilities Strong corporate governance program 6 INVESTOR PRESENTATION
  • 7. Experienced and Proven Management Team Taylor Pickett Chief Executive Officer 36 years in industry 20 years at OHI Vikas Gupta SVP, Acquisitions & Development 18 years in industry 10 years at OHI Megan Krull SVP, Operations 21 years in industry 11 years at OHI Bob Stephenson Chief Financial Officer 35 years in industry 20 years at OHI Dan Booth Chief Operating Officer 35 years in industry 20 years at OHI 7 INVESTOR PRESENTATION Gail Makode Chief Legal Officer 23 years in industry 2 years at OHI Neal Ballew Chief Accounting Officer 11 years in industry 2 years at OHI Matthew Gourmand SVP, Investor Relations 23 years in industry 4 years at OHI
  • 8. Strategy that Supports Long-Term Shareholder Value Creation Growth Through Accretive Investments Maintain Financial Strength Continued Solid Dividend Growth Leverage Sound Corporate Stewardship Practices Shareholder Value Creation 8 INVESTOR PRESENTATION
  • 9. COVID-19 Update Outcomes The contagion rate within SNFs declined significantly in 1H21, but has increased in 4Q21 due to the omicron variant 1 We collected more than 93% of our 4Q21 contractual rents and mortgage payments, when including collateral, and 90% when excluding collateral 2 2 Occupancy declined ~13% between February 2020 and January 2021 before rebounding ~3% through December 2021 and subsequently remained range-bound 3 Expenses in November were up ~$33 per patient day from January 2020 1 COVID-19 is particularly impactful to the old and frail, a key cohort of SNFs and ALFs Impact Response Operators implemented new and evolving protocols to limit the spread of COVID-19 1 Staff at SNFs and ALFs have risked their health and the health of their families to protect residents 2 The Federal and many State governments provided significant and necessary financial relief to the industry 3 However, State relief has varied significantly, and Federal relief has slowed in the last 15 months 4 9 INVESTOR PRESENTATION Information provided as of April 4th, 2022 3 However, operators representing ~18% of our 4Q21 contractual rent and mortgage payments, have stopped paying rent as of March 2022 *See next page for more information
  • 10. COVID-19 Operator Update 10 INVESTOR PRESENTATION Information provided as of April 4th, 2022 As previously disclosed, operators representing approximately 12.2% of our 4Q21 annualized contractual rent and mortgage interest did not pay all of their contractual obligations in 4Q. We were able to apply security deposits and other collateral from some of these operators in 4Q21. However, the collateral was insufficient to fully offset the unpaid contractual rent and mortgage interest. As a result, in 4Q21, we recorded within AFFO and FAD 92.9% of our contractual rent and mortgage interest. As this collateral is exhausted and if these tenants continue not to pay rent, we expect that this would further reduce our near- term Adjusted FFO and FAD financial results. As disclosed in Omega’s fourth quarter earnings call and 10-K filing, an operator, representing approximately 3.5% of Omega’s 4Q21 contractual rent and mortgage interest, failed to pay its January and February contractual rent. We are in active discussions with this operator regarding a short-term deferral but have not reached any agreement at this time. Omega holds letters of credit from this operator equal to $1.0M. An additional operator, representing 2.4% of our 4Q21 annualized contractual rent and mortgage interest, did not pay rent in March. We are in active discussions with this operator regarding a short-term deferral but have not reached an agreement at this time. Omega holds security deposits from this operator equal to one month’s rent. Finally, with many operators continuing to struggle with the impact of COVID on both occupancy and staffing, there remains an elevated risk that additional operators may be unable to pay in accordance with their contractual terms. For additional information, please refer to our 2021 Form 10-K at www.omegahealthcare.com
  • 11. What Will Happen Next Regarding COVID-19? While Questions Remain … … We Have Confidence in the Future Will government financial support continue to be both sufficient and timely through the conclusion of this crisis? Skilled nursing facilities still fulfill an essential need within the healthcare continuum How quickly will occupancy recover to pre- COVID-19 levels? Will operator costs remain elevated for the foreseeable future due to increased infection control protocols? If these costs occur, will they be covered by increased government reimbursement? The secular tailwind of improving demographics will remain in place after this pandemic Our relationship with our operators will be even stronger for having faced this pandemic together When will the pandemic end? 11 INVESTOR PRESENTATION
  • 13. 1 Established, Experienced and Diversified 2 Consistent Growth, High-Yield 3 Anchored Operating Model 5 Well Positioned to Capitalize on Future Growth Investment Thesis 13 INVESTOR PRESENTATION 4 Effective Balance Sheet Management
  • 14. Investment Thesis and Supporting Elements Consistent Growth, High-Yield 2 • Prudent fixed rent escalators provide tenant durability • Strong dividend yield provides equity support • Triple-net leases provide earnings dependability • High margins provide superior yields Anchored Operating Model 3 • A low cost, needs-base service offering provides security • A stable discharge and reimbursement environment provides resiliency Established, Experienced and Diversified • Experienced and proven management team • A diversified portfolio provides consistency • Long leases and limited new supply provide clarity • Quality operators bring patient care expertise 1 • A conservative balance sheet and well-laddered debt provides stability • Significant liquidity provides flexibility • Proven access to capital markets provides predictability Effective Balance Sheet Management 4 • A growing aging population provides opportunity • Leveraging existing operator relationships provides demand • Acquisitions and development provide growth Well Positioned to Capitalize on Future Growth 5 14 INVESTOR PRESENTATION
  • 15. Attractive Investment Opportunity Dividend Yield of 9.1% Annualized AFFO Growth of 7.8% since 2004 Trades at 9.6x AFFO VALUE STOCK GROWTH STOCK INCOME STOCK 15 INVESTOR PRESENTATION
  • 16. Skilled Nursing Facilities: What Makes it an Attractive Asset Class? 3 16 INVESTOR PRESENTATION
  • 17. Skilled Nursing Facilities Meet an Essential Need HIGHER AVG. COST LOWER AVG. COST 17 INVESTOR PRESENTATION
  • 18. More Patients Are Discharged to Skilled Nursing Facilities Than to Any Other Type of Facility MEDICARE FFS HOSPITAL DISCHARGE DESTINATIONS 0.9% 3.3% 3.8% 19.3% 20.5% LTACH Other IRFs Home Health Care Skilled Nursing Facilities (SNFs) Over the last decade, SNFs have consistently been the highest discharge destination 18 INVESTOR PRESENTATION
  • 19. Lowest Cost Provider of Post-Acute 24-Hour Nursing Care SNFs provide care for much higher acuity patients that can be handled in Senior Housing or Home Health settings – so hospital discharges to SNFs have held steady ACUTE CARE POST-ACUTE CARE Hospital IRF LTACH SNF $547 $1,671 $1,689 $2,607 AVG. COST PER DAY PER CARE SETTING 19 INVESTOR PRESENTATION
  • 20. Skilled Nursing Facilities are Primarily Funded Through Medicare and Medicaid MEDICARE Patient Per Day (PPD) MEDICAID Patient Per Day (PPD) $150 $175 $200 $225 $250 $275 $350 $400 $450 $500 $550 $600 $450-$575 Cost Per Day Early 80’s Age of Resident 20-25 Days Length of Stay $240 Cost Per Day 18 Months Length of Stay AVERAGES Early 80’s Age of Resident 20 INVESTOR PRESENTATION
  • 21. ~100 Avg. Beds in Facility 74% Occupancy Omega’s Average Facility Statistics 53% 14% 33% Medicaid Medicare Private / Other OPERATOR PAYOR MIX 21 INVESTOR PRESENTATION
  • 22. Limited Supply Growth Due to Regulatory Restrictions Certificate of Need Moratorium on New Beds Both None 1.3M Patients • Supply of facilities and beds to meet increasing future demand is limited due to Certificate of Need (CON) and bed moratorium restrictions • Certified facilities and beds have remained steady for many years, with no net new supply 15,600 Certified Facilities 1.65M Certified Beds 86% States have a moratorium on new beds or CON restrictions 22 INVESTOR PRESENTATION
  • 23. “Stroke-of-the-Pen” Risk Overstated • SNFs represent the lowest cost post-acute healthcare setting • Medicaid patients receive room, board and access to 24-hour healthcare for about $240 a day on average SNFs offer value for money • SNFs are a low-margin business • Reimbursement cuts could impact patient care. Not in anyone’s interests Efficient and lean business model • Partnership between governments and private companies places care of aging populations in the hands of skilled operators • Government prefers to regulate private operators to ensure high quality of care Reliant on skilled operators • With such a high percentage of Medicaid patients needing care, states are required to provide funding • Federal match discourages states from cutting funding to Medicaid Federal match encourages states to maintain levels of funding 1 6 2 3 4 5 6 • Patient Driven Payment Model (PDPM) rewards quality of care and efficiency • “Cost-plus” reimbursement model of the 1990s did not achieve this goal and was therefore modified Current reimbursement model aligned with patient care and operator efficiency • Most patients are too sick to care for at home, even with home health support • However, they do not require hospital care SNFs are a necessary part of the healthcare continuum 23 INVESTOR PRESENTATION
  • 24. Highest Investment Yields Compared to Other Healthcare Real Estate Assets Investment yields in SNFs have consistently been favorable to all other sectors Average yield over the last five years: 9.2% 24 INVESTOR PRESENTATION 8.7% 7.3% 6.5% 8.0% 4.0% 5.5% 3.0% 4.0% 5.0% 6.0% 7.0% 8.0% 9.0% 10.0% 11.0% 1/2015 4/2015 7/2015 10/2015 1/2016 4/2016 7/2016 10/2016 1/2017 4/2017 7/2017 10/2017 1/2018 4/2018 7/2018 10/2018 1/2019 4/2019 7/2019 10/2019 1/2020 4/2020 7/2020 10/2020 1/2021 4/2021 7/2021 10/2021 SNF SH (NNN) SH Hospital LS MOB
  • 25. Strong Portfolio & Skilled Operators 4 25 INVESTOR PRESENTATION
  • 26. Portfolio Overview Long-term Triple Net Master Leases: Operators are responsible for all property expenses NEAR-TERM SUPPLY & DEMAND OUTLOOK FAVORABLE 77% 23% Skilled Nursing/Transitional Senior Housing 85.8% 8.4% 4.4% 1.4% Rental Property Mortgage notes Other RE Tax & Ground Leases RENT/INTEREST GEOGRAPHIC & OPERATOR DIVERSIFICATION 63 Operators 43 States + the UK EXPIRATIONS & RENEWAL RISK Minimal near-term lease expirations Limited material lease renewal risk STRONG OPERATOR COVERAGE 1.52x EBITDARM 1.18x EBITDAR FACILITY INVESTMENT TYPES 939 Properties 26 INVESTOR PRESENTATION
  • 27. Diversified Geographic Portfolio <10 facilities 10 to 20 facilities >20 facilities No presence 63 Operators 939 Facilities 42 States 1 Foreign Country Florida 13.4% Texas 10.1% Michigan 6.6% Indiana 6.5% California 5.9% Ohio 5.8% Pennsylvania 5.6% United Kingdom 4.5% Virginia 4.3% New York 3.4% Remaining States 33.8% Investment Concentration by Location Omega’s geographic diversification helps minimize impact of regulatory or reimbursement changes in any individual state 27 INVESTOR PRESENTATION
  • 28. LONDON United Kingdom: An Attractive and Profitable Market 28 INVESTOR PRESENTATION Highly Compelling Supply/Demand Dynamic: Between 2012 and 2018, care home beds declined 1.5% while the population over 75 increased by 9.6% Attractive Investment Yields: Initial cash yields standardly 8%+ with annual escalators of ~2.5% Public/Private Reimbursement Model: Private pay augmented by needs-based local authority “top-ups” provides a balanced reimbursement system Consolidation of a Fragmented Market: The top 10 operators only have 22% of the beds in service. Our experienced operators provide an efficient and professionalized level of service to a fragmented industry 1 2 3 4
  • 29. Triple-Net Leases Provide a Secure, Steady Source of Revenue Expenses are generally operator’s responsibility (insurance, property taxes, capital expenditures) Omega receives fixed rent payment from tenants, with annual escalators Long-term triple-net master leases with cross collateralization provisions • Seek strong credit profiles • Security deposits of generally 3 to 6 months • Monthly reporting requirements 97% Revenues tied to Master Leases 94% Revenues tied to Fixed-Rate Escalators 2.3% Weighted-Avg. Fixed Escalator INVESTOR PRESENTATION 29
  • 30. 90.2% 55.2% 69.7% OHI REIT Median Healthcare REIT Median Favorable Portfolio Composition to Peers 3rd Highest ALL REITs EBITDA / Total Revenue Compared to other Healthcare REITS Favorable portfolio diversification & exposure Concentration of Top 5 relationships: 39%; Peer Avg: 53% State diversification: 939 Properties spread over 42 states and the U.K. Reduced state- specific risks related to Medicaid exposure 30 INVESTOR PRESENTATION
  • 31. 0.0% 0.4% 1.2% 1.1% 4.2% 21.0% 3.9% 11.9% 11.4% 12.5% 32.4% 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 Thereafter Long-Term Leases with Minimal Near-Term Expirations 9.0 years Avg. lease term 98% of portfolio expirations after 2024 % OF PORTFOLIO LEASE AND MORTGAGE EXPIRATIONS BY YEAR 31 INVESTOR PRESENTATION
  • 32. OPERATOR CONCENTRATION Diversified Group of Operators 70% of all investments in the past five years have been with current operators 32 INVESTOR PRESENTATION Strong Returns Start with Strong Operators
  • 33. Skilled Operators with Extensive Patient Expertise Highly Reputable Typically repeat business with strong relationships to local doctors and hospitals. Highly Engaged Over 80% of our operator businesses are privately owned and operated. Over 85% of our operators specialize in 5 or fewer states. Deep understanding of state-specific regulatory guidelines. Sophisticated care providers Our operators take care of over 150,000 Medicare and 80,000 Medicaid patients annually. Our average operator has been in business/our tenant for over 10 years. Highly Experienced Geographic Experts 33 INVESTOR PRESENTATION
  • 34. 0.0 0.5 1.0 1.5 2.0 2.5 EBITDARM EBITDAR TTM Operator EBITDARM & EBITDAR Coverage Headwinds are moderating and demographic tailwinds should drive occupancy and operator performance going forward. Since 2007, despite declining operator EBITDAR coverage across healthcare REITs, our operators continue to be profitable. Operators Continue to be Profitable 34 INVESTOR PRESENTATION RUG-IV RECENT HEADWINDS The Baby Bust Average birth rate between 1928 and 1940 was 15% lower than prior decade. This smaller cohort drove lower occupancy in the past decade. Migration to Medicare Advantage In 2020, nearly 40% of all Medicare beneficiaries were enrolled in Medicare Advantage plans, up from 24% in 2010. The resulting lower reimbursement rate and length of stay compounded occupancy headwinds. Wage Pressures Increasingly tight employment environment resulted in wage growth outpacing reimbursement growth since 2010.
  • 35. Benefits of Investing in Long-term Care 5 35 INVESTOR PRESENTATION
  • 36. 56.1 65.2 73.1 78.0 80.8 2020 2025 2030 2035 2040 65+ Age Population 17% 19% 21% 21% 22% % of Population Census Estimates (in millions) Increasing occupancy should improve operator profitability and rent coverage A Growing Aging Population Provides Opportunity 1 2 3 36 INVESTOR PRESENTATION Aging Baby Boomers expected to drive a multi-decade increase in demand for SNFs 44% projected increase in Adults 65+ in the next 20 years
  • 37. Demographic Tailwinds Expected to Drive Occupancy Growth For the Next 20 Years The SNF industry has been battling with unfavorable demographics for more than a decade with the aging of the "baby bust" generation Based on birth rates beginning in the 1940s and current SNF utilization information, we believe the industry is at the beginning of a 20+ year secular tailwind. This belief is based on: Medicare utilization of SNFs materially increases from 75 years old This utilization increases through their late 80s "Baby boomers" started turning 75 in 2016 The age 75+ cohort will grow on both an absolute and relative basis through at least 2040 as the baby boomers replace the baby bust generation within the 75+ population 1 2 3 4 37 INVESTOR PRESENTATION
  • 38. 0 500 1,000 1,500 2,000 2,500 3,000 3,500 4,000 4,500 5,000 5,500 6,000 6,500 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 SNF Days per 1,000 Beneficiaries Age SNF UTILIZATION BY AGE 849 65-74 Significant Increase in SNF Utilization by Those Aged 75+ 38 INVESTOR PRESENTATION 2,461 75-84 5,331 85+ AVERAGE SNF DAYS PER 1000 BENEFICIARIES BY AGE RANGE
  • 39. SNF Demand to Outstrip Supply by 2030 Prudent incremental supply will create additional development growth opportunities. 1 Aging demographics should drive SNF occupancy beyond capacity in the next decade. 2 39 INVESTOR PRESENTATION 76% 87% 101% 112% 116% 2021 2025 2030 2035 2040 Residents Capacity Occupancy 100%
  • 41. $179 $251 $292 $350 $419 $505 $744 $901 $908 $882 $929 $892 $1,063 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 Consistently Performing and Growing $1.80 $2.50 $2.83 $3.33 $3.92 $4.47 $8.11 $9.17 $9.09 $9.13 $10.40 $10.35 $10.06 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 Omega Gross Investments ($ in billions) Omega Core Operations Revenue ($ in millions) 15.4% CAGR 16.0% CAGR 41 INVESTOR PRESENTATION
  • 42. $170 $236 $279 $334 $402 $487 $716 $870 $882 $843 $893 $988 $1,047 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 $123 $156 $193 $236 $299 $363 $564 $689 $683 $638 $681 $760 $810 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 Adjusted EBITDA ($ in millions) Adjusted Funds from Operations ($ in millions) 42 INVESTOR PRESENTATION 16.4% CAGR 17.0% CAGR Strong Growth in Profitability
  • 43. High return of capital through dividends Resulting in: Outstanding Financial Performance Among ALL REITs 43 INVESTOR PRESENTATION Consistency of Revenue Streams Genuine Triple- Net Nature of Leases Conservative G&A Load Dependable levels of profitability Surplus free cash to be reinvested at compelling yields Exceptional EBITDA margins are driven by: 1 2 3 94% 93% 91% 93% 92% 88% 90% 2015 2016 2017 2018 2019 2020 2021 EBITDA / TOTAL REVENUES Rank vs. ALL REITs #2 #2 #2 #2 #6 #2 #3
  • 44. $0.64 $0.75 $0.88 $0.98 $1.11 $1.20 $1.22 $1.42 $1.59 $1.73 $1.90 $2.06 $2.22 $2.41 $2.58 $2.64 $2.66 $2.68 $2.68 $2.68 $0.00 $0.50 $1.00 $1.50 $2.00 $2.50 $3.00 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 Dividend Annualized High-Yield and Historically Consistent Dividend Dividend Yield 9.1% Dividend CAGR 7.8% 5 Year Growth 11.2% 10 Year Growth 68.6% 2021 AFFO Payout 86.9% 44 INVESTOR PRESENTATION
  • 45. Top-Tier Total Shareholder Returns 5.7% 41.1% 214.2% 10% 13% 122% 3 Yr. Returns 5 Yr. Returns 10 Yr. Returns Omega Peers OHI Total Returns vs. Healthcare REIT Averages (Years ending 12/31/2021) Shareholder Returns Through 12/31/21 TOTAL RETURN 5.7% ANN. EQUIV. 2% 3 YEAR TOTAL RETURN 41.4% ANN. EQUIV. 7% 5 TOTAL RETURN 214.2% ANN. EQUIV. 12% 10 YEAR 45 INVESTOR PRESENTATION YEAR
  • 47. A Long History of Prudent Capital Allocation $0.6 $0.4 $0.5 $0.6 $0.6 $4.4 $1.3 $0.5 $0.5 $1.7 $0.3 $0.8 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 INVESTMENTS $12.2 billion New investments since January 2010 (1) Acquisitions Mortgages Capex CIP (2) Other (3) In billions 47 INVESTOR PRESENTATION Note: 2015 bar not to scale due to formatting
  • 48. External Growth Augmented by Development New Builds by In-Service Year 48 INVESTOR PRESENTATION 2021 2025E 2023E 1 Projects $178M Investment 174 Beds 1 Projects $48M Investment 105 Beds 1 Projects $26M Investment 154 Beds
  • 49. Proven Investment Strategy for Future Growth 1 Partner with quality operators with ambition to grow Acquire assets using superior cost of capital Derive significant earnings accretion from acquisitions Justify the cost of capital advantage through strong growth Continue to pursue accretive transactions Leverage existing 63 operator relationships Invest primarily in current core markets Maintain focus on senior care facilities Use credit facility to make acquisitions and replenish availability with long-term debt and equity issuances Proven ability to execute on strategies Proven ability to handle troubled assets 2 3 4 6 7 5 49 INVESTOR PRESENTATION
  • 50. Ample Opportunity to Expand Portfolio Even as the largest owner of SNFs, we still only own 5% of the market. Given the accretion created from acquisitions, the fragmented ownership of SNFs provides a significant opportunity for further growth. EXPECTATION: Double in size in the next 10 years Omega Publicly Traded REITs Other SNF OWNERSHIP 50 INVESTOR PRESENTATION
  • 52. Effective Balance Sheet Management Provides Financial Flexibility CONSERVATIVE CAPITALIZATION Debt to adjusted pro forma EBITDA ratio: 5.28x Availability under $1.45B revolving credit facility: ~$1.45B (as of 12/31/2021) Well-laddered debt maturities: No material maturities until 2023 SIGNIFICANT LIQUIDITY FINANCIAL FLEXIBILITY Minimal encumbered assets: 4.8% Of gross real estate assets are encumbered Funded Debt to TAV: 49% (Determined pursuant to bond covenants) Adjusted Fixed Charge Ratio >1.5x: 4.2x DIVIDEND PAYOUT RATIOS AFFO Payout Ratio: 86.9% FAD Payout Ratio: 92.5% 17 consecutive yearly dividend increases: $0.67 ($2.68 annualized) 52 INVESTOR PRESENTATION
  • 53. 4.3x 4.8x 4.7x 4.4x 4.6x 4.5x 4.7x 4.9x 5.2x 5.1x 5.0x 5.3x 0.7x 0.9x 0.9x 0.6x 0.5x 0.3x 0.1x 0.1x 0.0x 0.4x 0.4x 0.4x Total Debt/ Adj. EBITDA Secured Debt/Adj. EBITDA 3.1x 3.3x 3.5x 4.0x 4.1x 4.7x 5.1x 4.5x 4.1x 4.2x 4.3x 4.2x Fixed Charge Coverage Leverage Conservative Capitalization Policy Targeted Funded Debt to Adjusted EBITDA Ratio 4.0x – 5.0x Typically have used drawings under the revolver to make acquisitions and replenished revolver availability with long-term debt and equity issuances 53 INVESTOR PRESENTATION
  • 54. $350M $400M $400M $600M $700M $550M $500M $700M $700M $360M $50M $2M $1,450M 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2046+ 3.25% Notes Non-Revolving Loan Related to JV $1.45B Revolving Credit Facility Credit Facility & Term Loans Well-Laddered Debt Provides Stability 4.375% Notes 4.95% Notes 4.5% Notes 5.25% Notes 4.5% Notes 4.75% Notes 3.625% Notes Debt Maturity Schedule as of 12/31/21 $1.45B unsecured revolving credit facility $50MM unsecured term loan • No near-term bond maturities • Minimal secured debt (~$365MM) • 99.9% of debt is fixed rate 54 INVESTOR PRESENTATION 3.375% Notes
  • 55. Funded Debt/Adj. Ann. EBITDA 5.28x Adj. EBITDA/Total Interest Expense Ratio 4.3x Adj. Total Debt/Adj. Book Capitalization 56.4% Adj. EBITDA/Fixed Coverage Ratio 4.2x Adj. Total Debt/Total Market Capitalization 42.2% 4Q21 Funds Available for Distribution per share $0.72 Strong Balance Sheet and Secure Credit Ratings Baa3 BBB- 55 INVESTOR PRESENTATION The above include non-GAAPfinancial measures. See disclaimers page for further information.
  • 56. Readily Accessible Capital Markets as a Seasoned Issuer 75 68 221 192 339 135 610 260 60 125 530 159 282 118 260 225 775 400 650 1,300 700 700 500 700 700 $453 $293 $33 $138 $231 $102 $996 $91 $592 $339 $785 $1,910 $960 $760 $125 $1,030 $859 $982 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 Common Equity Preferred Equity Senior Unsecured Notes Capital Markets Accessibility 56 INVESTOR PRESENTATION
  • 58. STEWARDS OF THE ENVIRONMENT E STRONG CORPORATE GOVERNANCE Prudent and Responsible ESG Program 58 INVESTOR PRESENTATION SOCIAL RESPONSIBILITY S G 65%+ Of Omega’s development in the past five years has been built to LEED certification standards Moved corporate HQ in 2017 to a LEED Silver-certified Building Provide capital to support our tenants’ energy-efficient CAPEX programs One of 15 US REITs to be included in the 2022 Bloomberg Gender-Equality Index Comprehensive Human Rights Policy shaped by UN’s “Universal Declaration on Human Rights” & ILO’s “Declaration on Fundamental Principles and Rights at Work” Extensive employee support and development, including: • Extremely competitive benefits program • Financial support for continued employee training and education • Philanthropic support including employee charitable donation matching program 33% of directors are female Gender Diversity Voluntarily opted out of the Maryland Unsolicited Takeovers Act (MUTA), which would have allowed for staggering of the Board without shareholder approval No Board Staggering Independence 89% of directors are independent, including the Chairman
  • 60. SOURCE INDEX 60 INVESTOR PRESENTATION Page 5 - Current supplemental information report located in the Investor Relations tab atwww.omegahealthcare.com. 3-Year TSR as of 12/31/2021. Page 9 - Information as of 2/3/2022 Page 10 - Information as of 2/3/2022 Page 15 - Historical AFFO and dividend information can be found in the Investor Relations tab at www.omegahealthcare.com. AFFO per share based on TTM and share price as of 12/31/2021 Page 18 - From proprietary analysis of Medicare Fee for Service (FFS) Standard Analytic File (SAF) Page 19 - KFF.org Hospital Adjusted Expenses per Inpatient Day; MedPac Report to the Congress, March 2021 Page 20 - Average Medicare and Medicaid Rates by Quarter for Omega’s Entire Portfolio (through September 30, 2021) Page 21 - Current supplemental information report located in the Investor Relations tab at www.omegahealthcare.com Page 22 - Appendix A of VIG Digest - https://vigdigest.com/ Page 24 - Source – Public filings and disclosures of public healthcare REITs; 3rd party transaction reports. Page 26 - TTM Rent Coverage at 9/30/2021. Current and historic supplemental information report located in the Investor Relations tab at www.omegahealthcare.com Page 27 - Current supplemental information report located in the Investor Relations tab at www.omegahealthcare.com Page 28 - Source: https://www.gov.uk/government/publications/end-of-life-care-profiles-february-2019-data-update/statistical-commentary-end-of-life-care-profiles- february-2019-update Page 30 - Source of EBITDA / Total Revenue is “December 2021 KeyBanc Capital Markets: The Leaderboard” Page 31 - Current supplemental information report located in the Investor Relations tab at www.omegahealthcare.com Page 32 - Represents 4Q21 Annualized Contractual Rent/Interest. Current supplemental information report located in the Investor Relations tab at www.omegahealthcare.com Page 34 - Current supplemental information report located in the Investor Relations tab at www.omegahealthcare.com Page 36 - Source: US Census Bureau - Projected Age Groups and Sex Composition of the Population: Main Projections Series for the United States, 2017-2060 Page 38 - Source: Avalere analysis of Medicare Part A 100% Standard Analytic File (SAF) Page 39 - Sources: Supply data compiled by American Health Care Association (AHCA) Research Department from CMS OSCAR/CASPER survey data. Demand information based on census information at CDC.gov. Page 41 - Current and historic supplemental information report located in the Investor Relations tab at www.omegahealthcare.com Page 42 - Current and historic supplemental information report located in the Investor Relations tab at www.omegahealthcare.com Page 43 - Source for ranking is “2021 KeyBanc Capital Markets: The Leaderboard” as of 12/31/2021 Page 44 - Current and historic supplemental information report located in the Investor Relations tab at www.omegahealthcare.com Page 45 - Source: “2021 KeyBanc Capital Markets: The Leaderboard” as of 12/31/2021. Peer returns are simple average of returns of NHI, HR, LTC, SABRA, VTR, and WELL
  • 61. SOURCE INDEX 61 INVESTOR PRESENTATION Page 47 - Current and historic supplemental information report located in the Investor Relations tab at www.omegahealthcare.com. 1) Includes the $3.9 billion Aviv acquisition via merger on April 1, 2015; and the $623 million MRT acquisition via merger on May 17, 2019 2) Included in “Acquisitions” prior to 2016 3) Consists primarily of mezzanine and JV investments Page 52 - Current and historic supplemental information report located in the Investor Relations tab at www.omegahealthcare.com Page 53 - Current and historic supplemental information report located in the Investor Relations tab at www.omegahealthcare.com Page 54 - Current supplemental information report located in the Investor Relations tab at www.omegahealthcare.com. 1) Represents current HUD debt balance assumed via acquisition of the Encore portfolio on 4/30/2021 Page 55 - All supporting information and reconciliations can be found in the current supplemental information report (pages 11, 17, 19, and 20) located in the Investor Relations tab at www.omegahealthcare.com Page 56 - Current and historic supplemental information report located in the Investor Relations tab at www.omegahealthcare.com Page 62 - Current and historic earnings report press releases located in the Investor Relations tab at www.omegahealthcare.com Page 63 - Current and historic earnings report press releases located in the Investor Relations tab at www.omegahealthcare.com Page 64 - Current and historic earnings report press releases located in the Investor Relations tab at www.omegahealthcare.com Page 65 - Source: CDC.gov Page 66 - Source: Inpatient, SNF, Home Health and Enrollment Standard Analytic Files, 2015-2019 Page 67 - Compiled by American Health Care Association (AHCA) Research Department from CMS OSCAR/CASPER survey data (2009-2018)
  • 62. 2020 Quarterly Highlights 62 INVESTOR PRESENTATION 1Q 2020 2Q 2020 3Q 2020 4Q 2020 • Paid a $0.67 per share quarterly common stock dividend • Sold six facilities for $18 million in cash proceeds generating $2 million in gains • Completed $19 million in new investments • Invested $39 million in capital renovation and construction- in-progress projects • Paid a $0.67 per share quarterly common stock dividend • Sold seven facilities for $38 million in cash proceeds generating $13 million in gains • Paid a $0.67 per share quarterly common stock dividend • Invested $22 million in capital renovation and construction- in-progress projects • Revised its revenue recognition accounting treatment related to operators with going concern disclosures • Paid a $0.67 per share quarterly common stock dividend • Issued $700 million aggregate principal amount of 3.375% Senior Notes due 2031 • Completed $78 million of new investments • Invested $19 million in capital renovation and construction- in-progress projects
  • 63. 2021 Quarterly Highlights 63 INVESTOR PRESENTATION 1Q 2021 2Q 2021 3Q 2021 4Q 2021 • Paid a $0.67 per share quarterly common stock dividend • Completed a $510 million acquisition • Included in the 2021 Bloomberg Gender-Equality Index • Issued $700 million aggregate principal amount of 3.250% Senior Notes due 2033 • Paid a $0.67 per share quarterly cash dividend on common stock • Completed $6M of new investments • Implemented a new $1.0B ATM program • Closed a new $1.45 billion unsecured credit facility • Closed a new $50 million term loan to an Omega operating partnership subsidiary • Paid a $0.67 per share quarterly cash dividend on common stock • Invested $96 million in capital renovation and construction-in- progress projects • Completed $66 million of mortgage loan investments • Completed $10 million of real estate acquisitions • Paid a $0.67 per share quarterly cash dividend on common stock • Invested $20 million in capital renovation and construction- in-progress projects • Sold 3 facilities for $8 million in cash proceeds, generating a $1 million gain
  • 64. 2022 Quarterly Highlights 64 INVESTOR PRESENTATION 1Q 2022 2Q 2022 3Q 2022 4Q 2022 • Declared a $0.67 per share quarterly common stock dividend • Completed $16 million of real estate acquisitions • Authorized a $500 million stock repurchase program • Was included in the 2022 Bloomberg Gender-Equality Index
  • 65. Industry Overview: Baby Boomers Started Turning 75 in 2016 65 INVESTOR PRESENTATION U.S. Birthrates, 1909 to 1980 1,500 2,000 2,500 3,000 3,500 4,000 4,500 5,000 Births ( 000’s ) 1928 to 1940 Avg. 2,476 1941 to 1964 Avg. 3,767
  • 66. Industry Overview: Percentage of Historical Hospital Discharges to SNFs has Remained Steady in Recent Years 66 INVESTOR PRESENTATION Discharge Disposition by Year Skilled Nursing Facilities Home Health Care IRF Other LTCH 21.8% 21.4% 21.0% 20.9% 20.5% 19.4% 19.6% 19.7% 19.5% 19.3% 3.5% 3.5% 3.5% 3.7% 3.8% 3.3% 3.3% 3.3% 3.3% 3.3% 1.2% 1.2% 1.1% 1.0% 0.9% 2015 2016 2017 2018 2019
  • 67. Industry Overview: Limited Supply Availability 67 INVESTOR PRESENTATION Trend in Certified Nursing Facilities, Beds and Residents 15.0k 15.1k 15.2k 15.3k 15.4k 15.5k 15.6k 15.7k 15.8k 15.9k 16.0k 1,250k 1,300k 1,350k 1,400k 1,450k 1,500k 1,550k 1,600k 1,650k 1,700k Certified Facilities Beds & Patients Dec-10 Dec-11 Dec-12 Dec-13 Dec-14 Dec-15 Dec-16 Dec-17 Dec-18 Dec-19 Certified Beds 1,671k 1,674k 1,675k 1,667k 1,655k 1,654k 1,656k 1,653k 1,633k 1,615k Patients in Certified Beds 1,403k 1,397k 1,393k 1,382k 1,366k 1,362k 1,356k 1,341k 1,322k 1,306k Certified Facilities 15.9k 15.9k 15.8k 15.8k 15.7k 15.6k 15.6k 15.6k 15.6k 15.5k