http://fasb.org/us-gaap/2024#LeaseIncome 0000888491--12-31 Q2 false 0 0 0 0 350000000 1 3100000 2035-06-30 true http://fasb.org/us-gaap/2024#LeaseIncome P4Y http://fasb.org/us-gaap/2024#SecuredOvernightFinancingRateSofrMember 1 P12M 0000888491 ohi:FiveHundredMillionStockRepurchaseProgramMember 2025-04-01 2025-06-30 0000888491 ohi:FiveHundredMillionStockRepurchaseProgramMember 2025-01-01 2025-06-30 0000888491 ohi:FiveHundredMillionStockRepurchaseProgramMember 2024-04-01 2024-06-30 0000888491 ohi:FiveHundredMillionStockRepurchaseProgramMember 2024-01-01 2024-06-30 0000888491 us-gaap:CommonStockMember 2024-04-01 2024-06-30 0000888491 us-gaap:CommonStockMember 2025-04-01 2025-06-30 0000888491 us-gaap:CommonStockMember 2025-01-01 2025-06-30 0000888491 us-gaap:CommonStockMember 2024-01-01 2024-06-30 0000888491 ohi:DividendReinvestmentAndCommonStockPurchasePlanMember 2025-04-01 2025-06-30 0000888491 ohi:DividendReinvestmentAndCommonStockPurchasePlanMember 2025-01-01 2025-06-30 0000888491 ohi:DividendReinvestmentAndCommonStockPurchasePlanMember 2024-04-01 2024-06-30 0000888491 ohi:DividendReinvestmentAndCommonStockPurchasePlanMember 2024-01-01 2024-06-30 0000888491 us-gaap:RetainedEarningsMember 2025-06-30 0000888491 us-gaap:ParentMember 2025-06-30 0000888491 us-gaap:NoncontrollingInterestMember 2025-06-30 0000888491 us-gaap:CommonStockMember 2025-06-30 0000888491 us-gaap:AociIncludingPortionAttributableToNoncontrollingInterestMember 2025-06-30 0000888491 us-gaap:AociAttributableToNoncontrollingInterestMember 2025-06-30 0000888491 us-gaap:AdditionalPaidInCapitalMember 2025-06-30 0000888491 us-gaap:AccumulatedDistributionsInExcessOfNetIncomeMember 2025-06-30 0000888491 us-gaap:RetainedEarningsMember 2025-03-31 0000888491 us-gaap:ParentMember 2025-03-31 0000888491 us-gaap:NoncontrollingInterestMember 2025-03-31 0000888491 us-gaap:CommonStockMember 2025-03-31 0000888491 us-gaap:AociIncludingPortionAttributableToNoncontrollingInterestMember 2025-03-31 0000888491 us-gaap:AdditionalPaidInCapitalMember 2025-03-31 0000888491 us-gaap:AccumulatedDistributionsInExcessOfNetIncomeMember 2025-03-31 0000888491 2025-03-31 0000888491 us-gaap:RetainedEarningsMember 2024-12-31 0000888491 us-gaap:ParentMember 2024-12-31 0000888491 us-gaap:NoncontrollingInterestMember 2024-12-31 0000888491 us-gaap:CommonStockMember 2024-12-31 0000888491 us-gaap:AociIncludingPortionAttributableToNoncontrollingInterestMember 2024-12-31 0000888491 us-gaap:AociAttributableToNoncontrollingInterestMember 2024-12-31 0000888491 us-gaap:AdditionalPaidInCapitalMember 2024-12-31 0000888491 us-gaap:AccumulatedDistributionsInExcessOfNetIncomeMember 2024-12-31 0000888491 us-gaap:RetainedEarningsMember 2024-06-30 0000888491 us-gaap:ParentMember 2024-06-30 0000888491 us-gaap:NoncontrollingInterestMember 2024-06-30 0000888491 us-gaap:CommonStockMember 2024-06-30 0000888491 us-gaap:AociIncludingPortionAttributableToNoncontrollingInterestMember 2024-06-30 0000888491 us-gaap:AdditionalPaidInCapitalMember 2024-06-30 0000888491 us-gaap:AccumulatedDistributionsInExcessOfNetIncomeMember 2024-06-30 0000888491 us-gaap:RetainedEarningsMember 2024-03-31 0000888491 us-gaap:ParentMember 2024-03-31 0000888491 us-gaap:NoncontrollingInterestMember 2024-03-31 0000888491 us-gaap:CommonStockMember 2024-03-31 0000888491 us-gaap:AociIncludingPortionAttributableToNoncontrollingInterestMember 2024-03-31 0000888491 us-gaap:AdditionalPaidInCapitalMember 2024-03-31 0000888491 us-gaap:AccumulatedDistributionsInExcessOfNetIncomeMember 2024-03-31 0000888491 2024-03-31 0000888491 us-gaap:RetainedEarningsMember 2023-12-31 0000888491 us-gaap:ParentMember 2023-12-31 0000888491 us-gaap:NoncontrollingInterestMember 2023-12-31 0000888491 us-gaap:CommonStockMember 2023-12-31 0000888491 us-gaap:AociIncludingPortionAttributableToNoncontrollingInterestMember 2023-12-31 0000888491 us-gaap:AdditionalPaidInCapitalMember 2023-12-31 0000888491 us-gaap:AccumulatedDistributionsInExcessOfNetIncomeMember 2023-12-31 0000888491 us-gaap:AccumulatedTranslationAdjustmentMember 2025-06-30 0000888491 us-gaap:AccumulatedOtherComprehensiveIncomeMember 2025-06-30 0000888491 us-gaap:AccumulatedGainLossNetCashFlowHedgeParentMember 2025-06-30 0000888491 ohi:AccumulatedNetGainLossFromNetInvestmentHedgesAttributableToParentMember 2025-06-30 0000888491 us-gaap:AccumulatedTranslationAdjustmentMember 2024-12-31 0000888491 us-gaap:AccumulatedOtherComprehensiveIncomeMember 2024-12-31 0000888491 us-gaap:AccumulatedGainLossNetCashFlowHedgeParentMember 2024-12-31 0000888491 ohi:AccumulatedNetGainLossFromNetInvestmentHedgesAttributableToParentMember 2024-12-31 0000888491 ohi:CertainEmployeesMember ohi:PerformanceBasedRestrictedStockMember 2025-03-31 0000888491 srt:DirectorMember ohi:TimeBasedRestrictedStockUnitsMember 2025-04-01 2025-06-30 0000888491 srt:DirectorMember ohi:TimeBasedProfitInterestUnitsMember 2025-04-01 2025-06-30 0000888491 ohi:CertainOfficersAndKeyEmployeesMember ohi:TimeBasedRestrictedStockUnitsMember 2025-01-01 2025-03-31 0000888491 ohi:CertainOfficersAndKeyEmployeesMember ohi:TimeBasedProfitInterestUnitsMember 2025-01-01 2025-03-31 0000888491 ohi:CertainOfficersAndKeyEmployeesMember ohi:PerformanceBasedRestrictedStockUnitsMember 2025-01-01 2025-03-31 0000888491 ohi:CertainOfficersAndKeyEmployeesMember ohi:PerformanceBasedProfitInterestUnitsMember 2025-01-01 2025-03-31 0000888491 ohi:CertainOfficersAndKeyEmployeesMember ohi:TimeBasedRestrictedStockUnitsAndProfitInterestUnitsMember 2025-01-01 2025-03-31 0000888491 us-gaap:EmploymentContractsMember 2025-01-01 2025-03-31 0000888491 ohi:MortgageLoanDue2026Member us-gaap:SecuredDebtMember 2024-12-31 0000888491 ohi:GenesisHealthcareMember us-gaap:AssetPledgedAsCollateralWithRightMember us-gaap:LetterOfCreditMember 2025-06-30 0000888491 ohi:SeniorNotesDue2025Member us-gaap:SeniorNotesMember 2025-01-15 2025-01-15 0000888491 ohi:OmegaOpTermLoanMember us-gaap:UnsecuredDebtMember 2025-04-29 2025-04-29 0000888491 ohi:FacilitiesPlacedIntoServiceMember 2025-02-28 0000888491 us-gaap:RetainedEarningsMember 2025-04-01 2025-06-30 0000888491 us-gaap:RetainedEarningsMember 2025-01-01 2025-06-30 0000888491 us-gaap:RetainedEarningsMember 2024-04-01 2024-06-30 0000888491 us-gaap:RetainedEarningsMember 2024-01-01 2024-06-30 0000888491 us-gaap:InterestRateSwapMember us-gaap:CashFlowHedgingMember us-gaap:ForwardContractsMember 2023-05-01 2023-05-31 0000888491 ohi:GenesisHealthcareMember ohi:RealEstateLoansReceivableMember 2025-05-01 2025-05-31 0000888491 ohi:CienaHealthcareMember 2025-01-01 2025-06-30 0000888491 ohi:UnitedKingdomAndBailiwickOfJerseyMember 2025-04-01 2025-04-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:AdvancementsOnNewRealEstateLoansMember 2025-04-01 2025-06-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:AdvancementsOnExistingRealEstateLoansMember 2025-04-01 2025-06-30 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember ohi:AdvancementsOnNewNonRealEstateLoansMember 2025-04-01 2025-06-30 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember ohi:AdvancementsOnExistingNonRealEstateLoansMember 2025-04-01 2025-06-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:AdvancementsOnNewRealEstateLoansMember 2025-01-01 2025-06-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:AdvancementsOnExistingRealEstateLoansMember 2025-01-01 2025-06-30 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember ohi:AdvancementsOnNewNonRealEstateLoansMember 2025-01-01 2025-06-30 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember ohi:AdvancementsOnExistingNonRealEstateLoansMember 2025-01-01 2025-06-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:AdvancementsOnNewRealEstateLoansMember 2024-04-01 2024-06-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:AdvancementsOnExistingRealEstateLoansMember 2024-04-01 2024-06-30 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember ohi:AdvancementsOnNewNonRealEstateLoansMember 2024-04-01 2024-06-30 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember ohi:AdvancementsOnExistingNonRealEstateLoansMember 2024-04-01 2024-06-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:AdvancementsOnNewRealEstateLoansMember 2024-01-01 2024-06-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:AdvancementsOnExistingRealEstateLoansMember 2024-01-01 2024-06-30 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember ohi:AdvancementsOnNewNonRealEstateLoansMember 2024-01-01 2024-06-30 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember ohi:AdvancementsOnExistingNonRealEstateLoansMember 2024-01-01 2024-06-30 0000888491 stpr:MD 2025-01-01 2025-03-31 0000888491 us-gaap:InterestRateSwapMember 2025-04-01 2025-06-30 0000888491 ohi:OmegaOpTermLoanMember us-gaap:UnsecuredDebtMember 2024-12-31 0000888491 us-gaap:AociIncludingPortionAttributableToNoncontrollingInterestMember 2025-04-01 2025-06-30 0000888491 us-gaap:AociIncludingPortionAttributableToNoncontrollingInterestMember 2025-01-01 2025-06-30 0000888491 us-gaap:AociIncludingPortionAttributableToNoncontrollingInterestMember 2024-04-01 2024-06-30 0000888491 us-gaap:AociIncludingPortionAttributableToNoncontrollingInterestMember 2024-01-01 2024-06-30 0000888491 us-gaap:InterestRateSwapMember us-gaap:CashFlowHedgingMember us-gaap:ForwardContractsMember 2021-03-01 2021-03-31 0000888491 us-gaap:InterestRateSwapMember us-gaap:CashFlowHedgingMember us-gaap:ForwardContractsMember 2020-10-01 2020-10-31 0000888491 us-gaap:IndemnificationGuaranteeMember 2025-06-30 0000888491 ohi:GenesisHealthcareMember 2025-04-01 2025-06-30 0000888491 ohi:MaplewoodRealEstateHoldingsMember 2024-04-01 2024-06-30 0000888491 ohi:GenesisHealthcareMember 2024-04-01 2024-06-30 0000888491 ohi:GenesisHealthcareMember 2024-01-01 2024-06-30 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateAndRealEstateRelatedLoansMember 2025-01-01 2025-06-30 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateAndRealEstateRelatedLoansMember 2024-01-01 2024-06-30 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateAndRealEstateRelatedLoansMember 2025-06-30 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateAndRealEstateRelatedLoansMember 2024-12-31 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateAndRealEstateRelatedLoansMember 2024-06-30 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateAndRealEstateRelatedLoansMember 2023-12-31 0000888491 ohi:GenesisHealthcareMember us-gaap:SubsequentEventMember 2025-07-31 0000888491 ohi:FacilitiesSoldMember ohi:TwoOfThirtyFourFacilitiesMember ohi:AssistedLivingFacilitiesMember 2025-06-30 0000888491 ohi:FacilitiesSoldMember ohi:ThirtyTwoOfThirtyFourFacilitiesMember ohi:SkilledNursingFacilitiesMember 2025-06-30 0000888491 ohi:FacilitiesSoldMember ohi:SixOfSevenFacilitiesMember ohi:SkilledNursingFacilitiesMember 2025-06-30 0000888491 ohi:FacilitiesSoldMember ohi:OneOfSevenFacilitiesMember ohi:AssistedLivingFacilitiesMember 2025-06-30 0000888491 ohi:FacilitiesAcquiredMember stpr:TX ohi:SkilledNursingFacilitiesMember 2025-06-30 0000888491 ohi:FacilitiesAcquiredMember stpr:SC ohi:AssistedLivingFacilitiesMember 2025-06-30 0000888491 ohi:FacilitiesAcquiredMember stpr:NM ohi:AssistedLivingFacilitiesMember 2025-06-30 0000888491 ohi:FacilitiesAcquiredMember stpr:CA ohi:AssistedLivingFacilitiesMember 2025-06-30 0000888491 ohi:FacilitiesAcquiredMember ohi:UnitedKingdomAndBailiwickOfJerseyMember ohi:AssistedLivingFacilitiesMember 2025-06-30 0000888491 ohi:FacilitiesWithImpairmentChargesMember ohi:ThreeFacilitiesMember 2025-06-30 0000888491 ohi:FacilitiesUnderFixedRateMortgageLoansMember ohi:SpecialtyFacilityMember 2025-06-30 0000888491 ohi:FacilitiesUnderFixedRateMortgageLoansMember ohi:SkilledNursingFacilitiesMember 2025-06-30 0000888491 ohi:FacilitiesUnderFixedRateMortgageLoansMember ohi:IndependentLivingFacilitiesMember 2025-06-30 0000888491 ohi:FacilitiesUnderFixedRateMortgageLoansMember ohi:AssistedLivingFacilitiesMember 2025-06-30 0000888491 ohi:FacilitiesSoldMember ohi:TwelveFacilitiesMember 2025-06-30 0000888491 ohi:FacilitiesSoldMember ohi:ThirtyFourFacilitiesMember 2025-06-30 0000888491 ohi:FacilitiesSoldMember ohi:SevenFacilitiesMember 2025-06-30 0000888491 ohi:FacilitiesLeasedMember ohi:SpecialtyFacilityMember 2025-06-30 0000888491 ohi:FacilitiesLeasedMember ohi:SkilledNursingFacilitiesMember 2025-06-30 0000888491 ohi:FacilitiesLeasedMember ohi:MedicalOfficeBuildingMember 2025-06-30 0000888491 ohi:FacilitiesLeasedMember ohi:IndependentLivingFacilitiesMember 2025-06-30 0000888491 ohi:FacilitiesLeasedMember ohi:AssistedLivingFacilitiesMember 2025-06-30 0000888491 ohi:FacilitiesClassifiedToAssetHeldForSaleMember ohi:TwoFacilitiesMember 2025-06-30 0000888491 ohi:FacilitiesAcquiredMember ohi:SkilledNursingFacilitiesMember 2025-06-30 0000888491 ohi:FacilitiesAcquiredMember ohi:AssistedLivingFacilitiesMember 2025-06-30 0000888491 ohi:SpecialtyFacilityMember 2025-06-30 0000888491 ohi:SkilledNursingFacilitiesMember 2025-06-30 0000888491 ohi:MedicalOfficeBuildingMember 2025-06-30 0000888491 ohi:IndependentLivingFacilitiesMember 2025-06-30 0000888491 ohi:FacilitiesUnderFixedRateMortgageLoansMember 2025-06-30 0000888491 ohi:FacilitiesSoldNotYetRecognizedMember 2025-06-30 0000888491 ohi:FacilitiesHeldForUseAndClassifiedAsHeldForSaleWithImpairmentChargesMember 2025-06-30 0000888491 ohi:FacilitiesHeldForSaleMember 2025-06-30 0000888491 ohi:AssistedLivingFacilitiesMember 2025-06-30 0000888491 ohi:FacilitiesAcquiredMember ohi:UnitedKingdomAndBailiwickOfJerseyMember 2025-04-30 0000888491 ohi:FacilitiesAcquiredMember stpr:TX ohi:AssistedLivingFacilitiesMember 2025-03-31 0000888491 ohi:FacilitiesAcquiredMember country:GB ohi:AssistedLivingFacilitiesMember 2025-03-31 0000888491 ohi:FacilitiesSoldNotYetRecognizedMember 2024-12-31 0000888491 ohi:FacilitiesHeldForSaleMember 2024-12-31 0000888491 ohi:FacilitiesSoldMember ohi:FiveFacilitiesMember ohi:SkilledNursingFacilitiesMember 2024-06-30 0000888491 ohi:FacilitiesWithImpairmentChargesMember ohi:SevenFacilitiesMember 2024-06-30 0000888491 ohi:FacilitiesWithImpairmentChargesMember ohi:FourFacilitiesMember 2024-06-30 0000888491 ohi:FacilitiesWithImpairmentChargesHeldForUseMember ohi:FiveOfSevenHeldForUseFacilitiesMember 2024-06-30 0000888491 ohi:FacilitiesWithImpairmentChargesHeldForSaleMember ohi:TwoOfSevenHeldForUseFacilitiesMember 2024-06-30 0000888491 ohi:FacilitiesSoldMember ohi:NineFacilitiesMember 2024-06-30 0000888491 ohi:SeniorNotesDue2033Member us-gaap:EstimateOfFairValueFairValueDisclosureMember 2025-06-30 0000888491 ohi:SeniorNotesDue2033Member us-gaap:CarryingReportedAmountFairValueDisclosureMember 2025-06-30 0000888491 ohi:SeniorNotesDue2031Member us-gaap:EstimateOfFairValueFairValueDisclosureMember 2025-06-30 0000888491 ohi:SeniorNotesDue2031Member us-gaap:CarryingReportedAmountFairValueDisclosureMember 2025-06-30 0000888491 ohi:SeniorNotesDue2030Member us-gaap:EstimateOfFairValueFairValueDisclosureMember 2025-06-30 0000888491 ohi:SeniorNotesDue2030Member us-gaap:CarryingReportedAmountFairValueDisclosureMember 2025-06-30 0000888491 ohi:SeniorNotesDue2029Member us-gaap:EstimateOfFairValueFairValueDisclosureMember 2025-06-30 0000888491 ohi:SeniorNotesDue2029Member us-gaap:CarryingReportedAmountFairValueDisclosureMember 2025-06-30 0000888491 ohi:SeniorNotesDue2028Member us-gaap:EstimateOfFairValueFairValueDisclosureMember 2025-06-30 0000888491 ohi:SeniorNotesDue2028Member us-gaap:CarryingReportedAmountFairValueDisclosureMember 2025-06-30 0000888491 ohi:SeniorNotesDue2027Member us-gaap:EstimateOfFairValueFairValueDisclosureMember 2025-06-30 0000888491 ohi:SeniorNotesDue2027Member us-gaap:CarryingReportedAmountFairValueDisclosureMember 2025-06-30 0000888491 ohi:SeniorNotesDue2026Member us-gaap:EstimateOfFairValueFairValueDisclosureMember 2025-06-30 0000888491 ohi:SeniorNotesDue2026Member us-gaap:CarryingReportedAmountFairValueDisclosureMember 2025-06-30 0000888491 ohi:SeniorNotesDue2033Member us-gaap:EstimateOfFairValueFairValueDisclosureMember 2024-12-31 0000888491 ohi:SeniorNotesDue2033Member us-gaap:CarryingReportedAmountFairValueDisclosureMember 2024-12-31 0000888491 ohi:SeniorNotesDue2031Member us-gaap:EstimateOfFairValueFairValueDisclosureMember 2024-12-31 0000888491 ohi:SeniorNotesDue2031Member us-gaap:CarryingReportedAmountFairValueDisclosureMember 2024-12-31 0000888491 ohi:SeniorNotesDue2029Member us-gaap:EstimateOfFairValueFairValueDisclosureMember 2024-12-31 0000888491 ohi:SeniorNotesDue2029Member us-gaap:CarryingReportedAmountFairValueDisclosureMember 2024-12-31 0000888491 ohi:SeniorNotesDue2028Member us-gaap:EstimateOfFairValueFairValueDisclosureMember 2024-12-31 0000888491 ohi:SeniorNotesDue2028Member us-gaap:CarryingReportedAmountFairValueDisclosureMember 2024-12-31 0000888491 ohi:SeniorNotesDue2027Member us-gaap:EstimateOfFairValueFairValueDisclosureMember 2024-12-31 0000888491 ohi:SeniorNotesDue2027Member us-gaap:CarryingReportedAmountFairValueDisclosureMember 2024-12-31 0000888491 ohi:SeniorNotesDue2026Member us-gaap:EstimateOfFairValueFairValueDisclosureMember 2024-12-31 0000888491 ohi:SeniorNotesDue2026Member us-gaap:CarryingReportedAmountFairValueDisclosureMember 2024-12-31 0000888491 ohi:SeniorNotesDue2025Member us-gaap:EstimateOfFairValueFairValueDisclosureMember 2024-12-31 0000888491 ohi:SeniorNotesDue2025Member us-gaap:CarryingReportedAmountFairValueDisclosureMember 2024-12-31 0000888491 us-gaap:AccountsPayableAndAccruedLiabilitiesMember us-gaap:NetInvestmentHedgingMember 2025-06-30 0000888491 us-gaap:OtherAssetsMember us-gaap:NetInvestmentHedgingMember 2024-12-31 0000888491 ohi:OHIHealthcarePropertiesLimitedPartnershipMember 2025-06-30 0000888491 us-gaap:RevolvingCreditFacilityMember us-gaap:UnsecuredDebtMember 2021-04-30 0000888491 us-gaap:RevolvingCreditFacilityMember 2025-06-30 0000888491 ohi:MaplewoodRealEstateHoldingsMember stpr:DC 2025-04-01 2025-06-30 0000888491 ohi:MaplewoodRealEstateHoldingsMember stpr:DC 2025-01-01 2025-06-30 0000888491 ohi:ConsulateHealthCareMember ohi:NotesReceivableDue8.3MillionTermLoanMember 2021-09-01 0000888491 ohi:MaplewoodRealEstateHoldingsMember ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:OtherRealEstateLoansDue2035Member 2025-04-01 2025-06-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember us-gaap:MortgageReceivablesMember 2025-04-01 2025-06-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember us-gaap:LoansReceivableMember 2025-04-01 2025-06-30 0000888491 ohi:GenesisHealthcareMember ohi:NonRealEstateLoansReceivable3LoansMember 2025-04-01 2025-06-30 0000888491 us-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember 2025-04-01 2025-06-30 0000888491 ohi:MaplewoodRealEstateHoldingsMember ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:OtherRealEstateLoansDue2035Member 2025-01-01 2025-06-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember us-gaap:MortgageReceivablesMember 2025-01-01 2025-06-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember us-gaap:LoansReceivableMember 2025-01-01 2025-06-30 0000888491 ohi:GenesisHealthcareMember ohi:NonRealEstateLoansReceivable3LoansMember 2025-01-01 2025-06-30 0000888491 us-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember 2025-01-01 2025-06-30 0000888491 ohi:MaplewoodRealEstateHoldingsMember ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:OtherRealEstateLoansDue2035Member 2024-04-01 2024-06-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember us-gaap:MortgageReceivablesMember 2024-04-01 2024-06-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember us-gaap:LoansReceivableMember 2024-04-01 2024-06-30 0000888491 ohi:GenesisHealthcareMember ohi:NonRealEstateLoansReceivable2LoansMember 2024-04-01 2024-06-30 0000888491 us-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember 2024-04-01 2024-06-30 0000888491 ohi:MaplewoodRealEstateHoldingsMember ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:OtherRealEstateLoansDue2035Member 2024-01-01 2024-06-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember us-gaap:MortgageReceivablesMember 2024-01-01 2024-06-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember us-gaap:LoansReceivableMember 2024-01-01 2024-06-30 0000888491 ohi:GenesisHealthcareMember ohi:NonRealEstateLoansReceivable2LoansMember 2024-01-01 2024-06-30 0000888491 us-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember 2024-01-01 2024-06-30 0000888491 ohi:FacilitiesClassifiedToAssetHeldForSaleMember ohi:TwoFacilitiesMember 2025-04-01 2025-06-30 0000888491 ohi:ThreeFacilitiesMember 2025-04-01 2025-06-30 0000888491 ohi:FacilitiesWithImpairmentChargesHeldForUseMember ohi:TwoOfFourFacilitiesMember 2025-01-01 2025-06-30 0000888491 ohi:FacilitiesWithImpairmentChargesHeldForSaleMember ohi:TwoOfFourSecondFacilitiesMember 2025-01-01 2025-06-30 0000888491 ohi:FacilitiesHeldForUseAndClassifiedAsHeldForSaleWithImpairmentChargesMember ohi:FourFacilitiesMember 2025-01-01 2025-06-30 0000888491 ohi:FourFacilitiesMember 2024-04-01 2024-06-30 0000888491 ohi:TwoOfSevenHeldForUseFacilitiesMember 2024-01-01 2024-06-30 0000888491 ohi:SevenFacilitiesMember 2024-01-01 2024-06-30 0000888491 ohi:FiveOfSevenHeldForUseFacilitiesMember 2024-01-01 2024-06-30 0000888491 ohi:SevenFacilitiesMember 2025-04-01 2025-06-30 0000888491 ohi:ThirtyFourFacilitiesMember 2025-01-01 2025-06-30 0000888491 ohi:FiveFacilitiesMember 2024-04-01 2024-06-30 0000888491 ohi:NineFacilitiesMember 2024-01-01 2024-06-30 0000888491 us-gaap:AboveMarketLeasesMember 2025-06-30 0000888491 ohi:ConsulateHealthCareMember 2025-04-01 2025-06-30 0000888491 ohi:ConsulateHealthCareMember 2025-01-01 2025-06-30 0000888491 ohi:ConsulateHealthCareMember 2024-04-01 2024-06-30 0000888491 ohi:ConsulateHealthCareMember 2024-01-01 2024-06-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:InternalCreditRatingTwoMember 2025-01-01 2025-06-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:InternalCreditRatingThreeMember 2025-01-01 2025-06-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:InternalCreditRatingSixMember 2025-01-01 2025-06-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:InternalCreditRatingOneMember 2025-01-01 2025-06-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:InternalCreditRatingFourMember 2025-01-01 2025-06-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:InternalCreditRatingFiveMember 2025-01-01 2025-06-30 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember ohi:InternalCreditRatingTwoMember 2025-01-01 2025-06-30 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember ohi:InternalCreditRatingThreeMember 2025-01-01 2025-06-30 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember ohi:InternalCreditRatingFourMember 2025-01-01 2025-06-30 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember ohi:InternalCreditRatingFiveMember 2025-01-01 2025-06-30 0000888491 ohi:OtherNotes25MillionSeniorSecuredFacilityAndOneOtherRealEstateLoanMember 2025-01-01 2025-06-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:InternalCreditRatingTwoMember 2024-01-01 2024-06-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:InternalCreditRatingThreeMember 2024-01-01 2024-06-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:InternalCreditRatingOneMember 2024-01-01 2024-06-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:InternalCreditRatingFourMember 2024-01-01 2024-06-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:InternalCreditRatingFiveMember 2024-01-01 2024-06-30 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember ohi:InternalCreditRatingTwoMember 2024-01-01 2024-06-30 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember ohi:InternalCreditRatingThreeMember 2024-01-01 2024-06-30 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember ohi:InternalCreditRatingFourMember 2024-01-01 2024-06-30 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember ohi:InternalCreditRatingFiveMember 2024-01-01 2024-06-30 0000888491 ohi:WorkingCapitalLoansMember 2025-06-30 0000888491 ohi:OtherRealEstateLoansDue2025Member 2025-06-30 0000888491 ohi:OtherRealEstateJointVenturesAndOtherHealthcareJointVenturesMember 2025-06-30 0000888491 ohi:OtherNotesMaturing2025Member 2025-06-30 0000888491 ohi:NotesReceivableOtherNoteMember 2025-06-30 0000888491 ohi:NotesReceivableDue2025WorkingCapitalMember 2025-06-30 0000888491 ohi:MortgageNotesDue2025Member 2025-06-30 0000888491 ohi:MaplewoodRealEstateHoldingsMember us-gaap:LoansReceivableMember 2024-12-31 0000888491 ohi:WorkingCapitalLoansMember 2024-12-31 0000888491 ohi:OtherRealEstateJointVenturesAndOtherHealthcareJointVenturesMember 2024-12-31 0000888491 ohi:NotesReceivableOtherNoteMember 2024-12-31 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember ohi:InternalCreditRatingSixMember 2025-01-01 2025-06-30 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember ohi:InternalCreditRatingSixMember 2024-01-01 2024-06-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:InternalCreditRatingThreeMember 2025-06-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:InternalCreditRatingOneMember 2025-06-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:InternalCreditRatingFiveMember 2025-06-30 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember ohi:InternalCreditRatingTwoMember 2025-06-30 0000888491 us-gaap:LoansReceivableMember 2025-06-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:InternalCreditRatingTwoMember 2024-12-31 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:InternalCreditRatingThreeMember 2024-12-31 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:InternalCreditRatingSixMember 2024-12-31 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:InternalCreditRatingOneMember 2024-12-31 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:InternalCreditRatingFourMember 2024-12-31 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:InternalCreditRatingFiveMember 2024-12-31 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember ohi:InternalCreditRatingTwoMember 2024-12-31 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember ohi:InternalCreditRatingThreeMember 2024-12-31 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember ohi:InternalCreditRatingSixMember 2024-12-31 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember ohi:InternalCreditRatingFourMember 2024-12-31 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember ohi:InternalCreditRatingFiveMember 2024-12-31 0000888491 us-gaap:MortgageReceivablesMember 2024-12-31 0000888491 us-gaap:LoansReceivableMember 2024-12-31 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember 2024-12-31 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember 2024-12-31 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:InternalCreditRatingTwoMember 2024-06-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:InternalCreditRatingThreeMember 2024-06-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:InternalCreditRatingSixMember 2024-06-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:InternalCreditRatingOneMember 2024-06-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:InternalCreditRatingFourMember 2024-06-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:InternalCreditRatingFiveMember 2024-06-30 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember ohi:InternalCreditRatingTwoMember 2024-06-30 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember ohi:InternalCreditRatingThreeMember 2024-06-30 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember ohi:InternalCreditRatingSixMember 2024-06-30 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember ohi:InternalCreditRatingFourMember 2024-06-30 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember ohi:InternalCreditRatingFiveMember 2024-06-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember 2024-06-30 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember 2024-06-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:InternalCreditRatingTwoMember 2023-12-31 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:InternalCreditRatingThreeMember 2023-12-31 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:InternalCreditRatingSixMember 2023-12-31 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:InternalCreditRatingOneMember 2023-12-31 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:InternalCreditRatingFourMember 2023-12-31 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember ohi:InternalCreditRatingTwoMember 2023-12-31 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember ohi:InternalCreditRatingThreeMember 2023-12-31 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember ohi:InternalCreditRatingSixMember 2023-12-31 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember ohi:InternalCreditRatingFourMember 2023-12-31 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember ohi:InternalCreditRatingFiveMember 2023-12-31 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember 2023-12-31 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember 2023-12-31 0000888491 ohi:OtherRealEstateJointVentureInvestmentsMember ohi:VariousFacilityTypesMember 2025-06-30 0000888491 ohi:OtherRealEstateJointVentureInvestmentsMember ohi:VariousFacilityTypesMember 2024-12-31 0000888491 ohi:LakewayRealtyLLCMember ohi:SpecialtyFacilityMember 2024-12-31 0000888491 ohi:SecondSpringHealthcareInvestmentsMember 2024-12-31 0000888491 srt:MinimumMember ohi:OtherRealEstateJointVentureInvestmentsMember ohi:VariousFacilityTypesMember 2025-06-30 0000888491 srt:MaximumMember ohi:OtherRealEstateJointVentureInvestmentsMember ohi:VariousFacilityTypesMember 2025-06-30 0000888491 srt:MinimumMember ohi:OtherHealthcareJointVentureInvestmentsMember 2025-06-30 0000888491 srt:MaximumMember ohi:OtherHealthcareJointVentureInvestmentsMember 2025-06-30 0000888491 ohi:LakewayRealtyLLCMember ohi:SpecialtyFacilityMember 2025-06-30 0000888491 ohi:SecondSpringHealthcareInvestmentsMember 2025-06-30 0000888491 us-gaap:AccumulatedDistributionsInExcessOfNetIncomeMember 2025-04-01 2025-06-30 0000888491 us-gaap:AccumulatedDistributionsInExcessOfNetIncomeMember 2025-01-01 2025-06-30 0000888491 us-gaap:AccumulatedDistributionsInExcessOfNetIncomeMember 2024-04-01 2024-06-30 0000888491 us-gaap:AccumulatedDistributionsInExcessOfNetIncomeMember 2024-01-01 2024-06-30 0000888491 ohi:InternalCreditRatingFiveMember 2025-01-01 2025-06-30 0000888491 ohi:InternalCreditRatingFiveMember 2024-12-31 0000888491 ohi:InternalCreditRatingFiveMember 2024-06-30 0000888491 ohi:InternalCreditRatingFiveMember 2023-12-31 0000888491 ohi:InternalCreditRatingFiveMember 2024-01-01 2024-06-30 0000888491 stpr:MD 2025-06-30 0000888491 us-gaap:InterestRateSwapMember us-gaap:CashFlowHedgingMember 2025-06-30 0000888491 us-gaap:InterestRateCapMember 2025-06-30 0000888491 us-gaap:ForeignExchangeForwardMember 2025-04-01 2025-04-30 0000888491 us-gaap:InterestRateSwapMember us-gaap:CashFlowHedgingMember us-gaap:ForwardContractsMember 2023-05-31 2023-05-31 0000888491 us-gaap:InterestRateSwapMember us-gaap:CashFlowHedgingMember us-gaap:ForwardContractsMember 2020-10-01 2021-03-31 0000888491 us-gaap:ForeignExchangeForwardMember us-gaap:NetInvestmentHedgingMember 2025-06-30 0000888491 us-gaap:ForeignExchangeForwardMember 2025-04-30 0000888491 us-gaap:InterestRateSwapMember us-gaap:CashFlowHedgingMember us-gaap:ForwardContractsMember 2020-03-27 0000888491 ohi:GenesisHealthcareMember ohi:OmegaHealthcareDipSponsorLoanMember us-gaap:SubsequentEventMember 2025-07-31 0000888491 ohi:GenesisHealthcareMember ohi:OmegaHealthcareAndOtherDipSponsorLoanMember us-gaap:SubsequentEventMember 2025-07-31 0000888491 ohi:ConsulateHealthCareMember ohi:OmegaHealthcareDipSponsorLoanMember 2024-06-03 0000888491 ohi:GulfCoastLlcMember ohi:NotesReceivableOtherNotes25MillionSeniorSecuredFacilityMember 2021-10-31 0000888491 us-gaap:SecuredDebtMember 2025-06-30 0000888491 us-gaap:SecuredDebtMember 2024-12-31 0000888491 ohi:SeniorTermLoanDue2025Member us-gaap:UnsecuredDebtMember 2025-01-01 2025-06-30 0000888491 ohi:SeniorNotesDue2033Member us-gaap:SeniorNotesMember 2025-01-01 2025-06-30 0000888491 ohi:SeniorNotesDue2031Member us-gaap:SeniorNotesMember 2025-01-01 2025-06-30 0000888491 ohi:SeniorNotesDue2030Member us-gaap:SeniorNotesMember 2025-01-01 2025-06-30 0000888491 ohi:SeniorNotesDue2029Member us-gaap:SeniorNotesMember 2025-01-01 2025-06-30 0000888491 ohi:SeniorNotesDue2028Member us-gaap:SeniorNotesMember 2025-01-01 2025-06-30 0000888491 ohi:SeniorNotesDue2027Member us-gaap:SeniorNotesMember 2025-01-01 2025-06-30 0000888491 ohi:SeniorNotesDue2026Member us-gaap:SeniorNotesMember 2025-01-01 2025-06-30 0000888491 ohi:SeniorNotesDue2025Member us-gaap:SeniorNotesMember 2025-01-01 2025-06-30 0000888491 ohi:OmegaOpTermLoanMember us-gaap:UnsecuredDebtMember 2025-01-01 2025-06-30 0000888491 ohi:MortgageLoanDue2026Member us-gaap:SecuredDebtMember 2025-01-01 2025-06-30 0000888491 ohi:SeniorNotesDue2030Member us-gaap:SeniorNotesMember 2025-06-20 2025-06-20 0000888491 us-gaap:RevolvingCreditFacilityMember ohi:UnitedStatesDollarTrancheMember us-gaap:UnsecuredDebtMember 2025-06-30 0000888491 us-gaap:RevolvingCreditFacilityMember ohi:RevolvingCreditFacilityDue2025Member us-gaap:UnsecuredDebtMember 2025-06-30 0000888491 us-gaap:RevolvingCreditFacilityMember ohi:BritishPoundSterlingTrancheMember us-gaap:UnsecuredDebtMember 2025-06-30 0000888491 ohi:SeniorNotesDue2025Member us-gaap:SeniorNotesMember 2025-06-30 0000888491 ohi:MortgageLoanDue2026Member us-gaap:SecuredDebtMember 2025-06-30 0000888491 ohi:SeniorNotesDue2033Member 2025-06-30 0000888491 ohi:SeniorNotesDue2031Member 2025-06-30 0000888491 ohi:SeniorNotesDue2030Member 2025-06-30 0000888491 ohi:SeniorNotesDue2029Member 2025-06-30 0000888491 ohi:SeniorNotesDue2028Member 2025-06-30 0000888491 ohi:SeniorNotesDue2027Member 2025-06-30 0000888491 ohi:SeniorNotesDue2026Member 2025-06-30 0000888491 ohi:SeniorNotesDue2025Member 2025-06-30 0000888491 ohi:SeniorNotesDue2025Member us-gaap:SeniorNotesMember 2025-01-15 0000888491 ohi:SeniorNotesDue2033Member 2024-12-31 0000888491 ohi:SeniorNotesDue2031Member 2024-12-31 0000888491 ohi:SeniorNotesDue2029Member 2024-12-31 0000888491 ohi:SeniorNotesDue2028Member 2024-12-31 0000888491 ohi:SeniorNotesDue2027Member 2024-12-31 0000888491 ohi:SeniorNotesDue2026Member 2024-12-31 0000888491 ohi:SeniorNotesDue2025Member 2024-12-31 0000888491 ohi:SeniorNotesDue2033Member us-gaap:SeniorNotesMember 2021-03-31 0000888491 ohi:SeniorNotesDue2031Member us-gaap:SeniorNotesMember 2020-10-31 0000888491 2024-01-01 2024-12-31 0000888491 ohi:SeniorTermLoanDue2025Member us-gaap:UnsecuredDebtMember 2025-06-30 0000888491 ohi:SeniorNotesDue2033Member us-gaap:SeniorNotesMember 2025-06-30 0000888491 ohi:SeniorNotesDue2031Member us-gaap:SeniorNotesMember 2025-06-30 0000888491 ohi:SeniorNotesDue2030Member us-gaap:SeniorNotesMember 2025-06-30 0000888491 ohi:SeniorNotesDue2029Member us-gaap:SeniorNotesMember 2025-06-30 0000888491 ohi:SeniorNotesDue2028Member us-gaap:SeniorNotesMember 2025-06-30 0000888491 ohi:SeniorNotesDue2027Member us-gaap:SeniorNotesMember 2025-06-30 0000888491 ohi:SeniorNotesDue2026Member us-gaap:SeniorNotesMember 2025-06-30 0000888491 ohi:SeniorTermLoanDue2025Member 2025-06-30 0000888491 ohi:SeniorTermLoanDue2025Member us-gaap:UnsecuredDebtMember 2024-12-31 0000888491 ohi:SeniorNotesDue2033Member us-gaap:SeniorNotesMember 2024-12-31 0000888491 ohi:SeniorNotesDue2031Member us-gaap:SeniorNotesMember 2024-12-31 0000888491 ohi:SeniorNotesDue2029Member us-gaap:SeniorNotesMember 2024-12-31 0000888491 ohi:SeniorNotesDue2028Member us-gaap:SeniorNotesMember 2024-12-31 0000888491 ohi:SeniorNotesDue2027Member us-gaap:SeniorNotesMember 2024-12-31 0000888491 ohi:SeniorNotesDue2026Member us-gaap:SeniorNotesMember 2024-12-31 0000888491 ohi:SeniorNotesDue2025Member us-gaap:SeniorNotesMember 2024-12-31 0000888491 ohi:RealEstateLoansReceivableMember 2025-06-30 0000888491 ohi:LessorConstructionAndCapitalCommitmentsUnderLeaseAgreementsMember 2025-06-30 0000888491 stpr:MD 2025-03-31 0000888491 ohi:MaplewoodRealEstateHoldingsMember us-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember us-gaap:SalesRevenueNetMember us-gaap:CustomerConcentrationRiskMember 2025-04-01 2025-06-30 0000888491 ohi:CommunicareHealthServicesIncMember us-gaap:SalesRevenueNetMember us-gaap:CustomerConcentrationRiskMember 2025-04-01 2025-06-30 0000888491 ohi:MaplewoodRealEstateHoldingsMember us-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember us-gaap:SalesRevenueNetMember us-gaap:CustomerConcentrationRiskMember 2025-01-01 2025-06-30 0000888491 us-gaap:AssetsTotalMember us-gaap:ProductConcentrationRiskMember ohi:RealEstateInvestmentRelatedToLongTermHealthcareFacilitiesMember 2025-01-01 2025-06-30 0000888491 stpr:TX us-gaap:AssetsTotalMember us-gaap:GeographicConcentrationRiskMember 2025-01-01 2025-06-30 0000888491 stpr:IN us-gaap:AssetsTotalMember us-gaap:GeographicConcentrationRiskMember 2025-01-01 2025-06-30 0000888491 ohi:OperatorPlacedOnCashBasisMember us-gaap:SalesRevenueProductLineMember us-gaap:CustomerConcentrationRiskMember 2025-01-01 2025-06-30 0000888491 ohi:CommunicareHealthServicesIncMember us-gaap:SalesRevenueNetMember us-gaap:CustomerConcentrationRiskMember 2025-01-01 2025-06-30 0000888491 ohi:CommunicareHealthServicesIncMember us-gaap:AssetsTotalMember us-gaap:ProductConcentrationRiskMember 2025-01-01 2025-06-30 0000888491 country:GB us-gaap:AssetsTotalMember us-gaap:GeographicConcentrationRiskMember 2025-01-01 2025-06-30 0000888491 ohi:MaplewoodRealEstateHoldingsMember us-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember us-gaap:SalesRevenueNetMember us-gaap:CustomerConcentrationRiskMember 2024-04-01 2024-06-30 0000888491 ohi:CommunicareHealthServicesIncMember us-gaap:SalesRevenueNetMember us-gaap:CustomerConcentrationRiskMember 2024-04-01 2024-06-30 0000888491 ohi:MaplewoodRealEstateHoldingsMember us-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember us-gaap:SalesRevenueNetMember us-gaap:CustomerConcentrationRiskMember 2024-01-01 2024-06-30 0000888491 ohi:OperatorPlacedOnCashBasisMember us-gaap:SalesRevenueProductLineMember us-gaap:CustomerConcentrationRiskMember 2024-01-01 2024-06-30 0000888491 ohi:CommunicareHealthServicesIncMember us-gaap:SalesRevenueNetMember us-gaap:CustomerConcentrationRiskMember 2024-01-01 2024-06-30 0000888491 2025-06-06 0000888491 2025-06-05 0000888491 ohi:O2025Q2DividendsMember 2025-04-01 2025-06-30 0000888491 ohi:O2025Q1DividendsMember 2025-01-01 2025-03-31 0000888491 ohi:O2024Q4DividendsMember 2024-10-01 2024-12-31 0000888491 us-gaap:AccountsPayableAndAccruedLiabilitiesMember us-gaap:CashFlowHedgingMember 2025-06-30 0000888491 us-gaap:AccountsPayableAndAccruedLiabilitiesMember us-gaap:CashFlowHedgingMember 2024-12-31 0000888491 us-gaap:OtherAssetsMember us-gaap:CashFlowHedgingMember 2025-06-30 0000888491 us-gaap:OtherAssetsMember us-gaap:CashFlowHedgingMember 2024-12-31 0000888491 us-gaap:VariableInterestEntityPrimaryBeneficiaryMember 2025-06-30 0000888491 us-gaap:VariableInterestEntityPrimaryBeneficiaryMember 2024-12-31 0000888491 us-gaap:OperatingSegmentsMember 2025-04-01 2025-06-30 0000888491 us-gaap:OperatingSegmentsMember 2025-01-01 2025-06-30 0000888491 us-gaap:OperatingSegmentsMember 2024-04-01 2024-06-30 0000888491 us-gaap:OperatingSegmentsMember 2024-01-01 2024-06-30 0000888491 us-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember us-gaap:AssetPledgedAsCollateralWithRightMember us-gaap:NotesPayableOtherPayablesMember 2025-06-30 0000888491 us-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember us-gaap:AssetPledgedAsCollateralWithRightMember us-gaap:NotesPayableOtherPayablesMember 2024-12-31 0000888491 us-gaap:NotesReceivableMember 2025-06-30 0000888491 us-gaap:NotesReceivableMember 2024-12-31 0000888491 ohi:FiveHundredMillionStockRepurchaseProgramMember 2025-06-30 0000888491 ohi:FiveHundredMillionStockRepurchaseProgramMember 2024-06-30 0000888491 us-gaap:ParentMember 2025-04-01 2025-06-30 0000888491 us-gaap:NoncontrollingInterestMember 2025-04-01 2025-06-30 0000888491 us-gaap:AdditionalPaidInCapitalMember 2025-04-01 2025-06-30 0000888491 us-gaap:ParentMember 2025-01-01 2025-06-30 0000888491 us-gaap:NoncontrollingInterestMember 2025-01-01 2025-06-30 0000888491 us-gaap:AdditionalPaidInCapitalMember 2025-01-01 2025-06-30 0000888491 us-gaap:ParentMember 2024-04-01 2024-06-30 0000888491 us-gaap:NoncontrollingInterestMember 2024-04-01 2024-06-30 0000888491 us-gaap:AdditionalPaidInCapitalMember 2024-04-01 2024-06-30 0000888491 us-gaap:ParentMember 2024-01-01 2024-06-30 0000888491 us-gaap:NoncontrollingInterestMember 2024-01-01 2024-06-30 0000888491 us-gaap:AdditionalPaidInCapitalMember 2024-01-01 2024-06-30 0000888491 us-gaap:EmploymentContractsMember 2025-01-01 2025-06-30 0000888491 2024-06-30 0000888491 2023-12-31 0000888491 ohi:MaplewoodRealEstateHoldingsMember us-gaap:SubsequentEventMember 2025-07-01 2025-07-31 0000888491 us-gaap:UnsecuredDebtMember 2025-06-30 0000888491 us-gaap:UnsecuredDebtMember 2024-12-31 0000888491 ohi:SeniorTermLoanDue2025Member us-gaap:EstimateOfFairValueFairValueDisclosureMember 2025-06-30 0000888491 ohi:SeniorTermLoanDue2025Member us-gaap:CarryingReportedAmountFairValueDisclosureMember 2025-06-30 0000888491 ohi:MortgageLoanDue2026Member us-gaap:EstimateOfFairValueFairValueDisclosureMember 2025-06-30 0000888491 ohi:MortgageLoanDue2026Member us-gaap:CarryingReportedAmountFairValueDisclosureMember 2025-06-30 0000888491 ohi:SeniorTermLoanDue2025Member us-gaap:EstimateOfFairValueFairValueDisclosureMember 2024-12-31 0000888491 ohi:SeniorTermLoanDue2025Member us-gaap:CarryingReportedAmountFairValueDisclosureMember 2024-12-31 0000888491 ohi:MortgageLoanDue2026Member us-gaap:EstimateOfFairValueFairValueDisclosureMember 2024-12-31 0000888491 ohi:MortgageLoanDue2026Member us-gaap:CarryingReportedAmountFairValueDisclosureMember 2024-12-31 0000888491 us-gaap:NotesReceivableMember 2025-01-01 2025-06-30 0000888491 ohi:MortgageReceivablesAndOtherRealEstateLoansMember 2025-01-01 2025-06-30 0000888491 ohi:CertainOfficersAndKeyEmployeesMember ohi:PerformanceBasedRestrictedStockUnitsAndProfitInterestUnitsMember 2025-01-01 2025-03-31 0000888491 ohi:CertainEmployeesMember ohi:PerformanceBasedRestrictedStockUnitsMember 2025-01-01 2025-03-31 0000888491 stpr:TX 2025-04-01 2025-06-30 0000888491 stpr:SC 2025-04-01 2025-06-30 0000888491 stpr:NM 2025-04-01 2025-06-30 0000888491 stpr:CA 2025-04-01 2025-06-30 0000888491 ohi:UnitedKingdomAndBailiwickOfJerseyMember 2025-04-01 2025-06-30 0000888491 ohi:FacilitiesAcquiredMember ohi:UnitedKingdomAndBailiwickOfJerseyMember 2025-04-01 2025-04-30 0000888491 stpr:TX 2025-01-01 2025-03-31 0000888491 country:GB 2025-01-01 2025-03-31 0000888491 ohi:FacilitiesAcquiredMember srt:WeightedAverageMember ohi:UnitedKingdomAndBailiwickOfJerseyMember us-gaap:ScenarioPlanMember 2030-05-01 0000888491 ohi:AvardisMember 2025-06-01 0000888491 ohi:FacilitiesAcquiredMember srt:WeightedAverageMember ohi:UnitedKingdomAndBailiwickOfJerseyMember 2025-04-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember 2025-04-01 2025-06-30 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember 2025-04-01 2025-06-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember 2025-01-01 2025-06-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember 2024-04-01 2024-06-30 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember 2024-04-01 2024-06-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember 2024-01-01 2024-06-30 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember 2024-01-01 2024-06-30 0000888491 ohi:OtherRealEstateJointVentureInvestmentsMember 2025-06-30 0000888491 ohi:OtherHealthcareJointVentureInvestmentsMember 2025-06-30 0000888491 ohi:OtherRealEstateJointVentureInvestmentsMember 2024-12-31 0000888491 ohi:OtherHealthcareJointVentureInvestmentsMember 2024-12-31 0000888491 ohi:CommunicareHealthServicesIncMember 2025-04-01 2025-06-30 0000888491 ohi:CommunicareHealthServicesIncMember 2025-01-01 2025-06-30 0000888491 ohi:MaplewoodRealEstateHoldingsMember 2025-06-30 0000888491 ohi:MaplewoodRealEstateHoldingsMember 2024-12-31 0000888491 ohi:NewOperatorMember 2025-04-01 2025-06-30 0000888491 ohi:ExistingOperatorMember 2025-04-01 2025-06-30 0000888491 ohi:NewOperatorMember 2025-01-01 2025-06-30 0000888491 ohi:ExistingOperatorMember 2025-01-01 2025-06-30 0000888491 ohi:NewOperatorMember 2024-01-01 2024-06-30 0000888491 ohi:OperatorPlacedOnCashBasisMember 2025-06-30 0000888491 ohi:FacilitiesAcquiredMember ohi:NewOperatorMember ohi:UnitedKingdomAndBailiwickOfJerseyMember 2025-04-30 0000888491 ohi:FacilitiesAcquiredMember ohi:ExistingOperatorMember ohi:UnitedKingdomAndBailiwickOfJerseyMember 2025-04-30 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember 2025-01-01 2025-06-30 0000888491 ohi:TwelveNewRealEstateLoansMember 2025-04-01 2025-06-30 0000888491 ohi:ThreeNewNonRealEstateLoanMember 2025-04-01 2025-06-30 0000888491 ohi:FourteenNewRealEstateLoansMember 2025-01-01 2025-06-30 0000888491 ohi:FourNewNonRealEstateLoansMember 2025-01-01 2025-06-30 0000888491 ohi:FourNewRealEstateLoansMember 2024-04-01 2024-06-30 0000888491 ohi:FiveNewNonRealEstateLoansMember 2024-04-01 2024-06-30 0000888491 ohi:FiveNewNonRealEstateLoansMember 2024-01-01 2024-06-30 0000888491 ohi:ElevenNewRealEstateLoansMember 2024-01-01 2024-06-30 0000888491 us-gaap:MortgageReceivablesMember 2025-06-30 0000888491 ohi:OneOperatorMember ohi:ThreeMortgageLoansSecuredBy12AssistedLivingFacilitiesMember us-gaap:SubsequentEventMember 2025-07-01 2025-07-31 0000888491 ohi:SeniorTermLoanDue2025Member us-gaap:SubsequentEventMember 2025-07-01 2025-07-31 0000888491 us-gaap:RevolvingCreditFacilityMember ohi:RevolvingCreditFacilityDue2025Member us-gaap:UnsecuredDebtMember 2025-01-01 2025-06-30 0000888491 ohi:SeniorTermLoanDue2025Member 2025-01-01 2025-06-30 0000888491 2025-01-01 2025-03-31 0000888491 ohi:GenesisHealthcareMember ohi:NonRealEstateLoansReceivable3LoansMember 2025-06-30 0000888491 ohi:GenesisHealthcareMember 2025-06-30 0000888491 ohi:AvardisMember 2025-06-01 2025-06-01 0000888491 us-gaap:MortgageReceivablesMember 2025-01-01 2025-06-30 0000888491 us-gaap:LoansReceivableMember 2025-01-01 2025-06-30 0000888491 ohi:WorkingCapitalLoansMember 2025-01-01 2025-06-30 0000888491 ohi:NotesReceivableOtherNoteMember 2025-01-01 2025-06-30 0000888491 srt:MinimumMember us-gaap:MortgageReceivablesMember 2025-01-01 2025-06-30 0000888491 srt:MinimumMember us-gaap:LoansReceivableMember 2025-01-01 2025-06-30 0000888491 srt:MinimumMember ohi:WorkingCapitalLoansMember 2025-01-01 2025-06-30 0000888491 srt:MinimumMember ohi:NotesReceivableOtherNoteMember 2025-01-01 2025-06-30 0000888491 srt:MaximumMember us-gaap:MortgageReceivablesMember 2025-01-01 2025-06-30 0000888491 srt:MaximumMember us-gaap:LoansReceivableMember 2025-01-01 2025-06-30 0000888491 srt:MaximumMember ohi:WorkingCapitalLoansMember 2025-01-01 2025-06-30 0000888491 srt:MaximumMember ohi:NotesReceivableOtherNoteMember 2025-01-01 2025-06-30 0000888491 ohi:OtherNotesMaturing2025Member 2025-01-01 2025-06-30 0000888491 ohi:NotesReceivableDue2025WorkingCapitalMember 2025-01-01 2025-06-30 0000888491 srt:WeightedAverageMember ohi:TwelveNewRealEstateLoansMember 2025-04-01 2025-06-30 0000888491 srt:WeightedAverageMember ohi:FourteenNewRealEstateLoansMember 2025-01-01 2025-06-30 0000888491 srt:WeightedAverageMember ohi:FourNewRealEstateLoansMember 2024-04-01 2024-06-30 0000888491 srt:WeightedAverageMember ohi:ElevenNewRealEstateLoansMember 2024-01-01 2024-06-30 0000888491 ohi:OneOperatorOnCashBasisMember 2025-03-31 0000888491 2024-12-31 0000888491 srt:MinimumMember us-gaap:IndemnificationGuaranteeMember 2025-01-01 2025-06-30 0000888491 srt:MaximumMember us-gaap:IndemnificationGuaranteeMember 2025-01-01 2025-06-30 0000888491 ohi:EquityShelfProgram1.25BillionMember 2025-04-01 2025-06-30 0000888491 ohi:EquityShelfProgram1.25BillionMember 2025-01-01 2025-06-30 0000888491 ohi:EquityShelfProgram1BillionMember 2024-04-01 2024-06-30 0000888491 ohi:EquityShelfProgram1BillionMember 2024-01-01 2024-06-30 0000888491 2025-06-30 0000888491 ohi:OneOtherRealEstateLoanMember 2025-01-01 2025-06-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:InternalCreditRatingSixMember 2025-06-30 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember ohi:InternalCreditRatingThreeMember 2025-06-30 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember ohi:InternalCreditRatingSixMember 2025-06-30 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember ohi:InternalCreditRatingFourMember 2025-06-30 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember ohi:InternalCreditRatingFiveMember 2025-06-30 0000888491 ohi:InvestmentTypeCharacteristicNonRealEstateRelatedLoansMember 2025-06-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:InternalCreditRatingTwoMember 2025-06-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember ohi:InternalCreditRatingFourMember 2025-06-30 0000888491 ohi:InvestmentTypeCharacteristicRealEstateRelatedLoansMember 2025-06-30 0000888491 ohi:OneOperatorMember ohi:ThreeMortgageLoansSecuredBy12AssistedLivingFacilitiesMember us-gaap:SubsequentEventMember 2025-07-31 0000888491 ohi:GenesisHealthcareMember srt:WeightedAverageMember ohi:NonRealEstateLoansReceivable2LoansMember 2025-06-30 0000888491 srt:WeightedAverageMember us-gaap:MortgageReceivablesMember 2025-06-30 0000888491 srt:WeightedAverageMember us-gaap:LoansReceivableMember 2025-06-30 0000888491 srt:WeightedAverageMember ohi:WorkingCapitalLoansMember 2025-06-30 0000888491 srt:WeightedAverageMember ohi:ThreeAndFourNewNonRealEstateLoanMember 2025-06-30 0000888491 srt:WeightedAverageMember ohi:NotesReceivableOtherNoteMember 2025-06-30 0000888491 ohi:MaplewoodRealEstateHoldingsMember us-gaap:LoansReceivableMember 2025-06-30 0000888491 ohi:GenesisHealthcareMember ohi:NonRealEstateLoansReceivable2LoansMember 2025-06-30 0000888491 ohi:CienaHealthcareMember srt:WeightedAverageMember 2025-06-30 0000888491 srt:WeightedAverageMember ohi:FiveNewNonRealEstateLoansMember 2024-06-30 0000888491 ohi:OtherNotesThreeLoansPastDueMember 2025-06-30 0000888491 ohi:MortgageNotesRelatedToTwoCurrentlyPastDueMember 2025-06-30 0000888491 ohi:EquityShelfProgram1.25BillionMember 2024-07-01 2024-09-30 0000888491 ohi:EquityShelfProgram1BillionMember 2021-04-01 2021-06-30 0000888491 us-gaap:InterestRateSwapMember us-gaap:CashFlowHedgingMember us-gaap:ForwardContractsMember 2023-05-31 0000888491 us-gaap:InterestRateSwapMember 2025-06-30 0000888491 us-gaap:InterestRateSwapMember us-gaap:CashFlowHedgingMember us-gaap:ForwardContractsMember 2020-03-27 2020-03-27 0000888491 ohi:MaplewoodRealEstateHoldingsMember 2024-01-01 2024-06-30 0000888491 ohi:GulfCoastLlcMember ohi:NotesReceivableOtherNotes25MillionSeniorSecuredFacilityMember 2025-01-01 2025-06-30 0000888491 ohi:GulfCoastLlcMember ohi:NotesReceivableOtherNotes25MillionSeniorSecuredFacilityMember 2024-01-01 2024-06-30 0000888491 ohi:SeniorNotesDue2030Member us-gaap:SeniorNotesMember 2025-06-20 0000888491 ohi:SeniorTermLoanDue2025Member 2025-06-01 2025-06-30 0000888491 2024-04-01 2024-06-30 0000888491 ohi:AvardisMember us-gaap:SubsequentEventMember 2025-07-01 2025-07-31 0000888491 ohi:AvardisMember 2025-06-01 2025-06-30 0000888491 ohi:GenesisHealthcareMember 2025-01-01 2025-06-30 0000888491 ohi:GenesisHealthcareMember us-gaap:SubsequentEventMember 2025-07-01 2025-07-31 0000888491 ohi:MaplewoodRealEstateHoldingsMember us-gaap:LoansReceivableMember 2025-04-01 2025-06-30 0000888491 ohi:MaplewoodRealEstateHoldingsMember 2025-04-01 2025-06-30 0000888491 ohi:MaplewoodRealEstateHoldingsMember us-gaap:LoansReceivableMember 2025-01-01 2025-06-30 0000888491 ohi:MaplewoodRealEstateHoldingsMember 2025-01-01 2025-06-30 0000888491 ohi:MaplewoodRealEstateHoldingsMember us-gaap:LoansReceivableMember 2024-04-01 2024-06-30 0000888491 ohi:MaplewoodRealEstateHoldingsMember us-gaap:LoansReceivableMember 2024-01-01 2024-06-30 0000888491 us-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember ohi:PersonalGuaranteeCollateralMember 2025-06-30 0000888491 us-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember ohi:OtherCollateralMember 2025-06-30 0000888491 us-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember 2025-06-30 0000888491 us-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember ohi:PersonalGuaranteeCollateralMember 2024-12-31 0000888491 us-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember ohi:OtherCollateralMember 2024-12-31 0000888491 us-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember 2024-12-31 0000888491 2024-01-01 2024-06-30 0000888491 us-gaap:EstimateOfFairValueFairValueDisclosureMember 2025-06-30 0000888491 us-gaap:CarryingReportedAmountFairValueDisclosureMember 2025-06-30 0000888491 us-gaap:EstimateOfFairValueFairValueDisclosureMember 2024-12-31 0000888491 us-gaap:CarryingReportedAmountFairValueDisclosureMember 2024-12-31 0000888491 2025-04-01 2025-06-30 0000888491 2025-07-29 0000888491 2025-01-01 2025-06-30 ohi:state xbrli:shares iso4217:USD xbrli:pure ohi:contract ohi:item ohi:loan iso4217:USD xbrli:shares iso4217:GBP ohi:facility

Table of Contents

​

​

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-Q

(Mark One)

​ | ​
☒ | QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

​

For the quarterly period ended June 30, 2025

or

​

​ | ​
☐ | TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

​

For the transition period from to

​

OMEGA HEALTHCARE INVESTORS, INC.

(Exact name of registrant as specified in its charter)

​

​ | ​ | ​
Maryland | 1-11316 | 38-3041398
(State or other jurisdiction of incorporation or organization) | (Commission file number) | (IRS Employer Identification No.)

​

303 International Circle, Suite 200, Hunt Valley, MD 21030

(Address of principal executive offices)

​

(410) 427-1700

(Registrant’s telephone number, including area code)

​

Securities registered pursuant to Section 12(b) of the Securities Exchange Act of 1934

​

Title of each class | Trading Symbol(s) | Name of each exchange on which registered
Common Stock, $.10 par value | OHI | New York Stock Exchange

​

​

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports) and (2) has been subject to such filing requirements for the past 90 days.

​

​ | ​
Yes ☒ No ☐ | ​

​

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).

​

​ | ​
Yes ☒ No ☐ | ​

​

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.

​

​ | ​ | ​ | ​ | ​
Large accelerated filer ⌧ | Accelerated filer ◻ | Non-accelerated filer ◻ | Smaller reporting company ☐ | Emerging growth company ☐

​

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

​

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).

Yes ☐ | No ☒ | ​ | ​

​

As of July 29, 2025, there were 295,000 thousand shares of common stock outstanding.

​

​

​

​

​

​

​

Table of Contents

OMEGA HEALTHCARE INVESTORS, INC.

FORM 10-Q

June 30, 2025

​ | ​ | ​
TABLE OF CONTENTS
​ | ​ | Page No.
PART I | Financial Information | ​
​ | ​ | ​
Item 1. | Financial Statements of Omega Healthcare Investors, Inc. (Unaudited): | ​
​ | ​ | ​
​ | Consolidated Balance Sheets | 2
​ | ​ | ​
​ | Consolidated Statements of Operations | 3
​ | ​ | ​
​ | Consolidated Statements of Comprehensive Income | 4
​ | ​ | ​
​ | Consolidated Statements of Equity | 5
​ | ​ | ​
​ | Consolidated Statements of Cash Flows | 7
​ | ​ | ​
​ | Notes to Consolidated Financial Statements | 8
​ | ​ | ​
Item 2. | Management’s Discussion and Analysis of Financial Condition and Results of Operations | 33
​ | ​ | ​
Item 3. | Quantitative and Qualitative Disclosures About Market Risk | 50
​ | ​ | ​
Item 4. | Controls and Procedures | 51
​ | ​ | ​
PART II | Other Information | ​
​ | ​ | ​
Item 1. | Legal Proceedings | 52
​ | ​ | ​
Item 1A. | Risk Factors | 52
​ | ​ | ​
Item 2. | Unregistered Sales of Equity Securities and Use of Proceeds | 52
​ | ​ | ​
Item 5. | Other Information | 52
​ | ​ | ​
Item 6. | Exhibits | 53

​

​

​

​

Table of Contents

​

PART I – FINANCIAL INFORMATION

Item 1 - Financial Statements

OMEGA HEALTHCARE INVESTORS, INC.

CONSOLIDATED BALANCE SHEETS

(in thousands, except per share amounts)

​ | ​ | ​ | ​ | ​ | ​ | ​
​ |  | June 30, |  | December 31,
​ |  | 2025 |  | 2024
​ | ​ | (Unaudited) | ​ | ​ | ​
ASSETS | ​ | ​ | ​ | ​ | ​
Real estate assets |  | ​ |  |  | ​ |
Buildings and improvements | ​ | $ | 7,883,685 |  | $ | 7,342,497
Land | ​ | ​ | 1,178,725 | ​ | ​ | 996,701
Furniture and equipment | ​ | ​ | 539,342 | ​ | ​ | 510,106
Construction in progress | ​ | ​ | 9,449 | ​ | ​ | 210,870
Total real estate assets | ​ | ​ | 9,611,201 | ​ | ​ | 9,060,174
Less accumulated depreciation | ​ |  | (2,816,053) |  |  | (2,721,016)
Real estate assets – net | ​ |  | 6,795,148 |  |  | 6,339,158
Investments in direct financing leases – net | ​ |  | — |  |  | 9,453
Real estate loans receivable – net | ​ |  | 1,416,820 |  |  | 1,428,298
Investments in unconsolidated joint ventures | ​ |  | 85,429 |  |  | 88,711
Assets held for sale | ​ |  | 12,358 |  |  | 56,194
Total real estate investments | ​ | ​ | 8,309,755 | ​ | ​ | 7,921,814
Non-real estate loans receivable – net | ​ |  | 333,340 |  |  | 332,274
Total investments | ​ |  | 8,643,095 |  |  | 8,254,088
​ | ​ | ​ | ​ | ​ | ​ | ​
Cash and cash equivalents | ​ |  | 734,184 |  |  | 518,340
Restricted cash | ​ |  | 38,400 |  |  | 30,395
Contractual receivables – net | ​ |  | 11,552 |  |  | 12,611
Other receivables and lease inducements | ​ | ​ | 257,133 | ​ | ​ | 249,317
Goodwill | ​ |  | 644,888 |  |  | 643,664
Other assets | ​ |  | 217,224 |  |  | 189,476
Total assets | ​ | $ | 10,546,476 |  | $ | 9,897,891
​ | ​ | ​ | ​ | ​ | ​ | ​
LIABILITIES AND EQUITY | ​ |  |  |  |  |
Revolving credit facility | ​ | $ | — |  | $ | —
Secured borrowings | ​ |  | 260,942 |  |  | 243,310
Senior notes and other unsecured borrowings – net | ​ |  | 4,739,491 |  |  | 4,595,549
Accrued expenses and other liabilities | ​ |  | 357,036 |  |  | 328,193
Total liabilities | ​ |  | 5,357,469 |  |  | 5,167,052
​ | ​ | ​ | ​ | ​ | ​ | ​
Preferred stock $1.00 par value authorized – 20,000 shares, issued and outstanding – none | ​ | ​ | — | ​ | ​ | —
Common stock $0.10 par value authorized – 700,000 shares, issued and outstanding – 293,149 shares as of June 30, 2025 and 279,129 shares as of December 31, 2024 | ​ |  | 29,314 |  | ​ | 27,912
Additional paid-in capital | ​ |  | 8,430,299 |  | ​ | 7,915,873
Cumulative net earnings | ​ |  | 4,332,538 |  | ​ | 4,086,907
Cumulative dividends paid | ​ |  | (7,900,668) |  | ​ | (7,516,750)
Accumulated other comprehensive income | ​ |  | 96,814 |  | ​ | 22,731
Total stockholders’ equity | ​ |  | 4,988,297 |  | ​ | 4,536,673
Noncontrolling interest | ​ |  | 200,710 |  | ​ | 194,166
Total equity | ​ |  | 5,189,007 |  | ​ | 4,730,839
Total liabilities and equity | ​ | $ | 10,546,476 |  | $ | 9,897,891

See notes to consolidated financial statements.

2

Table of Contents

OMEGA HEALTHCARE INVESTORS, INC.

CONSOLIDATED STATEMENTS OF OPERATIONS

Unaudited

(in thousands, except per share amounts)

​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
​ | ​ | Three Months Ended | ​ | ​ | Six Months Ended
​ |  | June 30, |  | ​ | June 30,
​ |  | 2025 |  | 2024 |  | ​ | 2025 |  | 2024
Revenues | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
Rental income | ​ | $ | 239,202 | ​ | $ | 214,315 |  | ​ | $ | 471,380 | ​ | $ | 421,236
Interest income | ​ |  | 42,997 | ​ |  | 38,042 |  | ​ |  | 86,113 | ​ |  | 73,878
Miscellaneous income | ​ |  | 307 | ​ |  | 388 |  | ​ |  | 1,798 | ​ |  | 930
Total revenues | ​ |  | 282,506 | ​ |  | 252,745 |  | ​ |  | 559,291 | ​ |  | 496,044
​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
Expenses | ​ |  |  | ​ |  |  |  | ​ |  |  | ​ |  |
Depreciation and amortization | ​ |  | 80,509 | ​ |  | 74,234 |  | ​ |  | 160,384 | ​ |  | 148,791
General and administrative | ​ |  | 23,838 | ​ |  | 22,148 |  | ​ |  | 55,895 | ​ |  | 43,680
Real estate taxes | ​ | ​ | 3,251 | ​ | ​ | 3,750 | ​ | ​ | ​ | 6,562 | ​ | ​ | 7,548
Acquisition, merger and transition related costs | ​ |  | 2,010 | ​ |  | 1,780 |  | ​ |  | 3,474 | ​ |  | 4,383
Impairment on real estate properties | ​ |  | 14,215 | ​ |  | 8,182 |  | ​ |  | 15,450 | ​ |  | 13,474
(Recovery) provision for credit losses | ​ |  | (4,771) | ​ |  | (14,172) |  | ​ |  | 321 | ​ |  | (5,702)
Interest expense | ​ |  | 52,897 | ​ |  | 53,966 |  | ​ |  | 105,177 | ​ |  | 111,786
Total expenses | ​ |  | 171,949 | ​ |  | 149,888 |  | ​ |  | 347,263 | ​ |  | 323,960
​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
Other income (expense) | ​ |  | ​ | ​ |  |  |  | ​ |  | ​ | ​ |  |
Other income – net | ​ |  | 13,751 | ​ |  | 3,363 |  | ​ |  | 16,798 | ​ |  | 8,639
Loss on debt extinguishment | ​ |  | — | ​ |  | (213) |  | ​ |  | — | ​ |  | (1,496)
Gain on assets sold – net | ​ | ​ | 22,886 | ​ | ​ | 12,911 | ​ | ​ | ​ | 32,961 | ​ | ​ | 11,520
Total other income | ​ |  | 36,637 | ​ |  | 16,061 |  | ​ |  | 49,759 | ​ |  | 18,663
​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
Income before income tax expense and income from unconsolidated joint ventures | ​ |  | 147,194 | ​ |  | 118,918 |  | ​ |  | 261,787 | ​ |  | 190,747
Income tax expense | ​ |  | (4,528) | ​ |  | (1,980) |  | ​ |  | (8,139) | ​ |  | (4,561)
(Loss) income from unconsolidated joint ventures | ​ |  | (2,187) | ​ |  | 141 |  | ​ |  | (1,109) | ​ |  | 239
Net income | ​ |  | 140,479 | ​ |  | 117,079 |  | ​ |  | 252,539 | ​ |  | 186,425
Net income attributable to noncontrolling interest | ​ |  | (3,880) | ​ |  | (3,217) |  | ​ |  | (6,908) | ​ |  | (5,202)
Net income available to common stockholders | ​ | $ | 136,599 | ​ | $ | 113,862 |  | ​ | $ | 245,631 | ​ | $ | 181,223
​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
Earnings per common share available to common stockholders: | ​ |  |  | ​ |  |  |  | ​ |  |  | ​ |  |
Basic: | ​ |  |  | ​ |  |  |  | ​ |  |  | ​ |  | ​
Net income available to common stockholders | ​ | $ | 0.46 | ​ | $ | 0.46 |  | ​ | $ | 0.80 | ​ | $ | 0.73
Diluted: | ​ |  |  | ​ |  |  |  | ​ |  |  | ​ |  |
Net income available to common stockholders | ​ | $ | 0.46 | ​ | $ | 0.45 |  | ​ | $ | 0.79 | ​ | $ | 0.72

​

See notes to consolidated financial statements.

​

3

Table of Contents

OMEGA HEALTHCARE INVESTORS, INC.

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME

Unaudited

(in thousands)

​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
​ | ​ | Three Months Ended | ​ | Six Months Ended
​ |  | June 30, |  | June 30,
​ |  | 2025 |  | 2024 |  | 2025 |  | 2024
Net income | ​ | $ | 140,479 | ​ | $ | 117,079 | ​ | $ | 252,539 | ​ | $ | 186,425
Other comprehensive income (loss) | ​ |  | ​ | ​ |  |  | ​ |  | ​ | ​ |  |
Foreign currency translation | ​ |  | 58,204 | ​ |  | 2,292 | ​ |  | 83,575 | ​ |  | (1,996)
Cash flow hedges | ​ |  | (2,360) | ​ |  | 277 | ​ |  | (7,321) | ​ |  | 7,154
Total other comprehensive income | ​ |  | 55,844 | ​ |  | 2,569 | ​ |  | 76,254 | ​ |  | 5,158
Comprehensive income | ​ |  | 196,323 | ​ |  | 119,648 | ​ |  | 328,793 | ​ |  | 191,583
Comprehensive income attributable to noncontrolling interest | ​ |  | (5,476) | ​ |  | (3,293) | ​ |  | (9,079) | ​ |  | (5,353)
Comprehensive income attributable to common stockholders | ​ | $ | 190,847 | ​ | $ | 116,355 | ​ | $ | 319,714 | ​ | $ | 186,230

​

See notes to consolidated financial statements.

​

​

4

Table of Contents

OMEGA HEALTHCARE INVESTORS, INC.

CONSOLIDATED STATEMENTS OF EQUITY

Three Months Ended June 30, 2025 and 2024

Unaudited

(in thousands, except per share amounts)

​

​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | Accumulated | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
​ | ​ | Common | ​ | Additional | ​ | Cumulative | ​ | Cumulative | ​ | Other | ​ | Total | ​ | ​ | ​ | ​
​ | ​ | Stock | ​ | Paid-in | ​ | Net | ​ | Dividends | ​ | Comprehensive | ​ | Stockholders’ | ​ | Noncontrolling | ​ | Total
​ |  | Par Value |  | Capital |  | Earnings |  | Paid |  | Income |  | Equity |  | Interest |  | Equity
Balance at March 31, 2025 | ​ | $ | 28,623 | ​ | $ | 8,179,841 | ​ | $ | 4,195,939 | ​ | $ | (7,706,034) | ​ | $ | 42,566 | ​ | $ | 4,740,935 | ​ | $ | 191,088 | ​ | $ | 4,932,023
Stock related compensation | ​ | ​ | — | ​ | ​ | 9,301 | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | 9,301 | ​ | ​ | — | ​ | ​ | 9,301
Issuance of common stock | ​ | ​ | 690 | ​ | ​ | 256,438 | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | 257,128 | ​ | ​ | — | ​ | ​ | 257,128
Common dividends declared ($0.67 per share) | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | (194,634) | ​ | ​ | — | ​ | ​ | (194,634) | ​ | ​ | — | ​ | ​ | (194,634)
Vesting/exercising of Omega OP Units | ​ | ​ | — | ​ | ​ | (15,592) | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | (15,592) | ​ | ​ | 15,592 | ​ | ​ | —
Exchange and redemption of Omega OP Units | ​ | ​ | 1 | ​ | ​ | 311 | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | 312 | ​ | ​ | (3,993) | ​ | ​ | (3,681)
Omega OP Units distributions | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | (7,453) | ​ | ​ | (7,453)
Other comprehensive income | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | 54,248 | ​ | ​ | 54,248 | ​ | ​ | 1,596 | ​ | ​ | 55,844
Net income | ​ | ​ | — | ​ | ​ | — | ​ | ​ | 136,599 | ​ | ​ | — | ​ | ​ | — | ​ | ​ | 136,599 | ​ | ​ | 3,880 | ​ | ​ | 140,479
Balance at June 30, 2025 | ​ | $ | 29,314 | ​ | $ | 8,430,299 | ​ | $ | 4,332,538 | ​ | $ | (7,900,668) | ​ | $ | 96,814 | ​ | $ | 4,988,297 | ​ | $ | 200,710 | ​ | $ | 5,189,007
​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
Balance at March 31, 2024 | ​ | $ | 24,637 | ​ | $ | 6,705,333 | ​ | $ | 3,747,942 | ​ | $ | (6,995,876) | ​ | $ | 31,852 | ​ | $ | 3,513,888 | ​ | $ | 186,705 | ​ | $ | 3,700,593
Stock related compensation | ​ | ​ | — | ​ | ​ | 9,247 | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | 9,247 | ​ | ​ | — | ​ | ​ | 9,247
Issuance of common stock | ​ | ​ | 765 | ​ | ​ | 242,071 | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | 242,836 | ​ | ​ | — | ​ | ​ | 242,836
Common dividends declared ($0.67 per share) | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | (166,021) | ​ | ​ | — | ​ | ​ | (166,021) | ​ | ​ | — | ​ | ​ | (166,021)
Vesting/exercising of Omega OP Units | ​ | ​ | — | ​ | ​ | (5,437) | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | (5,437) | ​ | ​ | 5,437 | ​ | ​ | —
Exchange and redemption of Omega OP Units | ​ | ​ | — | ​ | ​ | 30 | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | 30 | ​ | ​ | (30) | ​ | ​ | —
Omega OP Units distributions | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | (6,260) | ​ | ​ | (6,260)
Net change in noncontrolling interest holder in consolidated JV | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | 545 | ​ | ​ | 545
Other comprehensive income | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | 2,493 | ​ | ​ | 2,493 | ​ | ​ | 76 | ​ | ​ | 2,569
Net income | ​ | ​ | — | ​ | ​ | — | ​ | ​ | 113,862 | ​ | ​ | — | ​ | ​ | — | ​ | ​ | 113,862 | ​ | ​ | 3,217 | ​ | ​ | 117,079
Balance at June 30, 2024 | ​ | $ | 25,402 | ​ | $ | 6,951,244 | ​ | $ | 3,861,804 | ​ | $ | (7,161,897) | ​ | $ | 34,345 | ​ | $ | 3,710,898 | ​ | $ | 189,690 | ​ | $ | 3,900,588

​

​

​

5

Table of Contents

OMEGA HEALTHCARE INVESTORS, INC.

CONSOLIDATED STATEMENTS OF EQUITY

Six Months Ended June 30, 2025 and 2024

Unaudited

(in thousands, except per share amounts)

​

​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | Accumulated | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
​ | ​ | Common | ​ | Additional | ​ | Cumulative | ​ | Cumulative | ​ | Other | ​ | Total | ​ | ​ | ​ | ​
​ | ​ | Stock | ​ | Paid-in | ​ | Net | ​ | Dividends | ​ | Comprehensive | ​ | Stockholders’ | ​ | Noncontrolling | ​ | Total
​ |  | Par Value |  | Capital |  | Earnings |  | Paid |  | Income |  | Equity |  | Interest |  | Equity
Balance at December 31, 2024 | ​ | $ | 27,912 | ​ | $ | 7,915,873 | ​ | $ | 4,086,907 | ​ | $ | (7,516,750) | ​ | $ | 22,731 | ​ | $ | 4,536,673 | ​ | $ | 194,166 | ​ | $ | 4,730,839
Stock related compensation | ​ | ​ | — | ​ | ​ | 25,179 | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | 25,179 | ​ | ​ | — | ​ | ​ | 25,179
Issuance of common stock | ​ | ​ | 1,401 | ​ | ​ | 516,450 | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | 517,851 | ​ | ​ | — | ​ | ​ | 517,851
Common dividends declared ($1.34 per share) | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | (383,918) | ​ | ​ | — | ​ | ​ | (383,918) | ​ | ​ | — | ​ | ​ | (383,918)
Vesting/exercising of Omega OP Units | ​ | ​ | — | ​ | ​ | (27,514) | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | (27,514) | ​ | ​ | 27,514 | ​ | ​ | —
Exchange and redemption of Omega OP Units | ​ | ​ | 1 | ​ | ​ | 311 | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | 312 | ​ | ​ | (3,993) | ​ | ​ | (3,681)
Omega OP Units distributions | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | (26,056) | ​ | ​ | (26,056)
Other comprehensive income | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | 74,083 | ​ | ​ | 74,083 | ​ | ​ | 2,171 | ​ | ​ | 76,254
Net income | ​ | ​ | — | ​ | ​ | — | ​ | ​ | 245,631 | ​ | ​ | — | ​ | ​ | — | ​ | ​ | 245,631 | ​ | ​ | 6,908 | ​ | ​ | 252,539
Balance at June 30, 2025 | ​ | $ | 29,314 | ​ | $ | 8,430,299 | ​ | $ | 4,332,538 | ​ | $ | (7,900,668) | ​ | $ | 96,814 | ​ | $ | 4,988,297 | ​ | $ | 200,710 | ​ | $ | 5,189,007
​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
Balance at December 31, 2023 | ​ | $ | 24,528 | ​ | $ | 6,671,198 | ​ | $ | 3,680,581 | ​ | $ | (6,831,061) | ​ | $ | 29,338 | ​ | $ | 3,574,584 | ​ | $ | 187,707 | ​ | $ | 3,762,291
Stock related compensation | ​ | ​ | — | ​ | ​ | 18,531 | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | 18,531 | ​ | ​ | — | ​ | ​ | 18,531
Issuance of common stock | ​ | ​ | 873 | ​ | ​ | 274,313 | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | 275,186 | ​ | ​ | — | ​ | ​ | 275,186
Common dividends declared ($1.34 per share) | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | (330,836) | ​ | ​ | — | ​ | ​ | (330,836) | ​ | ​ | — | ​ | ​ | (330,836)
Vesting/exercising of Omega OP Units | ​ | ​ | — | ​ | ​ | (13,159) | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | (13,159) | ​ | ​ | 13,159 | ​ | ​ | —
Exchange and redemption of Omega OP Units | ​ | ​ | 1 | ​ | ​ | 361 | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | 362 | ​ | ​ | (362) | ​ | ​ | —
Omega OP Units distributions | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | (16,712) | ​ | ​ | (16,712)
Net change in noncontrolling interest holder in consolidated JV | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | 545 | ​ | ​ | 545
Other comprehensive income | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | — | ​ | ​ | 5,007 | ​ | ​ | 5,007 | ​ | ​ | 151 | ​ | ​ | 5,158
Net income | ​ | ​ | — | ​ | ​ | — | ​ | ​ | 181,223 | ​ | ​ | — | ​ | ​ | — | ​ | ​ | 181,223 | ​ | ​ | 5,202 | ​ | ​ | 186,425
Balance at June 30, 2024 | ​ | $ | 25,402 | ​ | $ | 6,951,244 | ​ | $ | 3,861,804 | ​ | $ | (7,161,897) | ​ | $ | 34,345 | ​ | $ | 3,710,898 | ​ | $ | 189,690 | ​ | $ | 3,900,588

​

See notes to consolidated financial statements.

​

​

​

​

6

Table of Contents

OMEGA HEALTHCARE INVESTORS, INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS

Unaudited (in thousands)

​ | ​ | ​ | ​ | ​ | ​ | ​
​ |  | Six Months Ended June 30,
​ |  | 2025 |  | 2024
Cash flows from operating activities |  | ​ |  |  | ​ |
Net income | ​ | $ | 252,539 | ​ | $ | 186,425
Adjustment to reconcile net income to net cash provided by operating activities: | ​ |  | ​ | ​ |  |
Depreciation and amortization | ​ |  | 160,384 | ​ |  | 148,791
Impairment on real estate properties | ​ |  | 15,450 | ​ |  | 13,474
Straight-line rent and other write-offs | ​ | ​ | 27,537 | ​ | ​ | —
Provision (recovery) for credit losses | ​ |  | 321 | ​ |  | (5,702)
Amortization of deferred financing costs and loss on debt extinguishment | ​ |  | 2,396 | ​ |  | 8,534
Stock-based compensation expense | ​ |  | 25,046 | ​ |  | 18,415
Gain on assets sold – net | ​ |  | (32,961) | ​ |  | (11,520)
Straight-line rent and effective interest receivables | ​ |  | (23,526) | ​ |  | (17,857)
Interest paid-in-kind | ​ | ​ | (4,996) | ​ | ​ | (6,674)
Loss from unconsolidated joint ventures | ​ | ​ | 3,066 | ​ | ​ | 1,617
Other non-cash items | ​ |  | (4,358) | ​ |  | (992)
Change in operating assets and liabilities – net: | ​ |  | ​ | ​ |  |
Contractual receivables | ​ |  | 1,059 | ​ |  | 1,406
Lease inducements | ​ |  | (9,497) | ​ |  | 465
Other operating assets and liabilities | ​ |  | 8,757 | ​ |  | (805)
Net cash provided by operating activities | ​ |  | 421,217 | ​ |  | 335,577
Cash flows from investing activities | ​ |  | ​ | ​ |  | ​
Acquisition of real estate | ​ |  | (560,422) | ​ |  | (127,973)
Net proceeds from sale of real estate investments | ​ |  | 182,995 | ​ |  | 44,894
Investments in construction in progress | ​ |  | (29,731) | ​ |  | (42,149)
Investment in loan receivables and other | ​ |  | (109,767) | ​ |  | (193,187)
Collection of loan principal | ​ |  | 100,297 | ​ |  | 65,435
Investments in unconsolidated joint ventures | ​ | ​ | (1,250) | ​ | ​ | (318)
Distributions from unconsolidated joint ventures in excess of earnings | ​ |  | 1,466 | ​ |  | 1,250
Capital improvements to real estate investments | ​ |  | (32,941) | ​ |  | (14,010)
Proceeds from derivative instruments | ​ |  | 4,675 | ​ |  | 8,429
Receipts from insurance proceeds | ​ |  | 392 | ​ |  | 1,657
Net cash used in investing activities | ​ |  | (444,286) | ​ |  | (255,972)
Cash flows from financing activities | ​ |  |  | ​ |  |
Proceeds from long-term borrowings | ​ |  | 670,708 | ​ |  | 478,500
Payments of long-term borrowings | ​ |  | (527,240) | ​ |  | (890,128)
Payments of financing related costs | ​ |  | (6,540) | ​ |  | (1,892)
Net proceeds from issuance of common stock | ​ |  | 517,851 | ​ |  | 275,186
Dividends paid | ​ |  | (383,785) | ​ |  | (330,720)
Net payments to noncontrolling members of consolidated joint venture | ​ |  | — | ​ |  | 545
Redemption of Omega OP Units | ​ | ​ | (3,681) | ​ | ​ | —
Distributions to Omega OP Unit Holders | ​ |  | (26,056) | ​ |  | (16,712)
Net cash provided by (used in) financing activities | ​ |  | 241,257 | ​ |  | (485,221)
Effect of foreign currency translation on cash, cash equivalents and restricted cash | ​ |  | 5,661 | ​ |  | 17
Increase (decrease) in cash, cash equivalents and restricted cash | ​ |  | 223,849 | ​ |  | (405,599)
Cash, cash equivalents and restricted cash at beginning of period | ​ |  | 548,735 | ​ |  | 444,730
Cash, cash equivalents and restricted cash at end of period | ​ | $ | 772,584 | ​ | $ | 39,131

​

See notes to consolidated financial statements.

​

​

7

Table of Contents

OMEGA HEALTHCARE INVESTORS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

Unaudited

June 30, 2025

​

NOTE 1 – BASIS OF PRESENTATION AND SIGNIFICANT ACCOUNTING POLICIES

Business Overview and Organization

Omega Healthcare Investors, Inc. (“Parent”) is a Maryland corporation that, together with its consolidated subsidiaries (collectively, “Omega,” the “Company,” “we,” “our” or “us”) invests in healthcare-related real estate properties located in the United States (“U.S.”) and the United Kingdom (“U.K.”). Our core business is to provide financing and capital to the long-term healthcare industry with a particular focus on skilled nursing facilities (“SNFs”), assisted living facilities (“ALFs”), including care homes in the U.K., and to a lesser extent, independent living facilities (“ILFs”), rehabilitation and acute care facilities (“specialty facilities”) and medical office buildings. Our core portfolio consists of long-term “triple net” leases and real estate loans with healthcare operating companies and affiliates (collectively, our “operators”). In addition to our core investments, we make loans to operators and/or their principals. From time to time, we also acquire equity interests in joint ventures or entities that support the long-term healthcare industry and our operators.

Omega has elected to be taxed as a real estate investment trust (“REIT”) for federal income tax purposes and is structured as an umbrella partnership REIT (“UPREIT”) under which all of Omega’s assets are owned directly or indirectly by, and all of Omega’s operations are conducted directly or indirectly through, its operating partnership subsidiary, OHI Healthcare Properties Limited Partnership (collectively with its subsidiaries, “Omega OP”). Omega has exclusive control over Omega OP’s day-to-day management pursuant to the partnership agreement governing Omega OP. As of June 30, 2025, Parent owned 97% of the issued and outstanding units of partnership interest in Omega OP (“Omega OP Units”), and other investors owned 3% of the outstanding Omega OP Units.

Basis of Presentation and Principles of Consolidation

The accompanying unaudited consolidated financial statements have been prepared in accordance with the instructions to Form 10-Q and do not include all the information and notes required by U.S. generally accepted accounting principles (“GAAP”) for complete financial statements. In our opinion, all adjustments (consisting of normal recurring accruals) considered necessary for a fair presentation have been included. The results of operations for the interim periods reported herein are not necessarily indicative of results to be expected for the full year. These unaudited consolidated financial statements should be read in conjunction with the financial statements and the footnotes thereto included in our Annual Report on Form 10-K for the year ended December 31, 2024.

Omega’s consolidated financial statements include the accounts of Omega Healthcare Investors, Inc., its wholly owned subsidiaries and the joint ventures (“JVs”) and variable interest entities (“VIEs”) that it controls, through voting rights or other means. All intercompany transactions and balances have been eliminated in consolidation.

Reclassifications

Certain line items in our Consolidated Statements of Cash Flows have been combined to conform to the current period presentation.

8

Table of Contents

Recent Accounting Pronouncements

ASU – 2024-03, Income Statement – Reporting Comprehensive Income – Expense Disaggregation Disclosures (Subtopic 220-40): Disaggregation of Income Statement Expenses

In November 2024, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) 2024-03, which requires disclosure of certain costs and expenses on an interim and annual basis in the notes to the financial statements. The guidance is effective for the first annual reporting period beginning after December 15, 2026, and interim reporting periods within annual reporting periods beginning after December 15, 2027. The amendments in this update are to be applied on a prospective basis, with the option for retrospective application. Early adoption is permitted. We are currently evaluating the potential impact of adopting this new guidance on our consolidated financial statements and disclosures.

ASU – 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures

In December 2023, the FASB issued ASU 2023-09, which modifies the rules on income tax disclosures to require entities to disclose (i) specific categories in the rate reconciliation, (ii) the income or loss from continuing operations before income tax expense or benefit (separated between domestic and foreign) and (iii) income tax expense or benefit from continuing operations (separated by federal, state and foreign). The guidance also requires entities to disclose their income tax payments to international, federal, state and local jurisdictions. The guidance is effective for annual periods beginning after December 15, 2024. Early adoption is permitted. The guidance should be applied on a prospective basis, but retrospective application is permitted. We are currently evaluating the potential impact of adopting this new guidance on our consolidated financial statements and disclosures.

NOTE 2 – REAL ESTATE ASSETS

At June 30, 2025, our leased real estate properties included 577 SNFs, 342 ALFs, 19 ILFs, 18 specialty facilities and one medical office building. The following table summarizes the Company’s rental income:

​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
​ | Three Months Ended June 30, | ​ | ​ | Six Months Ended June 30,
​ | 2025 |  | 2024 | ​ | ​ | 2025 | ​ | 2024
​ | (in thousands) | ​ | ​ | (in thousands)
Fixed income from operating leases | $ | 235,596 | ​ | $ | 210,554 | ​ | ​ | $ | 463,791 | ​ | $ | 413,846
Variable income from operating leases | ​ | 3,606 | ​ | ​ | 3,510 | ​ | ​ | ​ | 7,409 | ​ | ​ | 6,887
Interest income from direct financing leases | ​ | — | ​ | ​ | 251 | ​ | ​ | ​ | 180 | ​ | ​ | 503
Total rental income | $ | 239,202 | ​ | $ | 214,315 | ​ | ​ | $ | 471,380 | ​ | $ | 421,236

​

Our variable income from operating leases primarily represents the reimbursement by operators for real estate taxes that Omega pays directly.

9

Table of Contents

Asset Acquisitions

The following table summarizes the asset acquisitions that occurred during the six months ended June 30, 2025:

​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
​ | ​ | Number of | ​ | ​ | ​ | Total Real Estate | ​ | Initial | ​
​ |  | Facilities |  | ​ |  | Assets Acquired(1) |  | Annual | ​
Period | ​ | SNF | ALF | ​ | Country/State | ​ | (in millions) | ​ | Cash Yield(2) | ​
Q1 | ​ | — | 2 |  | TX | ​ | $ | 10.6 | ​ | 9.9 | %
Q1 | ​ | — | 4 | ​ | U.K. | ​ | ​ | 47.7 | ​ | 10.0 | %
Q2 | ​ | — | 45 | ​ | U.K. & Jersey | ​ | ​ | 344.2 | (3) | 10.0 | %
Q2 | ​ | — | 1 | ​ | CA | ​ | ​ | 11.6 | ​ | 10.0 | %
Q2 | ​ | — | 2 | ​ | NM | ​ | ​ | 32.0 | ​ | 10.0 | %
Q2 | ​ | — | 1 | ​ | SC | ​ | ​ | 8.5 | ​ | 10.0 | %
Q2 | ​ | 8 | — | ​ | TX | ​ | ​ | 105.8 | ​ | 10.0 | %
Total |  | 8 | 55 |  | ​ | ​ | $ | 560.4 |  | ​ | ​

(1) | Represents the acquisition cost that was allocated to our real estate assets on a relative fair value basis. This also represents the total cost of the acquisition unless specifically noted within the table, as the assets acquired in our acquisitions typically consists of only real estate assets. From time to time, we may have acquisitions in which additional assets and liabilities are assumed.

(2) | Initial annual cash yield reflects the initial annual contractual cash rent divided by the purchase price.

(3) | In April 2025, the Company acquired 45 facilities in the U.K. and the Bailiwick of Jersey (“Jersey”) for $344.2 million and leased the facilities to four existing and two new operators with a weighted average initial annual cash yield of 10.0% with annual escalators of 1.7% that ultimately increase to 2.5% after year 5.

Construction in Progress and Capital Expenditure Investments

We invested $27.4 million and $62.7 million under our construction in progress and capital improvement programs during the three and six months ended June 30, 2025, respectively. We invested $34.8 million and $56.2 million under our construction in progress and capital improvement programs during the three and six months ended June 30, 2024, respectively. As of June 30, 2025, construction in progress included three projects consisting of the development of a SNF in Virginia, a SNF in Florida and a SNF in Maryland.

During the first quarter of 2025, we purchased a real estate property located in Maryland for approximately $4.0 million that will be redeveloped into a SNF. In conjunction with the acquisition, we amended our lease agreement with an existing operator to incorporate the property. We are committed to a maximum funding of $22.5 million for the development of the property. As of June 30, 2025, $4.7 million was included in construction in progress related to this development project.

In February 2025, we completed and placed into service the $201.8 million Inspir Embassy Row construction in progress project, an ALF in Washington D.C., and began recognizing rental income from the facility. The facility is subject to a 24-year single facility lease with an entity that is jointly owned by Maplewood Senior Living (along with affiliates, “Maplewood”) and a third-party investor. We recognized full contractual rental income of $3.2 million and $5.3 million related to the lease for the new facility for the three and six months ended June 30, 2025, respectively.

Direct Financing Lease

As of December 31, 2024, we had one direct financing lease with a net investment of $9.5 million. During the first quarter of 2025, we terminated the direct financing lease, along with several operating leases with the same operator, and entered into a new consolidated operating lease for all facilities leased to the operator. In connection with the termination of the direct financing lease, we reclassified $9.4 million from investment in direct financing lease to real estate assets during the first quarter of 2025. In connection with the execution of the new consolidated lease agreement, we paid $10.0 million to the operator, which was treated as lease inducement. As this operator is on a cash basis of revenue recognition, the inducement was immediately expensed and was recorded as a reduction to the rental income recognized for the three months ended March 31, 2025. See additional discussion within Note 4 – Contractual Receivables and Other Receivables and Lease Inducements.

10

Table of Contents

NOTE 3 – ASSETS HELD FOR SALE, DISPOSITIONS AND IMPAIRMENTS

Periodically we sell facilities to reduce our exposure to certain operators, geographies and non-strategic assets or due to the exercise of a tenant purchase option.

The following is a summary of our assets held for sale:

​ | ​ | ​ | ​ | ​ | ​
​ | June 30, | ​ | December 31,
​ | 2025 |  | 2024
Number of facilities held for sale | ​ | 2 | ​ | ​ | 12
Amount of assets held for sale (in thousands) | $ | 12,358 | ​ | $ | 56,194

​

During the second quarter of 2025, we reclassified two SNFs to assets held for sale as a result of an operator’s exercise of a purchase option. The net book value of the facilities exceeded the estimated fair value, based on the estimated proceeds from the sale, and as a result, an impairment of $6.3 million was recorded in connection with reclassifying these assets to held for sale.

Asset Sales

During the three and six months ended June 30, 2025, we sold seven facilities (six SNFs and one ALF) and 34 facilities (32 SNFs and two ALFs) for $62.1 million and $183.0 million in net cash proceeds, respectively. As a result of these sales, we recognized a net gain of $22.9 million and $33.0 million, respectively. As part of a 12-facility sale recognized during the six months ended June 30, 2025, Omega may be entitled to additional consideration contingent upon the occurrence of certain future events that are outside of our control. Given these events are not within Omega’s control, the uncertainty surrounding the timing of the events and the probability of collection, we did not recognize any additional contingent consideration as of the legal sale date.

During the three and six months ended June 30, 2024, we sold five SNFs and nine SNFs for approximately $34.8 million and $44.9 million in net cash proceeds, respectively. As a result of these sales, we recognized a net gain of $12.9 million and $11.5 million, respectively.

Sales Not Recognized

As of June 30, 2025 and December 31, 2024, three facility sales had not been recognized due to not meeting the contract criteria under ASC 610-20 at the applicable legal sale date. As of June 30, 2025 and December 31, 2024, we had $19.7 million and $20.1 million, respectively, of real estate assets – net recorded on our Consolidated Balance Sheets related to these unrecognized sales. During the three and six months ended June 30, 2025, we received interest of $1.6 million and $2.7 million, respectively, from seller financing related to unrecognized sales. During the three and six months ended June 30, 2024, we received interest of $0.3 million and $0.6 million, respectively, from seller financing related to unrecognized sales. The interest received from these seller financings was deferred and recorded as a contract liability within accrued expenses and other liabilities on our Consolidated Balance Sheets.

Real Estate Impairments

During the three and six months ended June 30, 2025, we recorded impairments on three and four facilities of $14.2 million and $15.4 million, respectively. Of the $15.4 million, $9.1 million related to two held for use facilities and $6.3 million related to two facilities that were classified as held for sale.

During the three and six months ended June 30, 2024, we recorded impairments on four and seven facilities of $8.2 million and $13.5 million, respectively. Of the $13.5 million, $8.1 million related to five held for use facilities and $5.4 million related to two facilities that were classified as held for sale.

11

Table of Contents

To estimate the fair value of the facilities for the impairments noted above, we utilized a market approach that considered binding sale agreements (a Level 1 input) or non-binding offers from unrelated third parties and/or broker quotes (a Level 3 input).

NOTE 4 – CONTRACTUAL RECEIVABLES AND OTHER RECEIVABLES AND LEASE INDUCEMENTS

Contractual receivables relate to the amounts currently owed to us under the terms of our lease and loan agreements. Effective yield interest receivables relate to the difference between the interest income recognized on an effective yield basis over the term of the loan agreement and the interest currently due to us according to the contractual agreement. Straight-line rent receivables relate to the difference between the rental revenue recognized on a straight-line basis and the amounts currently due to us according to the contractual agreement. Lease inducements result from value provided by us to the lessee, at the inception, modification or renewal of the lease, and are amortized as a reduction of rental income over the non-cancellable lease term.

A summary of our net receivables and lease inducements by type is as follows:

​

​ | ​ | ​ | ​ | ​ | ​ | ​
​ |  | June 30, | ​ | December 31,
​ |  | 2025 |  | 2024
​ | ​ | (in thousands)
Contractual receivables – net | ​ | $ | 11,552 | ​ | $ | 12,611
​ | ​ | ​ | ​ | ​ | ​ | ​
Effective yield interest receivables | ​ | $ | 2,099 | ​ | $ | 1,839
Straight-line rent receivables | ​ |  | 246,458 | ​ |  | 238,690
Lease inducements | ​ |  | 8,576 | ​ |  | 8,788
Other receivables and lease inducements | ​ | $ | 257,133 | ​ | $ | 249,317

​

Cash Basis Operators and Straight-Line Receivable Write-Offs

We review our collectibility assumptions related to rental income from our operator leases on an ongoing basis. During the three and six months ended June 30, 2025, we placed two new operators, which Omega did not previously have a relationship with prior to 2025, and one existing operator on a cash basis of revenue recognition, as collection of substantially all contractual lease payments due from them was not deemed probable. During the three months ended June 30, 2025, there was a $15.5 million write-off of straight-line rent receivable associated with placing the existing operator on a cash basis of revenue recognition, as we received information regarding substantial doubt of its ability to continue as a going concern. The lease agreements with the two new operators were executed in 2025 as part of the transition of facilities from prior operators. As we had no previous relationship with these new operators and collection of substantially all contractual lease payments due from the new operator was not deemed probable, we placed the new operators on a cash basis of revenue recognition concurrent with the lease commencement dates, so there were no straight-line rent receivable write-offs associated with placing these operators on a cash basis.

During the six months ended June 30, 2025, we also wrote-off $2.1 million of straight-line rent receivable balances through rental income as a result of transitioning facilities between operators.

During the six months ended June 30, 2024, we placed one new operator on a cash basis of revenue recognition. In the first quarter of 2024, we entered into a lease with the new operator as part of the transition of facilities from another operator. As we had no previous relationship with this new operator and collection of substantially all contractual lease payments due from the new operator was not deemed probable, we placed the new operator on a cash basis of revenue recognition. We did no t have any straight-line receivable write-offs through rental income as a result of placing operators on a cash basis of revenue recognition during the three and six months ended June 30, 2024, respectively.

As of June 30, 2025, we had 22 operators on a cash basis for revenue recognition, which represent 17.5% and 20.6% of our total revenues for the six months ended June 30, 2025 and 2024, respectively.

12

Table of Contents

Rent Deferrals and Application of Collateral

During each of the six months ended June 30, 2025 and 2024, we allowed two and three operators to defer $2.7 million and $1.8 million, respectively, of contractual rent and interest. The deferrals during the six months ended June 30, 2025 and 2024 primarily related to Maplewood ($2.4 million and $1.5 million, respectively). During each of the six months ended June 30, 2025 and 2024, we received repayments of deferred rent of $2.6 million and $1.0 million, respectively.

Additionally, we allowed one and four operators to apply collateral, such as security deposits or letters of credit, to contractual rent and interest during the six months ended June 30, 2025 and 2024, respectively. The total collateral applied to contractual rent and interest was $4.3 million and $0.6 million for the six months ended June 30, 2025 and 2024, respectively.

Lease Inducements

As discussed in Note 2 – Real Estate Assets, we agreed to a one-time $10.0 million lease inducement payment to an operator in connection with a new lease agreement executed in the first quarter of 2025. As this operator is on a cash basis of revenue recognition, the inducement was written off and recorded as a reduction to the rental income recognized for the six months ended June 30, 2025.

Operator Collectibility Updates

Maplewood

For the three and six months ended June 30, 2025, Maplewood paid $14.4 million and $28.0 million of contractual rent, respectively, falling short of the $17.3 million and $34.6 million of contractual rent due under its lease agreement for those periods, respectively. These amounts exclude contractual rent and payments related to Inspir Embassy Row in Washington D.C. of $3.2 million and $5.3 million for the three and six months ended June 30, 2025, respectively, which were paid in full and are separately discussed in Note 2 – Real Estate Assets. Maplewood also did not pay any of the $3.1 million and $5.4 million of contractual interest due under the secured revolving credit facility for the three and six months ended June 30, 2025, respectively.

Maplewood initially short-paid the contractual rent amount due under its lease agreement during the second quarter of 2023 and has not made full contractual rent and interest payments since that time. Maplewood is on a cash basis of revenue recognition for lease purposes, so rental income is only recorded for contractual rent payments that were received from Maplewood for the respective periods. We recorded rental income of $14.4 million and $11.8 million for the three months ended June 30, 2025 and 2024, respectively, and $28.0 million and $23.1 million for the six months ended June 30, 2025 and 2024, respectively.

As discussed further in Note 5 – Real Estate Loans Receivable, no interest income was recorded on the Maplewood secured revolving credit facility during the three and six months ended June 30, 2025 and 2024 as the loan is on non-accrual status for interest recognition.

In July 2025, Maplewood short-paid the contractual rent and interest amounts due under its lease and loan agreements by $1.8 million.

As previously disclosed, we entered into a settlement agreement with the Greg Smith, principal and chief executive officer of Maplewood, estate (the “Estate”) in the third quarter of 2024 that, among other things, grants Omega the right to direct the assignment of Mr. Smith’s equity to the key members of the existing Maplewood management team or their designee(s) or another designee of Omega’s choosing, with the Estate remaining liable under Mr. Smith’s guaranty until the transition is complete or one year from the court’s approval date, if earlier, and requires Omega to refrain from exercising contractual rights or remedies in connection with the defaults. We are still awaiting regulatory approvals related to licensure of the operating assets before the transition will be completed.

13

Table of Contents

LaVie

LaVie Care Centers, LLC (“LaVie”) commenced voluntary cases under Chapter 11 of the U.S. Bankruptcy Code in the U.S. Bankruptcy Court for the Northern District of Georgia, Atlanta Division in June 2024. On December 5, 2024, a plan of reorganization was confirmed by the Bankruptcy Court, pursuant to which the LaVie master lease agreement was to be assumed and assigned by certain of the debtor(s) to operators designated by the Plan Sponsor upon the effective date of the plan. The plan of reorganization was effective as of June 1, 2025, which resulted in the LaVie master lease agreement being assumed by and assigned to ENDMT LLC (“Avardis”) and amended and restated. The amended master lease has a lease term ending December 31, 2037 and requires monthly rent payments of $3.1 million, which escalate 2.5% annually.

For the three and six months ended June 30, 2025, LaVie paid full contractual rent of $6.2 million and $15.5 million, respectively, through the date the plan of reorganization became effective. As LaVie is on a cash basis of revenue recognition for lease purposes, rental income recorded was equal to cash received of $6.2 million and $5.9 million during the three months ended June 30, 2025 and 2024, respectively, and $15.5 million and $10.3 million during the six months ended June 30, 2025 and 2024, respectively. Avardis paid full contractual rent of $3.1 million in June and July 2025, following the effective date of the plan of reorganization. Avardis is on a straight-line basis for rental income recognition, and we recognized $3.6 million of rental income related to Avardis for June 2025.

We did not recognize any interest income related to LaVie during the three and six months ended June 30, 2025 and 2024, as the three loans that were outstanding during the periods have interest paid-in-kind (“PIK”) and are on non-accrual status.

Genesis

Genesis Healthcare, Inc. (“Genesis”) was placed on a cash basis of rental revenue recognition during the third quarter of 2020 based on information the Company received from Genesis regarding substantial doubt as to their ability to continue as a going concern. Genesis continued to make their rent and interest payments to us until March 2025, when it failed to make the rent payment due under its lease agreement and the interest payment due under one of its three loan agreements.

During the second quarter of 2025, Genesis made all required contractual rent and interest payments. As Genesis is on a cash basis of revenue recognition, we recognized rental income related to Genesis of $12.8 million and $25.3 million (which includes $21.1 million for contractual rent payments received and $4.2 million from the application of proceeds from the letter of credit that was held as collateral from Genesis) during the three and six months ended June 30, 2025, respectively. During the three and six months ended June 30, 2024, we recognized rental income of $11.9 million and $23.8 million, respectively, for contractual rent payments received from Genesis. In addition, we recognized $4.1 million and $8.3 million of interest income (which includes $0.1 million from the application of proceeds from the letter of credit) related to three loans with Genesis during the three and six months ended June 30, 2025, respectively. The $13.0 million real estate loan with Genesis was settled in full in May 2025 so only the two term loans discussed in Note 6 – Non-Real Estate Loans Receivable remain outstanding as of June 30, 2025. We recognized $3.7 million and $7.2 million of interest income related to two term loans with Genesis during the three and six months ended June 30, 2024, respectively. As of June 30, 2025, there was $3.5 million remaining under the letter of credit.

In July 2025, Genesis commenced voluntary cases under Chapter 11 of the U.S. Bankruptcy Code in the U.S. Bankruptcy Court for the Northern District of Texas, Dallas Division. Genesis will continue to operate, as a debtor-in-possession (“DIP”), the 31 facilities subject to a master lease agreement with Omega, unless and until Genesis’ leasehold interest under the master lease agreement is rejected or assumed and assigned. We committed to provide, along with other lenders, up to $8.0 million of a $30.0 million junior secured DIP financing to Genesis, as further discussed in Note 6 – Non-Real Estate Loans Receivable. As a condition of the DIP financing, Genesis is required to pay Omega full contractual rent under its lease agreement. In July 2025, prior to filing for bankruptcy, Genesis paid full contractual rent and interest due of $4.8 million. As discussed in Note 6 – Non-real Estate Loans Receivable, 8.2% per annum of the total 13.2% per annum interest on the term loans is PIK interest.

14

Table of Contents

NOTE 5 – REAL ESTATE LOANS RECEIVABLE

Real estate loans consist of mortgage notes and other real estate loans which are primarily collateralized by a first, second or third mortgage lien or a leasehold mortgage on, or an assignment of the partnership interest in the related properties. As of June 30, 2025, our real estate loans receivable consists of 23 fixed rate mortgage notes on 97 long-term care facilities and 20 other real estate loans. The facilities subject to the mortgage notes are operated by 18 independent healthcare operating companies and are located in 12 U.S. states and within the U.K. We monitor compliance with our real estate loans and, when necessary, have initiated collection, foreclosure and other proceedings with respect to certain outstanding real estate loans.

A summary of our real estate loans receivable by loan type is as follows:

​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
​ |  | As of June 30, 2025 | ​ | ​ |  | ​ |  |  | ​
​ | ​ | Weighted | ​ | ​ | Weighted | ​ | ​ | ​ | ​ | ​
​ | ​ | Average | ​ | ​ | Average Years | ​ | ​ | June 30, | ​ | December 31,
​ |  | Interest Rate | ​ | ​ | to Maturity | ​ | ​ | 2025 |  | 2024
​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | (in thousands)
Mortgage notes receivable – gross | ​ | 11.0 | % | ​ | 4.1 | (1) | ​ | $ | 968,365 |  | $ | 982,327
Allowance for credit losses on mortgage notes receivable | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | (35,833) | ​ | ​ | (39,562)
Mortgage notes receivable – net | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | 932,532 | ​ | ​ | 942,765
Other real estate loans – gross | ​ | 9.1 | % | ​ | 6.9 | (2) | ​ | ​ | 520,732 | ​ | ​ | 517,220
Allowance for credit losses on other real estate loans | ​ | ​ | ​ | ​ | ​ | ​ | ​ |  | (36,444) |  | ​ | (31,687)
Other real estate loans – net | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | 484,288 | ​ | ​ | 485,533
Total real estate loans receivable – net | ​ | ​ | ​ | ​ | ​ | ​ | ​ | $ | 1,416,820 | ​ | $ | 1,428,298

(1) | Consists of mortgage notes with maturity dates ranging from 2025 through 2037 (with $194.1 million maturing in 2025). Two of the mortgage notes with an aggregate principal balance of $12.5 million are past due and have been written down, through our allowance for credit losses, to the estimated fair value of the underlying collateral of $1.5 million.

(2) | Consists of other real estate loans with maturity dates ranging from 2025 through 2035 (with $25.6 million maturing in 2025).

Interest income on real estate loans is included within interest income on the Consolidated Statements of Operations and is summarized as follows:

​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
​ | Three Months Ended June 30, | ​ | Six Months Ended June 30,
​ | 2025 |  | 2024 | ​ | 2025 |  | 2024
​ | (in thousands) | ​ | (in thousands)
Mortgage notes – interest income | $ | 25,520 |  | $ | 21,651 | ​ | $ | 51,525 |  | $ | 41,494
Other real estate loans – interest income |  | 7,455 |  | ​ | 9,307 | ​ |  | 14,612 |  | ​ | 18,203
Total real estate loans interest income | $ | 32,975 | ​ | $ | 30,958 | ​ | $ | 66,137 | ​ | $ | 59,697

​

​

The following is a summary of advances and principal repayments under our real estate loans:

​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
​ | Three Months Ended | ​ | Six Months Ended
​ | June 30, | ​ | June 30,
​ | 2025 |  | 2024 | ​ | 2025 |  | 2024
​ | (in thousands) | ​ | (in thousands)
Advances on new real estate loans receivable(1) | $ | 25,604 |  | $ | 112,895 | ​ | $ | 45,651 | ​ | $ | 154,136
Advances on existing real estate loans receivable | ​ | 3,186 |  | ​ | 601 | ​ | ​ | 9,677 | ​ | ​ | 3,362
Principal repayments on real estate loans receivable(2) |  | (21,326) |  | ​ | (3,014) | ​ | ​ | (64,830) | ​ | ​ | (7,005)
Net cash advances (repayments) on real estate loans receivable | $ | 7,464 | ​ | $ | 110,482 | ​ | $ | (9,502) | ​ | $ | 150,493

(1) | For the three and six months ended June 30, 2025, consists of advances under 12 and 14 new real estate loans originated during 2025 with weighted average interest rates of 10.0% and 10.3%, respectively. For the three and six months ended June 30, 2024, consists of advances under four and 11 new real estate loans with weighted average interest rates of 11.5% and 10.2%, respectively.

(2) | The six months ended June 30, 2025 includes $40.6 million of early repayments on mortgage notes with a weighted average interest rate of 11.6%, as of the repayment date, subject to the master mortgage agreement with Ciena Healthcare Management, Inc (“Ciena”). Excludes principal recoveries on loans written off in prior periods and cash recoveries related to interest payments received on loans that are written down to fair value and are being accounted for under the cost recovery method in which any payments received are applied directly against the principal balance outstanding.

15

Table of Contents

Included below is additional discussion on any significant new loans issued and significant updates to any existing loans.

Maplewood Revolving Credit Facility

We have a $320 million revolving credit facility with Maplewood (the “Maplewood Revolver”) that bears interest at 7% per annum (consisting of 4% per annum of cash interest and 3% per annum PIK for 2025) and matures in June 2035. The amortized cost basis of the Maplewood Revolver was $263.6 million as of June 30, 2025 and December 31, 2024. Due to liquidity issues of the borrower, the Maplewood Revolver is on non-accrual status. Maplewood failed to make aggregate cash interest payments that were required under the loan agreement of $3.1 million and $5.4 million during the three and six months ended June 30, 2025, respectively, and of $0.7 million and $1.2 million during the three and six months ended June 30, 2024, respectively. As such, we did not record any interest income for the Maplewood Revolver during the three and six months ended June 30, 2025 and 2024.

As discussed within Note 4 – Contractual Receivables and Other Receivables and Lease Inducements, Omega entered into a settlement agreement with the Estate during the third quarter of 2024 that, among other things, grants Omega the right to direct the assignment of Mr. Smith’s equity to the key members of the existing Maplewood management team or their designee(s), with the Estate remaining liable under Mr. Smith’s guaranty until the transition is complete or one year from the court’s approval date, if earlier, and requires Omega to refrain from exercising contractual rights or remedies in connection with the defaults. We are still awaiting regulatory approvals related to licensure of the operating assets before the transition will be completed. There is no certainty that the regulatory approvals will be received or that this transition will be completed as intended, on a timely basis, or at all. If the proposed transition plan is not completed, we may incur a substantial loss on the Maplewood Revolver up to the amortized cost basis of the loan. As of June 30, 2025, the internal risk rating on the loan is a 5, which we believe appropriately reflects the risks associated with the loan as of June 30, 2025. See the allowance for credit losses attributable to real estate loans with a 5 internal risk rating within Note 7 – Allowance for Credit Losses.

NOTE 6 – NON-REAL ESTATE LOANS RECEIVABLE

Our non-real estate loans consist of fixed and variable rate loans to operators or principals. These loans may be either unsecured or secured by the collateral of the borrower, which may include the working capital of the borrower and/or personal guarantees. As of June 30, 2025, we had 46 loans with 32 different borrowers. A summary of our non-real estate loans by loan type is as follows:

​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
​ | As of June 30, 2025 | ​ | ​ | ​ | ​ | ​ | ​
​ | Weighted | ​ | Weighted | ​ | ​ | ​ | ​
​ | Average | ​ | Average Years | ​ | June 30, | ​ | December 31,
​ | Interest Rate | ​ | to Maturity | ​ | 2025 |  | 2024
​ | ​ | ​ | ​ | ​ | ​ | (in thousands)
Working capital loans receivable | 9.5 | % | ​ | 0.9 | (1) | $ | 60,766 | ​ | $ | 57,071
Other loans receivable | 10.2 | % | ​ | 3.8 | (2) |  | 379,695 |  | ​ | 397,998
Non-real estate loans receivable – gross | ​ | ​ | ​ | ​ | ​ | ​ | 440,461 | ​ | ​ | 455,069
Allowance for credit losses on non-real estate loans receivable | ​ | ​ | ​ | ​ | ​ | ​ | (107,121) | ​ | ​ | (122,795)
Total non-real estate loans receivable – net | ​ | ​ | ​ | ​ | ​ | $ | 333,340 | ​ | $ | 332,274

(1) | Consists of revolving working capital loans receivable collateralized by the accounts receivable of the borrower with maturity dates ranging from 2025 to 2029 (with $29.9 million maturing in 2025).

(2) | Consists of other loans receivable with maturity dates ranging from 2025 to 2037 (with $41.5 million maturing in 2025). Two of the other notes outstanding with an aggregate principal balance of $10.0 million are past due and have been reserved down to the estimated fair value of the underlying collateral of zero through our allowance for credit losses.

For the three and six months ended June 30, 2025, non-real estate loans generated interest income of $10.0 million and $20.0 million, respectively. For the three and six months ended June 30, 2024, non-real estate loans generated interest income of $7.1 million and $14.2 million, respectively. Interest income on non-real estate loans is included within interest income on the Consolidated Statements of Operations.

16

Table of Contents

The following is a summary of advances and principal repayments under our non-real estate loans:

​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
​ | Three Months Ended | ​ | Six Months Ended
​ | June 30, | ​ | June 30,
​ | 2025 |  | 2024 | ​ | 2025 |  | 2024
​ | (in thousands) | ​ | (in thousands)
Advances on new non-real estate loans receivable(1) | $ | 3,757 |  | $ | 10,400 | ​ | $ | 3,879 |  | $ | 10,400
Advances on existing non-real estate loans receivable | ​ | 10,177 |  | ​ | 9,601 | ​ | ​ | 24,582 | ​ | ​ | 13,711
Principal repayments on non-real estate loans receivable(2) |  | (12,578) |  | ​ | (45,896) | ​ |  | (28,598) |  | ​ | (52,811)
Net cash advances (repayments) on non-real estate loans receivable | $ | 1,356 | ​ | $ | (25,895) | ​ | $ | (137) | ​ | $ | (28,700)

(1) | For the three and six months ended June 30, 2025, consists of advances under three and four new non-real estate loans, respectively, originated during 2025 with a weighted average interest rate of 10.0%. For the three and six months ended June 30, 2024, consists of advances under five new non-real estate loans with a weighted average interest rate of 10.0%.

(2) | Excludes principal recoveries on loans written off in prior periods and cash recoveries related to interest payments received on loans that are written down to fair value and are being accounted for under the cost recovery method in which any payments received are applied directly against the principal balance outstanding.

Included below is additional discussion on any significant new loans issued and/or significant updates to any existing loans.

Genesis Non-Real Estate Loans

As of June 30, 2025, we had two secured term loans outstanding with Genesis that had an aggregate balance of $120.8 million both maturing on June 30, 2026. The loans currently bear interest at a weighted average fixed interest rate of 13.2% per annum, of which 8.2% per annum is PIK interest and 5.0% per annum is cash interest. The loans are collateralized by a first lien on the equity of several ancillary businesses of Genesis. Genesis made all required interest payments under both of the term loans during the three and six months ended June 30, 2025. As discussed in Note 4 – Contractual Receivables and Other Receivables and Lease Inducements, Omega applied collateral to cover March 2025 contractual rent under its lease agreement and March 2025 contractual interest due under a $13.0 million other real estate loan agreement with Genesis, which was subsequently settled in May 2025. As part of our ongoing credit loss procedures, we evaluated the fair value of the collateral available to us under the two term loan agreements and estimate there is sufficient collateral to support the outstanding principal on the loans. As a result of this collateral, the loans remain on an accrual basis. As of June 30, 2025, the internal risk rating on the two loans is a 4, which we believe appropriately reflects the risks associated with the loans as of June 30, 2025. See the allowance for credit losses attributable to non-real estate loans with a 4 internal risk rating within Note 7 – Allowance for Credit Losses.

As discussed in Note 4 – Contractual Receivables and Other Receivables and Lease Inducements, in July 2025, Genesis commenced voluntary cases under Chapter 11 of the U.S. Bankruptcy Code in the Bankruptcy Court for the Northern District of Texas, Dallas Division. As described in Genesis’ filings with the Bankruptcy Court, in July 2025 we agreed to provide, along with other lenders, up to $8.0 million of a $30.0 million DIP financing to Genesis to support sufficient liquidity to, among other things, operate its facilities during bankruptcy. The DIP loan bears PIK interest at 15.0%, per annum, payable monthly in arrears. The principal is due upon maturity. Currently, the DIP loan matures on the earlier of (i) February 4, 2026, (ii) the effective date of a plan of reorganization or liquidation in the Chapter 11 cases or (iii) upon an event of default as defined in the DIP loan agreement. The DIP lenders hold a third and fourth priority security interest in all of Genesis’ assets, which includes a third priority security interest in cash and accounts receivable. Proceeds of any future asset sales, claims and causes of action and debt or equity issuances will all serve as collateral for the DIP loans. The interim DIP order approved the DIP budget which allows payments due under the DIP loan and Omega’s existing term loans to be satisfied in kind during the bankruptcy, except for budgeted adequate protection payments that will be made on Omega’s existing term loans.

17

Table of Contents

NOTE 7 – ALLOWANCE FOR CREDIT LOSSES

A rollforward of our allowance for credit losses for the six months ended June 30, 2025 is as follows:

​

​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
Rating | ​ | Financial Statement Line Item | Allowance for Credit Loss as of December 31, 2024 | ​ | Provision (Recovery) for Credit Loss for the six months ended June 30, 2025(1) | ​ | Write-offs charged against allowance for the six months ended June 30, 2025 | ​ | Other reductions to the allowance for the six months ended June 30, 2025 | ​ | Allowance for Credit Loss as of June 30, 2025
​ | ​ | ​ | (in thousands)
1 | ​ | Real estate loan receivable | $ | 312 | ​ | $ | (47) | ​ | $ | — | ​ | $ | — | ​ | $ | 265
2 | ​ | Real estate loans receivable | ​ | 492 | ​ | ​ | (155) | ​ | ​ | — | ​ | ​ | — | ​ | ​ | 337
3 | ​ | Real estate loans receivable | ​ | 10,991 | ​ | ​ | (57) | ​ | ​ | — | ​ | ​ | — | ​ | ​ | 10,934
4 | ​ | Real estate loans receivable | ​ | 22,528 | ​ | ​ | (2,695) | ​ | ​ | — | ​ | ​ | — | ​ | ​ | 19,833
5 | ​ | Real estate loans receivable | ​ | 25,476 | ​ | ​ | 4,408 | ​ | ​ | — | ​ | ​ | — | ​ | ​ | 29,884
6 | ​ | Real estate loans receivable | ​ | 11,450 | ​ | ​ | (426) | ​ | ​ | — | ​ | ​ | — | ​ | ​ | 11,024
​ | ​ | Sub-total | ​ | 71,249 | ​ | ​ | 1,028 | (2) | ​ | — | ​ | ​ | — | ​ | ​ | 72,277
​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
5 | ​ | Investment in direct financing leases | ​ | 1,605 | ​ | ​ | — | ​ | ​ | — | ​ | ​ | (1,605) | (3) | ​ | —
​ | ​ | Sub-total | ​ | 1,605 | ​ | ​ | — | ​ | ​ | — | ​ | ​ | (1,605) | ​ | ​ | —
​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
2 | ​ | Non-real estate loans receivable | ​ | 37 | ​ | ​ | 6 | ​ | ​ | — | ​ | ​ | — | ​ | ​ | 43
3 | ​ | Non-real estate loans receivable | ​ | 1,868 | ​ | ​ | (412) | ​ | ​ | — | ​ | ​ | — | ​ | ​ | 1,456
4 | ​ | Non-real estate loans receivable | ​ | 2,268 | ​ | ​ | (1,001) | ​ | ​ | — | ​ | ​ | — | ​ | ​ | 1,267
5 | ​ | Non-real estate loans receivable | ​ | 43,287 | ​ | ​ | (701) | ​ | ​ | — | ​ | ​ | — | ​ | ​ | 42,586
6 | ​ | Non-real estate loans receivable | ​ | 75,335 | ​ | ​ | 4,285 | ​ | ​ | (17,851) | (4) | ​ | — | ​ | ​ | 61,769
​ | ​ | Sub-total | ​ | 122,795 | ​ | ​ | 2,177 | (2) | ​ | (17,851) | ​ | ​ | — | ​ | ​ | 107,121
​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
2 | ​ | Unfunded real estate loan commitments | ​ | 1 | ​ | ​ | 1 | ​ | ​ | — | ​ | ​ | — | ​ | ​ | 2
3 | ​ | Unfunded real estate loan commitments | ​ | 461 | ​ | ​ | 18 | ​ | ​ | — | ​ | ​ | — | ​ | ​ | 479
4 | ​ | Unfunded real estate loan commitments | ​ | 40 | ​ | ​ | 140 | ​ | ​ | — | ​ | ​ | — | ​ | ​ | 180
5 | ​ | Unfunded real estate loan commitments | ​ | 1,767 | ​ | ​ | (924) | ​ | ​ | — | ​ | ​ | — | ​ | ​ | 843
2 | ​ | Unfunded non-real estate loan commitments | ​ | 13 | ​ | ​ | (7) | ​ | ​ | — | ​ | ​ | — | ​ | ​ | 6
3 | ​ | Unfunded non-real estate loan commitments | ​ | 183 | ​ | ​ | (77) | ​ | ​ | — | ​ | ​ | — | ​ | ​ | 106
4 | ​ | Unfunded non-real estate loan commitments | ​ | 433 | ​ | ​ | (18) | ​ | ​ | — | ​ | ​ | — | ​ | ​ | 415
6 | ​ | Unfunded non-real estate loan commitments | ​ | 65 | ​ | ​ | (65) | ​ | ​ | — | ​ | ​ | — | ​ | ​ | —
​ | ​ | Sub-total | ​ | 2,963 | ​ | ​ | (932) | ​ | ​ | — | ​ | ​ | — | ​ | ​ | 2,031
​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
​ | ​ | Total | $ | 198,612 | ​ | $ | 2,273 | ​ | $ | (17,851) | ​ | $ | (1,605) | ​ | $ | 181,429

​

(1) | During the six months ended June 30, 2025, we received proceeds of $1.7 million from the liquidating trust related to the $25.0 million DIP facility to Gulf Coast Health Care LLC (“Gulf Coast”) and proceeds of $0.3 million related to one other real estate loan, which resulted in a recovery for credit losses of $2.0 million. Both of these loans and related reserves were previously written off, so the $2.0 million aggregate recovery is not included in the rollforward above.

(2) | These amounts include cash recoveries of $2.9 million related to interest payments received on loans that are written down to fair value and are being accounted for under the cost recovery method in which any payments received are applied directly against the principal balance outstanding. This amount also includes $1.8 million related to principal payments received on loans that were fully reserved.

(3) | Represents the allowance for credit losses related to an investment in a direct financing lease that was reclassified to real estate assets in connection with the termination of the lease in the first half of 2025 as discussed further in Note 2 – Real Estate Assets.

(4) | Amount reflects the write-off of the reserves associated with the $10.0 million DIP financing and the $8.3 million term loan to LaVie (which were both previously fully reserved) that were discharged as part of the LaVie plan of reorganization that was made effective on June 1, 2025.

18

Table of Contents

A rollforward of our allowance for credit losses for the six months ended June 30, 2024 is as follows:

​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
Rating | ​ | Financial Statement Line Item | Allowance for Credit Loss at December 31, 2023 | ​ | Provision (Recovery) for Credit Loss for the six months ended June 30, 2024(1) | ​ | Write-offs charged against allowance for the six months ended June 30, 2024 | ​ | Allowance for Credit Loss as of June 30, 2024
​ | ​ | ​ | (in thousands)
1 | ​ | Real estate loans receivable | $ | 1,501 | ​ | $ | (574) | ​ | $ | — | ​ | $ | 927
2 | ​ | Real estate loans receivable | ​ | 291 | ​ | ​ | 460 | ​ | ​ | — | ​ | ​ | 751
3 | ​ | Real estate loans receivable | ​ | 12,635 | ​ | ​ | 310 | ​ | ​ | — | ​ | ​ | 12,945
4 | ​ | Real estate loans receivable | ​ | 65,113 | ​ | ​ | (37,237) | (2) | ​ | — | ​ | ​ | 27,876
5 | ​ | Real estate loans receivable | ​ | — | ​ | ​ | 28,032 | (2) | ​ | — | ​ | ​ | 28,032
6 | ​ | Real estate loans receivable | ​ | 11,450 | ​ | ​ | — | ​ | ​ | — | ​ | ​ | 11,450
​ | ​ | Sub-total | ​ | 90,990 | ​ | ​ | (9,009) | ​ | ​ | — | ​ | ​ | 81,981
​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
5 | ​ | Investment in direct financing leases | ​ | 2,489 | ​ | ​ | (790) | ​ | ​ | — | ​ | ​ | 1,699
​ | ​ | Sub-total | ​ | 2,489 | ​ | ​ | (790) | ​ | ​ | — | ​ | ​ | 1,699
​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
2 | ​ | Non-real estate loans receivable | ​ | 1,151 | ​ | ​ | (158) | ​ | ​ | — | ​ | ​ | 993
3 | ​ | Non-real estate loans receivable | ​ | 3,903 | ​ | ​ | (792) | ​ | ​ | — | ​ | ​ | 3,111
4 | ​ | Non-real estate loans receivable | ​ | 720 | ​ | ​ | (290) | ​ | ​ | — | ​ | ​ | 430
5 | ​ | Non-real estate loans receivable | ​ | 43,404 | ​ | ​ | 5,016 | ​ | ​ | — | ​ | ​ | 48,420
6 | ​ | Non-real estate loans receivable | ​ | 72,453 | ​ | ​ | 6,698 | ​ | ​ | (7,632) | ​ | ​ | 71,519
​ | ​ | Sub-total | ​ | 121,631 | ​ | ​ | 10,474 | (3) | ​ | (7,632) | ​ | ​ | 124,473
​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
2 | ​ | Unfunded real estate loan commitments | ​ | 10 | ​ | ​ | (9) | ​ | ​ | — | ​ | ​ | 1
3 | ​ | Unfunded real estate loan commitments | ​ | 335 | ​ | ​ | 62 | ​ | ​ | — | ​ | ​ | 397
4 | ​ | Unfunded real estate loan commitments | ​ | 4,314 | ​ | ​ | (4,263) | (2) | ​ | — | ​ | ​ | 51
5 | ​ | Unfunded real estate loan commitments | ​ | — | ​ | ​ | 3,063 | (2) | ​ | — | ​ | ​ | 3,063
2 | ​ | Unfunded non-real estate loan commitments | ​ | 692 | ​ | ​ | (446) | ​ | ​ | — | ​ | ​ | 246
3 | ​ | Unfunded non-real estate loan commitments | ​ | 46 | ​ | ​ | 176 | ​ | ​ | — | ​ | ​ | 222
4 | ​ | Unfunded non-real estate loan commitments | ​ | 63 | ​ | ​ | (36) | ​ | ​ | — | ​ | ​ | 27
5 | ​ | Unfunded non-real estate loan commitments | ​ | 1,594 | ​ | ​ | (1,594) | ​ | ​ | — | ​ | ​ | —
6 | ​ | Unfunded non-real estate loan commitments | ​ | — | ​ | ​ | 92 | ​ | ​ | — | ​ | ​ | 92
​ | ​ | ​ | ​ | 7,054 | ​ | ​ | (2,955) | ​ | ​ | — | ​ | ​ | 4,099
​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
​ | ​ | Total | $ | 222,164 | ​ | $ | (2,280) | ​ | $ | (7,632) | ​ | $ | 212,252

(1) | During the six months ended June 30, 2024, we received proceeds of $3.3 million from the liquidating trust related to the $25.0 million DIP facility to Gulf Coast, which resulted in a recovery for credit losses of $3.3 million that is not included in the rollforward above since we had previously written-off the loan balance and related reserve.

(2) | Amount reflects the movement of reserves associated with the Maplewood Revolver due to an adjustment to the internal risk rating on the loan from 4 to 5 during the first quarter of 2024. See Note 5 – Real Estate Loans Receivable for additional information.

(3) | The amount includes cash recoveries of $2.4 million related to interest payments received on loans that are written down to fair value and are being accounted for under the cost recovery method in which any payments received are applied directly against the principal balance outstanding. This amount also includes $0.2 million related to principal payments received on loans that were fully reserved.

19

Table of Contents

A summary of our amortized cost basis by year of origination and credit quality indicator is as follows:

​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
Rating | Financial Statement Line Item | 2025 | 2024 | 2023 | 2022 | 2021 | 2020 | 2019 & older | Revolving Loans | Balance as of June 30, 2025
​ | ​ | (in thousands)
1 | Real estate loans receivable | $ | — | $ | — | $ | — | $ | 20,000 | $ | — | $ | — | $ | — | $ | — | $ | 20,000
2 | Real estate loans receivable | ​ | — | ​ | 29,700 | ​ | 8,680 | ​ | — | ​ | — | ​ | 21,325 | ​ | — | ​ | — | ​ | 59,705
3 | Real estate loans receivable | ​ | 26,867 | ​ | 255,614 | ​ | 159,630 | ​ | 25,600 | ​ | 72,420 | ​ | — | ​ | — | ​ | — | ​ | 540,131
4 | Real estate loans receivable | ​ | 18,775 | ​ | 79,971 | ​ | 82,673 | ​ | — | ​ | 31,747 | ​ | 72,413 | ​ | 307,606 | ​ | — | ​ | 593,185
5 | Real estate loans receivable | ​ | — | ​ | — | ​ | — | ​ | — | ​ | — | ​ | — | ​ | — | ​ | 263,580 | ​ | 263,580
6 | Real estate loans receivable | ​ | — | ​ | — | ​ | — | ​ | — | ​ | — | ​ | — | ​ | 12,496 | ​ | — | ​ | 12,496
​ | Sub-total | ​ | 45,642 | ​ | 365,285 | ​ | 250,983 | ​ | 45,600 | ​ | 104,167 | ​ | 93,738 | ​ | 320,102 | ​ | 263,580 | ​ | 1,489,097
​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
2 | Non-real estate loans receivable | ​ | — | ​ | — | ​ | — | ​ | — | ​ | — | ​ | — | ​ | — | ​ | 16,439 | ​ | 16,439
3 | Non-real estate loans receivable | ​ | 2,124 | ​ | 3,882 | ​ | 77,003 | ​ | 15,738 | ​ | — | ​ | — | ​ | 2,683 | ​ | 50,439 | ​ | 151,869
4 | Non-real estate loans receivable | ​ | 3,152 | ​ | 4,411 | ​ | — | ​ | — | ​ | — | ​ | — | ​ | 121,766 | ​ | 30,690 | ​ | 160,019
5 | Non-real estate loans receivable | ​ | 500 | ​ | 6,000 | ​ | — | ​ | — | ​ | — | ​ | — | ​ | 42,810 | ​ | — | ​ | 49,310
6 | Non-real estate loans receivable | ​ | — | ​ | 6,386 | ​ | 5,158 | ​ | 24,458 | ​ | — | ​ | — | ​ | 26,822 | ​ | — | ​ | 62,824
​ | Sub-total | ​ | 5,776 | ​ | 20,679 | ​ | 82,161 | ​ | 40,196 | ​ | — | ​ | — | ​ | 194,081 | ​ | 97,568 | ​ | 440,461
​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
​ | Total | $ | 51,418 | $ | 385,964 | $ | 333,144 | $ | 85,796 | $ | 104,167 | $ | 93,738 | $ | 514,183 | $ | 361,148 | $ | 1,929,558
​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
​ | Year to date gross write-offs | $ | — | $ | — | $ | — | $ | — | $ | (7,851) | $ | — | $ | — | $ | (10,000) | $ | (17,851)

​

Interest Receivable on Real Estate Loans and Non-Real Estate Loans

We have elected the practical expedient to exclude interest receivable from our allowance for credit losses. As of June 30, 2025 and December 31, 2024, we have excluded $11.6 million and $11.1 million, respectively, of contractual interest receivables and $2.1 million and $1.8 million, respectively, of effective yield interest receivables from our allowance for credit losses. We write off contractual interest receivables to provision for credit losses in the period we determine the interest is no longer considered collectible.

During the three months ended June 30, 2025 and 2024, we recognized $0.1 million and $1.2 million, respectively, of interest income related to loans on non-accrual status as of June 30, 2025. During the six months ended June 30, 2025 and 2024, we recognized $0.6 million and $2.2 million, respectively, of interest income related to loans on non-accrual status as of June 30, 2025.

NOTE 8 – VARIABLE INTEREST ENTITIES

Unconsolidated Variable Interest Entities

We hold variable interests in several VIEs through our investing and financing activities, which are not consolidated, as we have concluded that we are not the primary beneficiary of these entities as we do not have the power to direct activities that most significantly impact the VIE’s economic performance and/or the variable interest we hold does not obligate us to absorb losses or provide us with the right to receive benefits from the VIE which could potentially be significant.

20

Table of Contents

Below is a summary of our assets, liabilities, collateral and maximum exposure to loss associated with these unconsolidated VIEs as of June 30, 2025 and December 31, 2024:

​ | ​ | ​ | ​ | ​ | ​ | ​
​ | ​ | June 30, | ​ | December 31,
​ | ​ | 2025 |  | 2024
​ | ​ | (in thousands)
Assets | ​ | ​ | ​ | ​ | ​ | ​
Real estate assets – net(1) | ​ | $ | 1,033,590 | ​ | $ | 1,250,131
Real estate loans receivable – net | ​ |  | 599,127 | ​ | ​ | 534,048
Investments in unconsolidated joint ventures | ​ | ​ | 8,187 | ​ | ​ | 9,754
Non-real estate loans receivable – net | ​ |  | 17,241 | ​ | ​ | 38,463
Contractual receivables – net | ​ |  | 1,207 | ​ | ​ | 994
Other assets | ​ | ​ | — | ​ | ​ | 1,539
Total assets | ​ |  | 1,659,352 |  | ​ | 1,834,929
​ | ​ | ​ | ​ | ​ | ​ | ​
Liabilities | ​ | ​ | ​ | ​ | ​ | ​
Accrued expenses and other liabilities | ​ | ​ | (50,880) | ​ | ​ | (52,692)
Total liabilities | ​ |  | (50,880) |  | ​ | (52,692)
​ | ​ | ​ | ​ | ​ | ​ | ​
Collateral | ​ |  |  |  | ​ |
Personal guarantee | ​ |  | (48,000) | ​ | ​ | (48,000)
Other collateral(1)(2) | ​ |  | (1,229,290) | ​ | ​ | (1,422,096)
Total collateral | ​ |  | (1,277,290) | ​ | ​ | (1,470,096)
​ | ​ | ​ | ​ | ​ | ​ | ​
Maximum exposure to loss | ​ | $ | 331,182 | ​ | $ | 312,141

(1) | Amount excludes accounts receivable that Omega has a security interest in as collateral under the two working capital loans with operators that are unconsolidated VIEs. The fair value of the accounts receivable available to Omega was $6.1 million and $5.5 million as of June 30, 2025 and December 31, 2024, respectively.

(2) | The decrease in the balance from December 31, 2024 to June 30, 2025 primarily relates to the transition of facilities from LaVie to Avardis during the second quarter of 2025, as discussed further in Note 4 – Contractual Receivables and Other Receivables and Lease Inducements.

In determining our maximum exposure to loss from the unconsolidated VIEs, we considered the underlying carrying value of the real estate subject to leases with the operator and other collateral, if any, supporting our other investments, which may include accounts receivable, security deposits, letters of credit or personal guarantees, if any, as well as other liabilities recognized with respect to these operators.

The table below reflects our total revenues from the operators that are considered unconsolidated VIEs, following the date they were determined to be VIEs, for the three and six months ended June 30, 2025 and 2024:

​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
​ | ​ | ​ | Three Months Ended June 30, | ​ | Six Months Ended June 30,
​ | ​ | ​ | 2025 |  | 2024 | ​ | 2025 |  | 2024
​ | ​ | ​ | (in thousands) | ​ | (in thousands)
Revenue | ​ |  | ​ |  |  | ​ |  |  | ​ |  |  | ​ |
Rental income | ​ | ​ | $ | 31,766 | ​ | $ | 26,715 | ​ | $ | 64,653 | ​ | $ | 45,843
Interest income | ​ | ​ |  | 7,242 | ​ |  | 3,491 | ​ |  | 14,568 | ​ |  | 6,455
Total | ​ | ​ | $ | 39,008 | ​ | $ | 30,206 | ​ | $ | 79,221 | ​ | $ | 52,298

​

Consolidated VIEs

The Company consolidates Omega OP, a VIE in which the Company is considered the primary beneficiary. The Company, as general partner, has the power to direct the activities of Omega OP that most significantly affect Omega OP’s performance, and through its interest in Omega OP, has both the right to receive benefits from and the obligation to absorb losses of Omega OP.

21

Table of Contents

Additionally, we own a partial equity interest in a joint venture that we have determined is a VIE. We have consolidated this VIE because we have concluded that we are the primary beneficiary of this VIE based on our ability to direct the activities that most significantly impact the joint venture’s economic performance and our rights to receive residual returns and obligation to absorb losses arising from the joint venture. As of June 30, 2025 and December 31, 2024, this joint venture has $23.8 million and $24.3 million, respectively, of total assets, and $20.8 million of total liabilities, which are included in our Consolidated Balance Sheets.

NOTE 9 – INVESTMENTS IN JOINT VENTURES

Unconsolidated Joint Ventures

The following is a summary of our investments in unconsolidated joint ventures (dollars in thousands):

​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | Carrying Amount
​ | ​ | Ownership | ​ | Facility | ​ | Facility | ​ | June 30, | ​ | December 31,
Entity | ​ | % (1) | ​ | Type | ​ | Count (1) | ​ | 2025 |  | 2024
Lakeway Realty, L.L.C. | ​ | 51% | ​ | Specialty facility | ​ | 1 | ​ | $ | 65,979 | ​ | $ | 67,541
Second Spring Healthcare Investment | ​ | 15% | ​ | N/A | ​ | — | ​ | ​ | 7,320 |  | ​ | 7,117
Other Real Estate JVs(2)(3) | ​ | 20% – 50% | ​ | Various | ​ | 6 | ​ |  | 4,488 |  | ​ | 6,736
Other Healthcare JVs(3)(4) | ​ | 9% – 25% | ​ | N/A | ​ | N/A | ​ | ​ | 7,642 | ​ | ​ | 7,317
​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | $ | 85,429 | ​ | $ | 88,711

(1) | Ownership percentages and facility counts are as of June 30, 2025.

(2) | Includes three joint ventures formed for the purpose of owning or providing financing for SNFs, ALFs or specialty facilities.

(3) | As of June 30, 2025, and December 31, 2024, we had an aggregate of $18.5 million of loans outstanding with these joint ventures.

(4) | Includes six joint ventures engaged in business that support the long-term healthcare industry and our operators.

​

NOTE 10 – GOODWILL AND OTHER INTANGIBLES

The following is a summary of our goodwill as of June 30, 2025 and December 31, 2024:

​ | ​ | ​ | ​
​ |  | (in thousands)
Balance as of December 31, 2024 | ​ | $ | 643,664
Foreign currency translation | ​ |  | 1,224
Balance as of June 30, 2025 | ​ | $ | 644,888

​

​

The following is a summary of our intangible assets and liabilities as of June 30, 2025 and December 31, 2024:

​ | ​ | ​ | ​ | ​ | ​ | ​
​ |  | June 30, | ​ | December 31,
​ |  | 2025 |  | ​ | 2024
​ | ​ | (in thousands)
Assets: |  | ​ |  |  | ​ | ​
Above market leases | ​ | $ | 34,554 | ​ | $ | 31,864
Accumulated amortization | ​ |  | (5,399) |  |  | (3,800)
Net above market leases | ​ | $ | 29,155 | ​ | $ | 28,064
​ | ​ | ​ | ​ | ​ | ​ | ​
Liabilities: | ​ |  | ​ |  |  | ​
Below market leases | ​ | $ | 33,014 | ​ | $ | 34,723
Accumulated amortization | ​ |  | (26,147) |  |  | (26,647)
Net below market leases | ​ | $ | 6,867 | ​ | $ | 8,076

​

Above market leases, net of accumulated amortization, are included in other assets on our Consolidated Balance Sheets. Below market leases, net of accumulated amortization, are included in accrued expenses and other liabilities on our Consolidated Balance Sheets. The net amortization related to the above and below market leases is included in our Consolidated Statements of Operations as an adjustment to rental income.

22

Table of Contents

For the three months ended June 30, 2025 and 2024, our net amortization related to intangibles was $(0.6) million and $0.6 million, respectively. For the six months ended June 30, 2025 and 2024, our net amortization related to intangibles was $(0.8) million and $1.1 million, respectively. The estimated net amortization expense related to these intangibles for the remainder of 2025 and the next four years is as follows: remainder of 2025 – $(1.1) million; 2026 – $(2.1) million; 2027 – $(2.1) million; 2028 – $(2.2) million and 2029 – $(2.2) million. As of June 30, 2025, the weighted average remaining amortization period of above market lease assets is ten years and below market lease liabilities is nine years.

​

NOTE 11 – CONCENTRATION OF RISK

As of June 30, 2025, our portfolio of real estate investments consisted of 1,056 healthcare facilities (including properties associated with mortgages, assets held for sale and consolidated joint ventures), along with other real estate loans receivable (excluding mortgages) of $484.3 million and $85.4 million of investments in 11 unconsolidated joint ventures. These healthcare facilities are located in 42 states, Washington, D.C., the U.K. and Jersey, and are operated by 94 third-party operators. Our investment in these healthcare facilities, net of impairments and allowances, totaled $10.6 billion at June 30, 2025, with 98% of our real estate investments related to long-term healthcare facilities. Our portfolio of healthcare facilities is made up of (i) 577 SNFs, 342 ALFs, 19 ILFs, 18 specialty facilities and one medical office building, (ii) fixed rate mortgages on 50 SNFs, 44 ALFs, two ILFs and one specialty facility, and (iii) two facilities that are held for sale. As of June 30, 2025, our total investments also include non-real estate loans receivable of $333.3 million.

Operator Concentration

As of June 30, 2025 and December 31, 2024, we had total investments (before accumulated depreciation and allowances) with one operator that approximated or exceeded 10% of our total investments: Maplewood. Maplewood generated 6.9% and 4.7% of our total revenues for the three months ended June 30, 2025 and 2024, respectively, and 6.6% and 4.7% of our total revenues for the six months ended June 30, 2025 and 2024, respectively. During the three and six months ended June 30, 2025, we also have one operator with total revenues that exceeded 10% of our total revenues: CommuniCare Health Services, Inc. (“CommuniCare”). CommuniCare generated 10.9% and 12.5% of our total revenues for the three months ended June 30, 2025 and 2024, respectively, and 10.9% and 12.7% of our total revenues for the six months ended June 30, 2025 and 2024, respectively. As of June 30, 2025, CommuniCare represented 7.9% of our total investments (before accumulated depreciation and allowances).

Geographic Concentration

As of June 30, 2025, the three geographic locations in which we had our highest concentration of real estate assets and mortgages (before accumulated depreciation and allowances) were the U.K. (17.8%), Texas (8.9%) and Indiana (5.9%).

​

NOTE 12 – STOCKHOLDERS’ EQUITY

Increase of Authorized Omega Common Stock

On June 6, 2025, Omega amended its charter to increase the number of authorized shares of Omega common stock from 350.0 million to 700.0 million.

Stock Repurchase Program

During the three and six months ended June 30, 2025 and 2024, we did no t repurchase any shares of our outstanding common stock under the $500.0 Million Stock Repurchase Program, which expired in March 2025.

23

Table of Contents

Dividends

The following is a summary of our declared cash dividends on common stock:

​ | ​ | ​ | ​ | ​ | ​
Record Date |  | Payment Date |  | Dividend per Common Share
February 10, 2025 | ​ | February 18, 2025 | ​ | $ | 0.67
May 5, 2025 | ​ | May 15, 2025 | ​ | ​ | 0.67
August 4, 2025 | ​ | August 15, 2025 | ​ | ​ | 0.67

​

Dividend Reinvestment and Common Stock Purchase Plan

The following is a summary of the shares issued under the Dividend Reinvestment and Common Stock Purchase Plan for the three and six months ended June 30, 2025 and 2024 (in thousands):

​ | ​ | ​ | ​ | ​ | ​
​ | Period Ended | Shares issued | ​ | Gross Proceeds
Three Months Ended | June 30, 2024 | 413 | ​ | $ | 13,015
Three Months Ended | June 30, 2025 | 3,988 | ​ | ​ | 150,442
Six Months Ended | June 30, 2024 | 442 | ​ | ​ | 13,897
Six Months Ended | June 30, 2025 | 6,655 | ​ | ​ | 250,193

​

At-The-Market Offering Programs

The following is a summary of the shares issued under our former $1.0 billion 2021 At-The-Market Offering Program and our current $1.25 billion 2024 At-The-Market Offering Program (collectively, the “ATM Program”) for the three and six months ended June 30, 2025 and 2024 (in thousands except average price per share):

​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
​ | ​ | ​ | Average Net Price | ​ | ​ | ​ | ​
​ | Period Ended | Shares issued | Per Share(1) | Gross Proceeds | Net Proceeds
Three Months Ended | June 30, 2024 | 7,212 | $ | 31.86 | $ | 231,920 | $ | 229,754
Three Months Ended | June 30, 2025 | 2,895 | ​ | 36.83 | ​ | 107,872 | ​ | 106,626
Six Months Ended | June 30, 2024 | 8,253 | ​ | 31.68 | ​ | 264,215 | ​ | 261,492
Six Months Ended | June 30, 2025 | 7,285 | ​ | 36.97 | ​ | 272,321 | ​ | 269,296

(1) | Represents the average price per share after issuance costs.

We did not utilize the forward provisions under the ATM Program during the three and six months ended June 30, 2025 and 2024.

Accumulated Other Comprehensive Income (Loss)

The following is a summary of our accumulated other comprehensive income (loss), net of tax as of June 30, 2025 and December 31, 2024:

​

​ | ​ | ​ | ​ | ​ | ​
​ | June 30, | ​ | December 31,
​ | 2025 |  | 2024
​ | ​ | (in thousands)
Foreign currency translation | $ | 41,674 | ​ | $ | (66,110)
Derivative instruments designated as cash flow hedges | ​ | 69,392 | ​ | ​ | 76,713
Derivative instruments designated as net investment hedges |  | (12,311) | ​ |  | 11,898
Total accumulated other comprehensive income before noncontrolling interest |  | 98,755 | ​ |  | 22,501
Add: portion included in noncontrolling interest |  | (1,941) | ​ |  | 230
Total accumulated other comprehensive income for Omega | $ | 96,814 | ​ | $ | 22,731

​

​

24

Table of Contents

During the three months ended June 30, 2025 and 2024, we reclassified $1.4 million and $2.6 million, respectively, of realized gains out of accumulated other comprehensive income into interest expense on our Consolidated Statements of Operations associated with our cash flow hedges. During the six months ended June 30, 2025 and 2024, we reclassified $2.8 million and $5.2 million, respectively, of realized gains out of accumulated other comprehensive income into interest expense on our Consolidated Statements of Operations associated with our cash flow hedges.

​

NOTE 13 – TAXES

Omega was organized, has operated and intends to continue to operate in a manner that enables Omega to qualify for taxation as a REIT under Sections 856 through 860 of the Code.

We have elected to treat certain of our active subsidiaries as taxable REIT subsidiaries (“TRSs”). Our domestic TRSs are subject to federal, state and local income taxes at the applicable corporate rates. Our foreign subsidiaries are subject to foreign income taxes and withholding taxes. Income taxes included within the financial statements primarily represents U.S. federal, state and local income taxes as well as non-U.S. income based or withholding taxes on certain investments located in jurisdictions outside the U.S.

The following is a summary of our provision for income taxes:

​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
​ | Three Months Ended June 30, |  | Six Months Ended June 30,
​ | 2025 |  | 2024 |  | 2025 |  | 2024
​ | (in thousands)
Federal, state and local income tax expense | $ | 173 |  | $ | 181 |  | $ | 441 |  | $ | 699
Foreign tax expense | ​ | 4,355 |  | ​ | 1,799 |  | ​ | 7,698 |  | ​ | 3,862
Total income tax expense (1) | $ | 4,528 | ​ | $ | 1,980 | ​ | $ | 8,139 | ​ | $ | 4,561

| (1) | The above amounts do not include gross income receipts or franchise taxes payable to certain states and municipalities.

The income tax expense for both the three and six months ended June 30, 2025 and 2024 was primarily due to income from foreign jurisdictions that subject to foreign income taxes and withholding taxes.

As of June 30, 2025 and December 31, 2024, deferred tax assets totaled $20.5 million and $19.4 million, respectively, and deferred tax liabilities totaled zero. Our deferred tax assets relate primarily to loss carryforwards.

NOTE 14 – STOCK-BASED COMPENSATION

The following is a summary of our stock-based compensation expense for the three and six months ended June 30, 2025 and 2024, respectively.

​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
​ |  | Three Months Ended June 30, |  | Six Months Ended June 30, |
​ |  | 2025 |  | 2024 |  | 2025 |  | 2024 |
​ |  | (in thousands) | ​
Stock-based compensation expense |  | $ | 9,234 | ​ | $ | 9,188 |  | $ | 25,046 |  | $ | 18,415 |

​

Stock-based compensation expense of $25.0 million for the six months ended June 30, 2025 includes $6.6 million of non-cash stock-based compensation expense associated with the transition discussed in the “Leadership Transition” section below. Stock-based compensation expense is included within general and administrative expenses on our Consolidated Statements of Operations.

We granted 3,065 time-based restricted stock units (“RSUs”) and 215,606 time-based profits interest units (“PIUs”) during the first quarter of 2025 to certain officers and employees, and those units vest on December 31, 2027 (three years after the grant date), subject to continued employment and vesting in connection with certain other events.

25

Table of Contents

We granted 1,832,700 performance-based PIUs and 28,027 performance-based RSUs during the first quarter of 2025 to certain officers and employees, which are earned based on the level of performance over the performance period (normally three years) and vest quarterly in the fourth year, subject to continued employment and vesting in connection with certain other events. We also granted 63,578 performance-based RSUs during the first quarter of 2025 to certain employees, which are earned based on the level of performance over the performance period (normally three years) and vest on December 31, 2027, subject to continued employment.

We granted 22,766 time-based PIUs and 22,040 time-based RSUs to directors during the second quarter of 2025, and those units vest on the date of Omega’s 2026 annual meeting of stockholders, subject to the director’s continued service and vesting in certain other events.

Time-based and performance-based grants made to named executive officers and key employees that meet certain conditions under the Company’s retirement policy (length of service, age, etc.) vest on an accelerated basis pursuant to the terms of our 2018 Stock Incentive Plan.

Leadership Transition

In January 2025, the Company and Daniel J. Booth, Chief Operating Officer, mutually agreed that Mr. Booth’s employment agreement with the Company would terminate effective January 2, 2025. The Company entered into a Transition Agreement and Release (the “Transition Agreement”) as of January 1, 2025 with Mr. Booth in connection with his departure and transitioning of his responsibilities. The Transition Agreement provides that Mr. Booth will be entitled to receive the payments and benefits due in connection with a termination of employment by the Company without cause pursuant to his Employment Agreement, as amended, dated effective January 1, 2024, provided that vesting of his previously granted equity incentives shall be prorated through January 1, 2026, and he shall be entitled to certain continued benefits under his supplemental life insurance policy. In connection with the transition discussed above and the modification of certain of Mr. Booth’s equity awards, the Company incurred incremental non-cash stock-based compensation expense of $6.6 million, which is reflected within general and administrative expense within the Consolidated Statements of Operations in the first quarter of 2025. General and administrative expense also includes the accrual of $2.2 million of transition payments to Mr. Booth to be made over the 24-month period and other costs incurred related to the transaction.

26

Table of Contents

NOTE 15 – BORROWING ACTIVITIES AND ARRANGEMENTS

The following is a summary of our borrowings:

​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
​ |  | ​ |  | Annual |  | ​ | ​ | ​ | ​ | ​ | ​
​ | ​ | ​ | ​ | Interest Rate | ​ | ​ | ​ | ​ | ​ | ​ | ​
​ | ​ | ​ | ​ | as of | ​ | ​ | ​ | ​ | ​ | ​ | ​
​ | ​ | ​ | ​ | June 30, | ​ | ​ | June 30, | ​ | December 31,
​ |  | Maturity |  | 2025 |  | ​ | 2025 |  | 2024
​ |  | ​ |  | ​ |  | ​ | (in thousands)
Secured borrowings: |  |  |  |  |  | ​ | ​ |  |  | ​ |
2026 mortgage loan(1) |  | 2026 |  | 9.60 | % | ​ | $ | 251,624 | ​ | $ | 231,148
Deferred financing costs – net |  |  |  | ​ | ​ | ​ |  | (2,874) | ​ |  | (3,753)
Premium – net(2) |  |  |  |  | ​ | ​ |  | 12,192 | ​ |  | 15,915
Total secured borrowings | ​ | ​ | ​ | ​ | ​ | ​ | ​ | 260,942 | ​ | ​ | 243,310
​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
Unsecured borrowings: |  |  |  |  | ​ | ​ |  |  | ​ |  |
Revolving Credit Facility(3)(4) |  | 2025 |  | 5.64 | % | ​ |  | — | ​ |  | —
​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | — | ​ | ​ | —
Senior notes and other unsecured borrowings: | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
2025 notes(3)(5) |  | 2025 |  | 4.50 | % | ​ |  | — | ​ |  | 400,000
2026 notes(3) |  | 2026 |  | 5.25 | % | ​ |  | 600,000 | ​ |  | 600,000
2027 notes(3) |  | 2027 |  | 4.50 | % | ​ |  | 700,000 | ​ |  | 700,000
2028 notes(3) |  | 2028 |  | 4.75 | % | ​ |  | 550,000 | ​ |  | 550,000
2029 notes(3) |  | 2029 |  | 3.63 | % | ​ |  | 500,000 | ​ |  | 500,000
2030 notes(3) | ​ | 2030 | ​ | 5.20 | % | ​ | ​ | 600,000 | ​ | ​ | —
2031 notes(3) | ​ | 2031 | ​ | 3.38 | % | ​ | ​ | 700,000 | ​ | ​ | 700,000
2033 notes(3) | ​ | 2033 | ​ | 3.25 | % | ​ | ​ | 700,000 | ​ | ​ | 700,000
2025 Term Loan(3)(6) | ​ | 2025 |  | 5.60 | % | ​ |  | 428,500 | ​ |  | 428,500
OP Term Loan(7) |  | 2025 |  | N/A | ​ | ​ |  | — | ​ |  | 50,000
Deferred financing costs – net |  |  |  | ​ | ​ | ​ |  | (17,930) | ​ |  | (14,843)
Discount – net |  |  |  |  | ​ | ​ |  | (21,079) | ​ |  | (18,108)
Total senior notes and other unsecured borrowings – net |  |  |  |  | ​ | ​ |  | 4,739,491 | ​ |  | 4,595,549
​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
Total unsecured borrowings – net |  |  |  |  | ​ | ​ |  | 4,739,491 | ​ |  | 4,595,549
​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
Total secured and unsecured borrowings – net(8)(9) |  |  |  |  | ​ | ​ | $ | 5,000,433 | ​ | $ | 4,838,859

(1) | Wholly owned subsidiaries of Omega OP are the obligors on this borrowing. Loan is denominated in British Pounds Sterling (“GBP”).

(2) | Represents the remaining fair value adjustment associated with the 2026 mortgage loan, that was assumed as part of an asset acquisition in July 2024, that is being amortized over the remaining contractual term of the loan.

(3) | Guaranteed by Omega OP.

(4) | As of June 30, 2025 and December 31, 2024, there were no borrowings outstanding under Omega’s $1.45 billion senior unsecured multicurrency revolving credit facility (“Revolving Credit Facility”). The applicable interest rate on the USD tranche and on the GBP borrowings under the alternative currency tranche of the Revolving Credit Facility were 5.64% and 5.54%, respectively, as of June 30, 2025. In April 2025, the maturity date was extended from April 30, 2025 to October 30, 2025 following Omega’s election to utilize one of two six-month extension options.

(5) | The Company repaid $400 million of 4.50% senior notes that matured on January 15, 2025 using available cash.

(6) | The weighted average interest rate of the $428.5 million term loan (the “2025 Term Loan”) has been adjusted to reflect the impact of the interest rate swaps that effectively fix the SOFR-based portion of the interest rate at 4.047%. In July 2025, the maturity date of the 2025 Term Loan was extended from August 8, 2025 to August 8, 2026 following Omega’s election to utilize one of two 12-month extension options.

(7) | On April 29, 2025, Omega repaid the $50 million term loan (“OP Term Loan”) using available cash prior to its original maturity date. Omega OP was the obligor on this borrowing.

(8) | All borrowings are direct borrowings of Parent unless otherwise noted.

(9) | Certain of our other secured and unsecured borrowings are subject to customary affirmative and negative covenants, including financial covenants. As of June 30, 2025 and December 31, 2024, we were in compliance with all applicable covenants for our borrowings.

$600 Million Senior Note Issuance

On June 20, 2025, Omega issued $600 million of Senior Notes due 2030 (the “2030 Senior Notes”) that mature on July 1, 2030 and bear interest at a fixed rate of 5.200% per annum, payable semi-annually on January 1 and July 1 of each year, commencing on January 1, 2026. The 2030 Senior Notes were sold at an issue price of 99.118% of their face value, resulting in a discount of $5.3 million. We incurred $5.6 million of deferred costs in connection with the issuance. The net proceeds from the issuance will be used for general corporate purposes, which may include, among other things, repayment of our existing indebtedness and future acquisition or investment opportunities in healthcare-related real estate properties and to pay certain fees and expenses related to the offering.

27

Table of Contents

NOTE 16 – DERIVATIVES AND HEDGING

We are exposed to, among other risks, the impact of changes in foreign currency exchange rates as a result of our investments in the U.K. and interest rate risk related to our capital structure. As a matter of policy, we do not use derivatives for trading or speculative purposes. Our risk management program is designed to manage the exposure and volatility arising from these risks, and utilizes foreign currency forward contracts, interest rate swaps and debt issued in foreign currencies to offset a portion of these risks. As of June 30, 2025, we have 11 interest rate swaps with $428.5 million in notional value and four interest rate caps with £190.0 million in notional value. The swaps and the majority of the caps are designated as cash flow hedges of the interest payments on two of Omega’s variable interest loans. Additionally, we have 11 foreign currency forward contracts with £258.0 million in notional value issued at a weighted average GBP-USD forward rate of 1.2899 that are designated as net investment hedges.

During the second quarter of 2025, we terminated one interest rate swap with $50.0 million of notional value and paid our swap counterparty $0.5 million in connection with the repayment of the OP Term Loan.

On March 27, 2020, we entered into five forward starting swaps totaling $400 million, indexed to 3-month LIBOR, that were issued at a weighted average fixed rate of approximately 0.8675% and were subsequently designated as cash flow hedges of interest rate risk associated with interest payments on a forecasted issuance of fixed rate long-term debt, initially expected to occur within the next five years. The swaps had an effective date of August 1, 2023 and an expiration date of August 1, 2033. In conjunction with the October 2020 issuance of $700 million of 3.375% Senior Notes due 2031 (the “2031 Senior Notes”) and the March 2021 issuance of $700 million aggregate principal amount of our 3.25% Senior Notes due 2033 (the “2033 Senior Notes”), we applied hedge accounting for these five forward starting swaps and began amortization. Simultaneously, we re-designated these swaps in new cash flow hedging relationships of interest rate risk associated with interest payments on another forecasted issuance of long-term debt. We were hedging our exposure to the variability in future cash flows for forecasted transactions over a maximum period of 46 months (excluding forecasted transactions related to the payment of variable interest on existing financial instruments). As a result of these transactions, the aggregate unrealized gain of $41.2 million ($9.5 million gain related to the 2031 Senior Notes issuance and $31.7 million gain related to the 2033 Senior Notes issuance) included within accumulated other comprehensive income at the time of the Senior Notes issuances is being ratably reclassified as a reduction to interest expense, net over 10 years. On May 30, 2023, the five forward starting swaps were terminated, and Omega received a net cash settlement of $92.6 million from the swap counterparties. The incremental $51.4 million of gains related to the forward swaps, recorded in accumulated other comprehensive income, were frozen at the time of termination and will be recognized ratably over 10 years in earnings when the next qualifying debt issuance occurs. The $600 million of 2030 Senior Notes that were issued in June 2025, as discussed further in Note 15 – Borrowing Activities and Arrangements, were determined to be a qualifying issuance, and amortization of the $51.4 million began as of the issuance date of the 2030 Senior Notes. The amortization is recorded as a reduction to interest expense.

The location and fair value of derivative instruments designated as hedges, at the respective balance sheet dates, were as follows:

​ | ​ | ​ | ​ | ​ | ​
​ | June 30, | ​ | December 31,
​ | 2025 |  | 2024
Cash flow hedges: | (in thousands)
Other assets | $ | 10 | ​ | $ | 381
Accrued expenses and other liabilities | $ | 5,304 | ​ | $ | 554
​ | ​ | ​ | ​ | ​ | ​
Net investment hedges: | ​ | ​ | ​ | ​ | ​
Other assets | $ | — | ​ | $ | 8,434
Accrued expenses and other liabilities | $ | 15,775 | ​ | $ | —

​

The fair value of the interest rate swaps and foreign currency forwards is derived from observable market data such as yield curves and foreign exchange rates and represents a Level 2 measurement on the fair value hierarchy.

28

Table of Contents

Derivatives Not Designated as Hedging Instruments

We enter into foreign currency exchange swap agreements to reduce the effects of currency exchange rate fluctuations between the USD, our reporting currency, and GBP. These derivative contracts generally mature within one year and are not designated as hedge instruments for accounting purposes. As the currency exchange swap is not accounted for as a hedging instrument, the change in fair value is recorded in earnings through other income – net in the Consolidated Statements of Operations.

In connection with funding a $344.2 million acquisition in the U.K. (see Note 2 – Real Estate Assets), in April 2025, Omega entered a GBP/USD currency forward with a notional value of £90.0 million and a GBP-USD forward rate of 1.2733. The swap was settled on the closing date of the acquisition, and we recorded a $5.2 million gain from its termination within other income – net in the Consolidated Statements of Operations for the three months ended June 30, 2025.

NOTE 17 – FINANCIAL INSTRUMENTS

The net carrying amount of cash and cash equivalents, restricted cash, contractual receivables, other assets and accrued expenses and other liabilities reported in the Consolidated Balance Sheets approximates fair value because of the short maturity of these instruments (Level 1).

At June 30, 2025 and December 31, 2024, the net carrying amounts and fair values of our other financial instruments were as follows:

​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
​ |  | June 30, 2025 | ​ | December 31, 2024
​ |  | Carrying |  | Fair |  | Carrying |  | Fair
​ |  | Amount |  | Value |  | Amount |  | Value
​ | ​ | (in thousands)
Assets: | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
Investments in direct financing leases – net |  | $ | — | ​ | $ | — |  | $ | 9,453 |  | $ | 9,453
Real estate loans receivable – net | ​ |  | 1,416,820 | ​ |  | 1,440,769 | ​ |  | 1,428,298 | ​ |  | 1,447,262
Non-real estate loans receivable – net | ​ |  | 333,340 | ​ |  | 338,042 | ​ |  | 332,274 | ​ |  | 340,025
Total | ​ | $ | 1,750,160 | ​ | $ | 1,778,811 | ​ | $ | 1,770,025 | ​ | $ | 1,796,740
Liabilities: | ​ |  |  | ​ |  |  | ​ |  |  | ​ |  |
Revolving Credit Facility | ​ | $ | — | ​ | $ | — | ​ | $ | — | ​ | $ | —
2026 mortgage loan | ​ |  | 260,942 | ​ |  | 263,816 | ​ |  | 243,310 | ​ |  | 247,063
2025 term loan | ​ | ​ | 428,234 | ​ | ​ | 428,500 | ​ | ​ | 427,044 | ​ | ​ | 428,500
OP Term Loan | ​ |  | — | ​ |  | — | ​ |  | 49,966 | ​ |  | 50,000
4.50% notes due 2025 – net | ​ |  | — | ​ |  | — | ​ |  | 399,968 | ​ |  | 399,856
5.25% notes due 2026 – net | ​ |  | 599,611 | ​ |  | 600,294 | ​ |  | 599,259 | ​ |  | 600,714
4.50% notes due 2027 – net | ​ |  | 697,499 | ​ |  | 701,393 | ​ |  | 696,766 | ​ |  | 691,040
4.75% notes due 2028 – net | ​ |  | 547,437 | ​ |  | 552,354 | ​ |  | 546,933 | ​ |  | 542,553
3.63% notes due 2029 – net | ​ | ​ | 494,912 | ​ | ​ | 475,960 | ​ | ​ | 494,308 | ​ | ​ | 461,180
5.20% notes due 2030 – net | ​ | ​ | 589,138 | ​ | ​ | 603,366 | ​ | ​ | — | ​ | ​ | —
3.38% notes due 2031 – net | ​ | ​ | 689,857 | ​ | ​ | 640,549 | ​ | ​ | 688,962 | ​ | ​ | 620,809
3.25% notes due 2033 – net | ​ | ​ | 692,803 | ​ | ​ | 604,282 | ​ | ​ | 692,343 | ​ | ​ | 585,389
Total | ​ | $ | 5,000,433 | ​ | $ | 4,870,514 | ​ | $ | 4,838,859 | ​ | $ | 4,627,104

​

Fair value estimates are subjective in nature and are dependent on a number of important assumptions, including estimates of future cash flows, risks, discount rates and relevant comparable market information associated with each financial instrument (see Note 2 – Summary of Significant Accounting Policies in our Annual Report on Form 10-K for the year ended December 31, 2024). The use of different market assumptions and estimation methodologies may have a material effect on the reported estimated fair value amounts.

29

Table of Contents

The following methods and assumptions were used in estimating fair value disclosures for financial instruments.

| ● | Real estate loans receivable: The fair value of the real estate loans receivables are estimated using a discounted cash flow analysis, using interest rates being offered for similar loans to borrowers with similar credit ratings (Level 3).

| ● | Non-real estate loans receivable: Non-real estate loans receivable are primarily comprised of notes receivable. The fair values of notes receivable are estimated using a discounted cash flow analysis, using interest rates being offered for similar loans to borrowers with similar credit ratings (Level 3).

| ● | Revolving Credit Facility, OP Term Loan and 2025 Term Loan: The carrying amount of these approximate fair value because the borrowings are interest rate adjusted. Differences between carrying value and the fair value in the table above are due to the inclusion of deferred financing costs and discounts in the carrying value.

| ● | 2026 mortgage loan: The 2026 mortgage loan was recorded at fair market value in July 2024, as of the date it was assumed. The fair market value was determined by discounting the remaining contractual cash flows using a current market rate of interest of comparable debt instruments. Differences between carrying value and the fair value in the table above are due to the inclusion of deferred financing costs in the carrying value.

| ● | Senior notes: The fair value of the senior unsecured notes payable was estimated based on (Level 1) publicly available trading prices.

NOTE 18 – COMMITMENTS AND CONTINGENCIES

Litigation

Gulf Coast Subordinated Debt

In August 2021, we filed suit in the Circuit Court for Baltimore County (the “Court”) against the holders of certain Subordinated Debt (the “Debt Holders”) associated with our Gulf Coast master lease agreement, following an assertion by the Debt Holders that our prior exercise of offset rights in connection with Gulf Coast’s non-payment of rent had resulted in defaults under the terms of the Subordinated Debt. The suit seeks a declaratory judgment to, among other items, declare that the aggregate amount of unpaid rent due from Gulf Coast under the master lease agreement exceeds all amounts which otherwise would be due and owing by an indirect subsidiary of Omega (“Omega Obligor”) under the Subordinated Debt, and that all principal and interest due and owing under the Subordinated Debt may be (and was) offset in full as of December 31, 2021. In October 2021, the Debt Holders filed a motion to dismiss for lack of personal jurisdiction. On November 3, 2022, the Court granted the Debt Holders’ motion to dismiss for lack of personal jurisdiction, and Omega filed a timely appeal of the ruling. While Omega believes Omega Obligor is entitled to the enforcement of the offset rights sought in the action, Omega cannot predict the outcome of the declaratory judgment action, irrespective of whether (a) it is ultimately litigated in the Court if Omega Obligor prevails in its appeal or (b) if the order granting the motion to dismiss for lack of personal jurisdiction is affirmed and the issues are litigated in the Delaware Court (as defined below).

On or about January 19, 2023, the Debt Holders served a lawsuit against the Omega Obligor in the Superior Court of the State of Delaware (the “Delaware Court”), asserting claims for (i) breach of the instruments evidencing the Subordinated Debt, (ii) declaratory judgment, and (iii) unjust enrichment, all claims that are factually based on the claims that are the subject of Omega Obligor’s suit in the Court and that are now on appeal. On February 8, 2023, Omega Obligor filed a motion to dismiss or, in the alternative, to stay this action pending the outcome of the above-referenced lawsuit in Maryland. On July 10, 2023, the Delaware state court case stayed the proceeding pending further developments in the Maryland litigation. In July 2025, the Delaware state court requested that Omega file an answer to the lawsuit by August 19, 2025 while allowing the stay to remain in place, subject to further orders of the court. Omega believes that the claims are baseless and is evaluating procedural and substantive legal options in connection with this recently lawsuit to the extent the stay is lifted.

30

Table of Contents

Other

In addition to the matters above, we are subject to various other legal proceedings, claims and other actions arising out of the normal course of business. While any legal proceeding or claim has an element of uncertainty, management believes that the outcome of each lawsuit, claim or legal proceeding that is pending or threatened, or all of them combined, will not have a material adverse effect on our consolidated financial position or results of operations.

Indemnification Agreements

In connection with certain facility transitions, we have agreed to indemnify certain operators in certain events. As of June 30, 2025, our maximum funding commitment under these indemnification agreements was $8.4 million. Claims under these indemnification agreements generally may be made within 18 months to 72 months of the transition date. These indemnification agreements were provided to certain operators in connection with facility transitions and generally would be applicable if the prior operators do not perform under their transition agreements.

Commitments

We have committed to fund the construction of new leased and mortgaged facilities, capital improvements and other commitments. We expect the funding of these commitments to be completed over the next several years. Our remaining commitments at June 30, 2025, are outlined in the table below (in thousands):

​

​ | ​ | ​ | ​
​ | ​ | ​ | ​
Lessor construction and capital commitments under lease agreements | ​ | $ | 228,711
Non-real estate loan commitments | ​ |  | 60,701
Real estate loan commitments | ​ |  | 37,914
Total remaining commitments (1) | ​ | $ | 327,326

(1) | Includes finance costs.

NOTE 19 – EARNINGS PER SHARE

The following tables set forth the computation of basic and diluted earnings per share:

​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
​ | Three Months Ended June 30, |  | Six Months Ended June 30,
​ | 2025 |  | 2024 |  | 2025 |  | 2024
​ | (in thousands, except per share amounts)
Numerator: | ​ |  |  | ​ |  | ​ | ​ |  |  | ​ |
Net income | $ | 140,479 | ​ | $ | 117,079 | ​ | $ | 252,539 | ​ | $ | 186,425
Less: adjustments to basic numerator(1) |  | (5,978) | ​ |  | (3,217) | ​ | ​ | (22,191) | ​ |  | (5,202)
Net income available to common stockholders – basic | $ | 134,501 | ​ | $ | 113,862 | ​ | $ | 230,348 | ​ | $ | 181,223
Add: net income attributable to OP Units |  | 3,968 | ​ |  | 3,463 | ​ | ​ | 6,762 | ​ |  | 5,499
Net income available to common stockholders – diluted | $ | 138,469 | ​ | $ | 117,325 | ​ | $ | 237,110 | ​ | $ | 186,722
Denominator: |  |  | ​ |  |  | ​ |  |  | ​ |  |
Denominator for basic earnings per share |  | 291,188 | ​ |  | 249,366 | ​ |  | 287,101 | ​ |  | 247,719
Effect of dilutive securities: |  | ​ | ​ |  | ​ | ​ |  | ​ | ​ |  | ​
Common stock equivalents |  | 8,563 | ​ |  | 4,583 | ​ |  | 8,387 | ​ |  | 4,170
Noncontrolling interest – Omega OP Units |  | 3,495 | ​ |  | 7,585 | ​ |  | 3,599 | ​ |  | 7,511
Denominator for diluted earnings per share |  | 303,246 | ​ |  | 261,534 | ​ |  | 299,087 | ​ |  | 259,400
​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
Earnings per share – basic: |  |  | ​ |  |  | ​ |  |  | ​ |  |
Net income available to common stockholders | $ | 0.46 | ​ | $ | 0.46 | ​ | $ | 0.80 | ​ | $ | 0.73
Earnings per share – diluted: |  | ​ | ​ |  | ​ | ​ |  | ​ | ​ |  | ​
Net income available to common stockholders | $ | 0.46 | ​ | $ | 0.45 | ​ | $ | 0.79 | ​ | $ | 0.72

(1) | Includes adjustments to remove income related to non-controlling interests and participating shares including time-based and performance-based PIUs and time-based and performance-based RSUs.

​

​

31

Table of Contents

NOTE 20 – SUPPLEMENTAL DISCLOSURE TO CONSOLIDATED STATEMENTS OF CASH FLOWS

The following are supplemental disclosures to the Consolidated Statements of Cash Flows for the six months ended June 30, 2025 and 2024:

​ | ​ | ​ | ​ | ​ | ​ | ​
​ |  | Six Months Ended June 30,
​ |  | 2025 |  | 2024
​ |  | (in thousands)
Reconciliation of cash and cash equivalents and restricted cash: | ​ | ​ | ​ | ​ | ​ | ​
Cash and cash equivalents | ​ | $ | 734,184 | ​ | $ | 35,193
Restricted cash | ​ |  | 38,400 | ​ |  | 3,938
Cash, cash equivalents and restricted cash at end of period | ​ | $ | 772,584 | ​ | $ | 39,131
​ | ​ | ​ | ​ | ​ | ​ | ​
Supplemental information: | ​ |  | ​ | ​ |  | ​
Interest paid during the period, net of amounts capitalized | ​ | $ | 112,657 | ​ | $ | 115,168
Taxes paid during the period | ​ | $ | 1,716 | ​ | $ | 1,433
​ | ​ | ​ | ​ | ​ | ​ | ​
Non-cash financing activities: | ​ |  |  | ​ |  |
Change in fair value of hedges | ​ | $ | (24,671) | ​ | $ | 12,455
Remeasurement of debt denominated in a foreign currency | ​ | $ | 21,716 | ​ | $ | (171)

​

NOTE 21 – SEGMENTS

We conduct our operations and report financial results as one business segment. The presentation of financial results as one reportable segment is consistent with the way we operate our business and is consistent with the manner in which our Chief Operating Decision Maker (“CODM”), our Chief Executive Officer, evaluates performance and makes resource and operating decisions for the business.

The CODM evaluates performance and makes resource and operating decisions for the business based on net income that is reported on the Consolidated Statements of Operations. The measure of segment assets is reported on the Consolidated Balance Sheets as total assets. The CODM uses net income to evaluate whether to make new investments, borrow or pay-off debt and/or issue or repurchase equity. The Company’s CODM periodically reviews interest expense and treats it as a significant segment expense. Interest expense is the largest recurring cash expense of the Company because debt is one of our primary sources of funds for new investments. Dependent on market conditions, our CODM seeks to mitigate the effects of fluctuations in interest rates by matching the terms of new investments with long-term fixed rate borrowings to the extent possible. Additionally, the CODM also utilizes hedging instruments as discussed in Note 16 – Derivatives and Hedging, to help manage interest rate risk and limit significant fluctuations in interest expense for variable rate borrowings. Interest expense related to the Company’s reportable segment is as follows:

​

​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
​ | Three Months Ended June 30, | ​ | Six Months Ended June 30,
​ | 2025 |  | 2024 | ​ | 2025 |  | 2024
​ | (in thousands) | ​ | (in thousands)
Interest expense | $ | 51,881 |  | $ | 50,604 | ​ | $ | 102,781 |  | $ | 104,748
Interest – amortization of deferred financing costs (1) |  | 1,016 |  | ​ | 3,362 | ​ |  | 2,396 |  | ​ | 7,038
Interest expense – net | $ | 52,897 | ​ | $ | 53,966 | ​ | $ | 105,177 | ​ | $ | 111,786

(1) | Includes amortization of deferred financing costs, discounts and premiums.

NOTE 22 – SUBSEQUENT EVENTS

In July 2025, we funded three mortgage loans with $75.6 million in aggregate principal. The loans bear interest at 10% per annum and have a maturity date of July 31, 2027, with a one-year extension option. The mortgage loans are secured by 12 facilities.

​

32

Table of Contents

Item 2 – Management’s Discussion and Analysis of Financial Condition and Results of Operations

Forward-Looking Statements and Factors Affecting Future Results

Unless otherwise indicated or except where the context otherwise requires, the terms “we,” “us” and “our” and other similar terms in this Quarterly Report on Form 10-Q refer to Omega Healthcare Investors, Inc. and its consolidated subsidiaries.

The following discussion should be read in conjunction with the financial statements and notes thereto appearing elsewhere in this document. This document contains “forward-looking statements” within the meaning of the federal securities laws. These statements relate to our expectations, beliefs, intentions, plans, objectives, goals, strategies, future events, performance and underlying assumptions and other statements other than statements of historical facts. In some cases, you can identify forward-looking statements by the use of forward-looking terminology including, but not limited to, terms such as “may,” “will,” “anticipates,” “expects,” “believes,” “intends,” “should” or comparable terms or the negative thereof. These statements are based on information available on the date of this filing and only speak as to the date hereof and no obligation to update such forward-looking statements should be assumed.

Our actual results may differ materially from those reflected in the forward-looking statements contained herein as a result of a variety of factors, including, among other things:

| (1) | those items discussed under “Risk Factors” in Part I, Item 1A to our Annual Report on Form 10-K and Part II, Item 1A herein;

| (2) | uncertainties relating to the business operations of the operators of our assets, including those relating to reimbursement by third-party payors, regulatory matters, occupancy levels and quality of care, including the management of infectious diseases;

| (3) | the timing of our operators’ recovery from staffing shortages, increased costs and decreased occupancy resulting from inflation and the long-term impacts of the COVID-19 pandemic and the sufficiency of previous government support and current reimbursement rates to offset such costs and the conditions related thereto;

| (4) | additional regulatory and other changes in the healthcare sector, including changes to Medicaid and Medicare reimbursements, the potential impact of recent changes to state Medicaid funding levels as well as state regulatory initiatives or minimum staffing requirements for skilled nursing facilities (“SNFs”) that may further exacerbate labor and occupancy challenges for our operators;

| (5) | the ability of our operators in bankruptcy to reject unexpired lease obligations, modify the terms of our mortgages and impede our ability to collect unpaid rent or interest during the pendency of a bankruptcy proceeding and retain security deposits for the debtor’s obligations, and other costs and uncertainties associated with operator bankruptcies;

| (6) | changes in tax laws and regulations affecting real estate investment trusts (“REITs”), including as the result of any federal or state policy changes driven by the current focus on capital providers to the healthcare industry;

| (7) | our ability to re-lease, otherwise transition or sell underperforming assets or assets held for sale on a timely basis and on terms that allow us to realize the carrying value of these assets or to redeploy the proceeds therefrom on favorable terms, including due to the potential impact of changes in the SNF and assisted living facility (“ALF”) markets or local real estate conditions;

| (8) | the availability and cost of capital to us;

| (9) | changes in our credit ratings and the ratings of our debt securities;

| (10) | competition in the financing of healthcare facilities;

| (11) | competition in the long-term healthcare industry and shifts in the perception of various types of long-term care facilities, including SNFs and ALFs;

| (12) | changes in the financial position of our operators;

| (13) | the effect of economic, regulatory and market conditions generally and, particularly, in the healthcare industry and in jurisdictions where we conduct business, including the U.K.;

| (14) | changes in interest rates and foreign currency exchange rates and the impacts of inflation and changes in global tariffs;

| (15) | the timing, amount and yield of any additional investments;

| (16) | our ability to maintain our status as a REIT; and

| (17) | the effect of other factors affecting our business or the businesses of our operators that are beyond our or their control, including natural disasters, public health crises or pandemics, cyber threats and governmental action, particularly in the healthcare industry.

33

Table of Contents

Summary

Our Management’s Discussion and Analysis of Financial Condition and Results of Operations is organized as follows:

| ● | Business Overview

| ● | Outlook, Trends and Other Conditions

| ● | Government Regulation and Reimbursement

| ● | Second Quarter of 2025 and Recent Highlights

| ● | Results of Operations

| ● | Funds from Operations

| ● | Liquidity and Capital Resources

| ● | Critical Accounting Policies and Estimates

Business Overview

Omega Healthcare Investors, Inc. (“Parent”) is a Maryland corporation that, together with its consolidated subsidiaries (collectively, “Omega” or “Company”) has elected to be taxed as a REIT for federal income tax purposes. Omega is structured as an umbrella partnership REIT (“UPREIT”) under which all of Omega’s assets are owned directly or indirectly by, and all of Omega’s operations are conducted directly or indirectly through, its operating partnership subsidiary, OHI Healthcare Properties Limited Partnership (collectively with its subsidiaries, “Omega OP”). As of June 30, 2025, Parent owned approximately 97% of the issued and outstanding units of partnership interest in Omega OP (“Omega OP Units”), and other investors owned approximately 3% of the outstanding Omega OP Units.

Omega has one reportable segment consisting of investments in healthcare-related real estate properties located in the United States (“U.S.”) and the United Kingdom (“U.K.”). Our core business is to provide financing and capital to the long-term healthcare industry with a particular focus on SNFs, ALFs (including care homes in the U.K.), and to a lesser extent, independent living facilities (“ILFs”), rehabilitation and acute care facilities (“specialty facilities”) and medical office buildings. Our core portfolio consists of our long-term leases and real estate loans with healthcare operating companies and affiliates (collectively, our “operators”). Real estate loans consist of mortgage loans and other real estate loans that are primarily collateralized by a first, second or third mortgage lien or a leasehold mortgage on, or an assignment of the partnership interest in the related properties. In addition to our core investments, we make loans to operators and/or their principals. These loans, which may be either unsecured or secured by the collateral of the borrower, are classified as non-real estate loans. From time to time, we also acquire equity interests in joint ventures or entities that support the long-term healthcare industry and our operators, which may include ancillary service or technology companies, and in operating companies. As healthcare delivery continues to evolve, we continuously evaluate potential investments, our assets, operators and markets to position our portfolio for long-term success. As part of our evaluation, we may from time to time consider selling or transitioning assets that do not meet our portfolio criteria.

34

Table of Contents

Outlook, Trends and Other Conditions

Our industry continues to recover from the long-term impacts of the COVID-19 pandemic, which significantly and adversely impacted SNFs and long-term care providers during the height of the pandemic due to the higher rates of virus transmission and fatality among the elderly and frail populations that these facilities serve. While certain of our operators have experienced a level of recovery from pandemic-driven challenges such as occupancy declines, labor shortages, staffing expense increases, and other cost increases, certain of our other operators remain negatively impacted by these factors in a much more profound way. In addition, our operators have been and continue to be adversely affected by inflation-related cost increases and may be adversely impacted by recently announced global tariffs, each of which may increase expenses and exacerbate labor shortages and increase labor costs, among other impacts. In addition, our operators may be adversely impacted by immigration restrictions and changes to immigration enforcement policy to the extent they contribute to labor shortages. There continues to be uncertainty regarding the extent and duration of these impacts for those operators, particularly given uncertainty as to whether reimbursement increases from the federal government, the states and the U.K. will be effective in offsetting these incremental costs and lost revenues. In addition, there remains uncertainty as to the impact of potential and recent regulatory changes, including impacts related to the recent Medicaid changes in the One Big Beautiful Bill Act (“OBBBA”), as well as the impact of potential further reforms to Medicaid or Medicare and state regulatory initiatives. While the OBBBA does not directly lower reimbursements related to long term care providers, it may impact our operators indirectly to the extent states in which they operate reduce reimbursement levels generally, which may occur as a result of reduced Medicaid funds available to states due to lower reimbursement levels for hospitals and other healthcare providers. We continue to monitor these impacts as well as the impacts of other regulatory changes, as discussed below, which could have a material adverse effect on an operator’s results of operations and financial condition, which could adversely affect the operator’s ability to meet its obligations to us. See “Government Regulation and Reimbursement” for additional information.

As discussed further in “Collectibility Issues” below, in recent periods we have had several operators that have failed to make contractual payments under their lease and loan agreements, and we have agreed to short-term payment deferrals, lease and portfolio restructurings and/or allowed several operators to apply security deposits or letters of credit to pay rent. While we continue to believe that longer term demographics will drive increasing demand for needs-based skilled nursing care, we remain cautious as some of the long-term impacts noted above may continue to have an impact on certain of our operators and their financial conditions.

Government Regulation and Reimbursement

The following information supplements and updates, and should be read in conjunction with, the information contained under the caption Item 1. Business – Government Regulation and Reimbursement in our Annual Report on Form 10-K for the year ended December 31, 2024.

The healthcare industry is heavily regulated. Our U.S.-based operators, which comprise the majority of our operators, are subject to extensive and complex federal, state and local healthcare laws and regulations; our U.K.-based operators are also subject to a variety of laws and regulations in their jurisdictions. These laws and regulations are subject to frequent and substantial changes resulting from the adoption of new legislation, rules and regulations, and administrative and judicial interpretations of existing law. The ultimate timing or effect of these changes, which may be applied retroactively, cannot be predicted. Changes in laws and regulations impacting our operators, in addition to regulatory non-compliance by our operators, can have a significant effect on the operations and financial condition of our operators, which in turn may adversely impact us. There is the potential that we may be subject directly to healthcare laws and regulations because of the broad nature of some of these regulations, such as the Anti-kickback Statute and False Claims Act in the U.S., among others.

35

Table of Contents

The long-term care industry continues to recover from the long-term impacts of the COVID-19 pandemic although a certain level of labor shortages, lower occupancy and certain expense increases that began during the pandemic persist, with certain operators continuing to experience these challenges in a much more profound way. In addition, the impact of these ongoing challenges, including labor pressures and inflationary cost increases, may depend on future developments, including the potential impacts of global tariffs, the sufficiency of reimbursement rate setting, the impact of recent changes to the Medicaid program on state reimbursement levels, the impacts of potential future Medicaid and Medicare reforms, and state regulatory initiatives, as well as the continued efficacy of infection control measures and regulations, all of which are uncertain and difficult to predict and may continue to adversely impact our business, results of operations, financial condition and cash flows.

A significant portion of our operators’ revenue is derived from government-funded reimbursement programs, consisting primarily of Medicare and Medicaid in the U.S. and local authority funding in the U.K. As federal and state governments continue to focus on healthcare reform initiatives, efforts to reduce costs or other budgetary adjustments by government payors, including through potential Medicaid reforms and the push by the U.S. Centers for Medicare and Medicaid Services (“CMS”) towards Medicare Advantage programs, will likely continue. Significant limits on the scope of services reimbursed and/or reductions of reimbursement rates could therefore have a material adverse effect on our operators’ results of operations and financial condition. Additionally, new and evolving payor and provider programs that are tied to quality and efficiency could adversely impact our tenants’ and operators’ liquidity, financial condition or results of operations, and there can be no assurance that payments under any of these government healthcare programs are currently, or will be in the future, sufficient to fully reimburse the property operators for their operating and capital expenses. The change in presidential administration and U.S. Congressional majorities at the federal level are increasing the political focus on entitlement program changes, which is creating uncertainty with respect to the level of government reimbursement available and the extent of industry regulation. The July 2025 passage of the OBBBA enacted significant reforms regarding funding and operation of the Medicaid program, including an estimated $920 billion in cuts to Medicaid over the next decade, as well as additional reforms related to instituting a ten-year moratorium on federal nursing home minimum staffing requirements; enactment of new home and community-based services (“HCBS”) waivers; and freezing, rather than reducing, nursing home provider taxes, which supplement reimbursements available to SNFs as these provider taxes are subject to federal matching funds. The OBBBA’s restrictions on provider taxes to other types of healthcare providers may impact our operators indirectly to the extent states reduce reimbursement levels generally to offset general provider tax reductions.

In addition to quality and value-based reimbursement reforms, CMS has implemented a number of initiatives focused on the reporting of certain facility-specific quality of care indicators that could affect our operators, including publicly released quality ratings for all of the nursing homes that participate in Medicare or Medicaid under the CMS “Five Star Quality Rating System.” Facility rankings, ranging from five stars (“much above average”) to one star (“much below average”) are updated on a monthly basis. These rating changes have impacted referrals to SNFs, and it is possible that changes to this system or other ranking systems could lead to future reimbursement policies that reward or penalize facilities on the basis of the reported quality of care parameters. These rating systems and other facility reporting requirements may impact occupancy at our properties and our business, results of operations, financial condition and cash flows.

The following is a discussion of certain U.S. laws and regulations generally applicable to our operators, and in certain cases, to us.

36

Table of Contents

Quality of Care and Staffing Initiatives. Several regulatory initiatives announced from 2020 to 2022 focused on addressing quality of care in long-term care facilities, including those related to COVID-19 testing and infection control protocols, vaccine protocols, staffing levels, reporting requirements, and visitation policies, as well as increased inspection of nursing homes. In addition, the CMS Nursing Home Care Compare website and the Five Star Quality Rating System were updated to include revisions to the inspection process, adjustment of staffing rating thresholds, the implementation of new quality measures and the inclusion of a staff turnover percentage (over a 12-month period). Beginning July 30, 2025, CMS will publish aggregated performance data, including average overall Five Star ratings, health inspection ratings, staffing, and quality measure ratings for “chains” or groups of Medicare-certified nursing homes that share at least one individual or organizational owner, officer, or entity with operational/managerial control. Also beginning no later than July 30, 2025, COVID-19 vaccination data will be removed from all nursing home profiles on the CMS Nursing Home Care Compare.

Additionally, on April 22, 2024, CMS issued a final rule regarding minimum staffing requirements and increased inspections at SNFs, which CMS estimates exceed existing staffing standards in nearly all states. The final rule was initially slated to begin implementation on a staggered phase-in basis based on geographic location and required SNFs participating in Medicare and Medicaid to maintain certain nurse staffing and care standards. The rule has been subject to successful legal challenges, which may be reversed if appealed. Further, the OBBBA included a ten-year delay on enforcement of these minimum staffing requirements.

Further, on March 30, 2023, CMS issued a memorandum revising and enhancing enforcement efforts for infection control deficiencies found in SNFs that are targeted at higher-level infection control deficiencies that result in actual harm or immediate jeopardy to residents. Similar to other serious survey deficiencies, penalties for the most serious infection control deficiencies include civil monetary penalties and discretionary payment denials for new resident admissions.

On November 15, 2023, CMS issued a final rule that requires SNFs participating in the Medicare or Medicaid programs to disclose certain ownership and managerial information regarding their relationships with certain entities that lease real estate to SNFs, including REITs, beginning May 1, 2025, which has been delayed by CMS until January 1, 2026. The CMS announcement of the final rule noted concerns regarding the quality of care provided at SNFs owned by private equity firms, REITs and other investment firms. Additionally, in 2024, several U.S. senators proposed legislation that would, if enacted, restrict certain investors, including REITs and private equity firms, from investing in healthcare facilities or impose penalties on certain landlords of or private equity investors in healthcare facilities whose operators subsequently enter into bankruptcy proceedings. On January 8, 2025, the State of Massachusetts enacted a law that requires notification for certain transactions involving SNFs and REITs and restricts new licenses to hospitals with certain facilities leased from REITs. Legislation with similar restrictions has been proposed in several other states. In addition, in January 2025, HHS and the Senate Budget Committee issued reports that found private equity investment in healthcare has had negative consequences for patients and providers. These initiatives, as well as additional calls for federal and state governmental review of the role of private equity in the U.S. healthcare industry and proposed legislation related to certain SNF financial arrangements with REITs, if enacted, could result in additional requirements or restrictions on our operators or us. The likelihood of any of these legislative measures passing at the federal level remains uncertain.

37

Table of Contents

On April 22, 2024, CMS issued the Ensuring Access to Medicaid Services final rule, which requires that, beginning six years after the effective date of the final rule, states generally ensure that at least 80% of Medicaid HCBS payments be put toward compensation for direct care workers. The final rule also requires more transparency regarding how much states pay for HCBS and how those rates are set. It is uncertain what the ultimate impact of the final rule, as well as similar initiatives at the state level, will be on providers of Medicaid HCBS services, given uncertainty related to how HCBS providers are currently spending Medicaid dollars, how many providers fall below the required 80% threshold and how well regulators can measure and track spending by HCBS providers. In addition, it remains unclear whether similar requirements, including those establishing minimum allocations of Medicaid or other reimbursements to direct care workers, will be proposed for SNFs, ALFs and other senior care providers; any such requirements, if enacted, could have a material adverse impact on the financial condition of our operators. This uncertainty is further exacerbated by unknowns regarding how states will contend with federal funding losses due to the OBBBA’s Medicaid reimbursement cuts and how they will ultimately decide to reallocate funding to the extent that they want to offset the impact to other providers or Medicaid recipients. Despite the OBBBA’s creation of a new category of 1915(c) HCBS waivers that would cover people who do not meet the existing requirement of needing an institutional level of care to receive HCBS, such HCBS could be scaled back at the state level as states face funding shortfalls, which may push seniors and individuals with disabilities into institutional nursing home settings.

Reimbursement Generally

Medicaid. Most of our SNF operators derive a substantial portion of their revenue from state Medicaid programs. Whether and to what extent the level of Medicaid reimbursement covers the actual cost to care for a Medicaid eligible resident varies by state and depends on federal matching levels. While periodic rate setting occurs and, in most cases, has an inflationary component, the state rate setting process does not always keep pace with inflation or, even if it does, there is a risk that it may still not be sufficient to cover all or a substantial portion of the cost to care for Medicaid eligible residents. Additionally, rate setting is subject to changes based on state budgetary constraints and national and state level political factors, both of which could result in decreased or insufficient reimbursement to the industry even in an environment where costs are rising. Under the OBBBA that was enacted in July 2025, certain states may experience reductions in their federal matching dollars under the Medicaid program. To the extent these states reduce reimbursements to our operators to offset the impact of these reductions to other providers, this may negatively impact our operators and their financial condition. Given the federal political focus on entitlement programs such as Medicaid, there remains uncertainty as to any future reforms to entitlement programs and reimbursement levels that impact our operators. Since our operators’ profit margins on Medicaid patients are generally relatively low, more than modest reductions in Medicaid reimbursement or increases in the percentage of Medicaid patients have in the past, and may in the future, adversely affect our operators’ results of operations and financial condition, which in turn could adversely impact us.

The risk of insufficient Medicaid reimbursement rates or delays in operators receiving such reimbursements, along with possible initiatives to push residents historically cared for in SNFs to alternative settings, labor shortages in certain areas and limited regulatory support for increased levels of reimbursement in certain states, may impact us more acutely in states where we have a larger presence. While state reimbursement rates have generally improved over the last several years, reimbursement support is not consistent across states, and it is difficult to assess whether the level of reimbursement support has or will continue to adequately keep pace with increased operator costs. In addition, certain of our operators have experienced delays in receiving state reimbursements, which may impact such operators’ ability to pay rent to us. We continue to monitor rate adjustment activity, particularly in states in which we have a meaningful presence.

38

Table of Contents

Medicare. Medicare reimbursement rate setting takes effect annually each October for the following fiscal year. On July 31, 2025, CMS issued a final rule regarding the government fiscal year 2026 Medicare payment rates and quality payment programs for SNFs, with aggregate Medicare Part A payments projected to increase by $1.16 billion, or 3.2%, for fiscal year 2026 compared to fiscal year 2025. This estimated reimbursement increase is attributable to a 3.2% net market basket update to the payment rates, which is based on a 3.3% SNF market basket increase plus a 0.6% market basket forecast error adjustment and less a 0.7% productivity adjustment. The annual update is reduced by 2% for SNFs that fail to submit required quality data to CMS under the SNF Quality Reporting Program. CMS has indicated that these impact figures did not incorporate the SNF Value-Based Program reductions that are estimated to be $208.36 million in fiscal year 2026. While Medicare reimbursement rate setting has historically included forecasted inflationary adjustments, the degree to which those forecasts accurately reflect current expense levels remains uncertain. Additionally, it remains uncertain whether these adjustments will ultimately be offset by other factors, including any adjustments related to the impact of various payment models, such as those described below.

Payments to providers continue to be increasingly tied to quality and efficiency. The Patient Driven Payment Model (“PDPM”), which was designed by CMS to improve the incentives to treat the needs of the whole patient, became effective October 1, 2019. CMS has stated that it intended PDPM to be revenue-neutral to operators, with future Medicare reimbursement reductions possible if that was not the case. In August 2022, CMS issued a final rule providing that, to obtain revenue neutrality, it would utilize a PDPM parity adjustment factor of 4.6% for Medicare payment rates with a two-year phase-in period that would reduce SNF spending by 2.3%, or approximately $780 million, in each of fiscal years 2023 and 2024. Our operators continue to adapt to the reimbursement changes and other payment reforms resulting from the value-based purchasing programs applicable to SNFs under the 2014 Protecting Access to Medicare Act. These reimbursement changes have had and may, together with any further reimbursement changes to the PDPM or value-based purchasing models, in the future have an adverse effect on the operations and financial condition of some of our operators and could adversely impact the ability of our operators to meet their obligations to us.

The Budget Control Act of 2011 established a Medicare Sequestration of 2%, which is an automatic reduction of certain federal spending as a budget enforcement tool. Originally, the sequester was intended to be in effect from FY 2013 to FY 2021. However, most recently, the Infrastructure Investment and Jobs Act extended the sequester through FY 2031. The full 2% Medicare sequestration went into effect as of July 1, 2022 and gradually increases to 4% from 2030 through 2031. Further, the OBBBA, absent further legislative action, requires an automatic 4% reduction in Medicare reimbursement rates beginning in 2026 as a budget enforcement tool triggered by the OBBBA’s impact on the federal deficit.

As a part of the COVID-19 1135 waiver provisions, in 2020 CMS added physical therapy, occupational therapy and speech-language pathology to the list of approved telehealth providers for the Medicare Part B programs provided by a SNF, which also allowed for the facility to bill an originating site fee to CMS for telehealth services provided to Medicare Part B beneficiary residents of the facility when the services were provided by a physician from an alternate location through expiration of the public health emergency. The Consolidated Appropriations Act of 2023 extended the ability of occupational therapists, physical therapists and speech-language pathologists to continue to furnish these services via telehealth and bill as distant site practitioners through September 30, 2025.

Other Regulation:

Office of the Inspector General Activities. The Office of Inspector General (“OIG”) of HHS has provided long-standing guidance for SNFs regarding compliance with federal fraud and abuse laws. More recently, the OIG has conducted increased oversight activities and issued additional guidance regarding its findings related to identified problems with the quality of care and the reporting and investigation of potential abuse or neglect at group homes, nursing homes and SNFs.

39

Table of Contents

Department of Justice and Other Enforcement Actions. SNFs are under intense scrutiny for ensuring the quality of care being rendered to residents and appropriate billing practices conducted by the facility. The DOJ has historically used the False Claims Act to civilly pursue nursing homes that bill the federal government for services not rendered or care that is grossly substandard. For example, in November 2024, one of the Company’s skilled nursing operators disclosed that it had received civil investigative demands from the federal government regarding its reimbursement and referral practices. Additionally, it was reported in May 2025 that the DOJ initiated a criminal investigation regarding United Healthcare’s practices related to its Medicare Advantage business, although the exact nature and scope of the criminal investigation remains unclear. In 2020, the DOJ launched a National Nursing Home Initiative to coordinate and enhance civil and criminal enforcement actions against nursing homes with grossly substandard deficiencies. Such enforcement activities are unpredictable and may develop over lengthy periods of time. An adverse resolution of any of these enforcement activities or investigations incurred by our operators may involve injunctive relief and/or substantial monetary penalties, either or both of which could have a material adverse effect on their reputation, business, results of operations and cash flows.

​

Second Quarter of 2025 and Recent Highlights

Investments

| ● | During the three and six months ended June 30, 2025, we acquired 57 facilities and 63 facilities for aggregate consideration of $502.1 million and $560.4 million, respectively. The initial cash yield (the initial annual contractual cash rent divided by the purchase price) on these asset acquisitions was between 9.9% and 10.0%.

| ● | We invested $27.4 million and $62.7 million under our construction in progress and capital improvement programs during the three and six months ended June 30, 2025, respectively.

| ● | We funded $25.6 million and $45.7 million under 12 and 14 new real estate loans originated during 2025 with weighted average interest rates of 10.0% and 10.3% during the three and six months ended June 30, 2025, respectively. Additionally, we advanced $3.2 million and $9.7 million under existing real estate loans during the three and six months ended June 30, 2025, respectively. Principal repayments of $21.3 million and $64.8 million were received on real estate loans during the three and six months ended June 30, 2025, respectively.

Dispositions and Impairments

| ● | During the three and six months ended June 30, 2025, we sold seven facilities (six SNFs and one ALF) and 34 facilities (32 SNFs and two ALFs) for $62.1 million and $183.0 million in net cash proceeds, recognizing net gains of $22.9 million and $33.0 million, respectively.

| ● | During the three and six months ended June 30, 2025, we recorded impairments of $14.2 million and $15.4 million on three facilities and four facilities, respectively. Of the $15.4 million, $9.1 million related to two held for use facilities, and $6.3 million related to two facilities that were classified as held for sale.

Financing Activities

| ● | On June 6, 2025, Omega amended its charter to increase the number of authorized shares of Omega common stock from 350.0 million to 700.0 million.

| ● | During the three and six months ended June 30, 2025, we sold 6.8 million and 13.9 million shares of common stock under our $1.25 billion At-The-Market Offering Program (“ATM Program”) and Dividend Reinvestment and Common Stock Purchase Plan (“DRCSPP”), generating aggregate gross proceeds of $258.3 million and $522.5 million, respectively.

40

Table of Contents

| ● | On June 20, 2025, the Company issued $600 million of Senior Notes due 2030 (the “2030 Senior Notes”) that mature on July 1, 2030 and bear interest at a fixed rate of 5.200% per annum, payable semi-annually on January 1 and July 1 of each year, commencing on January 1, 2026. The 2030 Senior Notes were sold at an issue price of 99.118% of their face value, resulting in a discount of $5.3 million. We incurred $5.6 million of deferred costs in connection with the issuance.

| ● | In April 2025, the maturity date of the $1.45 billion senior unsecured multicurrency revolving credit facility (“Revolving Credit Facility”) was extended from April 30, 2025 to October 30, 2025.

| ● | Omega repaid the $50 million term loan (“OP Term Loan”) on April 29, 2025, prior to its original maturity date.

| ● | In July 2025, the maturity date of the 2025 Term Loan was extended from August 8, 2025 to August 8, 2026 following Omega’s election to utilize one of two 12-month extension options.

Other Highlights

| ● | We funded $3.8 million and $3.9 million under one and four new non-real estate loans originated during 2025 with a weighted average interest rate of 10.0% during the three and six months ended June 30, 2025, respectively. We advanced $10.2 million and $24.6 million under existing non-real estate loans during the three and six months ended June 30, 2025, respectively. Principal repayments of $12.6 million and $28.6 million were received on non-real estate loans during the three and six months ended June 30, 2025, respectively.

Collectibility Issues

| ● | During the three and six months ended June 30, 2025, we placed two new operators, which Omega did not previously have a relationship with prior to 2025, and one existing operator on a cash basis of revenue recognition as collection of substantially all contractual lease payments due from them was not deemed probable. We wrote off $15.5 million of straight-line rent receivable associated with placing the existing operator on a cash basis of revenue recognition as we received information regarding substantial doubt of its ability to continue as a going concern. The lease agreements with the two new operators were executed in 2025 as part of the transition of facilities from other operators. As we had no previous relationship with these new operators and collection of substantially all contractual lease payments due from the new operator was not deemed probable, we placed the new operators on a cash basis of revenue recognition concurrent with the lease commencement dates, so there were no straight-line rent receivable write-offs associated with placing these operators on a cash basis. As of June 30, 2025, 22 operators are on a cash basis. These operators represent 17.5% of our total revenues for the six months ended June 30, 2025.

| ● | For the three months and six ended June 30, 2025, Maplewood paid $14.4 million and $28.0 million of contractual rent, respectively, falling short of the $17.3 million and $34.6 million of contractual rent due under its lease agreement for those periods, respectively. These amounts exclude contractual rent and payments related to Inspir Embassy Row in Washington D.C. of $3.2 million and $5.3 million for the three and six months ended June 30, 2025, respectively, which were paid in full. Maplewood also did not pay any of the $3.1 million and $5.4 million of contractual interest due under the secured revolving credit facility for the three and six months ended June 30, 2025, respectively. Maplewood is on a cash basis of revenue recognition for lease purposes, and we recorded rental income of $14.4 million and $28.0 million for the three and six months ended June 30, 2025, respectively, for contractual rent payments that were received from Maplewood. No interest income was recorded on the Maplewood secured revolving credit facility during the three months ended June 30, 2025, as the loan is on non-accrual status for interest recognition. In July 2025, Maplewood short-paid the contractual rent and interest amounts due under its lease and loan agreements by $1.8 million.

41

Table of Contents

| ● | For the three months and six ended June 30, 2025, LaVie Care Centers, LLC (“LaVie”) paid full contractual rent of $6.2 million and $15.5 million, respectively. As LaVie is on a cash basis of revenue recognition for lease purposes, rental income recorded was equal to cash received of $6.2 million and $15.5 million, respectively, during the three and six months ended June 30, 2025. We did not recognize any interest income related to LaVie during the three and six months ended June 30, 2025 as the loans outstanding have PIK interest and are on non-accrual status. LaVie commenced voluntary cases under Chapter 11 of the U.S. Bankruptcy Code in the U.S. Bankruptcy Court for the Northern District of Georgia, Atlanta Division in June 2024. On December 5, 2024, a plan of reorganization was confirmed by the Bankruptcy Court, pursuant to which the LaVie master lease agreement was to be assumed and assigned by certain of the debtor(s) to operators designated by the Plan Sponsor upon the effective date of the plan. The plan of reorganization was effective as of June 1, 2025, which resulted in the LaVie master lease agreement being assumed by and assigned to ENDMT LLC (“Avardis”) and amended and restated. The amended master lease has a lease term ending December 31, 2037 and requires monthly rent payments of $3.1 million, which escalate 2.5% annually. Avardis paid full contractual rent of $3.1 million in June and July 2025, following the effective date of the plan of reorganization. Avardis is on a straight-line basis for rental income recognition, and we recognized $3.6 million of rental income related to Avardis for June 2025.

| ● | After Genesis Healthcare, Inc. (“Genesis”) missed its rent payment due under its lease agreement and its interest payment due under one of its three loan agreements in March 2025, it made all required rent and interest payments during the second quarter of 2025. As Genesis is on a cash basis of rental revenue recognition, we recognized rental income of $12.8 million and $25.3 million, respectively, related to Genesis during the three and six months ended June 30, 2025. In addition, we recognized $4.1 million and $8.3 million, respectively, of interest income related to three loans with Genesis during the three and six months ended June 30, 2025. As of June 30, 2025, the two remaining loans are on an accrual basis due to the collateral supporting the loans. As of June 30, 2025, there was $3.5 million remaining under the letter of credit. In July 2025, Genesis commenced voluntary cases under Chapter 11 of the U.S. Bankruptcy Code in the U.S. Bankruptcy Court for the Northern District of Texas, Dallas Division. Genesis will continue to operate, as a debtor-in-possession (“DIP”), the 31 facilities subject to a master lease agreement with Omega, unless and until Genesis’ leasehold interest under the master lease agreement is rejected or assumed and assigned. We committed to provide, along with other lenders, up to $8.0 million of a $30.0 million junior secured DIP financing to Genesis to support sufficient liquidity to, among other things, operate its facilities during bankruptcy. The DIP loan bears PIK interest at 15.0% per annum, payable monthly in arrears. The principal is due upon maturity. Currently, the DIP loan matures on the earlier of (i) February 4, 2026, (ii) the effective date of a plan of reorganization or liquidation in the Chapter 11 cases or (iii) upon an event of default as defined in the DIP loan agreement. The DIP lenders hold a third and fourth priority security interest in all of Genesis’ assets, which includes a third priority security interest in cash and accounts receivable. Proceeds of any future asset sales, claims and causes of action and debt or equity issuances will all serve as collateral for the DIP loans. The interim DIP order approved the DIP budget, which allows payments due under the DIP loan and Omega’s existing term loans to be satisfied in kind during the bankruptcy, except for budgeted adequate protection payments that will be made on Omega’s existing non-real estate loans. As a condition of the DIP financing, Genesis is required to pay Omega full contractual rent under its lease agreement. In July 2025, prior to filing for bankruptcy, Genesis paid full contractual rent and interest due of $4.8 million. As discussed in Note 6 – Non-real Estate Loans Receivable, 8.2% per annum of the total 13.2% per annum interest on the term loans is PIK interest.

Dividends

| ● | On July 25, 2025, the Board of Directors declared a cash dividend of $0.67 per share. The dividend will be paid on August 15, 2025 to stockholders of record as of the close of business on August 4, 2025.

Results of Operations

The following is our discussion of the consolidated results of operations, financial position and liquidity and capital resources, which should be read in conjunction with our unaudited consolidated financial statements and accompanying notes.

42

Table of Contents

Comparison of results of operations for the three and six months ended June 30, 2025 and 2024 (dollars in thousands):

​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
​ | Three Months Ended | ​ | ​ | ​ | ​ | Six Months Ended | ​ | ​ | ​
​ | June 30, | ​ | ​ | ​ | June 30, | ​ | ​
​ | 2025 |  | 2024 | ​ | Variance | ​ | 2025 |  | 2024 | ​ | Variance
Revenues: | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
Rental income | $ | 239,202 | ​ | $ | 214,315 | ​ | $ | 24,887 | ​ | $ | 471,380 | ​ | $ | 421,236 | ​ | $ | 50,144
Interest income |  | 42,997 | ​ |  | 38,042 | ​ | ​ | 4,955 | ​ |  | 86,113 | ​ |  | 73,878 | ​ | ​ | 12,235
Miscellaneous income |  | 307 | ​ |  | 388 | ​ | ​ | (81) | ​ |  | 1,798 | ​ |  | 930 | ​ | ​ | 868
Expenses: |  | ​ | ​ |  |  | ​ | ​ |  | ​ |  | ​ | ​ |  | ​ | ​ | ​ | ​
Depreciation and amortization |  | 80,509 | ​ |  | 74,234 | ​ | ​ | 6,275 | ​ |  | 160,384 | ​ |  | 148,791 | ​ | ​ | 11,593
General and administrative |  | 23,838 | ​ |  | 22,148 | ​ | ​ | 1,690 | ​ |  | 55,895 | ​ |  | 43,680 | ​ | ​ | 12,215
Real estate taxes | ​ | 3,251 | ​ | ​ | 3,750 | ​ | ​ | (499) | ​ | ​ | 6,562 | ​ | ​ | 7,548 | ​ | ​ | (986)
Acquisition, merger and transition related costs |  | 2,010 | ​ |  | 1,780 | ​ | ​ | 230 | ​ |  | 3,474 | ​ |  | 4,383 | ​ | ​ | (909)
Impairment on real estate properties |  | 14,215 | ​ |  | 8,182 | ​ | ​ | 6,033 | ​ |  | 15,450 | ​ |  | 13,474 | ​ | ​ | 1,976
(Recovery) provision for credit losses |  | (4,771) | ​ |  | (14,172) | ​ | ​ | 9,401 | ​ |  | 321 | ​ |  | (5,702) | ​ | ​ | 6,023
Interest expense |  | 52,897 | ​ |  | 53,966 | ​ | ​ | (1,069) | ​ |  | 105,177 | ​ |  | 111,786 | ​ | ​ | (6,609)
Other income (expense): |  | ​ | ​ |  |  | ​ | ​ |  | ​ |  | ​ | ​ |  | ​ | ​ | ​ | ​
Other income – net |  | 13,751 | ​ |  | 3,363 | ​ | ​ | 10,388 | ​ |  | 16,798 | ​ |  | 8,639 | ​ | ​ | 8,159
Loss on debt extinguishment |  | — | ​ |  | (213) | ​ | ​ | 213 | ​ |  | — | ​ |  | (1,496) | ​ | ​ | 1,496
Gain on assets sold – net | ​ | 22,886 | ​ | ​ | 12,911 | ​ | ​ | 9,975 | ​ | ​ | 32,961 | ​ | ​ | 11,520 | ​ | ​ | 21,441
Income tax expense |  | (4,528) | ​ |  | (1,980) | ​ | ​ | (2,548) | ​ |  | (8,139) | ​ |  | (4,561) | ​ | ​ | (3,578)
(Loss) income from unconsolidated joint ventures |  | (2,187) | ​ |  | 141 | ​ | ​ | (2,328) | ​ |  | (1,109) | ​ |  | 239 | ​ | ​ | (1,348)

Three Months Ended June 30, 2025 and 2024

Revenues

The following is a description of certain of the changes in revenues for the three months ended June 30, 2025 compared to the same period in 2024:

| ● | The increase in rental income was primarily the result of (i) a $31.5 million increase related to facility acquisitions made throughout 2024 and 2025, a construction in progress project placed in service in 2025, lease extensions and other rent escalations, (ii) an $8.1 million net increase in rental income from cash basis operators, primarily related to Maplewood, as a result of receiving higher cash rent payments period over period from these operators, (iii) a $2.8 million increase related to higher rental income from our leases with operators in the U.K. primarily due to the strengthening of the British Pound Sterling against the U.S. Dollar and (iv) a $0.5 million net increase related to the impact of facility transitions, primarily from non-paying cash basis operators to straight-line basis operators, partially offset by a $17.5 million decrease resulting from straight-line receivable write-offs in the second quarter of 2025.

| ● | The increase in interest income was primarily due to an $8.8 million increase related to new loans and additional fundings on existing loans made throughout 2024 and 2025, partially offset by (i) a $2.9 million decrease related to principal repayments on our loans during 2024 and 2025 and (ii) a $0.9 million decrease related to loans on non-accrual status in which we have recognized less interest income period over period as a result of receiving fewer cash payments.

Expenses

The following is a description of certain of the changes in our expenses for the three months ended June 30, 2025 compared to the same period in 2024:

| ● | The increase in depreciation and amortization expense primarily relates to facility acquisitions and capital additions, partially offset by facility sales and facilities reclassified to assets held for sale.

43

Table of Contents

| ● | The increase in general and administrative (“G&A”) expense primarily relates to (i) a $0.6 million increase in operator initiatives, (ii) a $0.4 million increase in professional service costs and (iii) a $0.3 million increase in payroll and benefits.

| ● | The 2025 impairments were recognized in connection with one held for use facility and two facilities that were classified as held for sale. The 2024 impairments were recognized in connection with two facilities that were classified as held for sale and two held for use facilities. The 2025 and 2024 impairments were primarily the result of decisions to exit certain non-strategic facilities and/or terminate our relationships with certain non-strategic operators.

| ● | The decrease in recovery for credit losses primarily relates to an increase in the general reserve recorded primarily resulting from increases in loss rates utilized in the estimate of expected credit losses for loans, partially offset by a net decrease in aggregate specific provisions recorded during the second quarter of 2025 compared to same period in 2024 and decreases in loan balances.

| ● | The decrease in interest expense primarily relates to (i) a net decrease in the amortization of deferred financing fees and discounts as a result of the amortization of the fair value adjustment associated with the 2026 mortgage loan, (ii) the repayment of $400 million of 4.50% senior notes in January 2025 and (iii) the repayment of the OP Term Loan in April 2025. The overall decrease was partially offset by (i) an increase in interest due to the assumption of the £188.6 million 2026 mortgage loan as part of our acquisition of the remaining 51% interest in the Cindat Joint Venture in July 2024 and (ii) an increase in interest due to the issuance of the 2030 Senior Notes in June 2025.

Other Income (Expense)

The increase in total other income (expense) was primarily due to (i) a $10.4 million increase in other income – net primarily related to increased interest income on short-term investments due to higher invested cash in the second quarter of 2025 compared to the same period in 2024 and gains related to foreign currency and financial instruments in the first quarter of 2025 and (ii) a $10.0 million increase in gain on assets sold related to the sale of seven facilities in the second quarter of 2025 compared to the sale of five facilities during the same period in 2024.

Income Tax Expense

The increase in income tax expense was primarily due to an increase in taxable income in the U.K. as a result of acquisitions in 2024 and 2025.

Six Months Ended June 30, 2025 and 2024

Revenues

The following is a description of certain of the changes in revenues for the six months ended June 30, 2025 compared to the same period in 2024:

| ● | The increase in rental income was primarily the result of (i) a $55.6 million increase related to facility acquisitions made throughout 2024 and 2025, a construction in progress project placed in service in 2025, lease extensions and other rent escalations, (ii) $17.9 million net increase in rental income from cash basis operators, primarily related to LaVie and Maplewood, as a result of receiving higher cash rent payments period over period from these operators, (iii) a $1.4 million net increase related to impact of facility transitions, primarily from non-paying cash basis operators to straight-line basis operators and (iv) a $3.2 million increase related to higher rental income from our leases with operators in the U.K. primarily due to the strengthening of the British Pound Sterling against the U.S. Dollar. The increase was partially offset by (i) a $17.5 million decrease resulting from straight-line receivable write-offs in the second quarter of 2025 and (ii) a $10.0 million lease inducement provided to a cash basis operator that was recorded as a reduction to rental income in the first quarter of 2025.

44

Table of Contents

| ● | The increase in interest income was primarily due to a $19.5 million increase related to new loans and additional fundings on existing loans made throughout 2024 and 2025, partially offset by (i) a $6.1 million decrease related to principal repayments on our loans during 2024 and 2025 and (ii) a $1.3 million decrease related to loans on non-accrual status in which we have recognized less interest income period over period a result of receiving fewer cash payments.

Expenses

The following is a description of certain of the changes in our expenses for the six months ended June 30, 2025 compared to the same period in 2024:

| ● | The increase in depreciation and amortization expense primarily relates to facility acquisitions and capital additions, partially offset by facility sales and facilities reclassified to assets held for sale.

| ● | The increase in G&A expense primarily relates to (i) $6.6 million of incremental non-cash stock-based compensation expense and $2.2 million of incremental payroll expense related to the termination of the employment agreement of our former Chief Operating Officer in the first quarter of 2025, (ii) $1.2 million related to other increases in payroll and benefits, (iii) a $0.7 million increase in operator initiatives and (iv) a $0.5 million increase in professional service costs. Additional information is disclosed in Note 14 – Stock-Based Compensation.

| ● | The 2025 impairments were recognized in connection with two held for use facilities and two facilities that were classified as held for sale. The 2024 impairments were recognized in connection with two facilities that were classified as held for sale and five held for use facilities. The 2025 and 2024 impairments were primarily the result of decisions to exit certain non-strategic facilities and/or terminate our relationships with certain non-strategic operators.

| ● | The change in provision for credit losses primarily relates to an increase in the general reserve recorded primarily resulting from increases in loss rates utilized in the estimate of expected credit losses for loans, partially offset by decreases in loan balances and a net increase in aggregate specific provisions recorded during the six months ended June 30, 2025 compared to same period in 2024.

| ● | The decrease in interest expense primarily relates to (i) a net decrease in the amortization of deferred financing fees and discounts as a result of the amortization of the fair value adjustment associated with the 2026 mortgage loan, (ii) the repayment of $400 million of 4.50% senior notes in January 2025, (iii) the repayment of the OP Term Loan in April 2025, (iv) the repayment of $400 million of 4.95% senior notes in April 2024 and (v) the payoff of all remaining HUD mortgages in the first quarter of 2024. The overall decrease was partially offset by (i) an increase due to the assumption of the £188.6 million mortgage loan as part of our acquisition of the remaining 51% interest in the Cindat Joint Venture in July 2024 and (ii) an increase in interest due to the issuance of $600 million of the 2030 Senior Notes in June 2025.

Other Income (Expense)

The increase in total other income (expense) was primarily due to (i) a $21.4 million increase in gain on assets sold related to the sale of 34 facilities in 2025 compared to the sale of nine facilities during the same period in 2024, (ii) an $8.2 million increase in other income – net primarily related to increased interest income on short-term investments due to higher invested cash in 2025 compared to the same period in 2024 and gains associated with foreign currency and financial instruments in 2025 and (iii) a $1.5 million decrease in loss on debt extinguishment related to the early repayment of nine HUD mortgages during the first quarter of 2024.

45

Table of Contents

Income Tax Expense

The increase in income tax expense was primarily due to an increase in taxable income in the U.K. as a result of acquisitions in 2024 and 2025.

Funds from Operations

We use funds from operations (“Nareit FFO”), a non-GAAP financial measure, as one of several criteria to measure the operating performance of our business. We calculate and report Nareit FFO in accordance with the definition of Funds from Operations and interpretive guidelines issued by the National Association of Real Estate Investment Trusts (“Nareit”). Nareit FFO is defined as net income (computed in accordance with GAAP), adjusted for the effects of asset dispositions and certain non-cash items, primarily depreciation and amortization and impairment on real estate assets, and after adjustments for unconsolidated partnerships and joint ventures and changes in the fair value of warrants. Adjustments for unconsolidated partnerships and joint ventures are calculated to reflect funds from operations on the same basis. Revenue recognized based on the application of security deposits and letters of credit or based on the ability to offset against other financial instruments is included within Nareit FFO. We believe that Nareit FFO is an important supplemental measure of our operating performance. As real estate assets (except land) are depreciated under GAAP, such accounting presentation implies that the value of real estate assets diminishes predictably over time, while real estate values instead have historically risen or fallen with market conditions. Nareit FFO was designed by the real estate industry to address this issue. Nareit FFO herein is not necessarily comparable to Nareit FFO of other REITs that do not use the same definition or implementation guidelines or interpret the standards differently from us.

We further believe that by excluding the effect of depreciation, amortization, impairment on real estate assets and gains or losses from sales of real estate, all of which are based on historical costs and which may be of limited relevance in evaluating current performance, Nareit FFO can facilitate comparisons of operating performance between periods. We offer this measure to assist the users of our financial statements in evaluating our financial performance under GAAP, and Nareit FFO should not be considered a measure of liquidity or cash flow, an alternative to net income or an indicator of any other performance measure determined in accordance with GAAP. Investors and potential investors in our securities should not rely on this measure as a substitute for any GAAP measure, including net income.

The following table presents our Nareit FFO results for the three and six months ended June 30, 2025 and 2024:

​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
​ | ​ | Three Months Ended | ​ | Six Months Ended
​ |  | 2025 |  | 2024 | ​ | 2025 |  | 2024
​ | ​ | (in thousands) | ​ | (in thousands)
Net income | ​ | $ | 140,479 | ​ | $ | 117,079 | ​ | $ | 252,539 | ​ | $ | 186,425
Deduct gain from real estate dispositions | ​ | ​ | (22,886) | ​ | ​ | (12,911) | ​ | ​ | (32,961) | ​ | ​ | (11,520)
​ | ​ |  | 117,593 | ​ |  | 104,168 | ​ |  | 219,578 | ​ |  | 174,905
Elimination of non-cash items included in net income: | ​ |  | ​ | ​ |  |  | ​ |  | ​ | ​ |  |
Depreciation and amortization | ​ |  | 80,509 | ​ |  | 74,234 | ​ |  | 160,384 | ​ |  | 148,791
Depreciation – unconsolidated joint ventures | ​ |  | 1,156 | ​ |  | 2,531 | ​ |  | 1,839 | ​ |  | 5,067
Impairment on real estate properties | ​ | ​ | 14,215 | ​ | ​ | 8,182 | ​ | ​ | 15,450 | ​ | ​ | 13,474
Nareit FFO | ​ | $ | 213,473 | ​ | $ | 189,115 | ​ | $ | 397,251 | ​ | $ | 342,237

46

Table of Contents

​

Liquidity and Capital Resources

Sources and Uses

Our primary sources of cash include rental income and interest receipts, existing availability under our Revolving Credit Facility, proceeds from our DRCSPP and ATM Program, facility sales, the issuance of additional debt, including unsecured notes and term loans, and proceeds from real estate loan and non-real estate loan payoffs. We anticipate that these sources will be adequate to fund our cash flow needs through the next twelve months, which include common stock dividends and distributions to noncontrolling interest members, debt service payments (including principal and interest), real estate investments (including facility acquisitions, capital improvement programs and other capital expenditures), real estate loan and non-real estate loan advances and normal recurring G&A expenses (primarily consisting of employee payroll and benefits and expenses relating to third parties for legal, consulting and audit services).

Capital Structure

At June 30, 2025, we had total assets of $10.5 billion, total equity of $5.2 billion and total debt of $5.0 billion in our consolidated financial statements, with such debt representing 49.2% of total capitalization.

Debt

At June 30, 2025 and December 31, 2024, the weighted average annual interest rate of our debt was 4.6%. Additionally, as of June 30, 2025, 95.0% of our debt with outstanding principal balances has fixed interest payments after reflecting the impact of interest rate swaps that are designated as cash flow hedges. As of June 30, 2025, we had long-term credit ratings of Baa3 from Moody’s and BBB- from S&P Global and Fitch. Credit ratings impact our ability to access capital and directly impact our cost of capital as well. For example, our Revolving Credit Facility accrues interest and fees at a rate per annum equal to SOFR plus a margin that depends upon our credit rating. A downgrade in credit ratings by Moody’s, S&P Global and/or Fitch may have a negative impact on the interest rates and fees for our Revolving Credit Facility and the 2025 Term Loan.

On June 20, 2025, Omega issued 2030 Senior Notes that mature on July 1, 2030 and bear interest at a fixed rate of 5.200% per annum, payable semi-annually on January 1 and July 1 of each year, commencing on January 1, 2026. The 2030 Senior Notes were sold at an issue price of 99.118% of their face value, resulting in a discount of $5.3 million. We incurred $5.6 million of deferred costs in connection with the issuance.

In April 2025, the maturity date of the Revolving Credit Facility was extended from April 30, 2025 to October 30, 2025. We have one remaining option to extend the maturity date of the Revolving Credit Facility for an additional six months. As of June 30, 2025, we had no borrowings on the Revolving Credit Facility. In July 2025, the maturity date of the 2025 Term Loan was extended from August 8, 2025 to August 8, 2026. We have one remaining option to extend the maturity date of the 2025 Term Loan an additional 12-month period.

Our next senior note maturity is the $600 million of 5.250% senior notes due January 2026, which can be redeemed at par value on or after October 15, 2025. We also have a British Pound Sterling denominated mortgage loan, with $251.6 million outstanding as of June 30, 2025, that matures in August 2026 but can be repaid as early as November 2025 without penalty. As of June 30, 2025, we had $734.2 million of cash and cash equivalents on our Consolidated Balance Sheets, $548.6 million of potential common share issuances remaining under the ATM Program and $1.45 billion of availability under our Revolving Credit Facility. This combination of liquidity sources, along with cash from operating activities, provides us with the ability to repay our upcoming debt maturities.

Certain of our other secured and unsecured borrowings are subject to customary affirmative and negative covenants, including financial covenants. As of June 30, 2025 and December 31, 2024, we were in compliance with all affirmative and negative covenants, including financial covenants, for our secured and unsecured borrowings.

47

Table of Contents

Supplemental Guarantor Information

Parent has issued $4.4 billion aggregate principal of senior notes outstanding at June 30, 2025 that were registered under the Securities Act of 1933, as amended. The senior notes are guaranteed by Omega OP.

Rule 3-10 and Rule 13-01 of Regulation S-X permits registrants to provide certain alternative financial and non-financial disclosures, to the extent material, in lieu of separate financial statements for subsidiary issuers and guarantors of registered debt securities. Accordingly, separate consolidated financial statements of Omega OP have not been presented. Parent and Omega OP, on a combined basis, have no material assets, liabilities or operations other than financing activities (including borrowings under our outstanding senior notes, Revolving Credit Facility and term loans) and their investments in non-guarantor subsidiaries.

Omega OP is currently the sole guarantor of our senior notes. The guarantees by Omega OP of our senior notes are full and unconditional and joint and several with respect to the payment of the principal and premium and interest on our senior notes. The guarantees of Omega OP are senior unsecured obligations of Omega OP that rank equal with all existing and future senior debt of Omega OP and are senior to all subordinated debt. However, the guarantees are effectively subordinated to any secured debt of Omega OP. As of June 30, 2025, there were no significant restrictions on the ability of Omega OP to make distributions to Omega.

Equity

At June 30, 2025, we had 293.1 million shares of common stock outstanding, and our shares had a market value of $10.7 billion. The following is a summary of activity under our equity programs during the three and six months ended June 30, 2025:

| ● | We issued 2.9 million and 7.3 million shares of common stock under our ATM Program for aggregate gross proceeds of $107.9 million and $272.3 million during the three and six months ended June 30, 2025, respectively. We did not utilize the forward provisions under the ATM Program. We have $548.6 million of potential common share issuances remaining under the ATM Program as of June 30, 2025.

| ● | We issued 4.0 million and 6.7 million shares of common stock under the DRCSPP during the three and six months ended June 30, 2025, respectively. Aggregate gross proceeds from these sales were $150.4 million and $250.2 million during the three and six months ended June 30, 2025, respectively.

| ● | We did not repurchase any shares of our outstanding common stock under the $500 Million Stock Repurchase Program, which expired in March 2025.

Dividends

As a REIT, we are required to distribute dividends (other than capital gain dividends) to our stockholders in an amount at least equal to (A) the sum of (i) 90% of our “REIT taxable income” (computed without regard to the dividends paid deduction and our net capital gain), and (ii) 90% of the net income (after tax), if any, from foreclosure property, minus (B) the sum of certain items of non-cash income. In addition, if we dispose of any built-in gain asset during a recognition period, we will be required to distribute at least 90% of the built-in gain (after tax), if any, recognized on the disposition of such asset. Such distributions must be paid in the taxable year to which they relate, or in the following taxable year if declared before we timely file our tax return for such year and paid on or before the first regular dividend payment after such declaration. In addition, such distributions are required to be made pro rata, with no preference to any share of stock as compared with other shares of the same class, and with no preference to one class of stock as compared with another class except to the extent that such class is entitled to such a preference. To the extent that we do not distribute all of our net capital gain or distribute at least 90%, but less than 100% of our “REIT taxable income” as adjusted, we will be subject to tax thereon at regular corporate rates.

48

Table of Contents

For the six months ended June 30, 2025, we paid dividends of $383.8 million to our common stockholders. On February 18, 2025, we paid dividends of $0.67 per outstanding common share to the common stockholders of record as of the close of business on February 10, 2025. On May 15, 2025, we paid dividends of $0.67 per outstanding common share to the common stockholders of record as of the close of business on May 5, 2025.

Material Cash Requirements

During the six months ended June 30, 2025, other than the issuance of the 2030 Senior Notes discussed above, there were no significant changes to our material cash requirements from those disclosed in the section “Management’s Discussion and Analysis of Financial Condition and Results of Operations” in our Annual Report on Form 10-K for the year ended December 31, 2024.

As of June 30, 2025, we had $228.7 million of commitments to fund the construction of new facilities, capital improvements and other commitments under lease agreements. Additionally, we have commitments to fund $37.9 million of advancements under existing real estate loans and $60.7 million of advancements under existing non-real estate loans. These commitments are expected to be funded over the next several years and are dependent upon the operators’ election to use the commitments.

Other Arrangements

We own interests in certain unconsolidated joint ventures as described in Note 9 to the Consolidated Financial Statements – Investments in Joint Ventures. Our risk of loss is generally limited to our investment in the joint venture and any outstanding loans receivable. We use derivative instruments to hedge interest rate and foreign currency exchange rate exposure as discussed in Note 16 – Derivatives and Hedging.

Cash Flow Summary

Cash, cash equivalents and restricted cash totaled $772.6 million as of June 30, 2025, an increase of $223.8 million as compared to the balance at December 31, 2024. The following is a summary of our sources and uses of cash flows for the six months ended June 30, 2025 as compared to the six months ended June 30, 2024 (dollars in thousands):

​ | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
​ | Six Months Ended June 30, | ​ | ​ | ​
​ | 2025 |  | 2024 | ​ | Increase/(Decrease)
Net cash provided by (used in): | ​ | ​ | ​ | ​ | ​ | ​ | ​ | ​
Operating activities | $ | 421,217 | ​ | $ | 335,577 | ​ | $ | 85,640
Investing activities |  | (444,286) | ​ |  | (255,972) | ​ | ​ | (188,314)
Financing activities |  | 241,257 | ​ |  | (485,221) | ​ | ​ | 726,478

The following is a discussion of changes in cash, cash equivalents and restricted cash for the six months ended June 30, 2025 compared to the months ended June 30, 2024.

Operating Activities – The increase in net cash provided by operating activities is driven primarily by an increase of $86.4 million of net income, net of $20.3 million of non-cash items, primarily due to a year over year increase in rental income and interest income as discussed in our material changes analysis under Results of Operations above.

49

Table of Contents

Investing Activities – The increase in cash used in investing activities primarily related to (i) a $432.4 million increase in real estate acquisitions primarily as a result of a 45-facility acquisition in the U.K. and Bailiwick of Jersey in the second quarter of 2025, (ii) a $6.5 million increase in capital improvements to real estate investments and construction in progress, (iii) a $3.8 million decrease in proceeds from derivative instruments related to the termination of two foreign currency forward contracts during the first quarter of 2024, (iv) a $1.3 million decrease in receipts from insurance proceeds and (v) a $0.9 million increase in investments in unconsolidated joint ventures. The overall increase in cash used in investing activities was partially offset by (i) a $138.1 million increase in proceeds from the sales of real estate investments and (ii) a $118.3 million decrease in loan placements, net of repayments as a result of fewer new loans advanced in 2025 compared to 2024 and paydowns on mortgage loans due from Ciena Healthcare Management, Inc. and on other loans during the six months ended June 30, 2025.

Financing Activities – The increase in cash provided by financing activities primarily related to (i) a $555.1 million decrease in repayments on long-term borrowings, net of proceeds and (ii) a $242.7 million increase in net proceeds from issuance of common stock as a result of increased volume under our ATM Program and DRCSPP. The overall increase in cash provided by financing activities was partially offset by (i) a $53.1 million increase in dividends paid primarily related to share issuances during 2024 and 2025, (ii) a $9.3 million increase in distributions to Omega OP Unit holders, (iii) a $4.6 million increase in payment of financing related costs and (iv) a $3.7 million increase in redemption of Omega OP units.

Critical Accounting Policies and Estimates

Our financial statements are prepared in accordance with generally accepted accounting principles (“GAAP”) in the U.S. Our preparation of the financial statements requires us to make estimates and assumptions about future events that affect the amounts reported in our financial statements and accompanying footnotes. Future events and their effects cannot be determined with absolute certainty. Therefore, the determination of estimates requires the exercise of judgment. Actual results inevitably will differ from those estimates, and such differences may be material to the consolidated financial statements. We have described our accounting policies in Note 2 – Summary of Significant Accounting Policies to our Annual Report on Form 10-K for the year ended December 31, 2024. There have been no material changes to our critical accounting policies or estimates since December 31, 2024.

Item 3 – Quantitative and Qualitative Disclosures about Market Risk

We are exposed to various market risks, including the potential loss arising from adverse changes in interest rates and foreign currency exchange rates. We use financial derivative instruments to hedge our interest rate exposure as well as our foreign currency exchange rate exposure. We do not enter into our market risk sensitive financial instruments and related derivative positions (if any) for trading or speculative purposes. The following disclosures discuss potential fluctuations in interest rates and foreign currency exchange rates and are subjective in nature and are dependent on a number of important assumptions, including estimates of future cash flows, risks, discount rates and relevant comparable market information associated with each financial instrument. Readers are cautioned that many of the statements contained in these paragraphs are forward-looking and should be read in conjunction with our disclosures under the heading “Forward-Looking Statements” set forth above. The use of different market assumptions and estimation methodologies may have a material effect on the reported estimated fair value amounts. Accordingly, the estimates presented below are not necessarily indicative of the amounts we would realize in a current market exchange.

50

Table of Contents

Interest Rate Risk

We borrow debt at a combination of variable and fixed rates. Movements in interest rates on our variable rate borrowings would change our future earnings and cash flows but not significantly affect the fair value of those instruments. During the six months ended June 30, 2025, we incurred interest expense of $12.0 million related to variable rate borrowings outstanding under our Revolving Credit Facility and the 2026 Mortgage Loan, after considering the impact of interest rate swaps. Assuming no changes in outstanding balances, and inclusive of the impact of interest rate swaps and interest rate caps designated as cash flow hedges noted below, a hypothetical 1% increase in interest rates would result in a $0.6 million increase in our annual interest expense. A hypothetical 1% decrease in interest rates would result in a $1.2 million decrease in our annual interest expense. As of June 30, 2025, only our Revolving Credit Facility and 2026 Mortgage Loan have variable rate borrowings, when considering the impact of interest rate swaps that are designated as cash flow hedges for the 2025 Term Loan. As of June 30, 2025, the interest rate on the 2026 Mortgage Loan was variable as SONIA did not exceed the cap rate.

A change in interest rates will not affect the interest expense associated with our long-term fixed rate borrowings but will affect the fair value of our long-term fixed rate borrowings. The estimated fair value of our total long-term fixed-rate borrowings at June 30, 2025 was approximately $4.2 billion, which includes our senior notes. A hypothetical 1% increase in interest rates would result in a decrease in the fair value of long-term fixed-rate borrowings by approximately $151.3 million at June 30, 2025. A hypothetical 1% decrease in interest rates would result in an increase in the fair value of long-term fixed-rate borrowings by approximately $159.9 million at June 30, 2025.

At June 30, 2025, we have $428.5 million of interest rate swaps outstanding and £190.0 million of interest rate caps outstanding that are recorded at fair value in other assets and accrued expenses and other liabilities on our Consolidated Balance Sheets. The interest rate swaps and interest rate caps hedge the interest rate risk associated with interest payments on the 2025 Term Loan and the 2026 Mortgage Loan.

Foreign Currency Risk

We are exposed to foreign currency risk through our investments in the U.K. Increases or decreases in the value of the British Pound Sterling relative to the U.S. Dollar impact the amount of net income we earn from our investments in the U.K. Based solely on our results for the six months ended June 30, 2025, if the applicable exchange rate were to increase or decrease by 10%, our net income from our consolidated U.K.-based investments would increase or decrease, as applicable, by $2.8 million.

To hedge a portion of our net investments in the U.K., at June 30, 2025, we have 11 foreign currency forward contracts with notional amounts totaling £258.0 million that mature between 2027 and 2031.

Item 4 – Controls and Procedures

Disclosure Controls and Procedures

Our management, with the participation of the Chief Executive Officer and Chief Financial Officer, has evaluated the effectiveness of the Company’s disclosure controls and procedures (as defined in Rule 13a-15(e) of the Securities Exchange Act of 1934, as amended (the “Exchange Act”)) as of June 30, 2025. Based on that evaluation, our Chief Executive Officer and Chief Financial Officer concluded that the disclosure controls and procedures of the Company were effective at a reasonable assurance level as of June 30, 2025.

Internal Control Over Financial Reporting

There were no changes in the Company’s internal control over financial reporting during the quarter ended June 30, 2025 (as defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

51

Table of Contents

PART II – OTHER INFORMATION

Item 1 – Legal Proceedings

See Note 18 – Commitments and Contingencies to the Consolidated Financial Statements - Part I, Item 1 hereto, which is hereby incorporated by reference in response to this Item.

Item 1A – Risk Factors

There have been no material changes to our risk factors as previously disclosed in Item 1A contained in Part I of our Annual Report on Form 10-K for the year ended December 31, 2024.

Item 2 – Unregistered Sales of Equity Securities and Use of Proceeds

From time to time, the Company issues shares of common stock in reliance on the private placement exemption under Section 4(a)(2) of the Securities Act of 1933, as amended, in exchange for Omega OP Units. On May 15, 2025, Omega issued an aggregate of 8,583 shares of Omega common stock in exchange for Omega OP Units tendered to Omega OP for redemption in accordance with the provisions of the partnership agreement governing Omega OP in reliance on this exemption.

Issuer Purchases of Equity Securities

During the second quarter of 2025, we did not repurchase any shares of our outstanding common stock.

​

​

It em 5 – Other Information

Rule 10b5-1 Trading Plans

No officers or directors, as defined in Rule 16a-1(f), adopted, modified and/or terminated a “Rule 10b5-1 trading arrangement” or a “non-Rule 10b5-1 trading arrangement,” as defined in Regulation S-K Item 408, during the second quarter of 2025.

52

Table of Contents

Item 6–Exhibits

​ | ​ | ​
Exhibit No. | ​ | ​
3.1 | ​ | Articles of Amendment and Restatement of Omega Healthcare Investors, Inc., as amended through June 6, 2025 (incorporated by reference to Exhibit 3.1 to the Company’s Form 8-K, filed June 20, 2025).
4.1 | ​ | Indenture dated as of June 20, 2025, among Omega Healthcare Investors, Inc. and U.S. Bank Trust Company, National Association, as Trustee (incorporated by reference to Exhibit 4.1 to the Company’s Form 8-K, filed June 20, 2025).
4.2 | ​ | First Supplemental Indenture dated as of June 20, 2025, among Omega Healthcare Investors, Inc., OHI Healthcare Properties Limited Partnership, as Subsidiary Guarantor, and U.S. Bank Trust Company, National Association, as Trustee, governing the Company’s 5.200% Senior Notes due 2030 (incorporated by reference to Exhibit 4.2 to the Company’s Form 8-K, filed June 20, 2025).
31.1 | ​ | Rule 13a-14(a)/15d-14(a) Certification of Chief Executive Officer of Omega Healthcare Investors, Inc.*
31.2 | ​ | Rule 13a-14(a)/15d-14(a) Certification of Chief Financial Officer of Omega Healthcare Investors, Inc.*
32.1 | ​ | Section 1350 Certification of the Chief Executive Officer of Omega Healthcare Investors, Inc.*
32.2 | ​ | Section 1350 Certification of the Chief Financial Officer of Omega Healthcare Investors, Inc.*
101 | ​ | The following financial statements (unaudited) from the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2025, formatted in Inline XBRL: (i) Consolidated Balance Sheets, (ii) Consolidated Statements of Operations, (iii) Consolidated Statements of Comprehensive Income, (iv) Consolidated Statements of Equity, (v) Consolidated Statements of Cash Flows and (vi) Notes to Consolidated Financial Statements, tagged as blocks of text and including detailed tags.
104 | ​ | Cover Page Interactive Data File - the cover page XBRL tags are embedded within the Inline XBRL document (included in Exhibit 101).

* Exhibits that are filed or furnished herewith.

​

53

Table of Contents

SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

OMEGA HEALTHCARE INVESTORS, INC.

Registrant

Date: August 1, 2025 | By: | /S/ C. TAYLOR PICKETT
​ | ​ | C. Taylor Pickett
​ | ​ | Chief Executive Officer
​ | ​ | ​
Date: August 1, 2025 | By: | /S/ ROBERT O. STEPHENSON
​ | ​ | Robert O. Stephenson
​ | ​ | Chief Financial Officer

​

​

​

​

54