0001144204-18-010511.txt : 20180223 0001144204-18-010511.hdr.sgml : 20180223 20180223154049 ACCESSION NUMBER: 0001144204-18-010511 CONFORMED SUBMISSION TYPE: 10-K PUBLIC DOCUMENT COUNT: 154 CONFORMED PERIOD OF REPORT: 20171231 FILED AS OF DATE: 20180223 DATE AS OF CHANGE: 20180223 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OMEGA HEALTHCARE INVESTORS INC CENTRAL INDEX KEY: 0000888491 STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798] IRS NUMBER: 383041398 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 10-K SEC ACT: 1934 Act SEC FILE NUMBER: 001-11316 FILM NUMBER: 18636363 BUSINESS ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: 200 INTERNATIONAL CIRCLE STREET 2: SUITE 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OHI Healthcare Properties Limited Partnership CENTRAL INDEX KEY: 0001639315 IRS NUMBER: 364796206 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 10-K SEC ACT: 1934 Act SEC FILE NUMBER: 333-203447-11 FILM NUMBER: 18636364 BUSINESS ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 BUSINESS PHONE: 410-427-1700 MAIL ADDRESS: STREET 1: C/O OMEGA HEALTHCARE INVESTORS, INC. STREET 2: 200 INTERNATIONAL CIRCLE, STE. 3500 CITY: HUNT VALLEY STATE: MD ZIP: 21030 10-K 1 tv485902_10k.htm 10-K

 

 

 

UNITED STATES SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

FORM 10-K

 

xANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF

THE SECURITIES EXCHANGE ACT OF 1934

 

For the fiscal year ended December 31, 2017

 

¨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.

OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

(Exact Name of Registrant as Specified in its Charter)

 

Maryland 1-11316 38-3041398
(Omega Healthcare Investors, Inc.) (Omega Healthcare Investors, Inc.) (Omega Healthcare Investors, Inc.)
Delaware 333-203447-11 36-4796206
(OHI Healthcare Properties Limited
Partnership)
(OHI Healthcare Properties Limited
Partnership)
(OHI Healthcare Properties Limited
Partnership)
(State 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
(Telephone number, including area code)

 

Securities Registered Pursuant to Section 12(b) of the Act:

 

Registrant   Title of Each Class   Name of Exchange on
Which Registered
Omega Healthcare Investors, Inc.   Common Stock, $.10 Par Value   New York Stock Exchange

 

Securities registered pursuant to Section 12(g) of the Act:

 

None.

 

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act.

 

Omega Healthcare Investors, Inc. Yes x No ¨     OHI Healthcare Properties Limited Partnership Yes ¨    No x

 

Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act.

 

Omega Healthcare Investors, Inc. Yes ¨     No x     OHI Healthcare Properties Limited Partnership Yes ¨   No x

 

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 twelve 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.

 

Omega Healthcare Investors, Inc. Yes x   No ¨   OHI Healthcare Properties Limited Partnership Yes ¨   No   x

 

Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will not be contained, to the best of registrant's knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K.

 

Omega Healthcare Investors, Inc. ¨     OHI Healthcare Properties Limited Partnership ¨

 

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted 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 and post such files).

 

Omega Healthcare Investors, Inc. Yes x  No ¨    OHI Healthcare Properties Limited Partnership Yes x     No ¨

 

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, 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. (Check one:)

 

Omega Healthcare Investors, Inc.

  Large accelerated filer x Accelerated filer ¨ Non-accelerated filer ¨
  Smaller reporting company ¨ Emerging growth company ¨  

 

OHI Healthcare Properties Limited Partnership

  Large accelerated filer ¨ Accelerated filer ¨ Non-accelerated filer x
  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 7(a)(2)(B) of the Securities Act.

 

Omega Healthcare Investors, Inc. ¨            OHI Healthcare Properties Limited Partnership ¨

 

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

 

Omega Healthcare Investors, Inc. Yes ¨   No x       OHI Healthcare Properties Limited Partnership Yes ¨        No x

 

The aggregate market value of the common stock Omega Healthcare Investors, Inc. held by non-affiliates was $6,512,334,069 as of June 30, 2017, the last business day of the registrant’s most recently completed second fiscal quarter. The aggregate market value was computed using the $33.02 closing price per share for such stock on the New York Stock Exchange on such date.

 

As of February 16, 2018, there were 198,589,565 shares of Omega Healthcare Investors, Inc. common stock outstanding. As of February 16, 2018, OHI Healthcare Properties Limited Partnership had no publicly traded voting equity and no common stock outstanding.

  

DOCUMENTS INCORPORATED BY REFERENCE

 

Proxy Statement for the registrant’s 2018 Annual Meeting of Stockholders to be filed with the Securities and Exchange Commission no later than 120 days after December 31, 2017, is incorporated by reference in Part III herein.

 

 

 

 

 

 

EXPLANATORY NOTES

 

This report combines the annual reports on Form 10-K for the year ended December 31, 2017 of Omega Healthcare Investors, Inc. and OHI Healthcare Properties Limited Partnership (“Omega OP”). Unless stated otherwise or the context otherwise requires, (i) references to “Omega” or the “Company” means Omega Healthcare Investors, Inc. and its consolidated subsidiaries, (ii) references to “Parent” refer to Omega Healthcare Investors, Inc. without regard to its consolidated subsidiaries, and (iii) references to “Omega OP” means OHI Healthcare Properties Limited Partnership and its consolidated subsidiaries.

 

Omega is a self-administered real estate investment trust (“REIT”) under the Internal Revenue Code of 1986. Omega is structured as an umbrella partnership REIT (“UPREIT”) under which, all of Omega's assets are owned directly or indirectly, and all of Omega's operations are conducted directly or indirectly, by its subsidiary, Omega OP.

 

Parent directly owned approximately 96% of the issued and outstanding partnership units in Omega OP (the “Omega OP Units”) at December 31, 2017. Each Omega OP Unit (other than those owned by Parent) is redeemable at the election of the holder for cash equal to the then-fair market value of one share of common stock of Parent, subject to Parent’s election to exchange the Omega OP Units tendered for redemption for common stock of the Parent on a one-for-one basis in an unregistered transaction, subject to adjustment as set forth in the partnership agreement. The management of Parent consists of the same members as the management of Omega OP.

 

The financial results of Omega OP are consolidated into the financial statements of Omega. Omega has no significant assets other than its investments in Omega OP. Omega and Omega OP are managed and operated as one entity. Omega OP has no significant assets other than its interests in non-guarantor subsidiaries.

 

We believe it is important for investors to understand the few differences between Omega and Omega OP in the context of how we operate as a consolidated company. Omega acts as the general partner of Omega OP. Net proceeds from equity issuances by Parent are contributed to Omega OP in exchange for additional partnership units. Parent and Omega OP incur indebtedness. The net proceeds of the Parent’s borrowings are loaned to Omega OP. The outstanding senior notes and certain other debt of Parent is guaranteed by Omega OP.

 

The presentation of debt and related interest, including amounts accrued, stockholders’ equity, owners’ equity and noncontrolling interests are the main areas of difference between the consolidated financial statements of Omega and Omega OP. The differences between debt, stockholders’ equity and owners’ equity result from differences in the debt or equity issued at the Omega and Omega OP levels. With respect to owners’ equity, the units held by the partners in Omega OP other than the Parent are accounted for as owners’ equity in Omega OP’s financial statements and as noncontrolling interests in Omega’s financial statements. Although classified differently, total debt and equity of Omega and Omega OP are the same.

 

We believe combining the annual reports on Form 10-K of Omega and Omega OP into this single report results in the following benefits:

 

·combined reports better reflect how management and the analyst community view the business as a single operating unit;
·combined reports enhance investors’ understanding of Omega and Omega OP by enabling them to view the business as a whole and in the same manner as management;
·combined reports are more efficient for Omega and Omega OP and result in savings in time, effort and expense; and
·combined reports are more efficient for investors by reducing duplicative disclosure and providing a single document for their review.

 

In order to highlight the differences between Omega and Omega OP, the separate sections in this report for Omega and Omega OP specifically refer to Omega and Omega OP. In the sections that combine disclosure of Omega and Omega OP, this report refers to “we” and “us” actions or holdings as being “our” actions or holdings. Although Omega OP and its subsidiaries hold all of our assets, we believe that reference to “we,” “us” or “our” in this context is appropriate because the business is one enterprise and we operate substantially all of our business through Omega OP.

 

 

 

 

TABLE OF CONTENTS

 

PART I

 

    Page
Item 1. Business 1
  Overview; Recent Events 1
  Summary of Financial Information 2
  Description of the Business 3
  Taxation of Omega 5
  Government Regulation and Reimbursement 14
  Executive Officers of Our Company 19
Item 1A. Risk Factors 20
Item 1B. Unresolved Staff Comments 37
Item 2. Properties 38
Item 3. Legal Proceedings 41
Item 4. Mine Safety Disclosures 42
     
PART II
     
Item 5. Market for the Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities 43
Item 6. Selected Financial Data 46
Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations 48
  Forward-Looking Statements, Reimbursement Issues and Other Factors Affecting Future Results 48
  Overview and Outlook 48
  2017 and Recent Highlights 49
  Portfolio and Other Developments 50
  Asset Sales, Impairments and Other 53
  Results of Operations 55
  Liquidity and Capital Resources 59
  Critical Accounting Policies and Estimates 63
Item 7A. Quantitative and Qualitative Disclosures About Market Risk 66
Item 8. Financial Statements and Supplementary Data 67
Item 9. Changes in and Disagreements with Accountants on Accounting and Financial Disclosure 67
Item 9A. Controls and Procedures 67
Item 9B. Other Information 68
     
PART III
     
Item 10. Directors, Executive Officers of the Registrant and Corporate Governance 69
Item 11. Executive Compensation 69
Item 12. Security Ownership of Certain Beneficial Owners and Management 69
Item 13. Certain Relationships and Related Transactions, and Director Independence 69
Item 14. Principal Accountant Fees and Services 69
     
PART IV
     
Item 15. Exhibits and Financial Statement Schedules 70
Item 16. Summary 71

 

 

 

 

Item 1 – Business

 

Overview; Recent Events

 

Omega Healthcare Investors, Inc. (“Omega”) was formed as a real estate investment trust (“REIT”) and incorporated in the State of Maryland on March 31, 1992. All of Omega's assets are owned directly or indirectly, and all of Omega's operations are conducted directly or indirectly, through its subsidiary, OHI Healthcare Properties Limited Partnership (“Omega OP”). Omega OP was formed as a limited partnership and organized in the State of Delaware on October 24, 2014. No substantive assets were owned or activity occurred in Omega OP until the merger with Aviv REIT, Inc. on April 1, 2015. Unless stated otherwise or the context otherwise requires, the terms the “Company,” “we,” “our” and “us” means Omega and Omega OP, collectively.

 

The Company 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 skilled nursing facilities (“SNFs”), and, to a lesser extent, assisted living facilities (“ALFs”), independent living facilities and rehabilitation and acute care facilities. Our core portfolio consists of long-term leases and mortgage agreements. All of our leases are “triple-net” leases, which require the tenants to pay all property-related expenses. Our mortgage revenue derives from fixed rate mortgage loans, which are secured by first mortgage liens on the underlying real estate and personal property of the mortgagor.

 

In April 2015, Aviv REIT, Inc., a Maryland corporation (“Aviv”), merged (the “Aviv Merger”) with and into a wholly owned subsidiary of Omega, pursuant to the terms of that certain Agreement and Plan of Merger, dated as of October 30, 2014 (the “Merger Agreement”), by and among Omega, Aviv, OHI Healthcare Properties Holdco, Inc., a Delaware corporation (“OHI Holdco”), Omega OP, and Aviv Healthcare Properties Limited Partnership, a Delaware limited partnership (the “Aviv OP”).

 

Prior to April 1, 2015 and in accordance with the Merger Agreement, Omega restructured the manner in which it holds its assets by converting to an umbrella partnership real estate investment trust structure (the “UPREIT Conversion”). As a result of the UPREIT Conversion and following the consummation of the Aviv Merger, all of Omega’s assets are held by Omega OP, through its equity interests in its subsidiaries. Omega OP is governed by the Second Amended and Restated Agreement of Limited Partnership of OHI Healthcare Properties Limited Partnership, dated as of April 1, 2015 (the “Partnership Agreement”). On September 26, 2017, OHI Holdco, a wholly owned subsidiary of Omega and a co-general partner of Omega OP, was merged with and into Omega, resulting in Omega becoming the sole general partner of Omega OP. Omega has exclusive control over Omega OP’s day-to-day management pursuant to the Partnership Agreement. As of December 31, 2017, Omega owned approximately 96% of the issued and outstanding units of partnership interest in Omega OP (“Omega OP Units”), and investors owned approximately 4% of the outstanding Omega OP Units.

 

In 2017, we completed the following transactions totaling approximately $559 million in new investments:

 

·$124 million of new investments with a new operator in U.K. The investments included 18 care homes (similar to ALFs in the U.S.) from an unrelated third party for $124.2 million (including a non-cash deferred tax liability of approximately $8.2 million) and leased them to a new operator. The 18 care homes were combined into a single 12-year master lease with two ten year renewal options. The master lease has an initial annual cash yield of 8.5% with 2.5% annual escalators.

 

·$220 million of new investments with an existing operator. The investment included 15 SNFs for $211.0 million and a $9.4 million leasehold mortgage acquired from an unrelated third party. The 15 SNFs, located in Indiana, were being operated by an existing operator of the Company. The SNFs were added to the operator’s existing master lease with an initial annual cash yield of 9.5% with 2.5% annual escalators.

 

·In addition to the aforementioned investments, we also acquired 7 SNFs and 2 ALFs for approximately $58.5 million throughout the U.S.

 

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·$11 million mortgage loan with an existing operator. The loan bears interest at an initial annual interest rate of 9.5% with 2.25% annual escalators.

 

·$145 million of investments in our capital expenditure programs.

 

As of December 31, 2017, our portfolio of investments included 983 healthcare facilities located in 41 states and the U.K. and operated by 74 third-party operators. We use the term “operator” to refer to our tenants and mortgagors and their affiliates who manage and/or operate our properties. This portfolio was made up of:

 

·775 SNFs, 119 ALFs, 15 specialty facilities and one medical office building;
·fixed rate mortgages on 47 SNFs and four ALFs; and

·22 facilities closed or held for sale.

 

As of December 31, 2017, our investments in these facilities, net of impairments and reserves for uncollectible loans, totaled approximately $8.8 billion. In addition, we held other investments of approximately $276.3 million at December 31, 2017, consisting primarily of secured loans to third-party operators of our facilities and a $36.5 million investment in an unconsolidated joint venture.

 

Our filings with the Securities and Exchange Commission (“SEC”), including our annual report on Form 10-K, quarterly reports on Form 10-Q, current reports on Form 8-K and amendments to those reports are accessible free of charge on our website at www.omegahealthcare.com. The contents of our website are not incorporated by reference herein or in any of our filings with the SEC.

 

Summary of Financial Information

 

The following table summarizes our revenues by asset category for 2017, 2016 and 2015. (See “Item 7 – Management’s Discussion and Analysis of Financial Condition and Results of Operations,” “Note 3 – Properties”, “Note 4 – Direct Financing Leases”,Note 5 – Mortgage Notes Receivable” and “Note 6 – Other Investments”).

 

Revenues by Asset Category

(in thousands)

   Year Ended December 31, 
   2017   2016   2015 
Core assets:               
Rental income  $775,176   $743,885   $605,991 
Income from direct financing leases   32,336    62,298    59,936 
Mortgage interest income   66,202    69,811    68,910 
Total core assets revenues   873,714    875,994    734,837 
Other investment income - net   29,225    21,852    7,534 
Miscellaneous income   5,446    2,981    1,246 
Total operating revenues  $908,385   $900,827   $743,617 

 

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The following table summarizes our real estate assets by asset category as of December 31, 2017 and 2016:

 

Assets by Category

(in thousands)

 

   As of December 31, 
   2017   2016 
Core assets:          
Buildings  $6,098,119   $6,090,294 
Land   795,874    759,295 
Furniture, fixtures and equipment   440,737    454,760 
Site improvements   227,150    206,206 
Construction in progress   94,080    55,803 
Total real estate investments   7,655,960    7,566,358 
Investments in direct financing leases - net   364,965    601,938 
Mortgage notes receivable - net   671,232    639,343 
Total core assets   8,692,157    8,807,639 
Other investments - net   276,342    256,846 
Investment in unconsolidated joint venture   36,516    48,776 
Total real estate assets before held for sale assets   9,005,015    9,113,261 
Assets held for sale - net   86,699    52,868 
Total investments  $9,091,714   $9,166,129 

 

Description of the Business

 

Investment Strategy. We maintain a portfolio of long-term healthcare facilities and mortgages on healthcare facilities located in the U.S. and the U.K. Our investments are generally geographically diverse and operated by a diverse group of established, middle-market healthcare operators that meet our standards for quality and experience of management and creditworthiness. Our criteria for evaluating potential investments includes but is not limited to:

 

·the quality and experience of management and the creditworthiness of the operator of the facility;
·the facility's historical and forecasted cash flow and its ability to meet operational needs, capital expenditure requirements and lease or debt service obligations;
·the construction quality, condition and design of the facility;
·the location of the facility;
·the tax, growth, regulatory and reimbursement environment of the applicable jurisdiction;
·the occupancy rate for the facility and demand for similar healthcare facilities in the same or nearby communities; and
·the payor mix of private, Medicare and Medicaid patients at the facility.

 

We seek to obtain (i) contractual rent escalations under long-term, non-cancelable, “triple-net” leases and (ii) fixed-rate mortgage loans. We typically obtain substantial liquidity deposits, covenants regarding minimum working capital and net worth, liens on accounts receivable and other operating assets, and various provisions for cross-default, cross-collateralization and corporate and or personal guarantees, when appropriate.

 

We prefer to invest in equity ownership of properties. Due to regulatory, tax or other considerations, we may pursue alternative investment structures. The following summarizes our primary investment structures. The average annualized yields described below reflect existing contractual arrangements. However, due to the nature of the long-term care industry, we cannot assure that the operators of our facilities will meet their payment obligations in full or when due. Therefore, the annualized yields as of December 31, 2017, set forth below, are not necessarily indicative of future yields, which may be lower.

 

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Triple-Net Operating Leases. Triple-net operating leases typically range from 5 to 15 years, plus renewal options. Our leases generally provide for minimum annual rentals that are subject to annual formula increases based on factors such as increases in the Consumer Price Index. At December 31, 2017, our average annualized yield from operating leases was approximately 9.2%.

 

Direct Financing Leases. In addition to our typical lease agreements, five of our leases are being accounted for as direct financing leases which include annual escalators. At December 31, 2017, our average annualized yield from the direct financing leases was approximately 9% (excluding our investments with Orianna Health Systems).

 

Fixed-Rate Mortgages. Our mortgages typically have a fixed interest rate for the mortgage term and are secured by first mortgage liens on the underlying real estate and personal property of the mortgagor. At December 31, 2017, our average annualized yield on these investments was approximately 9.8%.

 

The table set forth in “Item 2 – Properties” contains information regarding our properties and investments as of December 31, 2017.

 

Borrowing Policies. We generally attempt to match the maturity of our indebtedness with the maturity of our investment assets and employ long-term, fixed-rate debt to the extent practicable in view of market conditions in existence from time to time.

 

We may use the proceeds of new indebtedness to finance our investments in additional healthcare facilities. In addition, we may invest in properties subject to existing loans, secured by mortgages, deeds of trust or similar liens on properties.

 

Policies With Respect To Certain Activities. With respect to our capital requirements, we typically rely on equity offerings, debt financing and retention of cash flow (subject to provisions in the Internal Revenue Code of 1986, as amended (the “Code”) concerning taxability of undistributed REIT taxable income), or a combination of these methods. Our financing alternatives include bank borrowings, publicly or privately placed debt instruments, purchase money obligations to the sellers of assets or securitizations, any of which may be issued as secured or unsecured indebtedness.

 

We have the authority to issue our common stock or other equity or debt securities in exchange for property and to repurchase or otherwise reacquire our securities.

 

Subject to the percentage of ownership limitations and gross income and asset tests necessary for REIT qualification, we may invest in securities of other REITs, other entities engaged in real estate activities or securities of other issuers, including for the purpose of exercising control over such entities.

 

We may engage in the purchase and sale of investments. We do not underwrite the securities of other issuers.

 

Our officers and directors may change any of these policies without a vote of our stockholders. In the opinion of our management, our properties are adequately covered by insurance.

 

Competition. The healthcare industry is highly competitive and will likely become more competitive in the future. We face competition from other REITs, investment companies, private equity and hedge fund investors, healthcare operators, lenders, developers and other institutional investors, some of whom have greater resources and lower costs of capital than us.  Our operators compete on a local and regional basis with operators of facilities that provide comparable services. The basis of competition for our operators includes the quality of care provided, reputation, the physical appearance of a facility, price, the range of services offered, family preference, alternatives for healthcare delivery, the supply of competing properties, physicians, staff, referral sources, location and the size and demographics of the population and surrounding areas.

 

Increased competition makes it more challenging for us to identify and successfully capitalize on opportunities that meet our objectives. Our ability to compete is also impacted by national and local economic trends, availability of investment alternatives, availability and cost of capital, construction and renovation costs, existing laws and regulations, new legislation and population trends. For additional information on the risks associated with our business, please see “Item 1A — Risk Factors” below.

 

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Taxation of Omega

 

The following is a general summary of the material United States federal income tax considerations applicable to (i) us, (ii) the holders of our securities and (iii) our election to be taxed as a REIT. It is not tax advice. This summary is not intended to represent a detailed description of the United States federal income tax consequences applicable to a particular holder of our securities in view of any person’s particular circumstances, nor is it intended to represent a detailed description of the United States federal income tax consequences applicable to holders of our securities subject to special treatment under the federal income tax laws such as insurance companies, tax-exempt organizations, financial institutions, securities broker-dealers, non-U.S. persons, persons holding our securities as part of a hedge, straddle, or other risk reduction, constructive sales or conversion transaction, investors in pass-through entities, expatriates and taxpayers subject to alternative minimum taxation.

 

The following discussion, to the extent it constitutes matters of law or legal conclusions (assuming the facts, representations and assumptions upon which the discussion is based are accurate), represents some of the material United States federal income tax considerations relevant to ownership of our securities. The sections of the Code relating to the qualification and operation as a REIT are highly technical and complex. The following discussion sets forth certain material aspects of those sections. The information in this section is based on, and is qualified in its entirety by the Code; the Tax Act (as defined in Item 1A. “Risk Factors” below); current, temporary and proposed Treasury Regulations (“Treasury Regulations”) promulgated under the Code; the legislative history of the Code; current administrative interpretations and practices of the Internal Revenue Service (“IRS”); and court decisions, in each case, as of the date of this report. In addition, the administrative interpretations and practices of the IRS include its practices and policies as expressed in private letter rulings, which are not binding on the IRS, except with respect to the particular taxpayers who requested and received those rulings. For purposes of the discussion below, the “Highest Regular Corporate Tax Rate” means 35% for taxable years beginning on or before December 31, 2017, and 21% for taxable years beginning after December 31, 2017.

 

General. We have elected to be taxed as a REIT, under Sections 856 through 860 of the Code, beginning with our taxable year ended December 31, 1992. We believe that we were organized and have operated in such a manner as to qualify for taxation as a REIT. We intend to continue to operate in a manner that will allow us to maintain our qualification as a REIT, but no assurance can be given that we have operated or will be able to continue to operate in a manner so as to qualify or remain qualified as a REIT. OHI Holdco was a wholly owned subsidiary of Parent and is a qualified REIT subsidiary for United States federal income tax purposes, and Omega OP is a pass through entity for United States federal income tax purposes.

 

If we qualify for taxation as a REIT, we generally will not be subject to federal corporate income taxes on our net income that is currently distributed to stockholders. However, we will be subject to certain federal income taxes as follows. First, we will be taxed at regular corporate rates on any undistributed REIT taxable income, including undistributed net capital gains; provided, however, that if we have a net capital gain, we will be taxed at regular corporate rates on our undistributed REIT taxable income, computed without regard to net capital gain and the deduction for capital gains dividends, plus a 35% (21% for taxable years beginning after December 31, 2017) tax on undistributed net capital gain, if our tax as thus computed is less than the tax computed in the regular manner. Second, for taxable years beginning before January 1, 2018, under certain circumstances, we may be subject to the “alternative minimum tax” on our items of tax preference that we do not distribute or allocate to our stockholders. Third, if we have (i) net income from the sale or other disposition of “foreclosure property,” which is held primarily for sale to customers in the ordinary course of business, or (ii) other nonqualifying income from foreclosure property, we will be subject to tax at the Highest Regular Corporate Tax Rate on such income. Fourth, if we have net income from prohibited transactions (which are, in general, certain sales or other dispositions of property (other than foreclosure property) held primarily for sale to customers in the ordinary course of business by us, (i.e., when we are acting as a dealer), such income will be subject to a 100% tax. Fifth, if we should fail to satisfy the 75% gross income test or the 95% gross income test (as discussed below), but nonetheless have maintained our qualification as a REIT because certain other remedial requirements have been met, we will be subject to a 100% tax on an amount equal to (a) the gross income attributable to the greater of the amount by which we fail the 75% or 95% test, multiplied by (b) a fraction intended to reflect our profitability. Sixth, if we should fail to distribute by the end of each year at least the sum of (i) 85% of our REIT ordinary income for such year, (ii) 95% of our REIT capital gain net income for such year, and (iii) any undistributed taxable income from prior periods, we will be subject to a 4% excise tax on the excess of such required distribution over the amounts actually distributed. Seventh, we will be subject to a 100% excise tax on transactions with a taxable REIT subsidiary (“TRS”) that are not conducted on an arm’s-length basis. Eighth, if we acquire any asset that is defined as a “built-in gain asset” from a C corporation that is not a REIT (i.e., generally a corporation subject to full corporate-level tax) in a transaction in which the basis of the built-in gain asset in our hands is determined by reference to the basis of the asset (or any other property) in the hands of the C corporation, and we recognize gain on the disposition of such asset (for dispositions made in taxable years beginning after December 31, 2016) during the 5-year period beginning on the date on which such asset was acquired by us (such period, the “recognition period”), then, to the extent of the built-in gain (i.e., the excess of (a) the fair market value of such asset on the date such asset was acquired by us over (b) our adjusted basis in such asset on such date), our recognized gain will be subject to tax at the Highest Regular Corporate Tax Rate. The results described above with respect to the recognition of built-in gain assume that we will not make an election pursuant to Treasury Regulations Section 1.337(d)-7(c)(5).

 

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Requirements for Qualification. The Code defines a REIT as a corporation, trust or association: (1) which is managed by one or more trustees or directors; (2) the beneficial ownership of which is evidenced by transferable shares, or by transferable certificates of beneficial interest; (3) which would be taxable as a domestic corporation, but for Sections 856 through 859 of the Code; (4) which is neither a financial institution nor an insurance company as defined in provisions of the Code; (5) the beneficial ownership of which is held by 100 or more persons; (6) during the last half year of each taxable year not more than 50% in value of the outstanding stock of which is owned, actually or constructively, by five or fewer individuals (as defined in the Code to include certain entities); and (7) which meets certain other tests, described below, regarding the nature of its income and assets and the amount of its annual distributions to stockholders. The Code provides that conditions (1) to (4) inclusive, must be met during the entire taxable year and that condition (5) must be met during at least 335 days of a taxable year of twelve months, or during a proportionate part of a taxable year of less than twelve months. For purposes of conditions (5) and (6), pension funds and certain other tax-exempt entities are treated as individuals, subject to a “look-through” exception in the case of condition (6). We may avoid disqualification as a REIT for a failure to satisfy any of these tests if such failure is due to reasonable cause and not willful neglect, and we pay a penalty of $50,000 for each such failure.

 

Income Tests. To maintain our qualification as a REIT, we annually must satisfy two gross income requirements. First, at least 75% of our gross income (excluding gross income from prohibited transactions) for each taxable year must be derived directly or indirectly from investments relating to real property or mortgages on real property (including generally “rents from real property,” interest on mortgages on real property, and gains on sale of real property and real property mortgages, other than property described in Section 1221(a)(1) of the Code) and income derived from certain types of temporary investments. Second, at least 95% of our gross income (excluding gross income from prohibited transactions) for each taxable year must be derived from such real property investments, dividends, interest and gain from the sale or disposition of stock or securities other than property held for sale to customers in the ordinary course of business.

 

Rents received by us will qualify as “rents from real property” in satisfying the gross income requirements for a REIT described above only if several conditions are met. First, the amount of the rent must not be based in whole or in part on the income or profits of any person. However, any amount received or accrued generally will not be excluded from the term “rents from real property” solely by reason of being based on a fixed percentage or percentages of receipts or sales. Second, the Code provides that rents received from a tenant (other than rent from a tenant that is a TRS that meets the requirements described below) will not qualify as “rents from real property” in satisfying the gross income tests if we, or an owner (actually or constructively) of 10% or more of the value of our stock, actually or constructively owns 10% or more of such tenant, which is defined as a related party tenant taking into account certain complex attribution rules. Third, if rent attributable to personal property, leased in connection with a lease of real property, is greater than 15% of the total rent received under the lease, then the portion of rent attributable to such personal property will not qualify as “rents from real property.” Finally, for rents received to qualify as “rents from real property,” we generally must not operate or manage the property or furnish or render services to the tenants of such property, other than through an independent contractor from which we derive no revenue. We may, however, directly perform certain services that are “usually or customarily rendered” in connection with the rental of space for occupancy only and are not otherwise considered “rendered to the occupant” of the property. In addition, we may directly provide a minimal amount of “non-customary” services to the tenants of a property as long as our income from the services does not exceed 1% of our income from the related property. Furthermore, we may own up to 100% of the stock of a TRS, which may provide customary and non-customary services to our tenants without tainting our rental income from the related properties.

 

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The term “interest” generally does not include any amount received or accrued (directly or indirectly) if the determination of such amount depends in whole or in part on the income or profits of any person. However, an amount received or accrued generally will not be excluded from the term “interest” solely by reason of being based on a fixed percentage or percentages of gross receipts or sales. In addition, an amount that is based on the income or profits of a debtor will be qualifying interest income as long as the debtor derives substantially all of its income from the real property securing the debt from leasing substantially all of its interest in the property, but only to the extent that the amounts received by the debtor would be qualifying “rents from real property” if received directly by a REIT.

 

If a loan contains a provision that entitles us to a percentage of the borrower’s gain upon the sale of the real property securing the loan or a percentage of the appreciation in the property’s value as of a specific date, income attributable to that loan provision will be treated as gain from the sale of the property securing the loan, which generally is qualifying income for purposes of both gross income tests.

 

Interest on debt secured by mortgages on real property or on interests in real property generally is qualifying income for purposes of the 75% gross income test. However, if the highest principal amount of a loan outstanding during a taxable year exceeds the fair market value of the real property securing the loan as of the date we agreed to originate or acquire the loan, a portion of the interest income from such loan will not be qualifying income for purposes of the 75% gross income test, but will be qualifying income for purposes of the 95% gross income test. The portion of the interest income that will not be qualifying income for purposes of the 75% gross income test will be equal to the portion of the principal amount of the loan that is not secured by real property. Prior to January 1, 2016, in the case of a mortgage loan that is secured by both real and personal property, an allocation of the interest received between qualified mortgage interest and interest that was not qualified mortgage interest on the loan was required to be made if the fair market value of the real property at the time the loan was made was less than the principal amount of the loan. For taxable years beginning after December 31, 2015, in the case of a mortgage loan that is secured by both real and personal property, such allocation is required only if the fair market value of the personal property exceeds 15% of the value of the property. We do not expect the change in the rules for allocation of mortgage interest to have an impact on our ability to satisfy either of the gross income tests going forward.

 

A modification of a mortgage loan, if it is deemed significant for income tax purposes, could be considered to be the deemed issuance of a new mortgage loan that is subject to re-testing under these rules, with the possible re-characterization of the mortgage interest on such loan as non-qualifying income for purposes of the 75% gross income test (but not the 95% gross income test, which is discussed below), as well as non-qualifying assets under the asset test (discussed below) and the deemed exchange of the modified loan for the new loan could result in imposition of the 100% prohibited transaction tax (also discussed below). The IRS recently issued guidance providing relief in the case of certain existing mortgage loans held by a REIT that are modified in response to these market conditions such that (i) the modified mortgage loan need not be re-tested for purposes of determining whether the income from the mortgage loan continues to be qualified income for purposes of the 75% gross income test or whether the mortgage loan retains its character as a qualified REIT asset for purposes of the asset test (discussed below), and (ii) the modification of the loan will not be treated as a prohibited transaction. At present, we do not hold any mortgage loans that have been modified, which would require us to take advantage of these rules for special relief. We monitor our mortgage loans and direct financing leases for compliance with the above rules.

 

Prohibited Transactions. We will incur a 100% tax on the net income derived from any sale or other disposition of property, other than foreclosure property, that we hold primarily for sale to customers in the ordinary course of a trade or business. We believe that none of our assets is primarily held for sale to customers and that a sale of any of our assets would not be in the ordinary course of our business. Whether a REIT holds an asset primarily for sale to customers in the ordinary course of a trade or business depends, however, on the facts and circumstances in effect from time to time, including those related to a particular asset. Nevertheless, we will attempt to comply with the terms of safe-harbor provisions in the federal income tax laws prescribing when an asset sale will not be characterized as a prohibited transaction. The Code also provides a number of alternative exceptions from the 100% tax on “prohibited transactions” if certain requirements have been satisfied with respect to property disposed of by a REIT. These requirements relate primarily to the number and/or amount of properties disposed of by a REIT, the period of time the property has been held by the REIT, and/or aggregate expenditures made by the REIT with respect to the property being disposed of. The conditions needed to meet these requirements have been lowered for taxable years beginning in 2009 and thereafter. However, we cannot assure that we will be able to comply with the safe-harbor provisions or that we would be able to avoid the 100% tax on prohibited transactions if we were to dispose of an owned property that otherwise may be characterized as property that we hold primarily for sale to customers in the ordinary course of a trade or business.

 

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Foreclosure Property. We will be subject to tax at the maximum corporate rate on any income from foreclosure property, other than income that otherwise would be qualifying income for purposes of the 75% gross income test, less expenses directly connected with the production of that income. However, gross income from foreclosure property is treated as qualifying for purposes of the 75% and 95% gross income tests. Foreclosure property is any real property, including interests in real property, and any personal property incident to such real property:

 

·that is acquired by a REIT as the result of (i) the REIT having bid on such property at foreclosure, or having otherwise reduced such property to ownership or possession by agreement or process of law, after there was a default, or (ii) default was imminent on a lease of such property or on indebtedness that such property secured;

 

·for which the related loan or lease was acquired by the REIT at a time when the default was not imminent or anticipated; and

 

·for which the REIT makes a proper election to treat the property as foreclosure property.

 

Such property generally ceases to be foreclosure property at the end of the third taxable year following the taxable year in which the REIT acquired the property, or longer (for a total of up to six years) if an extension is granted by the Secretary of the Treasury. In the case of a “qualified health care property” acquired solely as a result of termination of a lease, but not in connection with default or an imminent default on the lease, the initial grace period terminates on the second (rather than third) taxable year following the year in which the REIT acquired the property (unless the REIT establishes the need for and the Secretary of the Treasury grants one or more extensions, not exceeding six years in total, including the original two-year period, to provide for the orderly leasing or liquidation of the REIT’s interest in the qualified health care property). This grace period terminates and foreclosure property ceases to be foreclosure property on the first day:

 

·on which a lease is entered into for the property that, by its terms, will give rise to income that does not qualify for purposes of the 75% gross income test, or any amount is received or accrued, directly or indirectly, pursuant to a lease entered into on or after such day that will give rise to income that does not qualify for purposes of the 75% gross income test;

 

·on which any construction takes place on the property, other than completion of a building or any other improvement, where more than 10% of the construction was completed before default became imminent; or

 

·which is more than 90 days after the day on which the REIT acquired the property and the property is used in a trade or business that is conducted by the REIT, other than through an independent contractor from whom the REIT itself does not derive or receive any income or, with respect to taxable years beginning after December 31, 2015, through a TRS.

 

The definition of foreclosure property includes any “qualified health care property,” as defined in Code Section 856(e)(6) acquired by us as the result of the termination or expiration of a lease of such property. We have from time to time operated qualified healthcare facilities acquired in this manner for up to two years (or longer if an extension was granted). However, we do not currently own any property with respect to which we have made foreclosure property elections. Properties that we had taken back in a foreclosure or bankruptcy and operated for our own account were treated as foreclosure properties for income tax purposes, pursuant to Code Section 856(e). Gross income from foreclosure properties was classified as “good income” for purposes of the annual REIT income tests upon making the election on the tax return. Once made, the income was classified as “good” for a period of three years, or until the properties were no longer operated for our own account. In all cases of foreclosure property, we utilized an independent contractor to conduct day-to-day operations to comply with certain REIT requirements. In certain cases, we operated these facilities through a taxable REIT subsidiary. For those properties operated through the taxable REIT subsidiary, we utilized an eligible independent contractor to conduct day-to-day operations to comply with certain REIT requirements. As a result of the foregoing, we do not believe that our participation in the operation of nursing homes increased the risk that we would fail to qualify as a REIT. Through our 2016 taxable year, we had not paid any tax on our foreclosure property because those properties had been producing losses. We cannot predict whether, in the future, our income from foreclosure property will be significant and whether we could be required to pay a significant amount of tax on that income.

 

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Hedging Transactions. Our hedging activities may include entering into interest rate swaps, caps and floors, options to purchase these items and futures and forward contracts. To the extent that we enter into an interest rate swap or cap contract, option, futures contract, forward rate agreement, or any similar financial instrument for the purpose of hedging our indebtedness incurred to acquire or carry “real estate assets,” any periodic income or gain from the disposition of that contract should be qualifying income and excluded from the computations determining compliance with the 95% and 75% gross income tests. As described in “Item 7A – Quantitative and Qualitative Disclosures About Market Risk”, we have entered into certain interest rate swap agreements to hedge our risk against fluctuations in interest rates and the swaps have been structured to satisfy the requirements of the tax treatment outlined above. Accordingly, our income and gain from our interest rate swap agreements generally is qualifying income and may be excluded from our computations in determining compliance with the 95% and 75% gross income tests. To the extent that we hedge with other types of financial instruments, or in other situations, it is not entirely clear how the income from those transactions will be treated for purposes of the gross income tests. We believe that we have structured and intend to continue to structure any hedging transactions in a manner that does not jeopardize our status as a REIT.

 

TRS Income. A TRS may earn income that would not be qualifying income if earned directly by the parent REIT. Both the subsidiary and the REIT must jointly elect to treat the subsidiary as a TRS. A corporation of which a TRS directly or indirectly owns more than 35% of the voting power or value of the stock will automatically be treated as a TRS. Overall, no more than 25% of the value of a REIT’s assets may consist of securities of one or more TRSs and, with respect to taxable years beginning after December 31, 2017, no more than 20% of the value of a REIT’s assets may consist of securities of one or more TRSs. Prior to 2009, a TRS was not permitted to directly or indirectly (i) operate or manage a health care (or lodging) facility, or (ii) provide to any other person (under a franchise, license, or otherwise) rights to any brand name under which a health care (or lodging) facility is operated. Beginning in 2009, TRSs became permitted to own or lease a health care facility provided that the facility is operated and managed by an “eligible independent contractor.” A TRS will pay income tax at regular corporate rates on any income that it earns. In addition, the new rules limit the deductibility of interest paid or accrued by a TRS to its parent REIT to assure that the TRS is subject to an appropriate level of corporate taxation. The rules also impose a 100% excise tax on transactions between a TRS and its parent REIT or the REIT’s operators that are not conducted on an arm’s-length basis. As stated above, we do not lease any of our facilities to any of our TRSs.

 

Failure to Satisfy Income Tests. If we fail to satisfy one or both of the 75% or 95% gross income tests for any taxable year, we may nevertheless qualify as a REIT for such year if we are entitled to relief under certain relief provisions of the Code. These relief provisions will be generally available if our failure to meet such tests was due to reasonable cause and not due to willful neglect, we attach a schedule of the sources of our income to our tax return, and any incorrect information on the schedule was not due to fraud with intent to evade tax. It is not possible, however, to state whether in all circumstances we would be entitled to the benefit of these relief provisions. Even if these relief provisions apply, we would incur a 100% tax on the gross income attributable to the greater of the amounts by which we fail the 75% and 95% gross income tests, multiplied by a fraction intended to reflect our profitability and we would file a schedule with descriptions of each item of gross income that caused the failure.

 

Asset Tests. At the close of each quarter of our taxable year, we must also satisfy the following tests relating to the nature of our assets. First, at least 75% of the value of our total assets must be represented by real estate assets (including (i) our allocable share of real estate assets held by partnerships in which we own an interest and (ii) stock or debt instruments held for less than one year purchased with the proceeds of a stock offering or long-term (at least five years) debt offering of our company), cash, cash items and government securities. Second, of our investments not included in the 75% asset class, the value of our interest in any one issuer’s securities may not exceed 5% of the value of our total assets. Third, we may not own more than 10% of the voting power or value of any one issuer’s outstanding securities. Fourth, with respect to taxable years beginning after December 31, 2015, no more than 25% of the value of our total assets may be represented by nonqualified publicly offered REIT debt instruments. Fifth, no more than 25% of the value of our total assets may consist of the securities of one or more TRSs and, with respect to taxable years beginning after December 31, 2017, no more than 20% of the value of our total assets may consist of the securities of one or more TRSs. Sixth, no more than 25% of the value of our total assets may consist of the securities of TRSs and other non-TRS taxable subsidiaries and other assets that are not qualifying assets for purposes of the 75% asset test.

 

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For purposes of the second and third asset tests described above the term “securities” does not include our equity or debt securities of a qualified REIT subsidiary, a TRS, or an equity interest in any partnership, since we are deemed to own our proportionate share of each asset of any partnership of which we are a partner. Furthermore, for purposes of determining whether we own more than 10% of the value of only one issuer’s outstanding securities, the term “securities” does not include: (i) any loan to an individual or an estate; (ii) any Code Section 467 rental agreement; (iii) any obligation to pay rents from real property; (iv) certain government issued securities; (v) any security issued by another REIT; and (vi) our debt securities in any partnership, not otherwise excepted under (i) through (v) above, (A) to the extent of our interest as a partner in the partnership or (B) if 75% of the partnership’s gross income is derived from sources described in the 75% income test set forth above.

 

We may own up to 100% of the stock of one or more TRSs. However, overall, no more than 25% (or 20% with respect to taxable years beginning after December 31, 2017) of the value of our assets may consist of securities of one or more TRSs, and no more than 25% of the value of our assets may consist of the securities of TRSs and other non-TRS taxable subsidiaries (including stock in non-REIT C corporations) and other assets that are not qualifying assets for purposes of the 75% asset test. We do not anticipate that the reduction in value of TRSs that may be owned by a REIT will have an impact on us as we believe that the value of our TRSs is substantially less than 20% of the value of our assets and we do not expect the value of our TRSs to increase materially in the future.

 

If the outstanding principal balance of a mortgage loan exceeds the fair market value of the real property securing the loan, a portion of such loan likely will not be a qualifying real estate asset for purposes of the 75% test. The nonqualifying portion of that mortgage loan will be equal to the portion of the loan amount that exceeds the value of the associated real property. Prior to January 1, 2016, in the case of a mortgage loan that is secured by both real and personal property, a portion of the mortgage loan was required to be treated as a nonqualifying assets for purposes of the 75% tests if the fair market value of the real property at the time the loan was made was less than the principal amount of the loan. For taxable years beginning after December 31, 2015, in the case of a mortgage loan that is secured by both real and personal property, such allocation is required only if the fair market value of the personal property exceeds 15% of the value of the property. We do not expect the change in the rules for allocation of mortgage interest to have an impact on our ability to satisfy either of the asset test going forward. As discussed under the 75% gross income test (see above), the IRS recently provided relief from re-testing certain mortgage loans held by a REIT that have been modified as a result of the current distressed market conditions with respect to real property. At present, we do not hold any mortgage loans that have been modified, which would require us to take advantage of these rules for special relief.

 

After initially meeting the asset tests at the close of any quarter, we will not lose our status as a REIT for failure to satisfy any of the asset tests at the end of a later quarter solely by reason of changes in asset values. If the failure to satisfy the asset tests results from an acquisition of securities or other property during a quarter, the failure can be cured by disposition of sufficient nonqualifying assets within 30 days after the close of that quarter.

 

Subject to certain de minimis exceptions, we may avoid REIT disqualification in the event of certain failures under the asset tests, provided that (i) we file a schedule with a description of each asset that caused the failure, (ii) the failure was due to reasonable cause and not willful neglect, (iii) we dispose of the assets within 6 months after the last day of the quarter in which the identification of the failure occurred (or the requirements of the rules are otherwise met within such period) and (iv) we pay a tax on the failure equal to the greater of (A) $50,000 per failure and (B) the product of the net income generated by the assets that caused the failure for the period beginning on the date of the failure and ending on the date we dispose of the asset (or otherwise satisfy the requirements) multiplied by the Highest Corporate Tax Rate.

 

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Annual Distribution Requirements. To qualify 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 noncash income. 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 ordinary and capital gain corporate tax rates.

 

Furthermore, if we fail to distribute during a calendar year, or by the end of January following the calendar year in the case of distributions with declaration and record dates falling in the last three months of the calendar year, at least the sum of:

 

·85% of our REIT ordinary income for such year;

 

·95% of our REIT capital gain income for such year; and

 

·any undistributed taxable income from prior periods,

 

we will incur a 4% nondeductible excise tax on the excess of such required distribution over the amounts we actually distribute. We may elect to retain and pay income tax on the net long-term capital gain we receive in a taxable year. If we so elect, we will be treated as having distributed any such retained amount for purposes of the 4% excise tax described above. We have made, and we intend to continue to make, timely distributions sufficient to satisfy the annual distribution requirements. We may also be entitled to pay and deduct deficiency dividends in later years as a relief measure to correct errors in determining our taxable income. Although we may be able to avoid income tax on amounts distributed as deficiency dividends, we will be required to pay interest to the IRS based upon the amount of any deduction we take for deficiency dividends.

 

The availability to us of, among other things, depreciation deductions with respect to our owned facilities (which reduce our taxable income and the amount of our required dividend distributions) depends upon the determination that, for federal income tax purposes, we are the true owner of such facilities for federal income tax purposes, which is dependent on the classification of the leases to operators or our facilities as “true leases” rather than financing arrangements for federal income tax purposes. The determinations of whether (1) we are the owner of such facilities, and (2) the leases are true leases, for federal tax purposes are essentially factual matters. With the exception of certain financing arrangements for federal income tax purposes, we believe that we will be treated as the owner of each of the facilities that we lease, and such leases will be treated as true leases for federal income tax purposes. However, no assurances can be given that the IRS will not successfully challenge our status as the owner of our facilities subject to leases, and the status of such leases as true leases, asserting that the purchase of the facilities by us and the leasing of such facilities merely constitute steps in secured financing transactions in which the lessees are owners of the facilities and we are merely a secured creditor. In such event, we would not be entitled to claim depreciation deductions with respect to any of the affected facilities. As a result, we might fail to meet the 90% distribution requirement or, if such requirement is met, we might be subject to corporate income tax or the 4% excise tax.

 

Reasonable Cause Savings Clause. We may avoid disqualification in the event of a failure to meet certain requirements for REIT qualification if the failures are due to reasonable cause and not willful neglect, and if the REIT pays a penalty of $50,000 for each such failure. This reasonable cause safe harbor is not available for failures to meet the 95% and 75% gross income tests or the assets tests.

 

Failure to Qualify. If we fail to qualify as a REIT in any taxable year, and the reasonable cause relief provisions do not apply, we will be subject to tax (including any applicable alternative minimum tax with respect to taxable years beginning before January 1, 2018) on our taxable income at regular corporate rates. Distributions to stockholders in any year in which we fail to qualify will not be deductible, and our failure to qualify as a REIT would reduce the cash available for distribution by us to our stockholders. In addition, if we fail to qualify as a REIT, all distributions to stockholders will be taxable as dividend income, to the extent of our current and accumulated earnings and profits. However, in such a case, subject to certain limitations of the Code, corporate distributees may be eligible for the dividends received deduction with respect to dividends that we make, and in the case of an individual, trust, or an estate, dividends are treated the same as capital gain income, which currently is subject to a maximum income tax rate that is lower than regular income tax rates. In addition, in the case of an individual, trust or an estate, to the extent such taxpayer’s unearned income (including dividends) exceeds certain threshold amounts, the Medicare Tax on unearned income also will apply to dividend income. Unless entitled to relief under specific statutory provisions, we would also be disqualified from taxation as a REIT for the four taxable years following the year during which qualification was lost. It is not possible to state whether in all circumstances we would be entitled to such statutory relief. Failure to qualify could result in our incurring indebtedness or liquidating investments to pay the resulting taxes.

 

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Our Subsidiaries. We own and operate a number of properties through subsidiaries and the classification of such subsidiaries varies for federal income tax purposes as described in this section. Some of the subsidiaries elected to be taxed as REITs beginning with the calendar year ending December 31, 2015. The stock of the REIT subsidiaries, and dividends received from the REIT subsidiaries, will qualify under the asset tests and income tests, respectively, as described above, provided that such subsidiaries maintain their REIT qualification.

 

Some of the subsidiaries are classified as qualified REIT subsidiaries, which we refer to as QRSs. Code Section 856(i) provides that a corporation that is a QRS shall not be treated as a separate corporation, and all assets, liabilities, and items of income, deduction, and credit of a qualified REIT subsidiary shall be treated as assets, liabilities and such items (as the case may be) of the REIT. Thus, in applying the tests for REIT qualification described above, the QRSs will be ignored, and all assets, liabilities and items of income, deduction, and credit of such QRSs will be treated as our assets, liabilities and items of income, deduction, and credit.

 

Some of the subsidiaries are classified as TRSs. As described above, a TRS may earn income that would not be qualifying income if earned directly by the parent REIT; however, no more than 25% of the value of a REIT’s assets may consist of securities of one or more TRSs and, with respect to taxable years beginning after December 31, 2017, no more than 20% of the value of a REIT’s assets may consist of securities of one or more TRSs. One or more of our TRSs hold a number of assets that cannot be owned directly by a REIT. The value of the securities of our TRSs is far less than the permitted percentage thresholds described in this section.

 

Some of the subsidiaries are classified as partnerships. In the case of a REIT that is a partner in a partnership, such REIT is treated as owning its proportionate share of the assets of the partnership and as earning its allocable share of the gross income of the partnership for purposes of the applicable REIT qualification tests. Thus, our proportionate share of the assets, liabilities, and items of income of any partnership, joint venture, or limited liability company that is treated as a partnership for federal income tax purposes in which we own an interest, directly or indirectly, will be treated as our assets and gross income for purposes of applying the various REIT qualification requirements. See “Tax Aspects of Our Investments in our Operating Partnership and Subsidiary Partnerships” below.

 

Tax Aspects of Investments in our Operating Partnership and Subsidiary Partnerships

 

The following discussion summarizes certain federal income tax considerations applicable to our direct or indirect investments in our operating partnership and any subsidiary partnerships or limited liability companies that we form or acquire including such subsidiary partnerships or limited liability companies that are treated as disregarded for income tax purposes (collectively, “Omega OP”). This discussion does not cover state or local tax laws or any federal tax laws other than income tax laws.

 

Classification as Partnerships. We will be entitled to include in our income our distributive share of each item of Omega OP’s income and to deduct our distributive share of each item of Omega OP’s losses only if Omega OP is classified for federal income tax purposes as a partnership (or an entity that is disregarded for federal income tax purposes if the entity is treated as having only one owner for federal income tax purposes) rather than as a corporation or an association taxable as a corporation. An unincorporated entity with at least two owners or members will be classified as a partnership, rather than as a corporation, for federal income tax purposes if it:

 

·is treated as a partnership under the Treasury Regulations relating to entity classification (the “check-the-box regulations”); and
·is not a “publicly-traded partnership.”

 

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Under the check-the-box regulations, an unincorporated entity with at least two owners or members may elect to be classified either as an association taxable as a corporation or as a partnership. If such an entity fails to make an election, it generally will be treated as a partnership (or an entity that is disregarded for federal income tax purposes if the entity is treated as having only one owner for federal income tax purposes) for federal income tax purposes. Omega OP intends to be classified as a partnership for federal income tax purposes and will not elect to be treated as an association taxable as a corporation under the check-the-box regulations.

 

A publicly traded partnership is a partnership whose interests are traded on an established securities market or are readily tradable on a secondary market or the substantial equivalent thereof. A partnership whose interests are traded on an established securities market or are readily tradable on a secondary market or the substantial equivalent thereof, and thus will be characterized as a publicly traded partnership that is characterized as a corporation for U.S. federal income tax purposes, may avoid characterization as a corporation for any taxable year if, for each taxable year beginning after December 31, 1987, in which it was classified as a publicly traded partnership, 90% or more of the partnership’s gross income for such year consists of certain passive-type income, including real property rents, gains from the sale or other disposition of real property, interest, and dividends (the “Qualifying Income Exception”). The Treasury Regulations provide limited safe harbors under which certain transfers of interests in the partnership may be ignored or not taken into account in the determination of whether a partnership’s interests are considered to be readily tradable on a secondary market or the substantial equivalent thereof (the “PTP Transfer Exceptions”). Omega OP’s partnership agreement contains provisions enabling its general partner to take such steps as are necessary or appropriate to prevent the issuance and transfers of interests in Omega OP that do not satisfy one of the PTP Transfer Exceptions, and thus, cause Omega OP to be treated as a publicly traded partnership. To date, we believe that all transfers of Omega OP Units have satisfied one of the PTP Transfer Exceptions. However, even if the transfers of Omega OP Units failed to qualify for any of the PTP Transfer Exceptions, and Omega OP was considered to be a publicly traded partnership, we believe that Omega OP would have sufficient qualifying income to satisfy the Qualifying Income Exception, and therefore, would not be treated as a corporation for U.S. federal income tax purposes.

 

We have not requested, and do not intend to request, a ruling from the IRS that Omega OP will be classified as a partnership and not as a corporation for federal income tax purposes. If for any reason the Omega OP were taxable as a corporation, rather than as a partnership, for U.S. federal income tax purposes, we likely would not be able to qualify as a REIT unless we qualified for certain relief provisions. See the discussions entitled “Failure to Satisfy Income Tests,” “Asset Tests” and “Failure to Qualify” set forth above. In addition, any change in a partnership’s status for tax purposes might be treated as a taxable event, in which case we might incur tax liability without any related cash distribution. See “Annual Distribution Requirements” above. Further, items of income and deduction of such partnership would not pass through to its partners, and its partners would be treated as stockholders for tax purposes. Consequently, such partnership would be required to pay income tax at corporate rates on its net income, and distributions to its partners would constitute dividends that would not be deductible in computing such partnership’s taxable income.

 

Partners, Not the Partnerships, Subject to Tax. A partnership is not a taxable entity for federal income tax purposes. Rather, we are required to take into account our allocable share of each item of Omega OP’s income, gains, losses, deductions, and credits for any taxable year of Omega OP ending within or with our taxable year, without regard to whether we have received or will receive any distribution from Omega OP.

 

Partnership Allocations. Although a partnership agreement generally will determine the allocation of income and losses among partners, such allocations will be disregarded for tax purposes if they do not comply with the provisions of the Code and Treasury Regulations governing partnership allocations. If an allocation is not recognized for federal income tax purposes, the item subject to the allocation will be reallocated in accordance with the partners’ interests in the partnership, which will be determined by taking into account all of the facts and circumstances relating to the economic arrangement of the partners with respect to such item.

 

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Tax Allocations With Respect to Partnership Properties. Income, gain, loss, and deduction attributable to property that has appreciated or depreciated that is contributed to a partnership in exchange for an interest in the partnership must be allocated in a manner such that the contributing partner is charged with, or benefits from, respectively, the unrealized gain or unrealized loss associated with the property at the time of the contribution (the “704(c) Allocations”). The amount of such unrealized gain or unrealized loss, referred to as “built-in gain” or “built-in loss”, generally is equal to the difference between the fair market value of the contributed property at the time of contribution and the adjusted tax basis of such property at the time of contribution (a “book-tax difference”). Allocations with respect to book-tax differences are solely for federal income tax purposes and do not affect the book capital accounts or other economic or legal arrangements among the partners. A book-tax difference attributable to depreciable property generally is decreased on an annual basis as a result of the allocation of depreciation deductions to the contributing partner for book purposes but not for tax purposes. The Treasury Regulations require entities taxed as partnerships to use a “reasonable method” for allocating items with respect to which there is a book-tax difference and outline several reasonable allocation methods.

 

Any gain or loss recognized by Omega OP on the disposition of contributed properties will be allocated first to the partners of Omega OP who contributed such properties to the extent of their built-in gain or loss on those properties for federal income tax purposes. The partners’ built-in gain or loss on such contributed properties will equal the difference between the partners’ proportionate share of the book value of those properties and the partners’ tax basis allocable to those properties at the time of the contribution as reduced for any decrease in the book-tax difference. Any remaining gain or loss recognized by Omega OP on the disposition of the contributed properties, and any gain or loss recognized by Omega OP on the disposition of the other properties, generally will be allocated among the partners in accordance with the partnership agreement, unless such allocations and agreement do not satisfy the requirements of applicable Treasury Regulations, in which case the allocation will be made in accordance with the partners’ interests in the partnership.

 

On April 1, 2015, we acquired substantially all of the assets of Aviv, through a merger of Aviv, with and into our wholly owned subsidiary, which merger included a combination which resulted in the acquisition by Omega OP of substantially all of our assets and all of the assets of Aviv Healthcare Properties Limited Partnership. We treated such transfer of the properties to Omega OP as a contribution to which Omega OP received a “carryover” tax basis in the contributed properties. As a result, such properties had significant built-in gain or loss subject to Section 704(c) of the Code. As the general partner of Omega OP, we may account for the book-tax difference with respect to the properties contributed to Omega OP under any method approved by Section 704(c) of the Code and the Treasury Regulations, except with respect to those properties acquired by Omega OP that were contributed by Aviv REIT, Inc., with respect to which Omega OP elected to use the “remedial method” of allocation pursuant to Treasury Regulations Section 1.704-3(d).

 

Sale of a Partnership’s Property. Generally, any gain realized by a partnership on the sale of property held by the partnership for more than one year will be long-term capital gain, except for any portion of such gain that is treated as depreciation or cost recovery recapture. Our share of any gain realized by Omega OP on the sale of any property held by Omega OP as inventory or other property held primarily for sale to customers in the ordinary course of Omega OP’s trade or business will be treated as income from a prohibited transaction that is subject to a 100% penalty tax. Such prohibited transaction income also may have an adverse effect upon our ability to satisfy the income tests for REIT status. See “Income Tests” above. We do not presently intend to acquire or hold or to allow Omega OP to acquire or hold any property that represents inventory or other property held primarily for sale to customers in the ordinary course of Omega OP’s trade or business.

 

Government Regulation and Reimbursement

 

The healthcare industry is heavily regulated. Our operators are subject to extensive and complex federal, state and local healthcare laws and regulations. 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. The following is a discussion of certain laws and regulations generally applicable to our operators, and in certain cases, to us.

 

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Healthcare Reform. A substantial amount of rules and regulations have been issued under the Patient Protection and Affordable Care Act, as amended by the Health Care and Education and Reconciliation Act of 2010 (collectively referred to as the “Healthcare Reform Law”). The new administration has brought several Congressional efforts to repeal and replace the Affordable Care Act. Under any new legislation, we expect additional rules, regulations and interpretations to be issued that may materially affect our operators’ financial condition and operations. Even if the Healthcare Reform Law is not ultimately amended or repealed, the new administration could propose changes impacting implementation of the Healthcare Reform Law. The ultimate composition and timing of any legislation enacted under the new administration that would impact the current implementation of the Healthcare Reform Law remains uncertain. Given the complexity of the Healthcare Reform Law and the substantial requirements for regulation thereunder, the impact of the Healthcare Reform Law on our operators or their ability to meet their obligations to us cannot be predicted, whether in its current form or as amended or repealed.

 

Reform Requirements for Long-Term Care Facilities. On October 4, 2016, the Centers for Medicare and Medicaid Services (“CMS”) issued a final rule modifying the conditions of participation in Medicare and Medicaid for SNFs. CMS stated that the regulations, last updated in 1991, were “necessary to reflect the substantial advances that had been made over the past several years in the theory and practice of service delivery and safety” within long-term care. The extensive modifications require SNFs to implement new processes; make changes to current practices; and create new policies and procedures within a short timeframe to remain in compliance with their conditions for participation. Changes include provisions related to staff training, discharge planning, infection prevention and control programs, and pharmacy services, among others. While many of the regulations became effective on November 28, 2016, some of the regulations became effective in Phase 2 on November 28, 2017, with others becoming effective in Phase 3, beginning on November 28, 2019. According to CMS, it is estimated that the average cost for a SNF to implement the new regulations is estimated to be $62,900 the first year and $55,000 each year thereafter. Further, CMS delayed for eighteen months the imposition of any fines for failure to implement Phase 2 of the new “Requirements of Participation” implemented in November 2017. CMS also announced a freeze on the inspection star ratings for any surveys occurring between November 28, 2017 and November 27, 2018.

 

Reimbursement Generally. A significant portion of our operators’ revenue is derived from government-funded reimbursement programs, consisting primarily of Medicare and Medicaid. As federal and state governments continue to focus on healthcare reform initiatives, and as the federal government and many states face significant current and future budget deficits, efforts to reduce costs by government payors will likely continue, which may result in reductions in reimbursement at both the federal and state levels. Additionally, new and evolving payor and provider programs, including but not limited to Medicare Advantage, dual eligible, accountable care organizations, and bundled payments could adversely impact our tenants’ and operators’ liquidity, financial condition or results of operations. Significant limits on the scope of services reimbursed and/or reductions of reimbursement rates could have a material adverse effect on our operators’ results of operations and financial condition, which could adversely affect our operators’ ability to meet their obligations to us.

 

Medicaid. State budgetary concerns, coupled with the implementation of rules under the Healthcare Reform Law, or prospective changes to the Healthcare Reform Law under the new administration, may result in significant changes in healthcare spending at the state level. Many states are currently focusing on the reduction of expenditures under their state Medicaid programs, which may result in a reduction in reimbursement rates for our operators. The need to control Medicaid expenditures by the states may be exacerbated by the potential for increased enrollment in Medicaid due to unemployment and declines in family incomes. Since our operators’ profit margins on Medicaid patients are generally relatively low, more than modest reductions in Medicaid reimbursement or an increase in the number of Medicaid patients could adversely affect our operators’ results of operations and financial condition, which in turn could negatively impact us.

 

The Healthcare Reform Law provided for Medicaid coverage to be expanded to all individuals under age 65 with incomes up to 133% of the federal poverty level, beginning January 1, 2014. While the federal government committed to paying the entire cost for Medicaid coverage for newly eligible beneficiaries from 2014 through 2016, the federal share declines to 95% in 2017, 94% in 2018, 93% in 2019, and 90% in 2020 and subsequent years. Although the Supreme Court ruled on June 28, 2012 that states could not be required to expand Medicaid or risk losing federal funding of their existing Medicaid programs, as of February 5, 2018, thirty-two (32) states and the District of Columbia have expanded Medicaid eligibility with additional states continuing to consider expansion.

 

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Medicare. On July 31, 2017, CMS issued a final rule regarding the fiscal year (“FY”) 2018 Medicare payment rates and quality payment programs for SNFs, which continues the trend of shifting Medicare payments from volume to value. Proposed aggregate payments to SNFs effective October 1, 2017 for FY 2018 are expected to increase by $370 million, or 1.0%, over FY 2017 payments. This reimbursement increase is attributable to a 1.0% market basket increase as required under the Medicare Access and CHIP Reauthorization Act of 2015 (“MACRA”) after application of the productivity adjustment. Additionally, as mandated by the Improving Medicare Post-Acute Care Transformation Act of 2014 (“IMPACT Act”), the annual update is reduced by 2 percentage points for SNFs that fail to submit required quality data to CMS under the SNF Quality Reporting Program (“QRP”), beginning with FY 2018. The application of this penalty to those SNFs that do not meet the requirements for the FY 2018 SNF QRP would produce a market basket index percentage change that is less than zero and would also result in FY 2018 payment rates that are less than such payment rates for the preceding fiscal year. Similarly, a value-based purchasing program under the 2014 Protecting Access to Medicare Act (“PAMA”) legislation discounts SNF Medicare Fee-for-Service (“FFS”) payments by 2% commencing on October 1, 2018 (FY 2019), with reimbursement of those discounts to SNF based on comparative rehospitalization metrics. Beginning on October 1, 2018, the “Bipartisan Budget Act of 2018” will freeze the market basket update at 2.4% prior to application of any penalty adjustment for failure to meet the requirements of the SNF QRP. This freeze could reduce Medicare reimbursements to SNFs which could have a material adverse effect on our operators’ financial condition and operations, adversely impacting their ability to meet their obligations to us.

 

On April 27, 2017, CMS released an Advanced Notice of Proposed Rulemaking (“ANPRM”) to replace the SNF PPS RUG-IV case-mix classification methodology, which forms the basis for SNF payment, with the Resident Classification System, Version I (RCS-I), as early as FY 2019. The RCS-I case-mix model, removes service-based metrics from the SNF PPS and provides for payment, almost exclusively, from objective resident characteristics. CMS extended the comment period on the ANPRM from June 26, 2017 to August 25, 2017 in response to requests from national industry organizations for additional time to analyze this potentially far-reaching proposal. Notably, CMS’ overall model is designed to be budget-neutral with the current system. As of February 5, 2018, CMS has not issued a proposed rule to replace the SNF PPS RUG-IV case-mix classification methodology.

 

In addition to FY 2017 Medicare payment rates, SNFs continue to be impacted by the “Bipartisan Budget Act of 2015” (“BBA”) signed on November 2, 2015 which provided $80 billion in discretionary spending sequestration relief over two years, and extended Medicare sequestration, which generally cuts Medicare provider and plan payments by 2% across the board, for an additional year, through 2025. The FY 2025 sequestration will be “front loaded,” such that a 4% reduction will apply during the first six months of the fiscal year and no reduction will be imposed during the second half of the fiscal year.

 

Furthermore, while the exceptions review process for therapy caps stipulated by MACRA expired December 31, 2017, the Bipartisan Budget Act of 2018 permanently repealed the therapy caps and the exceptions review process that applied to Medicare Part B therapy coverage as of January 1, 2018. The industry estimates that these changes may potentially (i) result in the restoration of Medicare Part B SNF revenues that would have declined had the therapy caps remained in place and (ii) permit continued necessary services to maintain beneficiary quality of care levels. However, it reduced the reimbursement rate for Medicare Part B therapy services performed by therapy assistants to 85% of the physician fee schedule beginning January 1, 2022 which may offset some of the additional expenses. The Bipartisan Budget Act of 2018 also restored the limited post-pay claims review process and eliminated a threat to future SNF Medicare payment rates by ending the “Independent Payment Advisory Board” which was tasked with cutting future Medicare rates.

 

As indicated above, reimbursement methodology reforms, such as value-based purchasing, continue to be increasingly prevalent and attempt to hold providers accountable for the cost and quality of care provided by redistributing a portion of a provider or facility’s reimbursement based on the relative performance on designated economic, clinical quality, and patient satisfaction metrics. These reimbursement methodologies and similar programs are expected to expand, both in public and commercial health plans.

 

However, CMS released a final rule on December 1, 2017 to be effective January 1, 2018 to significantly scale back mandatory participation in the bundled payment program for Lower Extremity Joint Replacement (“CJR”) procedures that went into effect on April 1, 2016, and was mandatory for all hospitals paid under the Medicare Inpatient Prospective Payment System that are located in the 67 selected metropolitan statistical areas (“MSAs”). Under the final rule, CJR program participation will be voluntary for the eligible hospitals in 33 of the MSAs currently covered by the program beginning in February 2018. The CJR program will remain mandatory in the 34 MSAs for the remainder of the program, with an exception for certain low volume and rural hospitals. CMS anticipates the number of mandatory participating hospitals to decrease from approximately 700 under this rule. SNFs receiving Medicare revenues related to hospital discharges subject to CJR bundled payment programs in the identified geographic areas could be either positively or negatively affected by the CJR bundled payment program.

 

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Quality of Care Initiatives. In addition to quality or value based reimbursement reforms, CMS has implemented a number of initiatives focused on the quality of care provided by long term care facilities that could affect our operators. In December 2008, CMS released quality ratings for all of the nursing homes that participate in Medicare or Medicaid under its “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. SNFs are required to provide information for the CMS Nursing Home Compare website regarding staffing and quality measures. Based on this data and the results of state health inspections, SNFs are then rated based on the five-star rating system.

 

In August 2016, CMS announced a modification to the Five Star Quality Rating System through the introduction of new quality measures based primarily on Medicare claims data submitted by hospitals, including: (1) percentage of short-stay residents who were successfully discharged to the community; (2) percentage of short-stay residents who have had an outpatient emergency department visit; (3) percentage of short-stay residents who were re-hospitalized after a nursing home admission; (4) percentage of short-stay residents who made improvements in function; and (5) percentage of long-stay residents whose ability to move independently worsened. These ratings were incorporated into the nursing home rating system in July 2016 and were phased in through January 2017. It is possible that this or any other ranking system could lead to future reimbursement policies that reward or penalize facilities on the basis of the reported quality of care parameters.

 

Office of the Inspector General Activities. The Office of Inspector General’s (the “OIG”) Work Plan for government fiscal year 2017, which describes projects that the OIG plans to address during the fiscal year, includes seven projects related specifically to nursing homes: (1) determining to what extent State agencies investigate serious nursing home complaints within the required timeframes; (2) unreported incidents of potential abuse and neglect in SNFs; (3) review of SNF Medicare reimbursement documentation (determine if it meets requirements for each particular resource utilization group); (4) the SNF Adverse Event Screening Tool, which will disseminate practical information about the SNF Adverse Event Trigger Tool; (5) review of the National Background Check Program for long-term care employees; (6) compliance with the SNF prospective payment system requirement related to a three-day qualifying inpatient hospital stay; and (7) review of potentially avoidable hospitalizations of Medicare and Medicaid-Eligible nursing facility residents and prevention and detection services provided by nursing homes. Additionally, regional Recovery Audit Contractor program auditors along with the Office of Inspector General and Department of Justice will also continue their efforts to evaluate SNF Medicare claims for any excessive therapy charges. In order to enhance transparency around the OIG’s continuous work planning efforts, effective June 15, 2017, the OIG began updating its Work Plan website monthly. In addition to the seven projects identified on the fiscal year 2017 Work Plan, subsequent updates indicate that the OIG would review whether ambulance services paid by Medicare Part B were subject to Part A SNF consolidated billing requirements.

 

Department of Justice. SNFs are under intense scrutiny for the quality of care being rendered to residents and appropriate billing practices. The Department of Justice launched ten regional Elder Justice Task Forces in 2016 which are coordinating and enhancing efforts to pursue SNFs that provide grossly substandard care to their residents. They are also focusing on therapy billing issues. These Task Forces are composed of representatives from the U.S. Attorneys’ Offices, State Medicaid Fraud Control Units, state and local prosecutors’ offices, U.S. Department of Health and Human Services (“HHS”), State Adult Protective Services agencies, Long Term Care Ombudsmen programs, and law enforcement.

 

Fraud and Abuse. There are various federal and state civil and criminal laws and regulations governing a wide array of healthcare provider referrals, relationships and arrangements, including laws and regulations prohibiting fraud by healthcare providers. Many of these complex laws raise issues that have not been clearly interpreted by the relevant governmental authorities and courts.

 

These laws include: (i) federal and state false claims acts, which, among other things, prohibit providers from filing false claims or making false statements to receive payment from Medicare, Medicaid or other federal or state healthcare programs; (ii) federal and state anti-kickback and fee-splitting statutes, including the Medicare and Medicaid Anti-kickback statute, which prohibit the payment or receipt of remuneration to induce referrals or recommendations of healthcare items or services, such as services provided in a SNF; (iii) federal and state physician self-referral laws (commonly referred to as the Stark Law), which generally prohibit referrals by physicians to entities for designated health services (some of which are provided in SNFs) with which the physician or an immediate family member has a financial relationship; (iv) the federal Civil Monetary Penalties Law, which prohibits, among other things, the knowing presentation of a false or fraudulent claim for certain healthcare services and (v) federal and state privacy laws, including the privacy and security rules contained in the Health Insurance Portability and Accountability Act of 1996, which provide for the privacy and security of personal health information.

 

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Violations of healthcare fraud and abuse laws carry civil, criminal and administrative sanctions, including punitive sanctions, monetary penalties, imprisonment, denial of Medicare and Medicaid reimbursement and potential exclusion from Medicare, Medicaid or other federal or state healthcare programs. Additionally, there are criminal provisions that prohibit filing false claims or making false statements to receive payment or certification under Medicare and Medicaid, as well as failing to refund overpayments or improper payments. Violation of the Anti-kickback statute or Stark Law may form the basis for a federal False Claims Act violation. These laws are enforced by a variety of federal, state and local agencies and can also be enforced by private litigants through, among other things, federal and state false claims acts, which allow private litigants to bring qui tam or whistleblower actions, which have become more frequent in recent years.

 

Several of our operators have responded to subpoenas and other requests for information regarding their operations in connection with inquiries by the U.S. Department of Justice or other regulatory agencies.

 

Privacy. Our operators are subject to various federal, state and local laws and regulations designed to protect the confidentiality and security of patient health information, including the federal Health Insurance Portability and Accountability Act of 1996, as amended, the Health Information Technology for Economic and Clinical Health Act (“HITECH”), and the corresponding regulations promulgated thereunder (collectively referred to herein as “HIPAA”). The HITECH Act expanded the scope of these provisions by mandating individual notification in instances of breaches of protected health information, providing enhanced penalties for HIPAA violations, and granting enforcement authority to states’ Attorneys General in addition to the HHS Office for Civil Rights. HHS continued its auditing program in 2016 to assess compliance efforts by covered entities and business associates. Through a second phase of audits, which commenced for covered entities in July 2016, HHS focused on a review of policies and procedures adopted and employed by covered entities and their business associates to meet selected standards and implementation specifications of the HIPAA Privacy, Security, and Breach Notification Rules. Covered entities and business associates selected for a desk audit in 2016 have the potential to be selected for an on-site audit.

 

Various states have similar laws and regulations that govern the maintenance and safeguarding of patient records, charts and other information generated in connection with the provision of professional medical services. These laws and regulations require our operators to expend the requisite resources to secure protected health information, including the funding of costs associated with technology upgrades. Operators found in violation of HIPAA or any other privacy law or regulation may face large penalties. In addition, compliance with an operator’s notification requirements in the event of a breach of unsecured protected health information could cause reputational harm to an operator’s business.

 

Licensing and Certification. Our operators and facilities are subject to various federal, state and local licensing and certification laws and regulations, including laws and regulations under Medicare and Medicaid requiring operators of SNFs and ALFs to comply with extensive standards governing operations. Governmental agencies administering these laws and regulations regularly inspect our operators’ facilities and investigate complaints. Our operators and their managers receive notices of observed violations and deficiencies from time to time, and sanctions have been imposed from time to time on facilities operated by them. In addition, many states require certain healthcare providers to obtain a certificate of need, which requires prior approval for the construction, expansion or closure of certain healthcare facilities, which has the potential to impact some of our operators’ abilities to expand or change their businesses.

 

Americans with Disabilities Act (the “ADA”). Our properties must comply with the ADA and any similar state or local laws to the extent that such properties are public accommodations as defined in those statutes. The ADA may require removal of barriers to access by persons with disabilities in certain public areas of our properties where such removal is readily achievable. Should barriers to access by persons with disabilities be discovered at any of our properties, we may be directly or indirectly responsible for additional costs that may be required to make facilities ADA-compliant. Noncompliance with the ADA could result in the imposition of fines or an award of damages to private litigants. Our commitment to make readily achievable accommodations pursuant to the ADA is ongoing, and we continue to assess our properties and make modifications as appropriate in this respect.

 

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Other Laws and Regulations. Additional federal, state and local laws and regulations affect how our operators conduct their operations, including laws and regulations protecting consumers against deceptive practices and otherwise generally affecting our operators’ management of their property and equipment and the conduct of their operations (including laws and regulations involving fire, health and safety; quality of services, including care and food service; residents’ rights, including abuse and neglect laws; and the health standards set by the federal Occupational Safety and Health Administration).

 

General and Professional Liability. Although arbitration agreements have been effective in limiting general and professional liabilities for SNF and long term care providers, there have been numerous lawsuits challenging the validity of arbitration agreements in long term care settings. As set forth in the recent conditions of participation final rule issued on October 4, 2016, CMS prohibited pre-dispute arbitration agreements between SNFs and residents effective November 28, 2016, thereby increasing potential liabilities for SNFs and long-term care providers. Subsequently, the authority of CMS to restrict the rights of these parties to arbitrate was challenged by litigation in various jurisdictions, and enforcement by CMS was suspended on November 7, 2016 following the issuance of a preliminary injunction by the U.S. District Court for the Northern District of Mississippi. In a reversal from its previous position, CMS issued a proposed rule on June 5, 2017, that lifts CMS’ ban on pre-dispute arbitration agreements in the long-term care setting. The proposed rule continues to face challenges by certain industry groups.

 

Executive Officers of Our Company

 

Biographical information regarding our executive officers and their ages as of February 1, 2018 are set forth below:

 

C. Taylor Pickett (56) is our Chief Executive Officer and has served in this capacity since June 2001. Mr. Pickett has also served as Director of the Company since May 30, 2002. Mr. Pickett has also been a member of the board of trustees of Corporate Office Properties Trust, an office REIT focusing on U.S. government agencies and defense contractors, since November 2013. From January 1993 to June 2001, Mr. Pickett served as a member of the senior management team of Integrated Health Services, Inc., most recently as Executive Vice President and Chief Financial Officer. Prior to joining Integrated Health Services, Inc. Mr. Pickett held various positions at PHH Corporation and KPMG Peat Marwick.

 

Daniel J. Booth (54) is our Chief Operating Officer and has served in this capacity since October 2001. From 1993 to October 2001, Mr. Booth served as a member of the management team of Integrated Health Services, Inc., most recently serving as Senior Vice President, Finance. Prior to joining Integrated Health Services, Inc., Mr. Booth served as a Vice President in the Healthcare Lending Division of Maryland National Bank (now Bank of America).

 

Steven J. Insoft (53) is our Chief Corporate Development Officer and has served in this capacity since April 1, 2015. Mr. Insoft served as President and Chief Operating Officer of Aviv REIT, Inc. since 2012, while previously serving as Chief Financial Officer and Treasurer. Prior to joining Aviv REIT, Inc. in 2005, Mr. Insoft spent eight years as a Vice President and Senior Investment Officer of Nationwide Health Properties, Inc., a publicly-traded REIT. Before that, he was President and Chief Financial Officer of CMI Senior Housing & Healthcare, Inc., a privately-held nursing home and assisted living facility operations and development company, for seven years.

 

Robert O. Stephenson (54) is our Chief Financial Officer and has served in this capacity since August 2001. From 1996 to July 2001, Mr. Stephenson served as the Senior Vice President and Treasurer of Integrated Health Services, Inc. Prior to joining Integrated Health Services, Inc., Mr. Stephenson held various positions at CSX Intermodal, Inc., Martin Marietta Corporation and Electronic Data Systems.

 

Michael D. Ritz (49) is our Chief Accounting Officer and has served in this capacity since February 2007. From April 2005 to February 2007, Mr. Ritz served as the Vice President, Accounting & Assistant Corporate Controller of Newell Rubbermaid Inc., and from August 2002 to April 2005, Mr. Ritz served as the Director, Financial Reporting of Newell Rubbermaid Inc. From July 2001 through August 2002, Mr. Ritz served as the Director of Accounting and Controller of Novavax Inc.

 

As of December 31, 2017, we had 59 full-time employees, including the five executive officers listed above.

 

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Item 1A - Risk Factors

 

Following are some of the risks and uncertainties that could cause the Company’s financial condition, results of operations, business and prospects to differ materially from those contemplated by the forward-looking statements contained in this report or the Company’s other filings with the SEC. These risks should be read in conjunction with the other risks described in this report, including but not limited to those described in “Taxation” and “Government Regulation and Reimbursement” under “Item 1” above. The risks described in this report are not the only risks facing the Company and there may be additional risks of which the Company is not presently aware or that the Company currently considers unlikely to significantly impact the Company. Our business, financial condition, results of operations or liquidity could be materially adversely affected by any of these risks, and, as a result, the trading price of our common stock could decline.

 

Risks Related to the Operators of Our Facilities

 

Our financial position could be weakened and our ability to make distributions and fulfill our obligations with respect to our indebtedness could be limited if our operators, or a portion thereof, become unable to meet their obligations to us or fail to renew or extend their relationship with us as their lease terms expire or their mortgages mature, or if we become unable to lease or re-lease our facilities or make mortgage loans on economically favorable terms. We have no operational control over our operators. Adverse developments concerning our operators could arise due to a number of factors, including those listed below.

 

The bankruptcy or insolvency of our operators could limit or delay our ability to recover on our investments.

 

We are exposed to the risk that a distressed or insolvent operator may not be able to meet its lease, loan, mortgage or other obligations to us or other third parties. This risk is heightened during a period of economic or political instability. Although each of our lease and loan agreements typically provides us with the right to terminate, evict an operator, foreclose on our collateral, demand immediate payment and exercise other remedies upon the bankruptcy or insolvency of an operator, title 11 of the United States Code (the “Bankruptcy Code”) would limit or, at a minimum, delay our ability to collect unpaid pre-bankruptcy rents and mortgage payments and to pursue other remedies against a bankrupt operator. While we sometimes have third party guarantees of an operator’s lease or loan obligations, such guarantees can be expensive to enforce, and have their own risks of collection as against the guarantors.

 

Leases. A bankruptcy filing by one of our lessee operators would typically prevent us from collecting unpaid pre-bankruptcy rents or evicting the operator, absent approval of the bankruptcy court. The Bankruptcy Code provides a lessee with the option to assume or reject an unexpired lease within certain specified periods of time. Generally, a lessee is required to pay all rent that becomes payable between the date of its bankruptcy filing and the date of the assumption or rejection of the lease (although such payments will likely be delayed as a result of the bankruptcy filing). If one of our lessee operators chooses to assume its lease with us, the operator must promptly cure all monetary defaults existing under the lease (including payment of unpaid pre-bankruptcy rents) and provide adequate assurance of its ability to perform its future lease obligations. Even where a lessee operator assumes its lease with us, it will first often threaten to reject that lease to obtain better lease terms from us, and we sometimes have to consider making, or we do make, such economic concessions to avoid rejection of the lease and our taking a closed facility back. If one of our lessee operators opts to reject its lease with us, we would have a claim against such operator for unpaid and future rents payable under the lease, but such claim would be subject to a statutory “cap” under the Bankruptcy Code, and would likely result in a recovery substantially less than the face value of such claim. Although the operator’s rejection of the lease would permit us to recover possession of the leased facility, we would likely face losses, costs and delays associated with repairs and/or maintenance of the facility and then re-leasing the facility to a new operator, or costs associated with selling the facility. In any event, re-leasing a facility or selling it could take a material amount of time, and the pool of interested and qualified tenants or buyers will be limited due to the unique nature of our properties, which may depress values and our eventual recovery. Finally, whether a lease operator in bankruptcy ends up assuming or rejecting our lease, we will incur legal and collection costs, which can be difficult or impossible to recover.

 

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Several other factors could impact our rights under leases with bankrupt operators. First, the operator could seek to assign its lease with us to a third party. The Bankruptcy Code disregards anti-assignment provisions in leases to permit the assignment of unexpired leases to third parties (provided all monetary defaults under the lease are promptly cured and the assignee can demonstrate its ability to perform its obligations under the lease). Second, in instances in which we have entered into a master lease agreement with an operator that operates more than one facility, the bankruptcy court could determine that the master lease was comprised of separate, divisible leases (each of which could be separately assumed or rejected), rather than a single, integrated lease (which would have to be assumed or rejected in its entirety). Finally, the bankruptcy court could re-characterize our lease agreement as a disguised financing arrangement, which could require us to receive bankruptcy court approval to foreclose or pursue other remedies with respect to the facility.

 

Mortgages. A bankruptcy filing by an operator to which we have made a loan secured by a mortgage would typically prevent us from collecting unpaid pre-bankruptcy mortgage payments and foreclosing on our collateral, absent approval of the bankruptcy court. As an initial matter, we could ask the bankruptcy court to order the operator to make periodic payments or provide other financial assurances to us during the bankruptcy case (known as “adequate protection”), but the ultimate decision regarding “adequate protection” (including the timing and amount of any “adequate protection” payments) rests with the bankruptcy court. In addition, we would need bankruptcy court approval before commencing or continuing any foreclosure action against the operator’s collateral (including a facility). The bankruptcy court could withhold such approval, especially if the operator can demonstrate that the facility or other collateral is necessary for an effective reorganization and that we have a sufficient “equity cushion” in the facility or that we are otherwise protected from any diminution in value of the collateral. If the bankruptcy court does not either grant us “adequate protection” or permit us to foreclose on our collateral, we may not receive any loan payments until after the bankruptcy court confirms a plan of reorganization for the operator. In addition, in any bankruptcy case of an operator to which we have made a loan, the operator may seek bankruptcy court approval to pay us (i) over a longer period of time than the terms of our loan, (ii) at a different interest rate, and/or (iii) for only the value of the collateral, instead of the full amount of the loan. Finally, even if the bankruptcy court permits us to foreclose on the facility, we would still be subject to the losses, costs and other risks associated with a foreclosure sale, including possible successor liability under government programs, indemnification obligations and suspension or delay of third-party payments. Should such events occur, our income and cash flow from operations would be adversely affected.

 

Failure by our operators to comply with various local, state and federal government regulations may adversely impact their ability to make debt or lease payments to us.

 

Our operators are subject to numerous federal, state and local laws and regulations, including those described below, that are subject to frequent and substantial changes (sometimes applied retroactively) resulting from new legislation, adoption of rules and regulations, and administrative and judicial interpretations of existing law. The ultimate timing or effect of these changes cannot be predicted. These changes may have a dramatic effect on our operators’ costs of doing business and on the amount of reimbursement by both government and other third-party payors. The failure of any of our operators to comply with these laws, requirements and regulations could adversely affect their ability to meet their obligations to us.

 

·Reimbursement; Medicare and Medicaid. A significant portion of our operators’ revenue is derived from governmentally-funded reimbursement programs, primarily Medicare and Medicaid. See “Item 1. Business – Government Regulation and Reimbursement – Healthcare Reform,” “– Reimbursement Generally,” “– Medicaid,” and “– Medicare,” and the risk factor entitled “Our operators depend on reimbursement from governmental and other third-party payors, and reimbursement rates from such payors may be reduced” for a further discussion on governmental and third-party payor reimbursement and the associated risks presented to our operators. Failure to maintain certification in these programs would result in a loss of reimbursement from such programs and could result in a reduction in an operator’s revenues and operating margins, thereby negatively impacting an operator’s ability to meet its obligations to us.

 

·Quality of Care Initiatives. The CMS has implemented a number of initiatives focused on the quality of care provided by nursing homes that could affect our operators, including a quality rating system for nursing homes. See “Item 1. Business – Government Regulation and Reimbursement – Quality of Care Initiatives.” Any unsatisfactory rating of our operators under any rating system promulgated by the CMS could result in the loss of our operators’ residents or lower reimbursement rates, which could adversely impact their revenues and our business.

 

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·Licensing and Certification. Our operators and facilities are subject to various federal, state and local licensing and certification laws and regulations, including laws and regulations under Medicare and Medicaid requiring operators of SNFs and ALFs to comply with extensive standards governing operations. See “Item 1. Business – Government Regulation and Reimbursement – Licensing and Certification.” Governmental agencies administering these laws and regulations regularly inspect our operators’ facilities and investigate complaints. Our operators and their managers receive notices of observed violations and deficiencies from time to time, and sanctions have been imposed from time to time on facilities operated by them. Failure to obtain any required licensure or certification, the loss or suspension of any required licensure or certification, or any violations or deficiencies with respect to relevant operating standards may require a facility to cease operations or result in ineligibility for reimbursement until the necessary licenses or certifications are obtained or reinstated, or any such violations or deficiencies are cured. In such event, our revenues from these facilities could be reduced or eliminated for an extended period of time or permanently. Additionally, many states require certain healthcare providers to obtain a certificate of need, which requires prior approval for the construction, expansion, closure or change of ownership of certain healthcare facilities, which has the potential to impact some of our operators’ abilities to expand or change their businesses. Further, Medicare and Medicaid provider approvals, as applicable, may be needed prior to an operator’s change of ownership.

 

·Fraud and Abuse Laws and Regulations. There are various federal and state civil and criminal laws and regulations governing a wide array of healthcare provider referrals, relationships and arrangements, including laws and regulations prohibiting fraud by healthcare providers. Many of these complex laws raise issues that have not been clearly interpreted by the relevant governmental authorities and courts and are subject to change. In addition, federal and state governments are devoting increasing attention and resources to anti-fraud investigations and initiatives against healthcare providers, and provide for, among other things, claims to be filed by qui tam relators. See “Item 1. Business – Government Regulation and Reimbursement – Fraud and Abuse.” The violation by an operator of any of these extensive laws or regulations, including the Anti-kickback statute, False Claims Act and the Stark Law, could result in the imposition of criminal fines and imprisonment, civil monetary penalties, and exclusion from Medicare, Medicaid and all other federal and state healthcare programs. Such fines or penalties, in addition to expending considerable resources responding to an investigation or enforcement action, could adversely affect an operator’s financial position and jeopardize an operator’s ability to make lease or mortgage payments to us or to continue operating its facility. Additionally, many states have adopted or are considering legislative proposals similar to the federal anti-fraud and abuse laws, some of which extend beyond the Medicare and Medicaid programs to third-party payors, to prohibit the payment or receipt of remuneration for the referral of patients and physician self-referrals, regardless of whether the service was reimbursed by Medicare or Medicaid.

 

·Privacy Laws. Our operators are subject to federal, state and local laws and regulations designed to protect the privacy and security of patient health information, including HIPAA, among others. See “Item 1. Business – Government Regulation and Reimbursement – Privacy.” These laws and regulations require our operators to expend the requisite resources to protect and secure patient health information, including the funding of costs associated with technology upgrades. Operators found in violation of HIPAA or any other privacy or security law may face significant monetary penalties. In addition, a breach of unsecured protected health information could cause reputational harm to an operator’s business in addition to a material adverse effect on the operator’s financial position and cash flows.

 

·Other Laws. Other federal, state and local laws and regulations affect how our operators conduct their operations. See “Item 1. Business – Government Regulation and Reimbursement – Other Laws and Regulations.” We cannot predict the effect that the costs of complying with these laws may have on the revenues of our operators, and thus their ability to meet their obligations to us.

 

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·Legislative and Regulatory Developments. Each year, legislative and regulatory proposals are introduced at the federal, state and local levels that, if adopted, would result in major changes to the healthcare system. See “Item 1. Business – Government Regulation and Reimbursement” in addition to the other risk factors set forth below. We cannot accurately predict whether any proposals will be adopted, and if adopted, what effect (if any) these proposals would have on our operators or our business. If we fail to effectively implement or appropriately adjust our operational and strategic initiatives with respect to the implementation of new laws and regulations, or do not do so as effectively as our competitors, our results of operations may be materially adversely affected. Changes to, or repeal of, the Healthcare Reform Law could materially and adversely affect our business and financial position, results of operations or cash flows. Even if the Healthcare Reform Law is not amended or repealed, changes impacting implementation of the Healthcare Reform Law, could materially and adversely affect our financial position or operations. However, the ultimate content, timing or effect of any potential future legislation cannot be predicted.

 

Alternative payment models require certain changes to reimbursement and studies of reimbursement policies that may adversely affect payments to SNFs.

 

Alternative payment models, as well as other legislative initiatives included in the Protecting Access to Medicare Act of 2014 and other laws introduced by Congress, have the potential to affect Medicare payments to SNFs, including, but not limited to, provisions changing the payment methodology, setting reimbursement caps, implementing value-based purchasing and payment bundling, and studying the appropriateness of restrictions on payments for health care acquired conditions. Several commercial payors have expressed an intent to pursue certain value-based purchasing models and initiatives. These provisions are in various stages of implementation. See “Item 1. Business – Government Regulation and Reimbursement – Healthcare Reform,” “– Reimbursement Generally,” and “– Medicare.” Although we cannot accurately predict the extent to which or how such provisions may be implemented, or the effect any such implementation would have on our operators or our business, these provisions could result in decreases in payments to our operators, increase our operators’ costs or otherwise adversely affect the results of operations or financial condition of our operators, thereby negatively impacting their ability to meet their obligations to us. 

 

The Healthcare Reform Law imposes additional requirements on SNFs regarding compliance and disclosure.

 

The Healthcare Reform Law requires SNFs to have a compliance and ethics program that is effective in preventing and detecting criminal, civil and administrative violations and in promoting quality of care. HHS included in Final Rule published on October 4, 2016 the requirement for operators to implement a compliance and ethics program as a condition of participation in Medicare and Medicaid. Long-term care facilities, including SNFs, have until November 28, 2019 to comply. See “Item 1. Business – Government Regulation and Reimbursement – Reform Requirements for Long-Term Care Facilities” for a further discussion of the reform requirements set forth in the Final Rule. If our operators fall short in their compliance and ethics programs and quality assurance and performance improvement programs, if and when required, their reputations and ability to attract residents could be adversely affected.

 

Our operators depend on reimbursement from governmental and other third-party payors, and reimbursement rates from such payors may be reduced or modified.

 

Changes in the reimbursement rate or methods of payment from third-party payors, including the Medicare and Medicaid programs, or the implementation of other measures to reduce reimbursements for services provided by our operators has in the past, and could in the future, result in a substantial reduction in our operators’ revenues and operating margins. Additionally, reimbursement from governmental and other third party payors could be reduced as part of retroactive adjustments during claims settlement processes or as result of post-payment audits. See “Item 1. Business – Government Regulation and Reimbursement – Reimbursement Generally,” “– Medicaid,” and “– Medicare.” We currently believe that our operator coverage ratios are adequate and that our operators can absorb moderate reimbursement rate reductions and still meet their obligations to us. However, significant limits on the scope of services reimbursed and on reimbursement rates, as well as changes in reimbursement policies or other measures altering payment methodologies for services provided by our operators, could have a material adverse effect on our operators’ results of operations and financial condition, which could cause the revenues of our operators to decline and negatively impact their ability to meet their obligations to us.

 

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Additionally, net revenue realizable under third-party payor agreements can change after examination and retroactive adjustment by payors during the claims settlement processes or as a result of post-payment audits. Payors may disallow requests for reimbursement based on determinations that certain costs are not reimbursable or reasonable, additional documentation is necessary or certain services were not covered or were not medically necessary. New legislative and regulatory proposals could impose further limitations on government and private payments to healthcare providers. In some cases, states have enacted or are considering enacting measures designed to reduce Medicaid expenditures and to make changes to private healthcare insurance. We cannot make any assurances that adequate third-party payor reimbursement levels will continue to be available for the services provided by our operators.

 

Government spending cuts or modifications could lead to a reduction in Medicare and Medicaid reimbursement.

 

Approved or proposed cost-containment measures, spending cuts and tax reform initiatives have resulted or could result in changes (including substantial reductions in funding) to Medicare, Medicaid or Medicare Advantage Plans. Any such federal legislation that reduces reimbursement payments to healthcare providers could have a material adverse effect on certain of our operators’ liquidity, financial condition or results of operations, which could adversely affect their ability to satisfy their obligations to us and could have a material adverse effect on us. Additionally, as a result of state budget crises and financial shortfalls, many states are focusing on the reduction of expenditures under their Medicaid programs, which may result in a freeze on Medicaid rates or a reduction in reimbursement rates for our operators. See “Item 1. Business – Government Regulation and Reimbursement – Reimbursement Generally,” “– Medicaid,” and “– Medicare.” These potential reductions could be compounded by the potential for federal cost-cutting efforts that could lead to reductions in reimbursement to our operators under both the Medicare and Medicaid programs. Potential reductions in Medicare and Medicaid reimbursement to our operators could reduce the cash flow of our operators and their ability to make rent or mortgage payments to us. The need to control Medicaid expenditures may be exacerbated by the potential for increased enrollment in Medicaid due to unemployment and declines in family incomes. Medicaid enrollment may continue to increase in the future, as the Healthcare Reform Law allowed states to increase the number of people who are eligible for Medicaid in 2014. Since our operators’ profit margins on Medicaid patients are generally relatively low, more than modest reductions in Medicaid reimbursement and an increase in the number of Medicaid patients could place some operators in financial distress, which in turn could adversely affect us. If funding for Medicare and/or Medicaid is reduced, it could have a material adverse effect on our operators’ results of operations and financial condition, which could adversely affect our operators’ ability to meet their obligations to us.

 

We may be unable to find a replacement operator for one or more of our leased properties.

 

From time to time, we may need to find a replacement operator for one or more of our leased properties for a variety of reasons, including upon the expiration of the lease term or the occurrence of an operator default. During any period in which we are attempting to locate one or more replacement operators, there could be a decrease or cessation of rental payments on the applicable property or properties. We cannot assure you that any of our current or future operators will elect to renew their respective leases with us upon expiration of the terms thereof. Similarly, we cannot assure you that we will be able to locate a suitable replacement operator or, if we are successful in locating a replacement operator, that the rental payments from the new operator would not be significantly less than the existing rental payments. Our ability to locate a suitable replacement operator may be significantly delayed or limited by various state licensing, receivership, certificate of need or other laws, as well as by Medicare and Medicaid change-of-ownership rules. We also may incur substantial additional expenses in connection with any such licensing, receivership or change-of-ownership proceedings. Any such delays, limitations and expenses could materially delay or impact our ability to collect rent, obtain possession of leased properties or otherwise exercise remedies for default.

 

Our operators may be subject to significant legal actions that could result in their increased operating costs and substantial uninsured liabilities, which may affect their ability to meet their obligations to us.

 

Our operators may be subject to claims for damages relating to the services that they provide. We can give no assurance that the insurance coverage maintained by our operators will cover all claims made against them or continue to be available at a reasonable cost, if at all. In some states, insurance coverage for the risk of punitive damages arising from professional and general liability claims and/or litigation may not, in certain cases, be available to operators due to state law prohibitions or limitations of availability. As a result, our operators operating in these states may be liable for punitive damage awards that are either not covered or are in excess of their insurance policy limits.

 

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We also believe that there has been, and will continue to be, an increase in governmental investigations of long-term care providers, particularly in the area of Medicare/Medicaid false claims, as well as an increase in enforcement actions resulting from these investigations. Insurance is not available to our operators to cover such losses. Any adverse determination in a legal proceeding or governmental investigation, whether currently asserted or arising in the future, could have a material adverse effect on an operator’s financial condition. If an operator is unable to obtain or maintain insurance coverage, if judgments are obtained in excess of the insurance coverage, if an operator is required to pay uninsured punitive damages, or if an operator is subject to an uninsurable government enforcement action, the operator could be exposed to substantial additional liabilities. Such liabilities could adversely affect the operator’s ability to meet its obligations to us.

 

In addition, we may in some circumstances be named as a defendant in litigation involving the services provided by our operators. Although we generally have no involvement in the services provided by our operators, and our standard lease agreements and loan agreements generally require our operators to indemnify us and carry insurance to cover us in certain cases, a significant judgment against us in such litigation could exceed our and our operators’ insurance coverage, which would require us to make payments to cover the judgment.

 

Increased competition as well as increased operating costs result in lower revenues for some of our operators and may affect the ability of our operators to meet their obligations to us.

 

The long-term healthcare industry is highly competitive and we expect that it may become more competitive in the future. Our operators are competing with numerous other companies providing similar healthcare services or alternatives such as home health agencies, life care at home, community-based service programs, retirement communities and convalescent centers. Our operators compete on a number of different levels including the quality of care provided, reputation, the physical appearance of a facility, price, the range of services offered, family preference, alternatives for healthcare delivery, the supply of competing properties, physicians, staff, referral sources, location and the size and demographics of the population in the surrounding areas. We cannot be certain that the operators of all of our facilities will be able to achieve occupancy and rate levels that will enable them to meet all of their obligations to us. Our operators may encounter increased competition in the future that could limit their ability to attract residents or expand their businesses and therefore affect their ability to pay their lease or mortgage payments.

 

In addition, the market for qualified nurses, healthcare professionals and other key personnel is highly competitive and our operators may experience difficulties in attracting and retaining qualified personnel. Increases in labor costs due to higher wages and greater benefits required to attract and retain qualified healthcare personnel incurred by our operators could affect their ability to meet their obligations to us. This situation could be particularly acute in certain states that have enacted legislation establishing minimum staffing requirements.

 

We may be unable to successfully foreclose on the collateral securing our mortgage loans, and even if we are successful in our foreclosure efforts, we may be unable to successfully find a replacement operator, or operate or occupy the underlying real estate, which may adversely affect our ability to recover our investments.

 

If an operator defaults under one of our mortgage loans, we may foreclose on the loan or otherwise protect our interest by acquiring title to the property. In such a scenario, we may be required to make substantial improvements or repairs to maximize the facility’s investment potential. Operators may contest enforcement of foreclosure or other remedies, seek bankruptcy protection against our exercise of enforcement or other remedies and/or bring claims for lender liability in response to actions to enforce mortgage obligations. Even if we are able to successfully foreclose on the collateral securing our mortgage loans, we may be unable to expeditiously find a replacement operator, if at all, or otherwise successfully operate or occupy the property, which could adversely affect our ability to recover our investment.

 

Uninsured losses or losses in excess of our operators’ insurance coverage could adversely affect our financial position and our cash flow.

 

Under the terms of our leases, our operators are required to maintain comprehensive general liability, fire, flood, earthquake, boiler and machinery, nursing home or long-term care professional liability and extended coverage insurance with respect to our properties with policy specifications, limits and deductibles set forth in the leases or other written agreements between us and the operator. However, our properties may be adversely affected by casualty losses which exceed insurance coverages and reserves. In addition, we cannot provide any assurances that our tenants will maintain the required coverages, that we will continue to require the same levels of insurance under our leases, or that such insurance will be available at a reasonable cost in the future or that the policies maintained will fully cover all losses on our properties upon the occurrence of a catastrophic event. We also cannot make any guaranty as to the future financial viability of the insurers that underwrite the policies maintained by our tenants, or, alternatively if our tenants utilize captive or self-insurance programs, that such programs will be adequately funded.

 

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Should an uninsured loss or a loss in excess of insured limits occur, we could lose both our investment in, and anticipated profits and cash flows from, the property. Even if it were practicable to restore the property to its condition prior to the damage caused by a major casualty, the operations of the affected property would likely be suspended for a considerable period of time. In the event of any substantial loss affecting a property, disputes over insurance claims could arise.

 

Risks Related to Us and Our Operations

 

We rely on external sources of capital to fund future capital needs, and if we encounter difficulty in obtaining such capital, we may not be able to make future investments necessary to grow our business or meet maturing commitments.

 

To qualify as a REIT under the Code, we are required to, among other things, distribute at least 90% of our REIT taxable income each year to our stockholders. Because of this distribution requirement, we may not be able to fund, from cash retained from operations, all future capital needs, including capital needed to make investments and to satisfy or refinance maturing commitments. As a result, we rely on external sources of capital, including debt and equity financing. If we are unable to obtain needed capital at all or only on unfavorable terms from these sources, we might not be able to make the investments needed to grow our business, or to meet our obligations and commitments as they mature, which could negatively affect the ratings of our debt and even, in extreme circumstances, affect our ability to continue operations. Our access to capital depends upon a number of factors over which we have little or no control, including the performance of the national and global economies generally; competition in the healthcare industry; issues facing the healthcare industry, including regulations and government reimbursement policies; our operators’ operating costs; the ratings of our debt securities; the market’s perception of our growth potential; the market value of our properties; our current and potential future earnings and cash distributions; and the market price of the shares of our capital stock. While we currently have sufficient cash flow from operations to fund our obligations and commitments, we may not be in a position to take advantage of future investment opportunities in the event that we are unable to access the capital markets on a timely basis or we are only able to obtain financing on unfavorable terms.

 

Our ability to raise capital through equity sales is dependent, in part, on the market price of our common stock, and our failure to meet market expectations with respect to our business could negatively impact the market price of our common stock and availability of equity capital.

 

As with other publicly-traded companies, the availability of equity capital will depend, in part, on the market price of our common stock which, in turn, will depend upon various market conditions and other factors that may change from time to time including:

 

·the extent of investor interest;
·the general reputation of REITs and the attractiveness of their equity securities in comparison to other equity securities, including securities issued by other real estate-based companies;
·the financial performance of us and our operators;
·concentrations in our investment portfolio by tenant and facility type;
·concerns about our tenants’ financial condition due to uncertainty regarding reimbursement from governmental and other third-party payor programs;
·analyst reports on us and the REIT industry in general;
·general stock and bond market conditions, including changes in interest rates on fixed income securities, which may lead prospective purchasers of our common stock to demand a higher annual yield from future distributions;
·our failure to maintain or increase our dividend, which is dependent, to a large part, on the increase in funds from operations, which in turn depends upon increased revenues from additional investments and rental increases; and
·other factors such as governmental regulatory action and changes in REIT tax laws.

 

The market value of the equity securities of a REIT is generally based upon the market’s perception of the REIT’s growth potential and its current and potential future earnings and cash distributions. Our failure to meet the market’s expectation with regard to future earnings and cash distributions would likely adversely affect the market price of our common stock and, as a result, the availability of equity capital to us. 

 

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We are subject to risks associated with debt financing, which could negatively impact our business and limit our ability to make distributions to our stockholders and to repay maturing debt.

 

The financing required to make future investments and satisfy maturing commitments may be provided by borrowings under our credit facilities, private or public offerings of debt or equity, the assumption of secured indebtedness, mortgage financing on a portion of our owned portfolio or through joint ventures. To the extent we must obtain debt financing from external sources to fund our capital requirements, we cannot guarantee such financing will be available on favorable terms, if at all. In addition, if we are unable to refinance or extend principal payments due at maturity or pay them with proceeds from other capital transactions, our cash flow may not be sufficient to make distributions to our stockholders and repay our maturing debt. Furthermore, if prevailing interest rates, changes in our debt ratings or other factors at the time of refinancing result in higher interest rates upon refinancing, the interest expense relating to that refinanced indebtedness would increase, which could reduce our profitability and the amount of dividends we are able to pay. Moreover, additional debt financing increases the amount of our leverage. The degree of leverage could have important consequences to stockholders, including affecting our investment grade ratings and our ability to obtain additional financing in the future, and making us more vulnerable to a downturn in our results of operations or the economy generally.

 

We may be subject to additional risks in connection with our recent and future acquisitions of long-term care facilities.

 

We may be subject to additional risks in connection with our recent and future acquisitions of long-term care facilities, including but not limited to the following:

 

·our limited prior business experience with certain of the operators of the facilities we have recently acquired or may acquire in the future;
·the facilities may underperform due to various factors, including unfavorable terms and conditions of the lease agreements that we assume, disruptions caused by the management of the operators of the facilities or changes in economic conditions impacting the facilities and/or the operators;
·diversion of our management’s attention away from other business concerns;
·exposure to any undisclosed or unknown potential liabilities relating to the facilities; and
·potential underinsured losses on the facilities.

 

We cannot assure you that we will be able to manage our recently acquired or future new facilities without encountering difficulties or that any such difficulties will not have a material adverse effect on us.

 

Our assets may be subject to impairment charges.

 

We periodically, but not less than annually, evaluate our real estate investments and other assets for impairment indicators. The judgment regarding the existence of impairment indicators is based on factors such as market conditions, operator performance and legal structure. If we determine that a significant impairment has occurred, we are required to make an adjustment to the net carrying value of the asset, which could have a material adverse effect on our results of operations.

 

We may not be able to sell certain closed facilities for their book value.

 

From time to time, we close facilities and actively market such facilities for sale. To the extent we are unable to sell these properties for our book value, we may be required to take a non-cash impairment charge or loss on the sale, either of which would reduce our net income.

 

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Our indebtedness could adversely affect our financial condition.

 

We have a material amount of indebtedness and we may increase our indebtedness in the future. Our level and type of indebtedness could have important consequences for our stockholders. For example, it could:

 

·increase our vulnerability to adverse changes in general economic, industry and competitive conditions;
·limit our ability to borrow additional funds, on satisfactory terms or at all, for working capital, capital expenditures, acquisitions, debt service requirements, execution of our business plan or other general corporate purposes;
·increase our cost of borrowing;
·require us to dedicate a substantial portion of our cash flow from operations to make payments on our indebtedness, thereby reducing the availability of our cash flow to fund working capital, capital expenditures and other general corporate purposes;
·limit our ability to make material acquisitions or take advantage of business opportunities that may arise;
·limit our ability to make distributions to our stockholders, which may cause us to lose our qualification as a REIT under the Code or to become subject to federal corporate income tax on any REIT taxable income that we do not distribute;
·expose us to fluctuations in interest rates, to the extent our borrowings bear variable rates of interest;
·limit our flexibility in planning for, or reacting to, changes in our business and the industry in which we operate; and
·place us at a competitive disadvantage compared to our competitors that have less debt.

 

Further, we have the ability to incur substantial additional debt, including secured debt. If we incur additional debt, the related risks described above could intensify. In addition, if we are unable to refinance any of our floating rate debt, we would continue to be subject to interest rate risk. The short-term nature of some of our debt also subjects us to the risk that market conditions may be unfavorable or may prevent us from refinancing our debt at or prior to their existing maturities. In addition, our cash flow from operations may not be sufficient to repay all of our outstanding debt as it becomes due, and we may not be able to borrow money, sell assets or otherwise raise funds on acceptable terms, if at all, to refinance our debt.

 

Covenants in our debt documents limit our operational flexibility, and a covenant breach could materially adversely affect our operations.

 

The terms of our credit agreements and note indentures require us to comply with a number of customary financial and other covenants that may limit our management’s discretion by restricting our ability to, among other things, incur additional debt, redeem our capital stock, enter into certain transactions with affiliates, pay dividends and make other distributions, make investments and other restricted payments, engage in mergers and consolidations, create liens, sell assets or engage in new lines of business. In addition, our credit facilities require us to maintain compliance with specified financial covenants, including those relating to maximum total leverage, maximum secured leverage, maximum unsecured leverage, minimum fixed charge coverage, minimum consolidated tangible net worth, minimum unsecured debt yield, minimum unsecured interest coverage and maximum distributions. Any additional financing we may obtain could contain similar or more restrictive covenants. Our continued ability to incur indebtedness, conduct our operations, and take advantage of business opportunities as they arise is subject to compliance with these financial and other covenants. Breaches of these covenants could result in defaults under the instruments governing the applicable indebtedness, in addition to any other indebtedness cross-defaulted against such instruments. Any such breach could materially adversely affect our business, results of operations and financial condition.

 

We are subject to particular risks associated with real estate ownership, which could result in unanticipated losses or expenses.

 

Our business is subject to many risks that are associated with the ownership of real estate. For example, if our operators do not renew their leases, we may be unable to re-lease the facilities at favorable rental rates, if at all. Other risks that are associated with real estate acquisition and ownership include, without limitation, the following:

 

·general liability, property and casualty losses, some of which may be uninsured;
·the inability to purchase or sell our assets rapidly to respond to changing economic conditions, due to the illiquid nature of real estate and the real estate market;
·leases that are not renewed or are renewed at lower rental amounts at expiration;

 

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·contingent rent escalators tied to changes in the Consumer Price Index or other parameters;
·the exercise of purchase options by operators resulting in a reduction of our rental revenue;
·costs relating to maintenance and repair of our facilities and the need to make expenditures due to changes in governmental regulations, including the Americans with Disabilities Act;
·environmental hazards created by prior owners or occupants, existing tenants, mortgagors or other persons for which we may be liable; and
·acts of God or terrorism affecting our properties.

 

Our real estate investments are relatively illiquid.

 

Real estate investments are relatively illiquid and generally cannot be sold quickly. The real estate market is affected by many factors which are beyond our control, including general economic conditions, availability of financing, interest rates and supply and demand. Additional factors that are specific to our industry also tend to limit our ability to vary our portfolio promptly in response to changes in economic or other conditions. For example, all of our properties are ‘‘special purpose’’ properties that cannot be readily converted into general residential, retail or office use. In addition, transfers of operations of nursing homes and other healthcare-related facilities are subject to extensive regulatory approvals. We cannot predict whether we will be able to sell any property for the price or on the terms set by us or whether any price or other terms offered by a prospective purchaser would be acceptable to us. We also cannot predict the length of time needed to find a willing purchaser and to close the sale of a property, or that we will have funds available to make necessary repairs and improvements to a property held for sale. To the extent we are unable to sell any properties for our book value, we may be required to take a non-cash impairment charge or loss on the sale, either of which would reduce our net income.

 

As an owner or lender with respect to real property, we may be exposed to possible environmental liabilities.

 

Under various federal, state and local environmental laws, ordinances and regulations, a current or previous owner of real property or a secured lender may be liable in certain circumstances for the costs of investigation, removal or remediation of, or related releases of, certain hazardous or toxic substances at, under or disposed of in connection with such property, as well as certain other potential costs relating to hazardous or toxic substances, including government fines and damages for injuries to persons and adjacent property. Such laws often impose liability without regard to whether the owner knew of, or was responsible for, the presence or disposal of such substances. As a result, liability may be imposed on the owner in connection with the activities of an operator of the property. The cost of any required investigation, remediation, removal, fines or personal or property damages and the owner’s liability therefore could exceed the value of the property and/or the assets of the owner. In addition, the presence of such substances, or the failure to properly dispose of or remediate such substances, may adversely affect an operators’ ability to attract additional residents and our ability to sell or rent such property or to borrow using such property as collateral which, in turn, could negatively impact our revenues.

 

Although our leases and mortgage loans generally require the lessee and the mortgagor to indemnify us for certain environmental liabilities, the scope of such obligations may be limited. For instance, most of our leases do not require the lessee to indemnify us for environmental liabilities arising before the lessee took possession of the premises. Further, we cannot assure you that any such mortgagor or lessee would be able to fulfill its indemnification obligations to us. 

 

The industry in which we operate is highly competitive. Increasing investor interest in our sector and consolidation at the operator level or REIT level could increase competition and reduce our profitability.

 

Our business is highly competitive and we expect that it may become more competitive in the future. We compete for healthcare facility investments with other healthcare investors, including other REITs, some of which have greater resources and lower costs of capital than we do. Increased competition makes it more challenging for us to identify and successfully capitalize on opportunities that meet our business goals. If we cannot capitalize on our development pipeline, identify and purchase a sufficient quantity of healthcare facilities at favorable prices, or are unable to finance such acquisitions on commercially favorable terms, our business, results of operations and financial condition may be materially adversely affected. In addition, if our cost of capital should increase relative to the cost of capital of our competitors, the spread that we realize on our investments may decline if competitive pressures limit or prevent us from charging higher lease or mortgage rates.

 

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We may be named as defendants in litigation arising out of professional liability and general liability claims relating to our previously owned and operated facilities that if decided against us, could adversely affect our financial condition.

 

We and several of our wholly owned subsidiaries were named as defendants in professional liability and general liability claims related to our owned and operated facilities prior to 2005. Other third-party managers responsible for the day-to-day operations of these facilities were also named as defendants in these claims. In these suits, patients of certain previously owned and operated facilities have alleged significant damages, including punitive damages, against the defendants. Although all of these prior suits have been settled, we or our affiliates could be named as defendants in similar suits in the future. There can be no assurance that we would be successful in our defense of such potential matters or in asserting our claims against various managers of the subject facilities or that the amount of any settlement or judgment would be substantially covered by insurance or that any punitive damages will be covered by insurance.

 

Our charter and bylaws contain significant anti-takeover provisions which could delay, defer or prevent a change in control or other transactions that could provide our stockholders with the opportunity to realize a premium over the then-prevailing market price of our common stock.

 

Our charter and bylaws contain various procedural and other requirements which could make it difficult for stockholders to effect certain corporate actions. Our Board of Directors has the authority to issue additional shares of preferred stock and to fix the preferences, rights and limitations of the preferred stock without stockholder approval. In addition, our charter contains limitations on the ownership of our capital stock intended to ensure we continue to meet the requirements for qualification as a REIT. These provisions could discourage unsolicited acquisition proposals or make it more difficult for a third party to gain control of us, which could adversely affect the market price of our securities and/or result in the delay, deferral or prevention of a change in control or other transactions that could provide our stockholders with the opportunity to realize a premium over the then-prevailing market price of our common stock.

 

Our primary assets are the units of partnership interest in Omega OP and, as a result, we will depend on distributions from the Partnership to pay dividends and expenses.

 

The Company is a holding company and has no material assets other than units of partnership interest in Omega OP. We intend to cause the Partnership to make distributions to its partners, including the Company, in an amount sufficient to allow us to qualify as a REIT for U.S. federal income tax purposes and to pay all of our expenses. To the extent we need funds and the Partnership is restricted from making distributions under applicable law or otherwise, or if the Partnership is otherwise unable to provide such funds, the failure to make such distributions could materially adversely affect our liquidity and financial condition. 

 

Members of our management and Board of Directors are holders of units of partnership interest in Omega OP, and their interests may differ from those of our public stockholders.

 

Some members of our management and Board of Directors are holders of units of partnership interest in Omega OP. Those unitholders may have conflicting interests with holders of the Company’s common stock. For example, such unitholders of Omega OP Units may have different tax positions from the Company or holders of the Company’s common stock, which could influence their decisions in their capacities as members of management regarding whether and when to dispose of assets, whether and when to incur new or refinance existing indebtedness and how to structure future transactions.

 

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Ownership of property outside the U.S. may subject us to different or greater risks than those associated with our U.S. investments.

 

We have investments in the U.K., and may from time to time may seek to acquire other properties in the U.K. or otherwise outside the U.S. Although we currently have investments in the U.K., we have limited experience investing in healthcare properties or other real estate-related assets located outside the U.S. International development, investment, ownership and operating activities involve risks that are different from those we face with respect to our U.S. properties and operations. These risks include, but are not limited to, any international currency gain recognized with respect to changes in exchange rates may not qualify under the 75.0% gross income test or the 95.0% gross income test that we must satisfy annually in order to qualify and maintain our status as a REIT; challenges with respect to the repatriation of foreign earnings and cash; changes in foreign political, regulatory, and economic conditions, including regionally, nationally, and locally; challenges in managing international operations; challenges of complying with a wide variety of foreign laws and regulations, including those relating to real estate, corporate governance, operations, taxes, employment and legal proceedings; foreign ownership restrictions with respect to operations in countries; diminished ability to legally enforce our contractual rights in foreign countries; differences in lending practices and the willingness of domestic or foreign lenders to provide financing; regional or country-specific business cycles and economic instability; and changes in applicable laws and regulations in the U.S. that affect foreign operations. In addition, we have limited investing experience in international markets. If we are unable to successfully manage the risks associated with international expansion and operations, our results of operations and financial condition may be adversely affected.

 

We may be adversely affected by fluctuations in currency exchange rates.

 

Our ownership of properties in the U.K. currently subjects us to fluctuations in the exchange rates between U.S. dollars and the British pound, which may, from time to time, impact our financial condition and results of operations. If we continue to expand our international presence through investments in, or acquisitions or development of healthcare assets outside the U.S. or the U.K., we may transact business in other foreign currencies. Although we may pursue hedging alternatives, including borrowing in local currencies, to protect against foreign currency fluctuations, we cannot assure you that such fluctuations will not have a material adverse effect on our results of operations or financial condition.

 

The vote by the U.K. to leave the European Union could adversely affect us.

 

The U.K. held a referendum on June 23, 2016 on its membership in the European Union (“E.U.”). A majority of U.K. voters voted to exit the E.U. (“Brexit”), and negotiations will commence to determine the future terms of the U.K.’s relationship with the E.U., including the terms of trade between the U.K. and the E.U. The effects of Brexit will depend on any agreements the U.K. makes to retain access to E.U. markets either during a transitional period or more permanently. Brexit could adversely affect European or worldwide economic or market conditions and could contribute to instability in global financial markets. In addition, Brexit could lead to legal uncertainty and potentially divergent national laws and regulations as the U.K. determines which E.U. laws to replace or replicate. Any of these effects of Brexit, and others we cannot anticipate, could adversely affect our business, business opportunities, results of operations, financial condition and cash flows.

 

Our success depends in part on our ability to retain key personnel and our ability to attract or retain other qualified personnel.

 

Our future performance depends to a significant degree upon the continued contributions of our executive management team and other key employees. The loss of the services of our current executive management team could have an adverse impact on our operations. Although we have entered into employment agreements with the members of our executive management team, these agreements may not assure their continued service. In addition, our future success depends, in part, on our ability to attract, hire, train and retain other qualified personnel. Competition for qualified employees is intense, and we compete for qualified employees with companies with greater financial resources. Our failure to successfully attract, hire, retain and train the people we need would significantly impede our ability to implement our business strategy.

 

Failure to properly manage and integrate our rapid growth could distract our management or increase our expenses.

 

We have experienced rapid growth and development in a relatively short period of time and expect to continue this rapid growth in the future. This growth has resulted in increased levels of responsibility for our management. Future acquisitions or investments could place significant additional demands on, and require us to expand, our management, resources and personnel. In addition, we cannot assure you that we will be able to adapt our administrative, accounting and operational systems to integrate and manage the long-term care facilities we have acquired or may acquire in a timely manner. Our failure to manage any such rapid growth effectively could harm our business and, in particular, our financial condition, results of operations and cash flows, which could negatively affect our ability to make distributions to stockholders and the trading price of our common stock. Our growth could also increase our capital requirements, which may require us to issue potentially dilutive equity securities and incur additional debt.

 

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We rely on information technology in our operations, and any material failure, inadequacy, interruption or security failure of that technology could harm our business.

 

We rely on information technology networks and systems, including the Internet, to process, transmit and store electronic information, and to manage or support a variety of business processes, including financial transactions and records, personal identifying information, tenant and lease data. We purchase some of our information technology from vendors, on whom our systems depend. We rely on commercially available systems, software, tools and monitoring to provide security for processing, transmission and storage of confidential tenant and other customer information, such as individually identifiable information, including information relating to financial accounts. Although we have taken steps to protect the security of our information systems and the data maintained in those systems, it is possible that our safety and security measures will not be able to prevent the systems’ improper functioning or damage, or the improper access or disclosure of personally identifiable information such as in the event of cyber-attacks. Security breaches, including physical or electronic break-ins, computer viruses, attacks by hackers and similar breaches, can create system disruptions, shutdowns or unauthorized disclosure of confidential information. Any failure to maintain proper function, security and availability of our information systems could interrupt our operations, damage our reputation, subject us to liability claims or regulatory penalties and could have a material adverse effect on our business, financial condition and results of operations.

 

Failure to maintain effective internal control over financial reporting could have a material adverse effect on our business, results of operations, financial condition and stock price.

 

We are required to provide a report by management on internal control over financial reporting, including management’s assessment of the effectiveness of such control. Changes to our business will necessitate ongoing changes to our internal control systems and processes. Internal control over financial reporting may not prevent or detect misstatements due to inherent limitations, including the possibility of human error, the circumvention or overriding of controls, or fraud. Therefore, even effective internal controls can provide only reasonable assurance with respect to the preparation and fair presentation of financial statements. In addition, projections of any evaluation of effectiveness of internal control over financial reporting to future periods are subject to the risk that the control may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate. If we fail to maintain the adequacy of our internal controls, including any failure to implement required new or improved controls, or if we experience difficulties in their implementation, our business, results of operations and financial condition could be materially adversely harmed, we could fail to meet our reporting obligations and there could be a material adverse effect on our stock price.

 

Risks Related to Taxation

 

If we fail to maintain our REIT status, we will be subject to federal income tax on our taxable income at regular corporate rates.

 

We were organized to qualify for taxation as a REIT under Sections 856 through 860 of the Code. See “Item 1. Business – Taxation.” We believe that we have operated in such a manner as to qualify for taxation as a REIT under the Code and intend to continue to operate in a manner that will maintain our qualification as a REIT. Qualification as a REIT involves the satisfaction of numerous requirements, some on an annual and some on a quarterly basis, established under highly technical and complex provisions of the Code for which there are only limited judicial and administrative interpretations and involve the determination of various factual matters and circumstances not entirely within our control. We cannot assure that we will at all times satisfy these rules and tests.

 

If we were to fail to qualify as a REIT in any taxable year, as a result of a determination that we failed to meet the annual distribution requirement or otherwise, we would be subject to federal income tax, including, with respect to taxable years beginning before January 1, 2018, any applicable alternative minimum tax, on our taxable income at regular corporate rates with respect to each such taxable year for which the statute of limitations remains open. Moreover, unless entitled to relief under certain statutory provisions, we also would be disqualified from treatment as a REIT for the four taxable years following the year during which qualification is lost. This treatment would significantly reduce our net earnings and cash flow because of our additional tax liability for the years involved, which could significantly impact our financial condition.

 

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We generally must distribute annually at least 90% of our taxable income to our stockholders to maintain our REIT status. To the extent that we do not distribute all of our net capital gain or do distribute at least 90%, but less than 100% of our “REIT taxable income,” as adjusted, we will be subject to tax thereon at regular ordinary and capital gain corporate tax rates.

 

Even if we remain qualified as a REIT, we may face other tax liabilities that reduce our cash flow.

 

Even if we remain qualified for taxation as a REIT, we may be subject to certain federal, state and local taxes on our income and assets, including taxes on any undistributed income, tax on income from some activities conducted as a result of a foreclosure, and state or local income, property and transfer taxes. Any of these taxes would decrease cash available for the payment of our debt obligations. In addition, to meet REIT qualification requirements, we may hold some of our non-healthcare assets through taxable REIT subsidiaries or other subsidiary corporations that will be subject to corporate level income tax at regular rates.

 

Prior to the completion of the Aviv Merger, Aviv availed itself of the self-determination provisions and the deficiency dividend procedures under the REIT sections of the Code and supporting Treasury Regulations and IRS pronouncements to remedy certain potential technical violations of the REIT requirements. If there is an adjustment to Aviv’s REIT taxable income or dividends paid deductions as a result of Aviv taking such action, or other determinations by the IRS, the Company could be required to further implement the deficiency dividend procedures in order to maintain Aviv’s REIT status or take other steps to remedy any past non-compliance by Aviv. Any such further implementation of the deficiency dividend procedures could require the Company to make significant distributions to its stockholders and to pay significant penalties and interest to the IRS, which could impair the Company’s ability to expand its business and raise capital, reduce its cash available for distribution to its stockholders and materially adversely affect the value of the Company’s common stock.

 

Qualifying as a REIT involves highly technical and complex provisions of the Code and complying with REIT requirements may affect our profitability.

 

Qualification as a REIT involves the application of technical and intricate Code provisions. Even a technical or inadvertent violation could jeopardize our REIT qualification. To qualify as a REIT for federal income tax purposes, we must continually satisfy tests concerning, among other things, the nature and diversification of our assets, the sources of our income and the amounts we distribute to our stockholders. Thus, we may be required to liquidate otherwise attractive investments from our portfolio, or be unable to pursue investments that would be otherwise advantageous to us, to satisfy the asset and income tests or to qualify under certain statutory relief provisions. We may also be required to make distributions to stockholders at disadvantageous times or when we do not have funds readily available for distribution (e.g., if we have assets which generate mismatches between taxable income and available cash). Having to comply with the distribution requirement could cause us to: (i) sell assets in adverse market conditions; (ii) borrow on unfavorable terms; or (iii) distribute amounts that would otherwise be invested in future acquisitions, capital expenditures or repayment of debt. As a result, satisfying the REIT requirements could have an adverse effect on our business results and profitability.

 

There is a risk of changes in the tax law applicable to REITs.

 

The IRS, the United States Treasury Department and Congress frequently review U.S. federal income tax legislation, regulations and other guidance. We cannot predict whether, when or to what extent new U.S. federal tax laws, regulations, interpretations or rulings will be adopted. Any legislative action may prospectively or retroactively modify our tax treatment and, therefore, may adversely affect taxation of us, our properties, or our shareholders. In particular, the Tax Cuts and Jobs Act (the “Tax Act”) was enacted on December 22, 2017, and generally takes effect for taxable years beginning on or after January 1, 2018 (subject to certain exceptions). The Tax Act resulted in the broadest rewrite of the Code since 1986 and will have a broad impact across industries and taxpayers, including REITs and their shareholders. These changes will impact us and our shareholders in various ways (as further described below), some of which are adverse or potentially adverse compared to prior law. The IRS has issued limited guidance with respect to the provisions of the Tax Act, and there are numerous interpretive issues that will require guidance. It is likely that technical corrections legislation will be needed to clarify certain aspects of the new law and give proper effect to Congressional intent. There can be no assurance, however, that technical clarifications or changes needed to prevent unintended or unforeseen tax consequences will be enacted by Congress in the near future.

 

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Certain provisions of the Tax Act could require us to increase our distributions to stockholders in order to maintain REIT status or to avoid entity-level taxes.

 

There are a number of provisions included in the Tax Act that will impact the computation of our taxable income before the deduction for dividends paid to our shareholders (i.e., our undistributed taxable income), which likely will impact, favorably or unfavorably, the amount we will be required to distribute annually as dividends in order to maintain REIT status or avoid an entity-level liability for U.S. federal income tax on our undistributed taxable income.

 

The provisions of the Tax Act likely to have the greatest impact on the computation of our undistributed taxable income are (i) the 30% limitation on the deduction for our interest expense, which limitation may be avoided if we elect to use the alternative depreciation system to depreciate our real property and qualified improvements thereto, ii) the provisions requiring revenue recognition in conformity with the Company’s applicable financial statements, (iii) the provisions allowing for full expensing of qualified property placed in service prior to 2022 (this deduction is reduced by 20% per year beginning in 2023), and (iv) limitations imposed on the deductibility of performance-based compensation paid to the principal executive and financial officers, and our next three (3) highest compensated officers. Other provisions that could have a lesser impact on our undistributed taxable income include, for example, additional limitations on the deductions for certain travel and entertainment expenses and lobbying expenses before local governmental bodies.

 

To the extent that the deductibility of certain of our expenses is limited or the acceleration of revenue recognition is required by the Tax Act (as discussed above), there would be an increase in the amount we are required to distribute annually to our shareholders to avoid entity-level taxation but would not result in any corresponding increase in our cash available for distribution as dividends. On the other hand, depending on the manner in which the acquisition of property is financed, the full expensing rules could have the opposite impact – i.e., decreasing the amount we are required to distribute annually without any corresponding decrease in our cash available for distribution as dividends.

 

The ultimate impact of the Tax Act may differ from our description herein due to changes in interpretations, as well as additional regulatory guidance that may be issued. Investors are strongly urged to consult their own tax advisors regarding the potential impact of the Tax Act on the U.S. federal income tax consequences applicable to investors based on their particular circumstances.

 

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Risks Related to Our Stock

 

In addition to the risks related to our operators and our operations described above, the following are additional risks associated with our stock.

 

The market value of our stock could be substantially affected by various factors.

 

Market volatility may adversely affect the market price of our common stock. As with other publicly traded securities, the share price of our stock depends on many factors, which may change from time to time, including:

 

·the market for similar securities issued by REITs;
·changes in financial estimates or recommendations by securities analysts with respect to us, our competitors or our industry;
·our ability to meet analysts’ estimates;
·prevailing interest rates;
·our credit rating;
·changes in legal and regulatory taxation obligations;
·litigation and regulatory proceedings;
·general economic and market conditions; and
·the financial condition, performance and prospects of us, our tenants and our competitors.

  

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Our issuance of additional capital stock, warrants or debt securities, whether or not convertible, may reduce the market price for our outstanding securities, including our common stock, and dilute the ownership interests of existing stockholders.

 

We cannot predict the effect, if any, that future sales of our capital stock, warrants or debt securities, or the availability of our securities for future sale, will have on the market price of our securities, including our common stock. Sales of substantial amounts of our common stock or preferred shares, warrants or debt securities convertible into or exercisable or exchangeable for common stock in the public market, or the perception that such sales might occur, could negatively impact the market price of our stock and the terms upon which we may obtain additional equity financing in the future. Our Board of Directors has the authority to designate and issue preferred stock that may have dividend, liquidation and other rights that are senior to those of our common stock.

 

In addition, we may issue additional capital stock in the future to raise capital or as a result of the following:

 

·the issuance and exercise of options to purchase our common stock or other equity awards under remuneration plans (we may also issue equity to our employees in lieu of cash bonuses or to our directors in lieu of director’s fees);
·the issuance of shares pursuant to our dividend reinvestment and direct stock purchase plan or at-the-market offerings;
·the issuance of debt securities exchangeable for our common stock;
·the exercise of warrants we may issue in the future;
·the issuance of warrants or other rights to acquire shares to current or future lenders in connection with providing financing; and
·the sales of securities convertible into our common stock.

 

Any debt securities, preferred shares, warrants or other rights to acquire shares or convertible or exchangeable securities that we issue in the future may have rights, preferences and privileges more favorable than those of our common stock and may result in dilution to owners of our common stock. Holders of our common stock are not entitled to preemptive rights or other protections against dilution. Our preferred shares, if issued, could have a preference on liquidating distributions or a preference on dividend payments that could limit our ability pay dividends or other distributions to the holders of our common stock. Because our decision to issue securities in any future offering will depend on market conditions and other factors beyond our control, we cannot predict or estimate the amount, timing or nature of our future offerings. Thus, our stockholders bear the risk that our future offerings could reduce the per share trading price of our common stock and dilute their interest in us.

 

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Your ownership percentage in our company may be diluted in the future.

 

In the future, your percentage ownership in us may be diluted because of equity issuances for acquisitions, capital market transactions or otherwise. We also anticipate that we will grant future compensatory equity-based incentive awards to directors, officers and employees who provide services to us. Such awards will have a dilutive effect on our earnings per share, which could adversely affect the market price of our common stock.

 

In addition, our certificate of incorporation authorizes us to issue, without the approval of our stockholders, one or more classes or series of preferred stock having such designation, powers, preferences and relative, participating, optional and other special rights, including preferences over our common stock respecting dividends and distributions, as our board of directors generally may determine. The terms of one or more classes or series of preferred stock could dilute the voting power or reduce the value of our common stock. For example, we could grant the holders of preferred stock the right to elect some number of our directors in all events or on the occurrence of specified events, or the right to veto specified transactions. Similarly, the repurchase or redemption rights or liquidation preferences we could assign to shares of preferred stock could affect the residual value of the common stock.

 

There are no assurances of our ability to pay dividends in the future.

 

Our ability to pay dividends may be adversely affected upon the occurrence of any of the risks described herein. Our payment of dividends is subject to compliance with restrictions contained in our credit agreements, the indentures governing our senior notes and any preferred stock that our Board of Directors may from time to time designate and authorize for issuance. All dividends will be paid at the discretion of our Board of Directors and will depend upon our earnings, our financial condition, maintenance of our REIT status and such other factors as our Board of Directors may deem relevant from time to time. There are no assurances of our ability to pay dividends in the future. In addition, our dividends in the past have included, and may in the future include, a return of capital.

 

A downgrade of our credit rating could impair our ability to obtain additional debt financing on favorable terms, if at all, and significantly reduce the trading price of our common stock.

 

If any rating agency downgrades our credit rating, or places our rating under watch or review for possible downgrade, then it may be more difficult or expensive for us to obtain additional debt financing, and the trading price of our common stock may decline. Factors that may affect our credit rating include, among other things, our financial performance, our success in raising sufficient equity capital, adverse changes in our debt and fixed charge coverage ratios, our capital structure and level of indebtedness and pending or future changes in the regulatory framework applicable to our operators and our industry. We cannot assure that these credit agencies will not downgrade our credit rating in the future.

 

Item 1B – Unresolved Staff Comments

 

None.

 

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Item 2 - Properties

 

At December 31, 2017, our real estate investments included long-term care facilities and rehabilitation hospital investments, in the form of (i) owned facilities that are leased to operators or their affiliates, (ii) investments in direct financing leases to operators or their affiliates and (iii) mortgages on facilities that are operated by the mortgagors or their affiliates. The properties are located in 41 states and the United Kingdom and are operated by 74 operators. We use the term “operator” to refer to our tenants and mortgagors and their affiliates who manage and or operate our properties. In some cases, our tenants and mortgagors contract with a healthcare operator to operate the facilities. The following table summarizes our property investments as of December 31, 2017:

 

Investment Structure/Operator  Number of
Operating
Beds
   Number of
Facilities
   Gross Real Estate
Investment
(in thousands)
 
Operating Lease Facilities(1)               
Maplewood Real Estate Holdings, LLC   1,207    14   $579,467 
Signature Holdings II, LLC   6,703    60    531,335 
Saber Health Group   4,525    43    485,312 
Ciena Healthcare   3,521    36    461,020 
CommuniCare Health Services, Inc.   4,366    34    437,733 
Daybreak Venture, LLC   5,103    58    357,724 
Genesis HealthCare   5,691    50    337,545 
Health and Hospital Corporation   4,606    44    304,711 
Diversicare Healthcare Services   4,263    35    278,188 
Healthcare Homes   1,828    35    277,352 
EmpRes Healthcare Group, Inc.   2,168    26    253,883 
Airamid Health Management   4,347    37    246,361 
Gulf Coast Master Tenant I, LLC   2,514    20    219,149 
S&F Management Company, LLC   1,920    15    217,073 
Fundamental Long Term Care Holding, LLC   2,870    26    205,523 
Sun Mar Healthcare   1,268    11    179,219 
Mission Health   1,257    19    135,295 
Affiliates of Capital Funding Group, Inc.    884    9    134,198 
Gold Care   960    18    130,129 
Guardian LTC Management Inc.   1,655    23    125,971 
Preferred Care, Inc.    1,607    16    123,136 
Consulate Health Care   2,024    17    104,115 
Nexion Health Inc.    1,961    19    93,430 
Trillium Healthcare Group   1,299    17    89,296 
Providence Group, Inc.   864    10    86,540 
Essex Healthcare Corporation   1,177    13    83,012 
Peregrine Health Services, Inc.    624    4    72,779 
Civitas Senior Healthcare   385    3    67,961 
TenInOne Acquisition Group, LLC   1,176    8    67,758 
Pinon Management, LLC   869    9    62,180 
Sovran Management Company, LLC   635    4    61,318 
Swain/Herzog   1,008    9    59,746 
Trinity HealthCare   887    12    55,339 
Prestige Care, Inc.   542    8    55,111 
CareMeridian   189    16    53,038 
Bridgemark Healthcare LLC   1,134    11    51,176 
Focused Post Acute Care Partner II, LLC   639    7    50,174 
Lakeland Holding Company   453    2    48,047 
Southern Administrative Services, LLC   1,084    11    44,843 
Orianna   489    4    44,700 
StoneGate Senior Care LP   703    7    39,384 
Cardinal Care Management, Inc.   185    2    28,629 
Sava Senior Care, LLC   331    2    27,937 
Physician's Hospital Group   67    3    23,394 
Fellowship Senior Living   214    3    23,369 
Lion Health Centers   162    1    20,458 

 

 38 

 

 

Investment Structure/Operator  Number of
Operating
Beds
   Number of
Facilities
   Gross Real Estate
Investment
(in thousands)
 
Operating Lease Facilities(1)               
Reliance Health Care Management, Inc.    138    1    19,333 
Transitions Healthcare, LLC   135    1    15,365 
Orion Operating Services   93    1    15,250 
CareRite Centers   176    1    14,400 
Health Systems of Oklahoma LLC   407    3    12,470 
Washington N&R   239    2    12,144 
Health Dimensions   83    1    11,220 
Phoenix Senior Living   125    2    10,800 
Care Initiatives, Inc.   188    1    10,347 
Regional Health Properties, Inc.    301    2    10,000 
HI-Care Mgmt   278    3    9,755 
Ensign Group, Inc.   271    3    9,656 
Markleysburg Healthcare Investors, LP   207    2    8,926 
Covenant Care   102    1    8,610 
Community Eldercare Services, LLC   100    1    7,572 
NuCare   94    1    7,000 
UltraCare Healthcare, LLC   141    3    7,000 
AMFM   150    2    5,786 
Sante Operations   52    1    5,750 
Southwest LTC   150    1    5,100 
HMS Holdings at Texarkana, LLC   114    1    4,281 
Hidden Acres Healthcare   102    1    3,147 
Life Generations Healthcare, Inc.   59    1    3,007 
Hickory Creek Healthcare Foundation   63    1    2,834 
Safe Haven Healthcare   37    1    1,270 
Closed   -    -    879 
    86,169    869    7,655,960 
Assets Closed or Held for Sale               
Affiliates of Capital Funding Group, Inc.   1,060    12    61,978 
Reliance Health Care Management, Inc.    194    2    9,128 
CommuniCare Health Services, Inc.    120    2    7,658 
Hope Healthcare   232    3    6,286 
Ide Management Group, LLC   232    2    1,584 
Mission Health   -    1    65 
    1,838    22    86,699 
Investment in Direct Financing Leases               
Orianna   4,009    38    337,705 
Reliance Health Care Management, Inc.   120    1    15,458 
Sun Mar Healthcare   83    1    11,481 
Markleysburg Healthcare Investors, LP   52    1    321 
    4,264    41    364,965 
Mortgages(2)               
Ciena Healthcare   3,825    35    476,319 
Guardian LTC Management Inc.    808    9    112,500 
CommuniCare Health Services, Inc.    455    3    35,964 
Phoenix Senior Living   100    2    29,781 
Saber Health Group   99    1    12,001 
Maplewood Real Estate Holdings, LLC   -    -    3,195 
Benchmark Healthcare   79    1    1,472 
    5,366    51    671,232 
Total   97,637    983   $8,778,856 

 

(1)Certain of our lease agreements contain purchase options that permit the lessees to purchase the underlying properties from us.

(2)In general, many of our mortgages contain prepayment provisions that permit prepayment of the outstanding principal amounts thereunder.

 39 

 

 

The following table presents the concentration of our real estate investments by state as of December 31, 2017:

 

Location  Number of
Facilities
   Number of
Operating Beds
   Gross Real Estate
Investment
(in thousands)
   % of
Gross Real
Estate
Investment
 
Texas   115    11,490   $816,800    9.30%
Florida   94    11,268    800,718    9.12%
Ohio(1)   75    7,328    720,272    8.20%
Michigan   49    5,093    627,704    7.15%
Indiana   65    6,916    582,818    6.64%
California   54    4,432    496,984    5.66%
Pennsylvania   43    4,011    470,145    5.36%
United Kingdom   53    2,788    407,481    4.64%
Tennessee   40    5,077    331,053    3.77%
North Carolina   32    3,517    268,975    3.06%
Virginia   17    2,234    268,254    3.06%
Connecticut   6    494    245,826    2.80%
Kentucky   31    2,787    244,758    2.79%
South Carolina   22    2,338    229,739    2.62%
Arkansas(1)   31    2,953    190,676    2.17%
Massachusetts   10    1,085    187,445    2.14%
Mississippi   19    2,017    161,441    1.84%
New York   -    -    159,103    1.81%
Washington   18    1,406    152,399    1.74%
Maryland   12    1,642    143,353    1.63%
Colorado   14    1,577    107,900    1.23%
Arizona   10    1,052    97,864    1.11%
Missouri   19    1,989    92,403    1.05%
Georgia   13    1,314    85,460    0.97%
West Virginia   11    1,255    75,981    0.87%
New Mexico   8    727    70,563    0.80%
Louisiana   14    1,334    69,106    0.79%
Minnesota   3    548    67,380    0.77%
Nevada   6    650    64,323    0.73%
Kansas   17    843    63,154    0.72%
Iowa   10    719    62,891    0.72%
Illinois(1)   15    1,494    60,478    0.69%
Idaho   8    687    55,609    0.63%
Oregon   6    360    52,863    0.60%
Alabama   9    1,081    48,089    0.55%
Rhode Island   4    558    43,534    0.50%
Wisconsin(1)   8    662    43,455    0.49%
Oklahoma   9    842    40,897    0.47%
Nebraska   7    650    24,742    0.28%
New Hampshire   3    221    23,082    0.26%
Montana   2    105    13,018    0.15%
Vermont   1    93    6,925    0.08%
New Jersey   -    -    3,195    0.04%
Total   983    97,637   $8,778,856    100.0%

 

(1)These states each include a facility/property that is classified as held for sale as of December 31, 2017.

 

Geographically Diverse Property Portfolio. Our portfolio of properties is broadly diversified by geographic location. Our portfolio includes healthcare properties located in 41 states and the U.K. In addition, the majority of our rental, direct financing lease and mortgage income are generally derived from facilities in states that require state approval for development and expansion of healthcare facilities. We believe that such state approvals may limit competition for our operators and enhance the value of our properties.

 

Large Number of Tenants. Our facilities are operated by 74 different public and private healthcare providers and/or managers. Except for Ciena Healthcare (11%), Maplewood Real Estate Holdings, LLC (7%), Signature Holdings II, LLC (6%), Saber Health Group (6%) and CommuniCare Healthcare Services, Inc. (5%), which together hold approximately 35% of our portfolio (by investment), no other single tenant holds greater than 5% of our portfolio (by investment).

 

 40 

 

 

Significant Number of Long-term Leases and Mortgage Loans. At December 31, 2017, approximately 87% of our operating leases, approximately 93% of our mortgages and approximately 99% of our direct financing leases have primary terms that expire after 2022. The majority of our leased real estate properties are leased under provisions of master lease agreements. We also lease facilities under single facility leases. The initial terms of our operating leases typically range from 5 to 15 years, plus renewal options. Our direct financing leases have initial terms in excess of 20 years.

 

All of our leased properties are leased under long term, triple-net leases. The following table displays the expiration of the annualized straight-line rental revenues under our operating lease agreements as of December 31, 2017 by year without giving effect to any renewal options:

 

Expiration Year  Annualized Straight-line
Rental Revenue Expiring
   Number of
Leases Expiring
 
($ in thousands)
2018  $32,355    4 
2019   434    5 
2020   4,039    8 
2021   5,795    19 
2022   50,684    24 
2023   35,129    18 
2024   49,152    6 
2025   20,363    6 
2026   16,205    8 
Thereafter   524,339    47 
Total  $738,495    145 

 

Item 3 - Legal Proceedings

 

On November 16, 2017, a purported securities class action complaint captioned Dror Gronich v. Omega Healthcare Investors, Inc., C. Taylor Pickett, Robert O. Stephenson, and Daniel J. Booth was filed against the Company and certain of its officers in the United States District Court for the Southern District of New York, Case No. 1:17-cv-08983-NRB. On November 17, 2017, a second purported securities class action complaint captioned Steve Klein v. Omega Healthcare Investors, Inc., C. Taylor Pickett, Robert O. Stephenson, and Daniel J. Booth was filed against the Company and the same officers in the United States District Court for the Southern District of New York, Case No. 1:17-cv-09024-NRB. Both lawsuits purport to be class actions brought on behalf of shareholders who acquired the Company’s securities between February 8, 2017 and October 31, 2017. Both complaints allege that the defendants violated the Securities Exchange Act of 1934, as amended (the “Exchange Act”), by making materially false and/or misleading statements, and by failing to disclose material adverse facts, about the Company’s business, operations, and prospects, including regarding the financial and operating results of certain of the Company’s operators, the ability of certain operators to make timely rent payments, and the impairment of certain of the Company’s leases and the uncollectibility of certain receivables. The complaints, which purport to assert claims for violations of Section 10(b) of the Exchange Act and Rule 10b-5 promulgated thereunder, as well as Section 20(a) of the Exchange Act, seek an unspecified amount of monetary damages, interest, fees and expenses of attorneys and experts, and other relief.

 

On January 16, 2017, four plaintiffs and one group of plaintiffs acting jointly filed motions for consolidation of the two actions, appointment of counsel, and appointment of lead plaintiff. They are: (i) The Hannah Rosa Trust; (ii) Patricia Zaborowski, Hong Jun, Cynthia Peterson, Simona Vacchieri, and Glenn Fausz (self-defined as the “Omega Investor Group”); (iii) Royce Setzer; (iv) Carpenters Pension Fund of Illinois; and (v) Glenn Fausz. The Omega Investor Group and The Hannah Rosa Trust thereafter withdrew their applications. The motions are pending before the Court.

 

 41 

 

 

Although the Company denies the material allegations of the two complaints and intends to vigorously pursue its defense, we are in the very early stages of this litigation and are unable to predict the outcome of the case or to estimate the amount of potential costs.

 

In addition, 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.

 

Item 4 - Mine Safety Disclosures

 

Not applicable.

 

 42 

 

 

PART II

 

Item 5 - Market for the Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities

 

Omega

 

Market Information and Distributions

 

Shares of Omega common stock are traded on the New York Stock Exchange under the symbol “OHI.” The following table sets forth, for the periods shown, the high and low prices as reported on the New York Stock Exchange Composite for the periods indicated and cash dividends declared per common share:

 

2017  2016
Quarter  High   Low   Dividends
Declared
Per Share
   Quarter  High   Low   Dividends
Declared
Per Share
 
First  $33.17   $30.55   $0.62   First  $35.97   $26.96   $0.57 
Second   35.14    30.46    0.63   Second   35.94    30.58    0.58 
Third   33.85    29.98    0.64   Third   38.09    32.22    0.60 
Fourth   32.32    26.43    0.65   Fourth   35.40    28.11    0.61 
             $2.54                $2.36 

 

The closing price for Omega common stock on the New York Stock Exchange on February 16, 2018 was $26.74 per share. As of February 16, 2018 there were 198,589,565 shares of Omega Healthcare Investors, Inc. common stock outstanding with approximately 3,047 registered holders.

 

The following table provides information about shares available for future issuance under our equity compensation plans as of December 31, 2017:

 

Equity Compensation Plan Information

 

   (a)   (b)   (c) 
Plan category  Number of securities to
be issued upon exercise
of outstanding options,
warrants and rights (1)
   Weighted-average
exercise price of
outstanding options,
warrants and rights (2)
   Number of securities
remaining available for
future issuance under
equity compensation plans
excluding securities
reflected in column (a) (3)
 
Equity compensation plans approved by security holders   2,201,397   $    1,561,923 
Equity compensation plans not approved by security holders            
Total   2,201,397   $    1,561,923 

 

(1)Reflects (i) 109,985 restricted stock units that were granted on March 31, 2015, (ii) 38,914 restricted stock units that were granted on April 1, 2015, (iii) 128,006 restricted stock units that were granted on March 17, 2016, (iv) 675,716 shares that could be issued if certain performance conditions are achieved related to the March 17, 2016 award of performance restricted stock units, (v) 140,416 restricted stock units that were granted on January 1, 2017, (vi) 685,064 shares that could be issued if certain performance conditions are achieved related to the January 1, 2017 award of performance restricted stock units and, (vii) 423,296 shares in respect of outstanding deferred stock units.
(2)No exercise price is payable with respect to the restricted stock units and performance restricted stock units.
(3)Reflects shares of common stock remaining available for future awards under our 2013 Stock Incentive Plans.

 

 43 

 

 

During the fourth quarter of 2017, we purchased 847 outstanding shares of Omega common stock from employees to pay the withholding taxes related to the vesting of restricted stock.

 

Issuer Purchases of Common Stock

 

   (a)   (b)   (c)   (d) 
Period  Total Number
of Shares
Purchased (1)
   Average Price
Paid per Share
   Total Number of
Shares
Purchased as
Part of Publicly
Announced
Plans or
Programs
   Maximum
Number (or
Approximate
Dollar Value) of
Shares that may
be Purchased
Under these Plans
or Programs
 
October 1, 2017 to October 31, 2017   -   $-    -    - 
November 1, 2017 to November 30, 2017   847    28.06    -    - 
December 1, 2017 to December 31, 2017   -    -    -    - 
Total   847   $28.06    -    - 

 

(1)Represents shares purchased from employees to pay the withholding taxes related to the vesting of restricted stock. The shares were not part of a publicly announced repurchase plan or program.

 

Unregistered Sales of Equity Securities and Use of Proceeds

 

In 2017, Omega issued an aggregate of 89,397 shares of Omega common stock, in exchange for an equivalent number of Omega OP Units tendered to Omega OP for redemption in accordance with the provisions of the Partnership Agreement. None of these transactions occurred in the quarterly reporting period ended December 31, 2017. The Company issued these shares of Omega common stock in reliance on an exemption from registration under Section 4(a)(2) of the Securities Act of 1933, as amended (the “Securities Act”), based upon factual representations received from the limited partners who received the Omega common stock.

 

From March 5, 2016 to December 31, 2016, we issued 6,559,960 shares of our common stock at a weighted average price per share of $33.61 in cash pursuant to our Dividend Reinvestment and Stock Purchase Plan (“DRSPP”).  The automatic shelf registration statement on Form S-3 relating to the DRSPP expired March 4, 2016.  As a result, these shares were inadvertently sold under an expired registration statement and do not appear to qualify for an exemption from registration under the Securities Act.  On January 4, 2017, a new automatic shelf registration statement on Form S-3 relating to the DRSPP was filed with the SEC and became effective.

 

 44 

 

 

Omega OP

 

Market Information

 

There is no established trading market for common equity of Omega OP. The number of holders of record of Omega OP Units was 124 as of December 31, 2017.

 

Distributions

 

The following table sets forth for the periods indicated, the distributions declared on Omega OP Units:

 

2017  2016
            
Quarter  Distributions
Declared
Per Share
   Quarter  Distributions
Declared
Per Share
 
First  $0.62   First  $0.57 
Second   0.63   Second   0.58 
Third   0.64   Third   0.60 
Fourth   0.65   Fourth   0.61 
   $2.54      $2.36 

 

The distribution on Omega OP Units is equal to the dividend on Omega’s common stock. Omega is required each year to distribute to its stockholders at least 90% of its REIT taxable income after certain adjustments. Future distributions will be determined by Omega’s Board of Directors, in its sole discretion, based on actual and projected financial condition, liquidity and results of operations, cash available for distributions, cash reserves as deemed necessary for capital and operating expenditures, financing covenants, if any, and the distributions that may be required to maintain Omega’s status as a REIT.

 

Issuer Purchases of Equity Securities

 

See “Omega - Unregistered Sales of Equity Securities and Use of Proceeds” above for information regarding redemption of Omega OP Units.

 

Unregistered Sales of Equity Securities and Use of Proceeds

 

None.

 

 45 

 

 

Item 6 - Selected Financial Data

 

The following table sets forth our selected financial data and operating data for Omega and Omega OP on a historical basis. The following data should be read in conjunction with our audited consolidated financial statements and notes thereto and Management’s Discussion and Analysis of Financial Condition and Results of Operations included elsewhere herein. Our historical operating results may not be comparable to our future operating results. The comparability of our selected financial data is significantly affected by our acquisitions, new investments and dispositions from 2013 to 2017. See “Item 7 – Management’s Discussion and Analysis of Financial Condition and Results of Operations – Portfolio and Other Developments.”

 

Omega  Year Ended December 31, 
   2017   2016   2015   2014   2013 
   (in thousands, except per share amounts) 
Operating Data                         
Revenues  $908,385   $900,827   $743,617   $504,787   $418,714 
                          
Net income  $104,910   $383,367   $233,315   $221,349   $172,521 
                          
Net income available to common stockholders  $100,419   $366,415   $224,524   $221,349   $172,521 
                          
Per share amounts:                         
Net income available to common stockholders:                         
Basic  $0.51   $1.91   $1.30   $1.75   $1.47 
Net income :                         
Diluted  $0.51   $1.90   $1.29   $1.74   $1.46 
                          
Dividends, Common Stock(1)  $2.54   $2.36   $2.18   $2.02   $1.86 
                          
Weighted-average common shares outstanding, basic   197,738    191,781    172,242    126,550    117,257 
Weighted-average common shares outstanding, diluted   206,790    201,635    180,508    127,294    118,100 

 

Omega OP  Year Ended December 31, 
   2017   2016   2015   2014   2013 
   (in thousands, except per share amounts) 

Operating Data

                         
Revenues (2)  $908,385   $900,827   $610,197   $-   $- 
                          
Net income (2)  $104,910   $383,367   $190,263   $-   $- 
                          
Per Omega OP Unit amounts:                         
Net income available to Omega OP Unit holders                         
Basic (2)  $0.51   $1.91   $0.98   $-   $- 
Net income :                         
Diluted (2)  $0.51   $1.90   $0.97   $-   $- 
                          
Dividends, Omega OP Unit holders (2)  $2.54   $2.36   $1.29   $-   $- 
                          
Weighted-average Omega OP Units outstanding, basic (2)   206,521    200,679    193,843    -    - 
Weighted-average Omega OP Units outstanding, diluted (2)   206,790    201,635    195,742    -    - 

 

 46 

 

 

   As of December 31, 
   2017   2016   2015   2014   2013 
   ( in thousands) 
Balance Sheet Data                         
Gross investments (3)  $9,091,714   $9,166,129   $8,107,352   $4,472,840   $3,924,917 
Total assets  (3)   8,773,305    8,949,260    7,989,936    3,896,674    3,439,907 
Revolving line of credit (4)   290,000    190,000    230,000    85,000    326,000 
Term loans, net (4)   904,670    1,094,343    745,693    198,721    196,901 
Other long-term borrowings, net (4)   3,377,488    3,082,511    2,564,320    2,069,811    1,479,208 
Total equity(3)   3,888,258    4,211,986    4,100,865    1,401,327    1,300,103 

 

(1)Dividends per share are those declared and paid during such period.
(2)Prior to April 1, 2015, no substantive assets were owned or activity had occurred in Omega OP. The 2015 information reflects the activity for the period from April 1, 2015 (Aviv Merger date) through December 31, 2015.
(3)As of December 31, 2015, 2016 and 2017 the Gross investments, Total assets and Total equity are the same for Omega and Omega OP. Omega OP held no substantive investments as of December 31, 2014. Omega OP did not exist prior to 2014.
(4)All of the debt outstanding for Omega is considered outstanding for Omega OP via intercompany loans with Omega.

 

 47 

 

 

Item 7 – Management's Discussion and Analysis of Financial Condition and Results of Operations

 

Forward-Looking Statements, Reimbursement Issues and Other Factors Affecting Future Results

 

The following discussion should be read in conjunction with the financial statements and notes thereto appearing elsewhere in this document, including statements regarding potential future changes in reimbursement. 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:

 

(i)those items discussed under “Risk Factors” in Part I, Item 1A of this report;
(ii)uncertainties relating to the business operations of the operators of our assets, including those relating to reimbursement by third-party payors, regulatory matters and occupancy levels;
(iii)the ability of any 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 process of a bankruptcy proceeding and retain security deposits for the debtors’ obligations;
(iv)our ability to re-lease, otherwise transition, or sell underperforming assets on a timely basis and on terms that allow us to realize the carrying value of these assets;
(v)our ability to sell assets held for sale on a timely basis and on terms that allow us to realize the carrying value of these assets;
(vi)the availability and cost of capital to us;
(vii)changes in our credit ratings and the ratings of our debt securities;
(viii)competition in the financing of healthcare facilities;
(ix)regulatory and other changes in the healthcare sector;
(x)changes in the financial position of our operators;
(xi)the effect of economic and market conditions generally and, particularly, in the healthcare industry;
(xii)changes in interest rates;
(xiii)the amount and yield of any additional investments;
(xiv)changes in tax laws and regulations affecting REITs;
(xv)the potential impact of changes in the SNF and ALF market or local real estate conditions on our ability to dispose of assets held for sale for the anticipated proceeds or on a timely basis, or to redeploy the proceeds therefrom on favorable terms; and
(xvi)our ability to maintain our status as a REIT.

 

Overview and Outlook

 

We have one reportable segment consisting of investments in healthcare-related real estate properties. Our core business is to provide financing and capital to the long-term healthcare industry with a particular focus on SNFs located in the U.S. and the U.K. Our core portfolio consists of long-term leases and mortgage agreements. All of our leases are “triple-net” leases, which require the tenants to pay all property-related expenses. Our mortgage revenue derives from fixed rate mortgage loans, which are secured by first mortgage liens on the underlying real estate and personal property of the mortgagor.

 

Our portfolio of investments at December 31, 2017, included 983 healthcare facilities, located in 41 states and the U.K. that are operated by 74 third-party operators. Our real estate investment in these facilities totaled approximately $8.8 billion at December 31, 2017, with 99% of our real estate investments related to long-term healthcare facilities. The portfolio is made up of (i) 775 SNFs, (ii) 119 ALFs, (iii) 15 specialty facilities, (iv) one medical office building, (v) fixed rate mortgages on 47 SNFs and four ALFs and (vi) 22 SNFs that are currently closed or held for sale. At December 31, 2017, we held other investments of approximately $276.3 million, consisting primarily of secured loans to third-party operators of our facilities and a $36.5 million in an unconsolidated joint venture.

 

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Our consolidated financial statements include the accounts of (i) Omega, (ii) Omega OP, and (iii) all direct and indirect wholly owned subsidiaries of Omega OP. All intercompany accounts and transactions have been eliminated in consolidation, and our net earnings are reduced by the portion of net earnings attributable to noncontrolling interests.

 

Current market and economic conditions, including deficits at both the federal and state levels could result in additional cost-cutting at both the federal and state levels resulting in additional reductions to reimbursement rates to our operators under both Medicare and Medicaid programs. State deficits could be exacerbated by the potential for increased enrollment in Medicaid due to prolonged high unemployment levels and declining family incomes, which could cause states to reduce state expenditures under their respective state Medicaid programs by lowering reimbursement rates.

 

As healthcare delivery continues to evolve, we continuously evaluate our assets, our operators and our markets to position our portfolio for long-term success. Our strategy includes selling and transitioning assets that do not meet our operator, real estate or market criteria.

 

Although industry occupancy levels have declined in recent years, the occupancy levels of our facilities and our operator coverages remained stable in 2017. Our operators continue to experience increased labor costs which we believe is manageable. In addition, our operators continue to see changes in their overall quality mix (Medicare, Medicaid, and private pay) as a percentage of operator revenue, which has been driven in part by continued pressure on the length of stay. We currently believe that our operators can generally absorb moderate reimbursement rate reductions under Medicaid and Medicare and still meet their obligations to us, other than certain operators who are currently behind on rent to us as discussed below. However, significant limits on the scope of services reimbursed and on reimbursement rates and fees 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.

 

We believe that our operating results display the strength of our conservative balance sheet and operating model against the backdrop of an increasingly difficult operating environment.  Increasing labor and liability costs, evolving reimbursement models and an aggressive regulatory and enforcement environment may put near term financial strain on many operators within the skilled nursing industry.

 

2017 and Recent Highlights

 

Acquisition and Other Investments

 

In 2017, we completed the following transactions totaling approximately $559 million in new investments:

 

·$124 million of new investments with a new operator in U.K. The investments included 18 care homes (similar to ALFs in the U.S.) from an unrelated third party for $124.2 million (including a non-cash deferred liability of approximately $8.2 million) and leased them to a new operator. The 18 care homes were combined into a single 12-year master lease with two ten year renewal options. The master lease has an initial annual cash yield of 8.5% with 2.5% annual escalators.

 

·$220 million of new investments with an existing operator. The investment included 15 SNFs for $211.0 million and a $9.4 million leasehold mortgage acquired from an unrelated third party. The 15 SNFs, located in Indiana, were being operated by an existing operator of the Company. The SNFs were added to the operator’s existing master lease with an initial annual cash yield of 9.5% with 2.5% annual escalators.

 

·In addition to the aforementioned investments, we also acquired 7 SNFs and 2 ALFs for approximately $58.5 million throughout the U.S.

 

·$11 million mortgage loan with an existing operator. The loan bears interest at an initial annual interest rate of 9.5% with 2.25% annual escalators.

 

·$145 million of investments in our capital expenditure programs.

 

See “Portfolio and Other Developments” below for a description of 2017 acquisitions and other investments.

 

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Financing Activities

 

$550 Million 4.75% Senior Notes and $150 Million 4.50% Senior Notes

 

On April 4, 2017, we issued (i) $550 million aggregate principal amount of our 4.75% Senior Notes due 2028 (the “2028 Notes”) and (ii) an additional $150 million aggregate principal amount of our existing 4.50% Senior Notes due 2025 (the “2025 Notes”, and together with the 2028 Notes collectively, the “Notes”). The 2028 Notes mature on January 15, 2028 and the 2025 Notes mature on January 15, 2025.

 

The 2028 Notes were sold at an issue price of 98.978% of their face value before the underwriters’ discount and the 2025 Notes were sold at an issue price of 99.540% of their face value before the underwriters’ discount. Our net proceeds from the Notes offering, after deducting underwriting discounts and expenses, were approximately $690.7 million. The net proceeds from the Notes offering were used to (i) redeem all of our outstanding $400 million aggregate principal amount of 5.875% Senior Notes due 2024 (the “5.875% Notes”) on April 28, 2017, (ii) prepay the $200 million Tranche A-2 Term Loan Facility on April 5, 2017 that otherwise would have become due on June 27, 2017, and (iii) repay outstanding borrowings under our revolving credit facility.

 

Redemption of $400 Million 5.875% Senior Notes due 2024

 

On April 28, 2017, we redeemed all of our outstanding 5.875% Notes. As a result of the redemption, during the second quarter of 2017, we recorded approximately $16.5 million in redemption related costs and write-offs, including $11.8 million for the call premium and $4.7 million in net write-offs associated with unamortized deferred financing costs.

 

Unsecured Credit Facility

 

On May 25, 2017, Omega entered into a credit agreement (the “2017 Omega Credit Agreement”) providing us with a new $1.8 billion senior unsecured revolving and term loan credit facility, consisting of a $1.25 billion senior unsecured multicurrency revolving credit facility (the “Revolving Credit Facility”), a $425 million senior unsecured U.S. Dollar term loan facility (the “U.S. Term Loan Facility”), and a £100 million senior unsecured British Pound Sterling term loan facility (the “Sterling Term Loan Facility” and, together with the Revolving Credit Facility and the U.S. Term Loan Facility, collectively, the “2017 Omega Credit Facilities”). The 2017 Omega Credit Agreement contains an accordion feature permitting us, subject to compliance with customary conditions, to increase the maximum aggregate commitments under the 2017 Omega Credit Facilities to $2.5 billion.

 

The 2017 Omega Credit Facilities replace the previous $1.25 billion senior unsecured 2014 revolving credit facility, the previous $200 million Tranche A-1 senior unsecured term loan facility, and the previous $350 million Tranche A-3 senior unsecured incremental term loan facility established under our 2014 credit agreement, which has been terminated (the “2014 Omega Credit Agreement”). We had previously repaid and terminated the $200 million Tranche A-2 senior unsecured term loan facility established under the 2014 Omega Credit Agreement, with proceeds from our $550 million and $150 million unsecured senior notes issued in April 2017.

 

See “Financing Activities and Borrowing Arrangements” below for a description of the 2017 financing activities and borrowing arrangements.

 

Portfolio and Other Developments

 

The following tables summarize the significant transactions that occurred between 2017 and 2015. The 2015 table excludes the acquisition of Care Homes in the U.K. and the Aviv Merger in the second quarter of 2015, which are discussed separately below.

 

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2017 Acquisitions and Other

 

   Number of
Facilities
   Country/  Total Investment(4)   Land  

Building & Site

Improvements

   Furniture
& Fixtures
   Initial
Annual
Cash
Yield (2)
Period  SNF   ALF   State  (in millions)   (%) 
Q1   -    1   VA  $7.6   $0.5   $6.8   $0.3    7.50 
Q2   1    -   NC   8.6    0.7    7.3    0.6    9.50 
Q2   -    18   UK   124.2(1)   34.1    85.1    5.0    8.50 
Q3   -    1   TX   2.3    0.7    1.5    0.1    9.25 
Q3   15    -   IN   211.0    18.0    180.2    12.8    9.50 
Q3   9    -   TX   19.0(3)   1.7    15.5    1.8    18.60 
Q4   6    -   TX   40.0    1.0    35.1    3.9    9.25 
Total   31    20      $412.7   $56.7   $331.5   $24.5      

 

(1)Omega recorded a non-cash deferred tax liability and acquisition costs of approximately $8.2 million and $1.2 million, respectively, in connection with this acquisition.
(2)The cash yield is based on the purchase price.
(3)In July 2017, we transitioned nine SNFs formerly subject to a direct financing lease to another operator. As a result of terminating the direct financing lease, we wrote down the facilities to our original cost basis and recorded an impairment on the direct financing lease of approximately $1.8 million.
(4)All of the aforementioned acquisitions were accounted for as asset acquisitions.

 

During 2017, we acquired three parcels of land which are not reflected in the table above for approximately $6.7 million with the intent of building new facilities for existing operators.

 

2016 Acquisitions and Other

 

   Number of
Facilities
   Country/  Total
Investment (6)
   Land  

Building & Site

Improvements

   Furniture
& Fixtures
   Initial
Annual
Cash
Yield (7)
 
Period  SNF   ALF   State  (in millions)   (%) 
Q1   -    1   UK  $8.3   $1.4   $6.7   $0.2    7.00 
Q1   -    1   UK   6.1    0.6    5.3    0.2    7.00 
Q1   10    -   OH, VA, MI   169.0(2)   10.5    152.5    6.0    8.50 
Q1   -    2   GA   20.2    0.8    18.3    1.1    7.50 
Q1   3    -   MD   25.0    2.5    19.9    2.6    8.50 
Q1   21    -   VA, NC   212.5    19.3    181.1    12.1    8.50 
Q2   -    10   UK   111.9(3)   24.8    83.9    3.2    7.00 
Q2   -    3   TX   66.0(4)   5.8    58.6    1.6    6.80 
Q2   3    -   CO, MO   31.8    3.1    26.2    2.5    9.00 
Q3   -    1   FL   4.3    2.3    1.8    0.2    8.00 
Q3   -    1   GA   2.5    0.2    2.1    0.2    8.00 
Q3   -    1   FL   16.5    1.8    14.3    0.4    8.00 
Q3   1    -   SC   10.1    2.7    6.5    0.9    9.00 
Q3   1    -   OH   9.0(5)   -    8.6    0.4    9.00 
Q3   31    -   FL, KY,TN   329.6(1)   24.6    290.8    14.2    9.00 
Total   70    20      $1,022.8   $100.4   $876.6   $45.8      

 

(1)The Company’s investment includes a purchase option buyout obligation with a fair value of approximately $29.6 million. The future buyout obligation is recorded in accrued expenses and other liabilities on our Consolidated Balance Sheet. The Company also acquired a term loan with a fair value of approximately $37.0 million which is recorded in other investments on our Consolidated Balance Sheet. In August 2017, the purchase option buyout obligation was terminated and the operator used the proceeds to repay certain other investments.
(2)Acquired from a related party.
(3)Omega also recorded a deferred tax asset of approximately $1.9 million in connection with the acquisition.
(4)The Company paid $63.0 million in cash at closing to acquire the facilities. We paid an additional $1.5 million in April 2017 and the remaining $1.5 million will be paid in April 2018. The additional consideration to be paid is contractually determined and not contingent on other factors.
(5)The Company paid approximately $3.5 million in cash to acquire the facility. The remainder of the purchase price (approximately $5.5 million) was funded with the redemption of an other investment note.
(6)All of the aforementioned acquisitions were accounted for as business combinations.
(7)The cash yield is based on the purchase price.

 

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During 2016, the Company also acquired five parcels of land which are not reflected in the table above for approximately $8.3 million with the intent of building new facilities for existing operators.

 

For the year ended December 31, 2016, we recognized rental revenue of approximately $58.1 million and expensed approximately $9.6 million of acquisition related costs in connection with the aforementioned acquisitions. No goodwill was recorded in connection with these acquisitions.

 

2015 Acquisitions and Other

 

   Number of
Facilities
      Total
Investment
   Land  

Building & Site
Improvements

   Furniture
& Fixtures
   Initial
Annual
Cash
Yield (4)
 
Period  SNF   ALF   State  (in millions)   (%) 
Q1   1    -   TX  $6.8   $0.1   $6.1   $0.6    9.50 
Q3   6    -   NE   15.0    1.4    12.1    1.5    9.00 
Q3   1    2   WA   18.0    2.2    14.9    0.9    8.00 
Q3   -    2   GA   10.8    1.2    9.0    0.6    7.00 
Q3   1    -   VA   28.5(1)   1.9    24.2    2.4    9.25 
Q3   2    -   FL   32.0    1.4    29.0    1.6    9.00 
Q3   -    -   NY   111.7(2)(3)   111.7    -    -    - 
Q4   1    -   AZ   0.6(3)   0.3    0.3    -    9.00 
Q4   1    -   TX   5.3    1.8    3.0    0.5    9.50 
Total   13    4      $228.7   $122.0   $98.6   $8.1      

 

(1)In July 2015, we leased the facility to a new operator with an initial lease term of 10 years.
(2)On July 24, 2015, we purchased five buildings located in New York City, New York for approximately $111.7 million. We and our operator plan to construct a 215,000 square-foot assisted living and memory care facility. The properties were added to the operator’s existing master lease. The lease provides for a 5% annual cash yield on the land during the construction phase. Upon issuance of a certification of occupancy, the annual cash yield will increase to 7% in year one and 8% in year two with 2.5% annual escalators thereafter.
(3)Accounted for as an asset acquisition.
(4)The cash yield is based on the purchase price.

 

For the year ended December 31, 2015, we recognized rental revenue of approximately $4.9 million and expensed $2.2 million of acquisition related costs related to the aforementioned acquisitions. No goodwill was recorded in connection with these acquisitions.

 

Acquisition of Care Homes in the U.K.

 

On May 1, 2015, we closed on a purchase/leaseback Care Homes Transaction (the “Care Homes Transaction”) for 23 care homes located in the U.K. and operated by Healthcare Homes Holding Limited (“Healthcare Homes”). As part of the transaction, we acquired title to the 23 care homes with 1,018 registered beds and leased them to Healthcare Homes pursuant to a 12-year master lease agreement with an initial annual cash yield of 7%, and annual escalators of 2.5%. The care homes, comparable to ALFs in the U.S., are located throughout the East Anglia region (north of London) of the U.K. Healthcare Homes is headquartered in Colchester (Essex County), England. We recorded approximately $193.8 million of assets consisting of land ($20.7 million), building and site improvements ($152.1 million), furniture and fixtures ($5.3 million) and goodwill ($15.7 million). We also recorded an initial deferred tax liability associated with the temporary tax basis difference of approximately $15 million.

 

For the year ended December 31, 2015, we recognized approximately $9.5 million of rental revenue and expensed approximately $3.2 million of acquisition related costs associated with the Care Homes Transaction.

 

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Aviv Merger

 

On April 1, 2015, Omega completed the Aviv Merger, which was structured as a stock-for-stock merger. Under the terms of the Merger Agreement, each outstanding share of Aviv common stock was converted into 0.90 of a share of Omega Common Stock. In connection with the Aviv Merger, Omega issued approximately 43.7 million shares of Omega Common Stock to former Aviv stockholders. As a result of the Aviv Merger, Omega acquired 342 facilities, two facilities subject to direct financing leases, one medical office building, two mortgages and other investments. Omega also assumed certain outstanding equity awards and other debt and liabilities. Based on the closing price of Omega’s common stock on April 1, 2015, the fair value of the consideration exchanged was approximately $2.3 billion.

 

For the year ended December 31, 2015, we recognized approximately $188.4 million of total revenue and expensed approximately $52.1 million in acquisition and merger related costs in connection with the Aviv Merger.

 

Other investment notes settlement

 

In August 2017, we executed an agreement with an existing operator that terminated our purchase option buyout obligation of approximately $30.7 million. The purchase option buyout obligation was recorded in accrued expenses and other liabilities on our Consolidated Balance Sheets. In exchange, we agreed to the settlement of other investment notes with a weighted average interest rate of 10.5% and a carrying value of approximately $30.2 million.

 

Asset Sales, Impairments and Other

 

During the fourth quarter of 2017, we sold 32 facilities (two previously held for sale at September 30, 2017) subject to operating leases for approximately $188.0 million in net proceeds recognizing a gain on sale of approximately $46.4 million. In addition, we recorded impairments on real estate properties of approximately $63.5 million on 32 facilities (two were subsequently reclassified to held for sale). Of the $63.5 million impairment on real estate properties, $12.6 million related to one facility that was destroyed in a fire.

 

In 2017, we sold 52 facilities (14 previously held for sale at December 31, 2016) subject to operating leases for approximately $257.8 million in net proceeds recognizing a gain on sale of approximately $53.9 million. In addition, we recorded impairments on real estate properties of approximately $99.1 million on 37 facilities including approximately $2.6 million of capitalized costs associated with the termination of construction projects with two of our operators. The total net recorded investment in these properties after impairments and excluding facilities previously sold was approximately $125.1 million as of December 31, 2017, with approximately $7.7 million related to properties classified as held for sale.

 

Of the 52 facilities sold in 2017, the sale of ten of these facilities did not qualify for sale accounting under the full accrual method. The ten SNFs with a carrying value of approximately $23.2 million were sold to a third-party for approximately $43.3 million, resulting in a total gain of approximately $17.5 million after $2.6 million of closing costs. In connection with this sale, we provided the buyer a $10.0 million loan which is recorded in other investments on our Consolidated Balance Sheet. The loan which bears interest at 10% per annum requires principal payments of $5.0 million in December 2018, $2.0 million in December 2019 and $3.0 million in December 2020 and matures in December 2020. We recognized a net gain of approximately $7.5 million in 2017 and deferred $10.0 million of gain related to this sale. The $10.0 million of deferred gain is recorded as a reduction to our other investments on our Consolidated Balance Sheet.

 

In 2016, we sold 38 facilities (three previously held for sale at December 31, 2015) subject to operating leases for approximately $169.6 million in net proceeds recognizing a gain on sale of approximately $50.2 million. We recorded impairments on real estate properties of approximately $58.7 million on 29 facilities.

 

In 2015, we sold seven SNFs (three previously held for sale at December 31, 2014) subject to operating leases for total cash proceeds of approximately $41.5 million, generating a gain on sale of approximately $6.4 million. We also recorded impairments on real estate properties of approximately $17.7 million on six SNFs.

 

The 2017 and 2016 impairments were primarily the result of decisions to exit certain non-strategic facilities and/or operators. The 2015 impairments are primarily the result of closing facilities or updating the estimated proceeds we expected to receive for the sale of closed facilities at that time. We reduced the net book value of the impaired facilities to their estimated fair values or, with respect to the facilities reclassified to held for sale, to its estimated fair value less costs to sell. To estimate the fair value of the facilities, we utilized a market approach and Level 3 inputs (which generally consist of non-binding offers from unrelated third parties).

 

As of December 31, 2017, 22 facilities, totaling approximately $86.7 million are classified as assets held for sale. We expect to sell these facilities over the next twelve months.

 

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In 2017, we sold eight facilities subject to a direct financing lease, with a carrying value of approximately $36.4 million for approximately $33.3 million to unrelated third parties. These facilities were subject to direct financing lease with Orianna Health Systems (“Orianna”) in the Northwest region and the Southeast region. We recorded approximately $3.3 million of impairment related to these sales. In addition, we transitioned nine SNFs, representing all of the facilities subject to another direct financing lease with Orianna in the Texas region, to an existing operator of the Company pursuant to an operating lease. In connection with this transaction, we recorded the real estate properties at our original cost basis of approximately $19.0 million, eliminated our investment in the direct financing lease and recorded an impairment of approximately $1.8 million. In conjunction with this transaction, we also amended our Orianna Southeast region master lease to reduce the outstanding balance by $19.3 million. As a result of the amendment, we recorded impairment on our investment in direct financing lease of approximately $20.8 million.

 

Orianna has not satisfied the contractual payments due under the terms of the remaining two direct financing leases or the separate operating lease with the Company and the collectability of future amounts due is uncertain. The Company is in continuing discussions with Orianna regarding the Orianna portfolio. The outcome of such negotiations may include the sale of some facilities and transitioning certain facilities from Orianna to other operators.

 

In 2017, we recorded an allowance for loss on direct financing leases of $172.2 million with Orianna covering 38 facilities in the Southeast region of the U.S. The amount of the allowance was determined based on the fair value of the facilities subject to the direct financing lease. To estimate the fair value of the underlying collateral, we utilized an income approach and Level 3 inputs. Our estimate of fair value assumed annual rents ranging between $32.0 million and $38.0 million, rental yields between 9% and 10%, current and projected operating performance of the facilities, coverage ratios and bed values. Such assumptions are subject to change based on changes in market conditions and the ultimate resolution of this matter. Such changes could be significantly different than the currently estimated fair value and such differences could have a material impact on our financial statements.

 

The 38 facilities under our master leases with Orianna as of December 31, 2017 are located in seven states, predominantly in the southeastern U.S. (37 facilities) and Indiana (1 facility). Our recorded investment in these direct financing leases, net of the $172.2 million allowance, amounted to $337.7 million, as of December 31, 2017. We have not recognized any direct financing lease income from Orianna for the period from July 1, 2017 through December 31, 2017. For the year ended December 31, 2017, we recognized a total impairment of $198.2 million on direct financing leases.

 

As of December 31, 2017, 2016 and 2015, we do not have any material properties or operators with facilities that are not materially occupied.

 

At December 31, 2017, three of our operators were approximately 90 days or more past due on rent payments to the Company. Orianna has not paid rent to us since July 2017 and we have not recorded rental revenue related to Orianna since July 1, 2017.

 

A second operator, Signature Healthcare (“Signature”) has also fallen more than 90 days past due on rent, we believe primarily as a result of restrictions on their borrowing capacity and significant professional and general liability claims. A large majority of Signature’s past due rent is covered by a letter of credit in excess of $9.0 million and guarantees from the principals of Signature. Despite their current liquidity concerns, we believe we have a path to continue our long standing relationship with Signature under a long term consensual restructure outside of a court-involved restructuring that involves multiple third-party constituents (i.e., Sabra Heath Care REIT, Inc., the United States Department of Justice, and other third-party claimants). We are working towards finalizing a comprehensive settlement agreement amongst Signature and their three primary landlords which will effectively bifurcate each of the three portfolios into three distinct legal silos and separate virtually all legal obligations. As part of this agreement, Omega has agreed to defer certain rent payment obligations and provide for a working capital loan. While we cannot predict the final outcome with these third-party constituents, we are optimistic that an out of court restructure can be realized.

 

During the third quarter of 2017, we placed Daybreak Venture (“Daybreak”) on a cash basis for revenue recognition as a result of nonpayment. During the fourth quarter of 2017, we executed a Settlement and Forbearance Agreement with Daybreak which permitted Daybreak to defer payments up to 23% of their contractual rent for the remainder of 2017, subject to certain conditions. Payments have been made in accordance with the Settlement and Forbearance Agreement since execution with monthly rent returning to the full contractual amount in January 2018. We continue to monitor Daybreak’s operating performance and their compliance with the Settlement and Forbearance Agreement.

 

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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 audited consolidated financial statements and accompanying notes.

 

Year Ended December 31, 2017 compared to Year Ended December 31, 2016

 

Operating Revenues

 

Our operating revenues for the year ended December 31, 2017, were $908.4 million, an increase of $7.6 million over the same period in 2016. Following is a description of certain of the changes in operating revenues for the year ended December 31, 2017 compared to 2016:

 

·Rental income was $775.2 million, an increase of $31.3 million over the same period in 2016. The increase was primarily the result of facility acquisitions in the U.S. and the U.K. in 2016 and 2017 and lease amendments made throughout 2016 and 2017. These increases were offset by the loss of rental income from facility sales and placing one operator on a cash basis in 2017.

 

·Direct financing lease income was $32.3 million, a decrease of $30.0 million over the same period in 2016. The decrease was primarily related to placing Orianna on a cash basis effective July 1, 2017.

 

·Mortgage interest income totaled $66.2 million, a decrease of $3.6 million over the same period in 2016. The decrease was primarily due to mortgage loan payoffs, resulting in an $8.4 million reduction to interest income, offset by $4.8 million of incremental interest income from additional mortgage funding to our operators.

 

·Other investment income totaled $29.2 million, an increase of $7.4 million over the same period in 2016. The increase was primarily related to the issuance of new notes and additional funding to existing operators.

 

Operating Expenses

 

Operating expenses for the year ended December 31, 2017, were $647.1 million, an increase of approximately $256.0 million over the same period in 2016. Following is a description of certain of the changes in our operating expenses for the year ended December 31, 2017 compared to 2016:

 

·Our depreciation and amortization expense was $287.6 million for the year ended December 31, 2017, compared to $267.1 million for the same period in 2016. The increase of $20.5 million was primarily due to the acquisitions and the placement of assets in service during 2016 and 2017.

 

·Our general and administrative expense was $47.7 million, compared to $45.9 million for the same period in 2016. The increase is primarily related to professional service costs and stock based compensation expense.

 

·Acquisition costs decreased by $9.6 million. The $9.6 million decrease was primarily due to the capitalization of acquisition costs in 2017.

 

·In 2017, we recorded $99.1 million of impairments on real estate properties, compared to $58.7 million for the same period in 2016. The 2017 impairments primarily related to 37 facilities to reduce their net book value to their estimated fair value less costs to sell or fair value. In 2016, we recorded impairments on real estate properties of approximately $58.7 million on 29 facilities. The 2017 and 2016 impairments were primarily the result of decisions to exit certain non-strategic facilities and/or operators.

 

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·In 2017, we recorded $198.2 million of impairment loss on direct financing leases primarily resulting from (a) terminating Orianna’s Texas region lease, (b) selling Orianna’s Northwest region facilities and (c) the impairment of Orianna’s Southeast region lease.

 

·Our provision for uncollectible accounts was $14.6 million for 2017, compared to $9.8 million for the same period in 2016. The 2017 provision was primarily related to a $9.5 million reserve of contractual and straight line accounts receivable for Orianna and approximately $5.1 million related to other facilities that we intend to transition or sell. In 2016, we recorded a $5.6 million provision on three loans reducing their book value to the fair value of the underlying collateral. In addition, in 2016 we entered into agreements to transition 28 facilities from one of our former operators to a new existing operator. As a result of the transition, we wrote off approximately $3.4 million of straight line receivable from the former operator.

 

Other Income (Expense)

 

For the year ended December 31, 2017, total other expenses were $209.3 million, an increase of approximately $33.6 million over the same period in 2016. The $33.6 million increase was primarily the result of a $24.7 million increase in interest expense related to higher debt balances outstanding to fund new investments and higher blended borrowing costs, a $19.9 million increase in interest refinancing costs related to early extinguishment costs incurred in 2017 to redeem the $400 million 5.875% Senior Notes due 2024 and the write-off of deferred costs related to the 2014 credit facility, offset by a $10.4 million contractual settlement with an unrelated third party related to a contingent liability obligation that originated in 2012 that was resolved in the first quarter of 2017.

 

Gain on Assets Sold

 

For the year ended December 31, 2017, we recorded approximately $53.9 million of net gain on assets sold, as compared to $50.2 million for the same period in 2016. During 2017 and 2016, we sold 52 facilities and 38 facilities, respectively, as we continue to exit certain facilities, operator relationships and/or states.

 

2017 Taxes

 

Because we qualify as a REIT, we generally are not subject to federal income taxes on the REIT taxable income that we distribute to stockholders, subject to certain exceptions. For tax year 2017, we made common dividend payments of $502.6 million to satisfy REIT requirements relating to qualifying income. Subject to the limitation under the REIT asset test rules, we are permitted to own up to 100% of the stock of one or more taxable REIT subsidiaries (“TRSs”). We have elected for two of our subsidiaries to be treated as TRSs. One of our TRSs is subject to federal, state and local income taxes at the applicable corporate rates and the other is subject to foreign income taxes. As of December 31, 2017, one of our TRSs had a net operating loss carry-forward of approximately $5.4 million. The loss carry-forward is fully reserved as of December 31, 2017 with a valuation allowance due to uncertainties regarding realization.

 

For the year ended December 31, 2017, we recorded approximately $2.4 million of state and local income tax provision and approximately $0.8 million of tax provision for foreign income taxes.

 

National Association of Real Estate Investment Trusts Funds From Operations

 

Our funds from operations (“NAREIT FFO”), for the year ended December 31, 2017, was $444.3 million, compared to $660.1 million for the same period in 2016.

 

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”), and, consequently, NAREIT FFO is defined as net income (computed in accordance with generally accepted accounting principles (“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. Adjustments for unconsolidated partnerships and joint ventures are calculated to reflect funds from operations on the same basis. We believe that NAREIT FFO is an important supplemental measure of our operating performance. Because the historical cost accounting convention used for real estate assets requires depreciation (except on land), 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.

 

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NAREIT FFO is a non-GAAP financial measure. We use NAREIT FFO as one of several criteria to measure the operating performance of our business. 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 and between other REITs. 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, 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 years ended December 31, 2017 and 2016:

 

   Year Ended December 31, 
   2017   2016 
   (in thousands) 
Net income  $104,910   $383,367 
Deduct gain from real estate dispositions   (53,912)   (50,208)
    50,998    333,159 
Elimination of non-cash items included in net income:          
Depreciation and amortization   287,591    267,062 
Depreciation – unconsolidated joint venture   6,630    1,107 
Add back impairments on real estate properties   99,070    58,726 
NAREIT FFO (a)  $444,289   $660,054 

 

(a)Includes amounts allocated to Omega stockholders and Omega OP Unit holders.

 

Year Ended December 31, 2016 compared to Year Ended December 31, 2015

 

Operating Revenues

 

Our operating revenues for the year ended December 31, 2016, were $900.8 million, an increase of $157.2 million over the same period in 2015. Following is a description of certain of the changes in operating revenues for the year ended December 31, 2016 compared to 2015:

 

·Rental income was $743.9 million, an increase of $137.9 million over the same period in 2015. The increase was the result of the Aviv Merger and Care Homes Transaction and other acquisitions and lease amendments made throughout 2015 and 2016.

 

·Direct financing lease income was $62.3 million, an increase of $2.4 million over the same period in 2015. The increase was primarily related to the full year impact of two direct financing leases assumed in the Aviv Merger and incremental revenue associated with the New Ark direct financing lease.

 

·Mortgage interest income totaled $69.8 million, an increase of $0.9 million over the same period in 2015. The increase was primarily due to a net gain of approximately $5.4 million resulting from an operator repaying certain mortgage notes and $2.3 million of incremental interest income due to additional funding to existing operators, offset by a reduction of approximately $6.9 million of interest income resulting from mortgage loan payoffs.

 

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·Other investment income totaled $21.9 million, an increase of $14.3 million over the same period in 2015. The increase was primarily related to the issuance of new notes and additional funding to existing operators.

 

Operating Expenses

 

Operating expenses for the year ended December 31, 2016, were $391.1 million, an increase of approximately $58.7 million over the same period in 2015. Following is a description of certain of the changes in our operating expenses for the year ended December 31, 2016 compared to 2015:

 

·Our depreciation and amortization expense was $267.1 million for the year ended December 31, 2016, compared to $210.7 million for the same period in 2015. The increase of $56.4 million was primarily due to the acquisitions made throughout 2015 and 2016.

 

·Our general and administrative expense was $45.9 million, compared to $38.6 million for the same period in 2015. The increase is primarily related to additional employees resulting from the Aviv Merger and professional service costs.

 

·In 2016, acquisition and merger related costs were $9.6 million, compared to $57.5 million for the same period in 2015. The $47.9 million decrease was primarily the result of the Aviv Merger in April 2015 and Care Homes Transaction in May 2015.

 

·In 2016, we recorded $58.7 million of provisions for impairment, compared to $17.7 million for the same period in 2015. The 2016 impairments related to 29 facilities to reduce their net book value to their estimated fair value less costs to sell. In 2015, we impaired six SNFs and recorded a $17.7 million provision for impairment related to these facilities.

 

·Our provision for uncollectible mortgages, notes and accounts receivable was $9.8 million, compared to $7.9 million for the same period in 2015. In 2016, we recorded a $5.6 million provision on three loans reducing their book value to the fair value of the underlying collateral. In addition, we entered into agreements to transition 28 facilities from one of our former operators to a new existing operator. As a result of the transition, we wrote off approximately $3.4 million of straight line receivable from the former operator. In 2015, we wrote-off $4.7 million of straight line receivable and effective interest balances associated with four leases and three mortgages with an existing operator. We transitioned the facilities to a new operator in January 2016. We also recorded a $3.0 million provision for a note that we impaired in 2015.

 

Other Income (Expense)

 

For the year ended December 31, 2016, total other expenses were $175.6 million, a decrease of approximately $7.5 million over the same period in 2015. The $7.5 million decrease was primarily the result of a $26.7 million decrease in interest refinancing charges related to the prepayment of debt in 2015. The decrease was offset by a $16.7 million increase in interest expense primarily due to an increase in borrowings outstanding to fund new investments and a $2.4 million increase in interest – amortization of deferred financing cost.

 

2016 Taxes

 

Because we qualify as a REIT, we generally are not subject to federal income taxes on the REIT taxable income that we distribute to stockholders, subject to certain exceptions. For tax year 2016, we made common dividend payments of $453.2 million to satisfy REIT requirements relating to qualifying income. Subject to the limitation under the REIT asset test rules, we are permitted to own up to 100% of the stock of one or more taxable REIT subsidiaries (“TRSs”). We have elected for two of our subsidiaries to be treated as TRSs. One of our TRSs is subject to federal, state and local income taxes at the applicable corporate rates and the other is subject to foreign income taxes. As of December 31, 2016, one of our TRSs had a net operating loss carry-forward of approximately $0.7 million. The loss carry-forward is fully reserved as of December 31, 2016 with a valuation allowance due to uncertainties regarding realization.

 

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During the year ended December 31, 2016, we recorded approximately $3.3 million of federal, state and local income tax provision and approximately $1.9 million of tax benefit for foreign income taxes.

 

Omega OP

 

The difference between the above descriptions of the changes in operating revenues, operating expenses, other income (expense) and taxes for the year ended December 31, 2016 compared to the period ended December 31, 2015 relates to the Aviv Merger on April 1, 2015. Prior to the Aviv Merger on April 1, 2015, Omega OP had no substantive assets or operating activities. Accordingly, the period ended December 31, 2015 financial statements include nine months of operating activity as compared to twelve months in 2016.

 

National Association of Real Estate Investment Trusts Funds From Operations

 

Our NAREIT FFO, for the year ended December 31, 2016, was $660.1 million, compared to $455.3 million for the same period in 2015.

 

The following table presents our NAREIT FFO results for the years ended December 31, 2016 and 2015:

 

   Year Ended December 31, 
   2016   2015 
   (in thousands) 
Net income  $383,367   $233,315 
Deduct gain from real estate dispositions   (50,208)   (6,353)
    333,159    226,962 
Elimination of non-cash items included in net income:          
Depreciation and amortization   267,062    210,703 
Depreciation – unconsolidated joint venture   1,107     
Add back impairments on real estate properties   58,726    17,681 
NAREIT FFO (a)  $660,054   $455,346 

 

(a)Includes amounts allocated to Omega stockholders and Omega OP Unit holders.

 

Liquidity and Capital Resources

 

At December 31, 2017, we had total assets of $8.8 billion, total equity of $3.9 billion and debt of $4.6 billion, with such debt representing approximately 54.0% of total capitalization.

 

The following table shows the amounts due in connection with the contractual obligations described below as of December 31, 2017:

 

   Payments due by period 
   Total   Less than
1 year
   Years 2-3   Years 4-5   More than
5 years
 
   (in thousands) 
Debt(1)  $4,625,296   $2,828   $2,781   $1,223,087   $3,396,600 
Interest payments on long-term debt   1,485,671    203,964    393,145    370,402    518,160 
Operating lease and other obligations   8,250    895    1,815    1,906    3,634 
Total  $6,119,217   $207,687   $397,741   $1,595,395   $3,918,394 

 

(1)The $4.6 billion of debt outstanding includes: (i) $290.0 million in borrowings under the Revolving Credit Facility due in May 2021; (ii) $135.1 million under the £100 million British Pound Sterling Term Loan Facility due May 2022; (iii) $100 million under the Omega OP Term Loan Facility due May 2022; (iv) $250 million under the 2015 Term Loan Facility due December 2022; (v) $425 million under the U.S. Term Loan Facility due May 2022; (vi) $400 million of 4.50% Senior Notes due January 2025; (vii) $400 million of 4.95% Senior Notes due April 2024; (viii) $550 million of 4.75% Senior Notes due January 2028; (ix) $600 million of 5.25% Senior Notes due January 2026; (x) $700 million of 4.375% Senior Notes due August 2023; (xi) $700 million of 4.50% Senior Notes due April 2027; (xii) $20 million of 9.0% per annum subordinated debt maturing in December 2021 and (xiii) $53.7 million of U.S. Department of Housing and Urban Development (“HUD”) debt at 3.06% per annum maturing in July 2044. Other than the $100 million outstanding under the Omega OP Term Loan Facility and the $53.7 million of HUD debt issued by subsidiaries of Omega OP, the Parent is the obligor of all outstanding debt.

 

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Financing Activities and Borrowing Arrangements

 

2017 Omega Credit Facilities

 

On May 25, 2017, we entered into a credit agreement (the “2017 Omega Credit Agreement”) providing us with a new $1.8 billion senior unsecured revolving and term loan credit facility, consisting of a $1.25 billion senior unsecured multicurrency revolving credit facility (the “Revolving Credit Facility”), a $425 million senior unsecured U.S. Dollar term loan facility (the “U.S. Term Loan Facility”), and a £100 million senior unsecured British Pound Sterling term loan facility (the “Sterling Term Loan Facility” and, together with the 2017 Revolving Credit Facility and the U.S. Term Loan Facility, collectively, the “2017 Omega Credit Facilities”). The 2017 Omega Credit Agreement contains an accordion feature permitting us, subject to compliance with customary conditions, to increase the maximum aggregate commitments under the 2017 Omega Credit Facilities to $2.5 billion.

 

The 2017 Omega Credit Facilities replace the previous $1.25 billion senior unsecured 2014 revolving credit facility, the previous $200 million Tranche A-1 senior unsecured term loan facility, and the previous $350 million Tranche A-3 senior unsecured incremental term loan facility established under our 2014 credit agreement, which has been terminated (the “2014 Omega Credit Agreement”). We had previously repaid and terminated the $200 million Tranche A-2 senior unsecured term loan facility established under the 2014 Omega Credit Agreement, with proceeds from our $550 million and $150 million unsecured senior notes issued in April 2017.

 

The Revolving Credit Facility bears interest at LIBOR plus an applicable percentage (with a range of 100 to 195 basis points) based on our ratings from Standard & Poor’s, Moody’s and/or Fitch Ratings. The Revolving Credit Facility matures on May 25, 2021, subject to an option by us to extend such maturity date for two, six month periods. The 2017 Omega Credit Agreement provides for the Revolving Credit Facility to be drawn in Euros, British Pounds Sterling, Canadian Dollars (collectively, “Alternative Currencies”) or U.S. Dollars, with a $900 million tranche available in U.S. Dollars and a $350 million tranche available in U.S. Dollars or Alternative Currencies. For purposes of the 2017 Omega Credit Facilities, references to LIBOR include the Canadian dealer offered rates for amounts offered in Canadian Dollars and any other Alternative Currency rate approved in accordance with the terms of the 2017 Omega Credit Agreement for amounts offered in any other non-London interbank offered rate quoted currency, as applicable. As of December 31, 2017, $290.0 million remains outstanding on the Revolving Credit Facility.

 

The U.S. Term Loan Facility and the Sterling Term Loan Facility bear interest at LIBOR plus an applicable percentage (with a range of 90 to 190 basis points) based on our ratings from Standard & Poor’s, Moody’s and/or Fitch Ratings. The U.S. Term Loan Facility and the Sterling Term Loan Facility each mature on May 25, 2022. As of December 31, 2017, we had $425.0 million in borrowings outstanding under the U.S. Term Loan Facility, and £100.0 million (equivalent to $135.1 million in U.S. dollars) in borrowings outstanding under the Sterling Term Loan Facility.

 

We recorded a non-cash charge of approximately $5.5 million relating to the write-off of deferred financing costs associated with the termination of the 2014 Omega Credit Agreement.

 

2017 Omega OP Term Loan Facility

 

On May 25, 2017, Omega OP entered into a credit agreement (the “2017 Omega OP Credit Agreement”) providing it with a new $100 million senior unsecured term loan facility (the “2017 Omega OP Term Loan Facility”). The 2017 Omega OP Credit Agreement replaces the $100 million senior unsecured term loan facility obtained in 2015 (the “2015 Omega OP Term Loan Facility”) and the related credit agreement (the “2015 Omega OP Credit Agreement”). The 2017 Omega OP Term Loan Facility bears interest at LIBOR plus an applicable percentage (with a range of 90 to 190 basis points) based on our ratings from Standard & Poor’s, Moody’s and/or Fitch Ratings. The 2017 Omega OP Term Loan Facility matures on May 25, 2022. As of December 31, 2017, $100 million in borrowings remains outstanding on the 2017 Omega OP Term Loan Facility. Among other things, proceeds from borrowings under the 2017 Omega OP Term Loan Facility were used to refinance existing indebtedness.

 

Omega OP’s obligations in connection with the 2017 Omega OP Term Loan Facility are not currently guaranteed, but will be jointly and severally guaranteed by any domestic subsidiary of Omega OP that provides a guaranty of any unsecured indebtedness of Omega or Omega OP for borrowed money evidenced by bonds, debentures, notes or other similar instruments in an amount of at least $50 million individually or in the aggregate.

 

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Amended 2015 Term Loan Facility

 

On May 25, 2017, Omega entered into an amended and restated credit agreement (the “Amended 2015 Credit Agreement”), which amended and restated our previous $250 million senior unsecured term loan facility (the “Amended 2015 Term Loan Facility”). The Amended 2015 Term Loan Facility bears interest at LIBOR plus an applicable percentage (with a range of 140 to 235 basis points) based on our ratings from Standard & Poor’s, Moody’s and/or Fitch Ratings. As of December 31, 2017, $250 million remains outstanding on the Amended 2015 Term Loan Facility. The Amended 2015 Term Loan Facility continues to mature on December 16, 2022. The Amended 2015 Credit Agreement permits us, subject to compliance with customary conditions, to add one or more incremental tranches to the Amended 2015 Term Loan Facility in an aggregate principal amount not exceeding $150 million.

 

Omega’s obligations under the 2017 Omega Credit Facilities and the Amended 2015 Term Loan Facility are jointly and severally guaranteed by Omega OP and any domestic subsidiary of Omega that provides a guaranty of any unsecured indebtedness of Omega for borrowed money evidenced by bonds, debentures, notes or other similar instruments in an amount of at least $50 million individually or in the aggregate.

 

As a result of exposure to interest rate movements associated with the Amended 2015 Term Loan Facility, on December 16, 2015, we entered into various forward-starting interest rate swap arrangements, which effectively converted $250 million of our variable-rate debt based on one-month LIBOR to an aggregate fixed rate of approximately 3.8005% effective December 30, 2016. The effective fixed rate achieved by the combination of the Amended 2015 Term Loan Facility and the interest rate swaps could fluctuate up by 55 basis points or down by 40 basis points based on future changes to our credit ratings. Each of these swaps began on December 30, 2016 and mature on December 15, 2022. On the date of inception, we designated the interest rate swaps as cash flow hedges in accordance with accounting guidance for derivatives and hedges and linked the interest rate swaps to the Amended 2015 Term Loan Facility. Because the critical terms of the interest rate swaps and Amended 2015 Term Loan Facility coincided, the hedges are expected to exactly offset changes in expected cash flows as a result of fluctuations in 1-month LIBOR over the term of the hedges. The purpose of entering into the swaps was to reduce our exposure to future changes in variable interest rates. The interest rate swaps settle on a monthly basis when interest payments are made. These settlements will occur through the maturity date of the Amended 2015 Term Loan Facility. The interest rate for the Amended 2015 Term Loan Facility was not hedged for the portion of the term prior to December 30, 2016.

 

$550 Million 4.75% Senior Notes and additional $150 Million 4.50% Senior Notes

 

On April 4, 2017, Omega issued (i) $550 million aggregate principal amount of our 4.75% Senior Notes due 2028 (the “2028 Notes”) and (ii) an additional $150 million aggregate principal amount of our existing 4.50% Senior Notes due 2025 (the “Additional 2025 Notes”, and together with the 2028 Notes collectively, the “Notes”). The Additional 2025 Notes were an add-on issuance to our existing $250 million aggregate principal amount 4.50% Senior Notes due 2025 issued on September 11, 2014 (the “Original 2025 Notes,” and together with the Additional 2025 Notes, the “2025 Notes”). The 2028 Notes mature on January 15, 2028 and the 2025 Notes mature on January 15, 2025.

 

The 2028 Notes were sold at an issue price of 98.978% of their face value before the underwriters’ discount and the Additional 2025 Notes were sold at an issue price of 99.540% of their face value before the underwriters’ discount. Our net proceeds from the Notes offering, after deducting underwriting discounts and expenses, were approximately $690.7 million. The net proceeds from the Notes offering were used to (i) redeem all of our outstanding $400 million aggregate principal amount of 5.875% Senior Notes due 2024 (the “5.875% Notes”) on April 28, 2017, (ii) prepay the $200 million Tranche A-2 Term Loan Facility on April 5, 2017 that otherwise would have become due on June 27, 2017, and (iii) repay outstanding borrowings under our revolving credit facility.

 

Redemption of $400 Million 5.875% Senior Notes due 2024

 

On April 28, 2017, we redeemed all of our outstanding 5.875% Notes. As a result of the redemption, during the second quarter of 2017, we recorded approximately $16.5 million in redemption related costs and write-offs, including $11.8 million for the call premium and $4.7 million in net write-offs associated with unamortized deferred financing costs.

 

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$500 Million Equity Shelf Program

 

On September 3, 2015, we entered into separate Equity Distribution Agreements (collectively, the “Equity Shelf Agreements”) to sell shares of our common stock having an aggregate gross sales price of up to $500 million (the “2015 Equity Shelf Program”) with several financial institutions, each as a sales agent and/or principal (collectively, the “Managers”). Under the terms of the Equity Shelf Agreements, we may sell shares of our common stock, from time to time, through or to the Managers having an aggregate gross sales price of up to $500 million. Sales of the shares, if any, will be made by means of ordinary brokers’ transactions on the New York Stock Exchange at market prices, or as otherwise agreed with the applicable Manager. We will pay each Manager compensation for sales of the shares equal to 2% of the gross sales price per share for shares sold through such Manager under the applicable Equity Shelf Agreement.

 

For the year ended December 31, 2015, we did not issue any shares under the 2015 Equity Shelf Program. For the year ended December 31, 2016, we issued approximately 0.7 million shares under the 2015 Equity Shelf Program, at an average price of $29.97 per share, net of issuance costs, generating net proceeds of approximately $19.7 million. For the year ended December 31, 2017, we issued approximately 0.7 million shares under the 2015 Equity Shelf Program, at an average price of $30.81 per share, net of issuance costs, generating net proceeds of approximately $22.1 million.

 

Dividends

 

In order to qualify 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 do distribute at least 90%, but less than 100% of our “REIT taxable income” as adjusted, we will be subject to tax thereon at regular ordinary and capital gain corporate tax rates.

 

In 2017, we paid dividends of $502.6 million to our common stockholders.

 

Common Dividends

 

The Board of Directors has declared common stock dividends as set forth below:

 

Record Date  Payment Date  Dividend per
 Common Share
   Increase over
 Prior Quarter
 
January 31, 2017  February 15, 2017  $0.62   $0.01 
May 1, 2017  May 15, 2017   0.63    0.01 
August 1, 2017  August 15, 2017   0.64    0.01 
October 31, 2017  November 15, 2017   0.65    0.01 
January 31, 2018  February 15, 2018   0.66    0.01 

 

On the same dates listed above, the Omega OP Unit holders received the same distributions per unit as those paid to the common stockholders of Omega.

 

Liquidity

 

We believe our liquidity and various sources of available capital, including cash from operations, our existing availability under our Omega Credit Facilities, as amended and expected proceeds from mortgage payoffs are adequate to finance operations, meet recurring debt service requirements and fund future investments through the next twelve months.

 

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We regularly review our liquidity needs, the adequacy of cash flow from operations, and other expected liquidity sources to meet these needs. We believe our principal short-term liquidity needs are to fund:

 

·normal recurring expenses;
·debt service payments;
·capital improvement programs;
·common stock dividends; and
·growth through acquisitions of additional properties.

 

The primary source of liquidity is our cash flows from operations. Operating cash flows have historically been determined by: (i) the number of facilities we lease or have mortgages on; (ii) rental and mortgage rates; (iii) our debt service obligations; (iv) general and administrative expenses and (v) our operators’ ability to pay amounts owed. The timing, source and amount of cash flows provided by or used in financing activities and in investing activities are sensitive to the capital markets environment, especially to changes in interest rates. Changes in the capital markets environment may impact the availability of cost-effective capital and affect our plans for acquisition and disposition activity.

 

Cash, cash equivalents and restricted cash totaled $96.8 million as of December 31, 2017, a decrease of $10.5 million as compared to the balance at December 31, 2016. The following is a discussion of changes in cash, cash equivalents and restricted cash due to operating, investing and financing activities, which are presented in our Consolidated Statements of Cash Flows.

 

Operating Activities – Operating activities generated $577.9 million of net cash flow for the year ended December 31, 2017, as compared to $624.8 million for the same period in 2016, a decrease of $46.9 million which is primarily due to an increase in contractual receivables from three operators.

 

Investing Activities – Net cash flow from investing activities was an outflow of $285.1 million for the year ended December 31, 2017, as compared to an outflow of $1.1 billion for the same period in 2016. The $828.8 million change in cash flow from investing activities was primarily related to (i) a $574.3 million reduction in real estate acquisitions, (ii) a $131.4 million reduction in other investments – net primarily related to funding fewer other investments in 2017, (iii) a $50.0 million reduction of investments in our unconsolidated joint venture in 2017 and a $10.9 million increase in distributions received from our unconsolidated joint venture, (iv) $28.2 million of net cash inflows related to our direct financing leases due to the sale of facilities and (v) an $88.2 million increase in proceeds from sale of real estate properties. Offsetting these changes were: (i) a $44.4 million net decrease in mortgages primarily related to the repayment of certain mortgages in 2016 and (ii) a $17.7 million increase in investments in construction in progress in 2017, as compared to the same period in 2016.

 

Financing Activities – Net cash flow from financing activities was an outflow of $303.8 million for the year ended December 31, 2017, as compared to an inflow of $576.3 million for the same period in 2016. The $880.1 million change in cash flow from financing activities was primarily related to (i) a net decrease of $773.0 million from long-term borrowings, (ii) a decrease in proceeds of $203.3 million from our dividend reinvestment plan in 2017, as compared to the same period in 2016, (iii) an increase of $49.5 million in dividends paid and (iv) an increase of $17.4 million in financing related costs in 2017, as compared to the same period in 2016. Offsetting these changes were: (i) a net increase in cash provided by our credit facility of $140.0 million and (ii) a $21.3 million decrease in payments for exercised options and restricted stock in 2017, as compared to the same period in 2016.

 

Critical Accounting Policies and Estimates

 

The preparation of financial statements in conformity with generally accepted accounting principles (“GAAP”) in the United States requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, the disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Our significant accounting policies are described in “Note 2 – Summary of Significant Accounting Policies.” These policies were followed in preparing the consolidated financial statements for all periods presented. Actual results could differ from those estimates.

 

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We have identified four significant accounting policies that we believe are critical accounting policies. These critical accounting policies are those that have the most impact on the reporting of our financial condition and those requiring significant assumptions, judgments and estimates. With respect to these critical accounting policies, we believe the application of judgments and assessments is consistently applied and produces financial information that fairly presents the results of operations for all periods presented. The four critical accounting policies are:

 

Lease Accounting

 

At the inception of the lease and during the amendment process, we evaluate each lease to determine if the lease should be considered an operating lease, a sales-type lease or direct financing lease. As of December 31, 2017, we have determined that all but five of our leases should be accounted for as operating leases. The other five leases are accounted for as direct financing leases.

 

For leases accounted for as operating leases, we retain ownership of the asset and record depreciation expense. We also record lease revenue based on the contractual terms of the operating lease agreement which often includes annual rent escalators, see “Revenue Recognition and Allowance for Doubtful Accounts” below for further discussion regarding the recordation of revenue on our operating leases.

 

For leases accounted for as direct financing leases, we record the present value of the future minimum lease payments (utilizing a constant interest rate over the term of the lease agreement) as a receivable and record interest income based on the contractual terms of the lease agreement. Certain direct financing leases include annual rent escalators; see “Revenue Recognition and Allowance for Doubtful Accounts” below for further discussion regarding the recording of interest income on our direct financing leases. As of December 31, 2017, we fully reserved $2.9 million of unamortized direct costs related to originating our direct financing leases. As of December 31, 2016, we have $3.3 million of unamortized direct costs related to originating our direct financing leases recorded on our Consolidated Balance Sheet.

 

Revenue Recognition and Allowance for Doubtful Accounts

 

We have various different investments that generate revenue, including leased and mortgaged properties, as well as, other investments, including working capital loans. We recognized rental income and mortgage interest income and other investment income as earned over the terms of the related leases and notes, respectively. Interest income is recorded on an accrual basis to the extent that such amounts are expected to be collected using the effective interest method. In applying the effective interest method, the effective yield on a loan is determined based on its contractual payment terms, adjusted for prepayment terms.

 

Substantially all of our leases contain provisions for specified annual increases over the rents of the prior year and are generally computed in one of three methods depending on specific provisions of each lease as follows: (i) a specific annual increase over the prior year’s rent, generally between 2.0% and 3.0%; (ii) an increase based on the change in pre-determined formulas from year to year (i.e., such as increases in the Consumer Price Index); or (iii) specific dollar increases over prior years. Revenue under lease arrangements with minimum fixed and determinable increases is recognized over the non-cancellable term of the lease on a straight-line basis. The authoritative guidance does not provide for the recognition of contingent revenue until all possible contingencies have been eliminated. We consider the operating history of the lessee, the payment history, the general condition of the industry and various other factors when evaluating whether all possible contingencies have been eliminated.

 

In the case of rental revenue recognized on a straight-line basis, we generally record reserves against earned revenues from leases when collection becomes questionable or when negotiations for restructurings of troubled operators result in significant uncertainty regarding ultimate collection. The amount of the reserve is estimated based on what management believes will likely be collected. We continually evaluate the collectability of our straight-line rent assets. If it appears that we will not collect future rent due under our leases, we will record a provision for loss related to the straight-line rent asset.

 

We record direct financing lease income on a constant interest rate basis over the term of the lease. The costs related to originating the direct financing leases have been deferred and are being amortized on a straight-line basis as a reduction to income from direct financing leases over the term of the direct financing leases. Allowances are provided against earned revenues from direct financing leases when collection of amounts due becomes questionable or when negotiations for restructurings of troubled operators lead to lower expectations regarding ultimate collection.

 

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Mortgage interest income and other investment income is recognized as earned over the terms of the related mortgage notes or other investment, typically using the effective yield method. Allowances are provided against earned revenues from mortgage interest or other investments when collection of amounts due becomes questionable or when negotiations for restructurings of troubled operators lead to lower expectations regarding ultimate collection.

 

We review our accounts receivable to determine their collectability. The determination of collectability of these assets requires significant judgment and is affected by several factors relating to the credit quality of our operators that we regularly monitor, including (i) payment history, (ii) the age of the contractual receivables, (iii) the current economic conditions and reimbursement environment, (iv) the ability of the tenant to perform under the terms of their lease and/or contractual loan agreements and (v) the value of the underlying collateral of the agreement. If we determine collectability of any of our contractual receivables is at risk, we estimate the potential uncollectible amounts and provide an allowance. In the case of a lease recognized on a straight-line basis, a mortgage recognized on an effective yield basis or the existence of lease inducements, we generally provide an allowance for straight-line, effective interest, and or lease inducement accounts receivable when certain conditions or indicators of adverse collectability are present. If the accounts receivable balance is subsequently deemed uncollectible, the receivable and allowance for doubtful account balance are written off.

 

Gains on sales of real estate assets are recognized in accordance with the authoritative guidance for sales of real estate. The specific timing of the recognition of the sale and the related gain is measured against the various criteria in the guidance related to the terms of the transactions and any continuing involvement associated with the assets sold. To the extent the sales criteria are not met, we defer gain recognition until the sales criteria are met.

 

Depreciation and Real Estate Investment Impairment

 

Under GAAP, real estate assets are stated at the lower of depreciated cost or fair value, if deemed impaired. Depreciation is computed on a straight-line basis over the estimated useful lives of 20 to 40 years for buildings, eight to 15 years for site improvements and three to ten years for furniture, fixtures and equipment.

 

Management evaluates our real estate investments for impairment indicators at each reporting period, including the evaluation of our assets’ useful lives. The judgment regarding the existence of impairment indicators is based on factors such as, but not limited to, market conditions, operator performance including the current payment status of contractual obligations and expectations of the ability to meet future contractual obligations, legal structure, as well as our intent with respect to holding or disposing of the asset. If indicators of impairment are present, management evaluates the carrying value of the related real estate investments in relation to management’s estimate of future undiscounted cash flows of the underlying facilities. The estimated future undiscounted cash flows are generally based on the related lease which relates to one or more properties and may include cash flows from the eventual disposition of the asset. In some instances, there may be various potential outcomes for a real estate investment and its potential future cash flows. In these instances, the undiscounted future cash flows used to assess the recoverability are probability-weighted based on management’s best estimates as of the date of evaluation. Provisions for impairment losses related to long-lived assets are recognized when expected future undiscounted cash flows based on our intended use of the property are determined to be less than the carrying values of the assets. An adjustment is made to the net carrying value of the real estate investments for the excess of carrying value over fair value. The fair value of the real estate investment is determined based on current market conditions and consider matters such as rental rates and occupancies for comparable properties, recent sales data for comparable properties, and, where applicable, contracts or the results of negotiations with purchasers or prospective purchasers. Additionally, our evaluation of fair value may consider valuing the property as a nursing home as well as alternative uses. All impairments are taken as a period cost at that time, and depreciation is adjusted going forward to reflect the new value assigned to the asset. Management’s impairment evaluation process, and when applicable, impairment calculations involve estimation of the future cash flows from management’s intended use of the property as well as the fair value of the property. Changes in the facts and circumstances that drive management’s assumptions may result in an impairment of the Company’s assets in a future period that could be material to the Company’s results of operations.

 

For the years ended December 31, 2017, 2016 and 2015, we recognized impairment losses on real estate investments of $99.1 million, $58.7 million and $17.7 million, respectively.

 

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Allowance for Losses on Mortgages, Other Investments and Direct Financing Leases

 

The allowances for losses on mortgage notes receivable, other investments and direct financing leases (collectively, our “loans”) are maintained at a level believed adequate to absorb potential losses. The determination of the allowances is based on a quarterly evaluation of these loans, including general economic conditions and estimated collectability of loan payments. We evaluate the collectability of our loans receivable based on a combination of factors, including, but not limited to, delinquency status, financial strength of the borrower and guarantors and the value of the underlying collateral. If such factors indicate that there is greater risk of loan charge-offs, additional allowances or placement on non-accrual status may be required. A loan is impaired when, based on current information and events, it is probable that we will be unable to collect all amounts due as scheduled according to the contractual terms of the loan agreements. Consistent with this definition, all loans on non-accrual status may be deemed impaired. To the extent circumstances improve and the risk of collectability is diminished, we will return these loans to full accrual status. When management identifies potential loan impairment indicators, the loan is written down to the present value of the expected future cash flows. In cases where expected future cash flows are not readily determinable, the loan is written down to the fair value of the underlying collateral. We may base our valuation on a loan’s observable market price, if any, or the fair value of collateral, net of sales costs, if the repayment of the loan is expected to be provided solely by the sale of the collateral.

 

We currently account for impaired loans and direct financing leases using (a) the cost-recovery method, and/or (b) the cash basis method. We generally utilize the cost recovery method for impaired loans or direct financing leases for which impairment reserves were recorded. We utilize the cash basis method for impairment loans or direct financing leases for which no impairment reserves were recorded because the net present value of the discounted cash flows expected under the loan or direct financing lease and or the underlying collateral supporting the loan or direct financing lease were equal to or exceeded the book value of the loans or direct financing leases. Under the cost recovery method, we apply cash received against the outstanding loan balance or direct financing leases prior to recording interest income. Under the cash basis method, we apply cash received to principal or interest income based on the terms of the agreement. As of December 31, 2017 and 2016, we had $177.5 million and $8.7 million, respectively, of reserves on our loans.

 

Item 7A - 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. We do not enter into derivatives or other financial instruments for trading or speculative purposes, but we seek to mitigate the effects of fluctuations in interest rates by matching the term of new investments with new long-term fixed rate borrowings to the extent possible.

 

The following disclosures of estimated fair value of financial instruments 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, Reimbursement Issues and Other Factors Affecting Future Results” 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.

 

Mortgage notes receivable - The fair value of mortgage notes receivable is estimated by discounting the future cash flows using the current rates at which similar loans would be made to borrowers with similar credit ratings and for the same remaining maturities.

 

Direct financing leases - The fair value of the investments in direct financing leases are estimated using a discounted cash flow analysis, using interest rates being offered for similar leases to borrowers with similar credit ratings. In addition, the Company may estimate the fair value of its investment based on the estimated fair value of the collateral using a market approach or an income approach which considers inputs such as, current and projected operating performance of the facilities, projected rent, prevailing capitalization rates and/or coverages and bed values.

 

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Other investments - The fair value of other investments is estimated by discounting the future cash flows using the current rates at which similar loans would be made to borrowers with similar credit ratings and for the same remaining maturities.

 

Borrowings under variable rate agreements - Our variable rate debt as of December 31, 2017 includes our credit facilities and term loans. The fair value of our borrowings under variable rate agreements is estimated using an expected present value technique based on expected cash flows discounted using the current credit-adjusted risk-free rate.

 

Senior unsecured notes -The fair value of the senior unsecured notes is estimated based on open market trading activity provided by third parties.

 

The market value of our long-term fixed rate borrowings and mortgages is subject to interest rate risks. Generally, the market value of fixed rate financial instruments will decrease as interest rates rise and increase as interest rates fall. The estimated fair value of our total long-term borrowings at December 31, 2017 was approximately $4.7 billion. A one percent increase in interest rates would result in a decrease in the fair value of long-term borrowings by approximately $269.5 million at December 31, 2017.

 

We may enter into certain types of derivative financial instruments to further reduce interest rate risk. We use interest rate swap agreements, for example, to convert some of our variable rate debt to a fixed-rate basis or to hedge anticipated financing transactions. We use derivatives for hedging purposes rather than speculation and do not enter into financial instruments for trading purposes. We entered into interest rate swap agreements that effectively fix the interest rate on the Amended 2015 Term Loan Facility at 3.8005% per annum beginning December 30, 2016 through its maturity date and extension options, subject to adjustments based on our consolidated leverage ratio. At December 31, 2017, $1.5 million of qualifying cash flow hedges were recorded at fair value in other assets and at December 31, 2016, $1.5 million of qualifying cash flow hedges were recorded at fair value in accrued expenses and other liabilities on our Consolidated Balance Sheets. The forward-starting swap contract was deemed to be a highly effective cash flow hedge and we elected to designate the forward-starting swap contract as an accounting hedge.

 

Item 8 - Financial Statements and Supplementary Data

 

The consolidated financial statements and the report of Ernst & Young LLP, Independent Registered Public Accounting Firm, on such financial statements are filed as part of this report beginning on page F-1. The summary of unaudited quarterly results of operations for the years ended December 31, 2017 and 2016 is included in “Note 21 – Summary of Quarterly Results (Unaudited)” to our audited consolidated financial statements, which is incorporated herein by reference in response to Item 302 of Regulation S-K.

 

Item 9 - Changes in and Disagreements with Accountants on Accounting and Financial Disclosure

 

None.

 

Item 9A - Controls and Procedures

 

Evaluation of Disclosure Controls and Procedures

 

Disclosure controls and procedures (as defined in Rule 13a-15(e) under the Exchange Act are controls and other procedures of an issuer that are designed to ensure that information required to be disclosed by the issuer in the reports that it files or submits under the Exchange Act is recorded, processed, summarized and reported, within the time periods specified in the SEC’s rules and forms. Disclosure controls and procedures include, without limitation, controls and procedures designed to ensure that information required to be disclosed by an issuer in the reports that it files or submits under the Exchange Act is accumulated and communicated to the issuer’s management, including its principal executive and principal financial officers, or persons performing similar functions, as appropriate to allow timely decisions regarding required disclosure.

 

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In connection with the preparation of our Form 10-K as of and for the year ended December 31, 2017, management evaluated the effectiveness of the design and operation of disclosure controls and procedures of Omega, and Omega OP (for purposes of this Item 9A, the “Companies”) as of December 31, 2017. Based on this evaluation, the Chief Executive Officer and Chief Financial Officer of the Companies concluded that the disclosure controls and procedures of the Companies were effective at the reasonable assurance level as of December 31, 2017.

 

Management’s Report on Internal Control over Financial Reporting

 

Our management is responsible for establishing and maintaining adequate internal control over financial reporting. Internal control over financial reporting is defined in Rule 13a-15(f) or 15d-15(f) promulgated under the Exchange Act as a process designed by, or under the supervision of, a company’s principal executive and principal financial officers, or persons performing similar functions, and effected by a company’s board of directors, management and other personnel, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with GAAP and includes those policies and procedures that:

 

·Pertain to the maintenance of records that in reasonable detail accurately and fairly reflect the transactions and dispositions of the assets of the company;

 

·Provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with generally accepted accounting principles and that receipts and expenditures of the company are being made only in accordance with authorizations of management and directors of the company; and

 

·Provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use or disposition of the company’s assets that could have a material effect on the financial statements.

 

All internal control systems, no matter how well designed, have inherent limitations and can provide only reasonable, not absolute, assurance that the objectives of the control system are met. Further, the design of a control system must reflect the fact that there are resource constraints, and the benefits of controls must be considered relative to their costs. Because of the inherent limitations in all control systems, no evaluation of controls can provide absolute assurance that all control issues and instances of fraud, if any, within our company have been detected. Therefore, even those systems determined to be effective can provide only reasonable assurance with respect to financial statement preparation and presentation.

 

In connection with the preparation of this Form 10-K, our management assessed the effectiveness of the Companies’ internal control over financial reporting as of December 31, 2017. In making that assessment, our management used the criteria set forth by the Committee of Sponsoring Organizations of the Treadway Commission (“COSO”) in Internal Control-Integrated Framework (“2013 framework”). Based on management’s assessment, management believes that, as of December 31, 2017, the Companies’ internal control over financial reporting was effective based on those criteria.

 

The independent registered public accounting firm's attestation reports regarding each of the Companies’ internal control over financial reporting is included in the 2017 financial statements under the caption entitled “Report of Independent Registered Public Accounting Firm” and is incorporated herein by reference.

 

Changes in Internal Control Over Financial Reporting

 

There were no changes in the Companies’ internal control over financial reporting during the quarter ended December 31, 2017 identified in connection with the evaluation of their disclosure controls and procedures described above that have materially affected, or are reasonably likely to materially affect, its internal control over financial reporting.

 

Item 9B – Other Information

 

None.

 

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PART III

 

Item 10 – Directors, Executive Officers of the Registrant and Corporate Governance

 

The information required by this item is incorporated herein by reference to our Company’s definitive proxy statement for the 2018 Annual Meeting of Stockholders, to be filed with the SEC pursuant to Regulation 14A.

 

For information regarding executive officers of our Company, see “Item 1 – Business – Executive Officers of Our Company.”

 

Code of Business Conduct and Ethics. We have adopted a written Code of Business Conduct and Ethics (“Code of Ethics”) that applies to all of our directors and employees, including our chief executive officer, chief financial officer, chief accounting officer and controller. A copy of our Code of Ethics is available on our website at www.omegahealthcare.com, and print copies are available upon request without charge. You can request print copies by contacting our Chief Financial Officer in writing at Omega Healthcare Investors, Inc., 303 International Circle, Suite 200, Hunt Valley, Maryland 21030 or by telephone at 410-427-1700. Any amendment to our Code of Ethics or any waiver of our Code of Ethics will be disclosed on our website at www.omegahealthcare.com promptly following the date of such amendment or waiver.

 

Item 11 - Executive Compensation

 

The information required by this item is incorporated herein by reference to our Company’s definitive proxy statement for the 2018 Annual Meeting of Stockholders, to be filed with the SEC pursuant to Regulation 14A.

 

Item 12 - Security Ownership of Certain Beneficial Owners and Management

 

The information required by this item is incorporated herein by reference to our Company’s definitive proxy statement for the 2018 Annual Meeting of Stockholders, to be filed with the SEC pursuant to Regulation 14A.

 

Item 13 - Certain Relationships and Related Transactions, and Director Independence

 

The information required by this item is incorporated herein by reference to our Company’s definitive proxy statement for the 2018 Annual Meeting of Stockholders, to be filed with the SEC pursuant to Regulation 14A.

 

Item 14 - Principal Accounting Fees and Services

 

The information required by this item is incorporated herein by reference to our Company’s definitive proxy statement for the 2018 Annual Meeting of Stockholders, to be filed with the SEC pursuant to Regulation 14A.

 

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PART IV

 

Item 15 - Exhibits and Financial Statement Schedules

 

(a)(1) Listing of Consolidated Financial Statements

 

Title of Document     Page
Number
Reports of Independent Registered Public Accounting Firm    
Omega Healthcare Investors, Inc.   F-1
OHI Healthcare Properties Limited Partnership   F-3
     
Consolidated Financial Statements of Omega Healthcare Investors, Inc.    
Consolidated Balance Sheets as of December 31, 2017 and 2016   F-5
Consolidated Statements of Operations for the years ended December 31, 2017, 2016 and 2015   F-6
Consolidated Statements of Comprehensive Income for the years ended December 31, 2017, 2016 and 2015   F-7
Consolidated Statements of Changes in Equity for the years ended December 31, 2017, 2016 and 2015   F-8
Consolidated Statements of Cash Flows for the years ended December 31, 2017, 2016 and 2015   F-10
     
Consolidated Financial Statements of OHI Healthcare Properties Limited Partnership    
Consolidated Balance Sheets as of December 31, 2017 and 2016   F-11
Consolidated Statements of Operations for the years ended December 31, 2017, 2016 and the period from April 1, 2015 (Aviv Merger date) through December 31, 2015   F-12
Consolidated Statements of Comprehensive Income for the years ended December 31, 2017, 2016 and the period from April 1, 2015 (Aviv Merger date) through December 31, 2015   F-13
Consolidated Statements of Changes in Owners’ Equity for the years ended December 31, 2017, 2016 and the period from April 1, 2015 (Aviv Merger date) through December 31, 2015   F-14
Consolidated Statements of Cash Flows for the years ended December 31, 2017, 2016 and the period from April 1, 2015 (Aviv Merger date) through December 31, 2015   F-15
     
Notes to Consolidated Financial Statements   F-16

 

(a)(2) Listing of Financial Statement Schedules. The following consolidated financial statement schedules are included herein:

 

Schedule II – Valuation and Qualifying Accounts   F-57
     
Schedule III – Real Estate and Accumulated Depreciation   F-58
     
Schedule IV – Mortgage Loans on Real Estate   F-60

 

All other schedules for which provision is made in the applicable accounting regulation of the Securities and Exchange Commission are not required under the related instructions or are inapplicable or have been omitted because sufficient information has been included in the notes to the Consolidated Financial Statements.

 

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(a)(3)Listing of Exhibits — See “Index to Exhibits” beginning on Page I-1 of this report.

 

(b)Exhibits — See “Index to Exhibits” beginning on Page I-1 of this report.

 

(c)Financial Statement Schedules — The following consolidated financial statement schedules are included herein:

 

Schedule II —Valuation and Qualifying Accounts

 

Schedule III — Real Estate and Accumulated Depreciation

 

Schedule IV — Mortgage Loans on Real Estate

 

Item 16 - Summary

 

Registrants may voluntarily include a summary of information required by Form 10-K under this Item 16. We have elected not to include such summary information.

 

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Report of Independent Registered Public Accounting Firm

 

To the Stockholders  and Board of Directors of Omega Healthcare Investors, Inc.

 

Opinion on the Financial Statements

 

We have audited the accompanying consolidated balance sheets of Omega Healthcare Investors, Inc. (the Company) as of December 31, 2017 and 2016, the related consolidated statements of operations, comprehensive income, changes in equity and cash flows for each of the three years in the period ended December 31, 2017, and the related notes and financial statement schedules listed in the Index at Item 15(a)(2) (collectively referred to as the “consolidated financial statements”). In our opinion, the consolidated financial statements present fairly, in all material respects, the financial position of the Company at December 31, 2017 and 2016, and the results of its operations and its cash flows for each of the three years in the period ended December 31, 2017, in conformity with U.S. generally accepted accounting principles.

 

We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) (PCAOB), the Company’s internal control over financial reporting as of December 31, 2017, based on criteria established in Internal Control-Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (2013 framework), and our report dated February 23, 2018 expressed an unqualified opinion thereon.

 

Basis for Opinion

 

These financial statements are the responsibility of the Company’s management. Our responsibility is to express an opinion on the Company’s financial statements based on our audits. We are a public accounting firm registered with the PCAOB and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.

 

We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement, whether due to error or fraud. Our audits included performing procedures to assess the risks of material misstatement of the financial statements, whether due to error or fraud, and performing procedures that respond to those risks. Such procedures included examining, on a test basis, evidence regarding the amounts and disclosures in the financial statements. Our audits also included evaluating the accounting principles used and significant estimates made by management, as well as evaluating the overall presentation of the financial statements. We believe that our audits provide a reasonable basis for our opinion.

 

/s/ Ernst & Young, LLP

 

We have served as the Company’s auditor since 1992.

 

Baltimore, Maryland

 

February 23, 2018

 

 F-1 

 

 

Report of Independent Registered Public Accounting Firm

 

To the Stockholders  and Board of Directors of Omega Healthcare Investors, Inc.

 

Opinion on Internal Control over Financial Reporting

We have audited Omega Healthcare Investors, Inc.’s internal control over financial reporting as of December 31, 2017, based on criteria established in Internal Control—Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (2013 framework) (the COSO criteria). In our opinion, Omega Healthcare Investors, Inc. (the Company) maintained, in all material respects, effective internal control over financial reporting as of December 31, 2017, based on the COSO criteria.

 

We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) (PCAOB), the consolidated balance sheets of Omega Healthcare Investors, Inc. as of December 31, 2017 and 2016, the related consolidated statements of operations, comprehensive income, changes in equity and cash flows for each of the three years in the period ended December 31, 2017, and the related notes and financial statement schedules listed in the Index at Item 15 (a) (2) and our report dated February 23, 2018 expressed an unqualified opinion thereon.

 

Basis for Opinion

The Company’s management is responsible for maintaining effective internal control over financial reporting and for its assessment of the effectiveness of internal control over financial reporting included in the accompanying Management’s Report on Internal Control over Financial Reporting. Our responsibility is to express an opinion on the Company’s internal control over financial reporting based on our audit. We are a public accounting firm registered with the PCAOB and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.

 

We conducted our audit in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether effective internal control over financial reporting was maintained in all material respects.

 

Our audit included obtaining an understanding of internal control over financial reporting, assessing the risk that a material weakness exists, testing and evaluating the design and operating effectiveness of internal control based on the assessed risk, and performing such other procedures as we considered necessary in the circumstances. We believe that our audit provides a reasonable basis for our opinion.

 

Definition and Limitations of Internal Control Over Financial Reporting

A company’s internal control over financial reporting is a process designed to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles. A company’s internal control over financial reporting includes those policies and procedures that (1) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets of the company; (2) provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with generally accepted accounting principles, and that receipts and expenditures of the company are being made only in accordance with authorizations of management and directors of the company; and (3) provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use, or disposition of the company’s assets that could have a material effect on the financial statements.

 

Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.

 

/s/ Ernst & Young, LLP

 

Baltimore, Maryland

February 23, 2018

 

 F-2 

 

 

Report of Independent Registered Public Accounting Firm

 

To the Partners of OHI Healthcare Properties Limited Partnership

 

Opinion on the Financial Statements

 

We have audited the accompanying consolidated balance sheets of OHI Healthcare Properties Limited Partnership (the Partnership) as of December 31, 2017 and 2016, the related consolidated statements of operations, comprehensive income, changes in owners’ equity and cash flows for each of the two years in the period ended December 31, 2017, and for the period from April 1, 2015 (Aviv merger date) through December 31, 2015, and the related notes and financial statement schedules listed in the Index at Item 15(a)(2) (collectively referred to as the “consolidated financial statements”). In our opinion, the consolidated financial statements present fairly, in all material respects, the financial position of the Partnership at December 31, 2017 and 2016, and the results of its operations and its cash flows for each of the two years in the period ended December 31, 2017, and for the period from April 1, 2015 (Aviv merger date) through December 31, 2015, in conformity with U.S. generally accepted accounting principles.

 

We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) (PCAOB), the Partnership’s internal control over financial reporting as of December 31, 2017, based on criteria established in Internal Control-Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (2013 framework), and our report dated February 23, 2018 expressed an unqualified opinion thereon.

 

Basis for Opinion

 

These financial statements are the responsibility of the Partnership’s management. Our responsibility is to express an opinion on the Partnership’s financial statements based on our audits. We are a public accounting firm registered with the PCAOB and are required to be independent with respect to the Partnership in accordance with the U.S. federal securities laws and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.

 

We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement, whether due to error or fraud. Our audits included performing procedures to assess the risks of material misstatement of the financial statements, whether due to error or fraud, and performing procedures that respond to those risks. Such procedures included examining, on a test basis, evidence regarding the amounts and disclosures in the financial statements. Our audits also included evaluating the accounting principles used and significant estimates made by management, as well as evaluating the overall presentation of the financial statements. We believe that our audits provide a reasonable basis for our opinion.

 

/s/ Ernst & Young, LLP

 

We have served as the Company’s auditor since 2017.

 

Baltimore, Maryland

 

February 23, 2018

 

 F-3 

 

 

Report of Independent Registered Public Accounting Firm

 

To the Partners of OHI Healthcare Properties Limited Partnership

 

Opinion on Internal Control over Financial Reporting

We have audited OHI Healthcare Properties Limited Partnership’s internal control over financial reporting as of December 31, 2017, based on criteria established in Internal Control—Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (2013 framework) (the COSO criteria). In our opinion, OHI Healthcare Properties Limited Partnership (the Partnership) maintained, in all material respects, effective internal control over financial reporting as of December 31, 2017, based on the COSO criteria.

 

We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) (PCAOB), the consolidated balance sheets of OHI Healthcare Properties Limited Partnership as of December 31, 2017 and 2016, the related consolidated statements of operations, comprehensive income, changes in owners’ equity, and cash flows for each of the two years in the period ended December 31, 2017 and for the period from April 1, 2015 (Aviv merger date) through December 31, 2015, and the related notes and financial statement schedules listed in the Index at Item 15 (a) (2) and our report dated February 23, 2018 expressed an unqualified opinion thereon.

 

Basis for Opinion

The Partnership’s management is responsible for maintaining effective internal control over financial reporting and for its assessment of the effectiveness of internal control over financial reporting included in the accompanying Management’s Report on Internal Control over Financial Reporting. Our responsibility is to express an opinion on the Partnership’s internal control over financial reporting based on our audit. We are a public accounting firm registered with the PCAOB and are required to be independent with respect to the Partnership in accordance with the U.S. federal securities laws and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.

 

We conducted our audit in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether effective internal control over financial reporting was maintained in all material respects.

 

Our audit included obtaining an understanding of internal control over financial reporting, assessing the risk that a material weakness exists, testing and evaluating the design and operating effectiveness of internal control based on the assessed risk, and performing such other procedures as we considered necessary in the circumstances. We believe that our audit provides a reasonable basis for our opinion.

 

Definition and Limitations of Internal Control Over Financial Reporting

A company’s internal control over financial reporting is a process designed to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles. A company’s internal control over financial reporting includes those policies and procedures that (1) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets of the company; (2) provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with generally accepted accounting principles, and that receipts and expenditures of the company are being made only in accordance with authorizations of management and directors of the company; and (3) provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use, or disposition of the company’s assets that could have a material effect on the financial statements.

 

Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.

 

/s/ Ernst & Young, LLP

 

Baltimore, Maryland

February 23, 2018

 

 F-4 

 

 

OMEGA HEALTHCARE INVESTORS, INC.

CONSOLIDATED BALANCE SHEETS

(in thousands, except per share amounts)

 

   December 31, 
   2017   2016 
         
ASSETS          
Real estate properties          
Real estate investments (see Note 3)  $7,655,960   $7,566,358 
Less accumulated depreciation   (1,376,828)   (1,240,336)
Real estate investments – net   6,279,132    6,326,022 
Investments in direct financing leases – net   364,965    601,938 
Mortgage notes receivable – net   671,232    639,343 
    7,315,329    7,567,303 
Other investments – net   276,342    256,846 
Investment in unconsolidated joint venture   36,516    48,776 
Assets held for sale – net   86,699    52,868 
Total investments   7,714,886    7,925,793 
           
Cash and cash equivalents   85,937    93,687 
Restricted cash   10,871    13,589 
Accounts receivable – net   279,334    240,035 
Goodwill   644,690    643,474 
Other assets   37,587    32,682 
Total assets  $8,773,305   $8,949,260 
           
LIABILITIES AND EQUITY          
Revolving line of credit  $290,000   $190,000 
Term loans – net   904,670    1,094,343 
Secured borrowings – net   53,098    54,365 
Unsecured borrowings – net   3,324,390    3,028,146 
Accrued expenses and other liabilities   295,142    360,514 
Deferred income taxes   17,747    9,906 
Total liabilities   4,885,047    4,737,274 
           
Equity:          
Common stock $.10 par value authorized – 350,000 shares, issued and outstanding – 198,309 shares as of December 31, 2017 and 196,142 as of December 31, 2016   19,831    19,614 
Common stock – additional paid-in capital   4,936,302    4,861,408 
Cumulative net earnings   1,839,356    1,738,937 
Cumulative dividends paid   (3,210,248)   (2,707,387)
Accumulated other comprehensive loss   (30,150)   (53,827)
Total stockholders’ equity   3,555,091    3,858,745 
Noncontrolling interest   333,167    353,241 
Total equity   3,888,258    4,211,986 
Total liabilities and equity  $8,773,305   $8,949,260 

 

See accompanying notes.

 

 F-5 

 

 

OMEGA HEALTHCARE INVESTORS, INC.

CONSOLIDATED STATEMENTS OF OPERATIONS

(in thousands, except per share amounts)

 

   Year Ended December 31, 
   2017   2016   2015 
Revenue               
Rental income  $775,176   $743,885   $605,991 
Income from direct financing leases   32,336    62,298    59,936 
Mortgage interest income   66,202    69,811    68,910 
Other investment income – net   29,225    21,852    7,534 
Miscellaneous income   5,446    2,981    1,246 
Total operating revenues   908,385    900,827    743,617 
                
Expenses               
Depreciation and amortization   287,591    267,062    210,703 
General and administrative   47,683    45,867    38,568 
Acquisition and merger related costs   -    9,582    57,525 
Impairment loss on real estate properties   99,070    58,726    17,681 
Impairment loss on direct financing leases   198,199    -    - 
Provisions for uncollectible accounts   14,580    9,845    7,871 
Total operating expenses   647,123    391,082    332,348 
                
Income before other income and expense   261,262    509,745    411,269 
Other income (expense)               
Interest income   267    173    285 
Interest expense   (188,762)   (164,103)   (147,381)
Interest – amortization of deferred financing costs   (9,516)   (9,345)   (6,990)
Interest – refinancing costs   (21,965)   (2,113)   (28,837)
Contractual settlement   10,412    -    - 
Realized gain (loss) on foreign exchange   311    (232)   (173)
Total other expense   (209,253)   (175,620)   (183,096)
                
Income before gain on assets sold   52,009    334,125    228,173 
Gain on assets sold – net   53,912    50,208    6,353 
Income from continuing operations   105,921    384,333    234,526 
Income tax expense   (3,248)   (1,405)   (1,211)
Income from unconsolidated joint venture   2,237    439    - 
Net income   104,910    383,367    233,315 
Net income attributable to noncontrolling interest   (4,491)   (16,952)   (8,791)
Net income available to common stockholders  $100,419   $366,415   $224,524 
                
Earnings per common share available to common stockholders:               
Basic:               
Net income available to common stockholders  $0.51   $1.91   $1.30 
Diluted:               
Net income  $0.51   $1.90   $1.29 
                
Weighted-average shares outstanding, basic   197,738    191,781    172,242 
Weighted-average shares outstanding, diluted   206,790    201,635    180,508 

 

See accompanying notes.

 

 F-6 

 

 

OMEGA HEALTHCARE INVESTORS, INC.

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME

(in thousands)

 

   Year Ended December 31, 
   2017   2016   2015 
             
Net income  $104,910   $383,367   $233,315 
Other comprehensive income (loss)               
Foreign currency translation   21,845    (46,535)   (8,413)
Cash flow hedges   2,883    (702)   (718)
Total other comprehensive income (loss)   24,728    (47,237)   (9,131)
Comprehensive income   129,638    336,130    224,184 
Comprehensive income attributable to noncontrolling interest   (5,542)   (14,830)   (8,373)
Comprehensive income attributable to common stockholders  $124,096   $321,300   $215,811 

 

See accompanying notes.

 

 F-7 

 

 

OMEGA HEALTHCARE INVESTORS, INC.

CONSOLIDATED STATEMENTS OF CHANGES IN EQUITY

(in thousands, except per share amounts)

 

  

Common
Stock

Par Value

  

Additional

Paid-in
Capital

  

Cumulative

Net
Earnings

   Cumulative
Dividends
   Accumulated
Other
Comprehensive
Loss
   Total
Stockholders’
Equity
   Noncontrolling
Interest
   Total
Equity
 
Balance at December 31, 2014 (127,606 common shares)  $12,761   $2,136,234   $1,147,998   $(1,895,666)  $   $1,401,327   $   $1,401,327 
Grant of restricted stock to company directors (21 shares at $35.70 per share)   2    (2)                        
Stock-based compensation expense       11,133                11,133        11,133 
Vesting/exercising of equity compensation, net of tax withholdings (941 shares)   94    (26,800)               (26,706)       (26,706)
Dividend reinvestment plan (4,184 shares at $36.06 per share)   418    150,429                150,847        150,847 
Value of assumed options in Aviv Merger       109,346                109,346        109,346 
Value of assumed other equity compensation plan in Aviv Merger       12,644                12,644        12,644 
Grant of stock as payment of directors fees (9 shares at an average of $35.94 per share)   1    312                313        313 
Deferred compensation directors       1,444                1,444        1,444 
Issuance of common stock (10,925 shares at an average of $40.32 per share)   1,093    438,229                439,322        439,322 
Issuance of common stock – Aviv Merger – related (43,713 shares)   4,371    1,776,505                1,780,876        1,780,876 
Common dividends declared ($2.18 per share)               (358,372)       (358,372)       (358,372)
Omega OP Units issuance (9,165 units)                           373,394    373,394 
Conversion of Omega OP Units (209 units)                           (7,251)   (7,251)
Omega OP Units distributions                           (11,636)   (11,636)
Comprehensive income:                                        
Foreign currency translation                   (8,027)   (8,027)   (386)   (8,413)
Derivative instruments                   (685)   (685)   (33)   (718)
Net income           224,524            224,524    8,791    233,315 
Total comprehensive income                                      224,184 
                                         
Balance at December 31, 2015 (187,399 shares & 8,956 Omega OP Units)   18,740    4,609,474    1,372,522    (2,254,038)   (8,712)   3,737,986    362,879    4,100,865 
Grant of restricted stock to company directors (18 shares at $33.09 per share)   2    (2)                        
Stock-based compensation expense       13,790                13,790        13,790 
Vesting/exercising of equity compensation, net of tax withholdings (773 shares)   77    (23,503)               (23,426)       (23,426)
Dividend reinvestment plan (7,215 shares at $33.27 per share)   721    239,320                240,041        240,041 
Grant of stock as payment of directors fees (10 shares at an average of $31.27 per share)   1    324                325        325 
Deferred compensation directors       (129)               (129)       (129)
Equity Shelf Program (656 shares at $29.97 per share, net of issuance costs)   66    19,585                19,651        19,651 
Common dividends declared ($2.36 per share)               (453,349)       (453,349)       (453,349)
Conversion of Omega OP Units to common stock (72 shares at $35.68 per share)   7    2,559                2,566        2,566 
Redemption of Omega OP Units (94 units)       (10)               (10)   (3,289)   (3,299)
Omega OP Unit distributions                           (21,179)   (21,179)
Comprehensive income:                                        
Foreign currency translation                   (44,468)   (44,468)   (2,067)   (46,535)
Cash flow hedges                   (647)   (647)   (55)   (702)
Net income           366,415            366,415    16,952    383,367 
Total comprehensive income                                      336,130 
                                         
Balance at December 31, 2016 (196,142 shares & 8,862 Omega OP Units)  $19,614   $4,861,408   $1,738,937   $(2,707,387)  $(53,827)  $3,858,745   $353,241   $4,211,986 

 

See accompanying notes.

 

 F-8 

 

 

OMEGA HEALTHCARE INVESTORS, INC.

CONSOLIDATED STATEMENTS OF CHANGES IN EQUITY - Continued

(in thousands, except per share amounts)

 

  

Common
Stock

Par Value

  

Additional

Paid-in
Capital

  

Cumulative

Net
Earnings

   Cumulative
Dividends
   Accumulated
Other
Comprehensive
Loss
   Total
Stockholders’
Equity
   Noncontrolling
Interest
   Total
Equity
 
Balance at December 31, 2016 (196,142 shares & 8,862 Omega OP Units)  $19,614   $4,861,408   $1,738,937   $(2,707,387)  $(53,827)  $3,858,745   $353,241   $4,211,986 
Grant of restricted stock to company directors (32 shares at $31.23 per share)   3    (3)                        
Stock-based compensation expense       15,212                15,212        15,212 
Vesting/exercising of equity compensation, net of tax withholdings (116 shares)   12    (2,155)               (2,143)       (2,143)
Dividend reinvestment plan (1,199 shares at $30.64 per share)   120    36,602                36,722        36,722 
Grant of stock as payment of directors fees (5 shares at an average of $32.18 per share)   1    149                150        150 
Deferred compensation directors (8 shares at $32.10 per share)       108                108        108 
Equity Shelf Program (718 shares at $30.81 per share, net of issuance costs)   72    22,048                22,120        22,120 
Common dividends declared ($2.54 per share)               (502,861)       (502,861)       (502,861)
Conversion of Omega OP Units to common stock (89 shares at $32.91 per share)   9    2,933                2,942        2,942 
Redemption of Omega OP Units (90 units)                           (2,990)   (2,990)
Omega OP Unit distributions                           (22,626)   (22,626)
Comprehensive income:                                        
Foreign currency translation                   20,916    20,916    929    21,845 
Cash flow hedges                   2,761    2,761    122    2,883 
Net income           100,419            100,419    4,491    104,910 
Total comprehensive income                                      129,638 
                                         
Balance at December 31, 2017 (198,309 shares & 8,772 Omega OP Units)  $19,831   $4,936,302   $1,839,356   $(3,210,248)  $(30,150)  $3,555,091   $333,167   $3,888,258 

 

See accompanying notes.

 

 F-9 

 

 

OMEGA HEALTHCARE INVESTORS, INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS (in thousands)

 

   Year Ended December 31, 
   2017   2016   2015 
Cash flows from operating activities               
Net income  $104,910   $383,367   $233,315 
Adjustments to reconcile net income to net cash provided by operating activities:               
Depreciation and amortization   287,591    267,062    210,703 
Impairment loss on real estate properties   99,070    58,726    17,681 
Impairment loss on direct financing leases   198,199         
Provisions for uncollectible accounts   14,580    9,845    7,871 
Refinancing costs and amortization of deferred financing costs   19,711    11,458    35,827 
Accretion of direct financing leases   (6,107)   (12,157)   (11,007)
Stock-based compensation expense   15,212    13,790    11,133 
Gain on assets sold – net   (53,912)   (50,208)   (6,353)
Amortization of acquired in-place leases - net   (11,910)   (13,991)   (13,846)
Effective yield receivable on mortgage notes   (1,924)   (721)   (4,065)
Change in operating assets and liabilities – net of amounts assumed/acquired:               
Contractual receivables   (36,621)   (4,876)   248 
Straight-line rent receivables   (25,240)   (42,091)   (36,057)
Lease inducements   (8,419)   2,589    994 
Other operating assets and liabilities   (17,228)   1,980    2,972 
Net cash provided by operating activities   577,912    624,773    449,416 
Cash flows from investing activities               
Acquisition of real estate – net of liabilities assumed and escrows acquired   (385,418)   (959,748)   (294,182)
Cash acquired in acquisition/merger   2,341        84,858 
Investments in construction in progress   (86,689)   (68,983)   (164,226)
Investments in direct financing leases   (7,183)   (2,080)   (6,793)
Proceeds from sale of direct financing lease assets   33,306         
Placement of mortgage loans   (34,643)   (48,722)   (14,042)
Investments in unconsolidated joint venture       (50,032)    
Distributions from unconsolidated joint venture   12,175    1,318     
Proceeds from sale of real estate investments   257,812    169,603    41,543 
Capital improvements to real estate investments   (37,766)   (40,471)   (26,397)
Receipts from insurance proceeds   2,754         
Proceeds from other investments   95,696    96,789    45,871 
Investments in other investments   (139,047)   (271,557)   (65,402)
Collection of mortgage principal   1,529    59,975    1,359 
Net cash used in investing activities   (285,133)   (1,113,908)   (397,411)
Cash flows from financing activities               
Proceeds from credit facility borrowings   1,687,000    1,304,000    1,826,000 
Payments on credit facility borrowings   (1,587,000)   (1,344,000)   (1,681,000)
Receipts of other long-term borrowings   1,346,749    1,048,173    1,838,124 
Payments of other long-term borrowings   (1,252,788)   (181,249)   (2,187,314)
Payments of financing related costs   (29,198)   (11,830)   (54,721)
Receipts from dividend reinvestment plan   36,722    240,041    150,847 
Payments for exercised options and restricted stock   (2,143)   (23,426)   (26,706)
Net proceeds from issuance of common stock   22,120    19,651    439,322 
Dividends paid   (502,603)   (453,152)   (358,232)
Redemption of Omega OP Units   (48)   (733)    
Distributions to Omega OP Unit Holders   (22,626)   (21,179)   (11,636)
Net cash (used in) provided by financing activities   (303,815)   576,296    (65,316)
                
Effect of foreign currency translation on cash, cash equivalents and restricted cash   568    84    (223)
(Decrease) increase in cash, cash equivalents, and restricted cash   (10,468)   87,245    (13,534)
Cash, cash equivalents, and restricted cash at beginning of year   107,276    20,031    33,565 
Cash, cash equivalents, and restricted cash at end of year  $96,808   $107,276   $20,031 

 

See accompanying notes

 

 F-10 

 

 

OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

CONSOLIDATED BALANCE SHEETS

(in thousands)

 

   December 31, 
   2017   2016 
         
ASSETS          
Real estate properties          
Real estate investments (see Note 3)  $7,655,960   $7,566,358 
Less accumulated depreciation   (1,376,828)   (1,240,336)
Real estate investments – net   6,279,132    6,326,022 
Investments in direct financing leases – net   364,965    601,938 
Mortgage notes receivable – net   671,232    639,343 
    7,315,329    7,567,303 
Other investments – net   276,342    256,846 
Investment in unconsolidated joint venture   36,516    48,776 
Assets held for sale – net   86,699    52,868 
Total investments   7,714,886    7,925,793 
           
Cash and cash equivalents   85,937    93,687 
Restricted cash   10,871    13,589 
Accounts receivable – net   279,334    240,035 
Goodwill   644,690    643,474 
Other assets   37,587    32,682 
Total assets  $8,773,305   $8,949,260 
           
LIABILITIES AND OWNERS’ EQUITY          
Term loans – net  $99,423   $100,000 
Secured borrowings – net   53,098    54,365 
Accrued expenses and other liabilities   226,028    302,959 
Deferred income taxes   17,747    9,906 
Intercompany loans payable   4,488,751    4,270,044 
Total liabilities   4,885,047    4,737,274 
           
Owners’ Equity:          
General partners’ equity   3,555,091    3,858,745 
Limited partners’ equity   333,167    353,241 
Total owners’ equity   3,888,258    4,211,986 
Total liabilities and owners’ equity  $8,773,305   $8,949,260 

 

See accompanying notes.

 

 F-11 

 

 

OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

CONSOLIDATED STATEMENTS OF OPERATIONS

(in thousands, except per share amounts)

 

   Year ended December 31,   The period from
April 1, 2015
(Aviv Merger
date) through
December 31,
 
   2017   2016   2015 
Revenue            
Rental income  $775,176   $743,885   $505,027 
Income from direct financing leases   32,336    62,298    45,590 
Mortgage interest income   66,202    69,811    52,331 
Other investment income – net   29,225    21,852    6,138 
Miscellaneous income   5,446    2,981    1,111 
Total operating revenues   908,385    900,827    610,197 
                
Expenses               
Depreciation and amortization   287,591    267,062    180,093 
General and administrative   47,683    45,867    32,554 
Acquisition and merger related costs   -    9,582    52,657 
Impairment loss on real estate properties   99,070    58,726    11,699 
Impairment loss on direct financing leases   198,199    -    - 
Provisions for uncollectible accounts   14,580    9,845    7,873 
Total operating expenses   647,123    391,082    284,876 
                
Income before other income and expense   261,262    509,745    325,321 
Other income (expense)               
Interest income   267    173    92 
Interest expense   (188,762)   (164,103)   (115,022)
Interest – amortization of deferred financing costs   (9,516)   (9,345)   (5,637)
Interest – refinancing costs   (21,965)   (2,113)   (19,460)
Contractual settlement   10,412    -    - 
Realized gain (loss) on foreign exchange   311    (232)   (173)
Total other expense   (209,253)   (175,620)   (140,200)
                
Income before gain on assets sold   52,009    334,125    185,121 
Gain on assets sold – net   53,912    50,208    6,353 
Income from continuing operations   105,921    384,333    191,474 
Income tax expense   (3,248)   (1,405)   (1,211)
Income from unconsolidated joint venture   2,237    439    - 
Net income  $104,910   $383,367   $190,263 
                
Earnings per unit:               
Basic:               
Net income  $0.51   $1.91   $0.98 
Diluted:               
Net income  $0.51   $1.90   $0.97 
                
Weighted-average Omega OP Units outstanding, basic   206,521    200,679    193,843 
Weighted-average Omega OP Units outstanding, diluted   206,790    201,635    195,742 

 

See accompanying notes.

 

 F-12 

 

 

OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME

(in thousands)

 

   Year Ended December 31,   The period
from April 1,
2015 (Aviv
Merger date)
through
December 31,
 
   2017   2016   2015 
             
Net income  $104,910   $383,367   $190,263 
Other comprehensive income (loss)               
Foreign currency translation   21,845    (46,535)   (8,413)
Cash flow hedges   2,883    (702)   (718)
Total other comprehensive income (loss)   24,728    (47,237)   (9,131)
Comprehensive income  $129,638   $336,130   $181,132 

 

See accompanying notes.

 

 F-13 

 

 

OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

CONSOLIDATED STATEMENTS OF CHANGES IN OWNERS’ EQUITY

(in thousands)

 

   General
Partners’
Omega OP
Units
   Limited
Partners’
Omega OP
Units
   Total Omega
OP Units
   General
Partners’
Equity
  

Limited

Partners’
Equity

   Total Equity 
Balance at April 1, 2015   138,752        138,752   $1,770,953   $   $1,770,953 
Contributions from partners   48,647    9,165    57,812    2,034,091    373,394    2,407,485 
Distributions to partners               (239,818)   (11,636)   (251,454)
Omega OP Unit redemptions       (209)   (209)       (7,251)   (7,251)
Comprehensive income                              
Foreign currency translation               (8,027)   (386)   (8,413)
Cash flow hedges               (685)   (33)   (718)
Net income               181,472    8,791    190,263 
Total comprehensive income                            181,132 
                               
For the period from April 1, 2015 (Aviv Merger date) through December 31, 2015   187,399    8,956    196,355    3,737,986    362,879    4,100,865 
Contributions from partners   8,743        8,743    252,818        252,818 
Distributions to partners               (453,349)   (21,179)   (474,528)
Omega OP Unit redemptions       (94)   (94)   (10)   (3,289)   (3,299)
Comprehensive income                              
Foreign currency translation               (44,468)   (2,067)   (46,535)
Cash flow hedges               (647)   (55)   (702)
Net income               366,415    16,952    383,367 
Total comprehensive income                            336,130 
                               
Balance at December 31, 2016   196,142    8,862    205,004    3,858,745    353,241    4,211,986 
Contributions from partners   2,167        2,167    75,111        75,111 
Distributions to partners               (502,861)   (22,626)   (525,487)
Omega OP Unit redemptions       (90)   (90)       (2,990)   (2,990)
Comprehensive income                              
Foreign currency translation               20,916    929    21,845 
Cash flow hedges               2,761    122    2,883 
Net income               100,419    4,491    104,910 
Total comprehensive income                            129,638 
                               
Balance at December 31, 2017   198,309    8,772    207,081   $3,555,091   $333,167   $3,888,258 

 

See accompanying notes.

 

 F-14 

 

 

OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

CONSOLIDATED STATEMENTS OF CASH FLOWS (in thousands)

 

   Year ended December 31,   The period from
April 1, 2015 (Aviv
Merger date) through
December 31,
 
   2017   2016   2015 
Cash flows from operating activities               
Net income  $104,910   $383,367   $190,263 
Adjustments to reconcile net income to net cash provided by operating activities:               
Depreciation and amortization   287,591    267,062    180,093 
Impairment loss on real estate properties   99,070    58,726    11,699 
Impairment loss on direct financing leases   198,199         
Provisions for uncollectible accounts   14,580    9,845    7,873 
Refinancing costs and amortization of deferred financing costs   19,711    11,458    25,097 
Accretion of direct financing leases   (6,107)   (12,157)   (8,393)
Stock-based compensation expense   15,212    13,790    9,523 
Gain on assets sold – net   (53,912)   (50,208)   (6,353)
Amortization of acquired in-place leases - net   (11,910)   (13,991)   (12,654)
Effective yield receivable on mortgage notes   (1,924)   (721)   (2,945)
Change in operating assets and liabilities – net of amounts assumed/acquired:               
Contractual receivables   (36,621)   (4,876)   444 
Straight-line rent receivables   (25,240)   (42,091)   (30,782)
Lease inducements   (8,419)   2,589    3,104 
Other operating assets and liabilities   (17,228)   1,980    (19,651)
Net cash provided by operating activities   577,912    624,773    347,318 
Cash flows from investing activities               
Acquisition of real estate – net of liabilities assumed and escrows acquired   (385,418)   (959,748)   (287,882)
Cash acquired in acquisition/merger   2,341        84,858 
Investments in construction in progress   (86,689)   (68,983)   (158,375)
Investments in direct financing leases   (7,183)   (2,080)   (6,793)
Proceeds from sale of direct financing lease assets   33,306         
Placement of mortgage loans   (34,643)   (48,722)   (12,040)
Investments in unconsolidated joint venture       (50,032)    
Distributions from unconsolidated joint venture   12,175    1,318     
Proceeds from sale of real estate investments   257,812    169,603    41,288 
Capital improvements to real estate investments   (37,766)   (40,471)   (20,793)
Receipts from insurance proceeds   2,754         
Proceeds from other investments   95,696    96,789    43,716 
Investments in other investments   (139,047)   (271,557)   (63,934)
Collection of mortgage principal   1,529    59,975    1,071 
Net cash used in investing activities   (285,133)   (1,113,908)   (378,884)
Cash flows from financing activities               
Proceeds from intercompany loans payable to Omega   3,033,749    2,352,173    2,968,302 
Repayment of intercompany loans payable to Omega   (2,839,788)   (1,525,249)   (3,429,431)
Payment of financing related costs incurred by Omega   (29,198)   (11,830)   (33,403)
Equity contributions from general partners   56,699    236,266    119,936 
Distributions to general partners   (502,603)   (453,152)   (289,971)
Distributions to limited partners   (22,626)   (21,179)   (11,636)
Redemption of Omega OP Units   (48)   (733)    
Net cash (used in) provided by financing activities   (303,815)   576,296    (676,203)
                
Effect of foreign currency translation on cash, cash equivalents and restricted cash   568    84    (223)
(Decrease) increase in cash, cash equivalents and restricted cash   (10,468)   87,245    (707,992)
Cash, cash equivalents and restricted cash at beginning of year   107,276    20,031    728,023 
Cash, cash equivalents and restricted cash at end of year  $96,808   $107,276   $20,031 

 

See accompanying notes.

 

 F-15 

 

 

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

 

NOTE 1 – ORGANIZATION AND BASIS OF PRESENTATION

 

Organization

 

Omega Healthcare Investors, Inc. (“Omega”) was formed as a real estate investment trust (“REIT”) and incorporated in the State of Maryland on March 31, 1992. All of Omega's assets are owned directly or indirectly, and all of Omega's operations are conducted directly or indirectly, through its subsidiary, OHI Healthcare Properties Limited Partnership (“Omega OP”). Omega OP was formed as a limited partnership and organized in the State of Delaware on October 24, 2014. No substantive assets were owned or activity occurred in Omega OP until the merger with Aviv REIT, Inc. on April 1, 2015. Unless stated otherwise or the context otherwise requires, the terms the “Company,” “we,” “our” and “us” means Omega and Omega OP, collectively.

 

The Company 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 skilled nursing facilities (“SNFs”), and, to a lesser extent, assisted living facilities (“ALFs”), independent living facilities and rehabilitation and acute care facilities. Our core portfolio consists of long-term leases and mortgage agreements. All of our leases are “triple-net” leases, which require the tenants to pay all property-related expenses. Our mortgage revenue derives from fixed rate mortgage loans, which are secured by first mortgage liens on the underlying real estate and personal property of the mortgagor.

 

In April 2015, Aviv REIT, Inc., a Maryland corporation (“Aviv”), merged (the “Aviv Merger”) with and into a wholly owned subsidiary of Omega, pursuant to the terms of that certain Agreement and Plan of Merger, dated as of October 30, 2014 (the “Merger Agreement”), by and among Omega, Aviv, OHI Healthcare Properties Holdco, Inc., a Delaware corporation (“OHI Holdco”), Omega OP, and Aviv Healthcare Properties Limited Partnership, a Delaware limited partnership.

 

Prior to April 1, 2015 and in accordance with the Merger Agreement, Omega restructured the manner in which it holds its assets by converting to an umbrella partnership real estate investment trust structure (the “UPREIT Conversion”). As a result of the UPREIT Conversion and following the consummation of the Aviv Merger, all of Omega’s assets are held by Omega OP, through its equity interests in its subsidiaries.

 

Omega OP is governed by the Second Amended and Restated Agreement of Limited Partnership of OHI Healthcare Properties Limited Partnership, dated as of April 1, 2015 (the “Partnership Agreement”). On September 26, 2017, OHI Holdco, a wholly owned subsidiary of Omega and a co-general partner of Omega OP, was merged with and into Omega, resulting in Omega becoming the sole general partner of Omega OP. Omega has exclusive control over Omega OP’s day-to-day management pursuant to the Partnership Agreement. As of December 31, 2017, Omega owned approximately 96% of the issued and outstanding units of partnership interest in Omega OP (“Omega OP Units”), and investors owned approximately 4% of the outstanding Omega OP Units. Each Omega OP Unit (other than those owned by Omega) is redeemable at the election of the holder for cash equal to the then-fair market value of one share of common stock of Omega, subject to Omega’s election to exchange the Omega OP Units tendered for redemption for common stock of Omega on a one-for-one basis in an unregistered transaction, subject to adjustment as set forth in the Partnership Agreement.

 

Consolidation

 

Our consolidated financial statements include the accounts of (i) Omega, (ii) Omega OP, and (iii) all direct and indirect wholly owned subsidiaries of Omega OP. All intercompany transactions and balances have been eliminated in consolidation, and our net earnings are reduced by the portion of net earnings attributable to noncontrolling interests.

 

Omega OP’s consolidated financial statements include the accounts of (i) Omega OP, and (ii) all direct and indirect wholly owned subsidiaries of Omega OP. All intercompany transactions and balances have been eliminated in consolidation.

 

 F-16 

 

 

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – Continued

 

NOTE 2 – SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

 

Accounting Estimates

 

The preparation of financial statements in conformity with U.S. generally accepted accounting principles (“GAAP”) requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, the disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates.

 

Fair Value Measurement

 

The Company measures and discloses the fair value of nonfinancial and financial assets and liabilities utilizing a hierarchy of valuation techniques based on whether the inputs to a fair value measurement are considered to be observable or unobservable in a marketplace. Observable inputs reflect market data obtained from independent sources, while unobservable inputs reflect the Company's market assumptions. This hierarchy requires the use of observable market data when available. These inputs have created the following fair value hierarchy:

 

·Level 1 - quoted prices for identical instruments in active markets;

 

·Level 2 - quoted prices for similar instruments in active markets; quoted prices for identical or similar instruments in markets that are not active; and model-derived valuations in which significant inputs and significant value drivers are observable in active markets; and

 

·Level 3 - fair value measurements derived from valuation techniques in which one or more significant inputs or significant value drivers are unobservable.

 

The Company measures fair value using a set of standardized procedures that are outlined herein for all assets and liabilities which are required to be measured at fair value. When available, the Company utilizes quoted market prices from an independent third party source to determine fair value and classifies such items in Level 1. In some instances where a market price is available, but the instrument is in an inactive or over-the-counter market, the Company consistently applies the dealer (market maker) pricing estimate and classifies such items in Level 2.

 

If quoted market prices or inputs are not available, fair value measurements are based upon valuation models that utilize current market or independently sourced market inputs, such as interest rates, option volatilities, credit spreads and/or market capitalization rates. Items valued using such internally-generated valuation techniques are classified according to the lowest level input that is significant to the fair value measurement. As a result, these items could be classified in either Level 2 or Level 3 even though there may be some significant inputs that are readily observable. Internal fair value models and techniques used by the Company include discounted cash flow and Monte Carlo valuation models.

 

Risks and Uncertainties

 

The Company is subject to certain risks and uncertainties affecting the healthcare industry as a result of healthcare legislation and growing regulation by federal, state and local governments. Additionally, we are subject to risks and uncertainties as a result of changes affecting operators of nursing home facilities due to the actions of governmental agencies and insurers to limit the rising cost of healthcare services.

 

Business Combinations

 

We record the purchase of properties to net tangible and identified intangible assets acquired and liabilities assumed at fair value. Transaction costs are expensed as incurred as part of a business combination. In making estimates of fair value for purposes of recording the purchase, we utilize a number of sources, including independent appraisals that may be obtained in connection with the acquisition or financing of the respective property and other market data. We also consider information obtained about each property as a result of our pre-acquisition due diligence, marketing and leasing activities as well as other critical valuation metrics such as current capitalization rates and discount rates used to estimate the fair value of the tangible and intangible assets acquired (Level 3). When liabilities are assumed as part of a transaction, we consider information obtained about the liabilities and use similar valuation metrics (Level 3). In some instances when debt is assumed and an identifiable active market for similar debt is present, we use market interest rates for similar debt to estimate the fair value of the debt assumed (Level 2). The Company determines fair value as follows:

 

 F-17 

 

 

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – Continued

 

·Land is determined based on third party appraisals which typically include market comparables.

 

·Buildings and site improvements acquired are valued using a combination of discounted cash flow projections that assume certain future revenues and costs and consider capitalization and discount rates using current market conditions as well as replacement cost analysis.

 

·Furniture and fixtures are determined based on third party appraisals which typically utilize a replacement cost approach.

 

·Intangible assets and liabilities acquired are valued using a combination of discounted cash flow projections as well as other valuation techniques based on current market conditions for the intangible asset or liability being acquired. When evaluating below market leases we consider extension options controlled by the lessee in our evaluation. For additional information regarding above and below market leases assumed as part of an acquisition see “In-Place Leases" below.

 

·Other assets acquired and liabilities assumed are typically valued at stated amounts, which approximate fair value on the date of the acquisition.

 

·Assumed debt balances are valued by discounting the remaining contractual cash flows using a current market rate of interest.

 

·Stock based compensation and noncontrolling interests are valued using a stock price on the acquisition date.

 

·Goodwill represents the purchase price in excess of the fair value of assets acquired and liabilities assumed and the cost associated with expanding our investment portfolio. Goodwill is not amortized.

 

Asset Acquisitions

 

On October 1, 2016, we early adopted Financial Accounting Standards Board (“FASB”) Accounting Standards Update (“ASU”) 2017-01, Business Combinations-Clarifying the Definition of a Business (“ASU 2017-01”), which clarifies the definition of a business with the objective of adding guidance to assist entities with evaluating whether transactions should be accounted for as business acquisitions. As a result of adopting ASU 2017-01, real estate acquisitions completed after October 1, 2016 did not meet the definition of a business combination and were deemed to be asset acquisitions. Real estate asset acquisitions completed prior to October 1, 2016 were typically deemed to be business combinations and the related acquisition costs were expensed as incurred. For asset acquisitions, assets acquired and liabilities assumed are recognized by allocating the cost of the acquisition to the individual assets acquired and liabilities assumed on a relative fair value basis and the costs of the acquisition are capitalized. The fair value of the assets acquired and liabilities assumed in an asset acquisition are determined in a consistent manner with the immediately preceding “Business Combinations” section.

 

Real Estate Investments and Depreciation

 

The costs of significant improvements, renovations and replacements, including interest are capitalized. In addition, we capitalize leasehold improvements when certain criteria are met, including when we supervise construction and will own the improvement. Expenditures for maintenance and repairs are charged to operations as they are incurred.

 

Depreciation is computed on a straight-line basis over the estimated useful lives ranging from 20 to 40 years for buildings, eight to 15 years for site improvements, and three to ten years for furniture, fixtures and equipment. Leasehold interests are amortized over the shorter of the estimated useful life or term of the lease.

 

 F-18 

 

 

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – Continued

 

Lease Accounting

 

At the inception of the lease and during the amendment process, we evaluate each lease to determine if the lease should be considered an operating lease, sales-type lease, or direct financing lease. As of December 31, 2017, we have determined that all but five of our leases should be accounted for as operating leases. The other five leases are accounted for as direct financing leases.

 

For leases accounted for as operating leases, we retain ownership of the asset and record depreciation expense, see “Business Combinations” and “Real Estate Investments and Depreciation” above for additional information regarding our investment in real estate leased under operating lease agreements. We also record lease revenue based on the contractual terms of the operating lease agreement which often includes annual rent escalators, see “Revenue Recognition” below for further discussion regarding the recordation of revenue on our operating leases.

 

For leases accounted for as direct financing leases, we record the present value of the future minimum lease payments (utilizing a constant interest rate over the term of the lease agreement) as a receivable and record interest income based on the contractual terms of the lease agreement. Certain direct financing leases include annual rent escalators; see “Revenue Recognition” below for further discussion regarding the recording of interest income on our direct financing leases. As of December 31, 2017, we fully reserved $2.9 million of unamortized direct costs related to originating our direct financing leases. As of December 31, 2016, we have $3.3 million of unamortized direct costs related to originating our direct financing leases recorded on our Consolidated Balance Sheet.

 

In-Place Leases

 

In-place lease assets and liabilities result when we assume a lease as part of a facility purchase or business combination. The fair value of in-place leases consists of the following components, as applicable (1) the estimated cost to replace the leases, and (2) the above or below market cash flow of the leases, determined by comparing the projected cash flows of the leases in place at the time of acquisition to projected cash flows of comparable market-rate leases (referred to as Lease Intangibles). Lease intangible assets and liabilities are classified as lease contracts above and below market value, respectively, in other assets and accrued expenses and other liabilities on our Consolidated Balance Sheets, and amortized on a straight-line basis as decreases and increases, respectively, to rental income over the estimated remaining term of the underlying leases. Should a tenant terminate the lease, the unamortized portion of the lease intangible is recognized immediately as income or expense.

 

Real Estate Investment Impairment

 

Management evaluates our real estate investments for impairment indicators at each reporting period, including the evaluation of our assets’ useful lives. The judgment regarding the existence of impairment indicators is based on factors such as, but not limited to, market conditions, operator performance including the current payment status of contractual obligations and expectations of the ability to meet future contractual obligations, legal structure, as well as our intent with respect to holding or disposing of the asset. If indicators of impairment are present, management evaluates the carrying value of the related real estate investments in relation to management’s estimate of future undiscounted cash flows of the underlying facilities. The estimated future undiscounted cash flows are generally based on the related lease which relates to one or more properties and may include cash flows from the eventual disposition of the asset. In some instances, there may be various potential outcomes for a real estate investment and its potential future cash flows. In these instances, the undiscounted future cash flows used to assess the recoverability are probability-weighted based on management’s best estimates as of the date of evaluation. Provisions for impairment losses related to long-lived assets are recognized when expected future undiscounted cash flows based on our intended use of the property are determined to be less than the carrying values of the assets. An adjustment is made to the net carrying value of the real estate investments for the excess of carrying value over fair value. The fair value of the real estate investment is determined based on current market conditions and consider matters such as rental rates and occupancies for comparable properties, recent sales data for comparable properties, and, where applicable, contracts or the results of negotiations with purchasers or prospective purchasers. Additionally, our evaluation of fair value may consider valuing the property as a nursing home as well as alternative uses. All impairments are taken as a period cost at that time, and depreciation is adjusted going forward to reflect the new value assigned to the asset. Management’s impairment evaluation process, and when applicable, impairment calculations involve estimation of the future cash flows from management’s intended use of the property as well as the fair value of the property. Changes in the facts and circumstances that drive management’s assumptions may result in an impairment of the Company’s assets in a future period that could be material to the Company’s results of operations.

 

For the years ended December 31, 2017, 2016 and 2015, we recognized impairment losses on real estate investments of $99.1 million, $58.7 million and $17.7 million, respectively.

 

 F-19 

 

 

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – Continued

 

Allowance for Losses on Mortgages, Other Investments and Direct Financing Leases

 

The allowances for losses on mortgage notes receivable, other investments and direct financing leases (collectively, our “loans”) are maintained at a level believed adequate to absorb potential losses. The determination of the allowances is based on a quarterly evaluation of these loans, including general economic conditions and estimated collectability of loan payments. We evaluate the collectability of our loans receivable based on a combination of factors, including, but not limited to, delinquency status, financial strength of the borrower and guarantors and the value of the underlying collateral. If such factors indicate that there is greater risk of loan charge-offs, additional allowances or placement on non-accrual status may be required. A loan is impaired when, based on current information and events, it is probable that we will be unable to collect all amounts due as scheduled according to the contractual terms of the loan agreements. Consistent with this definition, all loans on non-accrual status may be deemed impaired. To the extent circumstances improve and the risk of collectability is diminished, we will return these loans to full accrual status. When management identifies potential loan impairment indicators, the loan is written down to the present value of the expected future cash flows. In cases where expected future cash flows are not readily determinable, the loan is written down to the fair value of the underlying collateral. We may base our valuation on a loan’s observable market price, if any, or the fair value of collateral, net of sales costs, if the repayment of the loan is expected to be provided solely by the sale of the collateral.

 

We account for impaired loans and direct financing leases using (a) the cost-recovery method, and/or (b) the cash basis method. We generally utilize the cost-recovery method for impaired loans or direct financing leases for which impairment reserves were recorded. We utilize the cash basis method for impaired loans or direct financing leases for which no impairment reserves were recorded because the net present value of the discounted cash flows expected under the loan or direct financing lease and/or the underlying collateral supporting the loan or direct financing lease were equal to or exceeded the book value of the loans or direct financing leases. Under the cost-recovery method, we apply cash received against the outstanding loan balance or direct financing lease prior to recording interest income. Under the cash basis method, we apply cash received to principal or interest income based on the terms of the agreement. As of December 31, 2017 and 2016, we had $177.5 million and $8.7 million, respectively, of reserves on our loans.

 

Investment in Unconsolidated Joint Venture

 

We account for our investment in an unconsolidated joint venture using the equity method of accounting as we exercise significant influence, but do not control the entity.

 

Under the equity method of accounting, the net equity investment of the Company is reflected in the accompanying Consolidated Balance Sheets and the Company's share of net income and comprehensive income from the joint venture is included in the accompanying Consolidated Statements of Operations and Consolidated Statements of Comprehensive Income, respectively.

 

On a periodic basis, management assesses whether there are any indicators that the value of the Company's investment in the unconsolidated joint venture may be other-than-temporarily-impaired. An investment is impaired only if management's estimate of the value of the investment is less than the carrying value of the investment, and such a decline in value is deemed to be other than-temporary. To the extent impairment has occurred, the loss is measured as the excess of the carrying amount of the investment over the estimated fair value of the investment. The estimated fair value of the investment is determined using a discounted cash flow model which is a Level 3 valuation. We consider a number of assumptions that are subject to economic and market uncertainties including, among others, rental rates, operating costs, capitalization rates, holding periods and discount rates.

 

No impairment loss on our investment in unconsolidated joint venture was recognized during the years ended December 31, 2017 or 2016.

 

Assets Held for Sale

 

We consider properties to be assets held for sale when (1) management commits to a plan to sell the property; (2) it is unlikely that the disposal plan will be significantly modified or discontinued; (3) the property is available for immediate sale in its present condition; (4) actions required to complete the sale of the property have been initiated; (5) sale of the property is probable and we expect the completed sale will occur within one year; and (6) the property is actively being marketed for sale at a price that is reasonable given our estimate of current market value. Upon designation of a property as an asset held for sale, we record the property's value at the lower of its carrying value or its estimated fair value, less estimated costs to sell, and we cease depreciation.

 

 F-20 

 

 

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – Continued

 

Cash and Cash Equivalents

 

Cash and cash equivalents consist of cash on hand and highly liquid investments with a maturity date of three months or less when purchased. These investments are stated at cost, which approximates fair value. The majority of our cash and cash equivalents are held at major commercial banks.

 

Restricted Cash

 

Restricted cash consists primarily of liquidity deposits escrowed for tenant obligations required by us pursuant to certain contractual terms and other deposits required by the U.S. Department of Housing and Urban Development (“HUD”) in connection with our HUD borrowings.

 

Accounts Receivable

 

Accounts receivable includes: contractual receivables, effective yield interest receivables, straight-line rent receivables and lease inducements, net of an estimated provision for losses related to uncollectible and disputed accounts. 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 or renewal of the lease, and are amortized as a reduction of rental revenue over the non-cancellable lease term.

 

On a quarterly basis, we review our accounts receivable to determine their collectability. The determination of collectability of these assets requires significant judgment and is affected by several factors relating to the credit quality of our operators that we regularly monitor, including (i) payment history, (ii) the age of the contractual receivables, (iii) the current economic conditions and reimbursement environment, (iv) the ability of the tenant to perform under the terms of their lease and/or contractual loan agreements and (v) the value of the underlying collateral of the agreement. If we determine collectability of any of our contractual receivables is at risk, we estimate the potential uncollectible amounts and provide an allowance. In the case of a lease recognized on a straight-line basis, a loan recognized on an effective yield basis or the existence of lease inducements, we generally provide an allowance for straight-line, effective interest, and or lease inducement accounts receivable when certain conditions or indicators of adverse collectability are present. If the accounts receivable balance is subsequently deemed uncollectible, the receivable and allowance for doubtful account balance are written off.

 

At December 31, 2017, three of our operators were approximately 90 days or more past due on rent/interest payments to the Company. Two of these operators are considered top ten operators as determined based on total revenue for the year ended December 31, 2017. Of these three operators, rent/interest from two of these operators is being recognized on a cash basis as of December 31, 2017.

 

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

 

   December 31, 
   2017   2016 
   (in thousands) 
         
Contractual receivables  $43,258   $13,376 
Effective yield interest receivables   11,673    9,749 
Straight-line rent receivables – net   216,054    208,874 
Lease inducements   16,812    8,393 
Allowance   (8,463)   (357)
Accounts receivable – net  $279,334   $240,035 

 

In 2017, we recorded a provision for uncollectible accounts of approximately $9.3 million related to contractual and straight-line rent receivables for one of our top ten operators and approximately $4.1 million of provision for uncollectible accounts, net of recoveries related to contractual and straight-line receivables of other operators and/or facilities that we intend to exist or transition.

 

 F-21 

 

 

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – Continued

 

In 2016, we wrote-off approximately $4.3 million of straight-line rent receivable. The write-off primarily related to the transition of facilities from a former operator to a current operator.

 

In 2015, we wrote-off $3.2 million of straight-line rent receivables and $1.5 million of effective yield interest receivables associated with four facilities that were transitioned to a new operator and three mortgages that were repaid prior to their maturity. This transaction closed in 2016.

 

Goodwill Impairment

 

We assess goodwill for potential impairment during the fourth quarter of each fiscal year, or during the year if an event or other circumstance indicates that we may not be able to recover the carrying amount of the net assets of the reporting unit. In evaluating goodwill for impairment on an interim basis, we assess qualitative factors such as a significant decline in real estate valuations, current macroeconomic conditions, state of the equity and capital markets and our overall financial and operating performance or a significant decline in the value of our market capitalization, to determine whether it is more likely than not (that is, a likelihood of more than 50 percent) that the fair value of the reporting unit is less than its carrying amount. On an annual basis during the fourth quarter of each fiscal year, or on an interim basis if we conclude it is more likely than not that the fair value of the reporting unit is less than its carrying value, we perform a two-step goodwill impairment test to identify potential impairment and measure the amount of impairment we will recognize, if any. The goodwill is not deductible for tax purposes.

 

In the first step of the two-step goodwill impairment test (“Step 1”), we compare the fair value of the reporting unit to its net book value, including goodwill. As the Company has only one reporting unit, the fair value of the reporting unit is determined by reference to the market capitalization of the Company as determined through quoted market prices and adjusted for other relevant factors. A potential impairment exists if the fair value of the reporting unit is lower than its net book value. The second step (“Step 2”) of the process is only performed if a potential impairment exists, and it involves determining the difference between the fair value of the reporting unit's net assets other than goodwill and the fair value of the reporting unit. If the difference is less than the net book value of goodwill, impairment exists and is recorded. The Company has not been required to perform Step 2 of the process because the fair value of the reporting unit has significantly exceeded its book value at the measurement date. There was no impairment of goodwill during 2017, 2016, or 2015.

 

Income Taxes

 

Omega and its wholly owned subsidiaries were organized to qualify for taxation as a REIT under Section 856 through 860 of the Internal Revenue Code (“Code”). As long as we qualify as a REIT; we will not be subject to federal income taxes on the REIT taxable income that we distributed to stockholders, subject to certain exceptions. However, with respect to certain of our subsidiaries that have elected to be treated as taxable REIT subsidiaries (“TRSs”), we record income tax expense or benefit, as those entities are subject to federal income tax similar to regular corporations. Omega OP is a pass through entity for United States federal income tax purposes.

 

We account for deferred income taxes using the asset and liability method and recognize deferred tax assets and liabilities for the expected future tax consequences of events that have been included in our financial statements or tax returns. Under this method, we determine deferred tax assets and liabilities based on the differences between the financial reporting and tax bases of assets and liabilities using enacted tax rates in effect for the year in which the differences are expected to reverse. Any increase or decrease in the deferred tax liability that results from a change in circumstances, and that causes us to change our judgment about expected future tax consequences of events, is included in the tax provision when such changes occur. Deferred income taxes also reflect the impact of operating loss and tax credit carryforwards. A valuation allowance is provided if we believe it is more likely than not that all or some portion of the deferred tax asset will not be realized. Any increase or decrease in the valuation allowance that results from a change in circumstances, and that causes us to change our judgment about the realizability of the related deferred tax asset, is included in the tax provision when such changes occur.

 

Revenue Recognition

 

We have various different investments that generate revenue, including leased and mortgaged properties, as well as other investments, including working capital loans. We recognize rental income and other investment income as earned over the terms of the related leases and notes, respectively. Interest income is recorded on an accrual basis to the extent that such amounts are expected to be collected using the effective interest method. In applying the effective interest method, the effective yield on a loan is determined based on its contractual payment terms, adjusted for prepayment terms.

 

 F-22 

 

 

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – Continued

 

Substantially all of our operating leases contain provisions for specified annual increases over the rents of the prior year and are generally computed in one of three methods depending on specific provisions of each lease as follows: (i) a specific annual increase over the prior year’s rent, generally between 2.0% and 3.0%; (ii) an increase based on the change in pre-determined formulas from year to year (e.g. increases in the Consumer Price Index); or (iii) specific dollar increases over prior years. Revenue under lease arrangements with minimum fixed and determinable increases is recognized over the non-cancellable term of the lease on a straight-line basis. The authoritative guidance does not provide for the recognition of contingent revenue until all possible contingencies have been eliminated. We consider the operating history of the lessee, the payment history, the general condition of the industry and various other factors when evaluating whether all possible contingencies have been eliminated.

 

In the case of rental revenue recognized on a straight-line basis, we generally record reserves against earned revenues from leases when collection becomes questionable or when negotiations for restructurings of troubled operators result in significant uncertainty regarding ultimate collection. The amount of the reserve is estimated based on what management believes will likely be collected. We continually evaluate the collectability of our straight-line rent assets. If it appears that we will not collect future rent due under our leases, we will record a provision for loss related to the straight-line rent asset.

 

We record direct financing lease income on a constant interest rate basis over the term of the lease. The costs related to originating the direct financing leases have been deferred and are being amortized on a straight-line basis as a reduction to income from direct financing leases over the term of the direct financing leases. Allowances are provided against earned revenues from direct financing leases when collection of amounts due becomes questionable or when negotiations for restructurings of troubled operators lead to lower expectations regarding ultimate collection.

 

Mortgage interest income and other investment income is recognized as earned over the terms of the related mortgage notes or other investment, typically using the effective yield method. Allowances are provided against earned revenues from mortgage interest or other investments when collection of amounts due becomes questionable or when negotiations for restructurings of troubled operators lead to lower expectations regarding ultimate collection.

 

Gains and losses on sales of real estate assets are recognized in accordance with the authoritative guidance for sales of real estate. The specific timing of the recognition of the sale and the related gain is measured against the various criteria in the guidance related to the terms of the transactions and any continuing involvement associated with the assets sold. To the extent the sales criteria are not met, we defer gain recognition until the sales criteria are met.

 

Stock-Based Compensation

 

We recognize stock-based compensation expense adjusted for estimated forfeitures to employees and directors, in general and administrative in our Consolidated Statements of Operations on a straight-line basis over the requisite service period of the awards.

 

Deferred Financing Costs and Original Issuance Premium and/or Discounts for Debt Issuance

 

External costs incurred from the placement of our debt are capitalized and amortized on a straight-line basis over the terms of the related borrowings which approximates the effective interest method. Deferred financing costs related to our revolving line of credit are included in other assets on our Consolidated Balance Sheets and deferred financing costs related to our other borrowings are included as a direct deduction from the carrying amount of the related debt liability on our Consolidated Balance Sheets. Original issuance premium or discounts reflect the difference between the face amount of the debt issued and the cash proceeds received and are amortized on a straight-line basis over the term of the related borrowings. All premiums and discounts are recorded as an addition to or reduction from debt on our Consolidated Balance Sheets. Amortization of deferred financing costs and original issuance premiums or discounts totaled $9.5 million, $9.3 million and $7.0 million in 2017, 2016 and 2015, respectively, and are classified as interest - amortization of deferred financing costs on our Consolidated Statements of Operations. When financings are terminated, unamortized deferred financing costs and unamortized premiums or discounts, as well as charges incurred for the termination, are recognized as expense or income at the time the termination is made. Gains and losses from the extinguishment of debt are presented in interest-refinancing costs on our Consolidated Statements of Operations.

 

 F-23 

 

 

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – Continued

 

Earnings Per Share/Unit

 

The computation of basic earnings per share/unit (“EPS” or “EPU”) is computed by dividing net income available to common stockholders/Omega OP Unit holders by the weighted-average number of shares of common stock/units outstanding during the relevant period. Diluted EPS/EPU is computed using the treasury stock method, which is net income divided by the total weighted-average number of common outstanding shares/Omega OP Units plus the effect of dilutive common equivalent shares/Omega OP Units during the respective period. Dilutive common shares reflect the assumed issuance of additional common shares/Omega OP Units pursuant to certain of our share-based compensation plans, including stock options, restricted stock and performance restricted stock units and the assumed issuance of additional shares related to Omega OP Units held by outside investors. Dilutive Omega OP Units reflect the assumed issuance of additional Omega OP Units pursuant to certain of our share-based compensation plans, including stock options, restricted stock and performance restricted stock.

 

Redeemable Limited Partnership Unitholder Interests and Noncontrolling Interests

 

As of April 1, 2015 and after giving effect to the Aviv Merger, the Company owned approximately 138.8 million Omega OP Units and Aviv OP owned approximately 52.9 million Omega OP Units. Each of the Omega OP Units (other than the Omega OP Units owned by Omega) is redeemable at the election of the Omega OP Unit holder for cash equal to the then-fair market value of one share of Omega common stock, par value $0.10 per share (“Omega Common Stock”), subject to the Company’s election to exchange the Omega OP Units tendered for redemption for unregistered shares of Omega Common Stock on a one-for-one basis, subject to adjustment as set forth in the Partnership Agreement.

 

Effective June 30, 2015, Omega (through OHI Holdco, in its capacity as the general partner of Aviv OP) caused Aviv OP to make a distribution of Omega OP Units held by Aviv OP (or equivalent value) to Aviv OP investors (the “Aviv OP Distribution”) in connection with the liquidation of Aviv OP. As a result of the Aviv OP Distribution, Omega directly and indirectly owned approximately 95% of the outstanding Omega OP Units, and the other investors owned approximately 5% of the outstanding Omega OP Units at that time. As a part of the Aviv OP Distribution, Omega settled approximately 0.2 million units via cash settlement. As of December 31, 2017, Omega owns approximately 96% of the issued and outstanding Omega OP Units, and investors own approximately 4% of the outstanding Omega OP Units.

 

Noncontrolling Interests

 

Noncontrolling interests is the portion of equity not attributable to the respective reporting entity. We present the portion of any equity that we do not own in consolidated entities as noncontrolling interests and classify those interests as a component of total equity, separate from total stockholders’ equity, or owners’ equity on our Consolidated Balance Sheets. We include net income (loss) attributable to the noncontrolling interests in net income in our Consolidated Statements of Operations.

 

As our ownership of a controlled subsidiary increases or decreases, any difference between the aggregate consideration paid to acquire the noncontrolling interests and our noncontrolling interest balance is recorded as a component of equity in additional paid-in capital, so long as we maintain a controlling ownership interest.

 

The noncontrolling interest for Omega represents the outstanding Omega OP Units held by outside investors.

 

Foreign Operations

 

The U.S. dollar is the functional currency for our consolidated subsidiaries operating in the U.S. The functional currency for our consolidated subsidiaries operating in the U.K. is the British Pound. For our consolidated subsidiaries whose functional currency is not the U.S. dollar, we translate their financial statements into the U.S. dollar. We translate assets and liabilities at the exchange rate in effect as of the financial statement date. Revenue and expense accounts are translated using an average exchange rate for the period. Gains and losses resulting from translation are included in Omega OP’s owners’ equity and Omega’s accumulated other comprehensive loss (“AOCL”), as a separate component of equity and a proportionate amount of gain or loss is allocated to noncontrolling interests.

 

We and certain of our consolidated subsidiaries may have intercompany and third-party debt that is not denominated in the entity’s functional currency. When the debt is remeasured against the functional currency of the entity, a gain or loss can result. The resulting adjustment is reflected in results of operations, unless it is intercompany debt that is deemed to be long-term in nature in which case the adjustments are included in Omega OP’s owners’ equity and Omega’s AOCL.

 

 F-24 

 

 

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – Continued

 

Derivative Instruments

 

Cash flow hedges

 

During our normal course of business, we may use certain types of derivative instruments for the purpose of managing interest rate and currency risk. To qualify for hedge accounting, derivative instruments used for risk management purposes must effectively reduce the risk exposure that they are designed to hedge. In addition, at the inception of a qualifying cash flow hedging relationship, the underlying transaction or transactions, must be, and are expected to remain, probable of occurring in accordance with the Company’s related assertions. The Company recognizes all derivative instruments, including embedded derivatives required to be bifurcated, as assets or liabilities on the Consolidated Balance Sheets at fair value which is determined using a market approach and Level 2 inputs. Changes in the fair value of derivative instruments that are not designated in hedging relationships or that do not meet the criteria of hedge accounting are recognized in earnings. For derivatives designated as qualifying cash flow hedging relationships, the change in fair value of the effective portion of the derivatives is recognized in Omega OP’s owners’ equity and Omega’s AOCL as a separate component of equity and a proportionate amount of gain or loss is allocated to noncontrolling interest, whereas the change in fair value of the ineffective portion is recognized in earnings. We formally document all relationships between hedging instruments and hedged items, as well as our risk-management objectives and strategy for undertaking various hedge transactions. This process includes designating all derivatives that are part of a hedging relationship to specific forecasted transactions as well as recognized liabilities or assets on the Consolidated Balance Sheets. We also assess and document, both at inception of the hedging relationship and on a quarterly basis thereafter, whether the derivatives are highly effective in offsetting the designated risks associated with the respective hedged items. If it is determined that a derivative ceases to be highly effective as a hedge, or that it is probable the underlying forecasted transaction will not occur, we discontinue hedge accounting prospectively and record the appropriate adjustment to earnings based on the current fair value of the derivative. As a matter of policy, we do not use derivatives for trading or speculative purposes. At December 31, 2017, $1.5 million of qualifying cash flow hedges were recorded at fair value in other assets and at December 31, 2016, $1.5 million of qualifying cash flow hedges were recorded at fair value in accrued expenses and other liabilities on our Consolidated Balance Sheets.

 

Net investment hedge

 

We use the spot method to measure the effectiveness of our net investment hedge. Under this method, for each reporting period, the change in the carrying value of the hedging instrument due to remeasurement of the effective portion is reported in Omega OP’s owners’ equity and Omega’s AOCL in our Consolidated Balance Sheets and the remaining change in the carrying value of the ineffective portion, if any, is recognized in earnings. We evaluate the effectiveness of our net investment hedge on a quarterly basis. We did not record any ineffectiveness during 2017.

 

Related Party Transactions

 

The Company has a policy which generally requires related party transactions to be approved or ratified by the Audit Committee. On February 1, 2016, we acquired 10 SNFs from Laurel Healthcare Holdings, Inc. (“Laurel”) for approximately $169.0 million in cash and leased them to an unrelated existing operator. A former member of the Board of Directors of the Company, together with certain members of his immediate family, beneficially owned approximately 34% of the equity of Laurel prior to the transaction. Immediately following our acquisition, the unrelated existing operator acquired all of the outstanding equity interests of Laurel, including the interests previously held by the former director of the Company and his family.

 

Reclassification

 

Certain prior year amounts have been reclassified to conform with the current year presentation.

 

Recently Adopted Accounting Pronouncements

 

In March 2016, FASB issued ASU 2016-09, Compensation-Stock Compensation (Topic 718) (“ASU 2016-09”). ASU 2016-09 amends the accounting for share-based payment transactions, including the income tax consequences, classification of awards as either equity or liabilities and classification on the statement of cash flows. This guidance is effective for annual and interim reporting periods of public entities beginning after December 15, 2016. We adopted this accounting standard on January 1, 2017, at which time the Company began prospectively accounting for excess tax benefits or tax deficiencies as an adjustment to income tax expense in our Consolidated Statements of Operations as opposed to the prior requirement that these excess tax benefits be recognized in additional paid-in capital and tax deficiencies be recognized either as an offset to accumulated excess tax benefits, if any, or in the income statement. The Company will continue to account for forfeitures as they occur and present employee taxes paid as a financing activity on our Consolidated Statements of Cash Flows. The adoption of this accounting standard did not have a material impact on our consolidated financial statements.

 

 F-25 

 

 

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – Continued

 

During the fourth quarter of 2017, we adopted ASU 2016-18, Statement of Cash Flows (Topic 230) Restricted Cash (“ASU 2016-18”). ASU 2016-18 requires restricted cash balances be included along with cash and cash equivalents as of the end of the period and the beginning of period, respectively, in the Company's consolidated statement of cash flows for all periods presented. We have retrospectively adjusted the presentation of restricted cash on the Company’s Consolidated Statement of Cash Flows for all prior periods presented, as required. There is no impact to the Company’s net assets, net income or retained earnings in any period presented. Total net cash provided by operating activities decreased in 2016 and 2015 by approximately $1.0 million and $14.5 million, respectively, with a corresponding increase to the change in cash, cash equivalents and restricted cash for the years ended 2016 and 2015.

 

During the fourth quarter of 2017, we adopted ASU 2016-15, Statement of Cash Flows (Topic 230) Classification of Certain Cash Receipts and Cash Payments (“ASU 2016-15”). ASU 2016-15 eliminates the diversity in practice related to the classification of certain cash receipts and payments in a company’s statement of cash flows for debt prepayment or extinguishment costs, the maturing of a zero coupon bond, the settlement of contingent liabilities arising from a business combination, proceeds from insurance settlements, distributions from certain equity method investees and beneficial interests obtained in a financial asset securitization. Historically, the Company has classified the receipt and reinvestment of property insurance proceeds as an operating activity in its statement of cash flows. The receipt and reinvestment of property insurance proceeds in 2016 and 2015 was immaterial to the Company’s financial statements and not adjusted. As a result of adopting ASU 2016-15, the Company presented the receipt and subsequent reinvestment of property insurance proceeds in 2017 as an investing activity in the Consolidated Statement of Cash Flows, as this classification more accurately reflects the nature of the cash flows. There was no impact to the Company’s net assets, income or retained earnings in any period presented as a result of adopting ASU 2016-15.

 

Recent Accounting Pronouncements - Pending Adoption

 

In 2014, the FASB issued ASU 2014-09, Revenue from Contracts with Customers (“ASU 2014-09”), which outlines a comprehensive model for entities to use in accounting for revenue arising from contracts with customers. ASU 2014-09 states that “an entity recognizes revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services.” While ASU 2014-09 specifically references contracts with customers, it may apply to certain other transactions such as the sale of real estate or equipment. ASU 2014-09 is effective for the Company beginning January 1, 2018. In addition, the FASB has begun to issue targeted updates to clarify specific implementation issues of ASU 2014-09. These updates include ASU 2016-08, Principal versus Agent Considerations (Reporting Revenue Gross versus Net), ASU 2016-10, Identifying Performance Obligations and Licensing, and ASU 2016-12, Narrow-Scope Improvements and Practical Expedients. As a result of adopting ASU 2014-09 and its updates on January 1, 2018, the Company will recognize $10.0 million of deferred gain resulting from the sale of facilities to a third party in December 2017 through retained earnings on January 1, 2018. The Company intends to adopt ASU 2014-09 and its subsequent updates in accordance with the modified retrospective approach. The Company has completed its analysis of ASU 2014-09 and its related updates and has determined that its adoption will not have a material impact on our consolidated financial statements, as a substantial portion of our revenue consists of rental income from leasing arrangements and interest income from loan arrangements, both of which are specifically excluded from ASU 2014-09 and its updates.

 

In February 2016, the FASB issued ASU 2016-02, Leases (“ASU 2016-02”), which amends the existing accounting standards for lease accounting, including requiring lessees to recognize most leases on their balance sheets and making targeted changes to lessor accounting. ASU 2016-02 will be effective for the Company beginning January 1, 2019. Early adoption of ASU 2016-02 as of its issuance is permitted. The new standard requires a modified retrospective transition approach for all leases existing at, or entered into after, the date of initial application, with an option to use certain transition relief. As a result of the pending adoption of ASU 2016-02 and in connection with the pending adoption of ASU 2014-09, the Company may be required to record real estate tax revenues and an equal and offsetting real estate tax expense, as a result of our operators paying real estate taxes on our behalf. We are continuing to evaluate the other impacts of adopting ASU 2016-02 on our consolidated financial statements.

 

In June 2016, the FASB issued ASU 2016-13, Financial Instruments - Credit Losses (Topic 326) (“ASU 2016-13”), which changes the impairment model for most financial assets. The new model uses a forward-looking expected loss method, which will generally result in earlier recognition of allowances for losses. ASU 2016-13 is effective for annual and interim periods beginning after December 15, 2019 and early adoption is permitted for annual and interim periods beginning after December 15, 2018. We are currently evaluating the impact of adopting ASU 2016-13 on our consolidated financial statements.

 

 F-26 

 

 

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – Continued

 

In August 2017 the FASB issued ASU 2017-12, Derivatives and Hedging: Targeted Improvements to Accounting for Hedging Activities (“ASU 2017-12”). The purpose of this updated guidance is to better align the financial reporting for hedging activities with the economic objectives of those activities. The transition guidance provides companies with the option of early adopting the new standard using a modified retrospective transition method in any interim period after issuance of the update, or alternatively requires adoption for fiscal years beginning after December 15, 2018. This adoption method will require the Company to recognize the cumulative effect of initially applying ASU 2017-12 as an adjustment to accumulated other comprehensive income (loss) with a corresponding adjustment to the opening balance of retained earnings as of the beginning of the fiscal year that an entity adopts the update. While the Company continues to assess all potential impacts of the standard, we do not expect the adoption of ASU 2017-12 to have a material impact on our consolidated financial statements.

 

NOTE 3 – PROPERTIES

 

Leased Property

 

Our leased real estate properties, represented by 735 SNFs, 118 ALFs, 15 specialty facilities and one medical office building at December 31, 2017, are leased under provisions of single or master operating leases with initial terms typically ranging from 5 to 15 years, plus renewal options. Also see Note 4 – Direct Financing Leases for information regarding additional properties accounted for as direct financing leases. Substantially all of the single leases and master leases provide for minimum annual rentals that are typically subject to annual increases. Under the terms of the leases, the lessee is responsible for all maintenance, repairs, taxes and insurance on the leased properties.

 

A summary of our investment in leased real estate properties is as follows:

 

   December 31, 
   2017   2016 
   (in thousands) 
Buildings  $

6,098,119

   $

6,090,294

 
Land   795,874    759,295 
Furniture, fixtures and equipment   440,737    454,760 
Site improvements   227,150    206,206 
Construction in progress   

94,080

    

55,803

 
Total real estate investments   7,655,960    7,566,358 
Less accumulated depreciation   (1,376,828)   (1,240,336)
Real estate investments - net  $6,279,132   $6,326,022 

 

For the years ended December 31, 2017, 2016 and 2015, we capitalized $8.0 million, $6.6 million and $3.7 million, respectively, of interest to our projects under development.

 

The future minimum estimated contractual rents due for the remainder of the initial terms of the operating leases are as follows at December 31, 2017:

 

   (in thousands) 
2018  $687,567 
2019   696,793 
2020   710,610 
2021   722,609 
2022   720,818 
Thereafter   4,095,073 
Total  $7,633,470 

 

 F-27 

 

 

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – Continued

 

The following tables summarize the significant transactions that occurred between 2017 and 2015. The 2015 table excludes the acquisition of Care Homes in the U.K. and the Aviv Merger in the second quarter of 2015, which are discussed separately below.

 

2017 Acquisitions and Other

 

   Number of
Facilities
   Country/  Total
Investment (4)
   Land   Building & Site
Improvements
   Furniture
& Fixtures
   Initial
Annual
Cash
Yield (2)
 
Period  SNF   ALF   State  (in millions)   (%) 
Q1   -    1   VA  $7.6   $0.5   $6.8   $0.3    7.50 
Q2   1    -   NC   8.6    0.7    7.3    0.6    9.50 
Q2   -    18   UK   124.2(1)   34.1    85.1    5.0    8.50 
Q3   -    1   TX   2.3    0.7    1.5    0.1    9.25 
Q3   15    -   IN   211.0    18.0    180.2    12.8    9.50 
Q3   9    -   TX   19.0(3)   1.7    15.5    1.8    18.60 
Q4   6    -   TX   40.0    1.0    35.1    3.9    9.25 
                                       
Total   31    20      $412.7   $56.7   $331.5   $24.5      

 

(1)Omega recorded a non-cash deferred tax liability and acquisition costs of approximately $8.2 million and $1.2 million, respectively, in connection with this acquisition.
(2)The cash yield is based on the purchase price.
(3)In July 2017, we transitioned nine SNFs formerly subject to a direct financing lease to another operator. As a result of terminating the direct financing lease, we wrote down the facilities to our original cost basis and recorded an impairment on the direct financing lease of approximately $1.8 million. See Note 4 – Direct Financing Leases for additional information.
(4)All of the aforementioned acquisitions were accounted for as asset acquisitions.

 

During 2017, we acquired three parcels of land which are not reflected in the table above for approximately $6.7 million with the intent of building new facilities for existing operators.

 

2016 Acquisitions and Other

 

   Number of
Facilities
   Country/  Total Investment(6)   Land  

Building & Site
Improvements

   Furniture
& Fixtures
   Initial
Annual
Cash
Yield (7)
 
Period  SNF   ALF   State  (in millions)   (%) 
Q1   -    1   UK  $8.3   $1.4   $6.7   $0.2    7.00 
Q1   -    1   UK   6.1    0.6    5.3    0.2    7.00 
Q1   10    -   OH, VA, MI   169.0(2)   10.5    152.5    6.0    8.50 
Q1   -    2   GA   20.2    0.8    18.3    1.1    7.50 
Q1   3    -   MD   25.0    2.5    19.9    2.6    8.50 
Q1   21    -   VA, NC   212.5    19.3    181.1    12.1    8.50 
Q2   -    10   UK   111.9(3)   24.8    83.9    3.2    7.00 
Q2   -    3   TX   66.0(4)   5.8    58.6    1.6    6.80 
Q2   3    -   CO, MO   31.8    3.1    26.2    2.5    9.00 
Q3   -    1   FL   4.3    2.3    1.8    0.2    8.00 
Q3   -    1   GA   2.5    0.2    2.1    0.2    8.00 
Q3   -    1   FL   16.5    1.8    14.3    0.4    8.00 
Q3   1    -   SC   10.1    2.7    6.5    0.9    9.00 
Q3   1    -   OH   9.0(5)   -    8.6    0.4    9.00 
Q3   31    -   FL, KY,TN   329.6(1)   24.6    290.8    14.2    9.00 
Total   70    20      $1,022.8   $100.4   $876.6   $45.8      

 

(1)The Company’s investment includes a purchase option buyout obligation with a fair value of approximately $29.6 million. The future buyout obligation is recorded in accrued expenses and other liabilities on our Consolidated Balance Sheet. The Company also acquired a term loan with a fair value of approximately $37.0 million which is recorded in other investments on our Consolidated Balance Sheet. In August 2017, the purchase option was terminated and the operator used the proceeds to repay certain other investments, refer to Note – 6 Other Investments for details.
(2)Acquired from a related party. Refer to Note – 2 Summary of Significant Accounting Policies - Related Party Transactions.
(3)Omega also recorded a deferred tax asset of approximately $1.9 million in connection with the acquisition.

 

 F-28 

 

 

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – Continued

 

(4)The Company paid $63.0 million in cash at closing to acquire the facilities. We paid an additional $1.5 million in April 2017 and the remaining $1.5 million will be paid in April 2018. The additional consideration to be paid is contractually determined and not contingent on other factors.
(5)The Company paid approximately $3.5 million in cash to acquire the facility. The remainder of the purchase price (approximately $5.5 million) was funded with the redemption of an other investment note.
(6)All of the aforementioned acquisitions were accounted for as business combinations.
(7)The cash yield is based on the purchase price.

 

During 2016, the Company also acquired five parcels of land which are not reflected in the table above for approximately $8.3 million with the intent of building new facilities for existing operators.

 

For the year ended December 31, 2016, we recognized rental revenue of approximately $58.1 million and expensed approximately $9.6 million of acquisition related costs in connection with the aforementioned acquisitions. No goodwill was recorded in connection with these acquisitions.

 

2015 Acquisitions and Other

 

   Number of
Facilities
   Total
Investment
   Land   Building & Site
Improvements
   Furniture
& Fixtures
   Initial
Annual
Cash
Yield (4)
 
Period  SNF   ALF   State  (in millions)   (%) 
Q1   1    -   TX  $6.8   $0.1   $6.1   $0.6    9.50 
Q3   6    -   NE   15.0    1.4    12.1    1.5    9.00 
Q3   1    2   WA   18.0    2.2    14.9    0.9    8.00 
Q3   -    2   GA   10.8    1.2    9.0    0.6    7.00 
Q3   1    -   VA   28.5(1)   1.9    24.2    2.4    9.25 
Q3   2    -   FL   32.0    1.4    29.0    1.6    9.00 
Q3   -    -   NY   111.7(2)(3)   111.7    -    -    - 
Q4   1    -   AZ   0.6(3)   0.3    0.3    -    9.00 
Q4   1    -   TX   5.3    1.8    3.0    0.5    9.50 
Total   13    4      $228.7   $122.0   $98.6   $8.1      

 

(1)In July 2015, we leased the facility to a new operator with an initial lease term of 10 years.
(2)On July 24, 2015, we purchased five buildings located in New York City, New York for approximately $111.7 million. We and our operator plan to construct a 215,000 square-foot assisted living and memory care facility. The properties were added to the operator’s existing master lease. The lease provides for a 5% annual cash yield on the land during the construction phase. Upon issuance of a certification of occupancy, the annual cash yield will increase to 7% in year one and 8% in year two with 2.5% annual escalators thereafter.
(3)Accounted for as an asset acquisition.
(4)The cash yield is based on the purchase price.

 

For the year ended December 31, 2015, we recognized rental revenue of approximately $4.9 million and expensed $2.2 million of acquisition related costs related to the aforementioned acquisitions. No goodwill was recorded in connection with these acquisitions.

 

Acquisition of Care Homes in the U.K.

 

On May 1, 2015, we closed on a purchase/leaseback Care Homes Transaction (the “Care Homes Transaction”) for 23 care homes located in the U.K. and operated by Healthcare Homes Holding Limited (“Healthcare Homes”). As part of the transaction, we acquired title to the 23 care homes with 1,018 registered beds and leased them back to Healthcare Homes pursuant to a 12-year master lease agreement with an initial annual cash yield of 7%, and annual escalators of 2.5%. The care homes, comparable to ALFs in the U.S., are located throughout the East Anglia region (north of London) of the U.K. Healthcare Homes is headquartered in Colchester (Essex County), England. We recorded approximately $193.8 million of assets consisting of land ($20.7 million), building and site improvements ($152.1 million), furniture and fixtures ($5.3 million) and goodwill ($15.7 million). We also recorded an initial deferred tax liability associated with the temporary tax basis difference of approximately $15 million.

 

For the year ended December 31, 2015, we recognized approximately $9.5 million of rental revenue and expensed approximately $3.2 million of acquisition related costs associated with the Care Homes Transaction.

 

 F-29 

 

 

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – Continued

 

Aviv Merger

 

On April 1, 2015, Omega completed the Aviv Merger, which was structured as a stock-for-stock merger. Under the terms of the Merger Agreement, each outstanding share of Aviv common stock was converted into 0.90 of a share of Omega Common Stock. In connection with the Aviv Merger, Omega issued approximately 43.7 million shares of Omega Common Stock to former Aviv stockholders. As a result of the Aviv Merger, Omega acquired 342 facilities, two facilities subject to direct financing leases, one medical office building, two mortgages and other investments. Omega also assumed certain outstanding equity awards and other debt and liabilities. Based on the closing price of Omega’s common stock on April 1, 2015, the fair value of the consideration exchanged was approximately $2.3 billion.

 

For the year ended December 31, 2015, we recognized approximately $188.4 million of total revenue and expensed approximately $52.1 million in acquisition and merger related costs in connection with the Aviv Merger.

 

Pro Forma Acquisition Results

 

The businesses acquired in 2015 are included in our results of operations from the dates of acquisition. The following unaudited pro forma results reflect the impact of the acquisitions as if they occurred on January 1, 2014. In the opinion of management, all significant necessary adjustments to reflect the effect of the acquisitions have been made. The following pro forma information is not indicative of future operations.

 

   Year Ended December 31, 2015 
   (in thousands, except per share
amounts, unaudited)
 
Pro forma revenues  $817,642 
Pro forma net income  $258,927 
      
Earnings per share – diluted:     
Net income – as reported  $1.29 
Net income – pro forma  $1.33 

 

Asset Sales, Impairments and Other

 

During the fourth quarter of 2017, we sold 32 facilities (two previously held for sale at September 30, 2017) subject to operating leases for approximately $188.0 million in net proceeds recognizing a gain on sale of approximately $46.4 million. In addition, we recorded impairments on real estate properties of approximately $63.5 million on 32 facilities (two were subsequently reclassified to held for sale). Of the $63.5 million impairment on real estate properties, $12.6 million related to one facility that was destroyed in a fire.

 

In 2017, we sold 52 facilities (14 previously held for sale at December 31, 2016) subject to operating leases for approximately $257.8 million in net proceeds recognizing a gain on sale of approximately $53.9 million. In addition, we recorded impairments on real estate properties of approximately $99.1 million on 37 facilities including approximately $2.6 million of capitalized costs associated with the termination of construction projects with two of our operators. The total net recorded investment in these properties after impairments and excluding facilities previously sold was approximately $125.1 million as of December 31, 2017, with approximately $7.7 million related to properties classified as held for sale.

 

Of the 52 facilities sold in 2017, the sale of ten of these facilities did not qualify for sale accounting under the full accrual method. The ten SNFs with a carrying value of approximately $23.2 million were sold to a third-party for approximately $43.3 million, resulting in a total gain of approximately $17.5 million after $2.6 million of closing costs. In connection with this sale, we provided the buyer a $10.0 million loan which is recorded in other investments on our Consolidated Balance Sheet. We recognized a net gain of approximately $7.5 million in 2017 and deferred $10.0 million of gain related to this sale. The $10.0 million of deferred gain is recorded as a reduction to our other investments on our Consolidated Balance Sheet. See Note 6 – Other Investments for more details.

 

In 2016, we sold 38 facilities (three previously held for sale at December 31, 2015) subject to operating leases for approximately $169.6 million in net proceeds recognizing a gain on sale of approximately $50.2 million. We also recorded impairments on real estate properties of approximately $58.7 million on 29 facilities.

 

In 2015, we sold seven SNFs (three previously held for sale at December 31, 2014) subject to operating leases for total cash proceeds of approximately $41.5 million, generating a gain on sale of approximately $6.4 million. We also recorded impairments on real estate properties of approximately $17.7 million on six SNFs.

 

The 2017 and 2016 impairments were primarily the result of decisions to exit certain non-strategic facilities and/or operators. The 2015 impairments are primarily the result of closing facilities or updating the estimated proceeds we expected to receive for the sale of closed facilities at that time. We reduced the net book value of the impaired facilities to their estimated fair values or, with respect to the facilities reclassified to held for sale, to its estimated fair value less costs to sell. To estimate the fair value of the facilities, we utilized a market approach and Level 3 inputs (which generally consist of non-binding offers from unrelated third parties). See also Note 4 – Direct Financing Leases and Note 8 – Assets Held For Sale for more details.

 

 F-30 

 

 

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – Continued

 

NOTE 4 – DIRECT FINANCING LEASES

 

The components of investments in direct financing leases consist of the following:

 

   December 31, 
   2017   2016 
   (in thousands) 
Minimum lease payments receivable  $3,707,079   $4,287,069 
Less unearned income   (3,169,942)   (3,685,131)
Investment in direct financing leases   537,137    601,938 
Less allowance for loss on direct financing leases   (172,172)    
Investment in direct financing leases – net  $364,965   $601,938 
           
Properties subject to direct financing leases   41    58 
Number of direct financing leases   5    7 

 

The following table summarizes our investments in the direct financing leases by operator, net of allowance for loss:

 

   December 31, 
   2017   2016 
   (in thousands) 
Orianna  $337,705   $574,581 
Reliance Health Care Management, Inc.   15,458    15,498 
Sun Mar Healthcare   11,481    11,443 
Markleysburg Healthcare Investors, LP   321    416 
Investment in direct financing leases - net  $364,965   $601,938 

 

The following minimum rents are due under our direct financing leases for the next five years (in thousands):

 

2018(1) 2019(1) 2020(1) 2021(1) 2022(1)

$2,612

$2,654

$2,686

$2,629

$2,680

 

(1)

Orianna has been excluded from the contractual minimum rent payments due under our direct financing leases. See below for additional information.

 

On November 27, 2013, we closed an aggregate $529 million purchase/leaseback transaction in connection with the acquisition of Ark Holding Company, Inc. (“Ark Holding”) by 4 West Holdings Inc. At closing, we acquired 55 SNFs and 1 ALF operated by Ark Holding and leased the facilities back to Ark Holding, now known as New Ark Investment Inc. (“New Ark” which does business as “Orianna Health Systems” and is herein referred to as “Orianna”), pursuant to four 50-year master leases with rental payments yielding 10.6% per annum over the term of the leases. The purchase/leaseback transaction is being accounted for as a direct financing lease.

 

The lease agreements allow the tenant the right to purchase the facilities for a bargain purchase price plus closing costs at the end of the lease term. In addition, commencing in the 41st year of each lease, the tenant will have the right to prepay the remainder of its obligations thereunder for an amount equal to the sum of the unamortized portion of the original aggregate $529 million investment plus the net present value of the remaining payments under the lease and closing costs. In the event the tenant exercises either of these options, we have the right to purchase the properties for fair value at the time.

 

In 2017, we sold eight of these facilities, with a carrying value of approximately $36.4 million for approximately $33.3 million to unrelated third parties. These facilities were subject to direct financing leases with Orianna in the Northwest region and the Southeast region. We recorded approximately $3.3 million of impairment related to these sales. In addition, we transitioned nine SNFs, representing all of the facilities subject to another direct financing lease with Orianna in the Texas region, to an existing operator of the Company pursuant to an operating lease. In connection with this transaction, we recorded the real estate properties at our original cost basis of approximately $19.0 million, eliminated our investment in the direct financing lease and recorded an impairment of approximately $1.8 million. In conjunction with this transaction, we also amended our Orianna Southeast region master lease to reduce the outstanding balance by $19.3 million. As a result of the amendment, we recorded impairment on our investment in direct financing lease of approximately $20.8 million.

 

 F-31 

 

 

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – Continued

 

Orianna has not satisfied the contractual payments due under the terms of the remaining two direct financing leases or the separate operating lease with the Company and the collectability of future amounts due is uncertain. The Company is in continuing discussions with Orianna regarding the Orianna portfolio. The outcome of such negotiations may include the sale of some facilities and transitioning certain facilities from Orianna to other operators.

 

In 2017, we recorded an allowance for loss on direct financing leases of $172.2 million with Orianna covering 38 facilities in the Southeast region of the U.S. The amount of the allowance was determined based on the fair value of the facilities subject to the direct financing lease. To estimate the fair value of the underlying collateral, we utilized an income approach and Level 3 inputs. Our estimate of fair value assumed annual rents ranging between $32.0 million and $38.0 million, rental yields between 9% and 10%, current and projected operating performance of the facilities, coverage ratios and bed values. Such assumptions are subject to change based on changes in market conditions and the ultimate resolution of this matter. Such changes could be significantly different than the currently estimated fair value and such differences could have a material impact on our financial statements.

 

The 38 facilities under our master leases with Orianna as of December 31, 2017 are located in seven states, predominantly in the southeastern U.S. (37 facilities) and Indiana (1 facility). Our recorded investment in these direct financing leases, net of the $172.2 million allowance, amounted to $337.7 million, as of December 31, 2017. We have not recognized any direct financing lease income from Orianna for the period from July 1, 2017 through December 31, 2017. For the year ended December 31, 2017, we recognized a total impairment of $198.2 million on direct financing leases.

 

Additionally, we own four facilities and lease them to Orianna under a master lease which expires in 2026. The four facility lease is being accounted for as an operating lease. We have not recognized any income on this operating lease for the period from July 1, 2017 through December 31, 2017, as Orianna did not pay the contractual amounts due and collectability is uncertain. Our recorded investment in this operating lease was $38.4 million as of December 31, 2017. As of December 31, 2017, we have an allowance for contractual receivables and straight-line rent receivables related to this lease of $1.9 million representing all amounts past due.

 

NOTE 5 – MORTGAGE NOTES RECEIVABLE

 

As of December 31, 2017, mortgage notes receivable relate to 31 fixed rate mortgages on 51 long-term care facilities. The mortgage notes are secured by first mortgage liens on the borrowers' underlying real estate and personal property. The mortgage notes receivable relate to facilities located in ten states, operated by seven independent healthcare operating companies. We monitor compliance with mortgages and when necessary have initiated collection, foreclosure and other proceedings with respect to certain outstanding loans.

 

The outstanding principal amounts of mortgage notes receivable, net of allowances, were as follows:

 

   December 31, 
   2017   2016 
   (in thousands) 
         
Mortgage note due 2024; interest at 9.98%  $112,500   $112,500 
Mortgage note due 2029; interest at 9.68%   410,763    412,140 
Other mortgage notes outstanding (1)   152,874    118,637 
Mortgage notes receivable, gross   676,137    643,277 
Allowance for loss on mortgage notes receivable(2)   (4,905)   (3,934)
Total mortgages — net  $671,232   $639,343 

 

(1)Other mortgage notes outstanding have stated interest rates ranging from 8.35% to 14.0% per annum and maturity dates through 2029.
(2)The allowance for loss on mortgage notes receivable relates to one mortgage with an operator. The carrying value and fair value of the mortgage note receivable is approximately $1.5 million at December 31, 2017 and $2.5 million at December 31, 2016.

 

 F-32 

 

 

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – Continued

 

$112.5 Million of Mortgage Note due 2024

 

On January 17, 2014, we entered into a $112.5 million first mortgage loan with an existing operator. The loan is secured by 7 SNFs and 2 ALFs located in Pennsylvania (7) and Ohio (2). The mortgage is cross-defaulted and cross-collateralized with our existing master lease with the operator.

 

Mortgage Note due 2028

 

On April 29, 2016, an existing operator exercised an option to repay certain mortgage notes. We received proceeds of approximately $47.8 million for the mortgage notes due. In connection with the repayment of the mortgage notes we recognized a net gain of approximately $5.4 million which is recorded in mortgage interest income on our Consolidated Statement of Operations. The remaining $36.0 million interest only mortgage is secured by three facilities located in Maryland. The interest rate will accrue at a fixed rate of 11% per annum through April 2018. After April 2018, the interest rate will increase to 13.75% per annum. The initial maturity date was extended to December 2028. The mortgage is cross-defaulted and cross-collateralized with our existing master lease and other investment notes with the operator.

 

$415 Million of Refinancing/Consolidating Mortgage Loans due 2029

 

On June 30, 2014, we entered into an agreement to refinance/consolidate $117 million in existing mortgages with maturity dates ranging from 2021 to 2023 on 17 facilities into one mortgage and simultaneously provide mortgage financing for an additional 14 facilities. The original $415 million mortgage matures in 2029 and was secured by 31 facilities. The new loan bore an initial annual cash interest rate of 9.0% that increases by 0.225% per year (e.g., beginning in year 2 the annual cash interest rate was 9.225%, in year 3 the annual cash interest rate was 9.45%, etc.). The mortgage is cross-defaulted and cross-collateralized with our existing master lease and other investment notes with the operator.

 

Conversion of Mortgage Notes due 2046 to Leased Properties

 

In January 2016, we acquired three facilities via a deed-in-lieu of foreclosure from a mortgagor. The fair value of the facilities approximated the $25.0 million carrying value of the mortgages. These facilities are located in Maryland. Simultaneously, we leased these facilities to an existing operator.

 

NOTE 6 – OTHER INVESTMENTS

 

A summary of our other investments is as follows:

 

   December 31, 
   2017   2016 
   (in thousands) 
         
Other investment note due 2019; interest at 11.25%  $49,708   $49,458 
Other investment note due 2020; interest at 14.57%   49,490    47,913 
Other investment note due 2022, interest at 9.00%   31,987    31,987 
Other investment note due 2030; interest at 6.66%   50,000    44,595 
Other investment notes outstanding (1)   95,530    87,691 
Other investments, gross   276,715    261,644 
Allowance for loss on other investments (2)   (373)   (4,798)
Total other investments  $276,342   $256,846 

 

(1)Other investment notes have maturity dates through 2028 and interest rates ranging from 6.0% to 12.0% per annum.
(2)

The 2017 allowance for loss on other investments relates to one loan with an operator that has been fully reserved at December 31, 2017 with a charge to earnings in 2017. The reserves at December 31, 2016 were written off in 2017.

 

 F-33 

 

 

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – Continued

 

The following is an overview of certain notes, including certain notes entered into or fully repaid in 2017 and 2016.

 

Other Investment note due 2019

 

On February 26, 2016, we acquired and funded a $50.0 million mezzanine note at a discount of approximately $0.75 million to a new operator.

 

Other Investment note due 2020

 

On July 29, 2016, we provided an existing operator $48.0 million of term loan funding. The term loan bears interest at LIBOR with a floor of 1% plus 13% and matures on July 29, 2020. The term loan requires monthly principal payments of $0.25 million through July 2019, and $0.5 million from August 2019 through maturity. In addition, a portion of the monthly interest may be accrued to the outstanding principal balance of the loan. In November 2017, we provided the operator forbearance through February 2018. The forbearance allows for the deferral of principal payments and permits the operator to accrue all interest due to the outstanding principal balance of the loan.

 

Other Investment notes due 2020

 

On December 28, 2017, we provided subsidiaries of a third party buyer $10.0 million of financing to acquire ten SNFs previously owned by the Company. The loan bears interest at 10% per annum and requires principal payments of $5.0 million in December 2018, $2.0 million in December 2019 and $3.0 million at maturity in December 2020. The $10.0 million loan is offset by a $10.0 million deferred gain as a result of the sale. See Note 3 – Properties for more details.

 

Other Investment note due 2022

 

On September 30, 2016, we acquired and amended a term loan with a fair value of approximately $37.0 million with an existing operator. A $5.0 million tranche of the term loan bears interest at 13% and matures on September 30, 2019 and a $32.0 million tranche of the term loan bears interest at 9% per annum and matures on March 31, 2022. The $5.0 million tranche was paid off in August 2017.

 

Other Investment note due 2030

 

On June 30, 2015, we entered into a $50.0 million revolving credit facility with an operator. The note bears interest at approximately 6.66% per annum and matures in 2030. As of December 31, 2017, approximately $50.0 million has been drawn and remains outstanding.

 

Other Investment notes settlement and paid off

 

On December 29, 2016, we provided an operator a $2.9 million term loan note. The term loan note bore interest at 11.0% per annum and initially matured in April 2017. The note was paid off in January 2017.

 

On January 1, 2016, we entered into a $10.0 million revolving credit facility with an existing operator. The revolving credit facility bore interest at 7.5% per annum and initially matured in December 2017. The revolving credit facility was paid off in March 2017.

 

On February 1, 2016, we provided an existing operator a $15.0 million secured working capital note. The working capital note bore interest at 8.5% per annum and was repaid at maturity in December 2017.

 

In August 2017, we executed an agreement with an existing operator that terminated our purchase option buyout obligation of approximately $30.7 million. The purchase option buyout obligation was recorded in accrued expenses and other liabilities on our Consolidated Balance Sheets. In exchange, we agreed to the settlement of other investment notes with a weighted average interest rate of 10.5% and a carrying value of approximately $30.2 million.

 

 F-34 

 

 

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – Continued

 

NOTE 7 – INVESTMENT IN UNCONSOLIDATED JOINT VENTURE

 

On November 1, 2016, we invested approximately $50.0 million for an approximate 15% ownership interest in a joint venture operating as Second Spring Healthcare Investments. The other approximate 85% interest is owned by affiliates of Lindsey Goldberg LLC. We account for our investment in the joint venture using the equity method. On November 1, 2016, the joint venture acquired 64 SNFs for approximately $1.1 billion.

 

We receive asset management fees from the joint venture for services provided. For the years ended December 31, 2017 and 2016, we recognized $2.0 million and $0.3 million, respectively, of asset management fees. These fees are included in miscellaneous income in the accompanying Consolidated Statements of Operations. The accounting policies for the unconsolidated joint venture are the same as those of the Company.

 

NOTE 8 – ASSETS HELD FOR SALE

 

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

 

   Properties Held For Sale 
   Number of
Properties
   Net Book Value
(in thousands)
 
     
December 31, 2015   3   $6,599 
Properties sold/other (1)   (24)   (75,948)
Properties added (2)   41    122,217 
December 31, 2016   20    52,868 
Properties sold/other (3)   (17)   (39,299)
Properties added (4)   19    73,130 
December 31, 2017 (5)   22   $86,699 

 

(1)In 2016, we sold 21 SNFs for approximately $86.7 million in net proceeds recognizing gains on sales of approximately $16.5 million. We also recorded approximately $4.9 million of impairments on 16 facilities to reduce their net book values to their estimated fair value less costs to sell. Two SNFs and one ALF classified as assets held for sale in the second quarter were no longer considered held for sale and were reclassified in the third quarter back to leased properties at their fair values (approximately $7.0 million).
(2)In 2016, we reclassified ten ALFs and 31 SNFs to assets held for sale (including the two SNFs and one ALF mentioned above that were reclassified back to leased properties in the third quarter). We recorded approximately $49.4 million of impairment charges on 20 of these facilities to reduce their net book values to their estimated fair value less costs to sell before they were reclassified to assets held for sale.
(3)In 2017, we sold 13 SNFs and three ALFs for approximately $38.8 million in net proceeds recognizing a gain on sale of approximately $4.3 million. One SNF classified as an asset held for sale at December 31, 2016 was no longer considered held for sale during the first quarter of 2017 and was reclassified back to leased properties at approximately $5.1 million which represents the facility’s then carrying value adjusted for depreciation that was not recognized while classified as held for sale.
(4)In 2017, we reclassified one ALF, one specialty facility and 17 SNFs to assets held for sale. We recorded approximately $10.3 million of impairment charges to reduce one ALF, one specialty facility and three SNFs to their estimated fair value less costs to sell before they were reclassified to assets held for sale.
(5)We plan to sell the facilities classified as held for sale at December 31, 2017 within the next twelve months.

 

 F-35 

 

 

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – Continued

 

NOTE 9 – INTANGIBLES

 

The following is a summary of our intangibles as of December 31, 2017 and 2016:

 

   December 31, 
   2017   2016 
   (in thousands) 
Assets:          
Goodwill  $644,690   $643,474 
           
Above market leases  $22,426   $22,476 
In-place leases   167    167 
Accumulated amortization   (17,059)   (15,864)
Net intangible assets  $5,534   $6,779 
           
Liabilities:          
Below market leases  $164,443   $165,028 
Accumulated amortization   (83,824)   (70,738)
Net intangible liabilities  $80,619   $94,290 

 

Above market leases and in-place 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.

 

For the years ended December 31, 2017, 2016 and 2015, our net amortization related to intangibles was $11.9 million, $14.0 million and $13.8 million, respectively. The estimated net amortization related to these intangibles for the subsequent five years is as follows: 2018 – $10.1 million; 2019 – $8.9 million; 2020 – $8.8 million; 2021 – $8.2 million; 2022 - $7.5 million and $31.6 million thereafter. As of December 31, 2017 the weighted average remaining amortization period of above market lease assets and below market lease liabilities is approximately eight years and nine years, respectively.

 

The following is a summary of our goodwill as of December 31 2017:

 

   (in thousands) 
Balance as of December 31, 2016  $643,474 
Add: foreign currency translation   1,216 
Balance as of December 31, 2017  $644,690 

 

NOTE 10 – CONCENTRATION OF RISK

 

As of December 31, 2017, our portfolio of real estate investments consisted of 983 healthcare facilities, located in 41 states and the U.K. and operated by 74 third party operators. Our investment in these facilities, net of impairments and reserve for uncollectible loans, totaled approximately $8.8 billion at December 31, 2017, with approximately 99% of our real estate investments related to long-term care facilities. Our portfolio is made up of 775 SNFs, 119 ALFs, 15 specialty facilities, one medical office building, fixed rate mortgages on 47 SNFs and four ALFs, and 22 facilities that are closed/held for sale. At December 31, 2017, we also held other investments of approximately $276.3 million, consisting primarily of secured loans to third-party operators of our facilities and a $36.5 million investment in an unconsolidated joint venture.

 

At December 31, 2017, we had investments with one operator/or manager that exceeded 10% of our total investments: Ciena Healthcare (“Ciena”). Ciena generated 10% of our total revenues for the year ended December 31, 2017. At December 31, 2017, the three states in which we had our highest concentration of investments were Texas (9%), Florida (9%) and Ohio (8%).

 

 F-36 

 

 

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – Continued

 

NOTE 11 – LEASE AND MORTGAGE DEPOSITS

  

We obtain liquidity deposits and other deposits, security deposits and letters of credit from most operators pursuant to our lease and mortgage agreements with the operators or our borrowing agreements. These generally represent the rental and mortgage interest for periods ranging from three to six months with respect to certain of our investments or the required deposits in connection with our HUD borrowings. At December 31, 2017, we held $10.9 million in liquidity and other deposits, $41.2 million in security deposits and $58.4 million in letters of credit. The liquidity deposits and other deposits, security deposits and the letters of credit may be used in the event of lease and or loan defaults, subject to applicable limitations under bankruptcy law with respect to operators filing under Chapter 11 of the United States Bankruptcy Code. Liquidity deposits and other deposits are recorded as restricted cash on our Consolidated Balance Sheets with the offset recorded as a liability in accrued expenses and other liabilities on our Consolidated Balance Sheets. Security deposits related to cash received from the operator are primarily recorded in cash and cash equivalents on our Consolidated Balance Sheets with a corresponding offset in accrued expenses and other liabilities on our Consolidated Balance Sheets. Additional security for rental and mortgage interest revenue from operators is provided by covenants regarding minimum working capital and net worth, liens on accounts receivable and other operating assets of the operators, provisions for cross default, provisions for cross-collateralization and by corporate or personal guarantees.

 

 F-37 

 

 

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – Continued

 

NOTE 12 – BORROWING ARRANGEMENTS

 

The following is a summary of our long-term borrowings:

 

       Annual Interest
Rate as of
December 31,
   December 31, 
   Maturity   2017   2017(5)   2016(5) 
           (in thousands) 
Secured borrowings:                    
HUD mortgages assumed December 2011(1)   2044    3.06%  $53,666   $54,954 
Deferred financing costs – net             (568)   (589)
Total secured borrowings – net(2)             53,098    54,365 
                     
Unsecured borrowings:                    
Revolving line of credit   2021    2.65%   290,000    190,000 
                     
Tranche A-1 term loan   -    -        200,000 
Tranche A-2 term loan   -    -        200,000 
Tranche A-3 term loan   -    -        350,000 
U.S. term loan   2022    3.02%   425,000     
Sterling term loan (3)   2022    1.94%   135,130     
Omega OP term loan(2)   2022    3.02%   100,000    100,000 
2015 term loan   2022    3.80%   250,000    250,000 
Discounts and deferred financing costs – net(4)             (5,460)   (5,657)
Total term loans – net             904,670    1,094,343 
                     
2023 notes   2023    4.375%   700,000    700,000 
2024 notes   2024    5.875%       400,000 
2024 notes   2024    4.95%   400,000    400,000 
2025 notes   2025    4.50%   400,000    250,000 
2026 notes   2026    5.25%   600,000    600,000 
2027 notes   2027    4.50%   700,000    700,000 
2028 notes   2028    4.75%   550,000     
Other   2018    -    1,500    3,000 
Subordinated debt   2021    9.00%   20,000    20,000 
Discount – net             (21,073)   (17,151)
Deferred financing costs – net             (26,037)   (27,703)
Total senior notes and other unsecured borrowings – net             

3,324,390

    

3,028,146

 

Total unsecured borrowings – net

             

4,519,060

    

4,312,489

 
                     
Total secured and unsecured borrowings – net            $4,572,158   $4,366,854 

 

(1)Reflects the weighted average annual contractual interest rate on the mortgages at December 31, 2017 excluding a third-party administration fee of approximately 0.5% annually. Secured by real estate assets with a net carrying value of $62.0 million as of December 31, 2017. This borrowing was incurred by wholly owned subsidiaries of Omega OP.
(2)These amounts represent borrowings that were incurred by Omega OP or wholly owned subsidiaries of Omega OP.
(3)This borrowing is denominated in British Pounds Sterling.
(4)The amount includes $0.6 million of net deferred financing costs related to the Omega OP term loan as of December 31, 2017.
(5)All borrowing are direct borrowings of Omega unless otherwise noted.

 

 F-38 

 

 

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – Continued

 

Unsecured Borrowings

 

2017 Omega Credit Facilities

 

On May 25, 2017, Omega entered into a credit agreement (the “2017 Omega Credit Agreement”) providing us with a new $1.8 billion senior unsecured revolving and term loan credit facility, consisting of a $1.25 billion senior unsecured multicurrency revolving credit facility (the “Revolving Credit Facility”), a $425 million senior unsecured U.S. Dollar term loan facility (the “U.S. Term Loan Facility”), and a £100 million senior unsecured British Pound Sterling term loan facility (the “Sterling Term Loan Facility” and, together with the Revolving Credit Facility and the U.S. Term Loan Facility, collectively, the “2017 Omega Credit Facilities”). The 2017 Omega Credit Agreement contains an accordion feature permitting us, subject to compliance with customary conditions, to increase the maximum aggregate commitments under the 2017 Omega Credit Facilities to $2.5 billion.

 

The 2017 Omega Credit Facilities replace the previous $1.25 billion senior unsecured 2014 revolving credit facility, the previous $200 million Tranche A-1 senior unsecured term loan facility, and the previous $350 million Tranche A-3 senior unsecured incremental term loan facility established under our 2014 credit agreement, which has been terminated (the “2014 Omega Credit Agreement”). We had previously repaid and terminated the $200 million Tranche A-2 senior unsecured term loan facility established under the 2014 Omega Credit Agreement, with proceeds from our $550 million and $150 million unsecured senior notes issued in April 2017.

 

The Revolving Credit Facility bears interest at LIBOR plus an applicable percentage (with a range of 100 to 195 basis points) based on our ratings from Standard & Poor’s, Moody’s and/or Fitch Ratings. The Revolving Credit Facility matures on May 25, 2021, subject to an option by us to extend such maturity date for two, six month periods. The 2017 Omega Credit Agreement provides for the Revolving Credit Facility to be drawn in Euros, British Pounds Sterling, Canadian Dollars (collectively, “Alternative Currencies”) or U.S. Dollars, with a $900 million tranche available in U.S. Dollars and a $350 million tranche available in U.S. Dollars or Alternative Currencies. For purposes of the 2017 Omega Credit Facilities, references to LIBOR include the Canadian dealer offered rates for amounts offered in Canadian Dollars and any other Alternative Currency rate approved in accordance with the terms of the 2017 Omega Credit Agreement for amounts offered in any other non-London interbank offered rate quoted currency, as applicable.

 

The U.S. Term Loan Facility and the Sterling Term Loan Facility bear interest at LIBOR plus an applicable percentage (with a range of 90 to 190 basis points) based on our ratings from Standard & Poor’s, Moody’s and/or Fitch Ratings. The U.S. Term Loan Facility and the Sterling Term Loan Facility each mature on May 25, 2022.

 

We recorded a non-cash charge of approximately $5.5 million relating to the write-off of deferred financing costs associated with the termination of the 2014 Omega Credit Agreement.

 

2017 Omega OP Term Loan Facility

 

On May 25, 2017, Omega OP entered into a credit agreement (the “2017 Omega OP Credit Agreement”) providing it with a new $100 million senior unsecured term loan facility (the “2017 Omega OP Term Loan Facility”). The 2017 Omega OP Credit Agreement replaces the $100 million senior unsecured term loan facility obtained in 2015 (the “2015 Omega OP Term Loan Facility”) and the related credit agreement (the “2015 Omega OP Credit Agreement”). The 2017 Omega OP Term Loan Facility bears interest at LIBOR plus an applicable percentage (with a range of 90 to 190 basis points) based on our ratings from Standard & Poor’s, Moody’s and/or Fitch Ratings. The 2017 Omega OP Term Loan Facility matures on May 25, 2022.

 

Omega OP’s obligations in connection with the 2017 Omega OP Term Loan Facility are not currently guaranteed, but will be jointly and severally guaranteed by any domestic subsidiary of Omega OP that provides a guaranty of any unsecured indebtedness of Omega or Omega OP for borrowed money evidenced by bonds, debentures, notes or other similar instruments in an amount of at least $50 million individually or in the aggregate.

 

Amended 2015 Term Loan Facility

 

On May 25, 2017, Omega entered into an amended and restated credit agreement (the “Amended 2015 Credit Agreement”), which amended and restated our previous $250 million senior unsecured term loan facility (the “Amended 2015 Term Loan Facility”). The Amended 2015 Term Loan Facility bears interest at LIBOR plus an applicable percentage (with a range of 140 to 235 basis points) based on our ratings from Standard & Poor’s, Moody’s and/or Fitch Ratings. The Amended 2015 Term Loan Facility continues to mature on December 16, 2022. The Amended 2015 Credit Agreement permits us, subject to compliance with customary conditions, to add one or more incremental tranches to the Amended 2015 Term Loan Facility in an aggregate principal amount not exceeding $150 million.

 

 F-39 

 

 

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – Continued

 

Omega’s obligations under the 2017 Omega Credit Facilities and the Amended 2015 Term Loan Facility are jointly and severally guaranteed by Omega OP and any domestic subsidiary of Omega that provides a guaranty of any unsecured indebtedness of Omega for borrowed money evidenced by bonds, debentures, notes or other similar instruments in an amount of at least $50 million individually or in the aggregate.

 

As a result of exposure to interest rate movements associated with the Amended 2015 Term Loan Facility, on December 16, 2015, we entered into various forward-starting interest rate swap arrangements, which effectively converted $250 million of our variable-rate debt based on one-month LIBOR to an aggregate fixed rate of approximately 3.8005% effective December 30, 2016. The effective fixed rate achieved by the combination of the Amended 2015 Term Loan Facility and the interest rate swaps could fluctuate up by 55 basis points or down by 40 basis points based on future changes to our credit ratings. Each of these swaps began on December 30, 2016 and mature on December 15, 2022. On the date of inception, we designated the interest rate swaps as cash flow hedges in accordance with accounting guidance for derivatives and hedges and linked the interest rate swaps to the Amended 2015 Term Loan Facility. Because the critical terms of the interest rate swaps and Amended 2015 Term Loan Facility coincided, the hedges are expected to exactly offset changes in expected cash flows as a result of fluctuations in 1-month LIBOR over the term of the hedges. The purpose of entering into the swaps was to reduce our exposure to future changes in variable interest rates. The interest rate swaps settle on a monthly basis when interest payments are made. These settlements will occur through the maturity date of the Amended 2015 Term Loan Facility. The interest rate for the Amended 2015 Term Loan Facility was not hedged for the portion of the term prior to December 30, 2016.

 

$700 Million 4.375% Senior Notes due 2023

 

On July 12, 2016, we issued $700 million aggregate principal amount of our 4.375% Senior Notes due 2023 (the “2023 Notes”). The 2023 Notes were sold at an issue price of 99.739% of their face value before the underwriters’ discount. Our net proceeds from the offering, after deducting underwriting discounts and expenses, were approximately $692.0 million. The net proceeds from the offering were used to repay outstanding borrowings under our revolving credit facility, to purchase the $180.0 million mortgage term loan and for general corporate purposes. The 2023 Notes mature on August 1, 2023 and pay interest semi-annually.

 

Redemption of $400 Million 5.875% Senior Notes due 2024

 

On April 28, 2017, we redeemed all of our outstanding $400 million aggregate principal amount of 5.875% Senior Notes due 2024 (the “5.875% Notes”). As a result of the redemption, during the second quarter of 2017, we recorded approximately $16.5 million in redemption related costs and write-offs, including $11.8 million for the call premium and $4.7 million in net write-offs associated with unamortized deferred financing costs.

 

$400 Million 4.95% Senior Notes due 2024

 

On March 11, 2014, we sold $400 million aggregate principal amount of our 4.95% Senior Notes due 2024 (the “2024 Notes”). These notes were sold at an issue price of 98.58% of the principal amount of the notes, before the initial purchasers’ discount resulting in gross proceeds of approximately $394.3 million. The 2024 Notes mature on April 1, 2024 and pay interest semi-annually.

 

$400 Million 4.50% Senior Notes due 2025

 

On September 11, 2014, we sold $250 million aggregate principal amount of our 4.50% Senior Notes due 2025 (the “2025 Notes”). The 2025 Notes were sold at an issue price of 99.131% of their face value before the initial purchasers’ discount resulting in gross proceeds of approximately $247.8 million. The 2025 Notes mature on January 15, 2025 and pay interest semi-annually.

 

On April 4, 2017, we issued an additional $150 million aggregate principal amount of our existing 2025 Notes (the “additional $150 million 2025 Notes”). The additional $150 million 2025 Notes were sold at an issue price of 99.540% of their face value before the underwriters’ discount. Our net proceeds from the additional $150 million 2025 Notes, after deducting underwriting discounts and expenses, were approximately $149.9 million (inclusive of accrued interest). See $550 Million 4.75% Senior Notes due 2028 below for the use of these proceeds.

 

 F-40 

 

 

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – Continued

 

$600 Million 5.25% Senior Notes due 2026

 

On September 23, 2015, we sold $600 million aggregate principal amount of our 5.250% Senior Notes due 2026 (the “2026 Notes”). The 2026 Notes were sold at an issue price of 99.717% of their face value before the initial purchasers’ discount. Our total net proceeds from the offering, after deducting initial purchasers’ discounts and other offering expenses, were approximately $594.4 million. The net proceeds of the offering were used to repay our outstanding $575 million aggregate principal amount 6.75% Senior Notes due 2022 and for general corporate purposes. The 2026 Notes mature on January 15, 2026 and pay interest semi-annually.

 

$700 Million 4.50% Senior Notes due 2027

 

On March 18, 2015, we sold $700 million aggregate principal amount of our 4.50% Senior Notes due 2027 (the “2027 Notes”). The 2027 Notes were sold at an issue price of 98.546% of their face value before the initial purchasers’ discount. Our total net proceeds from the offering, after deducting initial purchasers’ discounts and other offering expenses, were approximately $683 million. The net proceeds of the offering were used for general corporate purposes, including the repayment of Aviv indebtedness on April 1, 2015 in connection with the Aviv Merger, and repayment of future maturities on our outstanding debt. The 2027 Notes mature on April 1, 2027 and pay interest semi-annually.

 

$550 Million 4.75% Senior Notes due 2028

 

On April 4, 2017, we issued $550 million aggregate principal amount of our 4.75% Senior Notes due 2028 (the “2028 Notes”). The 2028 Notes mature on January 15, 2028. The 2028 Notes were sold at an issue price of 98.978% of their face value before the underwriters’ discount. Our net proceeds from the 2028 Notes offering, after deducting underwriting discounts and expenses, were approximately $540.8 million. The net proceeds from the 2028 Notes offering and the additional $150 million 2025 Notes offering were used to (i) redeem all of our outstanding 5.875% Notes on April 28, 2017, (ii) prepay the $200 million Tranche A-2 Term Loan Facility on April 5, 2017 that otherwise would have become due on June 27, 2017, and (iii) repay outstanding borrowings under our revolving credit facility.

 

Other Debt Repayments

 

In connection with the Aviv Merger on April 1, 2015, we assumed notes payable with a face amount of $650 million and a revolving credit facility with an outstanding balance of $525 million. In connection with the Aviv Merger, we repaid this debt assumed from Aviv on April 1, 2015. Due to the contractual requirements for early repayments; we paid approximately $705.6 million to retire the $650 million notes assumed. The amount repaid in connection with the revolving credit facility was $525 million.

 

General

 

Certain of our other secured and unsecured borrowings are subject to customary affirmative and negative covenants, including financial covenants. As of December 31, 2017 and 2016, we were in compliance with all affirmative and negative covenants, including financial covenants, for our secured and unsecured borrowings. Omega OP, the guarantor of Parent’s outstanding senior notes, does not directly own any substantive assets other than its interest in non-guarantor subsidiaries.

 

The required principal payments, excluding the premium or discount and deferred financing costs on our secured and unsecured borrowings, for each of the five years following December 31, 2017 and the aggregate due thereafter are set forth below:

 

   (in thousands) 
2018  $2,828 
2019   1,370 
2020   1,412 
2021   311,456 
2022   911,631 
Thereafter   3,396,599 
Totals  $4,625,296 

 

 F-41 

 

 

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – Continued

 

The following summarizes the refinancing related costs:

 

   Year Ended December 31, 
   2017   2016   2015 
   (in thousands) 
             
Write off of deferred financing costs and unamortized premiums due to refinancing (1)(2)(3)  $10,195   $301   $(7,134)
Prepayment and other costs associated with refinancing (4)   11,770    1,812    35,971 
Total debt extinguishment costs  $21,965   $2,113   $28,837 

 

(1)In 2017, we recorded (a) $4.7 million of write-offs of unamortized deferred costs associated with the early redemption of our 5.875% Notes and (b) $5.5 million of write-offs of unamortized deferred financing costs associated with the termination of the 2014 Omega Credit Agreement.
(2)In 2016, we recorded $0.3 million of write-offs of unamortized deferred financing costs associated with three facilities that were acquired via a deed-in-lieu of foreclosure.
(3)In 2015, we recorded: (a) $4.2 million of write-offs of unamortized deferred financing costs and discount associated with the early redemption of our $200 million 7.5% Senior Notes due 2020, (b) $1.9 million in net write-offs associated with unamortized deferred financing costs and original issuance premiums/discounts associated with the early redemption of our $575 million 6.75% Senior Notes due 2022, offset by (c) $13.2 million gain related to the early extinguishment of debt from the write off of unamortized premiums on HUD debt. In 2015, we paid approximately $188.5 million to retire 24 HUD mortgage loans.
(4)In 2017, we made $11.8 million of prepayment penalties associated with the early redemption of our 5.875% Notes. In 2016, we purchased a $180 million mortgage term loan and paid a 1% premium of approximately $1.8 million to purchase the debt. In 2015, we made: (a) $7.5 million of prepayment penalties associated with the early redemption of our $200 million 7.5% Senior Notes due 2020, (b) $19.4 million of prepayment penalties associated with the early redemption of our $575 million 6.75% Senior Notes due 2022 and (c) $9.1 million of prepayment penalties associated with 24 HUD mortgage loans that we paid off in 2015.

 

 F-42 

 

 

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – Continued

 

NOTE 13 – FINANCIAL INSTRUMENTS

 

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

 

At December 31, 2017 and 2016, the net carrying amounts and fair values of our financial instruments were as follows:

 

   2017   2016 
   Carrying
Amount
   Fair
Value
   Carrying
Amount
   Fair
Value
 
   (in thousands) 
Assets:                    
Investments in direct financing leases – net  $364,965   $364,965   $601,938   $598,665 
Mortgage notes receivable – net   671,232    686,772    639,343    644,961 
Other investments – net   276,342    281,031    256,846    253,385 
Total  $1,312,539   $1,332,768   $1,498,127   $1,497,011 
Liabilities:                    
Revolving line of credit  $290,000   $290,000   $190,000   $190,000 
Tranche A-1 term loan – net           198,830    200,000 
Tranche A-2 term loan            200,000    200,000 
Tranche A-3 term loan – net           347,449    350,000 
U.S. term loan – net   422,498    425,000         
Sterling term loan – net   134,360    135,130         
Omega OP term loan – net(1)   99,423    100,000    100,000    100,000 
2015 term loan – net    248,390    250,000    248,064    250,000 
4.375% notes due 2023 – net   693,474    711,190    692,305    693,505 
5.875% notes due 2024 – net           395,065    432,938 
4.95% notes due 2024 – net   393,680    420,604    392,669    406,361 
4.50% notes due 2025 – net   394,640    399,874    245,949    249,075 
5.25% notes due 2026 – net   594,321    625,168    593,616    611,461 
4.50% notes due 2027 – net   686,516    681,007    685,052    681,978 
4.75% notes due 2028 – net   539,882    550,667         
HUD debt – net(1)   53,098    51,817    54,365    52,510 
Subordinated debt – net   20,376    23,646    20,490    23,944 
Other   1,500    1,500    3,000    3,000 
Total  $4,572,158   $4,665,603   $4,366,854   $4,444,772 

 

(1)These amounts represent borrowings that were incurred by Omega OP or wholly owned subsidiaries of Omega OP.

 

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). The use of different market assumptions and estimation methodologies may have a material effect on the reported estimated fair value amounts.

 

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

 

·Direct financing leases: The fair value of the investments in direct financing leases are estimated using a discounted cash flow analysis, using interest rates being offered for similar leases to borrowers with similar credit ratings (Level 3). In addition, the Company may estimate the fair value of its investment based on the estimated fair value of the collateral using a market approach or an income approach which considers inputs such as, current and projected operating performance of the facilities, projected rent, prevailing capitalization rates and/or coverages and bed values (Level 3).

 

·Mortgage notes receivable: The fair value of the mortgage notes 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).

 

 F-43 

 

 

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – Continued

 

·Other investments: Other investments 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 line of credit and term loans: The fair value of our borrowings under variable rate agreements are estimated using a present value technique based on expected cash flows discounted using the current market rates (Level 3).

 

·Senior notes and subordinated debt: The fair value of our borrowings under fixed rate agreements are estimated using a present value technique based on inputs from trading activity provided by a third party (Level 2).

 

·HUD debt: The fair value of our borrowings under HUD debt agreements are estimated using an expected present value technique based on quotes obtained by HUD debt brokers (Level 2).

 

NOTE 14 – TAXES

 

Omega is a REIT for United States federal income tax purposes, and Omega OP is a pass through entity for United States federal income tax purposes.

 

Omega and Omega OP, including their wholly owned subsidiaries were organized, have operated, and intend 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. On a quarterly and annual basis we perform several analyses to test our compliance within the REIT taxation rules. In order to qualify as a REIT, in addition to other requirements, we must: (i) distribute dividends (other than capital gain dividends) to our stockholders in an amount at least equal to (A) the sum of (a) 90% of our “REIT taxable income” (computed without regard to the dividends paid deduction and our net capital gain), and (b) 90% of the net income (after tax), if any, from foreclosure property, minus (B) the sum of certain items of non-cash income on an annual basis, (ii) ensure that at least 75% and 95%, respectively, of our gross income is generated from qualifying sources that are described in the REIT tax law, (iii) ensure that at least 75% of our assets consist of qualifying assets, such as real property, mortgages, and other qualifying assets described in the REIT tax law, (iv) ensure that we do not own greater than 10% in voting power or value of securities of any one issuer, (v) ensure that we do not own either debt or equity securities of another company that are in excess of 5% of our total assets and (vi) ensure that no more than 25% of our assets are invested in one or more taxable REIT subsidiaries (and with respect to taxable years beginning after December 31, 2017, no more than 20%). In addition to the above requirements, the REIT rules require that no less than 100 stockholders own shares or an interest in the REIT and that five or fewer individuals do not own (directly or indirectly) more than 50% of the shares or proportionate interest in the REIT during the last half of any taxable year. If we fail to meet the above or any other requirements for qualification as a REIT in any tax year, we will be subject to federal income tax on our taxable income at regular corporate rates and may not be able to qualify as a REIT for the four subsequent years, unless we qualify for certain relief provisions that are available in the event we fail to satisfy any of these requirements.

 

We are also subject to federal taxation of 100% of the net income derived from the sale or other disposition of property, other than foreclosure property, that we held primarily for sale to customers in the ordinary course of a trade or business. We believe that we do not hold assets for sale to customers in the ordinary course of business and that none of the assets currently held for sale or that have been sold would be considered a prohibited transaction within the REIT taxation rules.

 

So long as we qualify as a REIT under the Code, we generally will not be subject to federal income taxes on the REIT taxable income that we distribute to stockholders, subject to certain exceptions. In 2017, 2016, and 2015, we distributed dividends in excess of our taxable income.

 

Since the year 2000, the definition of foreclosure property has included any “qualified health care property,” as defined in Code Section 856(e)(6) acquired by us as the result of the termination or expiration of a lease of such property. We have from time to time operated qualified healthcare facilities acquired in this manner for up to two years (or longer if an extension was granted). Properties that we had taken back in a foreclosure or bankruptcy and operated for our own account were treated as foreclosure properties for income tax purposes, pursuant to Code Section 856(e). Gross income from foreclosure properties was classified as “good income” for purposes of the annual REIT income tests upon making the election on the tax return. Once made, the income was classified as “good” for a period of three years, or until the properties were no longer operated for our own account. In all cases of foreclosure property, we utilized an independent contractor to conduct day-to-day operations to maintain REIT status. In certain cases, we operated these facilities through a taxable REIT subsidiary. For those properties operated through the taxable REIT subsidiary, we formed a new entity (TC Healthcare) to act as the eligible independent contractor on our behalf and conduct the day-to-day operations with respect to the health care facilities we held as foreclosure property in order for us to maintain REIT status. We have not held foreclosure property since 2011. As a result of the foregoing, we do not believe that our past participation in the operation of nursing homes increased the risk that we would fail to qualify as a REIT.

 

 F-44 

 

 

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – Continued

 

We may be subject to income or franchise taxes in certain states and municipalities. Also, we created five wholly owned subsidiary REITs and added a sixth wholly owned subsidiary REIT as of January 1, 2016, all of which are subject to all of the REIT qualification rules set forth in the Code. We merged five of the wholly owned subsidiary REITs into a single wholly owned subsidiary REIT in December 2015, and then merged the sixth wholly owned subsidiary REIT into our other wholly owned subsidiary REIT in December 2016, which wholly owned subsidiary REIT remains subject to all of the REIT qualification rules set forth in the Code.

 

Subject to the limitation under the REIT asset test rules, we are permitted to own up to 100% of the stock of one or more taxable REIT subsidiaries (“TRSs”). We have elected for two of our active subsidiaries to be treated as TRSs. One of our TRSs is subject to federal, state and local income taxes at the applicable corporate rates and the other is subject to foreign income taxes. As of December 31, 2017, our TRS that is subject to federal, state and local income taxes at the applicable corporate rates had a net operating loss carry-forward of approximately $5.4 million. The loss carry-forward is fully reserved as of December 31, 2017, with a valuation allowance due to uncertainties regarding realization. Our net operating loss carryforwards generated up through December 31, 2017 will be carried forward for no more than 20 years.

 

For the year ended December 31, 2017, 2016 and 2015, we recorded approximately $2.4 million, $3.3 million and $1.0 million, respectively, of federal, state and local income tax provision. For the year ended December 31, 2017, 2016 and 2015, we recorded a provision (benefit) for foreign income taxes of approximately $0.8 million, $(1.9) million and $0.2 million, respectively.

 

The following is a summary of deferred tax assets and liabilities:

 

   December 31, 
   2017   2016 
   (in thousands) 
Deferred tax assets:          
Foreign deferred tax assets (1)  $2,341   $1,811 
Federal net operating loss carryforward   

1,142

    

253

 
Total deferred assets   

3,483

    

2,064

 
           
Deferred tax liabilities:          
Foreign deferred tax liabilities (1)   17,747    9,906 
Total net deferred liabilities before valuation allowances   (14,264)   (7,842)
Valuation allowance on deferred tax asset   (1,142)   (253)
Net deferred tax liabilities  $(15,406)  $(8,095)

 

(1)The deferred tax assets and liabilities primarily resulted from inherited basis differences resulting from our acquisition of entities in the U.K. Subsequent adjustments to these accounts result from GAAP to tax differences related to depreciation, indexation and revenue recognition.

 

On December 22, 2017, the Tax Cuts and Jobs Act (the "Tax Act") was enacted. The Tax Act includes numerous changes to existing U.S. tax law, including lowering the statutory U.S. federal corporate income tax rate from 35% to 21% effective January 1, 2018. The Company has completed its preliminary assessment of these changes, and has determined that there is an immaterial impact to the financial statements.

 

 F-45 

 

 

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – Continued

 

NOTE 15 – RETIREMENT ARRANGEMENTS

 

Our Company has a 401(k) Profit Sharing Plan covering all eligible employees. Under this plan, employees are eligible to make contributions, and we, at our discretion, may match contributions and make a profit sharing contribution. Amounts charged to operations with respect to these retirement arrangements totaled approximately $0.5 million, $0.5 million, $0.4 million in 2017, 2016 and 2015, respectively.

 

In addition, we have a deferred stock compensation plan that allows employees and directors the ability to defer the receipt of stock awards. The deferred stock awards (units) participate in future dividends as well as the change in the value of the Company’s common stock. As of December 31, 2017 and 2016, the Company had 423,296 and 384,107 deferred stock units outstanding.

 

NOTE 16 – STOCKHOLDERS’/OWNERS’ EQUITY

 

$500 Million Equity Shelf Program

 

On September 3, 2015, we entered into separate Equity Distribution Agreements (collectively, the “Equity Shelf Agreements”) to sell shares of our common stock having an aggregate gross sales price of up to $500 million (the “2015 Equity Shelf Program”) with several financial institutions, each as a sales agent and or principal (collectively, the “Managers”). Under the terms of the Equity Shelf Agreements, we may sell shares of our common stock, from time to time, through or to the Managers having an aggregate gross sales price of up to $500 million. Sales of the shares, if any, will be made by means of ordinary brokers’ transactions on the New York Stock Exchange at market prices, or as otherwise agreed with the applicable Manager. We will pay each Manager compensation for sales of the shares equal to 2% of the gross sales price per share for shares sold through such Manager under the applicable Equity Shelf Agreements.

 

For the year ended December 31, 2015, we did not issue any shares under the 2015 Equity Shelf Program. For the year ended December 31, 2016, we issued approximately 0.7 million shares under the 2015 Equity Shelf Program, at an average price of $29.97 per share, net of issuance costs, generating net proceeds of approximately $19.7 million. For the year ended December 31, 2017, we issued approximately 0.7 million shares under the 2015 Equity Shelf Program, at an average price of $30.81 per share, net of issuance costs, generating net proceeds of approximately $22.1 million.

 

Increase of Authorized Omega Common Stock

 

On March 27, 2015, we amended our charter to increase the number of authorized shares of our capital stock from 220 million to 370 million and the number of authorized shares of our common stock from 200 million to 350 million.

 

10.925 Million Common Stock Offering

 

On February 9, 2015, we completed an underwritten public offering of 10.925 million shares of our common stock at $42.00 per share before underwriting and other offering expenses. The Company’s total net proceeds from the offering were approximately $440 million, after deducting underwriting discounts and commissions and other estimated offering expenses.

 

Dividend Reinvestment and Common Stock Purchase Plan

 

We have a Dividend Reinvestment and Common Stock Purchase Plan (the “DRSPP”) that allows for the reinvestment of dividends and the optional purchase of our common stock. For the year ended December 31, 2017, we issued 1.2 million shares of common stock for gross proceeds of approximately $36.7 million. For the year ended December 31, 2016, we issued 7.2 million shares of common stock for gross proceeds of approximately $240.0 million. For the year ended December 31, 2015, we issued 4.2 million shares of common stock for gross proceeds of approximately $150.8 million.

 

 F-46 

 

 

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – Continued

 

Accumulated Other Comprehensive Loss

 

The following is a summary of our accumulated other comprehensive loss, net of tax where applicable:

 

   As of and For the Year Ended
December 31,
 
   2017   2016   2015 
   (in thousands) 
             
Foreign Currency Translation:               
Beginning balance  $(54,948)  $(8,413)  $ 
Translation gain (loss)   28,644    (46,303)   (8,240)
Realized gain (loss)   311    (232)   (173)
Ending balance   (25,993)   (54,948)   (8,413)
                
Derivative Instruments:               
Cash flow hedges:               
Beginning balance   (1,420)   (718)    
Unrealized gain (loss)   545    (719)   (718)
Realized gain(1)   2,338    17     
Ending balance   1,463    (1,420)   (718)
Net investment hedge:               
Beginning balance            
Unrealized loss   (7,110)        
Ending balance   (7,110)        
                
Total accumulated other comprehensive loss for Omega OP(2)   (31,640)   (56,368)   (9,131)
Add: portion included in noncontrolling interest   1,490    2,541    419 
                
Total accumulated other comprehensive loss for Omega  $(30,150)  $(53,827)  $(8,712)

 

(1)Recorded in interest expense on the Consolidated Statements of Operations.
(2)These amounts are included in owners’ equity.

 

NOTE 17 – STOCK-BASED COMPENSATION

 

Restricted Stock and Restricted Stock Units

 

Restricted stock and restricted stock units (“RSUs”) are subject to forfeiture if the holder’s service to us terminates prior to vesting, subject to certain exceptions for certain qualifying terminations of employment or a change in control of the Company. Prior to vesting, ownership of the shares/Omega OP Units cannot be transferred. The restricted stock has the same dividend and voting rights as our common stock. RSUs accrue dividend equivalents but have no voting rights. Restricted stock and RSUs are valued at the price of our common stock on the date of grant. We expense the cost of these awards ratably over their vesting period.

 

The RSUs assumed from Aviv as part of the Aviv Merger were valued at the closing price of our stock on the date of the transaction. The portion of the vesting accruing prior to the acquisition was recorded as part of the purchase price consideration. The expense associated with the vesting that occurred after the date of the transaction was recorded as stock compensation expense ratably over the remaining life of the RSUs.

 

 F-47 

 

 

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – Continued

 

The following table summarizes the activity in restricted stock and RSUs for the years ended December 31, 2015, 2016 and 2017:

 

   Number of
Shares/Omega
OP Units
   Weighted -
Average Grant-
Date Fair Value
per Share
   Compensation
Cost (1)
(in millions) 
 
Non-vested at December 31, 2014   309,934   $30.08      
Granted during 2015   233,483    39.25   $9.2 
Assumed in Aviv Merger (2)   38,268    23.50   $0.9 
Cancelled during 2015   (61,911)   33.77      
Vested during 2015   (106,146)   28.72      
Non-vested at December 31, 2015   413,628   $34.45      
Granted during 2016   158,506    34.49   $5.5 
Cancelled during 2016   (905)   24.92      
Vested during 2016   (235,176)   30.41      
Non-vested at December 31, 2016   336,053   $37.32      
Granted during 2017   185,004    31.25   $5.8 
Cancelled during 2017   (1,000)   34.78      
Vested during 2017   (182,548)   39.58      
Non-vested at December 31, 2017   337,509   $32.78      

 

(1)Total compensation cost to be recognized on the awards based on grant date fair value, which is based on the market price of the Company’s common stock on the date of grant.
(2)Omega stock price on April 1, 2015 was $40.74. The weighted average stock price indicated in the table above represents the expense per unit that we will record related to the assumed Aviv RSUs.

 

Performance Based Incentive Stock Units

 

Performance restricted stock units (“PRSUs”) and long term incentive plan units (“LTIP Units”) are subject to forfeiture if the performance requirements are not achieved or if the holder’s service to us terminates prior to vesting, subject to certain exceptions for certain qualifying terminations of employment or a change in control of the Company. The PRSUs awarded in January 2013, December 2013, January 2014, March 2015, April 2015, July 2015, March 2016, and January 2017 and the LTIP Units awarded in March 2015, April 2015, July 2015, March 2016, and January 2017 have varying degrees of performance requirements to achieve vesting, and each PRSU and LTIP Units award represents the right to a variable number of shares of common stock or partnership units (each LTIP Unit once earned is convertible into one Omega OP Unit in Omega OP, subject to certain conditions). The vesting requirements are based on either the (i) total shareholders return (“TSR”) of Omega or (ii) Omega’s TSR relative to other real estate investment trusts in the MSCI U.S. REIT Index for awards before 2016 and in the FTSE NAREIT Equity Health Care Index for awards granted in or after 2016 (“Relative TSR”). We expense the cost of these awards ratably over their service period.

 

Prior to vesting and the distribution of shares, ownership of the PRSUs cannot be transferred. Dividends on the PRSUs are accrued and only paid to the extent the applicable performance requirements are met. While each LTIP Unit is unearned, the employee receives a partnership distribution equal to 10% of the quarterly approved regular periodic distributions per Omega OP Unit. The remaining partnership distributions (which in the case of normal periodic distributions is equal to the total approved quarterly dividend on Omega’s common stock) on the LTIP Units accumulate, and if the LTIP Units are earned, the accumulated distributions are paid.

 

 F-48 

 

 

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – Continued

 

We used a Monte Carlo model to estimate the fair value for the PRSUs and LTIP Units granted to the employees. The following are the significant assumptions used in estimating the value of the awards for grants made on the following dates:

 

   December
31, 2013
and
January 1,
2014
   March
31, 2015
   April 1,
2015
   July 31,
2015
   March 17,
2016
   January 1,
2017
 
Closing price on date of grant  $29.80   $40.57   $40.74   $36.26   $34.78   $31.26 
Dividend yield   6.44%   5.23%   5.20%   6.07%   6.56%   7.81%
Risk free interest rate at time of grant   0.04% to 0.86%    0.10% to 0.94%    0.09% to 0.91%    0.13% to 1.08%    0.50% to 1.14%    0.66% to 1.58% 
Expected volatility   24.16% to 25.86%    20.06% to 21.09%    20.06% to 21.08%    20.06% to 20.21%    23.92% to 24.88%    22.82% to 25.26% 

 

The following table summarizes the activity in PRSUs and LTIP Units for the years ended December 31, 2015, 2016 and 2017:

 

   Number of
Shares
   Weighted-
Average Grant-
Date Fair Value
per Share
   Compensation
Cost (1)
(in millions)
 
Non-vested at December 31, 2014   850,213   $10.97      
Granted during 2015   537,923    18.51   $10.0 
Cancelled during 2015   (165,570)   14.11      
Forfeited during 2015   (128,073)   12.04      
Vested during 2015(2)   (181,406)   10.10      
Non-vested at December 31, 2015   913,087   $14.87      
Granted during 2016   679,549    14.67   $10.0 
Forfeited during 2016   (518,638)   12.10      
Vested during 2016   -    -      
Non-vested at December 31, 2016   1,073,998   $16.08      
Granted during 2017   685,064    14.87   $10.2 
Cancelled during 2017   (5,361)   15.98      
Forfeited during 2017   (392,921)   18.33      
Vested during 2017   -    -      
Non-vested at December 31, 2017   1,360,780   $14.82      

 

(1)Total compensation cost to be recognized on the awards was based on the grant date fair value or the modification date fair value.
(2)PRSUs are shown as vesting in the year that the Compensation Committee determines the level of achievement of the applicable performance measures.

 

 F-49 

 

 

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – Continued

 

The following table summarizes our total unrecognized compensation cost as of December 31, 2017 associated with restricted stock, restricted stock units, PRSU awards, and LTIP Unit awards to employees:

 

   Grant
Year
 

Shares/ Units (1)

   Grant Date
Average
Fair Value
Per Unit/
Share
   Total
Compensation
Cost (1)  (in millions)
   Weighted
Average
Period of
Expense
Recognition
(in months)
   Unrecognized
Compensation
Cost (2) (in
millions)
   Performance
Period
  Vesting
Dates
RSUs                                  
                                   
3/17/16  RSU  2016   130,006    34.78    4.5    33    0.9   N/A  12/31/2018
1/1/2017  RSU  2017   140,416    31.26    4.4    36    2.9   N/A  12/31/2019
Restricted Stock Units Total      270,422   $32.95   $8.9        $3.8       
                                   
TSR PRSUs and LTIP Units                                  
                                   
3/31/15 2017 LTIP Units  2015   137,249    14.66    2.0    45    0.5   1/1/2015-12/31/2017  Quarterly in 2018
4/1/2015 2017 LTIP Units  2015   53,387    14.81    0.8    45    0.2   1/1/2015-12/31/2017  Quarterly in 2018
3/17/2016 2018 LTIP Units  2016   370,152    13.21    4.9    45    2.6   1/1/2016-12/31/2018  Quarterly in 2019
1/1/2017 2019 LTIP Units  2017   399,726    12.61    5.0    48    3.8   1/1/2017-12/31/2019  Quarterly in 2020
TSR PRSUs & LTIP Total      960,514   $13.26   $12.7        $7.1       
                                   
Relative TSR PRSUs                                  
                                   
3/31/15 2017 Relative TSR  2015   137,249    22.50    3.1    45    0.8   1/1/2015-12/31/2017  Quarterly in 2018
4/1/2015 2017 Relative TSR  2015   53,387    22.92    1.2    45    0.3   1/1/2015-12/31/2017  Quarterly in 2018
3/17/2016 2018 Relative TSR  2016   305,563    16.44    5.1    45    2.6   1/1/2016-12/31/2018  Quarterly in 2019
1/1/2017 2019 Relative TSR  2017   285,338    18.04    5.1    48    3.9   1/1/2017-12/31/2019  Quarterly in 2020
Relative TSR PRSUs Total      781,537   $18.53   $14.5        $7.6       
Grand Total      2,012,473   $17.95   $36.1        $18.5       

 

(1)Total shares/units and compensation costs are net of shares/units cancelled.

(2)This table excludes approximately $1.1 million of unrecognized compensation costs related to our directors.

 

Stock Options and Tax Withholding

 

As part of the Aviv Merger, we assumed approximately 5.7 million Aviv employee stock options that were fully vested prior to the merger. On April 1, 2015, the Aviv stock options were converted into Omega stock options at an exchange ratio of 0.9 resulting in issuance of approximately 5.1 million Omega stock options. The intrinsic value of the stock option assumed on April 1, 2015 was approximately $99.2 million and was recorded as part of the consideration provided in the merger. During 2017, 2016 and 2015, approximately 26 thousand, 2.5 million and 2.6 million options, respectively, were exercised at a weighted average price of $18.97 per share, $19.38 per share and $19.38 per share, respectively.

 

Stock withheld to pay minimum statutory tax withholdings for equity instruments granted under stock-based payment arrangements for the years ended December 31, 2017, 2016 and 2015, was $2.1 million, $23.4 million and $26.7 million, respectively.

 

 F-50 

 

 

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – Continued

 

Shares Available for Issuance for Compensation Purposes

 

On June 6, 2013, at our Company’s Annual Meeting, our stockholders approved the 2013 Stock Incentive Plan (the “2013 Plan”), which amended and restated the Company’s 2004 Stock Incentive Plan. The 2013 Plan is a comprehensive incentive compensation plan that allows for various types of equity-based compensation, including restricted stock units (including performance-based restricted stock units and LTIP units), stock awards, deferred restricted stock units, incentive stock options, non-qualified stock options, stock appreciation rights, dividend equivalent rights and certain cash-based awards (including performance-based cash awards). The 2013 Plan increased the number of shares reserved for issuance for compensation purposes by 3.0 million.

 

As of December 31, 2017, approximately 1.6 million shares of common stock were reserved for issuance to our employees, directors and consultants under our stock incentive plans.

 

NOTE 18 – DIVIDENDS

 

Common Dividends

 

The Board of Directors has declared common stock dividends as set forth below:

 

Record Date  Payment Date  Dividend per
 Common Share
   Increase over
 Prior Quarter
 
January 31, 2017  February 15, 2017  $0.62   $0.01 
May 1, 2017  May 15, 2017   0.63    0.01 
August 1, 2017  August 15, 2017   0.64    0.01 
October 31, 2017  November 15, 2017   0.65    0.01 
January 31, 2018  February 15, 2018   0.66    0.01 

 

On the same dates listed above, Omega OP Unit holders received the same distributions per unit as those paid to the common stockholders of Omega.

 

Per Share Distributions

 

Per share distributions by our Company were characterized in the following manner for income tax purposes (unaudited):

 

   Year Ended December 31, 
   2017   2016   2015 
Common               
Ordinary income  $1.571   $1.968   $1.133 
Return of capital   0.932    0.322    1.047 
Capital gains   0.037    0.070    - 
Total dividends paid  $2.540   $2.360   $2.180 

 

For additional information regarding dividends, see Note 14 – Taxes.

 

 F-51 

 

 

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – Continued

 

NOTE 19 – COMMITMENTS AND CONTINGENCIES

 

Litigation

 

On November 16, 2017, a purported securities class action complaint captioned Dror Gronich v. Omega Healthcare Investors, Inc., C. Taylor Pickett, Robert O. Stephenson, and Daniel J. Booth was filed against the Company and certain of its officers in the United States District Court for the Southern District of New York, Case No. 1:17-cv-08983-NRB. On November 17, 2017, a second purported securities class action complaint captioned Steve Klein v. Omega Healthcare Investors, Inc., C. Taylor Pickett, Robert O. Stephenson, and Daniel J. Booth was filed against the Company and the same officers in the United States District Court for the Southern District of New York, Case No. 1:17-cv-09024-NRB. Both lawsuits purport to be class actions brought on behalf of shareholders who acquired the Company’s securities between February 8, 2017 and October 31, 2017. Both complaints allege that the defendants violated the Securities Exchange Act of 1934, as amended (the “Exchange Act”), by making materially false and/or misleading statements, and by failing to disclose material adverse facts, about the Company’s business, operations, and prospects, including regarding the financial and operating results of certain of the Company’s operators, the ability of certain operators to make timely rent payments, and the impairment of certain of the Company’s leases and the uncollectibility of certain receivables. The complaints, which purport to assert claims for violations of Section 10(b) of the Exchange Act and Rule 10b-5 promulgated thereunder, as well as Section 20(a) of the Exchange Act, seek an unspecified amount of monetary damages, interest, fees and expenses of attorneys and experts, and other relief.

 

On January 16, 2017, four plaintiffs and one group of plaintiffs acting jointly filed motions for consolidation of the two actions, appointment of counsel, and appointment of lead plaintiff. They are: (i) The Hannah Rosa Trust; (ii) Patricia Zaborowski, Hong Jun, Cynthia Peterson, Simona Vacchieri, and Glenn Fausz (self-defined as the “Omega Investor Group”); (iii) Royce Setzer; (iv) Carpenters Pension Fund of Illinois; and (v) Glenn Fausz. The Omega Investor Group and The Hannah Rosa Trust thereafter withdrew their applications. The motions are pending before the Court.

 

Although the Company denies the material allegations of the two complaints and intends to vigorously pursue its defense, we are in the very early stages of this litigation and are unable to predict the outcome of the case or to estimate the amount of potential costs.

 

In addition, 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.

 

Commitments

 

We have committed to fund the construction of new leased and mortgaged facilities and other capital improvements. We expect the funding of these commitments to be completed over the next several years. Our remaining commitments at December 31, 2017, are outlined in the table below (in thousands):

 

Total commitment  $682,249 
Amount funded (1)   383,586 
Remaining commitment  $298,663 

 

(1)Includes finance costs.

 

Environmental Matters

 

As of December 31, 2017 and 2016, we had identified conditional asset retirement obligations primarily related to the future removal and disposal of asbestos that is contained within certain of our real estate investment properties. The asbestos is appropriately contained, and we believe we are compliant with current environmental regulations. If these properties undergo major renovations or are demolished, certain environmental regulations are in place, which specify the manner in which asbestos must be handled and disposed. We are required to record the fair value of these conditional liabilities if they can be reasonably estimated. As of December 31, 2017 and 2016, sufficient information was not available to estimate our liability for conditional asset retirement obligations as the obligations to remove the asbestos from these properties have indeterminable settlement dates. As such, no liability for conditional asset retirement obligations was recorded on our accompanying Consolidated Balance Sheets as of December 31, 2017 and 2016.

 

 F-52 

 

 

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – Continued

 

NOTE 20 – SUPPLEMENTAL DISCLOSURE TO CONSOLIDATED STATEMENTS OF CASH FLOWS

 

The following are supplemental disclosures to the consolidated statements of cash flows for the year ended December 31, 2017, 2016 and 2015:

 

OMEGA HEALTHCARE INVESTORS, INC.

 

   Year Ended December 31, 
   2017   2016   2015 
   (in thousands) 
Reconciliation of cash and cash equivalents and restricted cash:               
Cash and cash equivalents  $85,937   $93,687   $5,424 
Restricted cash   10,871    13,589    14,607 
Cash, cash equivalents and restricted cash at end of period  $96,808   $107,276   $20,031 
                
Supplemental Information:               
Interest paid during the period, net of amounts capitalized  $182,832   $148,326   $145,929 
Taxes paid during the period  $4,141   $4,922   $1,016 
                
Non cash investing activities:               
Non cash acquisition of real estate (See Note 3)  $(27,170)  $   $ 
Non cash acquisition of businesses (see Note 3 and Note 5)       (60,079)   (3,602,040)
Non cash surrender of mortgage (see Note 3 and Note 5)       25,000     
Non cash investment in other investments   (6,353)        
Non cash proceeds from other investments (see Note 6 and Note 3)   30,187    5,500     
Non cash settlement of direct financing lease (See Note 4)   18,989         
Total  $15,653   $(29,579)  $(3,602,040)
                
Non cash financing activities:               
Assumed Aviv debt  $   $   $1,410,637 
Stock exchanged in merger           1,902,866 
Omega OP Units exchanged in merger           373,394 
Purchase option buyout obligation (see Note 3)       29,579     
Change in fair value of cash flow hedges   2,970    764    718 
Remeasurement of debt denominated in a foreign currency   7,070         
Other unsecured long term borrowing (see Note 3 and Note 12)       3,000     
Total  $10,040   $33,343   $3,687,615 

 

 F-53 

 

 

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – Continued

 

OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

 

   Year Ended December 31,   The period from
April 1, 2015
(Aviv Merger
date) through
December 31,
 
   2017   2016   2015 
   (in thousands) 
Reconciliation of cash and cash equivalents and restricted cash:               
Cash and cash equivalents  $85,937   $93,687   $5,424 
Restricted cash   10,871    13,589    14,607 
Cash, cash equivalents and restricted cash at end of period  $96,808   $107,276   $20,031 
                
Supplemental Information:               
Interest paid during the period, net of amounts capitalized  $182,832   $148,326   $120,100 
Taxes paid during the period  $4,141   $4,922   $1,016 
                
Non cash investing activities:               
Non cash acquisition of real estate (See Note 3)  $(27,170)  $   $ 
Non cash acquisition of businesses (see Note 3 and Note 5)       (60,079)   (3,602,040)
Non cash surrender of mortgage (see Note 3 and Note 5)       25,000     
Non cash investment in other investments   (6,353)        
Non cash proceeds from other investments (see Note 6 and Note 3)   30,187    5,500     
Non cash settlement of direct financing lease (See Note 4)   18,989         
Total  $15,653   $(29,579)  $(3,602,040)
                
Non cash financing activities:               
Assumed Aviv debt  $   $   $1,410,637 
Contribution from Omega in merger           1,902,866 
Omega OP Units exchanged in merger           373,394 
Purchase option buyout obligation (see Note 3)       29,579     
Change in fair value of cash flow hedges   2,970    764    718 
Remeasurement of debt denominated in a foreign currency   7,070         
Other unsecured long term borrowing (see Note 3 and Note 12)       3,000     
Total  $10,040   $33,343   $3,687,615 

 

 F-54 

 

 

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – Continued

 

NOTE 21 – SUMMARY OF QUARTERLY RESULTS (UNAUDITED)

 

The following summarizes the Omega and Omega OP’s quarterly results of operations for the years ended December 31, 2017 and 2016:

 

Omega  March 31   June 30   September 30   December 31 
   (in thousands, except per share amounts) 
2017                    
Revenues  $231,744   $235,797   $219,638   $221,206 
Net income (loss) (1)  $109,112   $68,157   $(137,515)  $65,156 
Net income (loss) available to common stockholders  $104,440   $65,257   $(131,678)  $62,400 
Net income (loss) available to common per share:                    
Basic  $0.53   $0.33   $(0.67)  $0.31 
Net income (loss) per share:                    
Diluted  $0.53   $0.33   $(0.67)  $0.31 
                     
2016                    
Revenues  $212,879   $228,824   $224,638   $234,486 
Net income  $58,196   $113,154   $82,134   $129,883 
Net income available to common stockholders  $55,555   $108,052   $78,549   $124,259 
Net income available to common per share:                    
Basic  $0.30   $0.57   $0.40   $0.63 
Net income per share:                    
Diluted  $0.29   $0.57   $0.40   $0.63 

 

Omega OP  March 31   June 30   September 30   December 31 
   (in thousands, except per share amounts) 
2017                    
Revenues  $231,744   $235,797   $219,638   $221,206 
Net income (loss) (1)  $109,112   $68,157   $(137,515)  $65,156 
Net income (loss) available to Omega OP Unit holders:                    
Basic  $0.53   $0.33   $(0.67)  $0.31 
Net income (loss) per unit:                    
Diluted  $0.53   $0.33   $(0.67)  $0.31 
                     
2016                    
Revenues  $212,879   $228,824   $224,638   $234,486 
Net income  $58,196   $113,154   $82,134   $129,883 
Net income available to Omega OP Unit holders:                    
Basic  $0.30   $0.57   $0.40   $0.63 
Net income per unit:                    
Diluted  $0.29   $0.57   $0.40   $0.63 

 

(1)Amounts reflect provisions for uncollectible accounts and impairment losses on real estate properties and direct financing leases of $10.0 million, $12.8 million, $224.4 million and $64.6 million for the three month periods ended March 31, 2017, June 30, 2017, September 30, 2017 and December 31, 2017, respectively. Amounts also reflect net gain (loss) on assets sold of $7.4 million, $(0.6) million, $0.7 million and $46.4 million for the three month periods ended March 31, 2017, June 30, 2017, September 30, 2017 and December 31, 2017, respectively.

 

 F-55 

 

 

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS – Continued

 

NOTE 22 – EARNINGS PER SHARE/UNIT

 

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

 

   Omega   Omega OP 
   Year Ended December 31,   Year Ended December 31, 
   2017   2016   2015   2017   2016   2015(1) 
   (in thousands, except per share amounts)     
Numerator:                              
Net income  $104,910   $383,367   $233,315   $104,910   $383,367   $190,263 
Less: Net income attributable to noncontrolling interests   (4,491)   (16,952)   (8,791)            
Net income available to common stockholders/Omega OP Unit holders  $100,419   $366,415   $224,524   $104,910   $383,367   $190,263 
Denominator:                              
Denominator for basic earnings per share/unit   197,738    191,781    172,242    206,521    200,679    193,843 
Effect of dilutive securities:                              
Common stock equivalents   269    956    1,539    269    956    1,899 
Noncontrolling interest – Omega OP Units   8,783    8,898    6,727             
Denominator for diluted earnings per share/unit   206,790    201,635    180,508    206,790    201,635    195,742 
                               
Earnings per share - basic:                              
Net income available to common stockholders/Omega OP Unit holders  $0.51   $1.91   $1.30   $0.51   $1.91   $0.98 
Earnings per share/unit - diluted:                              
Net income  $0.51   $1.90   $1.29   $0.51   $1.90   $0.97 

 

(1)The period is from April 1, 2015 (Aviv Merger date) through December 31, 2015.

 

NOTE 23 – SUBSEQUENT EVENTS

 

In February 2018, the Company agreed to transition an existing portfolio of 13 facilities in Ohio. The transition is expected to occur during the first half of 2018 with the facilities being leased to another existing operator pursuant to a new master lease agreement. As a result of the transition, the Company expects to write-off approximately $7.5 million of straight-line rent receivable.

 

 F-56 

 

 

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

 

SCHEDULE II – VALUATION AND QUALIFYING ACCOUNTS

(in thousands)

December 31, 2017

 

 

 

Description

  Balance at
Beginning of
Period
   Charged to
Provision
Accounts
  

 

Deductions or
Other (1)

   Balance at
End of
Period
 
Year Ended December 31, 2017:                    
Allowance for doubtful accounts:                    
Accounts receivable  $357   $13,392   $5,286   $8,463 
Mortgage notes receivable   3,934    971        4,905 
Other investments   4,798    217    4,642    373 
Direct financing leases       198,199    26,027    172,172 
Total  $9,089   $212,779   $35,955   $185,913 
                     
Year Ended December 31, 2016:                    
Allowance for doubtful accounts:                    
Accounts receivable  $309   $4,246   $4,198   $357 
Mortgage notes receivable       3,934        3,934 
Other investments   2,960    1,665    (173)   4,798 
Total  $3,269   $9,845   $4,025   $9,089 
                     
Year Ended December 31, 2015:                    
Allowance for doubtful accounts:                    
Accounts receivable  $78   $4,994   $4,763   $309 
Other investments       2,879    (81)   2,960 
Total  $78   $7,873   $4,682   $3,269 

 

(1)Uncollectible accounts written off, net of recoveries or adjustments.

             

 F-57 

 

 

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

  

SCHEDULE III – REAL ESTATE AND ACCUMULATED DEPRECIATION

(in thousands)

December 31, 2017

   

                          (3)(5)              
                          Gross Amount at              
      Initial Cost to   Cost Capitalized   Which Carried at             Life on Which
      Company   Subsequent to   Close of Period             Depreciation
              Acquisition               (4)         in Latest
         Buildings and       Carrying   (6)      Buildings and      Accumulated   Date of  Date  Income Statements
Description (1)  Encumbrances  Land    Improvements   Improvements   Cost   Other   Land    Improvements   Total   Depreciation   Construction  Acquired  is Computed
Maplewood Real Estate Holdings:                                                         
Connecticut (AL)     $25,063   $216,538   $3,287   $59   $-   $25,063   $219,884   $244,947   $20,109   1968-2015  2015  33 years
Massachusetts (AL, SNF)      19,041    113,728    11,982    -    (680)   19,041    125,030    144,071    10,614   1988-2017  2015  30 years to 33 years
New York (AL)      118,606    -    34,738    5,759    -    118,606    40,497    159,103    -   -  2015  -
Ohio  (AL)      3,683    27,628    35    -    -    3,683    27,663    31,346    2,275   1999-2016  2015  30 years to 33 years
Total Maplewood     $166,393   $357,894   $50,042   $5,818   $(680)  $166,393   $413,074   $579,467   $32,998          
                                                          
Signature Holdings II:                                                         
Florida (SNF)     $14,077   $166,901   $13,295   $158   $-   $14,077   $180,354   $194,431   $48,710   1940-1997  1996-2016  3 years to 39 years
Georgia (SNF)      3,833    10,847    3,949    -    -    3,833    14,796    18,629    9,522   1964-1970  2007  20 years
Kentucky (SNF)      13,335    87,791    4,174    -    -    13,335    91,965    105,300    23,772   1964-1980  1999-2016  20 years to 33 years
Maryland (SNF)      1,480    19,663    1,183    -    -    1,480    20,846    22,326    7,804   1959-1977  2010  29 years to 30 years
Tennessee (AL, SNF)      8,414    182,235    -    -    -    8,414    182,235    190,649    12,029   1966-2016  2014-2016  25 years to 30 years
Total Signature     $41,139   $467,437   $22,601   $158   $-   $41,139   $490,196   $531,335   $101,837          
                                                          
Saber Health Group:                                                         
Florida (SNF)     $423   $4,422   $197   $-   $-   $423   $4,619   $5,042   $536   2009  2015  33 years
North Carolina (SNF)      10,780    106,695    11,899    323    -    10,780    118,917    129,697    11,448   1965-2013  2016  3 years to 30 years
Ohio (SNF, AL)      5,035    107,057    6,124    -    (268)   5,035    112,913    117,948    11,379   1979-2000  2015-2016  30 years to 33 years
Pennsylvania (SNF)      7,134    124,476    3,858    -    -    7,134    128,334    135,468    13,132   1873-2002  2015  33 years
Virginia (SNF)      8,500    85,982    2,675    -    -    8,500    88,657    97,157    7,433   1964-2013  2016  30 years
Total Saber Health Group     $31,872   $428,632   $24,753   $323   $(268)  $31,872   $453,440   $485,312   $43,928          
                                                          
Ciena Healthcare:                                                         
Indiana (SNF)     $321   $7,703   $-   $-   $-   $321   $7,703   $8,024   $902   1973  2015  33 years
Michigan (SNF, AL)      4,087    115,547    -    -    -    4,087    115,547    119,634    12,261   1964-1997  2015  33 years
North Carolina (ILF, SNF)      4,331    65,027    -    -    -    4,331    65,027    69,358    7,233   1927-1997  2015  12 years to 33 years
Ohio (SNF, AL)      10,343    159,846    -    -    (80)   10,343    159,766    170,109    16,833   1960-2007  2010-2016  20 years to 33 years
Virginia (SNF)      6,300    87,772    -    -    (177)   6,123    87,772    93,895    6,729   1979-2007  2016  30 years
Total Ciena HealthCare     $25,382   $435,895   $-   $-   $(257)  $25,205   $435,815   $461,020   $43,958          
                                                          
CommuniCare Health Services, Inc.:                                                         
Indiana (SNF)     $17,949   $193,059   $-   $-   $-   $17,949   $193,059   $211,008   $3,333   1963-2014  2017  20 years to 30 years
Maryland (SNF)      7,190    74,029    3,844    -    -    7,190    77,873    85,063    17,808   1921-1985  2010-2011  25 years to 30 years
Ohio (SNF, SH, ALF)      6,445    76,436    11,821    -    -    6,445    88,257    94,702    37,954   1927-2008  1998-2008  20 years to 39 years
Pennsylvania (SNF)      1,753    18,533    11,281    -    -    1,753    29,814    31,567    12,167   1950-1964  2005  39 years
West Virginia (SNF)      450    14,758    185    -    -    450    14,943    15,393    3,053   1963  2011  35 years
Total CommuniCare     $33,787   $376,815   $27,131   $-   $-   $33,787   $403,946   $437,733   $74,315          

  

 F-58 

 

  

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

 

SCHEDULE III – REAL ESTATE AND ACCUMULATED DEPRECIATION — continued

(in thousands)

December 31, 2017

  

                          (3)(5)              
                          Gross Amount at              
      Initial Cost to   Cost Capitalized   Which Carried at             Life on Which
      Company   Subsequent to   Close of Period             Depreciation
              Acquisition               (4)         in Latest
         Buildings and       Carrying   (6)      Buildings and      Accumulated   Date of  Date  Income Statements
Description (1)  Encumbrances  Land    Improvements   Improvements   Cost   Other   Land    Improvements   Total   Depreciation   Construction  Acquired  is Computed
Other:                                                         
Alabama (SNF)     $1,817   $33,356   $12,916   $-   $-   $1,817   $46,272   $48,089   $33,080   1960-1982  1992-1997  31 years to 33 years
Arizona (TBI, SNF, AL)      10,995    86,868    -    -    -    10,995    86,868    97,863    13,093   1949-1999  2012-2015  33 years to 40 years
Arkansas (SNF, AL)  (2)   3,698    85,308    8,856    -    (36)   3,698    94,128    97,826    39,139   1967-2009  1992-2015  25 years to 33 years
California (SNF, TBI)      73,466    408,201    3,837    -    -    73,466    412,038    485,504    68,870   1927-2013  1997-2015  5 years to 35 years
Colorado (SNF, ILF)      11,279    88,831    7,790    -    -    11,279    96,621    107,900    33,257   1925-1975  1998-2016  20 years to 39 years
Connecticut (land only)      879    4,446    980    -    (5,426)   879    -    879    -   N/A  1999  N/A
Florida (SNF, AL)      63,094    504,796    42,010    1,082    (9,737)   63,019    538,226    601,245    170,325   1933-2017  1992-2017  2 years to 40 years
Georgia (SNF, AL)      3,730    47,387    669    -    -    3,730    48,056    51,786    7,015   1967-1998  1998-2016  30 years to 40 years
Idaho (SNF, AL)      6,625    62,353    1,322    -    (14,690)   6,625    48,985    55,610    12,887   1911-2008  1997-2015  25 years to 39 years
Illinois (SNF)      5,112    98,178    66    -    (44,462)   4,977    53,917    58,894    892   1961-1981  2015  30 years to 33 years
Indiana (SNF, ILF, AL, MOB, SH,)      25,781    335,737    435    -    (1,828)   25,773    334,352    360,125    80,438   1942-2008  1992-2015  20 years to 40 years
Iowa (SNF, AL)      2,485    60,406    -    -    -    2,485    60,406    62,891    9,456   1961-1998  2010-2015  12 years to 33 years
Kansas (SNF)      4,800    47,496    12,767    -    (2,229)   4,800    58,034    62,834    8,524   1957-1985  2010-2015  12 years to 33 years
Kentucky (SNF, AL)      5,611    123,995    9,851    -    -    5,611    133,846    139,457    25,761   1917-2002  1994-2015  33 years
Louisiana (SNF)      2,178    52,870    3,303    -    (189)   2,178    55,984    58,162    19,388   1957-1983  1997-2006  22 years to 39 years
Massachusetts (SNF)      5,389    35,826    2,160    -    -    5,389    37,986    43,375    19,661   1964-1993  1997-2010  20 years to 39 years
Michigan (SNF)      830    30,921    -    -    -    830    30,921    31,751    5,921   1964-1975  2011-2015  25 years to 33 years
Minnesota (SNF, AL, ILF)      10,502    52,585    4,294    -    -    10,502    56,879    67,381    6,407   1966-1983  2015  33 years
Mississippi (SNF)      2,910    49,507    827    -    -    2,910    50,334    53,244    16,050   1962-1988  2009-2010  20 years to 40 years
Missouri (SNF)      7,333    121,481    693    -    (37,104)   7,325    85,078    92,403    9,624   1955-1994  1999-2016  30 years to 33 years
Montana (SNF)      1,319    11,698    -    -    -    1,319    11,698    13,017    1,274   1963-1971  2015  33 years
Nebraska (SNF)      1,600    23,142    -    -    -    1,600    23,142    24,742    3,687   1963-1969  2015  20 years to 33 years
Nevada (SNF, SH, TBI)      5,501    50,472    8,350    -    -    5,501    58,822    64,323    12,858   1972-2004  2009-2015  26 years to 33 years
New Hampshire (SNF, AL)      1,782    19,837    1,463    -    -    1,782    21,300    23,082    9,057   1963-1999  1998-2006  33 years to 39 years
New Mexico (SNF)      8,372    62,191    -    -    -    8,372    62,191    70,563    6,493   1960-1985  2015  33 years
North Carolina (SNF)      3,798    60,591    3,551    -    -    3,798    64,142    67,940    28,802   1964-1987  1994-2017  25 years to 36 years
Ohio (SNF, SH, AL)      18,135    254,695    7,134    -    (552)   18,135    261,277    279,412    64,195   1920-1998  1994-2015  21 years to 39 years
Oklahoma (SNF, AL)      4,650    36,247    -    -    -    4,650    36,247    40,897    9,820   1965-2013  2010-2015  20 years to 33 years
Oregon (AL, SNF)      3,641    45,218    4,004    -    -    3,641    49,222    52,863    5,350   1959-2004  2014-2015  25 years to 33 years
Pennsylvania (SNF, AL, ILF)      9,981    187,731    -    -    (5)   9,976    187,731    197,707    62,399   1942-2012  1998-2015  16 years to 39 years
Rhode Island (SNF)      3,658    35,082    4,793    -    -    3,658    39,875    43,533    17,682   1965-1981  2006  39 years
South Carolina (SNF)      7,800    59,782    -    -    -    7,800    59,782    67,582    8,838   1959-2007  2014-2016  20 years to 33 years
Tennessee (SNF)      5,827    99,457    5,332    -    (135)   5,933    104,548    110,481    51,466   1958-1985  1992-2015  20 years to 31 years
Texas (AL, SNF)      70,761    721,428    27,074    68    (2,532)   70,761    746,038    816,799    124,486   1952-2015  1997-2017  2 years to 40 years
United Kingdom (AL)      81,843    346,104    1,791    -    (22,258)   79,688    327,792    407,480    22,033   1750-2012  2015-2017  30 years
Vermont (SNF)      318    6,006    602    -    -    318    6,608    6,926    2,592   1971  2004  39 years
Virginia (SNF, AL)      3,021    37,129    -    -    -    3,021    37,129    40,150    2,942   1989-1995  2015-2017  30 years to 40 years
Washington (SNF, AL)      11,719    138,056    2,627    -    (2)   11,718    140,682    152,400    27,356   1930-2004  1995-2015  20 years to 33 years
West Virginia (SNF)      1,523    52,187    6,877    -    -    1,523    59,064    60,587    32,336   1961-1996  1994-2008  25 years to 39 years
Wisconsin (SNF)      5,996    44,333    6,043    -    (12,982)   5,996    37,394    43,390    6,338   1964-1994  2010-2015  12 years to 33 years
Total Other     $499,759   $4,621,934   $192,417   $1,150   $(154,167)  $497,478   $4,663,615   $5,161,093   $1,079,792          
                                                          
                                                          
Total     $798,332   $6,688,607   $316,944   $7,449   $(155,372)  $795,874   $6,860,086   $7,655,960   $1,376,828          

   

(1)The real estate included in this schedule is being used in either the operation of skilled nursing facilities (SNF), assisted living facilities (AL), independent living facilities (ILF), traumatic brain injury (TBI), medical office building (MOB) or specialty hospitals (SH) located in the states or country indicated.
(2)Certain of the real estate indicated are security for the HUD loan borrowings totalling $53.7 million.

 

   Year Ended December 31, 
(3)  2015   2016   2017 
     Balance at beginning of period  $3,223,785   $6,743,958   $7,566,358 
         Acquisitions through foreclosure   -    25,000    - 
         Acquisitions (a)   3,371,234    1,017,761    419,333 
         Impairment   (12,916)   (53,717)   (98,672)
         Improvements   220,272    95,807    116,786 
         Disposals/other   (58,417)   (262,451)   (347,845)
     Balance at close of period  $6,743,958   $7,566,358   $7,655,960 

 

(a) Includes approximately $3.1 billion, $35.1 million and $27.2 million of noncash consideration exchanged during the years ended December 31, 2015, 2016 and 2017, respectively.               

 

   Year Ended December 31, 
(4)  2015   2016   2017 
     Balance at beginning of period  $821,712   $1,019,150   $1,240,336 
         Provisions for depreciation   210,555    266,904    287,189 
         Dispositions/other   (13,117)   (45,718)   (150,697)
     Balance at close of period  $1,019,150   $1,240,336   $1,376,828 

 

(5)The reported amount of our real estate at December 31, 2017 is greater than the tax basis of the real estate by approximately $0.9 billion.
(6)Reflects bed sales, impairments (including the write-off of accumulated depreciation), land easements and impacts from foreign currency exchange rates.

   

 F-59 

 

 

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

 

SCHEDULE IV – MORTGAGE LOANS ON REAL ESTATE

(in thousands)

December 31, 2017

  

Grouping  Description (1)  Interest Rate   Fixed/Variable  Final Maturity Date  Periodic Payment Terms  Prior Liens  Face Amount of Mortgages   Carrying Amount of Mortgages (2) (3) (6)    Carrying Amount of Loans Subject to Delinquent Principal or Interest 
                                 
1  Louisiana (1 AL facility)   8.75%  F  2018  Interest plus $17 of principal payable monthly with $10,836 due at maturity  None  $11,027   $10,944    $- 
2  Maryland (3 SNF facilities)   11.00%  V  2028  Interest payable monthly until maturity  None   74,928    35,964     - 
3  Michigan (1 SNF facility)   11.04%  V  2029  Interest payable monthly until maturity  None   3,968    3,968     - 
4  Michigan (1 SNF facility)   10.77%  V  2029  Interest payable monthly until maturity  None   4,112    4,112     - 
5  Michigan (8 SNF facilities)   10.51%  V  2029  Interest payable monthly until maturity  None   12,107    12,107     - 
6  Michigan (8 SNF facilities)   9.74%  V  2029  Interest payable monthly until maturity  None   12,500    12,500     - 
7  Michigan (31 SNF facilities)   9.68%  V  2029  Interest plus $115 of principal payable monthly with $382,127 due at maturity  None   415,000    410,763     - 
8  Michigan (3 SNF facilities)   9.50%  V  2029  Interest plus $2 of principal payable monthly with $10,466 due at maturity  None   11,000    10,988     - 
9  Michigan (1 SNF facility)   9.50%  V  2029  Interest payable monthly until maturity  None   188    188     - 
10  Michigan (1 SNF facility)   8.67%  V  2029  Interest payable monthly until maturity  None   14,045    14,045     - 
11  Michigan (1 SNF facility)   9.50%  V  2019  Interest payable monthly until maturity  None   210    210     - 
12  Michigan (1 SNF facility)   9.50%  V  2018  Interest payable monthly until maturity  None   7,440    7,440     - 
13  New Jersey (1 AL facility)   14.00%  F  2018  Interest payable monthly until maturity  None   3,195    3,195     - 
14  Ohio (2 SNF facilities) and Pennsylvania (5 SNF and 2 AL facilities)   9.98%  V  2024  Interest payable monthly until maturity  None   112,500    112,500     - 
15  Ohio (1 SNF facility)   11.91%  V  2018  Interest payable monthly until maturity  None   11,874    12,001 (4)   - 
16  South Carolina (1 AL facility)   8.75%  F  2018  Interest accrues monthly until maturity  None   10,288    10,288     - 
17  Tennessee ( 1 SNF facility)   8.35%  F  2015  Past due  None   6,997    1,472     1,472 (5)
18  Virginia (1 AL facility)   8.75%  F  2018  Interest accrues monthly until maturity  None   8,548    8,547     - 
                                     
                       $719,927   $671,232    $1,472 

  

(1)Mortgage loans included in this schedule represent first mortgages on facilities used in the delivery of long-term healthcare of which such facilities are located in the states indicated.
(2)The aggregate cost for federal income tax purposes is approximately $676.6 million.

 

   Year Ended December 31, 
(3)  2015   2016   2017 
Balance at beginning of period  $648,079   $679,795   $639,343 
Additions during period - new mortgage loans or additional fundings   33,288    48,722    34,643 
Deductions during period - collection of principal/other   (1,572)   (89,174)   (2,754)
Balance at close of period  $679,795   $639,343   $671,232 

  

(4)The carrying value of the mortgage exceeds the face value of the mortgage due to an acquisition date fair market value adjustment.

 

(5)Mortgage written down to the fair value of the underlying collateral.

 

(6)Mortgages included in the schedule which were extended during 2017 aggregated approximately $3.2 million.

   

 F-60 

 

 

INDEX TO EXHIBITS TO 2017 FORM 10-K

 

EXHIBIT
NUMBER
DESCRIPTION
2.1 Agreement and Plan of Merger, dated as of October 30, 2014, by and among Omega Healthcare Investors, Inc., OHI Healthcare Properties Holdco, Inc., OHI Healthcare Properties Limited Partnership, L.P., Aviv REIT, Inc., and Aviv Healthcare Properties Limited Partnership (Incorporated by reference to Exhibit 2.1 to the Company’s Current Report on Form 8-K, filed on November 5, 2014).
3.1 Amended and Restated Bylaws of Omega Healthcare Investors, Inc. as of June 8, 2017 (Incorporated by reference to Exhibit 3.1 to the Company’s Current Report on Form 8-K, filed with the SEC on June 9, 2017).
3.2 Articles of Amendment and Restatement of Omega Healthcare Investors, Inc., as amended. (Incorporated by reference to Exhibit 4.1 to the Company’s Registration Statement on Form S-3ASR filed on September 3, 2015).
3.3 Certificate of Limited Partnership of OHI Healthcare Properties Limited Partnership (Incorporated by reference to Exhibit 3.121 to the Company’s Form S-4 filed with the SEC on April 16, 2015).
3.4 Second Amended and Restated Agreement of Limited Partnership by and among Omega Healthcare Investors, Inc., OHI Healthcare Properties Holdco, Inc., and Aviv Healthcare Properties Limited Partnership (Incorporated by reference to Exhibit 10.11 to the Company’s Current Report on Form 8-K, filed on April 3, 2015).
4.0 See Exhibits 3.1 to 3.4.
4.1 Indenture, dated as of March 11, 2014, by and among Omega, the guarantors named therein, and U.S. Bank National Association, as trustee related to the 4.950% Senior Notes due 2024, including the Form of 4.950% Senior Notes and Form of Subsidiary Guarantee related thereto. (Incorporated by reference to Exhibit 4.1 to the Company’s Current Report on Form 8-K, filed on March 11, 2014).
4.1A First Supplemental Indenture, dated as of June 27, 2014, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 4.950% Senior Notes due 2024, including the Form of 4.950% Senior Notes and Form of Subsidiary Guarantee related thereto (Incorporated by reference to Exhibit 4.4 to the Company’s Quarterly Report on Form 10-Q, filed on August 6, 2014).
4.1B Second Supplemental Indenture, dated as of November 25, 2014, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 4.950% Senior Notes due 2024, including the Form of 4.950% Senior Notes and Form of Subsidiary Guarantee related thereto and that certain Third Supplemental Indenture, dated as of January 23, 2015, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 4.950% Senior Notes due 2024, including the Form of 4.950% Senior Notes and Form of Subsidiary Guarantee related thereto (Incorporated by reference to Exhibit 4.4B to the Company’s Annual Report on Form 10-K, filed on February 27, 2015).
4.1C Fourth Supplemental Indenture, dated effective as of March 2, 2015, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 4.950% Senior Notes due 2024, including the Form of 4.950% Senior Notes and Form of Subsidiary Guarantee related thereto (Incorporated by reference to Exhibit 4.3B to the Company’s Quarterly Report on Form 10-Q, filed on May 8, 2015).
4.1D Fifth Supplemental Indenture, dated as of April 1, 2015, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 4.950% Senior Notes due 2024, including the Form of 4.950% Senior Notes and Form of Subsidiary Guarantee related thereto (Incorporated by reference to Exhibit 4.3C to the Company’s Quarterly Report on Form 10-Q, filed on May 8, 2015).
4.1E Sixth Supplemental Indenture, dated as of August 4, 2015, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 4.950% Senior Notes due 2024, including the Form of 4.950% Senior Notes and Form of Subsidiary Guarantee related thereto (Incorporated by reference to Exhibit 4.3 to the Company’s Quarterly Report on Form 10-Q, filed on November 6, 2015).
4.1F Seventh Supplemental Indenture, dated as of November 9, 2015, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 4.950% Senior Notes due 2024, including the Form of 4.950% Senior Notes and Form of Subsidiary Guarantee related thereto (Incorporated by reference to Exhibit 4.2F to the Company’s Annual Report on Form 10-K, filed on February 29, 2016).

 

 I-1 

 

 

4.1G Eighth Supplemental Indenture, dated as of March 29, 2016, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 4.950% Senior Notes due 2024, including the Form of 4.950% Senior Notes and Form of Subsidiary Guarantee related thereto (Incorporated by reference to Exhibit 4.2 to the Company’s Quarterly Report on Form 10-Q, filed on May 6, 2016).
4.2H Ninth Supplemental Indenture, dated as of May 13, 2016, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 4.950% Senior Notes due 2024, including the Form of 4.950% Senior Notes and Form of Subsidiary Guarantee related thereto (Incorporated by reference to Exhibit 4.2 to the Company’s Quarterly Report on Form 10-Q, filed on August 5, 2016).
4.1I Tenth Supplemental Indenture, dated as of August 9, 2016, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 4.950% Senior Notes due 2024, including the Form of 4.950% Senior Notes and Form of Subsidiary Guarantee related thereto (Incorporated by reference to Exhibit 4.2 to the Company’s Quarterly Report on Form 10-Q, filed on November 8, 2016).
4.1J Eleventh Supplemental Indenture, dated as of November 10, 2016, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 4.950% Senior Notes due 2024, including the Form of 4.950% Senior Notes and Form of Subsidiary Guarantee related thereto (Incorporated by reference to Exhibit 4.2J to the Company’s Annual Report on Form 10-K, filed on February 24, 2017).
4.1K Twelfth Supplemental Indenture, dated as of March 17, 2017, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 4.950% Senior Notes due 2024, including the Form of 4.950% Senior Notes and Form of Subsidiary Guarantee related thereto (Incorporated by reference to Exhibit 4.2 to the Company’s Quarterly Report on Form 10-Q, filed on May 5, 2017).
4.1L Thirteenth Supplemental Indenture, dated as of May 11, 2017, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 4.950% Senior Notes due 2024, including the Form of 4.950% Senior Notes and Form of Subsidiary Guarantee related thereto (Incorporated by reference to Exhibit 4.1 to the Company’s Quarterly Report on Form 10-Q, filed on August 9, 2017).
4.1M Fourteenth Supplemental Indenture, dated as of May 25, 2017, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 4.950% Senior Notes due 2024, including the Form of 4.950% Senior Notes and Form of Partial Release of Subsidiary Guarantors related thereto (Incorporated by reference to Exhibit 4.1A to the Company’s Quarterly Report on Form 10-Q, filed on August 9, 2017).
4.2 Indenture, dated as of September 11, 2014, by and among Omega, the subsidiary guarantors named therein, and U.S. Bank National Association, as trustee related to the 4.50% Senior Notes due 2025, including the Form of 4.50% Senior Notes and Form of Subsidiary Guarantee related thereto. (Incorporated by reference to Exhibit 4.1 to the Company’s Current Report on Form 8-K, filed on September 11, 2014).
4.2A First Supplemental Indenture, dated as of November 25, 2014, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 4.50% Senior Notes due 2024, including the Form of 4.50% Senior Notes and Form of Subsidiary Guarantee related thereto and that certain Second Supplemental Indenture, dated as of January 23, 2015, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 4.50% Senior Notes due 2024, including the Form of 4.50% Senior Notes and Form of Subsidiary Guarantee related thereto (Incorporated by reference to Exhibit 4.5A to the Company’s Annual Report on Form 10-K, filed on February 27, 2015).
4.2B Third Supplemental Indenture, dated effective as of March 2, 2015, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 4.50% Senior Notes due 2025, including the Form of 4.50% Senior Notes and Form of Subsidiary Guarantee related thereto (Incorporated by reference to Exhibit 4.2B to the Company’s Registration Statement on Form S-4, filed on April 16, 2015).
4.2C Fourth Supplemental Indenture, dated as of April 1, 2015, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 4.50% Senior Notes due 2025, including the Form of 4.50% Senior Notes and Form of Subsidiary Guarantee related thereto (Incorporated by reference to Exhibit 4.2B to the Company’s Registration Statement on Form S-4, filed on April 16, 2015).

 

 I-2 

 

 

4.2D Fifth Supplemental Indenture, dated as of August 4, 2015, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 4.50% Senior Notes due 2025, including the Form of 4.50% Senior Notes and Form of Subsidiary Guarantee related thereto (Incorporated by reference to Exhibit 4.4 to the Company’s Quarterly Report on Form 10-Q, filed on November 6, 2015).
4.2E Sixth Supplemental Indenture, dated as of November 9, 2015, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 4.50% Senior Notes due 2025, including the Form of 4.50% Senior Notes and Form of Subsidiary Guarantee related thereto (Incorporated by reference to Exhibit 4.3E to the Company’s Annual Report on Form 10-K, filed on February 29, 2016).
4.2F Seventh Supplemental Indenture, dated as of March 29, 2016, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 4.50% Senior Notes due 2025, including the Form of 4.50% Senior Notes and Form of Subsidiary Guarantee related thereto (Incorporated by reference to Exhibit 4.3 to the Company’s Quarterly Report on Form 10-Q, filed on May 6, 2016).
4.2G Eighth Supplemental Indenture, dated as of May 13, 2016, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 4.50% Senior Notes due 2025, including the Form of 4.50% Senior Notes and Form of Subsidiary Guarantee related thereto (Incorporated by reference to Exhibit 4.3 to the Company’s Quarterly Report on Form 10-Q, filed on August 5, 2016).
4.2H Ninth Supplemental Indenture, dated as of August 9, 2016, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 4.50% Senior Notes due 2025, including the Form of 4.50% Senior Notes and Form of Subsidiary Guarantee related thereto (Incorporated by reference to Exhibit 4.3 to the Company’s Quarterly Report on Form 10-Q, filed on November 8, 2016).
4.2I Tenth Supplemental Indenture, dated as of November 10, 2016, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 4.50% Senior Notes due 2025, including the Form of 4.50% Senior Notes and Form of Subsidiary Guarantee related thereto (Incorporated by reference to Exhibit 4.3I to the Company’s Annual Report on Form 10-K, filed on February 24, 2017).
4.2J Eleventh Supplemental Indenture, dated as of March 17, 2017, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 4.50% Senior Notes due 2025, including the Form of 4.50% Senior Notes and Form of Subsidiary Guarantee related thereto (Incorporated by reference to Exhibit 4.3 to the Company’s Quarterly Report on Form 10-Q, filed on May 5, 2017).
4.2K Twelfth Supplemental Indenture, dated as of May 11, 2017, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 4.50% Senior Notes due 2025, including the Form of 4.50% Senior Notes and Form of Subsidiary Guarantee related thereto (Incorporated by reference to Exhibit 4.2 to the Company’s Quarterly Report on Form 10-Q, filed on August 9, 2017).
4.2L Thirteenth Supplemental Indenture, dated as of May 25, 2017, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 4.50% Senior Notes due 2025, including the Form of 4.50% Senior Notes and Form of Partial Release of Subsidiary Guarantors related thereto (Incorporated by reference to Exhibit 4.2A to the Company’s Quarterly Report on Form 10-Q, filed on August 9, 2017).
4.3 Indenture, dated as of March 18, 2015, by and among Omega Healthcare Investors, Inc., the subsidiary guarantors named therein and U.S. Bank National Association, as trustee, related to the 4.500% Senior Notes due 2027, including the Form of 4.500% Senior Notes and Form of Subsidiary Guarantee related thereto (Incorporated by reference to Exhibit 4.1 to the Company’s Current Report on Form 8-K, filed on March 24, 2015).
4.3A First Supplemental Indenture, dated as of April 1, 2015, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 4.500% Senior Notes due 2027, including the Form of 4.500% Senior Notes and Form of Subsidiary Guarantee related thereto (Incorporated by reference to Exhibit 4.5A to the Company’s Quarterly Report on Form 10-Q, filed on May 8, 2015).
4.3B Second Supplemental Indenture, dated as of August 4, 2015, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 4.500% Senior Notes due 2027, including the Form of 4.500% Senior Notes and Form of Subsidiary Guarantee related thereto (incorporated by reference to Exhibit 4.2A to Omega’s Registration Statement on Form S-4 filed on October 6, 2015).

 

 I-3 

 

 

4.3C Third Supplemental Indenture, dated as of November 9, 2015, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 4.500% Senior Notes due 2027, including the Form of 4.500% Senior Notes and Form of Subsidiary Guarantee related thereto. (Incorporated by reference to Exhibit 4.2B to the Amendment to Omega’s Registration Statement on Form S-4/A filed on November 12, 2015).
4.3D Fourth Supplemental Indenture, dated as of March 29, 2016, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 4.500% Senior Notes due 2027, including the Form of 4.500% Senior Notes and Form of Subsidiary Guarantee related thereto (Incorporated by reference to Exhibit 4.4 to the Company’s Quarterly Report on Form 10-Q, filed on May 6, 2016).
4.3E Fifth Supplemental Indenture, dated as of May 13, 2016, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 4.500% Senior Notes due 2027, including the Form of 4.500% Senior Notes and Form of Subsidiary Guarantee related thereto (Incorporated by reference to Exhibit 4.4 to the Company’s Quarterly Report on Form 10-Q, filed on August 5, 2016).
4.3F Sixth Supplemental Indenture, dated as of August 9, 2016, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 4.500% Senior Notes due 2027, including the Form of 4.500% Senior Notes and Form of Subsidiary Guarantee related thereto (Incorporated by reference to Exhibit 4.4 to the Company’s Quarterly Report on Form 10-Q, filed on November 8, 2016).
4.3G Seventh Supplemental Indenture, dated as of November 10, 2016, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 4.500% Senior Notes due 2027, including the Form of 4.500% Senior Notes and Form of Subsidiary Guarantee related thereto. (Incorporated by reference to Exhibit 4.4G to the Company’s Annual Report on Form 10-K, filed on February 24, 2017
4.3H Eighth Supplemental Indenture, dated as of March 17, 2017, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 4.500% Senior Notes due 2027, including the Form of 4.500% Senior Notes and Form of Subsidiary Guarantee related thereto (Incorporated by reference to Exhibit 4.4 to the Company’s Quarterly Report on Form 10-Q, filed on May 5, 2017).
4.3I Ninth Supplemental Indenture, dated as of May 11, 2017, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 4.500% Senior Notes due 2027, including the Form of 4.500% Senior Notes and Form of Subsidiary Guarantee related thereto (Incorporated by reference to Exhibit 4.3 to the Company’s Quarterly Report on Form 10-Q, filed on August 9, 2017).
4.3J Tenth Supplemental Indenture, dated as of May 25, 2017, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 4.500% Senior Notes due 2027, including the Form of 4.500% Senior Notes and Form of Partial Release of Subsidiary Guarantors related thereto (Incorporated by reference to Exhibit 4.3A to the Company’s Quarterly Report on Form 10-Q, filed on August 9, 2017).
4.4 Indenture, dated as of September 23, 2015, by and among Omega, the subsidiary guarantors named therein, and U.S. Bank National Association, as trustee (incorporated by reference to Exhibit 4.1 to Omega’s Current Report on Form 8-K, filed with SEC on September 29, 2015).
4.4A First Supplemental Indenture, dated as of November 9, 2015, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 5.250% Senior Notes due 2026, including the Form of 5.250% Senior Notes and Form of Subsidiary Guarantee related thereto (Incorporated by reference to Exhibit 4.1A to the Company’s Registration Statement on Form S-4, filed on November 12, 2015).
4.4B Second Supplemental Indenture, dated as of March 29, 2016, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 5.250% Senior Notes due 2026, including the Form of 5.250% Senior Notes and Form of Subsidiary Guarantee related thereto (Incorporated by reference to Exhibit 4.5 to the Company’s Quarterly Report on Form 10-Q, filed on May 6, 2016).
4.4C Third Supplemental Indenture, dated as of May 13, 2016, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 5.250% Senior Notes due 2026, including the Form of 5.250% Senior Notes and Form of Subsidiary Guarantee related thereto (Incorporated by reference to Exhibit 4.5 to the Company’s Quarterly Report on Form 10-Q, filed on August 5, 2016).
4.4D Fourth Supplemental Indenture, dated as of August 9, 2016, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 5.250% Senior Notes due 2026, including the Form of 5.250% Senior Notes and Form of Subsidiary Guarantee related thereto (Incorporated by reference to Exhibit 4.5 to the Company’s Quarterly Report on Form 10-Q, filed on November 8, 2016).

 

 I-4 

 

 

4.4E Fifth Supplemental Indenture, dated as of November 10, 2016, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 5.250% Senior Notes due 2026, including the Form of 5.250% Senior Notes and Form of Subsidiary Guarantee related thereto. (Incorporated by reference to Exhibit 4.5E to the Company’s Annual Report on Form 10-K, filed on February 24, 2017).
4.4F Sixth Supplemental Indenture, dated as of March 17, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 5.250% Senior Notes due 2026, including the Form of 5.250% Senior Notes and Form of Subsidiary Guarantee related thereto (Incorporated by reference to Exhibit 4.5 to the Company’s Quarterly Report on Form 10-Q, filed on May 5, 2017).
4.4G Seventh Supplemental Indenture, dated as of May 11, 2017 among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 5.250% Senior Notes due 2026, including the Form of 5.250% Senior Notes and Form of Subsidiary Guarantee related thereto (Incorporated by reference to Exhibit 4.4 to the Company’s Quarterly Report on Form 10-Q, filed on August 9, 2017).
4.4H Eighth Supplemental Indenture, dated as of May 25, 2017 among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 5.250% Senior Notes due 2026, including the Form of 5.250% Senior Notes and Form of Partial Release of Subsidiary Guarantors related thereto (Incorporated by reference to Exhibit 4.4A to the Company’s Quarterly Report on Form 10-Q, filed on August 9, 2017).
4.5 Indenture, dated as of July 12, 2016, by and among Omega, the subsidiary guarantors named therein, and U.S. Bank National Association, as trustee (Incorporated by reference to Exhibit 4.1 to the Company’s Current Report on Form 8-K, filed with the SEC on July 12, 2016).
4.5A First Supplemental Indenture, dated as of August 9, 2016, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 4.375% Senior Notes due 2023, including the Form of 4.375% Senior Notes and Form of Subsidiary Guarantee related thereto (Incorporated by reference to Exhibit 4.6A to the Company’s Quarterly Report on Form 10-Q, filed on November 8, 2016).
4.5B Second Supplemental Indenture, dated as of November 10, 2016, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 4.375% Senior Notes due 2023, including the Form of 4.375% Senior Notes and Form of Subsidiary Guarantee related thereto (Incorporated by reference to Exhibit 4.6B to the Company’s Annual Report on Form 10-K, filed on February 24, 2017).
4.5C Third Supplemental Indenture, dated as of March 17, 2017, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 4.375% Senior Notes due 2023, including the Form of 4.375% Senior Notes and Form of Subsidiary Guarantee related thereto (Incorporated by reference to Exhibit 4.6 to the Company’s Quarterly Report on Form 10-Q, filed on May 5, 2017).
4.5D Fourth Supplemental Indenture, dated as of May 11, 2017, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 4.375% Senior Notes due 2023, including the Form of 4.375% Senior Notes and Form of Subsidiary Guarantee related thereto (Incorporated by reference to Exhibit 4.5 to the Company’s Quarterly Report on Form 10-Q, filed on August 9, 2017).
4.5E Fifth Supplemental Indenture, dated as of May 25, 2017, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 4.375% Senior Notes due 2023, including the Form of 4.375% Senior Notes and Form of Partial Release of Subsidiary Guarantors related thereto (Incorporated by reference to Exhibit 4.5A to the Company’s Quarterly Report on Form 10-Q, filed on August 9, 2017).
4.6 Indenture, dated as of April 4, 2017, by and among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein, and U.S. Bank National Association, as trustee (Incorporated by reference to Exhibit 4.1 to the Company’s Current Report on Form 8-K, filed with the SEC on April 4, 2017).
4.6A First Supplemental Indenture, dated as of May 11, 2017, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 4.750% Senior Notes due 2028, including the Form of 4.750% Senior Notes and Form of Subsidiary Guarantee related thereto (Incorporated by reference to Exhibit 4.6A to the Company’s Quarterly Report on Form 10-Q, filed on August 9, 2017).
4.6B Second Supplemental Indenture, dated as of May 25, 2017, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 4.750% Senior Notes due 2028, including the Form of 4.750% Senior Notes and Form of Partial Release of Subsidiary Guarantors related thereto (Incorporated by reference to Exhibit 4.6B to the Company’s Quarterly Report on Form 10-Q, filed on August 9, 2017).

 

 I-5 

 

 

10.1 Form of Directors and Officers Indemnification Agreement. +*
10.2 Form of Officers’ Multi-Year Performance Restricted Stock Unit Award for 2011 to 2014 (Incorporated by reference to Exhibit 10.12 of the Company’s Annual Report on Form 10-K, filed on February 27, 2012).+
10.3 Amended and Restated Deferred Stock Plan, dated October 16, 2012, and forms of related agreements (Incorporated by reference to Exhibit 10.1 to the Company’s Quarterly Report on Form 10-Q, filed November 7, 2012).
10.4 Credit Agreement, dated as of May 25, 2017, among Omega Healthcare Investors, Inc., certain subsidiaries of Omega Healthcare Investors, Inc. identified therein as guarantors, the lenders named therein and Bank of America, N.A., as administrative agent for such lenders (Incorporated by reference to Exhibit 10.1 to the Company’s Current Report on Form 8-K, filed with the SEC on May 31, 2017).
10.5 Credit Agreement, dated as of May 25, 2017, among OHI Healthcare Properties Limited Partnership, the lenders named therein and Bank of America, N.A., as administrative agent for such lenders (Incorporated by reference to Exhibit 10.2 to the Company’s Current Report on Form 8-K, filed with the SEC on May 31, 2017).
10.6 Amended and Restated Credit Agreement, dated as of May 25, 2017, among Omega Healthcare Investors, Inc., certain subsidiaries of Omega Healthcare Investors, Inc. identified therein as guarantors, the lenders named therein and The Bank of Tokyo-Mitsubishi UFJ, Ltd., as administrative agent for such lenders (Incorporated by reference to Exhibit 10.3 to the Company’s Current Report on Form 8-K, filed with the SEC on May 31, 2017).
10.7 Form of Equity Distribution Agreement dated September 3, 2015, entered into by and between Omega Healthcare Investors, Inc. and each of BB&T Capital Markets, a division of BB&T Securities, LLC, Capital One Securities, Inc., Credit Agricole Securities (USA) Inc., J.P. Morgan Securities LLC, Merrill Lynch, Pierce, Fenner & Smith Incorporated, Mitsubishi UFJ Securities (USA), Inc., Morgan Stanley & Co. LLC, RBC Capital Markets, LLC, Stifel, Nicolaus & Company, Incorporated, SunTrust Robinson Humphrey, Inc. and Wells Fargo Securities, LLC (incorporated by reference to Exhibit 1.1 to Omega’s Current Report on Form 8-K filed with the SEC on September 4, 2015).
10.8 Omega Healthcare Investors, Inc. 2013 Stock Incentive Plan (Incorporated by reference to Annex A to the Registrant’s Proxy Statement on Schedule 14A filed on April 22, 2013). +
10.8A Amendment to 2013 Stock Incentive Plan (Incorporated by reference to Exhibit 10.10 to the Company’s Current Report on Form 8-K, filed on April 3, 2015). +
10.9 Form of Officer Deferred Performance Restricted Stock Unit Agreement (Incorporated by reference to Exhibit 10.2 of the Company’s Quarterly Report on Form 10-Q, filed on August 5, 2013). +
10.10 Employment Agreement, dated November 15, 2013, between Omega Healthcare Investors, Inc. and C. Taylor Pickett (Incorporated by reference to Exhibit 10.1 of the Company’s Current Report on Form 8-K, filed on November 19, 2013). +
10.11 Employment Agreement, dated November 15, 2013, between Omega Healthcare Investors, Inc. and Daniel Booth (Incorporated by reference to Exhibit 10.2 of the Company’s Current Report on Form 8-K, filed on November 19, 2013). +
10.12 Employment Agreement, dated April 1, 2015, between Omega Healthcare Investors, Inc. and Steven J. Insoft (incorporated by reference to Exhibit 10.3 to Company's Current Report on Form 8-K filed with the SEC on April 3, 2015). +
10.13 Employment Agreement, dated November 15, 2013, between Omega Healthcare Investors, Inc. and Robert O. Stephenson (Incorporated by reference to Exhibit 10.3 of the Company’s Current Report on Form 8-K, filed on November 19, 2013). +
10.14 Employment Agreement, dated November 15, 2013, between Omega Healthcare Investors, Inc. and Michael Ritz (Incorporated by reference to Exhibit 10.5 of the Company’s Current Report on Form 8-K, filed on November 19, 2013). +
10.15 Form of 2016 Employment Agreement Amendments) for the Company’s executive officers (Incorporated by reference to Exhibit 10.1 to the Company’s Current Report on Form 8-K, filed with the SEC on March 23, 2016).+
10.16 Form of 2017 Employment Agreement for the Company’s executive officers Amendments (Incorporated by reference to Exhibit 10.1 to the Company’s Current Report on Form 8-K, filed with the SEC on January 13, 2017 ).+
10.17 Form of 2018 Employment Agreement Amendments for the Company’s executive officers (Incorporated by reference to Exhibit 10.1 to the Company’s Current Report on Form 8-K, filed with the SEC on December 22, 2017).+
10.18 Form of Time-Based Restricted Stock Unit Agreement for Transition Grants (2013) (Incorporated by reference to Exhibit 10.6 of the Company’s Current Report on Form 8-K, filed on November 19, 2013). +

 

 I-6 

 

 

10.19 Form of Time-Based Restricted Stock Unit Agreement for 2015 Grants (Incorporated by reference to Exhibit 10.7 to the Company’s Current Report on Form 8-K, filed on April 3, 2015). +
10.20 Form of Time-Based Restricted Stock Unit Agreement for 2016 Grants (Incorporated by reference to Exhibit 10.2 to the Company’s Current Report on Form 8-K, filed with the SEC on March 23, 2016).+
10.21 Form of Performance-Based Restricted Stock Unit Agreement for Transition Grants (2013) (Incorporated by reference to Exhibit 10.7 of the Company’s Current Report on Form 8-K, filed on November 19, 2013). +
10.22 Form of Performance-Based Restricted Stock Unit Agreement for 2015 Grants (Incorporated by reference to Exhibit 10.8 to the Company’s Current Report on Form 8-K, filed on April 3, 2015). +
10.23 Form of Performance-Based Restricted Stock Unit Agreement for 2016 Grants (Incorporated by reference to Exhibit 10.3 to the Company’s Current Report on Form 8-K, filed with the SEC on March 23, 2016).+
10.24 Form of Time-Based Restricted Stock Unit Agreement for Annual Grants (commencing 2014) (Incorporated by reference to Exhibit 10.8 of the Company’s Current Report on Form 8-K, filed on November 19, 2013). +
10.25 Form of Performance-Based Restricted Stock Unit Agreement for Annual Grants (commencing 2014) (Incorporated by reference to Exhibit 10.9 of the Company’s Current Report on Form 8-K, filed on November 19, 2013). +
10.26 Form of Performance-Based LTIP Unit Agreement for 2015 Grants (Incorporated by reference to Exhibit 10.9 to the Company’s Current Report on Form 8-K, filed on April 3, 2015). +
10.27 Form of Performance-Based LTIP Unit Agreement for 2016 Grants (Incorporated by reference to Exhibit 10.4 to the Company’s Current Report on Form 8-K, filed with the SEC on March 23, 2016).+
10.28 Aviv REIT, Inc. 2010 Management Incentive Plan (Incorporated by reference to Exhibit 10.3 to the Aviv REIT, Inc.’s Registration Statement on Form S-4, filed on May 2, 2011). +
10.28A First Amendment to the Aviv REIT, Inc. 2010 Management Incentive Plan (Incorporated by reference to Exhibit 4.5 to Aviv REIT, Inc.’s Registration Statement on Form S-8, filed on March 25, 2013). +
10.28B Second Amendment to the Aviv REIT, Inc. 2010 Management Incentive Plan (Incorporated by reference to Exhibit 4.3 to the Company’s Registration Statement on Form S-8, filed on April 2, 2015). +
10.28C Form of Time-Based Nonqualified Stock Option Award Agreement under the Aviv REIT, Inc. 2010 Management Incentive Plan (Incorporated by reference to Exhibit 10.4 to Aviv REIT, Inc.’s Registration Statement on Form S-4, filed on May 2, 2011). +
10.28D Form of Nonlimited Performance-Based Nonqualified Stock Option Award Agreement under the Aviv REIT, Inc. 2010 Management Incentive Plan (Incorporated by reference to Exhibit 10.5 to Aviv REIT, Inc.’s Registration Statement on Form S-4 filed on May 2, 2011). +
10.29 Aviv REIT, Inc. 2013 Long-Term Incentive Plan (Incorporated by reference to Exhibit 4.3 to Aviv REIT, Inc.’s Registration Statement on Form S-8 filed on March 25, 2013). +
10.29A Amendment to the Aviv REIT, Inc. 2013 Long-Term Incentive Plan (Incorporated by reference to Exhibit 4.5 to the Company’s Registration Statement on Form S-8, filed on April 2, 2015). +
10.29B Form of Restricted Stock Unit Award Agreement for time-based restricted stock units under the Aviv REIT, Inc. 2013 Long-Term Incentive Plan, (Incorporated by reference to Exhibit 10.2 to Aviv REIT, Inc.’s Current Report on Form 8-K, filed on July 15, 2013). +
10.30 Amended and Restated Phantom Partnership Unit Award Agreement, dated as of September 17, 2010, among Aviv Asset Management, L.L.C., Steven J. Insoft and Aviv Healthcare Properties Limited Partnership, (Incorporated by reference to Exhibit 10.8 to Aviv REIT, Inc.’s Registration Statement on Form S-4, filed on May 2, 2011). +
12.1 Ratio of Earnings to Fixed Charges.*
21 Subsidiaries of the Registrants.*
23.1 Consent of Independent Registered Public Accounting Firm for Omega Healthcare Investors, Inc.*
23.2 Consent of Independent Registered Public Accounting Firm for OHI Healthcare Properties Limited Partnership.*
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.*
31.3 Rule 13a-14(a)/15d-14(a) Certification of Chief Executive Officer of OHI Healthcare Properties Limited Partnership.*
31.4 Rule 13a-14(a)/15d-14(a) Certification of Chief Financial Officer of OHI Healthcare Properties Limited Partnership.*

 

 I-7 

 

 

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.*
32.3 Section 1350 Certification of the Chief Executive Officer of OHI Healthcare Properties Limited Partnership.*
32.4 Section 1350 Certification of the Chief Financial Officer of OHI Healthcare Properties Limited Partnership.*
101.INS XBRL Instance Document.
101.SCH XBRL Taxonomy Extension Schema Document.
101.CAL XBRL Taxonomy Extension Calculation Linkbase Document.
101.DEF XBRL Taxonomy Extension Definition Linkbase Document.
101.LAB XBRL Taxonomy Extension Label Linkbase Document.
101.PRE XBRL Taxonomy Extension Presentation Linkbase Document.

 

*Exhibits that are filed herewith.
+Management contract or compensatory plan, contract or arrangement.

 

 I-8 

 

 

SIGNATURES

 

Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, each registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

 

    OMEGA HEALTHCARE INVESTORS, INC.
    Registrant
       
Date: February 23, 2018 By: /s/ C. Taylor Pickett
      C. Taylor Pickett
      Chief Executive Officer
       
    OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP
    Co-Registrant
       
    By: Omega Healthcare Investors, Inc., its General Partner
       
Date: February 23, 2018 By: /s/ C. Taylor Pickett
      C. Taylor Pickett
      Chief Executive Officer

 

 I-9 

 

 

 

Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed by the following persons on behalf of the Omega Healthcare Investors, Inc., for itself and in its capacity as General Partner of OHI Healthcare Properties Limited Partnership, and in the capacities on the date indicated.

 

Signatures   Title   Date
         
/s/ C. Taylor Pickett   Chief Executive Officer   February 23, 2018
C. Taylor Pickett   (Principal Executive Officer)    
         
/s/ Robert O. Stephenson   Chief Financial Officer   February 23, 2018
Robert O. Stephenson   (Principal Financial Officer)    
         
/s/ Michael D. Ritz   Chief Accounting Officer   February 23, 2018
Michael D. Ritz   (Principal Accounting Officer)    
         
/s/ Craig R. Callen   Chairman of the Board   February 23, 2018
Craig R. Callen        
         
/s/ Craig M. Bernfield   Director   February 23, 2018
Craig M. Bernfield        
         
/s/ Norman Bobins   Director   February 23, 2018
Norman Bobins        
         
/s/ Barbara B. Hill   Director   February 23, 2018
Barbara B. Hill        
         
/s/ Bernard J. Korman   Director   February 23, 2018
Bernard J. Korman        
         
/s/ Edward Lowenthal   Director   February 23, 2018
Edward Lowenthal        
         
/s/ Ben W. Perks   Director   February 23, 2018
Ben W. Perks        
         
/s/ C. Taylor Pickett   Director   February 23, 2018
C. Taylor Pickett        
         
/s/ Stephen D. Plavin   Director   February 23, 2018
Stephen D. Plavin        

 

 I-10 

EX-10.1 2 tv485902_ex10-1.htm EXHIBIT 10.1

Exhibit 10.1

 

Execution Version

 

DIRECTORS AND OFFICERS
INDEMNIFICATION AGREEMENT

 

This INDEMNIFICATION AGREEMENT, (this “Agreement”), is made and entered into by and between Omega Healthcare Investors, Inc., a Maryland corporation (the “Company”) and __________________ (“Indemnitee”) as of                   , 20___ (the “Effective Date”).

 

RECITALS

 

A.       It is essential to the Company to retain and attract as directors and officers the most capable persons available;

 

B.       Indemnitee is a director and/or officer of the Company;

 

C.       Both the Company and Indemnitee recognize the increased risk of litigation and other claims being asserted against directors and officers of companies in today’s environment;

 

D.       The Company’s Articles of Restatement, as amended, (the “Articles”) and Amended and Restated Bylaws (the “Bylaws”) provide that the Company may indemnify its directors and officers and may advance expenses in connection therewith, and Indemnitee’s willingness to serve as a director and/or officer of the Company is based in part on Indemnitee’s reliance on such provisions; and

 

E.       In recognition of Indemnitee’s need for substantial protection against personal liability in order to enhance Indemnitee’s continued service to the Company in an effective manner, and Indemnitee’s reliance on the aforesaid provisions of the Articles and Bylaws, and in part to provide Indemnitee with specific contractual assurance that the protection promised by such provisions will be available to Indemnitee (regardless of, among other things, any amendment to or revocation of such provisions or any change in the composition of the Company’s Board of Directors or any acquisition or business combination transaction relating to the Company), the Company wishes to provide in this Agreement for the indemnification of and the advancement of expenses to Indemnitee as set forth in this Agreement, and for the coverage of Indemnitee under directors’ and officers’ liability insurance policies.

 

NOW, THEREFORE, in consideration of the mutual agreements herein set forth, the parties hereto hereby agree as follows:

 

 1 

 

 

1.       Definitions.

 

1.1       Change in Control” means a change in control of the Company occurring after the Effective Date of a nature that would be required to be reported in response to Item 6(e) of Schedule 14A of Regulation 14A (or in response to any similar item on any similar schedule or form) promulgated under the Securities Exchange Act of 1934, as amended (the “Exchange Act”), whether or not the Company is then subject to such reporting requirement; provided, however, that, without limitation, such a Change in Control shall be deemed to have occurred if, after the Effective Date (i) any “person” (as such term is used in Sections 13(d) and 14(d) of the Exchange Act) is or becomes the “beneficial owner” (as defined in Rule 13d-3 under the Exchange Act), directly or indirectly, of securities of the Company representing 15% or more of the combined voting power of all of the Company’s then-outstanding securities entitled to vote generally in the election of directors without the prior approval of at least two-thirds of the members of the Board of Directors in office immediately prior to such person’s attaining such percentage interest; (ii) the Company is a party to a merger, consolidation, sale of assets, plan of liquidation or other reorganization not approved by at least two-thirds of the members of the Board of Directors then in office, as a consequence of which members of the Board of Directors in office immediately prior to such transaction or event constitute less than a majority of the Board of Directors thereafter; or (iii) at any time, a majority of the members of the Board of Directors are not individuals (A) who were directors as of the Effective Date or (B) whose election by the Board of Directors or nomination for election by the Company’s stockholders was approved by the affirmative vote of at least two-thirds of the directors then in office who were directors as of the Effective Date or whose election for nomination for election was previously so approved.

 

1.2       Claim” means (i) any threatened, pending, or completed action, suit, arbitration, mediation hearing or proceeding (including any appeal therefrom), whether civil, criminal or administrative, or any inquiry or investigation, whether formal or informal, and in each case, whether instituted, made, or conducted by or on behalf of the Company or any other party, or (ii) any other circumstances that Indemnitee in good faith believes might lead to or culminate in any of the above described in subsection (i).

 

1.3       Expenses” means any and all costs and expenses actually and reasonably incurred by Indemnitee in connection with a Claim based upon or arising out of any Indemnifiable Event. As used hereunder, Expenses includes reasonable attorneys’ fees and costs, retainers, court costs, transcript costs, expert fees, witness fees, necessary and reasonable travel expenses, and all other reasonable costs, expenses, and obligations paid or incurred in connection with investigating, defending, being a witness in, or participating in (including on appeal), or preparing to defend, be a witness in, or participate in, any Claim arising from or relating to any Indemnifiable Event.

 

1.4       Indemnifiable Event” means any actual, alleged, asserted or suspected act or failure to act by Indemnitee in his or her capacity as a director, officer, employee, member, manager, fiduciary, trustee or agent of the Company or as a director, officer, employee, member, manager, fiduciary, trustee or agent of any other corporation, limited liability company, partnership, joint venture, trust, plan or other entity or enterprise, whether or not for profit, as to which Indemnitee is or was serving at the request of the Company (such capacity, his or her “Corporate Status”), any actual, alleged, asserted or suspected act or failure to act by Indemnitee in respect of any business, transaction, communication, filing, disclosure or other activity of the Company or any other corporation, limited liability company, partnership, joint venture, trust, plan or other entity or enterprise, whether or not for profit, as to which Indemnitee is or was serving at the request of the Company, or any event or occurrence related to the fact of Indemnitee’s Corporate Status. “Indemnifiable Event” will not include any event or occurrence to the extent that indemnification is not permitted under applicable law.

 

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1.5       Independent Counsel” means a law firm, or a member of a law firm, that is experienced in matters of corporation law and neither is, nor in the past five years has been, retained to represent: (i) the Company or Indemnitee in any matter material to either such party, or (ii) any other party to or participant or witness in the Claim giving rise to a claim for indemnification or advance of Expenses hereunder. Notwithstanding the foregoing, the term “Independent Counsel” shall not include any person who, under the applicable standards of professional conduct then prevailing, would have a conflict of interest in representing either the Company or Indemnitee in an action to determine Indemnitee’s rights under this Agreement.

 

2.       Standards and Procedures for Indemnification.

 

2.1       The Company shall indemnify Indemnitee against all Expenses actually and reasonably incurred by Indemnitee in connection with any Claim based upon or arising out of an Indemnifiable Event to which Indemnitee was, is or becomes a party to the extent that Indemnitee has been successful, on the merits or otherwise, in the defense of such Claim.

 

2.2       The Company shall indemnify and hold harmless Indemnitee from any Expenses, judgments, fines, penalties, and amounts paid in settlement (including all interest, assessments, and other charges paid or payable in connection with or in respect of such Expenses, judgments, fines, penalties, or amounts paid in settlement) in the event Indemnitee was, is, or becomes a party to or other participant in, or is threatened to be made a party to or other participant in, a Claim by reason of (or arising in whole or in part out of) an Indemnifiable Event unless (but only to the extent that) (a) the Claim is one by or in the right of the Company and Indemnitee has been adjudged in such Claim by a final adjudication not subject to further appeal to be liable to the Company, (b) the Claim is one charging improper personal benefit to the Indemnitee, whether or not involving action in the Indemnitee’s official capacity, in which the Indemnitee has been adjudged in such Claim by a final adjudication not subject to further appeal to be liable on the basis that personal benefit was improperly received, or (c) it is established by clear and convincing evidence that (i) an act or omission of Indemnitee was material to the matter giving rise to the Claim and (1) was committed in bad faith or (2) was the result active and deliberate dishonesty, (ii) Indemnitee actually received an improper personal benefit in money, property or services, or (iii) in the case of any criminal Claim, Indemnitee had reasonable cause to believe that his or her conduct was unlawful.

 

2.3       To obtain indemnification under this Agreement, Indemnitee shall submit to the Company a written request, including therein or therewith such documentation and information as is reasonably available to Indemnitee and is reasonably necessary to determine whether and to what extent Indemnitee is entitled to indemnification. Indemnitee may submit one or more such requests from time to time and at such time(s) as Indemnitee deems appropriate in Indemnitee’s sole discretion. The officer of the Company receiving any such request from Indemnitee shall, promptly upon receipt of such a request for indemnification, advise the Board of Directors in writing that Indemnitee has requested indemnification. The Company shall indemnify Indemnitee for all amounts indemnifiable hereunder as soon as practicable but in any event no later than 60 calendar days after such written request is presented to the Company in accordance with the terms of this Agreement.

 

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2.4       Upon written request by Indemnitee for indemnification pursuant to Sections 2.2 and 2.3 above, a determination with respect to Indemnitee’s entitlement thereto shall promptly be made in the specific case: (i) if a Change in Control shall have occurred, by Independent Counsel, in a written opinion to the Board of Directors, a copy of which shall be delivered to Indemnitee, which Independent Counsel shall be selected by Indemnitee and approved in writing by the Board of Directors in accordance with Section 2-418(e)(2)(ii) of the MGCL, which approval shall not be unreasonably conditioned, delayed or withheld; or (ii) if a Change in Control shall not have occurred (A) by the Board of Directors by a majority vote of a quorum consisting of Disinterested Directors or, if such a quorum cannot be obtained, then by a majority vote of a duly authorized committee of the Board of Directors consisting solely of one or more Disinterested Directors, or, if no committee meeting the requirements of (A) can be convened, either (B) by Independent Counsel selected by the Board of Directors in accordance with Section 2-418(e)(2)(ii) of the MGCL and approved in writing by Indemnitee, which approval shall not be unreasonably conditioned, delayed or withheld, in a written opinion to the Board of Directors, a copy of which shall be delivered to Indemnitee, or (C) if so directed by a majority of the members of the Board of Directors, by the stockholders of the Company, at the discretion of the Board of Directors. If it is so determined that Indemnitee is entitled to indemnification, payment to Indemnitee shall be made within ten (10) days after such determination. Indemnitee shall cooperate with the person, persons or entity making such determination with respect to Indemnitee’s entitlement to indemnification, including providing to such person, persons or entity upon reasonable advance request any documentation or information which is not privileged or otherwise protected from disclosure and which is reasonably available to Indemnitee and reasonably necessary to such determination in the discretion of the Board of Directors or Independent Counsel if retained pursuant to clause (ii)(B) of this Section 2.4. Any Expenses incurred by Indemnitee in so cooperating with the person, persons or entity making such determination shall be borne by the Company (irrespective of the determination as to Indemnitee’s entitlement to indemnification) and the Company shall indemnify and hold Indemnitee harmless therefrom.

 

3.       Advance of Expenses for an Indemnitee. The Company shall advance to Indemnitee amounts to reimburse Indemnitee for Expenses actually and reasonably incurred in connection with a Claim based upon or arising out of an Indemnifiable Event within ten (10) days after the receipt by the Company of a statement or statements requesting such advance or advances from time to time, whether prior to or after final disposition of such Claim. Such statement or statements shall reasonably evidence the Expenses incurred by Indemnitee and shall include or be preceded or accompanied by (i) a written affirmation by Indemnitee of Indemnitee’s good faith belief that the standard of conduct necessary for indemnification by the Company as authorized by law and by this Agreement has been met and (ii) a written undertaking by or on behalf of Indemnitee, in substantially the form attached hereto as Exhibit A or in such form as may be required under applicable law as in effect at the time of the execution thereof, to reimburse the portion of any Expenses advanced to Indemnitee, relating to claims, issues or matters in the Claim as to which it shall ultimately be established, by clear and convincing evidence, that the standard of conduct has not been met by Indemnitee or as to which indemnification is not permitted under applicable law. The undertaking required by this Section 3 shall be an unlimited general obligation by or on behalf of Indemnitee and shall be accepted without reference to Indemnitee’s financial ability to repay such advanced Expenses and without any requirement to post security therefor.

 

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4.       Indemnification for Additional Expenses.

 

4.1       To the extent that Indemnitee is or may be, by reason of Indemnitee’s Corporate Status, made a witness, served with a subpoena for production of documents, or otherwise asked to participate in any Claim, whether instituted by the Company or any other party, and to which Indemnitee is not a party, Indemnitee shall be advanced all reasonable Expenses and indemnified against all Expenses actually and reasonably incurred by Indemnitee or on Indemnitee’s behalf in connection therewith within ten (10) days after the receipt by the Company of a statement or statements requesting any such advance or indemnification from time to time, whether prior to or after final disposition of such Claim. Such statement or statements shall reasonably evidence the Expenses incurred by Indemnitee.

 

4.2       The Company will indemnify Indemnitee against, and, if requested by Indemnitee, will (within ten (10) business days of such request) advance to Indemnitee, any and all reasonable attorneys’ fees and other costs, expenses, and obligations paid or incurred by Indemnitee in connection with any claim, action, suit, or proceeding asserted or brought by Indemnitee for (i) indemnification or advance payment of Expenses by the Company under this Agreement or any other agreement or under any provision of the Articles or Bylaws now or hereafter in effect relating to Claims for Indemnifiable Events and/or (ii) recovery under any directors’ and officers’ liability insurance policies maintained by the Company, regardless of whether Indemnitee ultimately is determined to be entitled to such indemnification, advance Expense payment, or insurance recovery, as the case may be.

 

4.3       Notwithstanding anything in this Agreement to the contrary, Indemnitee will not be entitled to indemnification pursuant to this Agreement in connection with any Claim initiated by Indemnitee against the Company (other than a Claim described in Section 4.2 hereof) or any director or officer of the Company unless the Company has joined in or consented in writing to the initiation of such Claim.

 

5.       Partial Indemnity. If Indemnitee is entitled under any provision of this Agreement to indemnification by the Company for some or a portion of the Expenses, judgments, fines, penalties, and amounts paid in settlement of a Claim but not, however, for all of the total amount thereof, the Company shall indemnify Indemnitee for the portion thereof to which Indemnitee is entitled.

 

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6.       Presumptions.

 

6.1       In making any determination with respect to entitlement to indemnification hereunder, the person or persons or entity making such determination shall presume that Indemnitee is entitled to indemnification under this Agreement if Indemnitee has submitted a request for indemnification in accordance with Section 2 of this Agreement, and the Company shall have the burden of overcoming that presumption by clear and convincing evidence in connection with the making of any determination contrary to that presumption.

 

6.2       For purposes of this Agreement, the termination of any claim, action, suit, or proceeding, by judgment, order, settlement (whether with or without court approval), or conviction, or upon a plea of nolo contendere or its equivalent, will not in and of itself create a presumption that Indemnitee did not meet any particular standard of conduct or have any particular belief or that a court has determined that indemnification is not permitted by applicable law.

 

6.3       The knowledge and/or actions, or failure to act, of any other director, officer, employee or agent of the Company or any other director, trustee, officer, partner, manager, managing member, fiduciary, employee or agent of any other foreign or domestic corporation, partnership, limited liability company, joint venture, trust, employee benefit plan or other enterprise shall not be imputed to Indemnitee for purposes of determining any other right to indemnification under this Agreement.

 

7.       Non-Exclusivity. The rights of Indemnitee hereunder will be in addition to any other rights Indemnitee may have under the Articles, the Bylaws, or the Maryland General Corporation Law or otherwise; provided, however, that to the extent that Indemnitee otherwise would have any greater right to indemnification under any provision of the Articles or Bylaws as in effect on the date hereof, Indemnitee will be deemed to have such greater right hereunder; and, provided further, that to the extent that any change is made to the Maryland General Corporation Law (whether by legislative action or judicial decision), the Articles, and/or the Bylaws which permits any greater right to indemnification than that provided under this Agreement as of the date hereof, Indemnitee will be deemed to have such greater right hereunder. The Company will not adopt any amendment to the Articles or the Bylaws the effect of which would be to deny, diminish, or encumber Indemnitee’s right to indemnification under the Articles, the Bylaws, the Maryland General Corporation Law, or otherwise as applied to any act or failure to act occurring in whole or in part prior to the date upon which the amendment was approved by the Company’s Board of Directors and/or its stockholders, as the case may be.

 

8.       Liability Insurance and Funding. The Company will maintain an insurance policy or policies providing directors’ and officers’ liability insurance to the extent, in the judgment of the Board of Directors, such insurance is available on reasonable terms and at reasonable premiums and Indemnitee will be covered by such policy or policies, in accordance with its or their terms, to the maximum extent of the coverage available for any Company director or officer. If, at the time the Company receives notice from any source of a Claim to which Indemnitee is a party or a participant (as a witness or otherwise), the Company has director and officer liability insurance in effect, the Company shall give prompt notice of such Claim to the insurers in accordance with the procedures set forth in the respective policies. Copies of all correspondence between the Company and the company or companies providing or administering such insurance that are reasonably related to the coverage available to Indemnitee thereunder (whether for a Claim to which Indemnitee is party or otherwise) shall be promptly delivered to Indemnitee by the Company upon written request of Indemnitee. The Company may, but will not be required to, create a trust fund, grant a security interest or use other means (including without limitation a letter of credit) to ensure the payment of such amounts as may be necessary to satisfy its obligations to indemnify and advance expenses pursuant to this Agreement.

 

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9.       Subrogation. In the event of payment under this Agreement, the Company will be subrogated to the extent of such payment to all of the related rights of recovery of Indemnitee against other persons or entities. The Indemnitee will execute all papers reasonably required and will do everything that may be reasonably necessary to secure such rights and enable the Company effectively to bring suit to enforce such rights (all of Indemnitee’s reasonable costs and expenses in connection therewith, including attorneys’ fees and disbursements, to be reimbursed by or, at the option of Indemnitee, advanced by the Company).

 

10.       No Duplication of Payments. The Company will not be liable under this Agreement to make any payment in connection with any claim made against Indemnitee to the extent Indemnitee has otherwise actually received payment (under any insurance policy, the Articles, or the Bylaws or otherwise) of the amounts otherwise indemnifiable hereunder.

 

11.       Defense of Claim.

 

11.1       Indemnitee shall notify the Company promptly in writing upon being served with any summons, citation, subpoena, complaint, indictment, request or other document relating to any Claim which may result in the right to indemnification or the advance of Expenses hereunder and shall include with such notice a description of the nature of the Claim and a summary of the facts underlying the Claim. The failure to give any such notice shall not disqualify Indemnitee from the right, or otherwise affect in any manner any right of Indemnitee, to indemnification or the advance of Expenses under this Agreement unless the Company’s ability to defend in such Claim or to obtain proceeds under any insurance policy is materially and adversely prejudiced thereby, and then only to the extent the Company is thereby actually so prejudiced.

 

11.2       Subject to the provisions of the last sentence of this Section 11.2 and of Section 11.3 below, the Company shall have the right to defend Indemnitee in any Claim which may give rise to indemnification hereunder; provided, however, that the Company shall notify Indemnitee of any such decision to defend within fifteen (15) calendar days following receipt of notice of any such Claim under Section 11.1 above. The Company shall not, without the prior written consent of Indemnitee, consent to the entry of any judgment against Indemnitee or enter into any settlement or compromise which (i) includes an admission of fault of Indemnitee, (ii) does not include, as an unconditional term thereof, the full release of Indemnitee from all liability in respect of such Claim, which release shall be in form and substance reasonably satisfactory to Indemnitee, or (iii) would impose any Expense, judgment, fine, penalty or limitation on Indemnitee.

 

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11.3       Notwithstanding the provisions of Section 11.2 above, if in a Claim to which Indemnitee is a party by reason of Indemnitee’s Corporate Status, (i) Indemnitee reasonably concludes, based upon an opinion of counsel approved by the Company, which approval shall not be unreasonably withheld or delayed, that Indemnitee may have separate defenses or counterclaims to assert with respect to any issue which may not be consistent with other defendants in such Claim, (ii) Indemnitee reasonably concludes, based upon an opinion of counsel approved by the Company, which approval shall not be unreasonably withheld or delayed, that an actual or apparent conflict of interest or potential conflict of interest exists between Indemnitee and the Company, or (iii) if the Company fails to assume the defense of such Claim in a timely manner, Indemnitee shall be entitled to be represented by separate legal counsel of Indemnitee’s choice, subject to the prior approval of the Company, which approval shall not be unreasonably withheld or delayed, at the expense of the Company. In addition, if the Company fails to comply with any of its obligations under this Agreement or in the event that the Company or any other person takes any action to declare this Agreement void or unenforceable, or institutes any Claim to deny or to recover from Indemnitee the benefits intended to be provided to Indemnitee hereunder, Indemnitee shall have the right to retain counsel of Indemnitee’s choice, subject to the prior approval of the Company, which approval shall not be unreasonably withheld or delayed, at the expense of the Company, to represent Indemnitee in connection with any such matter.

 

11.4       Notwithstanding anything to the contrary herein contained, if (i) Indemnitee elects to retain counsel pursuant to Section 11.3 in connection with any Claim in respect of which indemnification may be sought by Indemnitee against the Company under this Agreement and (ii) any other director or officer of the Company may also be subject to liability arising out of such Claim and in connection with such Claim may seek indemnification against the Company pursuant to an agreement similar to this Agreement and also elects to retain counsel pursuant to a provision analogous to Subsection 11.3 of this Agreement, and (iii) Indemnitee is similarly situated and without a divergence of interests (e.g., where, as among Indemnitee and such persons with respect to the Claim, the provisions of Section 11.3 would not apply), Indemnitee shall cooperate with such indemnitees and other persons to employ counsel reasonably acceptable to all indemnitees and all such other persons to represent jointly Indemnitee and such other persons unless the Board, upon the written request of Indemnitee delivered to the Company (to the attention of the Secretary) setting forth in reasonable detail the basis for such request, determines that such joint representation would be precluded under the applicable standards of professional conduct then prevailing under the law of the State of Maryland, in which case Indemnitee will be entitled to be represented by separate counsel. In the event that the Board fails to act on such request within twenty (20) calendar days after receipt thereof by the Company, Indemnitee will be deemed to be entitled to be represented by separate counsel in connection with such Claim and the reasonable fees and expenses of such counsel shall be Expenses subject to this Agreement.

 

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12.       Duration of Agreement; Successors.

 

12.1       This Agreement shall continue until and terminate on the later of (i) the date that Indemnitee is no longer subject to any actual or possible Claim (including any rights of appeal thereto) for which indemnification may be sought by Indemnitee hereunder, and (ii) such date as may be mutually agreed upon by the parties hereto in writing.

 

12.2       The Company will require any successor (whether direct or indirect, by purchase, merger, consolidation, reorganization, or otherwise) to all or substantially all of the business or assets of the Company, by agreement in form and substance satisfactory to Indemnitee, expressly to assume and agree to perform this Agreement in the same manner and to the same extent the Company would be required to perform if no such succession had taken place. This Agreement will be binding upon and inure to the benefit of the Company and any successor to the Company, including without limitation any person acquiring directly or indirectly all or substantially all of the business or assets of the Company whether by purchase, merger, consolidation, reorganization, or otherwise (and such successor will thereafter be deemed the “Company” for purposes of this Agreement), but will not otherwise be assignable, transferable, or delegable by the Company.

 

12.3       This Agreement will inure to the benefit of and be enforceable by the Indemnitee’s personal or legal representatives, executors, administrators, successors, heirs, distributees, and legatees.

 

12.4       This Agreement is personal in nature and neither of the parties hereto will, without the consent of the other, assign, transfer, or delegate this Agreement or any rights or obligations hereunder except as expressly provided in Sections 12.1 and 12.2. Without limiting the generality or effect of the foregoing, Indemnitee’s right to receive payments hereunder will not be assignable, transferable, or delegable, whether by pledge, creation of a security interest, or otherwise, other than by a transfer by the Indemnitee’s will or by the laws of descent and distribution and, in the event of any attempted assignment or transfer contrary to this Section 12.4, the Company will have no liability to pay any amount so attempted to be assigned, transferred, or delegated.

 

13.       Remedies. The Company and Indemnitee agree that a monetary remedy for breach of this Agreement, at some later date, may be inadequate, impracticable and difficult of proof, and further agree that such breach may cause Indemnitee irreparable harm. Accordingly, the parties hereto agree that Indemnitee may enforce this Agreement by seeking injunctive relief and/or specific performance hereof, without any necessity of showing actual damage or irreparable harm and that by seeking injunctive relief and/or specific performance, Indemnitee shall not be precluded from seeking or obtaining any other relief to which Indemnitee may be entitled. Indemnitee shall further be entitled to such specific performance and injunctive relief, including temporary restraining orders, preliminary injunctions and permanent injunctions, without the necessity of posting bonds or other undertakings in connection therewith. The Company acknowledges that, in the absence of a waiver, a bond or undertaking may be required of Indemnitee by a court, and the Company hereby waives any such requirement of such a bond or undertaking.

 

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14.       Notices. For all purposes of this Agreement, all communications, including without limitation notices, consents, requests, or approvals, required or permitted to be given hereunder will be in writing and will be deemed to have been duly given when hand delivered or dispatched by electronic facsimile transmission (with receipt thereof orally confirmed), or five (5) calendar days after having been mailed by United States registered or certified mail, return receipt requested, postage prepaid, or one business day after having been sent for next-day delivery by a nationally recognized overnight courier service, addressed to the Company (to the attention of the Secretary of the Company) at its principal executive office and to the Indemnitee at the Indemnitee’s principal residence as shown in the Company’s most current records, or to such other address as any party may have furnished to the other in writing and in accordance herewith, except that notices of changes of address will be effective only upon receipt.

 

15.       Governing Law. The validity, interpretation, construction, and performance of this Agreement will be governed by and construed in accordance with the substantive laws of the State of Maryland, without giving effect to the principles of conflict of laws of such State.

 

16.       Entire Agreement; Severability. Except as otherwise expressly set forth in this Agreement, this Agreement embodies the complete agreement and understanding among the parties to this Agreement with respect to the subject matter of this Agreement, and supersedes and preempts any prior understandings, agreements, or representations by or among the parties or their predecessors, written or oral, which may have related to the subject matter of this Agreement in any way. If any provision of this Agreement or the application of any provision hereof to any person or circumstance is held invalid, unenforceable, or otherwise illegal, the remainder of this Agreement and the application of such provision to any other person or circumstance will not be affected, and the provision so held to be invalid, unenforceable, or otherwise illegal will be reformed to the extent (and only to the extent) necessary to make it enforceable, valid, or legal.

 

17.       Miscellaneous. No provision of this Agreement may be waived, modified, or discharged unless such waiver, modification, or discharge is agreed to in writing signed by Indemnitee and the Company. No waiver by either party hereto at any time of any breach by the other party hereto or compliance with any condition or provision of this Agreement to be performed by such other party will be deemed a waiver of similar or dissimilar provisions or conditions at the same or at any prior or subsequent time. No agreements or representations, oral or otherwise, expressed or implied with respect to the subject matter hereof have been made by either party which are not set forth expressly in this Agreement. Nothing contained in this Agreement shall in any way modify the rights of Indemnitee under the Employment Agreement between the Company and Indemnitee. References to Sections are to references to Sections of this Agreement.

 

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18.       Counterparts. This Agreement may be executed in one or more counterparts, each of which will be deemed to be an original but all of which together will constitute one and the same agreement.

 

[Remainder of page intentionally left blank]

 

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IN WITNESS WHEREOF, the parties to this Agreement have executed this Agreement as of the date first above written.

 

 

  OMEGA HEALTHCARE INVESTORS, INC.
   
   
  By:                                                                        
  Name:                                                                   
  Title:                                                                     
   
   
                                                                                
  Name:                                                                   

 

 

 

 

 

 

 

 

 

 

EXHIBIT A

 

AFFIRMATION AND UNDERTAKING TO REPAY ADVANCED EXPENSES

 

 

To: The Board of Directors of Omega Healthcare Investors, Inc.

 

Re: Affirmation and Undertaking to Repay Advanced Expenses

 

Ladies and Gentlemen:

 

This Affirmation and Undertaking is being provided pursuant to that certain Indemnification Agreement dated the ___ day of _____________, 20___, by and between Omega Healthcare Investors, Inc., a Maryland corporation (the “Company”), and the undersigned Indemnitee (the “Agreement”), pursuant to which I am entitled to advance of Expenses in connection with [Description of Proceeding] (the “Proceeding”). Terms used herein and not otherwise defined shall have the meanings specified in the Agreement.

 

I am subject to the Proceeding by reason of my Corporate Status or by reason of alleged actions or omissions by me in such capacity. I hereby affirm my good faith belief that at all times, insofar as I was involved in my Corporate Status in any of the facts or events giving rise to the Proceeding, I (1) did not act with bad faith or active or deliberate dishonesty, (2) did not receive any improper personal benefit in money, property or services and (3) in the case of any criminal proceeding, had no reasonable cause to believe that any act or omission by me was unlawful.

 

In consideration of the advance by the Company of Expenses incurred by me in connection with the Proceeding (the “Advanced Expenses”), I hereby agree that if, in connection with the Proceeding, it is established that (1) an act or omission by me was material to the matter giving rise to the Proceeding and (a) was committed in bad faith or (b) was the result of active and deliberate dishonesty, or (2) I actually received an improper personal benefit in money, property or services, or (3) in the case of any criminal proceeding, I had reasonable cause to believe that the act or omission was unlawful, or (4) that indemnification with respect to any Advanced Expenses is not permitted under applicable law, then I shall promptly reimburse the portion of the Advanced Expenses, together with the Applicable Legal Rate of interest thereon, relating to the claims, issues or matters in the Proceeding as to which the foregoing findings have been established.

 

IN WITNESS WHEREOF, I have executed this Affirmation and Undertaking on this _____ day of _______________, 20___.

 

  Name:                                                                   

 

 

 

EX-12.1 3 tv485902_ex12-1.htm EXHIBIT 12.1

 

 

Exhibit 12.1

 

RATIO OF EARNINGS TO FIXED CHARGES

 

The following table sets forth our ratio of earnings to fixed charges on a reported basis for the periods indicated. Earnings consist of income from continuing operations plus fixed charges. Fixed charges consist of interest expense, amortization of deferred financing costs and costs related to retiring certain debt early. We have calculated the ratio of earnings to fixed charges by adding net income from continuing operations to fixed charges and dividing that sum by such fixed charges.

 

Omega Healthcare Investors, Inc.

 

   Year Ended December 31, 
   2013   2014   2015   2016   2017 
   (in thousands) 
Net income  $172,521   $221,349   $233,315   $383,367   $104,910 
Interest expense (1)   92,048    126,869    183,208    175,561    220,243 
Income before fixed charges  $264,569   $348,218   $416,523   $558,928   $325,153 
                          
Capitalized interest  $190   $   $3,701   $6,594   $7,991 
Interest expense (1)   92,048    126,869    183,208    175,561    220,243 
Total fixed charges  $92,238   $126,869   $186,909   $182,155   $228,234 
Earnings / fixed charge coverage ratio   2.9x   2.7x   2.2x   3.1x   1.4x

 

(1)Includes interest refinancing costs, gains and losses on refinancing and amortization of deferred financing costs.

 

OHI Healthcare Properties Limited Partnership

 

   Year Ended December 31, 
   2013   2014  

2015 (3)

   2016   2017 
   (in thousands) 
Net income  $   $   $190,263   $383,367   $104,910 
Interest expense (2)           140,119    175,561    220,243 
Income before fixed charges  $   $   $330,382   $558,928   $325,153 
                          
Capitalized interest  $   $   $3,681   $6,594   $7,991 
Interest expense (2)           140,119    175,561    220,243 
Total fixed charges  $   $   $143,800   $182,155   $228,234 
Earnings / fixed charge coverage ratio           2.3x   3.1x   1.4x

 

(2)Includes interest refinancing costs, gains and losses on refinancing and amortization of deferred financing costs.

 

(3)The period is from April 1, 2015 (Aviv Merger date) through December 31, 2015.

 

 

 

EX-21 4 tv485902_ex21.htm EXHIBIT 21

 

 

Exhibit 21

Subsidiaries of Omega Healthcare Investors, Inc.

As of December 31, 2017

 

  Home
Subsidiary Name State
1040 Wedding Ford Road, LLC Arkansas
1101 Waterwell Road, LLC Arkansas
1149 & 1151 West New Hope Road, LLC Arkansas
115 Orendorff Avenue, LLC Arkansas
11900 East Artesia Boulevard, LLC California
1194 North Chester Street, LLC Arkansas
1200 Ely Street Holdings Co. LLC Michigan
13922 Cerise Avenue, LLC California
1401 Park Avenue, LLC Arkansas
1628 B Street, LLC California
202 Tims Avenue, LLC Arkansas
228 Pointer Trail West, LLC Arkansas
2400 Parkside Drive, LLC California
2425 Teller Avenue, LLC Colorado
245 East Wilshire Avenue, LLC California
2701 Twin Rivers Drive, LLC Arkansas
305 West End Avenue Property, L.L.C. Delaware
3232 Artesia Real Estate, LLC California
3600 Richards Road, LLC Arkansas
3806 Clayton Road, LLC California
42235 County Road Holdings Co. LLC Michigan
446 Sycamore Road, L.L.C. Delaware
48 High Point Road, LLC Maryland
523 Hayes Lane, LLC California
637 East Romie Lane, LLC California
700 Mark Drive, LLC Arkansas
900 Magnolia Road SW, LLC Arkansas
Alamogordo Aviv, L.L.C. New Mexico
Albany Street Property, L.L.C. Delaware
Arizona Lessor - Infinia, LLC Maryland
Arkansas Aviv, L.L.C. Delaware
Arma Yates, L.L.C. Delaware
Avery Street Property, L.L.C. Delaware
Aviv Financing I, L.L.C. Delaware
Aviv Financing II, L.L.C. Delaware
Aviv Financing III, L.L.C. Delaware
Aviv Financing IV, L.L.C. Delaware
Aviv Financing V, L.L.C. Delaware
Aviv Financing VI, L.L.C. Delaware
Aviv Foothills, L.L.C. Delaware
Aviv Healthcare Properties Operating Partnership I, L.P. Delaware
Aviv Liberty, L.L.C. Delaware

 

 

 

 

 

  Home
Subsidiary Name State
Aviv OP Limited Partner, L.L.C. Delaware
Avon Ohio, L.L.C. Delaware
Bala Cynwyd Real Estate, LP Pennsylvania
Bayside Colorado Healthcare Associates, LLC Colorado
Bayside Street II, LLC Delaware
Bayside Street, LLC Maryland
Belleville Illinois, L.L.C. Delaware
Bellingham II Associates, L.L.C. Delaware
Bethel ALF Property, L.L.C. Delaware
BHG Aviv, L.L.C. Delaware
Biglerville Road, L.L.C. Delaware
Bonham Texas, L.L.C. Delaware
Bradenton ALF Property, L.L.C. Delaware
Brewster ALF Property, L.L.C. Delaware
Burton NH Property, L.L.C. Delaware
California Aviv Two, L.L.C. Delaware
California Aviv, L.L.C. Delaware
Camas Associates, L.L.C. Delaware
Canton Health Care Land, LLC Ohio
Carnegie Gardens LLC Delaware
Casa/Sierra California Associates, L.L.C. Delaware
CFG 2115 Woodstock Place LLC Delaware
Champaign Williamson Franklin, L.L.C. Delaware
Chardon Ohio Property Holdings, L.L.C. Delaware
Chardon Ohio Property, L.L.C. Delaware
Chatham Aviv, L.L.C. Delaware
Chenal Arkansas, L.L.C. Delaware
Chippewa Valley, L.L.C. Illinois
CHR Bartow LLC Delaware
CHR Boca Raton LLC Delaware
CHR Bradenton LLC Delaware
CHR Cape Coral LLC Delaware
CHR Clearwater Highland LLC Delaware
CHR Clearwater LLC Delaware
CHR Deland East LLC Delaware
CHR Deland West LLC Delaware
CHR Fort Myers LLC Delaware
CHR Fort Walton Beach LLC Delaware
CHR Gulfport LLC Delaware
CHR Hudson LLC Delaware
CHR Lake Wales LLC Delaware
CHR Lakeland LLC Delaware

 

 

 

 

 

  Home
Subsidiary Name State
CHR Panama City LLC Delaware
CHR Pompano Beach Broward LLC Delaware
CHR Pompano Beach LLC Delaware
CHR Sanford LLC Delaware
CHR Sarasota LLC Delaware
CHR Spring Hill LLC Delaware
CHR St. Pete Abbey LLC Delaware
CHR St. Pete Bay LLC Delaware
CHR St. Pete Egret LLC Delaware
CHR Tampa Carrollwood LLC Delaware
CHR Tampa LLC Delaware
CHR Tarpon Springs LLC Delaware
CHR Titusville LLC Delaware
CHR West Palm Beach LLC Delaware
Clarkston Care, L.L.C. Delaware
Clayton Associates, L.L.C. New Mexico
Colonial Gardens, LLC Ohio
Colonial Madison Associates, L.L.C. Delaware
Colorado Lessor - Conifer, LLC Maryland
Columbus Texas Aviv, L.L.C. Delaware
Columbus Western Avenue, L.L.C. Delaware
Colville Washington Property, L.L.C. Delaware
Commerce Nursing Homes, L.L.C. Illinois
Commerce Sterling Hart Drive, L.L.C. Delaware
Conroe Rigby Owen Road, L.L.C. Delaware
CR Aviv, L.L.C. Delaware
Crete Plus Five Property, L.L.C. Delaware
Crooked River Road, L.L.C. Delaware
CSE Albany LLC Delaware
CSE Amarillo LLC Delaware
CSE Arden L.P. Delaware
CSE Augusta LLC Delaware
CSE Bedford LLC Delaware
CSE Blountville LLC Delaware
CSE Bolivar LLC Delaware
CSE Cambridge LLC Delaware
CSE Cambridge Realty LLC Delaware
CSE Camden LLC Delaware
CSE Canton LLC Delaware
CSE Casablanca Holdings II LLC Delaware
CSE Casablanca Holdings LLC Delaware
CSE Cedar Rapids LLC Delaware

 

 

 

 

  Home
Subsidiary Name State
CSE Centennial Village, LP Delaware
CSE Chelmsford LLC Delaware
CSE Chesterton LLC Delaware
CSE Claremont LLC Delaware
CSE Corpus North LLC Delaware
CSE Denver Iliff LLC Delaware
CSE Denver LLC Delaware
CSE Douglas LLC Delaware
CSE Elkton LLC Delaware
CSE Elkton Realty LLC Delaware
CSE Fairhaven LLC Delaware
CSE Fort Wayne LLC Delaware
CSE Frankston LLC Delaware
CSE Georgetown LLC Delaware
CSE Green Bay LLC Delaware
CSE Hilliard LLC Delaware
CSE Huntingdon LLC Delaware
CSE Huntsville LLC Delaware
CSE Indianapolis-Continental LLC Delaware
CSE Indianapolis-Greenbriar LLC Delaware
CSE Jacinto City LLC Delaware
CSE Jefferson City LLC Delaware
CSE Jeffersonville-Hillcrest Center LLC Delaware
CSE Jeffersonville-Jennings House LLC Delaware
CSE Kerrville LLC Delaware
CSE Kingsport LLC Delaware
CSE Knightdale L.P. Delaware
CSE Lake City LLC Delaware
CSE Lake Worth LLC Delaware
CSE Lakewood LLC Delaware
CSE Las Vegas LLC Delaware
CSE Lawrenceburg LLC Delaware
CSE Lenoir L.P. Delaware
CSE Lexington Park LLC Delaware
CSE Lexington Park Realty LLC Delaware
CSE Ligonier LLC Delaware
CSE Live Oak LLC Delaware
CSE Lowell LLC Delaware
CSE Marianna Holdings LLC Delaware
CSE Memphis LLC Delaware
CSE Mobile LLC Delaware
CSE Moore LLC Delaware

 

 

 

 

  Home
Subsidiary Name State
CSE North Carolina Holdings I LLC Delaware
CSE North Carolina Holdings II LLC Delaware
CSE Omro LLC Delaware
CSE Orange Park LLC Delaware
CSE Orlando-Pinar Terrace Manor LLC Delaware
CSE Orlando-Terra Vista Rehab LLC Delaware
CSE Pennsylvania Holdings, LP Delaware
CSE Piggott LLC Delaware
CSE Pilot Point LLC Delaware
CSE Pine View LLC Delaware
CSE Ponca City LLC Delaware
CSE Port St. Lucie LLC Delaware
CSE Richmond LLC Delaware
CSE Ripley LLC Delaware
CSE Ripon LLC Delaware
CSE Safford LLC Delaware
CSE Salina LLC Delaware
CSE Seminole LLC Delaware
CSE Shawnee LLC Delaware
CSE Spring Branch LLC Delaware
CSE Stillwater LLC Delaware
CSE Taylorsville LLC Delaware
CSE Texarkana LLC Delaware
CSE Texas City LLC Delaware
CSE The Village LLC Delaware
CSE Upland LLC Delaware
CSE Walnut Cove L.P. Delaware
CSE West Point LLC Delaware
CSE Whitehouse LLC Delaware
CSE Williamsport LLC Delaware
CSE Winter Haven LLC Delaware
CSE Woodfin L.P. Delaware
CSE Yorktown LLC Delaware
Cuyahoga Falls Property II, L.L.C. Delaware
Cuyahoga Falls Property, L.L.C. Delaware
Dallas Two Property, L.L.C. Delaware
Danbury ALF Property, L.L.C. Delaware
Darien ALF Property, L.L.C. Delaware
Deerfield Class B, L.L.C. Delaware
Delta Investors I, LLC Maryland
Delta Investors II, LLC Maryland
Denison Texas, L.L.C. Delaware

 

 

 

 

  Home
Subsidiary Name State
Desert Lane LLC Delaware
Dixie White House Nursing Home, LLC Mississippi
Dixon Health Care Center, LLC Ohio
DWC Finance, L.L.C. Delaware
East Rollins Street, L.L.C. Delaware
Edgewood Drive Property, L.L.C. Delaware
Effingham Associates, L.L.C. Illinois
Elite Mattoon, L.L.C. Delaware
Elite Yorkville, L.L.C. Delaware
Encanto Senior Care, LLC Arizona
Falcon Four Property Holding, L.L.C. Delaware
Falcon Four Property, L.L.C. Delaware
Falfurrias Texas, L.L.C. Delaware
Financing VI Healthcare Property, LP Delaware
Florida ALF Properties, L.L.C. Delaware
Florida Four Properties, L.L.C. Delaware
Florida Lessor - Meadowview, LLC Maryland
Florida Real Estate Company, LLC Florida
Fort Stockton Property, L.L.C. Delaware
Fountain Associates, L.L.C. Delaware
Four Fountains Aviv, L.L.C. Delaware
Fredericksburg South Adams Street, L.L.C. Delaware
Freewater Oregon, L.L.C. Delaware
Fullerton California, L.L.C. Delaware
G&L Gardens, L.L.C. Arizona
Gardnerville Property, L.L.C. Delaware
Georgia Lessor - Bonterra/Parkview, LLC Maryland
Germantown Property, L.L.C. Delaware
Giltex Care, L.L.C. Delaware
Glendale NH Property, L.L.C. Delaware
Golden Hill Real Estate Company, LLC California
Gonzales Texas Property, L.L.C. Delaware
Great Bend Property, L.L.C. Delaware
Greenbough, LLC Delaware
Greenville Kentucky Property, L.L.C. Delaware
Heritage Monterey Associates, L.L.C. Illinois
HHM Aviv, L.L.C. Delaware
Hidden Acres Property, L.L.C. Delaware
Highland Leasehold, L.L.C. Delaware
Hobbs Associates, L.L.C. Illinois
Hot Springs Atrium Owner, LLC Delaware
Hot Springs Aviv, L.L.C. Delaware

 

 

 

 

  Home
Subsidiary Name State
Hot Springs Cottages Owner, LLC Delaware
Hot Springs Marina Owner, LLC Delaware
Houston Texas Aviv, L.L.C. Delaware
Hutchinson Kansas, L.L.C. Delaware
Hutton I Land, LLC Ohio
Hutton II Land, LLC Ohio
Hutton III Land, LLC Ohio
Idaho Associates, L.L.C. Illinois
Illinois Missouri Properties, L.L.C. Delaware
Indiana Lessor - Wellington Manor, LLC Maryland
Iowa Lincoln County Property, L.L.C. Delaware
Jasper Springhill Street, L.L.C. Delaware
Kansas Five Property, L.L.C. Delaware
Karan Associates Two, L.L.C. Delaware
Karan Associates, L.L.C. Delaware
Karissa Court Property, L.L.C. Delaware
KB Northwest Associates, L.L.C. Delaware
Kentucky NH Properties, L.L.C. Delaware
Kingsville Texas, L.L.C. Delaware
LAD I Real Estate Company, LLC Delaware
Leatherman 90-1, LLC Ohio
Leatherman Partnership 89-1, LLC Ohio
Leatherman Partnership 89-2, LLC Ohio
Louisville Dutchmans Property, L.L.C. Delaware
Magnolia Drive Property, L.L.C. Delaware
Manor Associates, L.L.C. Delaware
Mansfield Aviv, L.L.C. Delaware
Massachusetts Nursing Homes, L.L.C. Delaware
McCarthy Street Property, L.L.C. Delaware
Meridian Arms Land, LLC Ohio
Minnesota Associates, L.L.C. Delaware
Mishawaka Property, L.L.C. Delaware
Missouri Associates, L.L.C. Delaware
Missouri Regency Associates, L.L.C. Delaware
Montana Associates, L.L.C. Illinois
Monterey Park Leasehold Mortgage, L.L.C. Delaware
Mount Washington Property, L.L.C. Delaware
Mt. Vernon Texas, L.L.C. Delaware
Murray County, L.L.C. Delaware
Muscatine Toledo Properties, L.L.C. Delaware
N.M. Bloomfield Three Plus One Limited Company New Mexico
N.M. Espanola Three Plus One Limited Company New Mexico

 

 

 

 

  Home
Subsidiary Name State
N.M. Lordsburg Three Plus One Limited Company New Mexico
N.M. Silver City Three Plus One Limited Company New Mexico
New Hope Property, L.L.C. Delaware
Newtown ALF Property, L.L.C. Delaware
Nicholasville Kentucky Property, L.L.C. Delaware
North Las Vegas LLC Delaware
North Royalton Ohio Property, L.L.C. Delaware
Norwalk ALF Property, L.L.C. Delaware
NRS Ventures, L.L.C. Delaware
Oakland Nursing Homes, L.L.C. Delaware
Ocean Springs Nursing Home, LLC Mississippi
October Associates, L.L.C. Delaware
Ogden Associates, L.L.C. Delaware
OHI (Connecticut), LLC Connecticut
OHI (Illinois), LLC Illinois
OHI (Indiana) , LLC Indiana
OHI (Iowa) , LLC Iowa
OHI AC Investments (Jersey) Ltd Foreign
OHI AC Properties (UK) Ltd Foreign
OHI Anglia Care Ltd Foreign
OHI Asset (AR) Ash Flat, LLC Delaware
OHI Asset (AR) Camden, LLC Delaware
OHI Asset (AR) Conway, LLC Delaware
OHI Asset (AR) Des Arc, LLC Delaware
OHI Asset (AR) Hot Springs, LLC Delaware
OHI Asset (AR) Malvern, LLC Delaware
OHI Asset (AR) Mena, LLC Delaware
OHI Asset (AR) Pocahontas, LLC Delaware
OHI Asset (AR) Sheridan, LLC Delaware
OHI Asset (AR) Walnut Ridge, LLC Delaware
OHI Asset (AZ) Austin House, LLC Delaware
OHI Asset (AZ) Tucson, LLC Delaware
OHI Asset (CA), LLC Delaware
OHI Asset (CO) Brighton, LLC Delaware
OHI Asset (CO) Denver, LLC Delaware
OHI Asset (CO) Mesa, LLC Delaware
OHI Asset (CO), LLC Delaware
OHI Asset (CT) Lender, LLC Delaware
OHI Asset (CT) Southport, LLC Delaware
OHI Asset (FL) DeFuniak Springs, LLC Delaware
OHI Asset (FL) Eustis, LLC Delaware
OHI Asset (FL) Graceville, LLC Delaware

 

 

 

 

  Home
Subsidiary Name State
OHI Asset (FL) Homestead, LLC Delaware
OHI Asset (FL) Lake City, LLC, fka OHI Asset (FL) Pasco, LLC Delaware
OHI Asset (FL) Lake Placid, LLC Delaware
OHI Asset (FL) Lakeland, LLC Delaware
OHI Asset (FL) Lender, LLC Delaware
OHI Asset (FL) Lutz, LLC Delaware
OHI Asset (FL) Marianna, LLC Delaware
OHI Asset (FL) Melbourne, LLC Delaware
OHI Asset (FL) Middleburg, LLC Delaware
OHI Asset (FL) Ormond Beach, LLC Delaware
OHI Asset (FL) Pensacola - Hillview, LLC Delaware
OHI Asset (FL) Pensacola, LLC Delaware
OHI Asset (FL) Pensacola-Nine Mile, LLC Delaware
OHI Asset (FL) Port St. Joe, LLC Delaware
OHI Asset (FL) Sebring, LLC Delaware
OHI Asset (FL), LLC Delaware
OHI Asset (GA) Cordele, LLC Delaware
OHI Asset (GA) Dunwoody, LLC Delaware
OHI Asset (GA) Macon, LLC Delaware
OHI Asset (GA) Moultrie, LLC Delaware
OHI Asset (GA) Nashville, LLC Delaware
OHI Asset (GA) Roswell, LLC Delaware
OHI Asset (GA) Snellville, LLC Delaware
OHI Asset (GA) Valdosta, LLC Delaware
OHI Asset (ID) Holly, LLC Delaware
OHI Asset (ID) Midland, LLC Delaware
OHI Asset (ID), LLC Delaware
OHI Asset (IL), LLC Delaware
OHI Asset (IN) American Village, LLC Delaware
OHI Asset (IN) Anderson, LLC Delaware
OHI Asset (IN) Beech Grove, LLC Delaware
OHI Asset (IN) Carmel, LLC Delaware
OHI Asset (IN) C-K, LLC Delaware
OHI Asset (IN) Clarksville - 101 Potters Ln, LLC Delaware
OHI Asset (IN) Clarksville, LLC Delaware
OHI Asset (IN) Clinton, LLC Delaware
OHI Asset (IN) Connersville, LLC Delaware
OHI Asset (IN) Corydon, LLC Delaware
OHI Asset (IN) Crown Point, LLC Delaware
OHI Asset (IN) Dyer, LLC Delaware
OHI Asset (IN) Eagle Valley, LLC Delaware
OHI Asset (IN) Elkhart, LLC Delaware

 

 

 

 

  Home
Subsidiary Name State
OHI Asset (IN) Forest Creek, LLC Delaware
OHI Asset (IN) Fort Wayne, LLC Delaware
OHI Asset (IN) Franklin, LLC Delaware
OHI Asset (IN) Greenfield, LLC Delaware
OHI Asset (IN) Greensburg, LLC Delaware
OHI Asset (IN) Greenwood, LLC Delaware
OHI Asset (IN) Indianapolis - 4102 Shore Dr, LLC Delaware
OHI Asset (IN) Indianapolis - 4904 War Admiral, LLC Delaware
OHI Asset (IN) Indianapolis - 5226 E 82nd St, LLC Delaware
OHI Asset (IN) Indianapolis - 7301 E 16th St, LLC Delaware
OHI Asset (IN) Indianapolis, LLC Delaware
OHI Asset (IN) Jasper, LLC Delaware
OHI Asset (IN) Kokomo - 429 W Lincoln Rd, LLC Delaware
OHI Asset (IN) Kokomo, LLC Delaware
OHI Asset (IN) Lafayette, LLC Delaware
OHI Asset (IN) Madison, LLC Delaware
OHI Asset (IN) Mishawaka, LLC Delaware
OHI Asset (IN) Monticello, LLC Delaware
OHI Asset (IN) New Albany, LLC Delaware
OHI Asset (IN) Noblesville, LLC Delaware
OHI Asset (IN) Rosewalk, LLC Delaware
OHI Asset (IN) Salem, LLC Delaware
OHI Asset (IN) Sellersburg, LLC Delaware
OHI Asset (IN) Seymour, LLC Delaware
OHI Asset (IN) Spring Mill, LLC Delaware
OHI Asset (IN) Terre Haute - 2222 Margaret Ave, LLC Delaware
OHI Asset (IN) Terre Haute, LLC Delaware
OHI Asset (IN) Wabash, LLC Delaware
OHI Asset (IN) Westfield, LLC Delaware
OHI Asset (IN) Zionsville, LLC Delaware
OHI Asset (KY) Beattyville, LLC Delaware
OHI Asset (KY) Louisville - 1120 Cristland, LLC Delaware
OHI Asset (KY) Louisville - 2529 Six Mile Lane, LLC Delaware
OHI Asset (KY) Morgantown, LLC Delaware
OHI Asset (KY) Owensboro, LLC Delaware
OHI Asset (LA) Baton Rouge, LLC Delaware
OHI Asset (LA), LLC Delaware
OHI Asset (MD) Baltimore - Pall Mall, LLC Delaware
OHI Asset (MD) Baltimore - West Belvedere, LLC Delaware
OHI Asset (MD) Salisbury, LLC Delaware
OHI Asset (MD), LLC Delaware
OHI Asset (MI) Carson City, LLC Delaware

 

 

 

 

  Home
Subsidiary Name State
OHI Asset (MI) Heather Hills, LLC Delaware
OHI Asset (MI), LLC Delaware
OHI Asset (MO) Jackson, LLC Delaware
OHI Asset (MO), LLC Delaware
OHI Asset (MS) Byhalia, LLC Delaware
OHI Asset (MS) Cleveland, LLC Delaware
OHI Asset (MS) Clinton, LLC Delaware
OHI Asset (MS) Columbia, LLC Delaware
OHI Asset (MS) Corinth, LLC Delaware
OHI Asset (MS) Greenwood, LLC Delaware
OHI Asset (MS) Grenada, LLC Delaware
OHI Asset (MS) Holly Springs, LLC Delaware
OHI Asset (MS) Indianola, LLC Delaware
OHI Asset (MS) Natchez, LLC Delaware
OHI Asset (MS) Picayune, LLC Delaware
OHI Asset (MS) Vicksburg, LLC Delaware
OHI Asset (MS) Yazoo City, LLC Delaware
OHI Asset (NC) Abbotts Creek, LP Delaware
OHI Asset (NC) Alleghany, LP Delaware
OHI Asset (NC) Biscoe, LP Delaware
OHI Asset (NC) Cornelius, LP Delaware
OHI Asset (NC) Drexel, LP Delaware
OHI Asset (NC) Fayetteville, LP Delaware
OHI Asset (NC) Financing VI GP, LLC Delaware
OHI Asset (NC) GP, LLC Delaware
OHI Asset (NC) Hallsboro, LP Delaware
OHI Asset (NC) Marion, LP Delaware
OHI Asset (NC) Marshville, LP Delaware
OHI Asset (NC) Mocksville - 1007 Howard Street, LP Delaware
OHI Asset (NC) Mocksville - 1304 Madison Road, LP Delaware
OHI Asset (NC) Mount Olive, LP Delaware
OHI Asset (NC) Nashville, LP Delaware
OHI Asset (NC) QRS GP, LLC Delaware
OHI Asset (NC) QRS, Inc. Delaware
OHI Asset (NC) Raeford, LP Delaware
OHI Asset (NC) Rocky Mount - 1558 S. Winstead, LP Delaware
OHI Asset (NC) Rocky Mount - 415 N. Winstead, LP Delaware
OHI Asset (NC) Salisbury, LP Delaware
OHI Asset (NC) Saluda, LP Delaware
OHI Asset (NC) Shallotte, LP Delaware
OHI Asset (NC) Siler City, LP Delaware
OHI Asset (NC) Triad, LP Delaware

 

 

 

 

  Home
Subsidiary Name State
OHI Asset (NC) Wadesboro, LP Delaware
OHI Asset (NC) Warsaw, LP Delaware
OHI Asset (NC) Waynesville, LP Delaware
OHI Asset (NC) Wilmington, LP Delaware
OHI Asset (NC) Winston Salem, LP Delaware
OHI Asset (NJ) Plainsboro, LLC Delaware
OHI Asset (NY) 2nd Avenue, LLC Delaware
OHI Asset (NY) 93rd Street, LLC Delaware
OHI Asset (OH) Huber Heights, LLC Delaware
OHI Asset (OH) Lender, LLC Delaware
OHI Asset (OH) New London, LLC Delaware
OHI Asset (OH) Steubenville, LLC Delaware
OHI Asset (OH) Toledo, LLC Delaware
OHI Asset (OH) West Carrollton, LLC Delaware
OHI Asset (OH), LLC Delaware
OHI Asset (OR) Portland, LLC Delaware
OHI Asset (OR) Troutdale, LLC Delaware
OHI Asset (PA) GP, LLC Delaware
OHI Asset (PA) West Mifflin, LP Delaware
OHI Asset (PA), LLC Delaware
OHI Asset (PA), LP Maryland
OHI Asset (SC) Aiken, LLC Delaware
OHI Asset (SC) Anderson, LLC Delaware
OHI Asset (SC) Easley Anne, LLC Delaware
OHI Asset (SC) Easley Crestview, LLC Delaware
OHI Asset (SC) Edgefield, LLC Delaware
OHI Asset (SC) Five Forks, LLC Delaware
OHI Asset (SC) Greenville Cottages, LLC Delaware
OHI Asset (SC) Greenville Griffith, LLC Delaware
OHI Asset (SC) Greenville Laurens, LLC Delaware
OHI Asset (SC) Greenville North, LLC Delaware
OHI Asset (SC) Greenville, LLC Delaware
OHI Asset (SC) Greer, LLC Delaware
OHI Asset (SC) Marietta, LLC Delaware
OHI Asset (SC) McCormick, LLC Delaware
OHI Asset (SC) Orangeburg, LLC Delaware
OHI Asset (SC) Pickens East Cedar, LLC Delaware
OHI Asset (SC) Pickens Rosemond, LLC Delaware
OHI Asset (SC) Piedmont, LLC Delaware
OHI Asset (SC) Simpsonville SE Main, LLC Delaware
OHI Asset (SC) Simpsonville West Broad, LLC Delaware
OHI Asset (SC) Simpsonville West Curtis, LLC Delaware

 

 

 

 

  Home
Subsidiary Name State
OHI Asset (TN) Bartlett, LLC Delaware
OHI Asset (TN) Byrdstown, LLC Delaware
OHI Asset (TN) Cleveland, LLC Delaware
OHI Asset (TN) Collierville, LLC Delaware
OHI Asset (TN) Columbia, LLC Delaware
OHI Asset (TN) Elizabethton, LLC Delaware
OHI Asset (TN) Erin, LLC Delaware
OHI Asset (TN) Greeneville, LLC Delaware
OHI Asset (TN) Harriman, LLC Delaware
OHI Asset (TN) Jamestown, LLC Delaware
OHI Asset (TN) Jefferson City, LLC Delaware
OHI Asset (TN) Memphis - 1150 Dovecrest, LLC Delaware
OHI Asset (TN) Memphis, LLC Delaware
OHI Asset (TN) Monteagle, LLC Delaware
OHI Asset (TN) Monterey, LLC Delaware
OHI Asset (TN) Mountain City, LLC Delaware
OHI Asset (TN) Nashville, LLC Delaware
OHI Asset (TN) Pigeon Forge, LLC Delaware
OHI Asset (TN) Ridgely, LLC Delaware
OHI Asset (TN) Rockwood, LLC Delaware
OHI Asset (TN) Rogersville - 109 Highway 70 North, LLC Delaware
OHI Asset (TN) Rogersville, LLC Delaware
OHI Asset (TN) South Pittsburg, LLC Delaware
OHI Asset (TN) Spring City, LLC Delaware
OHI Asset (TN) Westmoreland, LLC Delaware
OHI Asset (TX) Anderson, LLC Delaware
OHI Asset (TX) Athens, LLC Delaware
OHI Asset (TX) Bryan, LLC Delaware
OHI Asset (TX) Burleson, LLC Delaware
OHI Asset (TX) College Station, LLC Delaware
OHI Asset (TX) Comfort, LLC Delaware
OHI Asset (TX) Crane, LLC Delaware
OHI Asset (TX) Diboll, LLC Delaware
OHI Asset (TX) Eastland, LLC Delaware
OHI Asset (TX) Granbury, LLC Delaware
OHI Asset (TX) Hillsboro, LLC Delaware
OHI Asset (TX) Hondo, LLC Delaware
OHI Asset (TX) Italy, LLC Delaware
OHI Asset (TX) Lamesa, LLC Delaware
OHI Asset (TX) Longview, LLC Delaware
OHI Asset (TX) Midland Main, LLC Delaware
OHI Asset (TX) Midland Sage, LLC Delaware

 

 

 

 

  Home
Subsidiary Name State
OHI Asset (TX) Monahans, LLC Delaware
OHI Asset (TX) Odessa, LLC Delaware
OHI Asset (TX) Schertz, LLC Delaware
OHI Asset (TX) Winnsboro ALF, LLC Delaware
OHI Asset (TX) Winnsboro, LLC Delaware
OHI Asset (TX), LLC Delaware
OHI Asset (UT) Ogden, LLC Delaware
OHI Asset (UT) Provo, LLC Delaware
OHI Asset (UT) Roy, LLC Delaware
OHI Asset (VA) Charlottesville - 1165 Pepsi Place, LLC Delaware
OHI Asset (VA) Charlottesville, LLC Delaware
OHI Asset (VA) Chesapeake, LLC Delaware
OHI Asset (VA) Farmville, LLC Delaware
OHI Asset (VA) Galax, LLC Delaware
OHI Asset (VA) Hillsville, LLC Delaware
OHI Asset (VA) Madison, LLC Delaware
OHI Asset (VA) Martinsville ALF, LLC Delaware
OHI Asset (VA) Martinsville SNF, LLC Delaware
OHI Asset (VA) Mechanicsville, LLC Delaware
OHI Asset (VA) Midlothian, LLC Delaware
OHI Asset (VA) Norfolk, LLC Delaware
OHI Asset (VA) Portsmouth, LLC Delaware
OHI Asset (VA) Richmond - 2420 Pemberton Road, LLC Delaware
OHI Asset (VA) Richmond - 9101 Bon Air, LLC Delaware
OHI Asset (VA) Rocky Mount, LLC Delaware
OHI Asset (VA) Suffolk, LLC Delaware
OHI Asset (WA) Battle Ground, LLC Delaware
OHI Asset (WA) Fort Vancouver, LLC Delaware
OHI Asset (WV) Danville, LLC Delaware
OHI Asset (WV) Ivydale, LLC Delaware
OHI Asset CHG ALF, LLC Delaware
OHI Asset C-L, LLC Delaware
OHI Asset CSB LLC Delaware
OHI Asset CSE-E Subsidiary, LLC Delaware
OHI Asset CSE-E, LLC Delaware
OHI Asset CSE-U Subsidiary, LLC Delaware
OHI Asset CSE-U, LLC Delaware
OHI Asset DB Collateral Agent, LLC Delaware
OHI Asset HUD CFG, LLC Delaware
OHI Asset HUD Delta, LLC Delaware
OHI Asset HUD H-F, LLC Delaware
OHI Asset HUD SF CA, LLC Delaware

 

 

 

 

  Home
Subsidiary Name State
OHI Asset HUD SF, LLC Delaware
OHI Asset HUD WO, LLC Delaware
OHI Asset II (CA), LLC Delaware
OHI Asset II (FL), LLC Delaware
OHI Asset II (PA), LP Maryland
OHI Asset III (PA), LP Maryland
OHI Asset IV (PA) Silver Lake, LP Maryland
OHI Asset Management, LLC Delaware
OHI Asset RO PMM Services, LLC Delaware
OHI Asset RO, LLC Delaware
OHI Asset S-A, LLC Delaware
OHI Asset S-W, LLC Delaware
OHI Asset, LLC Delaware
OHI Baugh House Ltd Foreign
OHI Beaumont Park Ltd Foreign
OHI Bletchley Ltd Foreign
OHI Brackenbridge House Ltd Foreign
OHI Burrows House Ltd Foreign
OHI GCH Holdings Ltd Foreign
OHI Halcyon Days Ltd Foreign
OHI Healthcare Homes (Central) Ltd Foreign
OHI Healthcare Homes Ltd Foreign
OHI Healthcare Properties Limited Partnership Delaware
OHI Heath Lodge and Autumn Vale Ltd Foreign
OHI Hillings Ltd Foreign
OHI Hillside Ltd Foreign
OHI Home Close Ltd Foreign
OHI Home Meadow Ltd Foreign
OHI Kent House Ltd Foreign
OHI Lima Properties Ltd Foreign
OHI LSC Properties (UK) Ltd Foreign
OHI Lucton House Ltd Foreign
OHI Malthouse Care Home Ltd Foreign
OHI Manor House (North Walsham Wood) Ltd Foreign
OHI Manor House Ltd Foreign
OHI Martins House Ltd Foreign
OHI Mezz Lender, LLC Delaware
OHI Olive House RCH Ltd Foreign
OHI Park House Care Home Ltd Foreign
OHI PC Investments (Jersey) Ltd Foreign
OHI Peregrine House Ltd Foreign
OHI Pri-Med Care Homes Ltd Foreign

 

 

 

 

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Subsidiary Name State
OHI Pri-Med Group Developments Ltd Foreign
OHI Pri-Med Group Ltd Foreign
OHI Queensway Ltd Foreign
OHI St Stephens Ltd Foreign
OHI Tennessee, LLC Maryland
OHI Tudors Ltd Foreign
OHI UK Healthcare Properties Ltd Foreign
OHI West Drayton Ltd Foreign
OHI Willowmead Ltd Foreign
OHI-LG Asset Management, LLC Delaware
OHI-LG Investment, LLC Delaware
OHIMA, LLC Massachusetts
Ohio Aviv Three, L.L.C. Delaware
Ohio Aviv Two, L.L.C. Delaware
Ohio Aviv, L.L.C. Delaware
Ohio Indiana Property, L.L.C. Delaware
Ohio Pennsylvania Property, L.L.C. Delaware
Oklahoma Two Property, L.L.C. Delaware
Oklahoma Warr Wind, L.L.C. Delaware
Omaha Associates, L.L.C. Delaware
Omega TRS I, Inc. Maryland
Orange ALF Property, L.L.C. Delaware
Orange Village Care Center, LLC Ohio
Orange, L.L.C. Illinois
Oregon Associates, L.L.C. Delaware
Oso Avenue Property, L.L.C. Delaware
Ostrom Avenue Property, L.L.C. Delaware
Palm Valley Senior Care, LLC Arizona
Panama City Nursing Center LLC Delaware
Pavillion North Partners, LLC Pennsylvania
Pavillion North, LLP Pennsylvania
Pavillion Nursing Center North, LLC Pennsylvania
Peabody Associates Two, L.L.C. Delaware
Peabody Associates, L.L.C. Delaware
Pennington Road Property, L.L.C. Delaware
Pensacola Real Estate Holdings I, LLC Florida
Pensacola Real Estate Holdings II, LLC Florida
Pensacola Real Estate Holdings III, LLC Florida
Pensacola Real Estate Holdings IV, LLC Florida
Pensacola Real Estate Holdings V, LLC Florida
Pocatello Idaho Property, L.L.C. Delaware
Pomona Vista L.L.C. Illinois

 

 

 

 

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Subsidiary Name State
Prescott Arkansas, L.L.C. Delaware
PV Realty-Clinton, LLC Maryland
PV Realty-Holly Hill, LLC Maryland
PV Realty-Kensington, LLC Maryland
PV Realty-Willow Tree, LLC Maryland
Raton Property Limited Company New Mexico
Ravenna Ohio Property, L.L.C. Delaware
Red Rocks, L.L.C. Illinois
Richland Washington, L.L.C. Delaware
Ridgecrest Senior Care, LLC Arizona
Riverside Nursing Home Associates Two, L.L.C. Delaware
Riverside Nursing Home Associates, L.L.C. Delaware
Rockingham Drive Property, L.L.C. Delaware
Rose Baldwin Park Property L.L.C. Illinois
S.C. Portfolio Property, L.L.C. Delaware
Salem Associates, L.L.C. Delaware
San Juan NH Property, LLC Delaware
Sandalwood Arkansas Property, L.L.C. Delaware
Santa Ana-Bartlett, L.L.C. Illinois
Santa Fe Missouri Associates, L.L.C. Illinois
Savoy/Bonham Venture, L.L.C. Delaware
Searcy Aviv, L.L.C. Delaware
Sedgwick Properties, L.L.C. Delaware
Seguin Texas Property, L.L.C. Delaware
Sierra Ponds Property, L.L.C. Delaware
Skyler Boyington, LLC Mississippi
Skyler Florida, LLC Mississippi
Skyler Maitland LLC Delaware
Skyler Pensacola, LLC Florida
Skyview Associates, L.L.C. Delaware
SLC Property Investors, LLC Delaware
Southeast Missouri Property, L.L.C. Delaware
Southern California Nevada, L.L.C. Delaware
St. Joseph Missouri Property, L.L.C. Delaware
St. Mary’s Properties, LLC Ohio
Star City Arkansas, L.L.C. Delaware
STBA Properties, L.L.C. Delaware
Stephenville Texas Property, L.L.C. Delaware
Sterling Acquisition, LLC Kentucky
Stevens Avenue Property, L.L.C. Delaware
Sun-Mesa Properties, L.L.C. Illinois
Suwanee, LLC Delaware

 

 

 

 

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Texas Fifteen Property, L.L.C. Delaware
Texas Four Property, L.L.C. Delaware
Texas Lessor - Stonegate GP, LLC Maryland
Texas Lessor - Stonegate Limited, LLC Maryland
Texas Lessor - Stonegate, LP Maryland
Texhoma Avenue Property, L.L.C. Delaware
The Suburban Pavilion, LLC Ohio
Tujunga, L.L.C. Delaware
Tulare County Property, L.L.C. Delaware
Twinsburg Ohio Property, L.L.C. Delaware
VRB Aviv, L.L.C. Delaware
Washington Idaho Property, L.L.C. Delaware
Washington Lessor - Silverdale, LLC Maryland
Washington-Oregon Associates, L.L.C. Illinois
Watauga Associates, L.L.C. Illinois
Wellington Leasehold, L.L.C. Delaware
West Pearl Street, L.L.C. Delaware
West Yarmouth Property I, L.L.C. Delaware
West Yarmouth Property II, L.L.C. Delaware
Westerville Ohio Office Property, L.L.C. Delaware
Weston ALF Property, L.L.C. Delaware
Wheeler Healthcare Associates, L.L.C. Texas
Whitlock Street Property, L.L.C. Delaware
Wilcare, LLC Ohio
Willis Texas Aviv, L.L.C. Delaware
Yuba Aviv, L.L.C. Delaware

 

 

 

EX-23.1 5 tv485902_ex23-1.htm EXHIBIT 23.1

 

 

Exhibit 23.1

 

Consent of Independent Registered Public Accounting Firm

 

We consent to the incorporation by reference in the following Registration Statements:

 

(1)Registration Statement (Form S-8 Nos. 333-189144 and 333-117656) related to the 2013 Stock Incentive Plan (formerly known as the 2004 Stock Incentive Plan) of Omega Healthcare Investors, Inc.;
(2)Registration Statement (Form S-3 No. 333-206751), an unallocated universal registration statement expiring September 3, 2018;
(3)Registration Statement (Form S-3 No. 333-208710), pertaining to the Debt Securities and Guarantees of Debt Securities of Omega Healthcare Investors, Inc. and its subsidiary guarantors;
(4)Registration Statement (Form S-8 No. 333-203189) related to assumed awards under certain equity compensation plans of Aviv REIT, Inc.;
(5)Registration Statement (Form S-3 No. 333-208061) related to the resale of shares issuable from time to time upon redemption of units of OHI Healthcare Properties Limited Partnership; and
(6)Registration Statement (Form S-3 No. 333-215424) related to the Dividend Reinvestment and Common Stock Purchase Plan of Omega Healthcare Investors, Inc.

 

of our reports dated February 23, 2018, with respect to the consolidated financial statements and schedules of Omega Healthcare Investors, Inc. and the effectiveness of internal control over financial reporting of Omega Healthcare Investors, Inc., included in this Annual Report (Form 10-K) of Omega Healthcare Investors, Inc. for the year ended December 31, 2017.

 

  /s/ Ernst & Young LLP
   
Baltimore, Maryland  
February 23, 2018  

 

 

 

EX-23.2 6 tv485902_ex23-2.htm EXHIBIT 23.2

 

 

Exhibit 23.2

 

Consent of Independent Registered Public Accounting Firm

 

We consent to the incorporation by reference in the Registration Statement (Form S-3 No. 333-208710) of OHI Healthcare Properties Limited Partnership and in the related Prospectus of our reports dated February 23, 2018 with respect to the consolidated financial statements and schedules of OHI Healthcare Properties Limited Partnership, and the effectiveness of internal control over financial reporting of OHI Healthcare Properties Limited Partnership, included in this Annual Report (Form 10-K) for the year ended December 31, 2017.

 

  /s/ Ernst & Young LLP
   
Baltimore, Maryland  
February 23, 2018  

 

 

 

EX-31.1 7 tv485902_ex31-1.htm EXHIBIT 31.1

 

 

Exhibit 31.1

 

RULE 13a-14(a)/15d-14(a) CERTIFICATION OF CHIEF EXECUTIVE OFFICER

 

Certification

I, C. Taylor Pickett, certify that:

 

1.I have reviewed this Annual Report on Form 10-K of Omega Healthcare Investors, Inc.;

 

2.Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

 

3.Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

 

4.The registrant's other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

 

a.Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

 

b.Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

 

c.Evaluated the effectiveness of the registrant's disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

 

d.Disclosed in this report any change in the registrant's internal control over financial reporting that occurred during the registrant's most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant's internal control over financial reporting; and

 

5.The registrant's other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant's auditors and the audit committee of the registrant's board of directors (or persons performing the equivalent functions):

 

a.All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant's ability to record, process, summarize and report financial information; and

 

b.Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant's internal control over financial reporting.

 

Date: February 23, 2018
   
  /S/ C. TAYLOR PICKETT
  C. Taylor Pickett
  Chief Executive Officer

 

 

EX-31.2 8 tv485902_ex31-2.htm EXHIBIT 31.2

 

 

Exhibit 31.2

 

RULE 13a-14(a)/15d-14(a) CERTIFICATION OF CHIEF FINANCIAL OFFICER

 

Certifications

I, Robert O. Stephenson, certify that:

 

1.I have reviewed this Annual Report on Form 10-K of Omega Healthcare Investors, Inc.;

 

2.Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

 

3.Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

 

4.The registrant's other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

 

a.Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

 

b.Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

 

c.Evaluated the effectiveness of the registrant's disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

 

d.Disclosed in this report any change in the registrant's internal control over financial reporting that occurred during the registrant's most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant's internal control over financial reporting; and

 

5.The registrant's other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant's auditors and the audit committee of the registrant's board of directors (or persons performing the equivalent functions):

 

a.All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant's ability to record, process, summarize and report financial information; and

 

b.Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant's internal control over financial reporting.

 

Date: February 23, 2018

 

  /S/ ROBERT O. STEPHENSON
  Robert O. Stephenson
  Chief Financial Officer

 

 

EX-31.3 9 tv485902_ex31-3.htm EXHIBIT 31.3

 

 

Exhibit 31.3

 

RULE 13a-14(a)/15d-14(a) CERTIFICATION OF CHIEF EXECUTIVE OFFICER

 

Certification

I, C. Taylor Pickett, certify that:

 

1.I have reviewed this Annual Report on Form 10-K of OHI Healthcare Properties Limited Partnership;

 

2.Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

 

3.Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

 

4.The registrant's other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

 

a.Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

 

b.Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

 

c.Evaluated the effectiveness of the registrant's disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

 

d.Disclosed in this report any change in the registrant's internal control over financial reporting that occurred during the registrant's most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant's internal control over financial reporting; and

 

5.The registrant's other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant's auditors and the audit committee of the registrant's board of directors (or persons performing the equivalent functions):

 

a.All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant's ability to record, process, summarize and report financial information; and

 

b.Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant's internal control over financial reporting.

 

Date: February 23, 2018

 

  /S/ C. TAYLOR PICKETT
  C. Taylor Pickett
  Chief Executive Officer

 

 

 

EX-31.4 10 tv485902_ex31-4.htm EXHIBIT 31.4

 

 

Exhibit 31.4

 

RULE 13a-14(a)/15d-14(a) CERTIFICATION OF CHIEF FINANCIAL OFFICER

 

Certifications

I, Robert O. Stephenson, certify that:

 

1.I have reviewed this Annual Report on Form 10-K of OHI Healthcare Properties Limited Partnership;

 

2.Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

 

3.Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

 

4.The registrant's other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

 

a.Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

 

b.Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

 

c.Evaluated the effectiveness of the registrant's disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

 

d.Disclosed in this report any change in the registrant's internal control over financial reporting that occurred during the registrant's most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant's internal control over financial reporting; and

 

5.The registrant's other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant's auditors and the audit committee of the registrant's board of directors (or persons performing the equivalent functions):

 

a.All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant's ability to record, process, summarize and report financial information; and

 

b.Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant's internal control over financial reporting.

 

Date: February 23, 2018

 

  /S/ ROBERT O. STEPHENSON
  Robert O. Stephenson
  Chief Financial Officer

 

 

EX-32.1 11 tv485902_ex32-1.htm EXHIBIT 32.1

 

 

Exhibit 32.1

 

SECTION 1350 CERTIFICATION

OF THE CHIEF EXECUTIVE OFFICER

 

I, C. Taylor Pickett, Chief Executive Officer of Omega Healthcare Investors, Inc. (the “Company”), hereby certify, pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, 18 U.S.C. Section 1350, that to the best of my knowledge:

 

(1)the Annual Report on Form 10-K of the Company for the year ended December 31, 2017 (the “Report”) fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended; and

 

(2)the information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

 

Date: February 23, 2018

 

/S/ C. TAYLOR PICKETT  
C. Taylor Pickett  
Chief Executive Officer  

 

 

EX-32.2 12 tv485902_ex32-2.htm EXHIBIT 32.2

 

 

Exhibit 32.2

 

SECTION 1350 CERTIFICATION

OF THE CHIEF FINANCIAL OFFICER

 

I, Robert O. Stephenson, Chief Financial Officer of Omega Healthcare Investors, Inc. (the “Company”), hereby certify, pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, 18 U.S.C. Section 1350, that, to the best of my knowledge:

 

(1)the Annual Report on Form 10-K of the Company for the year ended December 31, 2017 (the “Report”) fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended; and

 

(2)the information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

 

Date: February 23, 2018

 

/S/ ROBERT O. STEPHENSON  
Robert O. Stephenson  
Chief Financial Officer  

 

 

 

EX-32.3 13 tv485902_ex32-3.htm EXHIBIT 32.3

 

 

Exhibit 32.3

 

SECTION 1350 CERTIFICATION

OF THE CHIEF EXECUTIVE OFFICER

 

I, C. Taylor Pickett, Chief Executive Officer of OHI Healthcare Properties Limited Partnership (the “Partnership”), hereby certify, pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, 18 U.S.C. Section 1350, that to the best of my knowledge:

 

(1)the Annual Report on Form 10-K of the Partnership for the year ended December 31, 2017 (the “Report”) fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended; and

 

(2)the information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Partnership.

 

Date: February 23, 2018

 

/S/ C. TAYLOR PICKETT  
C. Taylor Pickett  
Chief Executive Officer  

 

 

EX-32.4 14 tv485902_ex32-4.htm EXHIBIT 32.4

 

 

Exhibit 32.4

 

SECTION 1350 CERTIFICATION

OF THE CHIEF FINANCIAL OFFICER

 

I, Robert O. Stephenson, Chief Financial Officer of OHI Healthcare Properties Limited Partnership (the “Partnership”), hereby certify, pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, 18 U.S.C. Section 1350, that, to the best of my knowledge:

 

(1)the Annual Report on Form 10-K of the Partnership for the year ended December 31, 2017 (the “Report”) fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended; and

 

(2)the information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Partnership.

 

Date: February 23, 2018

 

/S/ ROBERT O. STEPHENSON  
Robert O. Stephenson  
Chief Financial Officer  

 

 

 

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text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b>NOTE 1 - ORGANIZATION AND BASIS OF PRESENTATION</b></p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>Organization</i></b></p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b>&#160;</b></p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">Omega Healthcare Investors, Inc. (&#8220;Omega&#8221;) was formed as a real estate investment trust (&#8220;REIT&#8221;) and incorporated in the State of Maryland on March 31, 1992. All of Omega's assets are owned directly or indirectly, and all of Omega's operations are conducted directly or indirectly, through its subsidiary, OHI Healthcare Properties Limited Partnership (&#8220;Omega OP&#8221;). Omega OP was formed as a limited partnership and organized in the State of Delaware on October 24, 2014. No substantive assets were owned or activity occurred in Omega OP until the merger with Aviv REIT, Inc. on April 1, 2015. Unless stated otherwise or the context otherwise requires, the terms the &#8220;Company,&#8221; &#8220;we,&#8221; &#8220;our&#8221; and &#8220;us&#8221; means Omega and Omega OP, collectively.</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">The Company has one reportable segment consisting of investments in healthcare-related real estate properties located in the United States (&#8220;U.S.&#8221;) and the United Kingdom (&#8220;U.K.&#8221;). Our core business is to provide financing and capital to the long-term healthcare industry with a particular focus on skilled nursing facilities (&#8220;SNFs&#8221;), and, to a lesser extent, assisted living facilities (&#8220;ALFs&#8221;), independent living facilities and rehabilitation and acute care facilities. Our core portfolio consists of long-term leases and mortgage agreements. All of our leases are &#8220;triple-net&#8221; leases, which require the tenants to pay all property-related expenses. 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On September 26, 2017, OHI Holdco, a wholly owned subsidiary of Omega and a co-general partner of Omega OP, was merged with and into Omega, resulting in Omega becoming the sole general partner of Omega OP. Omega has exclusive control over Omega OP&#8217;s day-to-day management pursuant to the Partnership Agreement. As of December 31, 2017, Omega owned approximately 96% of the issued and outstanding units of partnership interest in Omega OP (&#8220;Omega OP Units&#8221;), and investors owned approximately 4% of the outstanding Omega OP Units. Each Omega OP Unit (other than those owned by Omega) is redeemable at the election of the holder for cash equal to the then-fair market value of one share of common stock of Omega, subject to Omega&#8217;s election to exchange the Omega OP Units tendered for redemption for common stock of Omega on a one-for-one basis in an unregistered transaction, subject to adjustment as set forth in the Partnership Agreement.</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"></p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>Consolidation</i></b></p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b>&#160;</b></p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 36.9pt; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">Our consolidated financial statements include the accounts of (i) Omega, (ii) Omega OP, and (iii) all direct and indirect wholly owned subsidiaries of Omega OP. 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All intercompany transactions and balances have been eliminated in consolidation.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b>NOTE 2 &#8211; SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES</b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>Accounting Estimates</i></b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b>&#160;</b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">The preparation of financial statements in conformity with U.S. generally accepted accounting principles (&#8220;GAAP&#8221;) requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, the disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. 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Observable inputs reflect market data obtained from independent sources, while unobservable inputs reflect the Company's market assumptions. This hierarchy requires the use of observable market data when available. 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When available, the Company utilizes quoted market prices from an independent third party source to determine fair value and classifies such items in Level 1. In some instances where a market price is available, but the instrument is in an inactive or over-the-counter market, the Company consistently applies the dealer (market maker) pricing estimate and classifies such items in Level 2.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">If quoted market prices or inputs are not available, fair value measurements are based upon valuation models that utilize current market or independently sourced market inputs, such as interest rates, option volatilities, credit spreads and/or market capitalization rates. Items valued using such internally-generated valuation techniques are classified according to the lowest level input that is significant to the fair value measurement. As a result, these items could be classified in either Level 2 or Level 3 even though there may be some significant inputs that are readily observable. Internal fair value models and techniques used by the Company include discounted cash flow and Monte Carlo valuation models.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>&#160;</i></b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>Risks and Uncertainties</i></b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b>&#160;</b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">The Company is subject to certain risks and uncertainties affecting the healthcare industry as a result of healthcare legislation and growing regulation by federal, state and local governments. Additionally, we are subject to risks and uncertainties as a result of changes affecting operators of nursing home facilities due to the actions of governmental agencies and insurers to limit the rising cost of healthcare services.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>&#160;</i></b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>Business Combinations</i></b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b>&#160;</b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">We record the purchase of properties to net tangible and identified intangible assets acquired and liabilities assumed at fair value. Transaction costs are expensed as incurred as part of a business combination. In making estimates of fair value for purposes of recording the purchase, we utilize a number of sources, including independent appraisals that may be obtained in connection with the acquisition or financing of the respective property and other market data. We also consider information obtained about each property as a result of our pre-acquisition due diligence, marketing and leasing activities as well as other critical valuation metrics such as current capitalization rates and discount rates used to estimate the fair value of the tangible and intangible assets acquired (Level 3). When liabilities are assumed as part of a transaction, we consider information obtained about the liabilities and use similar valuation metrics (Level 3). In some instances when debt is assumed and an identifiable active market for similar debt is present, we use market interest rates for similar debt to estimate the fair value of the debt assumed (Level 2). The Company determines fair value as follows:</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;&#160;</p> <table style="widows: 2; text-transform: none; margin-top: 0pt; text-indent: 0px; width: 100%; font: 10pt 'times new roman', times, serif; orphans: 2; margin-bottom: 0pt; letter-spacing: normal; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;" border="0" cellspacing="0" cellpadding="0"> <tr style="vertical-align: top;"> <td style="width: 0.25in;"></td> <td style="width: 0.25in;"><font style="font-family: symbol;">&#183;</font></td> <td style="text-align: justify;">Land is determined based on third party appraisals which typically include market comparables.</td> </tr> </table> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px 0pt 0.5in; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <table style="widows: 2; text-transform: none; margin-top: 0pt; text-indent: 0px; width: 100%; font: 10pt 'times new roman', times, serif; orphans: 2; margin-bottom: 0pt; letter-spacing: normal; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;" border="0" cellspacing="0" cellpadding="0"> <tr style="vertical-align: top;"> <td style="width: 0.25in;"></td> <td style="width: 0.25in;"><font style="font-family: symbol;">&#183;</font></td> <td style="text-align: justify;">Buildings and site improvements acquired are valued using a combination of discounted cash flow projections that assume certain future revenues and costs and consider capitalization and discount rates using current market conditions as well as replacement cost analysis.</td> </tr> </table> <p style="widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px 0pt 0.5in; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <table style="widows: 2; text-transform: none; margin-top: 0pt; text-indent: 0px; width: 100%; font: 10pt 'times new roman', times, serif; orphans: 2; margin-bottom: 0pt; letter-spacing: normal; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;" border="0" cellspacing="0" cellpadding="0"> <tr style="vertical-align: top;"> <td style="width: 0.25in;"></td> <td style="width: 0.25in;"><font style="font-family: symbol;">&#183;</font></td> <td style="text-align: justify;">Furniture and fixtures are determined based on third party appraisals which typically utilize a replacement cost approach.</td> </tr> </table> <p style="widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px 0pt 0.5in; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <table style="widows: 2; text-transform: none; margin-top: 0pt; text-indent: 0px; width: 100%; font: 10pt 'times new roman', times, serif; orphans: 2; margin-bottom: 0pt; letter-spacing: normal; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;" border="0" cellspacing="0" cellpadding="0"> <tr style="vertical-align: top;"> <td style="width: 0.25in;"></td> <td style="width: 0.25in;"><font style="font-family: symbol;">&#183;</font></td> <td style="text-align: justify;">Intangible assets and liabilities acquired are valued using a combination of discounted cash flow projections as well as other valuation techniques based on current market conditions for the intangible asset or liability being acquired. When evaluating below market leases we consider extension options controlled by the lessee in our evaluation. For additional information regarding above and below market leases assumed as part of an acquisition see &#8220;In-Place Leases" below.</td> </tr> </table> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px 0pt 0.5in; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <table style="widows: 2; text-transform: none; margin-top: 0pt; text-indent: 0px; width: 100%; font: 10pt 'times new roman', times, serif; orphans: 2; margin-bottom: 0pt; letter-spacing: normal; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;" border="0" cellspacing="0" cellpadding="0"> <tr style="vertical-align: top;"> <td style="width: 0.25in;"></td> <td style="width: 0.25in;"><font style="font-family: symbol;">&#183;</font></td> <td style="text-align: justify;">Other assets acquired and liabilities assumed are typically valued at stated amounts, which approximate fair value on the date of the acquisition.</td> </tr> </table> <p style="widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px 0pt 0.5in; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <table style="widows: 2; text-transform: none; margin-top: 0pt; text-indent: 0px; width: 100%; font: 10pt 'times new roman', times, serif; orphans: 2; margin-bottom: 0pt; letter-spacing: normal; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;" border="0" cellspacing="0" cellpadding="0"> <tr style="vertical-align: top;"> <td style="width: 0.25in;"></td> <td style="width: 0.25in;"><font style="font-family: symbol;">&#183;</font></td> <td style="text-align: justify;">Assumed debt balances are valued by discounting the remaining contractual cash flows using a current market rate of interest.</td> </tr> </table> <p style="widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px 0pt 0.5in; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <table style="widows: 2; text-transform: none; margin-top: 0pt; text-indent: 0px; width: 100%; font: 10pt 'times new roman', times, serif; orphans: 2; margin-bottom: 0pt; letter-spacing: normal; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;" border="0" cellspacing="0" cellpadding="0"> <tr style="vertical-align: top;"> <td style="width: 0.25in;"></td> <td style="width: 0.25in;"><font style="font-family: symbol;">&#183;</font></td> <td style="text-align: justify;">Stock based compensation and noncontrolling interests are valued using a stock price on the acquisition date.</td> </tr> </table> <p style="widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px 0pt 0.5in; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <table style="widows: 2; text-transform: none; margin-top: 0pt; text-indent: 0px; width: 100%; font: 10pt 'times new roman', times, serif; orphans: 2; margin-bottom: 0pt; letter-spacing: normal; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;" border="0" cellspacing="0" cellpadding="0"> <tr style="vertical-align: top;"> <td style="width: 0.25in;"></td> <td style="width: 0.25in;"><font style="font-family: symbol;">&#183;</font></td> <td style="text-align: justify;">Goodwill represents the purchase price in excess of the fair value of assets acquired and liabilities assumed and the cost associated with expanding our investment portfolio. Goodwill is not amortized.</td> </tr> </table> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>Asset Acquisitions</i></b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>&#160;</i></b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">On October 1, 2016, we early adopted Financial Accounting Standards Board (&#8220;FASB&#8221;) Accounting Standards Update (&#8220;ASU&#8221;) 2017-01,&#160;<i>Business Combinations-Clarifying the Definition of a Business&#160;</i>(&#8220;ASU 2017-01&#8221;), which clarifies the definition of a business with the objective of adding guidance to assist entities with evaluating whether transactions should be accounted for as business acquisitions. As a result of adopting ASU 2017-01, real estate acquisitions completed after October 1, 2016 did not meet the definition of a business combination and were deemed to be asset acquisitions. Real estate asset acquisitions completed prior to October 1, 2016 were typically deemed to be business combinations and the related acquisition costs were expensed as incurred. For asset acquisitions, assets acquired and liabilities assumed are recognized by allocating the cost of the acquisition to the individual assets acquired and liabilities assumed on a relative fair value basis and the costs of the acquisition are capitalized. The fair value of the assets acquired and liabilities assumed in an asset acquisition are determined in a consistent manner with the immediately preceding &#8220;Business Combinations&#8221; section.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>Real Estate Investments and Depreciation</i></b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">The costs of significant improvements, renovations and replacements, including interest are capitalized. In addition, we capitalize leasehold improvements when certain criteria are met, including when we supervise construction and will own the improvement. Expenditures for maintenance and repairs are charged to operations as they are incurred.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">Depreciation is computed on a straight-line basis over the estimated useful lives ranging from 20 to 40 years for buildings, eight to 15 years for site improvements, and three to ten years for furniture, fixtures and equipment. Leasehold interests are amortized over the shorter of the estimated useful life or term of the lease.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>Lease Accounting</i></b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>&#160;</i></b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">At the inception of the lease and during the amendment process, we evaluate each lease to determine if the lease should be considered an operating lease, sales-type lease, or direct financing lease. As of December 31, 2017, we have determined that all but five of our leases should be accounted for as operating leases. The other five leases are accounted for as direct financing leases.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">For leases accounted for as operating leases, we retain ownership of the asset and record depreciation expense, see &#8220;Business Combinations&#8221; and &#8220;Real Estate Investments and Depreciation&#8221; above for additional information regarding our investment in real estate leased under operating lease agreements. We also record lease revenue based on the contractual terms of the operating lease agreement which often includes annual rent escalators, see &#8220;Revenue Recognition&#8221; below for further discussion regarding the recordation of revenue on our operating leases.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">For leases accounted for as direct financing leases, we record the present value of the future minimum lease payments (utilizing a constant interest rate over the term of the lease agreement) as a receivable and record interest income based on the contractual terms of the lease agreement. Certain direct financing leases include annual rent escalators; see &#8220;Revenue Recognition&#8221; below for further discussion regarding the recording of interest income on our direct financing leases. As of December 31, 2017, we fully reserved $2.9 million of unamortized direct costs related to originating our direct financing leases. As of December 31, 2016, we have $3.3 million of unamortized direct costs related to originating our direct financing leases recorded on our Consolidated Balance Sheet.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>In-Place Leases</i></b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>&#160;</i></b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">In-place lease assets and liabilities result when we assume a lease as part of a facility purchase or business combination. The fair value of in-place leases consists of the following components, as applicable (1) the estimated cost to replace the leases, and (2) the above or below market cash flow of the leases, determined by comparing the projected cash flows of the leases in place at the time of acquisition to projected cash flows of comparable market-rate leases (referred to as Lease Intangibles). Lease intangible assets and liabilities are classified as lease contracts above and below market value, respectively, in other assets and accrued expenses and other liabilities on our Consolidated Balance Sheets, and amortized on a straight-line basis as decreases and increases, respectively, to rental income over the estimated remaining term of the underlying leases. Should a tenant terminate the lease, the unamortized portion of the lease intangible is recognized immediately as income or expense.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>&#160;</i></b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>Real Estate Investment Impairment</i></b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b>&#160;</b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">Management evaluates our real estate investments for impairment indicators at each reporting period, including the evaluation of our assets&#8217; useful lives. The judgment regarding the existence of impairment indicators is based on factors such as, but not limited to, market conditions, operator performance including the current payment status of contractual obligations and expectations of the ability to meet future contractual obligations, legal structure, as well as our intent with respect to holding or disposing of the asset. If indicators of impairment are present, management evaluates the carrying value of the related real estate investments in relation to management&#8217;s estimate of future undiscounted cash flows of the underlying facilities. The estimated future undiscounted cash flows are generally based on the related lease which relates to one or more properties and may include cash flows from the eventual disposition of the asset. In some instances, there may be various potential outcomes for a real estate investment and its potential future cash flows. In these instances, the undiscounted future cash flows used to assess the recoverability are probability-weighted based on management&#8217;s best estimates as of the date of evaluation. Provisions for impairment losses related to long-lived assets are recognized when expected future undiscounted cash flows based on our intended use of the property are determined to be less than the carrying values of the assets. An adjustment is made to the net carrying value of the real estate investments for the excess of carrying value over fair value. The fair value of the real estate investment is determined based on current market conditions and consider matters such as rental rates and occupancies for comparable properties, recent sales data for comparable properties, and, where applicable, contracts or the results of negotiations with purchasers or prospective purchasers. Additionally, our evaluation of fair value may consider valuing the property as a nursing home as well as alternative uses. All impairments are taken as a period cost at that time, and depreciation is adjusted going forward to reflect the new value assigned to the asset. Management&#8217;s impairment evaluation process, and when applicable, impairment calculations involve estimation of the future cash flows from management&#8217;s intended use of the property as well as the fair value of the property. 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The determination of the allowances is based on a quarterly evaluation of these loans, including general economic conditions and estimated collectability of loan payments. We evaluate the collectability of our loans receivable based on a combination of factors, including, but not limited to, delinquency status, financial strength of the borrower and guarantors and the value of the underlying collateral. If such factors indicate that there is greater risk of loan charge-offs, additional allowances or placement on non-accrual status may be required. A loan is impaired when, based on current information and events, it is probable that we will be unable to collect all amounts due as scheduled according to the contractual terms of the loan agreements. Consistent with this definition, all loans on non-accrual status may be deemed impaired. To the extent circumstances improve and the risk of collectability is diminished, we will return these loans to full accrual status. When management identifies potential loan impairment indicators, the loan is written down to the present value of the expected future cash flows. In cases where expected future cash flows are not readily determinable, the loan is written down to the fair value of the underlying collateral. We may base our valuation on a loan&#8217;s observable market price, if any, or the fair value of collateral, net of sales costs, if the repayment of the loan is expected to be provided solely by the sale of the collateral.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>&#160;</i></b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">We account for impaired loans and direct financing leases using (a) the cost-recovery method, and/or (b) the cash basis method. We generally utilize the cost-recovery method for impaired loans or direct financing leases for which impairment reserves were recorded. We utilize the cash basis method for impaired loans or direct financing leases for which no impairment reserves were recorded because the net present value of the discounted cash flows expected under the loan or direct financing lease and/or the underlying collateral supporting the loan or direct financing lease were equal to or exceeded the book value of the loans or direct financing leases. Under the cost-recovery method, we apply cash received against the outstanding loan balance or direct financing lease prior to recording interest income. Under the cash basis method, we apply cash received to principal or interest income based on the terms of the agreement. 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An investment is impaired only if management's estimate of the value of the investment is less than the carrying value of the investment, and such a decline in value is deemed to be other than-temporary. To the extent impairment has occurred, the loss is measured as the excess of the carrying amount of the investment over the estimated fair value of the investment. The estimated fair value of the investment is determined using a discounted cash flow model which is a Level 3 valuation. We consider a number of assumptions that are subject to economic and market uncertainties including, among others, rental rates, operating costs, capitalization rates, holding periods and discount rates.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">No impairment loss on our investment in unconsolidated joint venture was recognized during the years ended December 31, 2017 or 2016.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>&#160;</i></b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>Assets Held for Sale</i></b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>&#160;</i></b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">We consider properties to be assets held for sale when (1) management commits to a plan to sell the property; (2) it is unlikely that the disposal plan will be significantly modified or discontinued; (3) the property is available for immediate sale in its present condition; (4) actions required to complete the sale of the property have been initiated; (5) sale of the property is probable and we expect the completed sale will occur within one year; and (6) the property is actively being marketed for sale at a price that is reasonable given our estimate of current market value. Upon designation of a property as an asset held for sale, we record the property's value at the lower of its carrying value or its estimated fair value, less estimated costs to sell, and we cease depreciation.</p> <p style="widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>&#160;</i></b><b><i>&#160;</i></b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>Cash and Cash Equivalents</i></b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b>&#160;</b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">Cash and cash equivalents consist of cash on hand and highly liquid investments with a maturity date of three months or less when purchased. 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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 or renewal of the lease, and are amortized as a reduction of rental revenue over the non-cancellable lease term.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">On a quarterly basis, we review our accounts receivable to determine their collectability. The determination of collectability of these assets requires significant judgment and is affected by several factors relating to the credit quality of our operators that we regularly monitor, including (i) payment history, (ii) the age of the contractual receivables, (iii) the current economic conditions and reimbursement environment, (iv) the ability of the tenant to perform under the terms of their lease and/or contractual loan agreements and (v) the value of the underlying collateral of the agreement. If we determine collectability of any of our contractual receivables is at risk, we estimate the potential uncollectible amounts and provide an allowance. In the case of a lease recognized on a straight-line basis, a loan recognized on an effective yield basis or the existence of lease inducements, we generally provide an allowance for straight-line, effective interest, and or lease inducement accounts receivable when certain conditions or indicators of adverse collectability are present. 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Two of these operators are considered top ten operators as determined based on total revenue for the year ended December 31, 2017. 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This transaction closed in 2016.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>Goodwill Impairment</i></b></p> <p style="widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b>&#160;</b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">We assess goodwill for potential impairment during the fourth quarter of each fiscal year, or during the year if an event or other circumstance indicates that we may not be able to recover the carrying amount of the net assets of the reporting unit. In evaluating goodwill for impairment on an interim basis, we assess qualitative factors&#160;<font style="font-family: 'times new roman', times, serif;">such as a&#160;</font>significant decline in real estate valuations,&#160;<font style="font-family: 'times new roman', times, serif;">current macroeconomic conditions, state of the equity and capital markets and our overall financial and operating performance&#160;</font>or a significant decline in the value of our market capitalization, to determine whether it is more likely than not (that is, a likelihood of more than 50 percent) that the fair value of&#160;the reporting unit is less than its carrying amount. 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As the Company has only one reporting unit, the fair value of the reporting unit is determined by reference to the market capitalization of the Company as determined through quoted market prices and adjusted for other relevant factors. A potential impairment exists if the fair value of the reporting unit is lower than its net book value. The second step (&#8220;Step 2&#8221;) of the process is only performed if a potential impairment exists, and it involves determining the difference between the fair value of the reporting unit's net assets other than goodwill and the fair value of the reporting unit. If the difference is less than the net book value of goodwill, impairment exists and is recorded. The Company has not been required to perform Step 2 of the process because the fair value of the reporting unit has significantly exceeded its book value at the measurement date. There was no impairment of goodwill during 2017, 2016, or 2015.</font></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>Income Taxes</i></b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">Omega and its wholly owned subsidiaries were organized to qualify for taxation as a REIT under Section 856 through 860 of the Internal Revenue Code (&#8220;Code&#8221;). As long as we qualify as a REIT; we will not be subject to federal income taxes on the REIT taxable income that we distributed to stockholders, subject to certain exceptions. However, with respect to certain of our subsidiaries that have elected to be treated as taxable REIT subsidiaries (&#8220;TRSs&#8221;), we record income tax expense or benefit, as those entities are subject to federal income tax similar to regular corporations. Omega OP is a pass through entity for United States federal income tax purposes.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">We account for deferred income taxes using the asset and liability method and recognize deferred tax assets and liabilities for the expected future tax consequences of events that have been included in our financial statements or tax returns. Under this method, we determine deferred tax assets and liabilities based on the differences between the financial reporting and tax bases of assets and liabilities using enacted tax rates in effect for the year in which the differences are expected to reverse. Any increase or decrease in the deferred tax liability that results from a change in circumstances, and that causes us to change our judgment about expected future tax consequences of events, is included in the tax provision when such changes occur. Deferred income taxes also reflect the impact of operating loss and tax credit carryforwards. A valuation allowance is provided if we believe it is more likely than not that all or some portion of the deferred tax asset will not be realized. Any increase or decrease in the valuation allowance that results from a change in circumstances, and that causes us to change our judgment about the realizability of the related deferred tax asset, is included in the tax provision when such changes occur.</p> <p style="widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>Revenue Recognition</i></b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>&#160;</i></b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">We have various different investments that generate revenue, including leased and mortgaged properties, as well as other investments, including working capital loans. We recognize rental income and other investment income as earned over the terms of the related leases and notes, respectively. Interest income is recorded on an accrual basis to the extent that such amounts are expected to be collected using the effective interest method. In applying the effective interest method, the effective yield on a loan is determined based on its contractual payment terms, adjusted for prepayment terms.</p> <p style="widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">Substantially all of our operating leases contain provisions for specified annual increases over the rents of the prior year and are generally computed in one of three methods depending on specific provisions of each lease as follows: (i) a specific annual increase over the prior year&#8217;s rent, generally between 2.0% and 3.0%; (ii) an increase based on the change in pre-determined formulas from year to year (e.g. increases in the Consumer Price Index); or (iii) specific dollar increases over prior years. Revenue under lease arrangements with minimum fixed and determinable increases is recognized over the non-cancellable term of the lease on a straight-line basis. The authoritative guidance does not provide for the recognition of contingent revenue until all possible contingencies have been eliminated. We consider the operating history of the lessee, the payment history, the general condition of the industry and various other factors when evaluating whether all possible contingencies have been eliminated.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">In the case of rental revenue recognized on a straight-line basis, we generally record reserves against earned revenues from leases when collection becomes questionable or when negotiations for restructurings of troubled operators result in significant uncertainty regarding ultimate collection. The amount of the reserve is estimated based on what management believes will likely be collected. We continually evaluate the collectability of our straight-line rent assets. If it appears that we will not collect future rent due under our leases, we will record a provision for loss related to the straight-line rent asset.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">We record direct financing lease income on a constant interest rate basis over the term of the lease. The costs related to originating the direct financing leases have been deferred and are being amortized on a straight-line basis as a reduction to income from direct financing leases over the term of the direct financing leases. Allowances are provided against earned revenues from direct financing leases when collection of amounts due becomes questionable or when negotiations for restructurings of troubled operators lead to lower expectations regarding ultimate collection.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">Mortgage interest income and other investment income is recognized as earned over the terms of the related mortgage notes or other investment, typically using the effective yield method. Allowances are provided against earned revenues from mortgage interest or other investments when collection of amounts due becomes questionable or when negotiations for restructurings of troubled operators lead to lower expectations regarding ultimate collection.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">Gains and losses on sales of real estate assets are recognized in accordance with the authoritative guidance for sales of real estate. The specific timing of the recognition of the sale and the related gain is measured against the various criteria in the guidance related to the terms of the transactions and any continuing involvement associated with the assets sold. To the extent the sales criteria are not met, we defer gain recognition until the sales criteria are met.</p> <p style="widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>&#160;</i></b></p> <p style="widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>Stock-Based Compensation</i></b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">We recognize stock-based compensation expense adjusted for estimated forfeitures to employees and directors, in general and administrative in our Consolidated Statements of Operations on a straight-line basis over the requisite service period of the awards.</p> <p style="widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>&#160;</i></b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>Deferred Financing Costs and Original Issuance Premium and/or Discounts for Debt Issuance</i></b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">External costs incurred from the placement of our debt are capitalized and amortized on a straight-line basis over the terms of the related borrowings which approximates the effective interest method. Deferred financing costs related to our revolving line of credit are included in other assets on our Consolidated Balance Sheets and deferred financing costs related to our other borrowings are included as a direct deduction from the carrying amount of the related debt liability on our Consolidated Balance Sheets. Original issuance premium or discounts reflect the difference between the face amount of the debt issued and the cash proceeds received and are amortized on a straight-line basis over the term of the related borrowings. All premiums and discounts are recorded as an addition to or reduction from debt on our Consolidated Balance Sheets. Amortization of deferred financing costs and original issuance premiums or discounts totaled $9.5 million, $9.3 million and $7.0 million in 2017, 2016 and 2015, respectively, and are classified as interest - amortization of deferred financing costs on our Consolidated Statements of Operations. When financings are terminated, unamortized deferred financing costs and unamortized premiums or discounts, as well as charges incurred for the termination, are recognized as expense or income at the time the termination is made. Gains and losses from the extinguishment of debt are presented in interest-refinancing costs on our Consolidated Statements of Operations.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>&#160;</i></b><b><i>&#160;</i></b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>Earnings Per Share/Unit</i></b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b>&#160;</b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">The computation of basic earnings per share/unit (&#8220;EPS&#8221; or &#8220;EPU&#8221;) is computed by dividing net income available to common stockholders/Omega OP Unit holders by the weighted-average number of shares of common stock/units outstanding during the relevant period. Diluted EPS/EPU is computed using the treasury stock method, which is net income divided by the total weighted-average number of common outstanding shares/Omega OP Units plus the effect of dilutive common equivalent shares/Omega OP Units during the respective period. Dilutive common shares reflect the assumed issuance of additional common shares/Omega OP Units pursuant to certain of our share-based compensation plans, including stock options, restricted stock and performance restricted stock units and the assumed issuance of additional shares related to Omega OP Units held by outside investors. Dilutive Omega OP Units reflect the assumed issuance of additional Omega OP Units pursuant to certain of our share-based compensation plans, including stock options, restricted stock and performance restricted stock.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b>&#160;</b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>Redeemable Limited Partnership Unitholder Interests and Noncontrolling Interests</i></b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">As of April 1, 2015 and after giving effect to the Aviv Merger, the Company owned approximately 138.8 million Omega OP Units and Aviv OP owned approximately 52.9 million Omega OP Units. Each of the Omega OP Units (other than the Omega OP Units owned by Omega) is redeemable at the election of the Omega OP Unit holder for cash equal to the then-fair market value of one share of Omega common stock, par value $0.10 per share (&#8220;Omega Common Stock&#8221;), subject to the Company&#8217;s election to exchange the Omega OP Units tendered for redemption for unregistered shares of Omega Common Stock on a one-for-one basis, subject to adjustment as set forth in the Partnership Agreement.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">Effective June 30, 2015, Omega (through OHI Holdco, in its capacity as the general partner of Aviv OP) caused Aviv OP to make a distribution of Omega OP Units held by Aviv OP (or equivalent value) to Aviv OP investors (the &#8220;Aviv OP Distribution&#8221;) in connection with the liquidation of Aviv OP. As a result of the Aviv OP Distribution, Omega directly and indirectly owned approximately 95% of the outstanding Omega OP Units, and the other investors owned approximately 5% of the outstanding Omega OP Units at that time. As a part of the Aviv OP Distribution, Omega settled approximately 0.2 million units via cash settlement. As of December 31, 2017, Omega owns approximately 96% of the issued and outstanding Omega OP Units, and investors own approximately 4% of the outstanding Omega OP Units.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>Noncontrolling Interests</i></b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">Noncontrolling interests is the portion of equity not attributable to the respective reporting entity. We present the portion of any equity that we do not own in consolidated entities as noncontrolling interests and classify those interests as a component of total equity, separate from total stockholders&#8217; equity, or owners&#8217; equity on our Consolidated Balance Sheets. We include net income (loss) attributable to the noncontrolling interests in net income in our Consolidated Statements of Operations.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">As our ownership of a controlled subsidiary increases or decreases, any difference between the aggregate consideration paid to acquire the noncontrolling interests and our noncontrolling interest balance is recorded as a component of equity in additional paid-in capital, so long as we maintain a controlling ownership interest.</p> <p style="text-align: justify; widows: 2; text-transform: none; background-color: white; text-indent: 24.5pt; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">The noncontrolling interest for Omega represents the outstanding Omega OP Units held by outside investors.</p> <p style="text-align: justify; widows: 2; text-transform: none; background-color: white; text-indent: 24.5pt; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>Foreign Operations</i></b></p> <p style="widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">The U.S. dollar is the functional currency for our consolidated subsidiaries operating in the U.S. The functional currency for our consolidated subsidiaries operating in the U.K. is the British Pound. For our consolidated subsidiaries whose functional currency is not the U.S. dollar, we translate their financial statements into the U.S. dollar. We translate assets and liabilities at the exchange rate in effect as of the financial statement date. Revenue and expense accounts are translated using an average exchange rate for the period. Gains and losses resulting from translation are included in Omega OP&#8217;s owners&#8217; equity and Omega&#8217;s accumulated other comprehensive loss (&#8220;AOCL&#8221;), as a separate component of equity and a proportionate amount of gain or loss is allocated to noncontrolling interests.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">We and certain of our consolidated subsidiaries may have intercompany and third-party debt that is not denominated in the entity&#8217;s functional currency. When the debt is remeasured against the functional currency of the entity, a gain or loss can result. The resulting adjustment is reflected in results of operations, unless it is intercompany debt that is deemed to be long-term in nature in which case the adjustments are included in Omega OP&#8217;s owners&#8217; equity and Omega&#8217;s AOCL.</p> <p style="widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>Derivative Instruments</i></b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>&#160;</i></b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><i>Cash flow hedges</i></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><i>&#160;</i></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">During our normal course of business, we may use certain types of derivative instruments for the purpose of managing interest rate and currency risk. To qualify for hedge accounting, derivative instruments used for risk management purposes must effectively reduce the risk exposure that they are designed to hedge. In addition, at the inception of a qualifying cash flow hedging relationship, the underlying transaction or transactions, must be, and are expected to remain, probable of occurring in accordance with the Company&#8217;s related assertions. The Company recognizes all derivative instruments, including embedded derivatives required to be bifurcated, as assets or liabilities on the Consolidated Balance Sheets at fair value which is determined using a market approach and Level 2 inputs. Changes in the fair value of derivative instruments that are not designated in hedging relationships or that do not meet the criteria of hedge accounting are recognized in earnings. For derivatives designated as qualifying cash flow hedging relationships, the change in fair value of the effective portion of the derivatives is recognized in Omega OP&#8217;s owners&#8217; equity and Omega&#8217;s AOCL as a separate component of equity and a proportionate amount of gain or loss is allocated to noncontrolling interest, whereas the change in fair value of the ineffective portion is recognized in earnings. We formally document all relationships between hedging instruments and hedged items, as well as our risk-management objectives and strategy for undertaking various hedge transactions. This process includes designating all derivatives that are part of a hedging relationship to specific forecasted transactions as well as recognized liabilities or assets on the Consolidated Balance Sheets. We also assess and document, both at inception of the hedging relationship and on a quarterly basis thereafter, whether the derivatives are highly effective in offsetting the designated risks associated with the respective hedged items. If it is determined that a derivative ceases to be highly effective as a hedge, or that it is probable the underlying forecasted transaction will not occur, we discontinue hedge accounting prospectively and record the appropriate adjustment to earnings based on the current fair value of the derivative. As a matter of policy, we do not use derivatives for trading or speculative purposes. At December 31, 2017, $1.5 million of qualifying cash flow hedges were recorded at fair value in other assets and at December 31, 2016, $1.5 million of qualifying cash flow hedges were recorded at fair value in accrued expenses and other liabilities on our Consolidated Balance Sheets.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><i>Net investment hedge</i></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b>&#160;</b></p> <p style="text-align: justify; widows: 2; text-transform: none; background-color: white; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">We use the spot method to measure the effectiveness of our net investment hedge. Under this method, for each reporting period, the change in the carrying value of the hedging instrument due to remeasurement of the effective portion is reported in Omega OP&#8217;s owners&#8217; equity and Omega&#8217;s AOCL in our Consolidated Balance Sheets and the remaining change in the carrying value of the ineffective portion, if any, is recognized in earnings. We evaluate the effectiveness of our net investment hedge on a quarterly basis. We did not record any ineffectiveness during 2017.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>Related Party Transactions</i></b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b>&#160;</b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">The Company has a policy which generally requires related party transactions to be approved or ratified by the Audit Committee. On February 1, 2016, we acquired 10 SNFs from Laurel Healthcare Holdings, Inc. (&#8220;Laurel&#8221;) for approximately $169.0 million in cash and leased them to an unrelated existing operator. A former member of the Board of Directors of the Company, together with certain members of his immediate family, beneficially owned approximately 34% of the equity of Laurel prior to the transaction. 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ASU 2016-09 amends the accounting for share-based payment transactions, including the income tax consequences, classification of awards as either equity or liabilities and classification on the statement of cash flows. This guidance is effective for annual and interim reporting periods of public entities beginning after December 15, 2016. We adopted this accounting standard on January 1, 2017, at which time the Company began prospectively accounting for excess tax benefits or tax deficiencies as an adjustment to income tax expense in our Consolidated Statements of Operations as opposed to the prior requirement that these excess tax benefits be recognized in additional paid-in capital and tax deficiencies be recognized either as an offset to accumulated excess tax benefits, if any, or in the income statement. The Company will continue to account for forfeitures as they occur and present employee taxes paid as a financing activity on our Consolidated Statements of Cash Flows. The adoption of this accounting standard did not have a material impact on our consolidated financial statements.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">During the fourth quarter of 2017, we adopted ASU 2016-18,&#160;<i>Statement of Cash Flows (Topic 230) Restricted Cash</i>&#160;(&#8220;ASU 2016-18&#8221;). ASU 2016-18 requires restricted cash balances be included along with cash and cash equivalents as of the end of the period and the beginning of period, respectively, in the Company's consolidated statement of cash flows for all periods presented. We have retrospectively adjusted the presentation of restricted cash on the Company&#8217;s Consolidated Statement of Cash Flows for all prior periods presented, as required. There is no impact to the Company&#8217;s net assets, net income or retained earnings in any period presented. Total net cash provided by operating activities decreased in 2016 and 2015 by approximately $1.0 million and $14.5 million, respectively, with a corresponding increase to the change in cash, cash equivalents and restricted cash for the years ended 2016 and 2015.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">During the fourth quarter of 2017, we adopted ASU 2016-15,&#160;<i>Statement of Cash Flows (Topic 230) Classification of Certain Cash Receipts and Cash Payments</i>&#160;(&#8220;ASU 2016-15&#8221;). ASU 2016-15 eliminates the diversity in practice related to the classification of certain cash receipts and payments in a company&#8217;s statement of cash flows for debt prepayment or extinguishment costs, the maturing of a zero coupon bond, the settlement of contingent liabilities arising from a business combination, proceeds from insurance settlements, distributions from certain equity method investees and beneficial interests obtained in a financial asset securitization. Historically, the Company has classified the receipt and reinvestment of property insurance proceeds as an operating activity in its statement of cash flows. The receipt and reinvestment of property insurance proceeds in 2016 and 2015 was immaterial to the Company&#8217;s financial statements and not adjusted. 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ASU 2014-09 states that &#8220;an entity recognizes revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services.&#8221; While ASU 2014-09 specifically references contracts with customers, it may apply to certain other transactions such as the sale of real estate or equipment. ASU 2014-09 is effective for the Company beginning January 1, 2018. In addition, the FASB has begun to issue targeted updates to clarify specific implementation issues of ASU 2014-09. These updates include ASU 2016-08,&#160;<i>Principal versus Agent Considerations (Reporting Revenue Gross versus Net),</i>&#160;ASU 2016-10,&#160;<i>Identifying Performance Obligations and Licensing,</i>&#160;and ASU 2016-12,&#160;<i>Narrow-Scope Improvements and Practical Expedients.&#160;</i>As a result of adopting ASU 2014-09 and its updates on January 1, 2018, the Company will recognize $10.0 million of deferred gain resulting from the sale of facilities to a third party in December 2017 through retained earnings on January 1, 2018. The Company intends to adopt ASU 2014-09 and its subsequent updates in accordance with the modified retrospective approach. The Company has completed its analysis of ASU 2014-09 and its related updates and has determined that its adoption will not have a material impact on our consolidated financial statements, as a substantial portion of our revenue consists of rental income from leasing arrangements and interest income from loan arrangements, both of which are specifically excluded from ASU 2014-09 and its updates.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">In February 2016, the FASB issued ASU 2016-02,&#160;<i>Leases&#160;</i>(&#8220;ASU 2016-02&#8221;), which amends the existing accounting standards for lease accounting, including requiring lessees to recognize most leases on their balance sheets and making targeted changes to lessor accounting. ASU 2016-02 will be effective for the Company beginning January 1, 2019. Early adoption of ASU 2016-02 as of its issuance is permitted. The new standard requires a modified retrospective transition approach for all leases existing at, or entered into after, the date of initial application, with an option to use certain transition relief. As a result of the pending adoption of ASU 2016-02 and in connection with the pending adoption of ASU 2014-09, the Company may be required to record real estate tax revenues and an equal and offsetting real estate tax expense, as a result of our operators paying real estate taxes on our behalf. We are continuing to evaluate the other impacts of adopting ASU 2016-02 on our consolidated financial statements.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">In June 2016, the FASB issued ASU 2016-13,&#160;<i>Financial Instruments - Credit Losses (Topic 326</i>) (&#8220;ASU 2016-13&#8221;), which changes the impairment model for most financial assets. The new model uses a forward-looking expected loss method, which will generally result in earlier recognition of allowances for losses. ASU 2016-13 is effective for annual and interim periods beginning after December 15, 2019 and early adoption is permitted for annual and interim periods beginning after December 15, 2018. We are currently evaluating the impact of adopting ASU 2016-13 on our consolidated financial statements.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;<b>&#160;</b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">In August 2017 the FASB issued ASU 2017-12,&#160;<i>Derivatives and Hedging: Targeted Improvements to Accounting for Hedging Activities&#160;</i>(&#8220;ASU 2017-12&#8221;). The purpose of this updated guidance is to better align the financial reporting for hedging activities with the economic objectives of those activities. The transition guidance provides companies with the option of early adopting the new standard using a modified retrospective transition method in any interim period after issuance of the update, or alternatively requires adoption for fiscal years beginning after December 15, 2018. This adoption method will require the Company to recognize the cumulative effect of initially applying ASU 2017-12 as an adjustment to accumulated other comprehensive income (loss) with a corresponding adjustment to the opening balance of retained earnings as of the beginning of the fiscal year that an entity adopts the update. While the Company continues to assess all potential impacts of the standard, we do not expect the adoption of ASU 2017-12 to have a material impact on our consolidated financial statements.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b>NOTE 3 &#8211; PROPERTIES</b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b>&#160;</b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>Leased Property</i></b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b>&#160;</b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">Our leased real estate properties, represented by 735 SNFs, 118 ALFs, 15 specialty facilities and one medical office building at December 31, 2017, are leased under provisions of single or master operating leases with initial terms typically ranging from 5 to 15 years, plus renewal options. Also see Note 4 &#8211; Direct Financing Leases for information regarding additional properties accounted for as direct financing leases. Substantially all of the single leases and master leases provide for minimum annual rentals that are typically subject to annual increases. 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As part of the transaction, we acquired title to the 23 care homes with 1,018 registered beds and leased them back to Healthcare Homes pursuant to a 12-year master lease agreement with an initial annual cash yield of 7%, and annual escalators of 2.5%. The care homes, comparable to ALFs in the U.S., are located throughout the East Anglia region (north of London) of the U.K. Healthcare Homes is headquartered in Colchester (Essex County), England. We recorded approximately $193.8 million of assets consisting of land ($20.7 million), building and site improvements ($152.1 million), furniture and fixtures ($5.3 million) and goodwill ($15.7 million). 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Under the terms of the Merger Agreement, each outstanding share of Aviv common stock was converted into 0.90 of a share of Omega Common Stock. In connection with the Aviv Merger, Omega issued approximately 43.7 million shares of Omega Common Stock to former Aviv stockholders. As a result of the Aviv Merger, Omega acquired 342 facilities, two facilities subject to direct financing leases, one medical office building, two mortgages and other investments. Omega also assumed certain outstanding equity awards and other debt and liabilities. 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In addition, we recorded impairments on real estate properties of approximately $63.5 million on 32 facilities (two were subsequently reclassified to held for sale). 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In addition, we recorded impairments on real estate properties of approximately $99.1 million on 37 facilities including approximately $2.6 million of capitalized costs associated with the termination of construction projects with two of our operators. 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The ten SNFs with a carrying value of approximately $23.2 million were sold to a third-party for approximately $43.3 million, resulting in a total gain of approximately $17.5 million after $2.6 million of closing costs. In connection with this sale, we provided the buyer a $10.0 million loan which is recorded in other investments on our Consolidated Balance Sheet. We recognized a net gain of approximately $7.5 million in 2017 and deferred $10.0 million of gain related to this sale. The $10.0 million of deferred gain is recorded as a reduction to our other investments on our Consolidated Balance Sheet. 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border-right-color: black; border-bottom-color: black; border-right-width: 2px; border-bottom-width: 2px; border-right-style: solid; border-bottom-style: solid;"> <p style="margin: 0pt 0px;">$2,654</p> </td> <td style="text-align: center; padding-bottom: 1pt; border-right-color: black; border-bottom-color: black; border-right-width: 2px; border-bottom-width: 2px; border-right-style: solid; border-bottom-style: solid;"> <p style="margin: 0pt 0px;">$2,686</p> </td> <td style="text-align: center; padding-bottom: 1pt; border-right-color: black; border-bottom-color: black; border-right-width: 2px; border-bottom-width: 2px; border-right-style: solid; border-bottom-style: solid;"> <p style="margin: 0pt 0px;">$2,629</p> </td> <td style="text-align: center; padding-bottom: 1pt; border-right-color: black; border-bottom-color: black; border-right-width: 2px; border-bottom-width: 2px; border-right-style: solid; border-bottom-style: solid;"> <p style="margin: 0pt 0px;">$2,680</p> </td> </tr> </table> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px 0px 0px 49.5pt; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><sup>&#160;</sup></p> <table style="widows: 2; text-transform: none; margin-top: 0px; text-indent: 0px; width: 100%; font: 10pt 'times new roman', times, serif; orphans: 2; margin-bottom: 0px; letter-spacing: normal; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial; font-size-adjust: none;" border="0" cellspacing="0" cellpadding="0"> <tr style="vertical-align: top;"> <td style="width: 31.5pt;"></td> <td style="width: 18pt;"><sup>(1)</sup></td> <td style="text-align: justify;"> <p style="margin: 0pt 0px;">Orianna has been excluded from the contractual minimum rent payments due under our direct financing leases. See below for additional information.</p> </td> </tr> </table> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><i>&#160;</i></p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">On November 27, 2013, we closed an aggregate $529 million purchase/leaseback transaction in connection with the acquisition of Ark Holding Company, Inc. (&#8220;Ark Holding&#8221;) by 4 West Holdings Inc. At closing, we acquired 55 SNFs and 1 ALF operated by Ark Holding and leased the facilities back to Ark Holding, now known as New Ark Investment Inc. (&#8220;New Ark&#8221; which does business as &#8220;Orianna Health Systems&#8221; and is herein referred to as &#8220;Orianna&#8221;), pursuant to four 50-year master leases with rental payments yielding 10.6% per annum over the term of the leases. The purchase/leaseback transaction is being accounted for as a direct financing lease.</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">The lease agreements allow the tenant the right to purchase the facilities for a bargain purchase price plus closing costs at the end of the lease term. In addition, commencing in the 41st year of each lease, the tenant will have the right to prepay the remainder of its obligations thereunder for an amount equal to the sum of the unamortized portion of the original aggregate $529 million investment plus the net present value of the remaining payments under the lease and closing costs. In the event the tenant exercises either of these options, we have the right to purchase the properties for fair value at the time.</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">In 2017, we sold eight of these facilities, with a carrying value of approximately $36.4 million for approximately $33.3 million to unrelated third parties. These facilities were subject to direct financing leases with Orianna in the Northwest region and the Southeast region. We recorded approximately $3.3 million of impairment related to these sales. In addition, we transitioned nine SNFs, representing all of the facilities subject to another direct financing lease with Orianna in the Texas region, to an existing operator of the Company pursuant to an operating lease. In connection with this transaction, we recorded the real estate properties at our original cost basis of approximately $19.0 million, eliminated our investment in the direct financing lease and recorded an impairment of approximately $1.8 million. In conjunction with this transaction, we also amended our Orianna Southeast region master lease to reduce the outstanding balance by $19.3 million. As a result of the amendment, we recorded impairment on our investment in direct financing lease of approximately $20.8 million.</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">Orianna has not satisfied the contractual payments due under the terms of the remaining two direct financing leases or the separate operating lease with the Company and the collectability of future amounts due is uncertain. The Company is in continuing discussions with Orianna regarding the Orianna portfolio. The outcome of such negotiations may include the sale of some facilities and transitioning certain facilities from Orianna to other operators.</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"></p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">In 2017, we recorded an allowance for loss on direct financing leases of $172.2 million with Orianna covering 38 facilities in the Southeast region of the U.S. The amount of the allowance was determined based on the fair value of the facilities subject to the direct financing lease. To estimate the fair value of the underlying collateral, we utilized an income approach and Level 3 inputs. Our estimate of fair value assumed annual rents ranging between $32.0 million and $38.0 million, rental yields between 9% and 10%, current and projected operating performance of the facilities, coverage ratios and bed values. Such assumptions are subject to change based on changes in market conditions and the ultimate resolution of this matter. Such changes could be significantly different than the currently estimated fair value and such differences could have a material impact on our financial statements.</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">The 38 facilities under our master leases with Orianna as of December 31, 2017 are located in seven states, predominantly in the southeastern U.S. (37 facilities) and Indiana (1 facility). Our recorded investment in these direct financing leases, net of the $172.2 million allowance, amounted to $337.7 million, as of December 31, 2017. We have not recognized any direct financing lease income from Orianna for the period from July 1, 2017 through December 31, 2017. For the year ended December 31, 2017, we recognized a total impairment of $198.2 million on direct financing leases.</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">Additionally, we own four facilities and lease them to Orianna under a master lease which expires in 2026. The four facility lease is being accounted for as an operating lease. We have not recognized any income on this operating lease for the period from July 1, 2017 through December 31, 2017, as Orianna did not pay the contractual amounts due and collectability is uncertain. Our recorded investment in this operating lease was $38.4 million as of December 31, 2017. 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The mortgage notes are secured by first mortgage liens on the borrowers' underlying real estate and personal property. The mortgage notes receivable relate to facilities located in ten states, operated by seven independent healthcare operating companies. 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margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p><table style="font: 10pt/normal 'times new roman', times, serif; width: 85%; text-transform: none; text-indent: 0px; letter-spacing: normal; margin-left: 0.5in; word-spacing: 0px; border-collapse: collapse; orphans: 2; widows: 2; font-size-adjust: none; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;" border="0" cellspacing="0" cellpadding="0"><tr style="vertical-align: bottom;"><td nowrap="nowrap">&#160;</td><td style="font-weight: bold;">&#160;</td><td style="text-align: center; font-weight: bold; border-bottom-color: black; border-bottom-width: 2px; border-bottom-style: solid;" colspan="6" nowrap="nowrap">December 31,</td><td style="font-weight: bold;">&#160;</td></tr><tr style="vertical-align: bottom;"><td nowrap="nowrap">&#160;</td><td style="font-weight: bold;">&#160;</td><td style="text-align: center; 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vertical-align: top;"><td style="width: 0.5in;"></td><td style="width: 0.25in; text-align: left;"><sup>(1)</sup></td><td style="text-align: justify;">Other mortgage notes outstanding have stated interest rates ranging from 8.35% to 14.0% per annum and maturity dates through 2029.</td></tr></table><table style="font: 10pt/normal 'times new roman', times, serif; width: 100%; text-transform: none; text-indent: 0px; letter-spacing: normal; margin-top: 0px; margin-bottom: 0px; word-spacing: 0px; orphans: 2; widows: 2; font-size-adjust: none; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;" border="0" cellspacing="0" cellpadding="0"><tr style="text-align: justify; vertical-align: top;"><td style="width: 0.5in;"></td><td style="width: 0.25in; text-align: left;"><sup>(2)</sup></td><td style="text-align: justify;">The allowance for loss on mortgage notes receivable relates to one mortgage with an operator. 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We received proceeds of approximately $47.8 million for the mortgage notes due. In connection with the repayment of the mortgage notes we recognized a net gain of approximately $5.4 million which is recorded in mortgage interest income on our Consolidated Statement of Operations. The remaining $36.0 million interest only mortgage is secured by three facilities located in Maryland. The interest rate will accrue at a fixed rate of 11% per annum through April 2018. After April 2018, the interest rate will increase to 13.75% per annum. The initial maturity date was extended to December 2028. The mortgage is cross-defaulted and cross-collateralized with our existing master lease and other investment notes with the operator.</p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><i>&#160;</i></p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><i>$415 Million of Refinancing/Consolidating Mortgage Loans due 2029</i></p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><i>&#160;</i></p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">On June 30, 2014, we entered into an agreement to refinance/consolidate $117 million in existing mortgages with maturity dates ranging from 2021 to 2023 on 17 facilities into one mortgage and simultaneously provide mortgage financing for an additional 14 facilities. The original $415 million mortgage matures in 2029 and was secured by 31 facilities. The new loan bore an initial annual cash interest rate of 9.0% that increases by 0.225% per year (e.g., beginning in year 2 the annual cash interest rate was 9.225%, in year 3 the annual cash interest rate was 9.45%, etc.). The mortgage is cross-defaulted and cross-collateralized with our existing master lease and other investment notes with the operator.</p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><i>&#160;</i></p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><i>Conversion of Mortgage Notes due 2046 to Leased Properties</i></p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">In January 2016, we acquired three facilities via a deed-in-lieu of foreclosure from a mortgagor. 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For the years ended December 31, 2017 and 2016, we recognized $2.0 million and $0.3 million, respectively, of asset management fees. These fees are included in miscellaneous income in the accompanying Consolidated Statements of Operations. 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vertical-align: top;"><td style="width: 0.75in;"></td><td style="width: 0.25in; text-align: left;"><sup>(1)</sup></td><td style="text-align: justify;">In 2016, we sold 21 SNFs for approximately $86.7 million in net proceeds recognizing gains on sales of approximately $16.5 million. 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Two SNFs and one ALF classified as assets held for sale in the second quarter were no longer considered held for sale and were reclassified in the third quarter back to leased properties at their fair values (approximately $7.0 million).</td></tr></table><table style="font: 10pt/normal 'times new roman', times, serif; width: 100%; text-transform: none; text-indent: 0px; letter-spacing: normal; margin-top: 0px; margin-bottom: 0px; word-spacing: 0px; orphans: 2; widows: 2; font-size-adjust: none; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;" border="0" cellspacing="0" cellpadding="0"><tr style="text-align: justify; vertical-align: top;"><td style="width: 0.75in;"></td><td style="width: 0.25in; text-align: left;"><sup>(2)</sup></td><td style="text-align: justify;">In 2016, we reclassified ten ALFs and 31 SNFs to assets held for sale (including the two SNFs and one ALF mentioned above that were reclassified back to leased properties in the third quarter). 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One SNF classified as an asset held for sale at December 31, 2016 was no longer considered held for sale during the first quarter of 2017 and was reclassified back to leased properties at approximately $5.1 million which represents the facility&#8217;s then carrying value adjusted for depreciation that was not recognized while classified as held for sale.</td></tr></table><table style="font: 10pt/normal 'times new roman', times, serif; width: 100%; text-transform: none; text-indent: 0px; letter-spacing: normal; margin-top: 0px; margin-bottom: 0px; word-spacing: 0px; orphans: 2; widows: 2; font-size-adjust: none; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;" border="0" cellspacing="0" cellpadding="0"><tr style="text-align: justify; vertical-align: top;"><td style="width: 0.75in;"></td><td style="width: 0.25in; text-align: left;"><sup>(4)</sup></td><td style="text-align: justify;">In 2017, we reclassified one ALF, one specialty facility and 17 SNFs to assets held for sale. 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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.</p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">For the years ended December 31, 2017, 2016 and 2015, our net amortization related to intangibles was $11.9 million, $14.0 million and $13.8 million, respectively. The estimated net amortization related to these intangibles for the subsequent five years is as follows: 2018 &#8211; $10.1 million; 2019 &#8211; $8.9 million; 2020 &#8211; $8.8 million; 2021 &#8211; $8.2 million; 2022 - $7.5 million and $31.6 million thereafter. 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vertical-align: top;"> <td style="width: 0.5in;"></td> <td style="width: 0.25in; text-align: left;"><sup>(1)</sup></td> <td style="text-align: justify;">Reflects the weighted average annual contractual interest rate on the mortgages at December 31, 2017 excluding a third-party administration fee of approximately 0.5% annually. Secured by real estate assets with a net carrying value of $62.0 million as of December 31, 2017. This borrowing was incurred by wholly owned subsidiaries of Omega OP.</td> </tr> </table> <table style="widows: 2; text-transform: none; margin-top: 0px; text-indent: 0px; width: 100%; font: 10pt 'times new roman', times, serif; orphans: 2; margin-bottom: 0px; letter-spacing: normal; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial; font-size-adjust: none;" border="0" cellspacing="0" cellpadding="0"> <tr style="vertical-align: top;"> <td style="width: 0.5in;"></td> <td style="width: 18pt;"><sup>(2)</sup></td> <td>These amounts represent borrowings that were incurred by Omega OP or wholly owned subsidiaries of Omega OP.</td> </tr> </table> <table style="widows: 2; text-transform: none; margin-top: 0px; text-indent: 0px; width: 100%; font: 10pt 'times new roman', times, serif; orphans: 2; margin-bottom: 0px; letter-spacing: normal; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial; font-size-adjust: none;" border="0" cellspacing="0" cellpadding="0"> <tr style="text-align: justify; vertical-align: top;"> <td style="width: 0.5in;"></td> <td style="width: 0.25in; text-align: left;"><sup>(3)</sup></td> <td style="text-align: justify;">This borrowing is denominated in British Pounds Sterling.</td> </tr> </table> <table style="widows: 2; text-transform: none; margin-top: 0px; text-indent: 0px; width: 100%; font: 10pt 'times new roman', times, serif; orphans: 2; margin-bottom: 0px; letter-spacing: normal; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial; font-size-adjust: none;" border="0" cellspacing="0" cellpadding="0"> <tr style="text-align: justify; vertical-align: top;"> <td style="width: 0.5in;"></td> <td style="width: 0.25in; text-align: left;"><sup>(4)</sup></td> <td style="text-align: justify;">The amount includes $0.6 million of net deferred financing costs related to the Omega OP term loan as of December 31, 2017.</td> </tr> </table> <table style="widows: 2; 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margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>Unsecured Borrowings</i></b></p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>&#160;</i></b></p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><i>2017 Omega Credit Facilities</i></p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b>&#160;</b></p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">On May 25, 2017, Omega entered into a credit agreement (the &#8220;2017 Omega Credit Agreement&#8221;) providing us with a new $1.8 billion senior unsecured revolving and term loan credit facility, consisting of a $1.25 billion senior unsecured multicurrency revolving credit facility (the &#8220;Revolving Credit Facility&#8221;), a $425 million senior unsecured U.S. Dollar term loan facility (the &#8220;U.S. Term Loan Facility&#8221;), and a &#163;100 million senior unsecured British Pound Sterling term loan facility (the &#8220;Sterling Term Loan Facility&#8221; and, together with the Revolving Credit Facility and the U.S. Term Loan Facility, collectively, the &#8220;2017 Omega Credit Facilities&#8221;). The 2017 Omega Credit Agreement contains an accordion feature permitting us, subject to compliance with customary conditions, to increase the maximum aggregate commitments under the 2017 Omega Credit Facilities to $2.5 billion.</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">The 2017 Omega Credit Facilities replace the previous $1.25 billion senior unsecured 2014 revolving credit facility, the previous $200 million Tranche A-1 senior unsecured term loan facility, and the previous $350 million Tranche A-3 senior unsecured incremental term loan facility established under our 2014 credit agreement, which has been terminated (the &#8220;2014 Omega Credit Agreement&#8221;). We had previously repaid and terminated the $200 million Tranche A-2 senior unsecured term loan facility established under the 2014 Omega Credit Agreement, with proceeds from our $550 million and $150 million unsecured senior notes issued in April 2017.</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">The Revolving Credit Facility bears interest at LIBOR plus an applicable percentage (with a range of 100 to 195 basis points) based on our ratings from Standard &amp; Poor&#8217;s, Moody&#8217;s and/or Fitch Ratings. The Revolving Credit Facility matures on May 25, 2021, subject to an option by us to extend such maturity date for two, six month periods. The 2017 Omega Credit Agreement provides for the Revolving Credit Facility to be drawn in Euros, British Pounds Sterling, Canadian Dollars (collectively, &#8220;Alternative Currencies&#8221;) or U.S. Dollars, with a $900 million tranche available in U.S. Dollars and a $350 million tranche available in U.S. Dollars or Alternative Currencies. 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The 2017 Omega OP Credit Agreement replaces the $100 million senior unsecured term loan facility obtained in 2015 (the &#8220;2015 Omega OP Term Loan Facility&#8221;) and the related credit agreement (the &#8220;2015 Omega OP Credit Agreement&#8221;). The 2017 Omega OP Term Loan Facility bears interest at LIBOR plus an applicable percentage (with a range of 90 to 190 basis points) based on our ratings from Standard &amp; Poor&#8217;s, Moody&#8217;s and/or Fitch Ratings. The 2017 Omega OP Term Loan Facility matures on May 25, 2022.</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">Omega OP&#8217;s obligations in connection with the 2017 Omega OP Term Loan Facility are not currently guaranteed, but will be jointly and severally guaranteed by any domestic subsidiary of Omega OP that provides a guaranty of any unsecured indebtedness of Omega or Omega OP for borrowed money evidenced by bonds, debentures, notes or other similar instruments in an amount of at least $50 million individually or in the aggregate.</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b>&#160;</b></p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><i>Amended 2015 Term Loan Facility</i></p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b>&#160;</b></p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">On May 25, 2017, Omega entered into an amended and restated credit agreement (the &#8220;Amended 2015 Credit Agreement&#8221;), which amended and restated our previous $250 million senior unsecured term loan facility (the &#8220;Amended 2015 Term Loan Facility&#8221;). The Amended 2015 Term Loan Facility bears interest at LIBOR plus an applicable percentage (with a range of 140 to 235 basis points) based on our ratings from Standard &amp; Poor&#8217;s, Moody&#8217;s and/or Fitch Ratings. The Amended 2015 Term Loan Facility continues to mature on December 16, 2022. The Amended 2015 Credit Agreement permits us, subject to compliance with customary conditions, to add one or more incremental tranches to the Amended 2015 Term Loan Facility in an aggregate principal amount not exceeding $150 million.</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">Omega&#8217;s obligations under the 2017 Omega Credit Facilities and the Amended 2015 Term Loan Facility are jointly and severally guaranteed by Omega OP and any domestic subsidiary of Omega that provides a guaranty of any unsecured indebtedness of Omega for borrowed money evidenced by bonds, debentures, notes or other similar instruments in an amount of at least $50 million individually or in the aggregate.</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">As a result of exposure to interest rate movements associated with the Amended 2015 Term Loan Facility, on December 16, 2015, we entered into various forward-starting interest rate swap arrangements, which effectively converted $250 million of our variable-rate debt based on one-month LIBOR to an aggregate fixed rate of approximately 3.8005% effective December 30, 2016. The effective fixed rate achieved by the combination of the Amended 2015 Term Loan Facility and the interest rate swaps could fluctuate up by 55 basis points or down by 40 basis points based on future changes to our credit ratings. Each of these swaps began on December 30, 2016 and mature on December 15, 2022. On the date of inception, we designated the interest rate swaps as cash flow hedges in accordance with accounting guidance for derivatives and hedges and linked the interest rate swaps to the Amended 2015 Term Loan Facility. Because the critical terms of the interest rate swaps and Amended 2015 Term Loan Facility coincided, the hedges are expected to exactly offset changes in expected cash flows as a result of fluctuations in 1-month LIBOR over the term of the hedges. The purpose of entering into the swaps was to reduce our exposure to future changes in variable interest rates. The interest rate swaps settle on a monthly basis when interest payments are made. These settlements will occur through the maturity date of the Amended 2015 Term Loan Facility. The interest rate for the Amended 2015 Term Loan Facility was not hedged for the portion of the term prior to December 30, 2016.</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><i>$700 Million 4.375% Senior Notes due 2023</i></p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b>&#160;</b></p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">On July 12, 2016, we issued $700 million aggregate principal amount of our 4.375% Senior Notes due 2023 (the &#8220;2023 Notes&#8221;). The 2023 Notes were sold at an issue price of 99.739% of their face value before the underwriters&#8217; discount. Our net proceeds from the offering, after deducting underwriting discounts and expenses, were approximately $692.0 million. The net proceeds from the offering were used to repay outstanding borrowings under our revolving credit facility, to purchase the $180.0 million mortgage term loan and for general corporate purposes. 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The net proceeds from the 2028 Notes offering and the additional $150 million 2025 Notes offering were used to (i) redeem all of our outstanding 5.875% Notes on April 28, 2017, (ii) prepay the $200 million Tranche A-2 Term Loan Facility on April 5, 2017 that otherwise would have become due on June 27, 2017, and (iii) repay outstanding borrowings under our revolving credit facility.</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><i>Other Debt Repayments</i></p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">In connection with the Aviv Merger on April 1, 2015, we assumed notes payable with a face amount of $650 million and a revolving credit facility with an outstanding balance of $525 million. 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text-decoration-color: initial;">Omega is a REIT for United States federal income tax purposes, and Omega OP is a pass through entity for United States federal income tax purposes.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">Omega and Omega OP, including their wholly owned subsidiaries were organized, have operated, and intend 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. On a quarterly and annual basis we perform several analyses to test our compliance within the REIT taxation rules. In order to qualify as a REIT, in addition to other requirements, we must: (i) distribute dividends (other than capital gain dividends) to our stockholders in an amount at least equal to (A) the sum of (a) 90% of our &#8220;REIT taxable income&#8221; (computed without regard to the dividends paid deduction and our net capital gain), and (b) 90% of the net income (after tax), if any, from foreclosure property, minus (B) the sum of certain items of non-cash income on an annual basis, (ii) ensure that at least 75% and 95%, respectively, of our gross income is generated from qualifying sources that are described in the REIT tax law, (iii) ensure that at least 75% of our assets consist of qualifying assets, such as real property, mortgages, and other qualifying assets described in the REIT tax law, (iv) ensure that we do not own greater than 10% in voting power or value of securities of any one issuer, (v) ensure that we do not own either debt or equity securities of another company that are in excess of 5% of our total assets and (vi) ensure that no more than 25% of our assets are invested in one or more taxable REIT subsidiaries (and with respect to taxable years beginning after December 31, 2017, no more than 20%). In addition to the above requirements, the REIT rules require that no less than 100 stockholders own shares or an interest in the REIT and that five or fewer individuals do not own (directly or indirectly) more than 50% of the shares or proportionate interest in the REIT during the last half of any taxable year. If we fail to meet the above or any other requirements for qualification as a REIT in any tax year, we will be subject to federal income tax on our taxable income at regular corporate rates and may not be able to qualify as a REIT for the four subsequent years, unless we qualify for certain relief provisions that are available in the event we fail to satisfy any of these requirements.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">We are also subject to federal taxation of 100% of the net income derived from the sale or other disposition of property, other than foreclosure property, that we held primarily for sale to customers in the ordinary course of a trade or business. We believe that we do not hold assets for sale to customers in the ordinary course of business and that none of the assets currently held for sale or that have been sold would be considered a prohibited transaction within the REIT taxation rules.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">So long as we qualify as a REIT under the Code, we generally will not be subject to federal income taxes on the REIT taxable income that we distribute to stockholders, subject to certain exceptions. In 2017, 2016, and 2015, we distributed dividends in excess of our taxable income.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">Since the year 2000, the definition of foreclosure property has included any &#8220;qualified health care property,&#8221; as defined in Code Section 856(e)(6) acquired by us as the result of the termination or expiration of a lease of such property. We have from time to time operated qualified healthcare facilities acquired in this manner for up to two years (or longer if an extension was granted). Properties that we had taken back in a foreclosure or bankruptcy and operated for our own account were treated as foreclosure properties for income tax purposes, pursuant to Code Section 856(e). Gross income from foreclosure properties was classified as &#8220;good income&#8221; for purposes of the annual REIT income tests upon making the election on the tax return. Once made, the income was classified as &#8220;good&#8221; for a period of three years, or until the properties were no longer operated for our own account. In all cases of foreclosure property, we utilized an independent contractor to conduct day-to-day operations to maintain REIT status. In certain cases, we operated these facilities through a taxable REIT subsidiary. For those properties operated through the taxable REIT subsidiary, we formed a new entity (TC Healthcare) to act as the eligible independent contractor on our behalf and conduct the day-to-day operations with respect to the health care facilities we held as foreclosure property in order for us to maintain REIT status. We have not held foreclosure property since 2011. As a result of the foregoing, we do not believe that our past participation in the operation of nursing homes increased the risk that we would fail to qualify as a REIT.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">We may be subject to income or franchise taxes in certain states and municipalities. Also, we created five wholly owned subsidiary REITs and added a sixth wholly owned subsidiary REIT as of January 1, 2016, all of which are subject to all of the REIT qualification rules set forth in the Code. We merged five of the wholly owned subsidiary REITs into a single wholly owned subsidiary REIT in December 2015, and then merged the sixth wholly owned subsidiary REIT into our other wholly owned subsidiary REIT in December 2016, which wholly owned subsidiary REIT remains subject to all of the REIT qualification rules set forth in the Code.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">Subject to the limitation under the REIT asset test rules, we are permitted to own up to 100% of the stock of one or more taxable REIT subsidiaries (&#8220;TRSs&#8221;). We have elected for two of our active subsidiaries to be treated as TRSs. One of our TRSs is subject to federal, state and local income taxes at the applicable corporate rates and the other is subject to foreign income taxes. As of December 31, 2017, our TRS that is subject to federal, state and local income taxes at the applicable corporate rates had a net operating loss carry-forward of approximately $5.4 million. The loss carry-forward is fully reserved as of December 31, 2017, with a valuation allowance due to uncertainties regarding realization. Our net operating loss carryforwards generated up through December 31, 2017 will be carried forward for no more than 20 years.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">For the year ended December 31, 2017, 2016 and 2015, we recorded approximately $2.4 million, $3.3 million and $1.0 million, respectively, of federal, state and local income tax provision. For the year ended December 31, 2017, 2016 and 2015, we recorded a provision (benefit) for foreign income taxes of approximately $0.8 million, $(1.9) million and $0.2 million, respectively.</p> <p style="widows: 2; text-transform: none; text-indent: 0px; margin: 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="widows: 2; text-transform: none; text-indent: 0.5in; margin: 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0px; font: 10pt 'times new roman', times, serif; 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Under the terms of the Equity Shelf Agreements, we may sell shares of our common stock, from time to time, through or to the Managers having an aggregate gross sales price of up to $500 million. Sales of the shares, if any, will be made by means of ordinary brokers&#8217; transactions on the New York Stock Exchange at market prices, or as otherwise agreed with the applicable Manager. 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For the year ended December 31, 2016, we issued approximately 0.7 million shares under the 2015 Equity Shelf Program, at an average price of $29.97 per share, net of issuance costs, generating net proceeds of approximately $19.7 million. 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For the year ended December 31, 2017, we issued 1.2 million shares of common stock for gross proceeds of approximately $36.7 million. For the year ended December 31, 2016, we issued 7.2 million shares of common stock for gross proceeds of approximately $240.0 million. 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The PRSUs awarded in January 2013, December 2013, January 2014, March 2015, April 2015, July 2015, March 2016, and January 2017 and the LTIP Units awarded in March 2015, April 2015, July 2015, March 2016, and January 2017 have varying degrees of performance requirements to achieve vesting, and each PRSU and LTIP Units award represents the right to a variable number of shares of common stock or partnership units (each LTIP Unit once earned is convertible into one Omega OP Unit in Omega OP, subject to certain conditions). The vesting requirements are based on either the (i) total shareholders return (&#8220;TSR&#8221;) of Omega or (ii) Omega&#8217;s TSR relative to other real estate investment trusts in the MSCI U.S. REIT Index for awards before 2016 and in the FTSE NAREIT Equity Health Care Index for awards granted in or after 2016 (&#8220;Relative TSR&#8221;). 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On April 1, 2015, the Aviv stock options were converted into Omega stock options at an exchange ratio of 0.9 resulting in issuance of approximately 5.1 million Omega stock options. The intrinsic value of the stock option assumed on April 1, 2015 was approximately $99.2 million and was recorded as part of the consideration provided in the merger. 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Both complaints allege that the defendants violated the Securities Exchange Act of 1934, as amended (the &#8220;Exchange Act&#8221;), by making materially false and/or misleading statements, and by failing to disclose material adverse facts, about the Company&#8217;s business, operations, and prospects, including regarding the financial and operating results of certain of the Company&#8217;s operators, the ability of certain operators to make timely rent payments, and the impairment of certain of the Company&#8217;s leases and the uncollectibility of certain receivables. The complaints, which purport to assert claims for violations of Section 10(b) of the Exchange Act and Rule 10b-5 promulgated thereunder, as well as Section 20(a) of the Exchange Act, seek an unspecified amount of monetary damages, interest, fees and expenses of attorneys and experts, and other relief.</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">On January 16, 2017, four plaintiffs and one group of plaintiffs acting jointly filed motions for consolidation of the two actions, appointment of counsel, and appointment of lead plaintiff. 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text-decoration-color: initial;">In February 2018, the Company agreed to transition an existing portfolio of 13 facilities in Ohio. The transition is expected to occur during the first half of 2018 with the facilities being leased to another existing operator pursuant to a new master lease agreement. 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Goodwill is not amortized.</td></tr></table> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>Asset Acquisitions</i></b></p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>&#160;</i></b></p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">On October 1, 2016, we early adopted Financial Accounting Standards Board (&#8220;FASB&#8221;) Accounting Standards Update (&#8220;ASU&#8221;) 2017-01,&#160;<i>Business Combinations-Clarifying the Definition of a Business&#160;</i>(&#8220;ASU 2017-01&#8221;), which clarifies the definition of a business with the objective of adding guidance to assist entities with evaluating whether transactions should be accounted for as business acquisitions. As a result of adopting ASU 2017-01, real estate acquisitions completed after October 1, 2016 did not meet the definition of a business combination and were deemed to be asset acquisitions. Real estate asset acquisitions completed prior to October 1, 2016 were typically deemed to be business combinations and the related acquisition costs were expensed as incurred. For asset acquisitions, assets acquired and liabilities assumed are recognized by allocating the cost of the acquisition to the individual assets acquired and liabilities assumed on a relative fair value basis and the costs of the acquisition are capitalized. The fair value of the assets acquired and liabilities assumed in an asset acquisition are determined in a consistent manner with the immediately preceding &#8220;Business Combinations&#8221; section.</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>Real Estate Investments and Depreciation</i></b></p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">The costs of significant improvements, renovations and replacements, including interest are capitalized. In addition, we capitalize leasehold improvements when certain criteria are met, including when we supervise construction and will own the improvement. Expenditures for maintenance and repairs are charged to operations as they are incurred.</p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">Depreciation is computed on a straight-line basis over the estimated useful lives ranging from 20 to 40 years for buildings, eight to 15 years for site improvements, and three to ten years for furniture, fixtures and equipment. Leasehold interests are amortized over the shorter of the estimated useful life or term of the lease.</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>Lease Accounting</i></b></p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>&#160;</i></b></p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">At the inception of the lease and during the amendment process, we evaluate each lease to determine if the lease should be considered an operating lease, sales-type lease, or direct financing lease. As of December 31, 2017, we have determined that all but five of our leases should be accounted for as operating leases. The other five leases are accounted for as direct financing leases.</p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">For leases accounted for as operating leases, we retain ownership of the asset and record depreciation expense, see &#8220;Business Combinations&#8221; and &#8220;Real Estate Investments and Depreciation&#8221; above for additional information regarding our investment in real estate leased under operating lease agreements. We also record lease revenue based on the contractual terms of the operating lease agreement which often includes annual rent escalators, see &#8220;Revenue Recognition&#8221; below for further discussion regarding the recordation of revenue on our operating leases.</p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">For leases accounted for as direct financing leases, we record the present value of the future minimum lease payments (utilizing a constant interest rate over the term of the lease agreement) as a receivable and record interest income based on the contractual terms of the lease agreement. Certain direct financing leases include annual rent escalators; see &#8220;Revenue Recognition&#8221; below for further discussion regarding the recording of interest income on our direct financing leases. As of December 31, 2017, we fully reserved $2.9 million of unamortized direct costs related to originating our direct financing leases. As of December 31, 2016, we have $3.3 million of unamortized direct costs related to originating our direct financing leases recorded on our Consolidated Balance Sheet.</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>In-Place Leases</i></b></p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>&#160;</i></b></p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">In-place lease assets and liabilities result when we assume a lease as part of a facility purchase or business combination. The fair value of in-place leases consists of the following components, as applicable (1) the estimated cost to replace the leases, and (2) the above or below market cash flow of the leases, determined by comparing the projected cash flows of the leases in place at the time of acquisition to projected cash flows of comparable market-rate leases (referred to as Lease Intangibles). Lease intangible assets and liabilities are classified as lease contracts above and below market value, respectively, in other assets and accrued expenses and other liabilities on our Consolidated Balance Sheets, and amortized on a straight-line basis as decreases and increases, respectively, to rental income over the estimated remaining term of the underlying leases. Should a tenant terminate the lease, the unamortized portion of the lease intangible is recognized immediately as income or expense.</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>Real Estate Investment Impairment</i></b></p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b>&#160;</b></p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">Management evaluates our real estate investments for impairment indicators at each reporting period, including the evaluation of our assets&#8217; useful lives. The judgment regarding the existence of impairment indicators is based on factors such as, but not limited to, market conditions, operator performance including the current payment status of contractual obligations and expectations of the ability to meet future contractual obligations, legal structure, as well as our intent with respect to holding or disposing of the asset. If indicators of impairment are present, management evaluates the carrying value of the related real estate investments in relation to management&#8217;s estimate of future undiscounted cash flows of the underlying facilities. The estimated future undiscounted cash flows are generally based on the related lease which relates to one or more properties and may include cash flows from the eventual disposition of the asset. In some instances, there may be various potential outcomes for a real estate investment and its potential future cash flows. In these instances, the undiscounted future cash flows used to assess the recoverability are probability-weighted based on management&#8217;s best estimates as of the date of evaluation. Provisions for impairment losses related to long-lived assets are recognized when expected future undiscounted cash flows based on our intended use of the property are determined to be less than the carrying values of the assets. An adjustment is made to the net carrying value of the real estate investments for the excess of carrying value over fair value. The fair value of the real estate investment is determined based on current market conditions and consider matters such as rental rates and occupancies for comparable properties, recent sales data for comparable properties, and, where applicable, contracts or the results of negotiations with purchasers or prospective purchasers. Additionally, our evaluation of fair value may consider valuing the property as a nursing home as well as alternative uses. All impairments are taken as a period cost at that time, and depreciation is adjusted going forward to reflect the new value assigned to the asset. Management&#8217;s impairment evaluation process, and when applicable, impairment calculations involve estimation of the future cash flows from management&#8217;s intended use of the property as well as the fair value of the property. Changes in the facts and circumstances that drive management&#8217;s assumptions may result in an impairment of the Company&#8217;s assets in a future period that could be material to the Company&#8217;s results of operations.</p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">For the years ended December 31, 2017, 2016 and 2015, we recognized impairment losses on real estate investments of $99.1 million, $58.7 million and $17.7 million, respectively.</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>Allowance for Losses on Mortgages, Other Investments and Direct Financing Leases</i></b></p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b>&#160;</b></p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">The allowances for losses on mortgage notes receivable, other investments and direct financing leases (collectively, our &#8220;loans&#8221;) are maintained at a level believed adequate to absorb potential losses. The determination of the allowances is based on a quarterly evaluation of these loans, including general economic conditions and estimated collectability of loan payments. We evaluate the collectability of our loans receivable based on a combination of factors, including, but not limited to, delinquency status, financial strength of the borrower and guarantors and the value of the underlying collateral. If such factors indicate that there is greater risk of loan charge-offs, additional allowances or placement on non-accrual status may be required. A loan is impaired when, based on current information and events, it is probable that we will be unable to collect all amounts due as scheduled according to the contractual terms of the loan agreements. Consistent with this definition, all loans on non-accrual status may be deemed impaired. To the extent circumstances improve and the risk of collectability is diminished, we will return these loans to full accrual status. When management identifies potential loan impairment indicators, the loan is written down to the present value of the expected future cash flows. In cases where expected future cash flows are not readily determinable, the loan is written down to the fair value of the underlying collateral. 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We generally utilize the cost-recovery method for impaired loans or direct financing leases for which impairment reserves were recorded. We utilize the cash basis method for impaired loans or direct financing leases for which no impairment reserves were recorded because the net present value of the discounted cash flows expected under the loan or direct financing lease and/or the underlying collateral supporting the loan or direct financing lease were equal to or exceeded the book value of the loans or direct financing leases. Under the cost-recovery method, we apply cash received against the outstanding loan balance or direct financing lease prior to recording interest income. Under the cash basis method, we apply cash received to principal or interest income based on the terms of the agreement. 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An investment is impaired only if management's estimate of the value of the investment is less than the carrying value of the investment, and such a decline in value is deemed to be other than-temporary. To the extent impairment has occurred, the loss is measured as the excess of the carrying amount of the investment over the estimated fair value of the investment. The estimated fair value of the investment is determined using a discounted cash flow model which is a Level 3 valuation. 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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. 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The determination of collectability of these assets requires significant judgment and is affected by several factors relating to the credit quality of our operators that we regularly monitor, including (i) payment history, (ii) the age of the contractual receivables, (iii) the current economic conditions and reimbursement environment, (iv) the ability of the tenant to perform under the terms of their lease and/or contractual loan agreements and (v) the value of the underlying collateral of the agreement. If we determine collectability of any of our contractual receivables is at risk, we estimate the potential uncollectible amounts and provide an allowance. In the case of a lease recognized on a straight-line basis, a loan recognized on an effective yield basis or the existence of lease inducements, we generally provide an allowance for straight-line, effective interest, and or lease inducement accounts receivable when certain conditions or indicators of adverse collectability are present. 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orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">In 2016, we wrote-off approximately $4.3 million of straight-line rent receivable. 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This transaction closed in 2016.</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>Goodwill Impairment</i></b></p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b>&#160;</b></p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">We assess goodwill for potential impairment during the fourth quarter of each fiscal year, or during the year if an event or other circumstance indicates that we may not be able to recover the carrying amount of the net assets of the reporting unit. In evaluating goodwill for impairment on an interim basis, we assess qualitative factors&#160;<font style="font-family: 'times new roman', times, serif;">such as a&#160;</font>significant decline in real estate valuations,&#160;<font style="font-family: 'times new roman', times, serif;">current macroeconomic conditions, state of the equity and capital markets and our overall financial and operating performance&#160;</font>or a significant decline in the value of our market capitalization, to determine whether it is more likely than not (that is, a likelihood of more than 50 percent) that the fair value of&#160;the reporting unit is less than its carrying amount. On an annual basis during the fourth quarter of each fiscal year, or on an interim basis if we conclude it is more likely than not that the fair value of the reporting unit is less than its carrying value, we perform a two-step goodwill impairment test to identify potential impairment and measure the amount of impairment we will recognize, if any. The goodwill is not deductible for tax purposes.</p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 24.5pt; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">In the first step of the two-step goodwill impairment test (&#8220;Step 1&#8221;), we compare&#160;<font style="font-family: 'times new roman', times, serif;">the fair value of the reporting unit to its net book value, including goodwill. As the Company has only one reporting unit, the fair value of the reporting unit is determined by reference to the market capitalization of the Company as determined through quoted market prices and adjusted for other relevant factors. A potential impairment exists if the fair value of the reporting unit is lower than its net book value. The second step (&#8220;Step 2&#8221;) of the process is only performed if a potential impairment exists, and it involves determining the difference between the fair value of the reporting unit's net assets other than goodwill and the fair value of the reporting unit. If the difference is less than the net book value of goodwill, impairment exists and is recorded. The Company has not been required to perform Step 2 of the process because the fair value of the reporting unit has significantly exceeded its book value at the measurement date. There was no impairment of goodwill during 2017, 2016, or 2015.</font></p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>Income Taxes</i></b></p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">Omega and its wholly owned subsidiaries were organized to qualify for taxation as a REIT under Section 856 through 860 of the Internal Revenue Code (&#8220;Code&#8221;). As long as we qualify as a REIT; we will not be subject to federal income taxes on the REIT taxable income that we distributed to stockholders, subject to certain exceptions. However, with respect to certain of our subsidiaries that have elected to be treated as taxable REIT subsidiaries (&#8220;TRSs&#8221;), we record income tax expense or benefit, as those entities are subject to federal income tax similar to regular corporations. Omega OP is a pass through entity for United States federal income tax purposes.</p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">We account for deferred income taxes using the asset and liability method and recognize deferred tax assets and liabilities for the expected future tax consequences of events that have been included in our financial statements or tax returns. Under this method, we determine deferred tax assets and liabilities based on the differences between the financial reporting and tax bases of assets and liabilities using enacted tax rates in effect for the year in which the differences are expected to reverse. Any increase or decrease in the deferred tax liability that results from a change in circumstances, and that causes us to change our judgment about expected future tax consequences of events, is included in the tax provision when such changes occur. Deferred income taxes also reflect the impact of operating loss and tax credit carryforwards. A valuation allowance is provided if we believe it is more likely than not that all or some portion of the deferred tax asset will not be realized. Any increase or decrease in the valuation allowance that results from a change in circumstances, and that causes us to change our judgment about the realizability of the related deferred tax asset, is included in the tax provision when such changes occur.</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-size-adjust: none; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>Revenue Recognition</i></b></p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-size-adjust: none; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>&#160;</i></b></p><div style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-size-adjust: none; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">We have various different investments that generate revenue, including leased and mortgaged properties, as well as other investments, including working capital loans. We recognize rental income and other investment income as earned over the terms of the related leases and notes, respectively. Interest income is recorded on an accrual basis to the extent that such amounts are expected to be collected using the effective interest method. 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Revenue under lease arrangements with minimum fixed and determinable increases is recognized over the non-cancellable term of the lease on a straight-line basis. The authoritative guidance does not provide for the recognition of contingent revenue until all possible contingencies have been eliminated. We consider the operating history of the lessee, the payment history, the general condition of the industry and various other factors when evaluating whether all possible contingencies have been eliminated.</p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-size-adjust: none; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-size-adjust: none; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">In the case of rental revenue recognized on a straight-line basis, we generally record reserves against earned revenues from leases when collection becomes questionable or when negotiations for restructurings of troubled operators result in significant uncertainty regarding ultimate collection. The amount of the reserve is estimated based on what management believes will likely be collected. We continually evaluate the collectability of our straight-line rent assets. If it appears that we will not collect future rent due under our leases, we will record a provision for loss related to the straight-line rent asset.</p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-size-adjust: none; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-size-adjust: none; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">We record direct financing lease income on a constant interest rate basis over the term of the lease. The costs related to originating the direct financing leases have been deferred and are being amortized on a straight-line basis as a reduction to income from direct financing leases over the term of the direct financing leases. Allowances are provided against earned revenues from direct financing leases when collection of amounts due becomes questionable or when negotiations for restructurings of troubled operators lead to lower expectations regarding ultimate collection.</p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-size-adjust: none; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-size-adjust: none; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">Mortgage interest income and other investment income is recognized as earned over the terms of the related mortgage notes or other investment, typically using the effective yield method. Allowances are provided against earned revenues from mortgage interest or other investments when collection of amounts due becomes questionable or when negotiations for restructurings of troubled operators lead to lower expectations regarding ultimate collection.</p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-size-adjust: none; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-size-adjust: none; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">Gains and losses on sales of real estate assets are recognized in accordance with the authoritative guidance for sales of real estate. The specific timing of the recognition of the sale and the related gain is measured against the various criteria in the guidance related to the terms of the transactions and any continuing involvement associated with the assets sold. To the extent the sales criteria are not met, we defer gain recognition until the sales criteria are met.</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>Stock-Based Compensation</i></b></p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">We recognize stock-based compensation expense adjusted for estimated forfeitures to employees and directors, in general and administrative in our Consolidated Statements of Operations on a straight-line basis over the requisite service period of the awards.</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>Deferred Financing Costs and Original Issuance Premium and/or Discounts for Debt Issuance</i></b></p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">External costs incurred from the placement of our debt are capitalized and amortized on a straight-line basis over the terms of the related borrowings which approximates the effective interest method. Deferred financing costs related to our revolving line of credit are included in other assets on our Consolidated Balance Sheets and deferred financing costs related to our other borrowings are included as a direct deduction from the carrying amount of the related debt liability on our Consolidated Balance Sheets. Original issuance premium or discounts reflect the difference between the face amount of the debt issued and the cash proceeds received and are amortized on a straight-line basis over the term of the related borrowings. All premiums and discounts are recorded as an addition to or reduction from debt on our Consolidated Balance Sheets. Amortization of deferred financing costs and original issuance premiums or discounts totaled $9.5 million, $9.3 million and $7.0 million in 2017, 2016 and 2015, respectively, and are classified as interest - amortization of deferred financing costs on our Consolidated Statements of Operations. When financings are terminated, unamortized deferred financing costs and unamortized premiums or discounts, as well as charges incurred for the termination, are recognized as expense or income at the time the termination is made. Gains and losses from the extinguishment of debt are presented in interest-refinancing costs on our Consolidated Statements of Operations.</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>Earnings Per Share/Unit</i></b></p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b>&#160;</b></p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">The computation of basic earnings per share/unit (&#8220;EPS&#8221; or &#8220;EPU&#8221;) is computed by dividing net income available to common stockholders/Omega OP Unit holders by the weighted-average number of shares of common stock/units outstanding during the relevant period. Diluted EPS/EPU is computed using the treasury stock method, which is net income divided by the total weighted-average number of common outstanding shares/Omega OP Units plus the effect of dilutive common equivalent shares/Omega OP Units during the respective period. Dilutive common shares reflect the assumed issuance of additional common shares/Omega OP Units pursuant to certain of our share-based compensation plans, including stock options, restricted stock and performance restricted stock units and the assumed issuance of additional shares related to Omega OP Units held by outside investors. Dilutive Omega OP Units reflect the assumed issuance of additional Omega OP Units pursuant to certain of our share-based compensation plans, including stock options, restricted stock and performance restricted stock.</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>Redeemable Limited Partnership Unitholder Interests and Noncontrolling Interests</i></b></p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">As of April 1, 2015 and after giving effect to the Aviv Merger, the Company owned approximately 138.8 million Omega OP Units and Aviv OP owned approximately 52.9 million Omega OP Units. Each of the Omega OP Units (other than the Omega OP Units owned by Omega) is redeemable at the election of the Omega OP Unit holder for cash equal to the then-fair market value of one share of Omega common stock, par value $0.10 per share (&#8220;Omega Common Stock&#8221;), subject to the Company&#8217;s election to exchange the Omega OP Units tendered for redemption for unregistered shares of Omega Common Stock on a one-for-one basis, subject to adjustment as set forth in the Partnership Agreement.</p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">Effective June 30, 2015, Omega (through OHI Holdco, in its capacity as the general partner of Aviv OP) caused Aviv OP to make a distribution of Omega OP Units held by Aviv OP (or equivalent value) to Aviv OP investors (the &#8220;Aviv OP Distribution&#8221;) in connection with the liquidation of Aviv OP. As a result of the Aviv OP Distribution, Omega directly and indirectly owned approximately 95% of the outstanding Omega OP Units, and the other investors owned approximately 5% of the outstanding Omega OP Units at that time. As a part of the Aviv OP Distribution, Omega settled approximately 0.2 million units via cash settlement. As of December 31, 2017, Omega owns approximately 96% of the issued and outstanding Omega OP Units, and investors own approximately 4% of the outstanding Omega OP Units.</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>Noncontrolling Interests</i></b></p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">Noncontrolling interests is the portion of equity not attributable to the respective reporting entity. We present the portion of any equity that we do not own in consolidated entities as noncontrolling interests and classify those interests as a component of total equity, separate from total stockholders&#8217; equity, or owners&#8217; equity on our Consolidated Balance Sheets. We include net income (loss) attributable to the noncontrolling interests in net income in our Consolidated Statements of Operations.</p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">As our ownership of a controlled subsidiary increases or decreases, any difference between the aggregate consideration paid to acquire the noncontrolling interests and our noncontrolling interest balance is recorded as a component of equity in additional paid-in capital, so long as we maintain a controlling ownership interest.</p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 24.5pt; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; background-color: white; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">The noncontrolling interest for Omega represents the outstanding Omega OP Units held by outside investors.</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>Foreign Operations</i></b></p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">The U.S. dollar is the functional currency for our consolidated subsidiaries operating in the U.S. The functional currency for our consolidated subsidiaries operating in the U.K. is the British Pound. For our consolidated subsidiaries whose functional currency is not the U.S. dollar, we translate their financial statements into the U.S. dollar. We translate assets and liabilities at the exchange rate in effect as of the financial statement date. Revenue and expense accounts are translated using an average exchange rate for the period. Gains and losses resulting from translation are included in Omega OP&#8217;s owners&#8217; equity and Omega&#8217;s accumulated other comprehensive loss (&#8220;AOCL&#8221;), as a separate component of equity and a proportionate amount of gain or loss is allocated to noncontrolling interests.</p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">We and certain of our consolidated subsidiaries may have intercompany and third-party debt that is not denominated in the entity&#8217;s functional currency. When the debt is remeasured against the functional currency of the entity, a gain or loss can result. The resulting adjustment is reflected in results of operations, unless it is intercompany debt that is deemed to be long-term in nature in which case the adjustments are included in Omega OP&#8217;s owners&#8217; equity and Omega&#8217;s AOCL.</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>Derivative Instruments</i></b></p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>&#160;</i></b></p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><i>Cash flow hedges</i></p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><i>&#160;</i></p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">During our normal course of business, we may use certain types of derivative instruments for the purpose of managing interest rate and currency risk. To qualify for hedge accounting, derivative instruments used for risk management purposes must effectively reduce the risk exposure that they are designed to hedge. In addition, at the inception of a qualifying cash flow hedging relationship, the underlying transaction or transactions, must be, and are expected to remain, probable of occurring in accordance with the Company&#8217;s related assertions. The Company recognizes all derivative instruments, including embedded derivatives required to be bifurcated, as assets or liabilities on the Consolidated Balance Sheets at fair value which is determined using a market approach and Level 2 inputs. Changes in the fair value of derivative instruments that are not designated in hedging relationships or that do not meet the criteria of hedge accounting are recognized in earnings. For derivatives designated as qualifying cash flow hedging relationships, the change in fair value of the effective portion of the derivatives is recognized in Omega OP&#8217;s owners&#8217; equity and Omega&#8217;s AOCL as a separate component of equity and a proportionate amount of gain or loss is allocated to noncontrolling interest, whereas the change in fair value of the ineffective portion is recognized in earnings. We formally document all relationships between hedging instruments and hedged items, as well as our risk-management objectives and strategy for undertaking various hedge transactions. This process includes designating all derivatives that are part of a hedging relationship to specific forecasted transactions as well as recognized liabilities or assets on the Consolidated Balance Sheets. We also assess and document, both at inception of the hedging relationship and on a quarterly basis thereafter, whether the derivatives are highly effective in offsetting the designated risks associated with the respective hedged items. If it is determined that a derivative ceases to be highly effective as a hedge, or that it is probable the underlying forecasted transaction will not occur, we discontinue hedge accounting prospectively and record the appropriate adjustment to earnings based on the current fair value of the derivative. As a matter of policy, we do not use derivatives for trading or speculative purposes. At December 31, 2017, $1.5 million of qualifying cash flow hedges were recorded at fair value in other assets and at December 31, 2016, $1.5 million of qualifying cash flow hedges were recorded at fair value in accrued expenses and other liabilities on our Consolidated Balance Sheets.</p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><i>Net investment hedge</i></p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b>&#160;</b></p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; background-color: white; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">We use the spot method to measure the effectiveness of our net investment hedge. Under this method, for each reporting period, the change in the carrying value of the hedging instrument due to remeasurement of the effective portion is reported in Omega OP&#8217;s owners&#8217; equity and Omega&#8217;s AOCL in our Consolidated Balance Sheets and the remaining change in the carrying value of the ineffective portion, if any, is recognized in earnings. We evaluate the effectiveness of our net investment hedge on a quarterly basis. We did not record any ineffectiveness during 2017.</p> <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>Related Party Transactions</i></b></p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b>&#160;</b></p><p style="font: 10pt/normal 'times new roman', times, serif; margin: 0pt 0px; text-align: justify; color: #000000; text-transform: none; text-indent: 0.5in; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">The Company has a policy which generally requires related party transactions to be approved or ratified by the Audit Committee. On February 1, 2016, we acquired 10 SNFs from Laurel Healthcare Holdings, Inc. (&#8220;Laurel&#8221;) for approximately $169.0 million in cash and leased them to an unrelated existing operator. A former member of the Board of Directors of the Company, together with certain members of his immediate family, beneficially owned approximately 34% of the equity of Laurel prior to the transaction. Immediately following our acquisition, the unrelated existing operator acquired all of the outstanding equity interests of Laurel, including the interests previously held by the former director of the Company and his family.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>Recently Adopted Accounting Pronouncements</i></b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>&#160;</i></b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">In March 2016, FASB issued ASU 2016-09,&#160;<i>Compensation-Stock Compensation (Topic 718)</i>&#160;(&#8220;ASU 2016-09&#8221;). ASU 2016-09 amends the accounting for share-based payment transactions, including the income tax consequences, classification of awards as either equity or liabilities and classification on the statement of cash flows. This guidance is effective for annual and interim reporting periods of public entities beginning after December 15, 2016. We adopted this accounting standard on January 1, 2017, at which time the Company began prospectively accounting for excess tax benefits or tax deficiencies as an adjustment to income tax expense in our Consolidated Statements of Operations as opposed to the prior requirement that these excess tax benefits be recognized in additional paid-in capital and tax deficiencies be recognized either as an offset to accumulated excess tax benefits, if any, or in the income statement. The Company will continue to account for forfeitures as they occur and present employee taxes paid as a financing activity on our Consolidated Statements of Cash Flows. The adoption of this accounting standard did not have a material impact on our consolidated financial statements.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">During the fourth quarter of 2017, we adopted ASU 2016-18,&#160;<i>Statement of Cash Flows (Topic 230) Restricted Cash</i>&#160;(&#8220;ASU 2016-18&#8221;). ASU 2016-18 requires restricted cash balances be included along with cash and cash equivalents as of the end of the period and the beginning of period, respectively, in the Company's consolidated statement of cash flows for all periods presented. We have retrospectively adjusted the presentation of restricted cash on the Company&#8217;s Consolidated Statement of Cash Flows for all prior periods presented, as required. There is no impact to the Company&#8217;s net assets, net income or retained earnings in any period presented. Total net cash provided by operating activities decreased in 2016 and 2015 by approximately $1.0 million and $14.5 million, respectively, with a corresponding increase to the change in cash, cash equivalents and restricted cash for the years ended 2016 and 2015.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">During the fourth quarter of 2017, we adopted ASU 2016-15,&#160;<i>Statement of Cash Flows (Topic 230) Classification of Certain Cash Receipts and Cash Payments</i>&#160;(&#8220;ASU 2016-15&#8221;). ASU 2016-15 eliminates the diversity in practice related to the classification of certain cash receipts and payments in a company&#8217;s statement of cash flows for debt prepayment or extinguishment costs, the maturing of a zero coupon bond, the settlement of contingent liabilities arising from a business combination, proceeds from insurance settlements, distributions from certain equity method investees and beneficial interests obtained in a financial asset securitization. Historically, the Company has classified the receipt and reinvestment of property insurance proceeds as an operating activity in its statement of cash flows. The receipt and reinvestment of property insurance proceeds in 2016 and 2015 was immaterial to the Company&#8217;s financial statements and not adjusted. As a result of adopting ASU 2016-15, the Company presented the receipt and subsequent reinvestment of property insurance proceeds in 2017 as an investing activity in the Consolidated Statement of Cash Flows, as this classification more accurately reflects the nature of the cash flows.&#160;<font style="font-family: 'times new roman', times, serif;">There was no impact to the Company&#8217;s net assets, income or retained earnings in any period presented as a result of adopting&#160;</font>ASU 2016-15<font style="font-family: 'times new roman', times, serif;">.</font></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>Recent Accounting Pronouncements - Pending Adoption</i></b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b><i>&#160;</i></b></p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">In 2014, the FASB issued ASU 2014-09,&#160;<i>Revenue from Contracts with Customers</i>&#160;(&#8220;ASU 2014-09&#8221;), which outlines a comprehensive model for entities to use in accounting for revenue arising from contracts with customers. ASU 2014-09 states that &#8220;an entity recognizes revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services.&#8221; While ASU 2014-09 specifically references contracts with customers, it may apply to certain other transactions such as the sale of real estate or equipment. ASU 2014-09 is effective for the Company beginning January 1, 2018. In addition, the FASB has begun to issue targeted updates to clarify specific implementation issues of ASU 2014-09. These updates include ASU 2016-08,&#160;<i>Principal versus Agent Considerations (Reporting Revenue Gross versus Net),</i>&#160;ASU 2016-10,&#160;<i>Identifying Performance Obligations and Licensing,</i>&#160;and ASU 2016-12,&#160;<i>Narrow-Scope Improvements and Practical Expedients.&#160;</i>As a result of adopting ASU 2014-09 and its updates on January 1, 2018, the Company will recognize $10.0 million of deferred gain resulting from the sale of facilities to a third party in December 2017 through retained earnings on January 1, 2018. The Company intends to adopt ASU 2014-09 and its subsequent updates in accordance with the modified retrospective approach. The Company has completed its analysis of ASU 2014-09 and its related updates and has determined that its adoption will not have a material impact on our consolidated financial statements, as a substantial portion of our revenue consists of rental income from leasing arrangements and interest income from loan arrangements, both of which are specifically excluded from ASU 2014-09 and its updates.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">In February 2016, the FASB issued ASU 2016-02,&#160;<i>Leases&#160;</i>(&#8220;ASU 2016-02&#8221;), which amends the existing accounting standards for lease accounting, including requiring lessees to recognize most leases on their balance sheets and making targeted changes to lessor accounting. ASU 2016-02 will be effective for the Company beginning January 1, 2019. Early adoption of ASU 2016-02 as of its issuance is permitted. The new standard requires a modified retrospective transition approach for all leases existing at, or entered into after, the date of initial application, with an option to use certain transition relief. As a result of the pending adoption of ASU 2016-02 and in connection with the pending adoption of ASU 2014-09, the Company may be required to record real estate tax revenues and an equal and offsetting real estate tax expense, as a result of our operators paying real estate taxes on our behalf. We are continuing to evaluate the other impacts of adopting ASU 2016-02 on our consolidated financial statements.</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0px; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">&#160;</p> <p style="text-align: justify; widows: 2; text-transform: none; text-indent: 0.5in; margin: 0pt 0px; font: 10pt 'times new roman', times, serif; white-space: normal; orphans: 2; letter-spacing: normal; color: #000000; word-spacing: 0px; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">In June 2016, the FASB issued ASU 2016-13,&#160;<i>Financial Instruments - Credit Losses (Topic 326</i>) (&#8220;ASU 2016-13&#8221;), which changes the impairment model for most financial assets. The new model uses a forward-looking expected loss method, which will generally result in earlier recognition of allowances for losses. ASU 2016-13 is effective for annual and interim periods beginning after December 15, 2019 and early adoption is permitted for annual and interim periods beginning after December 15, 2018. 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left;">&#160;</td><td style="text-align: right;">&#160;</td><td style="text-align: left;">&#160;</td><td>&#160;</td><td style="text-align: left;">&#160;</td><td style="text-align: right;">&#160;</td><td style="text-align: left;">&#160;</td><td>&#160;</td><td style="text-align: left;">&#160;</td><td style="text-align: right;">&#160;</td><td style="text-align: left;">&#160;</td><td>&#160;</td><td style="text-align: left;">&#160;</td><td style="text-align: right;">&#160;</td><td style="text-align: left;">&#160;</td></tr><tr style="vertical-align: bottom; background-color: white;"><td style="width: 509px; text-align: left; text-indent: 0px; padding-left: 0.25in;">Net income</td><td style="width: 16px;">&#160;</td><td style="width: 16px; text-align: left;">$</td><td style="width: 126px; text-align: right;">104,910</td><td style="width: 16px; text-align: left;">&#160;</td><td style="width: 16px;">&#160;</td><td style="width: 16px; text-align: left;">$</td><td style="width: 126px; text-align: 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4682000 4763000 -81000 4025000 4198000 -173000 0 35955000 5286000 4642000 0 26027000 2028 2029 2029 2029 2024 2018 2018 2029 2029 2029 2029 2029 2019 2018 2018 2018 2018 2015 Interest payable monthly until maturity Interest payable monthly until maturity Interest payable monthly until maturity Interest payable monthly until maturity Interest payable monthly until maturity Interest payable monthly until maturity Interest plus $17 of principal payable monthly with $10,836 due at maturity Interest payable monthly until maturity Interest plus $115 of principal payable monthly with $382,127 due at maturity Interest plus $2 of principal payable monthly with $10,466 due at maturity Interest payable monthly until maturity Interest payable monthly until maturity Interest payable monthly until maturity Interest payable monthly until maturity Interest accrues monthly until maturity Interest accrues monthly until maturity Interest payable monthly until maturity Past due None None None None None None None None None None None None None None None None None None 74928000 3968000 4112000 12107000 112500000 11874000 11027000 12500000 415000000 11000000 188000 14045000 210000 7440000 10288000 8548000 3195000 6997000 671232000 35964000 3968000 4112000 12107000 112500000 12001000 10944000 12500000 410763000 10988000 188000 14045000 210000 7440000 10288000 8547000 3195000 1472000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1472000 33288000 48722000 34643000 1572000 89174000 2754000 125100000 <p style="font: 10pt/normal 'times new roman', times, serif; margin: 0px; text-align: center; color: #000000; text-transform: none; text-indent: 0px; letter-spacing: normal; word-spacing: 0px; white-space: normal; orphans: 2; widows: 2; font-stretch: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;"><b>OMEGA HEALTHCARE INVESTORS, INC. 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The deferred tax assets and liabilities primarily resulted from inherited basis differences resulting from our acquisition of entities in the U.K. Subsequent adjustments to these accounts result from GAAP to tax differences related to depreciation, indexation and revenue recognition. The period is from April 1, 2015 (Aviv Merger date) through December 31, 2015. All of the aforementioned acquisitions were accounted for as business combinations. All of the aforementioned acquisitions were accounted for as asset acquisitions. Omega recorded a non-cash deferred tax liability and acquisition costs of approximately $8.2 million and $1.2 million, respectively, in connection with this acquisition. In July 2017, we transitioned nine SNFs formerly subject to a direct financing lease to another operator. As a result of terminating the direct financing lease, we wrote down the facilities to our original cost basis and recorded an impairment on the direct financing lease of approximately $1.8 million. See Note 4 - Direct Financing Leases for additional information. In July 2015, we leased the facility to a new operator with an initial lease term of 10 years. On July 24, 2015, we purchased five buildings located in New York City, New York for approximately $111.7 million. We and our operator plan to construct a 215,000 square-foot assisted living and memory care facility. The properties were added to the operator's existing master lease. The lease provides for a 5% annual cash yield on the land during the construction phase. Upon issuance of a certification of occupancy, the annual cash yield will increase to 7% in year one and 8% in year two with 2.5% annual escalators thereafter. Accounted for as an asset acquisition. Acquired from a related party. Refer to Note - 2 Summary of Significant Accounting Policies - Related Party Transactions. Omega also recorded a deferred tax asset of approximately $1.9 million in connection with the acquisition. The Company paid $63.0 million in cash at closing to acquire the facilities. We paid an additional $1.5 million in April 2017 and the remaining $1.5 million will be paid in April 2018. The additional consideration to be paid is contractually determined and not contingent on other factors. The Company paid approximately $3.5 million in cash to acquire the facility. The remainder of the purchase price (approximately $5.5 million) was funded with the redemption of an other investment note. The Company's investment includes a purchase option buyout obligation with a fair value of approximately $29.6 million. The future buyout obligation is recorded in accrued expenses and other liabilities on our Consolidated Balance Sheet. The Company also acquired a term loan with a fair value of approximately $37.0 million which is recorded in other investments on our Consolidated Balance Sheet. In August 2017, the purchase option was terminated and the operator used the proceeds to repay certain other investments, refer to Note - 6 Other Investments for details. The cash yield is based on the purchase price. Other investment notes have maturity dates through 2028 and interest rates ranging from 6.0% to 12.0% per annum. Orianna has been excluded from the contractual minimum rent payments due under our direct financing leases. See below for additional information. Other mortgage notes outstanding have stated interest rates ranging from 8.35% to 14.0% per annum and maturity dates through 2029. The allowance for loss on mortgage notes receivable relates to one mortgage with an operator. The carrying value and fair value of the mortgage note receivable is approximately $1.5 million at December 31, 2017 and $2.5 million at December 31, 2016. Mortgage loans included in this schedule represent first mortgages on facilities used in the delivery of long-term healthcare of which such facilities are located in the states indicated. The 2017 allowance for loss on other investments relates to one loan with an operator that has been fully reserved at December 31, 2017 with a charge to earnings in 2017. The reserves at December 31, 2016 were written off in 2017. Reflects the weighted average annual contractual interest rate on the mortgages at December 31, 2017 excluding a third-party administration fee of approximately 0.5% annually. Secured by real estate assets with a net carrying value of $62.0 million as of December 31, 2017. This borrowing was incurred by wholly owned subsidiaries of Omega OP. This borrowing is denominated in British Pounds Sterling. We plan to sell the facilities classified as held for sale at December 31, 2017 within the next twelve months. In 2016, we sold 21 SNFs for approximately $86.7 million in net proceeds recognizing gains on sales of approximately $16.5 million. We also recorded approximately $4.9 million of impairments on 16 facilities to reduce their net book values to their estimated fair value less costs to sell. Two SNFs and one ALF classified as assets held for sale in the second quarter were no longer considered held for sale and were reclassified in the third quarter back to leased properties at their fair values (approximately $7.0 million). In 2017, we sold 13 SNFs and three ALFs for approximately $38.8 million in net proceeds recognizing a gain on sale of approximately $4.3 million. One SNF classified as an asset held for sale at December 31, 2016 was no longer considered held for sale during the first quarter of 2017 and was reclassified back to leased properties at approximately $5.1 million which represents the facility's then carrying value adjusted for depreciation that was not recognized while classified as held for sale. In 2016, we reclassified ten ALFs and 31 SNFs to assets held for sale (including the two SNFs and one ALF mentioned above that were reclassified back to leased properties in the third quarter). We recorded approximately $49.4 million of impairment charges on 20 of these facilities to reduce their net book values to their estimated fair value less costs to sell before they were reclassified to assets held for sale. In 2017, we reclassified one ALF, one specialty facility and 17 SNFs to assets held for sale. We recorded approximately $10.3 million of impairment charges to reduce one ALF, one specialty facility and three SNFs to their estimated fair value less costs to sell before they were reclassified to assets held for sale. The amount includes $0.6 million of net deferred financing costs related to the Omega OP term loan as of December 31, 2017. In 2017, we recorded (a) $4.7 million of write-offs of unamortized deferred costs associated with the early redemption of our 5.875% Notes and (b) $5.5 million of write-offs of unamortized deferred financing costs associated with the termination of the 2014 Omega Credit Agreement. In 2016, we recorded $0.3 million of write-offs of unamortized deferred financing costs associated with three facilities that were acquired via a deed-in-lieu of foreclosure. In 2015, we recorded: (a) $4.2 million of write-offs of unamortized deferred financing costs and discount associated with the early redemption of our $200 million 7.5% Senior Notes due 2020, (b) $1.9 million in net write-offs associated with unamortized deferred financing costs and original issuance premiums/discounts associated with the early redemption of our $575 million 6.75% Senior Notes due 2022, offset by (c) $13.2 million gain related to the early extinguishment of debt from the write off of unamortized premiums on HUD debt. In 2015, we paid approximately $188.5 million to retire 24 HUD mortgage loans. In 2017, we made $11.8 million of prepayment penalties associated with the early redemption of our 5.875% Notes. In 2016, we purchased a $180 million mortgage term loan and paid a 1% premium of approximately $1.8 million to purchase the debt. In 2015, we made: (a) $7.5 million of prepayment penalties associated with the early redemption of our $200 million 7.5% Senior Notes due 2020, (b) $19.4 million of prepayment penalties associated with the early redemption of our $575 million 6.75% Senior Notes due 2022 and (c) $9.1 million of prepayment penalties associated with 24 HUD mortgage loans that we paid off in 2015. These amounts are included in owners' equity. Recorded in interest expense on the Consolidated Statements of Operations. Omega stock price on April 1, 2015 was $40.74. The weighted average stock price indicated in the table above represents the expense per unit that we will record related to the assumed Aviv RSUs. PRSUs are shown as vesting in the year that the Compensation Committee determines the level of achievement of the applicable performance measures. Total compensation cost to be recognized on the awards was based on the grant date fair value or the modification date fair value. Total compensation cost to be recognized on the awards based on grant date fair value, which is based on the market price of the Company's common stock on the date of grant. Includes finance costs. Uncollectible accounts written off, net of recoveries or adjustments. The aggregate cost for federal income tax purposes is approximately $676.6 million. Year Ended December 31, 2015, 2016, 2017, Balance at beginning of period. $ 648,079 $ 679,795 $ 639,343 Additions during period - new mortgage loans or additional fundings 33,288 48,722 34,643 Deductions during period - collection of principal/other (1,572 ) (89,174 ) (2,754 ) Balance at close of period. $ 679,795 $ 639,343 $ 671,232 . Amounts reflect provisions for uncollectible accounts and impairment losses on real estate properties and direct financing leases of $10.0 million, $12.8 million, $224.4 million and $64.6 million for the three month periods ended March 31, 2017, June 30, 2017, September 30, 2017 and December 31, 2017, respectively. Amounts also reflect net gain (loss) on assets sold of $7.4 million, $(0.6) million, $0.7 million and $46.4 million for the three month periods ended March 31, 2017, June 30, 2017, September 30, 2017 and December 31, 2017, respectively. Total shares/units and compensation costs are net of shares/units cancelled. This table excludes approximately $1.1 million of unrecognized compensation costs related to our directors. Reflects the weighted average annual contractual interest rate on the mortgages at December 31, 2017 excluding a third-party administration fee of approximately 0.5% annually. Secured by real estate assets with a net carrying value of $62.0 million as of December 31, 2017. This borrowing was incurred by wholly owned subsidiaries of Omega OP. The real estate included in this schedule is being used in either the operation of skilled nursing facilities (SNF), assisted living facilities (AL), independent living facilities (ILF), traumatic brain injury (TBI), medical office building (MOB) or specialty hospitals (SH) located in the states or country indicated. Certain of the real estate indicated are security for the HUD loan borrowings totalling $53.7 million. Reflects bed sales, impairments (including the write-off of accumulated depreciation), land easements and impacts from foreign currency exchange rates. Year Ended December 31, 2015, 2016, 2017 Balance at beginning of period $3,223,785 $ 6,743,958 $ 7,566,358 Acquisitions through foreclosure - 25,000 - Acquisitions (a) 3,371,234 1,017,761 419,333 Impairment (12,916 ) (53,717 ) (98,672 ) Improvements 220,272 95,807 116,786 Disposals/other (58,417 ) (262,451 ) (347,845 ) Balance at close of period $ 6,743,958 $ 7,566,358 $ 7,655,960 Year Ended December 31,2015,2016,2017 Balance at beginning of period $821,712 $ 1,019,150 $ 1,240,336 Provisions for depreciation 210,555 266,904 287,189 Dispositions/other (13,117 ) (45,718 ) (150,697 ) Balance at close of period $ 1,019,150 $ 1,240,336 $ 1,376,828 Mortgages included in the schedule which were extended during 2017 aggregated approximately $3.2 million. The carrying value of the mortgage exceeds the face value of the mortgage due to an acquisition date fair market value adjustment. Mortgage written down to the fair value of the underlying collateral. The reported amount of our real estate at December 31, 2017 is greater than the tax basis of the real estate by approximately $0.9 billion. Includes approximately $3.1 billion, $35.1 million and $27.2 million of noncash consideration exchanged during the years ended December 31, 2015, 2016 and 2017, respectively. 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Document and Entity Information - USD ($)
12 Months Ended
Dec. 31, 2017
Feb. 16, 2018
Jun. 30, 2017
Document And Entity Information [Line Items]      
Entity Registrant Name OMEGA HEALTHCARE INVESTORS INC    
Entity Central Index Key 0000888491    
Trading Symbol ohi    
Entity Current Reporting Status Yes    
Entity Voluntary Filers No    
Current Fiscal Year End Date --12-31    
Entity Filer Category Large Accelerated Filer    
Entity Well-known Seasoned Issuer Yes    
Entity Common Stock Shares Outstanding   198,589,565  
Entity Public Float     $ 6,512,334,069
Document Type 10-K    
Document Period End Date Dec. 31, 2017    
Amendment Flag false    
Document Fiscal Year Focus 2017    
Document Fiscal Period Focus FY    
OHI Healthcare Properties Limited Partnership      
Document And Entity Information [Line Items]      
Entity Registrant Name OHI Healthcare Properties Limited Partnership    
Entity Central Index Key 0001639315    
Entity Current Reporting Status Yes    
Entity Voluntary Filers No    
Current Fiscal Year End Date --12-31    
Entity Filer Category Non-accelerated Filer    
Entity Well-known Seasoned Issuer No    
Entity Common Stock Shares Outstanding   0  
Entity Public Float     $ 0
Document Type 10-K    
Document Period End Date Dec. 31, 2017    
Amendment Flag false    
Document Fiscal Year Focus 2017    
Document Fiscal Period Focus FY    
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CONSOLIDATED BALANCE SHEETS - USD ($)
$ in Thousands
Dec. 31, 2017
Dec. 31, 2016
Real estate properties    
Real estate investments (see Note 3) $ 7,655,960 $ 7,566,358
Less accumulated depreciation (1,376,828) (1,240,336)
Real estate investments - net 6,279,132 6,326,022
Investments in direct financing leases - net 364,965 601,938
Mortgage notes receivable - net 671,232 639,343
Real estate properties, total 7,315,329 7,567,303
Other investments - net 276,342 256,846
Investment in unconsolidated joint venture 36,516 48,776
Assets held for sale - net 86,699 52,868
Total investments 7,714,886 7,925,793
Cash and cash equivalents 85,937 93,687
Restricted cash 10,871 13,589
Accounts receivable - net 279,334 240,035
Goodwill 644,690 643,474
Other assets 37,587 32,682
Total assets 8,773,305 8,949,260
LIABILITIES AND EQUITY    
Revolving line of credit 290,000 190,000
Term loans - net [1] 904,670 1,094,343
Secured borrowings - net [1],[2] 53,098 54,365
Unsecured borrowings - net [1] 3,324,390 3,028,146
Accrued expenses and other liabilities 295,142 360,514
Deferred income taxes 17,747 9,906
Total liabilities 4,885,047 4,737,274
Equity:    
Common stock $.10 par value authorized - 350,000 shares, issued and outstanding - 198,309 shares as of December 31, 2017 and 196,142 as of December 31, 2016 19,831 19,614
Common stock - additional paid-in capital 4,936,302 4,861,408
Cumulative net earnings 1,839,356 1,738,937
Cumulative dividends paid (3,210,248) (2,707,387)
Accumulated other comprehensive loss (30,150) (53,827)
Total stockholders' equity 3,555,091 3,858,745
Noncontrolling interest 333,167 353,241
Total equity 3,888,258 4,211,986
Owners' Equity:    
Total liabilities and equity 8,773,305 8,949,260
OHI Healthcare Properties Limited Partnership    
Real estate properties    
Real estate investments (see Note 3) 7,655,960 7,566,358
Less accumulated depreciation (1,376,828) (1,240,336)
Real estate investments - net 6,279,132 6,326,022
Investments in direct financing leases - net 364,965 601,938
Mortgage notes receivable - net 671,232 639,343
Real estate properties, total 7,315,329 7,567,303
Other investments - net 276,342 256,846
Investment in unconsolidated joint venture 36,516 48,776
Assets held for sale - net 86,699 52,868
Total investments 7,714,886 7,925,793
Cash and cash equivalents 85,937 93,687
Restricted cash 10,871 13,589
Accounts receivable - net 279,334 240,035
Goodwill 644,690 643,474
Other assets 37,587 32,682
Total assets 8,773,305 8,949,260
LIABILITIES AND EQUITY    
Term loans - net 99,423 100,000
Secured borrowings - net 53,098 54,365
Accrued expenses and other liabilities 226,028 302,959
Deferred income taxes 17,747 9,906
Intercompany loans payable 4,488,751 4,270,044
Total liabilities 4,885,047 4,737,274
Owners' Equity:    
General partners' equity 3,555,091 3,858,745
Limited partners' equity 333,167 353,241
Total owners' equity 3,888,258 4,211,986
Total liabilities and equity $ 8,773,305 $ 8,949,260
[1] All borrowing are direct borrowings of Omega unless otherwise noted.
[2] These amounts represent borrowings that were incurred by Omega OP or wholly owned subsidiaries of Omega OP.
XML 23 R3.htm IDEA: XBRL DOCUMENT v3.8.0.1
CONSOLIDATED BALANCE SHEETS (Parentheticals) - $ / shares
shares in Thousands
Dec. 31, 2017
Dec. 31, 2016
Statement Of Financial Position [Abstract]    
Common stock, par value (in dollars per share) $ 0.10 $ 0.10
Common stock, shares authorized 350,000 350,000
Common stock, shares issued 198,309 196,142
Common stock, shares outstanding 198,309 196,142
XML 24 R4.htm IDEA: XBRL DOCUMENT v3.8.0.1
CONSOLIDATED STATEMENTS OF OPERATIONS - USD ($)
shares in Thousands, $ in Thousands
9 Months Ended 12 Months Ended
Dec. 31, 2015
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Revenue        
Rental income   $ 775,176 $ 743,885 $ 605,991
Income from direct financing leases   32,336 62,298 59,936
Mortgage interest income   66,202 69,811 68,910
Other investment income - net   29,225 21,852 7,534
Miscellaneous income   5,446 2,981 1,246
Total operating revenues   908,385 900,827 743,617
Expenses        
Depreciation and amortization   287,591 267,062 210,703
General and administrative   47,683 45,867 38,568
Acquisition and merger related costs     9,582 57,525
Impairment loss on real estate properties   99,070 58,726 17,681
Impairment loss on direct financing leases   198,199    
Provisions for uncollectible accounts   14,580 9,845 7,871
Total operating expenses   647,123 391,082 332,348
Income before other income and expense   261,262 509,745 411,269
Other income (expense)        
Interest income   267 173 285
Interest expense   (188,762) (164,103) (147,381)
Interest - amortization of deferred financing costs   (9,516) (9,345) (6,990)
Interest - refinancing costs   (21,965) (2,113) (28,837)
Contractual settlement   10,412    
Realized gain (loss) on foreign exchange   311 (232) (173)
Total other expense   (209,253) (175,620) (183,096)
Income before gain on assets sold   52,009 334,125 228,173
Gain on assets sold - net   53,912 50,208 6,353
Income from continuing operations   105,921 384,333 234,526
Income tax expense   (3,248) (1,405) (1,211)
Income from unconsolidated joint venture   2,237 439  
Net income   104,910 383,367 233,315
Net income attributable to noncontrolling interest   (4,491) (16,952) (8,791)
Net income available to common stockholders/Omega OP Unit holders   $ 100,419 $ 366,415 $ 224,524
Basic:        
Net income available to common stockholders (in dollars per share)   $ 0.51 $ 1.91 $ 1.30
Diluted:        
Net income (in dollars per share)   $ 0.51 $ 1.90 $ 1.29
Weighted-average shares outstanding, Basic and Diluted        
Weighted-average shares outstanding, basic (in shares)   197,738 191,781 172,242
Weighted-average shares outstanding, diluted (in shares)   206,790 201,635 180,508
OHI Healthcare Properties Limited Partnership        
Revenue        
Rental income $ 505,027 $ 775,176 $ 743,885  
Income from direct financing leases 45,590 32,336 62,298  
Mortgage interest income 52,331 66,202 69,811  
Other investment income - net 6,138 29,225 21,852  
Miscellaneous income 1,111 5,446 2,981  
Total operating revenues 610,197 908,385 900,827  
Expenses        
Depreciation and amortization 180,093 287,591 267,062  
General and administrative 32,554 47,683 45,867  
Acquisition and merger related costs 52,657   9,582  
Impairment loss on real estate properties 11,699 99,070 58,726  
Impairment loss on direct financing leases   198,199    
Provisions for uncollectible accounts 7,873 14,580 9,845  
Total operating expenses 284,876 647,123 391,082  
Income before other income and expense 325,321 261,262 509,745  
Other income (expense)        
Interest income 92 267 173  
Interest expense (115,022) (188,762) (164,103)  
Interest - amortization of deferred financing costs (5,637) (9,516) (9,345)  
Interest - refinancing costs (19,460) (21,965) (2,113)  
Contractual settlement   10,412    
Realized gain (loss) on foreign exchange (173) 311 (232)  
Total other expense (140,200) (209,253) (175,620)  
Income before gain on assets sold 185,121 52,009 334,125  
Gain on assets sold - net 6,353 53,912 50,208  
Income from continuing operations 191,474 105,921 384,333  
Income tax expense (1,211) (3,248) (1,405)  
Income from unconsolidated joint venture   2,237 439  
Net income 190,263 [1] 104,910 383,367  
Net income available to common stockholders/Omega OP Unit holders $ 190,263 [1] $ 104,910 $ 383,367  
Basic:        
Net income (in dollars per share) $ 0.98 $ 0.51 $ 1.91  
Diluted:        
Net income (in dollars per share) $ 0.97 [1] $ 0.51 $ 1.90  
Weighted-average shares outstanding, Basic and Diluted        
Weighted-average Omega OP Units outstanding, basic (in shares) 193,843 [1] 206,521 200,679  
Weighted-average Omega OP Units outstanding, diluted (in shares) 195,742 [1] 206,790 201,635  
[1] The period is from April 1, 2015 (Aviv Merger date) through December 31, 2015.
XML 25 R5.htm IDEA: XBRL DOCUMENT v3.8.0.1
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME - USD ($)
$ in Thousands
9 Months Ended 12 Months Ended
Dec. 31, 2015
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Net income   $ 104,910 $ 383,367 $ 233,315
Other comprehensive income (loss)        
Foreign currency translation   21,845 (46,535) (8,413)
Cash flow hedges   2,883 (702) (718)
Total other comprehensive income (loss)   24,728 (47,237) (9,131)
Comprehensive income   129,638 336,130 224,184
Comprehensive income attributable to noncontrolling interest   (5,542) (14,830) (8,373)
Comprehensive income attributable to common stockholders   124,096 321,300 $ 215,811
OHI Healthcare Properties Limited Partnership        
Net income $ 190,263 [1] 104,910 383,367  
Other comprehensive income (loss)        
Foreign currency translation (8,413) 21,845 (46,535)  
Cash flow hedges (718) 2,883 (702)  
Total other comprehensive income (loss) (9,131) 24,728 (47,237)  
Comprehensive income $ 181,132 $ 129,638 $ 336,130  
[1] The period is from April 1, 2015 (Aviv Merger date) through December 31, 2015.
XML 26 R6.htm IDEA: XBRL DOCUMENT v3.8.0.1
CONSOLIDATED STATEMENTS OF CHANGES IN EQUITY - USD ($)
$ in Thousands
Common Stock Par Value
Additional Paid-in Capital
Cumulative Net Earnings
Cumulative Dividends
Accumulated Other Comprehensive Loss
Total Stockholders' Equity
Noncontrolling Interest
Total
Balance (127,606 common shares, 187,399 common shares, 196,142 shares and 198,309 shares for 2014, 2015, 2016 and 2017, respectively and Omega OP Units 8,956, 8,862 and 8,772 for 2015, 2016 and 2017, respectively.) at Dec. 31, 2014 $ 12,761 $ 2,136,234 $ 1,147,998 $ (1,895,666)   $ 1,401,327   $ 1,401,327
Increase (Decrease) In Stockholders' Equity [Roll Forward]                
Grant of restricted stock to company directors (21 shares at $35.70 per share, 18 shares at $33.09 per share and 32 shares at $31.23 per share to company directors for 2015, 2016 and 2017, respectively) 2 (2)            
Stock-based compensation expense   11,133       11,133   11,133
Vesting/exercising of equity compensation, net of tax withholdings (941 shares, 773 shares and 116 shares for 2015, 2016 and 2017, respectively) 94 (26,800)       (26,706)   (26,706)
Dividend reinvestment plan ( 4,184 shares at $36.06 per share, 7,215 shares at $33.27 per share and 1,199 shares at $30.64 per share for 2015, 2016, and 2017, respectively) 418 150,429       150,847   150,847
Value of assumed options in Aviv Merger   109,346       109,346   109,346
Value of assumed other equity compensation plan in Aviv Merger   12,644       12,644   12,644
Grant of stock as payment of directors fees (9 shares at an average of $35.94 per share, 10 shares at an average of $31.27 per share and 5 shares at an average of $32.18 per share for 2015, 2016, and 2017, respectively) 1 312       313   313
Deferred compensation directors (8 shares at $32.10 per share for 2017)   1,444       1,444   1,444
Issuance of common stock (10,925 shares at an average of $40.32 per share) 1,093 438,229       439,322   439,322
Issuance of common stock - Aviv Merger - related (43,713 shares) 4,371 1,776,505       1,780,876   1,780,876
Common dividends declared ($2.18 per share, $2.36 per share and $2.54 per share for 2015, 2016, and 2017 respectively)       (358,372)   (358,372)   (358,372)
Omega OP Units issuance (9,165 units)             $ 373,394 373,394
Conversion of Omega OP Units (209 units)             (7,251) (7,251)
Omega OP Units distributions             (11,636) (11,636)
Comprehensive income:                
Foreign currency translation         $ (8,027) (8,027) (386) (8,413)
Cash flow hedges         (685) (685) (33) (718)
Net income     224,524     224,524 8,791 233,315
Total comprehensive income               224,184
Balance (127,606 common shares, 187,399 common shares, 196,142 shares and 198,309 shares for 2014, 2015, 2016 and 2017, respectively and Omega OP Units 8,956, 8,862 and 8,772 for 2015, 2016 and 2017, respectively.) at Dec. 31, 2015 18,740 4,609,474 1,372,522 (2,254,038) (8,712) 3,737,986 362,879 4,100,865
Increase (Decrease) In Stockholders' Equity [Roll Forward]                
Grant of restricted stock to company directors (21 shares at $35.70 per share, 18 shares at $33.09 per share and 32 shares at $31.23 per share to company directors for 2015, 2016 and 2017, respectively) 2 (2)            
Stock-based compensation expense   13,790       13,790   13,790
Vesting/exercising of equity compensation, net of tax withholdings (941 shares, 773 shares and 116 shares for 2015, 2016 and 2017, respectively) 77 (23,503)       (23,426)   (23,426)
Dividend reinvestment plan ( 4,184 shares at $36.06 per share, 7,215 shares at $33.27 per share and 1,199 shares at $30.64 per share for 2015, 2016, and 2017, respectively) 721 239,320       240,041   240,041
Grant of stock as payment of directors fees (9 shares at an average of $35.94 per share, 10 shares at an average of $31.27 per share and 5 shares at an average of $32.18 per share for 2015, 2016, and 2017, respectively) 1 324       325   325
Deferred compensation directors (8 shares at $32.10 per share for 2017)   (129)       (129)   (129)
Equity Shelf Program (656 shares at $29.97per share, net of issuance costs and 718 shares at $30.81 per share, net of issuance costs for 2016 and 2017, respectively) 66 19,585       19,651   19,651
Common dividends declared ($2.18 per share, $2.36 per share and $2.54 per share for 2015, 2016, and 2017 respectively)       (453,349)   (453,349)   (453,349)
Conversion of Omega OP Units to common stock (72 shares at $35.68 per share and 89 shares at $32.91 per share for 2016, and 2017, respectively) 7 2,559       2,566   2,566
Redemption of Omega OP Units (94 and 90 units for 2016 and 2017, respectively)   (10)       (10) (3,289) (3,299)
Omega OP Units distributions             (21,179) (21,179)
Comprehensive income:                
Foreign currency translation         (44,468) (44,468) (2,067) (46,535)
Cash flow hedges         (647) (647) (55) (702)
Net income     366,415     366,415 16,952 383,367
Total comprehensive income               336,130
Balance (127,606 common shares, 187,399 common shares, 196,142 shares and 198,309 shares for 2014, 2015, 2016 and 2017, respectively and Omega OP Units 8,956, 8,862 and 8,772 for 2015, 2016 and 2017, respectively.) at Dec. 31, 2016 19,614 4,861,408 1,738,937 (2,707,387) (53,827) 3,858,745 353,241 4,211,986
Increase (Decrease) In Stockholders' Equity [Roll Forward]                
Grant of restricted stock to company directors (21 shares at $35.70 per share, 18 shares at $33.09 per share and 32 shares at $31.23 per share to company directors for 2015, 2016 and 2017, respectively) 3 (3)            
Stock-based compensation expense   15,212       15,212   15,212
Vesting/exercising of equity compensation, net of tax withholdings (941 shares, 773 shares and 116 shares for 2015, 2016 and 2017, respectively) 12 (2,155)       (2,143)   (2,143)
Dividend reinvestment plan ( 4,184 shares at $36.06 per share, 7,215 shares at $33.27 per share and 1,199 shares at $30.64 per share for 2015, 2016, and 2017, respectively) 120 36,602       36,722   36,722
Grant of stock as payment of directors fees (9 shares at an average of $35.94 per share, 10 shares at an average of $31.27 per share and 5 shares at an average of $32.18 per share for 2015, 2016, and 2017, respectively) 1 149       150   150
Deferred compensation directors (8 shares at $32.10 per share for 2017)   108       108   108
Equity Shelf Program (656 shares at $29.97per share, net of issuance costs and 718 shares at $30.81 per share, net of issuance costs for 2016 and 2017, respectively) 72 22,048       22,120   22,120
Common dividends declared ($2.18 per share, $2.36 per share and $2.54 per share for 2015, 2016, and 2017 respectively)       (502,861)   (502,861)   (502,861)
Conversion of Omega OP Units to common stock (72 shares at $35.68 per share and 89 shares at $32.91 per share for 2016, and 2017, respectively) 9 2,933       2,942   2,942
Redemption of Omega OP Units (94 and 90 units for 2016 and 2017, respectively)             (2,990) (2,990)
Omega OP Units distributions             (22,626) (22,626)
Comprehensive income:                
Foreign currency translation         20,916 20,916 929 21,845
Cash flow hedges         2,761 2,761 122 2,883
Net income     100,419     100,419 4,491 104,910
Total comprehensive income               129,638
Balance (127,606 common shares, 187,399 common shares, 196,142 shares and 198,309 shares for 2014, 2015, 2016 and 2017, respectively and Omega OP Units 8,956, 8,862 and 8,772 for 2015, 2016 and 2017, respectively.) at Dec. 31, 2017 $ 19,831 $ 4,936,302 $ 1,839,356 $ (3,210,248) $ (30,150) $ 3,555,091 $ 333,167 $ 3,888,258
XML 27 R7.htm IDEA: XBRL DOCUMENT v3.8.0.1
CONSOLIDATED STATEMENTS OF CHANGES IN EQUITY (Parentheticals) - $ / shares
shares in Thousands
12 Months Ended
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Increase (Decrease) In Stockholders' Equity [Roll Forward]      
Balance (in shares) 196,142 187,399 127,606
Balance (in units) 8,862 8,956  
Grant of restricted stock (in shares) 32 18 21
Grant of restricted stock (in dollars per share) $ 31.23 $ 33.09 $ 35.70
Vesting/exercising of equity compensation plan (in shares) 116 773 941
Dividend reinvestment plan (in shares) 1,199 7,215 4,184
Dividend reinvestment plan (in dollars per share) $ 30.64 $ 33.27 $ 36.06
Grant of stock as payment of directors fees (in shares) 5 10 9
Grant of stock as payment of fees (in dollars per share) $ 32.18 $ 31.27 $ 35.94
Issuance of common stock (in shares)     10,925
Issuance of common stock, (in dollars per share)     $ 40.32
Issuance of common stock - Aviv Merger - related (in shares)     43,713
Deferred compensation directors (in shares) 8    
Deferred compensation directors (in dollars per share) $ 32.10    
Equity shelf program (in shares) 718 656  
Equity shelf program (in dollars per share) $ 30.81 $ 29.97  
Per share distributions of common dividends (in dollars per share) $ 2.54 $ 2.36 $ 2.18
OP units issuance     9,165
Conversion of OP Units to Common stock (in shares) 89 72  
Conversion of OP Units to Common stock (in dollars per share) $ 32.91 $ 35.68  
Cash conversion of OP units     209
Redemption of OP Units (in units) 90 94  
Balance (in shares) 198,309 196,142 187,399
Balance (in units) 8,772 8,862 8,956
XML 28 R8.htm IDEA: XBRL DOCUMENT v3.8.0.1
CONSOLIDATED STATEMENTS OF CHANGES IN OWNERS' EQUITY - USD ($)
$ in Thousands
OHI Healthcare Properties Limited Partnership
General Partners' Omega OP Units
OHI Healthcare Properties Limited Partnership
Limited Partners' Omega OP Units
OHI Healthcare Properties Limited Partnership
Total
Balance at Apr. 01, 2015 $ 1,770,953   $ 1,770,953  
Balance (in units) at Apr. 01, 2015 138,752   138,752  
Increase (Decrease) in Partners' Capital [Roll Forward]        
Contributions from partners $ 2,034,091 $ 373,394 $ 2,407,485  
Contributions from partners (in units) 48,647 9,165 57,812  
Distributions to partners $ (239,818) $ (11,636) $ (251,454)  
Omega OP Unit redemptions   $ (7,251) $ (7,251)  
Omega OP Unit redemptions (in units)   (209) (209)  
Comprehensive income:        
Foreign currency translation (8,027) $ (386) $ (8,413)  
Cash flow hedges (685) (33) (718)  
Net income 181,472 8,791 190,263 [1]  
Total comprehensive income     181,132  
Balance at Dec. 31, 2015 $ 3,737,986 $ 362,879 $ 4,100,865  
Balance (in units) at Dec. 31, 2015 187,399 8,956 196,355  
Increase (Decrease) in Partners' Capital [Roll Forward]        
Contributions from partners $ 252,818   $ 252,818  
Contributions from partners (in units) 8,743   8,743  
Distributions to partners $ (453,349) $ (21,179) $ (474,528)  
Omega OP Unit redemptions (10) $ (3,289) $ (3,299)  
Omega OP Unit redemptions (in units)   (94) (94)  
Comprehensive income:        
Foreign currency translation (44,468) $ (2,067) $ (46,535) $ (46,535)
Cash flow hedges (647) (55) (702) (702)
Net income 366,415 16,952 383,367 383,367
Total comprehensive income     336,130 336,130
Balance at Dec. 31, 2016 $ 3,858,745 $ 353,241 $ 4,211,986  
Balance (in units) at Dec. 31, 2016 196,142 8,862 205,004  
Increase (Decrease) in Partners' Capital [Roll Forward]        
Contributions from partners $ 75,111   $ 75,111  
Contributions from partners (in units) 2,167   2,167  
Distributions to partners $ (502,861) $ (22,626) $ (525,487)  
Omega OP Unit redemptions   $ (2,990) $ (2,990)  
Omega OP Unit redemptions (in units)   (90) (90)  
Comprehensive income:        
Foreign currency translation 20,916 $ 929 $ 21,845 21,845
Cash flow hedges 2,761 122 2,883 2,883
Net income 100,419 4,491 104,910 104,910
Total comprehensive income     129,638 $ 129,638
Balance at Dec. 31, 2017 $ 3,555,091 $ 333,167 $ 3,888,258  
Balance (in units) at Dec. 31, 2017 198,309 8,772 207,081  
[1] The period is from April 1, 2015 (Aviv Merger date) through December 31, 2015.
XML 29 R9.htm IDEA: XBRL DOCUMENT v3.8.0.1
CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Thousands
9 Months Ended 12 Months Ended
Dec. 31, 2015
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Cash flows from operating activities        
Net income   $ 104,910 $ 383,367 $ 233,315
Adjustments to reconcile net income to net cash provided by operating activities:        
Depreciation and amortization   287,591 267,062 210,703
Impairment loss on real estate properties   99,070 58,726 17,681
Impairment loss on direct financing leases   198,199    
Provisions for uncollectible accounts   14,580 9,845 7,871
Refinancing costs and amortization of deferred financing costs   19,711 11,458 35,827
Accretion of direct financing leases   (6,107) (12,157) (11,007)
Stock-based compensation expense   15,212 13,790 11,133
Gain on assets sold - net   (53,912) (50,208) (6,353)
Amortization of acquired in-place leases - net   (11,910) (13,991) (13,846)
Effective yield receivable on mortgage notes   (1,924) (721) (4,065)
Change in operating assets and liabilities - net of amounts assumed/acquired:        
Contractual receivables   (36,621) (4,876) 248
Straight-line rent receivables   (25,240) (42,091) (36,057)
Lease inducements   (8,419) 2,589 994
Other operating assets and liabilities   (17,228) 1,980 2,972
Net cash provided by operating activities   577,912 624,773 449,416
Cash flows from investing activities        
Acquisition of real estate - net of liabilities assumed and escrows acquired   (385,418) (959,748) (294,182)
Cash acquired in acquisition/merger   2,341   84,858
Investments in construction in progress   (86,689) (68,983) (164,226)
Investments in direct financing leases   (7,183) (2,080) (6,793)
Proceeds from sale of direct financing lease assets   33,306    
Placement of mortgage loans   (34,643) (48,722) (14,042)
Investments in unconsolidated joint venture     (50,032)  
Distributions from unconsolidated joint venture   12,175 1,318  
Proceeds from sale of real estate investments   257,812 169,603 41,543
Capital improvements to real estate investments   (37,766) (40,471) (26,397)
Receipts from insurance proceeds   2,754    
Proceeds from other investments   95,696 96,789 45,871
Investments in other investments   (139,047) (271,557) (65,402)
Collection of mortgage principal   1,529 59,975 1,359
Net cash used in investing activities   (285,133) (1,113,908) (397,411)
Cash flows from financing activities        
Proceeds from credit facility borrowings   1,687,000 1,304,000 1,826,000
Payments on credit facility borrowings   (1,587,000) (1,344,000) (1,681,000)
Receipts of other long-term borrowings   1,346,749 1,048,173 1,838,124
Payments of other long-term borrowings   (1,252,788) (181,249) (2,187,314)
Payments of financing related costs   (29,198) (11,830) (54,721)
Receipts from dividend reinvestment plan   36,722 240,041 150,847
Payments for exercised options and restricted stock   (2,143) (23,426) (26,706)
Net proceeds from issuance of common stock   22,120 19,651 439,322
Dividends paid   (502,603) (453,152) (358,232)
Redemption of Omega OP Units   (48) (733)  
Distributions to Omega OP Unit Holders   (22,626) (21,179) (11,636)
Net cash (used in) provided by financing activities   (303,815) 576,296 (65,316)
Effect of foreign currency translation on cash, cash equivalents and restricted cash   568 84 (223)
(Decrease) increase in cash, cash equivalents, and restricted cash   (10,468) 87,245 (13,534)
Cash, cash equivalents, and restricted cash at beginning of year   107,276 20,031 33,565
Cash, cash equivalents, and restricted cash at end of year $ 20,031 96,808 107,276 20,031
OHI Healthcare Properties Limited Partnership        
Cash flows from operating activities        
Net income 190,263 [1] 104,910 383,367  
Adjustments to reconcile net income to net cash provided by operating activities:        
Depreciation and amortization 180,093 287,591 267,062  
Impairment loss on real estate properties 11,699 99,070 58,726  
Impairment loss on direct financing leases   198,199    
Provisions for uncollectible accounts 7,873 14,580 9,845  
Refinancing costs and amortization of deferred financing costs 25,097 19,711 11,458  
Accretion of direct financing leases (8,393) (6,107) (12,157)  
Stock-based compensation expense 9,523 15,212 13,790  
Gain on assets sold - net (6,353) (53,912) (50,208)  
Amortization of acquired in-place leases - net (12,654) (11,910) (13,991)  
Effective yield receivable on mortgage notes (2,945) (1,924) (721)  
Change in operating assets and liabilities - net of amounts assumed/acquired:        
Contractual receivables 444 (36,621) (4,876)  
Straight-line rent receivables (30,782) (25,240) (42,091)  
Lease inducements 3,104 (8,419) 2,589  
Other operating assets and liabilities (19,651) (17,228) 1,980  
Net cash provided by operating activities 347,318 577,912 624,773  
Cash flows from investing activities        
Acquisition of real estate - net of liabilities assumed and escrows acquired (287,882) (385,418) (959,748)  
Cash acquired in acquisition/merger 84,858 2,341    
Investments in construction in progress (158,375) (86,689) (68,983)  
Investments in direct financing leases (6,793) (7,183) (2,080)  
Proceeds from sale of direct financing lease assets   33,306    
Placement of mortgage loans (12,040) (34,643) (48,722)  
Investments in unconsolidated joint venture     (50,032)  
Distributions from unconsolidated joint venture   12,175 1,318  
Proceeds from sale of real estate investments 41,288 257,812 169,603  
Capital improvements to real estate investments (20,793) (37,766) (40,471)  
Receipts from insurance proceeds   2,754    
Proceeds from other investments 43,716 95,696 96,789  
Investments in other investments (63,934) (139,047) (271,557)  
Collection of mortgage principal 1,071 1,529 59,975  
Net cash used in investing activities (378,884) (285,133) (1,113,908)  
Cash flows from financing activities        
Proceeds from intercompany loans payable to Omega 2,968,302 3,033,749 2,352,173  
Repayment of intercompany loans payable to Omega (3,429,431) (2,839,788) (1,525,249)  
Payment of financing related costs incurred by Omega (33,403) (29,198) (11,830)  
Equity contributions from general partners 119,936 56,699 236,266  
Distributions to general partners (289,971) (502,603) (453,152)  
Distributions to limited partners (11,636) (22,626) (21,179)  
Redemption of Omega OP Units   (48) (733)  
Net cash (used in) provided by financing activities (676,203) (303,815) 576,296  
Effect of foreign currency translation on cash, cash equivalents and restricted cash (223) 568 84  
(Decrease) increase in cash, cash equivalents, and restricted cash (707,992) (10,468) 87,245  
Cash, cash equivalents, and restricted cash at beginning of year 728,023 107,276 20,031  
Cash, cash equivalents, and restricted cash at end of year $ 20,031 $ 96,808 $ 107,276 $ 20,031
[1] The period is from April 1, 2015 (Aviv Merger date) through December 31, 2015.
XML 30 R10.htm IDEA: XBRL DOCUMENT v3.8.0.1
ORGANIZATION AND BASIS OF PRESENTATION
12 Months Ended
Dec. 31, 2017
Organization, Consolidation and Presentation of Financial Statements [Abstract]  
ORGANIZATION AND BASIS OF PRESENTATION

NOTE 1 - ORGANIZATION AND BASIS OF PRESENTATION

 

Organization

 

Omega Healthcare Investors, Inc. (“Omega”) was formed as a real estate investment trust (“REIT”) and incorporated in the State of Maryland on March 31, 1992. All of Omega's assets are owned directly or indirectly, and all of Omega's operations are conducted directly or indirectly, through its subsidiary, OHI Healthcare Properties Limited Partnership (“Omega OP”). Omega OP was formed as a limited partnership and organized in the State of Delaware on October 24, 2014. No substantive assets were owned or activity occurred in Omega OP until the merger with Aviv REIT, Inc. on April 1, 2015. Unless stated otherwise or the context otherwise requires, the terms the “Company,” “we,” “our” and “us” means Omega and Omega OP, collectively.

 

The Company 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 skilled nursing facilities (“SNFs”), and, to a lesser extent, assisted living facilities (“ALFs”), independent living facilities and rehabilitation and acute care facilities. Our core portfolio consists of long-term leases and mortgage agreements. All of our leases are “triple-net” leases, which require the tenants to pay all property-related expenses. Our mortgage revenue derives from fixed rate mortgage loans, which are secured by first mortgage liens on the underlying real estate and personal property of the mortgagor.

 

In April 2015, Aviv REIT, Inc., a Maryland corporation (“Aviv”), merged (the “Aviv Merger”) with and into a wholly owned subsidiary of Omega, pursuant to the terms of that certain Agreement and Plan of Merger, dated as of October 30, 2014 (the “Merger Agreement”), by and among Omega, Aviv, OHI Healthcare Properties Holdco, Inc., a Delaware corporation (“OHI Holdco”), Omega OP, and Aviv Healthcare Properties Limited Partnership, a Delaware limited partnership.

 

Prior to April 1, 2015 and in accordance with the Merger Agreement, Omega restructured the manner in which it holds its assets by converting to an umbrella partnership real estate investment trust structure (the “UPREIT Conversion”). As a result of the UPREIT Conversion and following the consummation of the Aviv Merger, all of Omega’s assets are held by Omega OP, through its equity interests in its subsidiaries.

 

Omega OP is governed by the Second Amended and Restated Agreement of Limited Partnership of OHI Healthcare Properties Limited Partnership, dated as of April 1, 2015 (the “Partnership Agreement”). On September 26, 2017, OHI Holdco, a wholly owned subsidiary of Omega and a co-general partner of Omega OP, was merged with and into Omega, resulting in Omega becoming the sole general partner of Omega OP. Omega has exclusive control over Omega OP’s day-to-day management pursuant to the Partnership Agreement. As of December 31, 2017, Omega owned approximately 96% of the issued and outstanding units of partnership interest in Omega OP (“Omega OP Units”), and investors owned approximately 4% of the outstanding Omega OP Units. Each Omega OP Unit (other than those owned by Omega) is redeemable at the election of the holder for cash equal to the then-fair market value of one share of common stock of Omega, subject to Omega’s election to exchange the Omega OP Units tendered for redemption for common stock of Omega on a one-for-one basis in an unregistered transaction, subject to adjustment as set forth in the Partnership Agreement.

 

Consolidation

 

Our consolidated financial statements include the accounts of (i) Omega, (ii) Omega OP, and (iii) all direct and indirect wholly owned subsidiaries of Omega OP. All intercompany transactions and balances have been eliminated in consolidation, and our net earnings are reduced by the portion of net earnings attributable to noncontrolling interests.

 

Omega OP’s consolidated financial statements include the accounts of (i) Omega OP, and (ii) all direct and indirect wholly owned subsidiaries of Omega OP. All intercompany transactions and balances have been eliminated in consolidation.

XML 31 R11.htm IDEA: XBRL DOCUMENT v3.8.0.1
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
12 Months Ended
Dec. 31, 2017
Accounting Policies [Abstract]  
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

NOTE 2 – SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

 

Accounting Estimates

 

The preparation of financial statements in conformity with U.S. generally accepted accounting principles (“GAAP”) requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, the disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates.

 

Fair Value Measurement

 

The Company measures and discloses the fair value of nonfinancial and financial assets and liabilities utilizing a hierarchy of valuation techniques based on whether the inputs to a fair value measurement are considered to be observable or unobservable in a marketplace. Observable inputs reflect market data obtained from independent sources, while unobservable inputs reflect the Company's market assumptions. This hierarchy requires the use of observable market data when available. These inputs have created the following fair value hierarchy:

 

· Level 1 - quoted prices for identical instruments in active markets;

 

· Level 2 - quoted prices for similar instruments in active markets; quoted prices for identical or similar instruments in markets that are not active; and model-derived valuations in which significant inputs and significant value drivers are observable in active markets; and

 

· Level 3 - fair value measurements derived from valuation techniques in which one or more significant inputs or significant value drivers are unobservable.

 

The Company measures fair value using a set of standardized procedures that are outlined herein for all assets and liabilities which are required to be measured at fair value. When available, the Company utilizes quoted market prices from an independent third party source to determine fair value and classifies such items in Level 1. In some instances where a market price is available, but the instrument is in an inactive or over-the-counter market, the Company consistently applies the dealer (market maker) pricing estimate and classifies such items in Level 2.

 

If quoted market prices or inputs are not available, fair value measurements are based upon valuation models that utilize current market or independently sourced market inputs, such as interest rates, option volatilities, credit spreads and/or market capitalization rates. Items valued using such internally-generated valuation techniques are classified according to the lowest level input that is significant to the fair value measurement. As a result, these items could be classified in either Level 2 or Level 3 even though there may be some significant inputs that are readily observable. Internal fair value models and techniques used by the Company include discounted cash flow and Monte Carlo valuation models.

 

Risks and Uncertainties

 

The Company is subject to certain risks and uncertainties affecting the healthcare industry as a result of healthcare legislation and growing regulation by federal, state and local governments. Additionally, we are subject to risks and uncertainties as a result of changes affecting operators of nursing home facilities due to the actions of governmental agencies and insurers to limit the rising cost of healthcare services.

 

Business Combinations

 

We record the purchase of properties to net tangible and identified intangible assets acquired and liabilities assumed at fair value. Transaction costs are expensed as incurred as part of a business combination. In making estimates of fair value for purposes of recording the purchase, we utilize a number of sources, including independent appraisals that may be obtained in connection with the acquisition or financing of the respective property and other market data. We also consider information obtained about each property as a result of our pre-acquisition due diligence, marketing and leasing activities as well as other critical valuation metrics such as current capitalization rates and discount rates used to estimate the fair value of the tangible and intangible assets acquired (Level 3). When liabilities are assumed as part of a transaction, we consider information obtained about the liabilities and use similar valuation metrics (Level 3). In some instances when debt is assumed and an identifiable active market for similar debt is present, we use market interest rates for similar debt to estimate the fair value of the debt assumed (Level 2). The Company determines fair value as follows:

  

· Land is determined based on third party appraisals which typically include market comparables.

 

· Buildings and site improvements acquired are valued using a combination of discounted cash flow projections that assume certain future revenues and costs and consider capitalization and discount rates using current market conditions as well as replacement cost analysis.

 

· Furniture and fixtures are determined based on third party appraisals which typically utilize a replacement cost approach.

 

· Intangible assets and liabilities acquired are valued using a combination of discounted cash flow projections as well as other valuation techniques based on current market conditions for the intangible asset or liability being acquired. When evaluating below market leases we consider extension options controlled by the lessee in our evaluation. For additional information regarding above and below market leases assumed as part of an acquisition see “In-Place Leases" below.

 

· Other assets acquired and liabilities assumed are typically valued at stated amounts, which approximate fair value on the date of the acquisition.

 

· Assumed debt balances are valued by discounting the remaining contractual cash flows using a current market rate of interest.

 

· Stock based compensation and noncontrolling interests are valued using a stock price on the acquisition date.

 

· Goodwill represents the purchase price in excess of the fair value of assets acquired and liabilities assumed and the cost associated with expanding our investment portfolio. Goodwill is not amortized.

 

Asset Acquisitions

 

On October 1, 2016, we early adopted Financial Accounting Standards Board (“FASB”) Accounting Standards Update (“ASU”) 2017-01, Business Combinations-Clarifying the Definition of a Business (“ASU 2017-01”), which clarifies the definition of a business with the objective of adding guidance to assist entities with evaluating whether transactions should be accounted for as business acquisitions. As a result of adopting ASU 2017-01, real estate acquisitions completed after October 1, 2016 did not meet the definition of a business combination and were deemed to be asset acquisitions. Real estate asset acquisitions completed prior to October 1, 2016 were typically deemed to be business combinations and the related acquisition costs were expensed as incurred. For asset acquisitions, assets acquired and liabilities assumed are recognized by allocating the cost of the acquisition to the individual assets acquired and liabilities assumed on a relative fair value basis and the costs of the acquisition are capitalized. The fair value of the assets acquired and liabilities assumed in an asset acquisition are determined in a consistent manner with the immediately preceding “Business Combinations” section.

 

Real Estate Investments and Depreciation

 

The costs of significant improvements, renovations and replacements, including interest are capitalized. In addition, we capitalize leasehold improvements when certain criteria are met, including when we supervise construction and will own the improvement. Expenditures for maintenance and repairs are charged to operations as they are incurred.

 

Depreciation is computed on a straight-line basis over the estimated useful lives ranging from 20 to 40 years for buildings, eight to 15 years for site improvements, and three to ten years for furniture, fixtures and equipment. Leasehold interests are amortized over the shorter of the estimated useful life or term of the lease.

  

Lease Accounting

 

At the inception of the lease and during the amendment process, we evaluate each lease to determine if the lease should be considered an operating lease, sales-type lease, or direct financing lease. As of December 31, 2017, we have determined that all but five of our leases should be accounted for as operating leases. The other five leases are accounted for as direct financing leases.

 

For leases accounted for as operating leases, we retain ownership of the asset and record depreciation expense, see “Business Combinations” and “Real Estate Investments and Depreciation” above for additional information regarding our investment in real estate leased under operating lease agreements. We also record lease revenue based on the contractual terms of the operating lease agreement which often includes annual rent escalators, see “Revenue Recognition” below for further discussion regarding the recordation of revenue on our operating leases.

 

For leases accounted for as direct financing leases, we record the present value of the future minimum lease payments (utilizing a constant interest rate over the term of the lease agreement) as a receivable and record interest income based on the contractual terms of the lease agreement. Certain direct financing leases include annual rent escalators; see “Revenue Recognition” below for further discussion regarding the recording of interest income on our direct financing leases. As of December 31, 2017, we fully reserved $2.9 million of unamortized direct costs related to originating our direct financing leases. As of December 31, 2016, we have $3.3 million of unamortized direct costs related to originating our direct financing leases recorded on our Consolidated Balance Sheet.

 

In-Place Leases

 

In-place lease assets and liabilities result when we assume a lease as part of a facility purchase or business combination. The fair value of in-place leases consists of the following components, as applicable (1) the estimated cost to replace the leases, and (2) the above or below market cash flow of the leases, determined by comparing the projected cash flows of the leases in place at the time of acquisition to projected cash flows of comparable market-rate leases (referred to as Lease Intangibles). Lease intangible assets and liabilities are classified as lease contracts above and below market value, respectively, in other assets and accrued expenses and other liabilities on our Consolidated Balance Sheets, and amortized on a straight-line basis as decreases and increases, respectively, to rental income over the estimated remaining term of the underlying leases. Should a tenant terminate the lease, the unamortized portion of the lease intangible is recognized immediately as income or expense.

 

Real Estate Investment Impairment

 

Management evaluates our real estate investments for impairment indicators at each reporting period, including the evaluation of our assets’ useful lives. The judgment regarding the existence of impairment indicators is based on factors such as, but not limited to, market conditions, operator performance including the current payment status of contractual obligations and expectations of the ability to meet future contractual obligations, legal structure, as well as our intent with respect to holding or disposing of the asset. If indicators of impairment are present, management evaluates the carrying value of the related real estate investments in relation to management’s estimate of future undiscounted cash flows of the underlying facilities. The estimated future undiscounted cash flows are generally based on the related lease which relates to one or more properties and may include cash flows from the eventual disposition of the asset. In some instances, there may be various potential outcomes for a real estate investment and its potential future cash flows. In these instances, the undiscounted future cash flows used to assess the recoverability are probability-weighted based on management’s best estimates as of the date of evaluation. Provisions for impairment losses related to long-lived assets are recognized when expected future undiscounted cash flows based on our intended use of the property are determined to be less than the carrying values of the assets. An adjustment is made to the net carrying value of the real estate investments for the excess of carrying value over fair value. The fair value of the real estate investment is determined based on current market conditions and consider matters such as rental rates and occupancies for comparable properties, recent sales data for comparable properties, and, where applicable, contracts or the results of negotiations with purchasers or prospective purchasers. Additionally, our evaluation of fair value may consider valuing the property as a nursing home as well as alternative uses. All impairments are taken as a period cost at that time, and depreciation is adjusted going forward to reflect the new value assigned to the asset. Management’s impairment evaluation process, and when applicable, impairment calculations involve estimation of the future cash flows from management’s intended use of the property as well as the fair value of the property. Changes in the facts and circumstances that drive management’s assumptions may result in an impairment of the Company’s assets in a future period that could be material to the Company’s results of operations.

 

For the years ended December 31, 2017, 2016 and 2015, we recognized impairment losses on real estate investments of $99.1 million, $58.7 million and $17.7 million, respectively.

  

Allowance for Losses on Mortgages, Other Investments and Direct Financing Leases

 

The allowances for losses on mortgage notes receivable, other investments and direct financing leases (collectively, our “loans”) are maintained at a level believed adequate to absorb potential losses. The determination of the allowances is based on a quarterly evaluation of these loans, including general economic conditions and estimated collectability of loan payments. We evaluate the collectability of our loans receivable based on a combination of factors, including, but not limited to, delinquency status, financial strength of the borrower and guarantors and the value of the underlying collateral. If such factors indicate that there is greater risk of loan charge-offs, additional allowances or placement on non-accrual status may be required. A loan is impaired when, based on current information and events, it is probable that we will be unable to collect all amounts due as scheduled according to the contractual terms of the loan agreements. Consistent with this definition, all loans on non-accrual status may be deemed impaired. To the extent circumstances improve and the risk of collectability is diminished, we will return these loans to full accrual status. When management identifies potential loan impairment indicators, the loan is written down to the present value of the expected future cash flows. In cases where expected future cash flows are not readily determinable, the loan is written down to the fair value of the underlying collateral. We may base our valuation on a loan’s observable market price, if any, or the fair value of collateral, net of sales costs, if the repayment of the loan is expected to be provided solely by the sale of the collateral.

 

We account for impaired loans and direct financing leases using (a) the cost-recovery method, and/or (b) the cash basis method. We generally utilize the cost-recovery method for impaired loans or direct financing leases for which impairment reserves were recorded. We utilize the cash basis method for impaired loans or direct financing leases for which no impairment reserves were recorded because the net present value of the discounted cash flows expected under the loan or direct financing lease and/or the underlying collateral supporting the loan or direct financing lease were equal to or exceeded the book value of the loans or direct financing leases. Under the cost-recovery method, we apply cash received against the outstanding loan balance or direct financing lease prior to recording interest income. Under the cash basis method, we apply cash received to principal or interest income based on the terms of the agreement. As of December 31, 2017 and 2016, we had $177.5 million and $8.7 million, respectively, of reserves on our loans.

 

Investment in Unconsolidated Joint Venture

 

We account for our investment in an unconsolidated joint venture using the equity method of accounting as we exercise significant influence, but do not control the entity.

 

Under the equity method of accounting, the net equity investment of the Company is reflected in the accompanying Consolidated Balance Sheets and the Company's share of net income and comprehensive income from the joint venture is included in the accompanying Consolidated Statements of Operations and Consolidated Statements of Comprehensive Income, respectively.

 

On a periodic basis, management assesses whether there are any indicators that the value of the Company's investment in the unconsolidated joint venture may be other-than-temporarily-impaired. An investment is impaired only if management's estimate of the value of the investment is less than the carrying value of the investment, and such a decline in value is deemed to be other than-temporary. To the extent impairment has occurred, the loss is measured as the excess of the carrying amount of the investment over the estimated fair value of the investment. The estimated fair value of the investment is determined using a discounted cash flow model which is a Level 3 valuation. We consider a number of assumptions that are subject to economic and market uncertainties including, among others, rental rates, operating costs, capitalization rates, holding periods and discount rates.

 

No impairment loss on our investment in unconsolidated joint venture was recognized during the years ended December 31, 2017 or 2016.

 

Assets Held for Sale

 

We consider properties to be assets held for sale when (1) management commits to a plan to sell the property; (2) it is unlikely that the disposal plan will be significantly modified or discontinued; (3) the property is available for immediate sale in its present condition; (4) actions required to complete the sale of the property have been initiated; (5) sale of the property is probable and we expect the completed sale will occur within one year; and (6) the property is actively being marketed for sale at a price that is reasonable given our estimate of current market value. Upon designation of a property as an asset held for sale, we record the property's value at the lower of its carrying value or its estimated fair value, less estimated costs to sell, and we cease depreciation.

  

Cash and Cash Equivalents

 

Cash and cash equivalents consist of cash on hand and highly liquid investments with a maturity date of three months or less when purchased. These investments are stated at cost, which approximates fair value. The majority of our cash and cash equivalents are held at major commercial banks.

 

Restricted Cash

 

Restricted cash consists primarily of liquidity deposits escrowed for tenant obligations required by us pursuant to certain contractual terms and other deposits required by the U.S. Department of Housing and Urban Development (“HUD”) in connection with our HUD borrowings.

 

Accounts Receivable

 

Accounts receivable includes: contractual receivables, effective yield interest receivables, straight-line rent receivables and lease inducements, net of an estimated provision for losses related to uncollectible and disputed accounts. 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 or renewal of the lease, and are amortized as a reduction of rental revenue over the non-cancellable lease term.

 

On a quarterly basis, we review our accounts receivable to determine their collectability. The determination of collectability of these assets requires significant judgment and is affected by several factors relating to the credit quality of our operators that we regularly monitor, including (i) payment history, (ii) the age of the contractual receivables, (iii) the current economic conditions and reimbursement environment, (iv) the ability of the tenant to perform under the terms of their lease and/or contractual loan agreements and (v) the value of the underlying collateral of the agreement. If we determine collectability of any of our contractual receivables is at risk, we estimate the potential uncollectible amounts and provide an allowance. In the case of a lease recognized on a straight-line basis, a loan recognized on an effective yield basis or the existence of lease inducements, we generally provide an allowance for straight-line, effective interest, and or lease inducement accounts receivable when certain conditions or indicators of adverse collectability are present. If the accounts receivable balance is subsequently deemed uncollectible, the receivable and allowance for doubtful account balance are written off.

 

At December 31, 2017, three of our operators were approximately 90 days or more past due on rent/interest payments to the Company. Two of these operators are considered top ten operators as determined based on total revenue for the year ended December 31, 2017. Of these three operators, rent/interest from two of these operators is being recognized on a cash basis as of December 31, 2017.

 

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

 

    December 31,  
    2017     2016  
    (in thousands)  
             
Contractual receivables   $ 43,258     $ 13,376  
Effective yield interest receivables     11,673       9,749  
Straight-line rent receivables – net     216,054       208,874  
Lease inducements     16,812       8,393  
Allowance     (8,463 )     (357 )
Accounts receivable – net   $ 279,334     $ 240,035  

 

In 2017, we recorded a provision for uncollectible accounts of approximately $9.3 million related to contractual and straight-line rent receivables for one of our top ten operators and approximately $4.1 million of provision for uncollectible accounts, net of recoveries related to contractual and straight-line receivables of other operators and/or facilities that we intend to exist or transition.

  

In 2016, we wrote-off approximately $4.3 million of straight-line rent receivable. The write-off primarily related to the transition of facilities from a former operator to a current operator.

 

In 2015, we wrote-off $3.2 million of straight-line rent receivables and $1.5 million of effective yield interest receivables associated with four facilities that were transitioned to a new operator and three mortgages that were repaid prior to their maturity. This transaction closed in 2016.

 

Goodwill Impairment

 

We assess goodwill for potential impairment during the fourth quarter of each fiscal year, or during the year if an event or other circumstance indicates that we may not be able to recover the carrying amount of the net assets of the reporting unit. In evaluating goodwill for impairment on an interim basis, we assess qualitative factors such as a significant decline in real estate valuations, current macroeconomic conditions, state of the equity and capital markets and our overall financial and operating performance or a significant decline in the value of our market capitalization, to determine whether it is more likely than not (that is, a likelihood of more than 50 percent) that the fair value of the reporting unit is less than its carrying amount. On an annual basis during the fourth quarter of each fiscal year, or on an interim basis if we conclude it is more likely than not that the fair value of the reporting unit is less than its carrying value, we perform a two-step goodwill impairment test to identify potential impairment and measure the amount of impairment we will recognize, if any. The goodwill is not deductible for tax purposes.

 

In the first step of the two-step goodwill impairment test (“Step 1”), we compare the fair value of the reporting unit to its net book value, including goodwill. As the Company has only one reporting unit, the fair value of the reporting unit is determined by reference to the market capitalization of the Company as determined through quoted market prices and adjusted for other relevant factors. A potential impairment exists if the fair value of the reporting unit is lower than its net book value. The second step (“Step 2”) of the process is only performed if a potential impairment exists, and it involves determining the difference between the fair value of the reporting unit's net assets other than goodwill and the fair value of the reporting unit. If the difference is less than the net book value of goodwill, impairment exists and is recorded. The Company has not been required to perform Step 2 of the process because the fair value of the reporting unit has significantly exceeded its book value at the measurement date. There was no impairment of goodwill during 2017, 2016, or 2015.

 

Income Taxes

 

Omega and its wholly owned subsidiaries were organized to qualify for taxation as a REIT under Section 856 through 860 of the Internal Revenue Code (“Code”). As long as we qualify as a REIT; we will not be subject to federal income taxes on the REIT taxable income that we distributed to stockholders, subject to certain exceptions. However, with respect to certain of our subsidiaries that have elected to be treated as taxable REIT subsidiaries (“TRSs”), we record income tax expense or benefit, as those entities are subject to federal income tax similar to regular corporations. Omega OP is a pass through entity for United States federal income tax purposes.

 

We account for deferred income taxes using the asset and liability method and recognize deferred tax assets and liabilities for the expected future tax consequences of events that have been included in our financial statements or tax returns. Under this method, we determine deferred tax assets and liabilities based on the differences between the financial reporting and tax bases of assets and liabilities using enacted tax rates in effect for the year in which the differences are expected to reverse. Any increase or decrease in the deferred tax liability that results from a change in circumstances, and that causes us to change our judgment about expected future tax consequences of events, is included in the tax provision when such changes occur. Deferred income taxes also reflect the impact of operating loss and tax credit carryforwards. A valuation allowance is provided if we believe it is more likely than not that all or some portion of the deferred tax asset will not be realized. Any increase or decrease in the valuation allowance that results from a change in circumstances, and that causes us to change our judgment about the realizability of the related deferred tax asset, is included in the tax provision when such changes occur.

 

Revenue Recognition

 

We have various different investments that generate revenue, including leased and mortgaged properties, as well as other investments, including working capital loans. We recognize rental income and other investment income as earned over the terms of the related leases and notes, respectively. Interest income is recorded on an accrual basis to the extent that such amounts are expected to be collected using the effective interest method. In applying the effective interest method, the effective yield on a loan is determined based on its contractual payment terms, adjusted for prepayment terms.

  

Substantially all of our operating leases contain provisions for specified annual increases over the rents of the prior year and are generally computed in one of three methods depending on specific provisions of each lease as follows: (i) a specific annual increase over the prior year’s rent, generally between 2.0% and 3.0%; (ii) an increase based on the change in pre-determined formulas from year to year (e.g. increases in the Consumer Price Index); or (iii) specific dollar increases over prior years. Revenue under lease arrangements with minimum fixed and determinable increases is recognized over the non-cancellable term of the lease on a straight-line basis. The authoritative guidance does not provide for the recognition of contingent revenue until all possible contingencies have been eliminated. We consider the operating history of the lessee, the payment history, the general condition of the industry and various other factors when evaluating whether all possible contingencies have been eliminated.

 

In the case of rental revenue recognized on a straight-line basis, we generally record reserves against earned revenues from leases when collection becomes questionable or when negotiations for restructurings of troubled operators result in significant uncertainty regarding ultimate collection. The amount of the reserve is estimated based on what management believes will likely be collected. We continually evaluate the collectability of our straight-line rent assets. If it appears that we will not collect future rent due under our leases, we will record a provision for loss related to the straight-line rent asset.

 

We record direct financing lease income on a constant interest rate basis over the term of the lease. The costs related to originating the direct financing leases have been deferred and are being amortized on a straight-line basis as a reduction to income from direct financing leases over the term of the direct financing leases. Allowances are provided against earned revenues from direct financing leases when collection of amounts due becomes questionable or when negotiations for restructurings of troubled operators lead to lower expectations regarding ultimate collection.

 

Mortgage interest income and other investment income is recognized as earned over the terms of the related mortgage notes or other investment, typically using the effective yield method. Allowances are provided against earned revenues from mortgage interest or other investments when collection of amounts due becomes questionable or when negotiations for restructurings of troubled operators lead to lower expectations regarding ultimate collection.

 

Gains and losses on sales of real estate assets are recognized in accordance with the authoritative guidance for sales of real estate. The specific timing of the recognition of the sale and the related gain is measured against the various criteria in the guidance related to the terms of the transactions and any continuing involvement associated with the assets sold. To the extent the sales criteria are not met, we defer gain recognition until the sales criteria are met.

 

Stock-Based Compensation

 

We recognize stock-based compensation expense adjusted for estimated forfeitures to employees and directors, in general and administrative in our Consolidated Statements of Operations on a straight-line basis over the requisite service period of the awards.

 

Deferred Financing Costs and Original Issuance Premium and/or Discounts for Debt Issuance

 

External costs incurred from the placement of our debt are capitalized and amortized on a straight-line basis over the terms of the related borrowings which approximates the effective interest method. Deferred financing costs related to our revolving line of credit are included in other assets on our Consolidated Balance Sheets and deferred financing costs related to our other borrowings are included as a direct deduction from the carrying amount of the related debt liability on our Consolidated Balance Sheets. Original issuance premium or discounts reflect the difference between the face amount of the debt issued and the cash proceeds received and are amortized on a straight-line basis over the term of the related borrowings. All premiums and discounts are recorded as an addition to or reduction from debt on our Consolidated Balance Sheets. Amortization of deferred financing costs and original issuance premiums or discounts totaled $9.5 million, $9.3 million and $7.0 million in 2017, 2016 and 2015, respectively, and are classified as interest - amortization of deferred financing costs on our Consolidated Statements of Operations. When financings are terminated, unamortized deferred financing costs and unamortized premiums or discounts, as well as charges incurred for the termination, are recognized as expense or income at the time the termination is made. Gains and losses from the extinguishment of debt are presented in interest-refinancing costs on our Consolidated Statements of Operations.

  

Earnings Per Share/Unit

 

The computation of basic earnings per share/unit (“EPS” or “EPU”) is computed by dividing net income available to common stockholders/Omega OP Unit holders by the weighted-average number of shares of common stock/units outstanding during the relevant period. Diluted EPS/EPU is computed using the treasury stock method, which is net income divided by the total weighted-average number of common outstanding shares/Omega OP Units plus the effect of dilutive common equivalent shares/Omega OP Units during the respective period. Dilutive common shares reflect the assumed issuance of additional common shares/Omega OP Units pursuant to certain of our share-based compensation plans, including stock options, restricted stock and performance restricted stock units and the assumed issuance of additional shares related to Omega OP Units held by outside investors. Dilutive Omega OP Units reflect the assumed issuance of additional Omega OP Units pursuant to certain of our share-based compensation plans, including stock options, restricted stock and performance restricted stock.

 

Redeemable Limited Partnership Unitholder Interests and Noncontrolling Interests

 

As of April 1, 2015 and after giving effect to the Aviv Merger, the Company owned approximately 138.8 million Omega OP Units and Aviv OP owned approximately 52.9 million Omega OP Units. Each of the Omega OP Units (other than the Omega OP Units owned by Omega) is redeemable at the election of the Omega OP Unit holder for cash equal to the then-fair market value of one share of Omega common stock, par value $0.10 per share (“Omega Common Stock”), subject to the Company’s election to exchange the Omega OP Units tendered for redemption for unregistered shares of Omega Common Stock on a one-for-one basis, subject to adjustment as set forth in the Partnership Agreement.

 

Effective June 30, 2015, Omega (through OHI Holdco, in its capacity as the general partner of Aviv OP) caused Aviv OP to make a distribution of Omega OP Units held by Aviv OP (or equivalent value) to Aviv OP investors (the “Aviv OP Distribution”) in connection with the liquidation of Aviv OP. As a result of the Aviv OP Distribution, Omega directly and indirectly owned approximately 95% of the outstanding Omega OP Units, and the other investors owned approximately 5% of the outstanding Omega OP Units at that time. As a part of the Aviv OP Distribution, Omega settled approximately 0.2 million units via cash settlement. As of December 31, 2017, Omega owns approximately 96% of the issued and outstanding Omega OP Units, and investors own approximately 4% of the outstanding Omega OP Units.

 

Noncontrolling Interests

 

Noncontrolling interests is the portion of equity not attributable to the respective reporting entity. We present the portion of any equity that we do not own in consolidated entities as noncontrolling interests and classify those interests as a component of total equity, separate from total stockholders’ equity, or owners’ equity on our Consolidated Balance Sheets. We include net income (loss) attributable to the noncontrolling interests in net income in our Consolidated Statements of Operations.

 

As our ownership of a controlled subsidiary increases or decreases, any difference between the aggregate consideration paid to acquire the noncontrolling interests and our noncontrolling interest balance is recorded as a component of equity in additional paid-in capital, so long as we maintain a controlling ownership interest.

 

The noncontrolling interest for Omega represents the outstanding Omega OP Units held by outside investors.

 

Foreign Operations

 

The U.S. dollar is the functional currency for our consolidated subsidiaries operating in the U.S. The functional currency for our consolidated subsidiaries operating in the U.K. is the British Pound. For our consolidated subsidiaries whose functional currency is not the U.S. dollar, we translate their financial statements into the U.S. dollar. We translate assets and liabilities at the exchange rate in effect as of the financial statement date. Revenue and expense accounts are translated using an average exchange rate for the period. Gains and losses resulting from translation are included in Omega OP’s owners’ equity and Omega’s accumulated other comprehensive loss (“AOCL”), as a separate component of equity and a proportionate amount of gain or loss is allocated to noncontrolling interests.

 

We and certain of our consolidated subsidiaries may have intercompany and third-party debt that is not denominated in the entity’s functional currency. When the debt is remeasured against the functional currency of the entity, a gain or loss can result. The resulting adjustment is reflected in results of operations, unless it is intercompany debt that is deemed to be long-term in nature in which case the adjustments are included in Omega OP’s owners’ equity and Omega’s AOCL.

  

Derivative Instruments

 

Cash flow hedges

 

During our normal course of business, we may use certain types of derivative instruments for the purpose of managing interest rate and currency risk. To qualify for hedge accounting, derivative instruments used for risk management purposes must effectively reduce the risk exposure that they are designed to hedge. In addition, at the inception of a qualifying cash flow hedging relationship, the underlying transaction or transactions, must be, and are expected to remain, probable of occurring in accordance with the Company’s related assertions. The Company recognizes all derivative instruments, including embedded derivatives required to be bifurcated, as assets or liabilities on the Consolidated Balance Sheets at fair value which is determined using a market approach and Level 2 inputs. Changes in the fair value of derivative instruments that are not designated in hedging relationships or that do not meet the criteria of hedge accounting are recognized in earnings. For derivatives designated as qualifying cash flow hedging relationships, the change in fair value of the effective portion of the derivatives is recognized in Omega OP’s owners’ equity and Omega’s AOCL as a separate component of equity and a proportionate amount of gain or loss is allocated to noncontrolling interest, whereas the change in fair value of the ineffective portion is recognized in earnings. We formally document all relationships between hedging instruments and hedged items, as well as our risk-management objectives and strategy for undertaking various hedge transactions. This process includes designating all derivatives that are part of a hedging relationship to specific forecasted transactions as well as recognized liabilities or assets on the Consolidated Balance Sheets. We also assess and document, both at inception of the hedging relationship and on a quarterly basis thereafter, whether the derivatives are highly effective in offsetting the designated risks associated with the respective hedged items. If it is determined that a derivative ceases to be highly effective as a hedge, or that it is probable the underlying forecasted transaction will not occur, we discontinue hedge accounting prospectively and record the appropriate adjustment to earnings based on the current fair value of the derivative. As a matter of policy, we do not use derivatives for trading or speculative purposes. At December 31, 2017, $1.5 million of qualifying cash flow hedges were recorded at fair value in other assets and at December 31, 2016, $1.5 million of qualifying cash flow hedges were recorded at fair value in accrued expenses and other liabilities on our Consolidated Balance Sheets.

 

Net investment hedge

 

We use the spot method to measure the effectiveness of our net investment hedge. Under this method, for each reporting period, the change in the carrying value of the hedging instrument due to remeasurement of the effective portion is reported in Omega OP’s owners’ equity and Omega’s AOCL in our Consolidated Balance Sheets and the remaining change in the carrying value of the ineffective portion, if any, is recognized in earnings. We evaluate the effectiveness of our net investment hedge on a quarterly basis. We did not record any ineffectiveness during 2017.

 

Related Party Transactions

 

The Company has a policy which generally requires related party transactions to be approved or ratified by the Audit Committee. On February 1, 2016, we acquired 10 SNFs from Laurel Healthcare Holdings, Inc. (“Laurel”) for approximately $169.0 million in cash and leased them to an unrelated existing operator. A former member of the Board of Directors of the Company, together with certain members of his immediate family, beneficially owned approximately 34% of the equity of Laurel prior to the transaction. Immediately following our acquisition, the unrelated existing operator acquired all of the outstanding equity interests of Laurel, including the interests previously held by the former director of the Company and his family.

 

Reclassification

 

Certain prior year amounts have been reclassified to conform with the current year presentation.

 

Recently Adopted Accounting Pronouncements

 

In March 2016, FASB issued ASU 2016-09, Compensation-Stock Compensation (Topic 718) (“ASU 2016-09”). ASU 2016-09 amends the accounting for share-based payment transactions, including the income tax consequences, classification of awards as either equity or liabilities and classification on the statement of cash flows. This guidance is effective for annual and interim reporting periods of public entities beginning after December 15, 2016. We adopted this accounting standard on January 1, 2017, at which time the Company began prospectively accounting for excess tax benefits or tax deficiencies as an adjustment to income tax expense in our Consolidated Statements of Operations as opposed to the prior requirement that these excess tax benefits be recognized in additional paid-in capital and tax deficiencies be recognized either as an offset to accumulated excess tax benefits, if any, or in the income statement. The Company will continue to account for forfeitures as they occur and present employee taxes paid as a financing activity on our Consolidated Statements of Cash Flows. The adoption of this accounting standard did not have a material impact on our consolidated financial statements.

  

During the fourth quarter of 2017, we adopted ASU 2016-18, Statement of Cash Flows (Topic 230) Restricted Cash (“ASU 2016-18”). ASU 2016-18 requires restricted cash balances be included along with cash and cash equivalents as of the end of the period and the beginning of period, respectively, in the Company's consolidated statement of cash flows for all periods presented. We have retrospectively adjusted the presentation of restricted cash on the Company’s Consolidated Statement of Cash Flows for all prior periods presented, as required. There is no impact to the Company’s net assets, net income or retained earnings in any period presented. Total net cash provided by operating activities decreased in 2016 and 2015 by approximately $1.0 million and $14.5 million, respectively, with a corresponding increase to the change in cash, cash equivalents and restricted cash for the years ended 2016 and 2015.

 

During the fourth quarter of 2017, we adopted ASU 2016-15, Statement of Cash Flows (Topic 230) Classification of Certain Cash Receipts and Cash Payments (“ASU 2016-15”). ASU 2016-15 eliminates the diversity in practice related to the classification of certain cash receipts and payments in a company’s statement of cash flows for debt prepayment or extinguishment costs, the maturing of a zero coupon bond, the settlement of contingent liabilities arising from a business combination, proceeds from insurance settlements, distributions from certain equity method investees and beneficial interests obtained in a financial asset securitization. Historically, the Company has classified the receipt and reinvestment of property insurance proceeds as an operating activity in its statement of cash flows. The receipt and reinvestment of property insurance proceeds in 2016 and 2015 was immaterial to the Company’s financial statements and not adjusted. As a result of adopting ASU 2016-15, the Company presented the receipt and subsequent reinvestment of property insurance proceeds in 2017 as an investing activity in the Consolidated Statement of Cash Flows, as this classification more accurately reflects the nature of the cash flows. There was no impact to the Company’s net assets, income or retained earnings in any period presented as a result of adopting ASU 2016-15.

 

Recent Accounting Pronouncements - Pending Adoption

 

In 2014, the FASB issued ASU 2014-09, Revenue from Contracts with Customers (“ASU 2014-09”), which outlines a comprehensive model for entities to use in accounting for revenue arising from contracts with customers. ASU 2014-09 states that “an entity recognizes revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services.” While ASU 2014-09 specifically references contracts with customers, it may apply to certain other transactions such as the sale of real estate or equipment. ASU 2014-09 is effective for the Company beginning January 1, 2018. In addition, the FASB has begun to issue targeted updates to clarify specific implementation issues of ASU 2014-09. These updates include ASU 2016-08, Principal versus Agent Considerations (Reporting Revenue Gross versus Net), ASU 2016-10, Identifying Performance Obligations and Licensing, and ASU 2016-12, Narrow-Scope Improvements and Practical Expedients. As a result of adopting ASU 2014-09 and its updates on January 1, 2018, the Company will recognize $10.0 million of deferred gain resulting from the sale of facilities to a third party in December 2017 through retained earnings on January 1, 2018. The Company intends to adopt ASU 2014-09 and its subsequent updates in accordance with the modified retrospective approach. The Company has completed its analysis of ASU 2014-09 and its related updates and has determined that its adoption will not have a material impact on our consolidated financial statements, as a substantial portion of our revenue consists of rental income from leasing arrangements and interest income from loan arrangements, both of which are specifically excluded from ASU 2014-09 and its updates.

 

In February 2016, the FASB issued ASU 2016-02, Leases (“ASU 2016-02”), which amends the existing accounting standards for lease accounting, including requiring lessees to recognize most leases on their balance sheets and making targeted changes to lessor accounting. ASU 2016-02 will be effective for the Company beginning January 1, 2019. Early adoption of ASU 2016-02 as of its issuance is permitted. The new standard requires a modified retrospective transition approach for all leases existing at, or entered into after, the date of initial application, with an option to use certain transition relief. As a result of the pending adoption of ASU 2016-02 and in connection with the pending adoption of ASU 2014-09, the Company may be required to record real estate tax revenues and an equal and offsetting real estate tax expense, as a result of our operators paying real estate taxes on our behalf. We are continuing to evaluate the other impacts of adopting ASU 2016-02 on our consolidated financial statements.

 

In June 2016, the FASB issued ASU 2016-13, Financial Instruments - Credit Losses (Topic 326) (“ASU 2016-13”), which changes the impairment model for most financial assets. The new model uses a forward-looking expected loss method, which will generally result in earlier recognition of allowances for losses. ASU 2016-13 is effective for annual and interim periods beginning after December 15, 2019 and early adoption is permitted for annual and interim periods beginning after December 15, 2018. We are currently evaluating the impact of adopting ASU 2016-13 on our consolidated financial statements.

  

In August 2017 the FASB issued ASU 2017-12, Derivatives and Hedging: Targeted Improvements to Accounting for Hedging Activities (“ASU 2017-12”). The purpose of this updated guidance is to better align the financial reporting for hedging activities with the economic objectives of those activities. The transition guidance provides companies with the option of early adopting the new standard using a modified retrospective transition method in any interim period after issuance of the update, or alternatively requires adoption for fiscal years beginning after December 15, 2018. This adoption method will require the Company to recognize the cumulative effect of initially applying ASU 2017-12 as an adjustment to accumulated other comprehensive income (loss) with a corresponding adjustment to the opening balance of retained earnings as of the beginning of the fiscal year that an entity adopts the update. While the Company continues to assess all potential impacts of the standard, we do not expect the adoption of ASU 2017-12 to have a material impact on our consolidated financial statements.

XML 32 R12.htm IDEA: XBRL DOCUMENT v3.8.0.1
PROPERTIES
12 Months Ended
Dec. 31, 2017
Real Estate [Abstract]  
PROPERTIES

NOTE 3 – PROPERTIES

 

Leased Property

 

Our leased real estate properties, represented by 735 SNFs, 118 ALFs, 15 specialty facilities and one medical office building at December 31, 2017, are leased under provisions of single or master operating leases with initial terms typically ranging from 5 to 15 years, plus renewal options. Also see Note 4 – Direct Financing Leases for information regarding additional properties accounted for as direct financing leases. Substantially all of the single leases and master leases provide for minimum annual rentals that are typically subject to annual increases. Under the terms of the leases, the lessee is responsible for all maintenance, repairs, taxes and insurance on the leased properties.

 

A summary of our investment in leased real estate properties is as follows:

 

    December 31,  
    2017     2016  
    (in thousands)  
Buildings   $

6,098,119

    $

6,090,294

 
Land     795,874       759,295  
Furniture, fixtures and equipment     440,737       454,760  
Site improvements     227,150       206,206  
Construction in progress    

94,080

     

55,803

 
Total real estate investments     7,655,960       7,566,358  
Less accumulated depreciation     (1,376,828 )     (1,240,336 )
Real estate investments - net   $ 6,279,132     $ 6,326,022  

 

For the years ended December 31, 2017, 2016 and 2015, we capitalized $8.0 million, $6.6 million and $3.7 million, respectively, of interest to our projects under development.

 

The future minimum estimated contractual rents due for the remainder of the initial terms of the operating leases are as follows at December 31, 2017:

 

    (in thousands)  
2018   $ 687,567  
2019     696,793  
2020     710,610  
2021     722,609  
2022     720,818  
Thereafter     4,095,073  
Total   $ 7,633,470  

  

The following tables summarize the significant transactions that occurred between 2017 and 2015. The 2015 table excludes the acquisition of Care Homes in the U.K. and the Aviv Merger in the second quarter of 2015, which are discussed separately below.

 

2017 Acquisitions and Other

 

    Number of
Facilities
    Country/   Total 
Investment (4)
    Land     Building & Site
Improvements
    Furniture
& Fixtures
    Initial
Annual
Cash 
Yield (2)
 
Period   SNF     ALF     State   (in millions)     (%)  
Q1     -       1     VA   $ 7.6     $ 0.5     $ 6.8     $ 0.3       7.50  
Q2     1       -     NC     8.6       0.7       7.3       0.6       9.50  
Q2     -       18     UK     124.2 (1)     34.1       85.1       5.0       8.50  
Q3     -       1     TX     2.3       0.7       1.5       0.1       9.25  
Q3     15       -     IN     211.0       18.0       180.2       12.8       9.50  
Q3     9       -     TX     19.0 (3)     1.7       15.5       1.8       18.60  
Q4     6       -     TX     40.0       1.0       35.1       3.9       9.25  
                                                             
Total     31       20         $ 412.7     $ 56.7     $ 331.5     $ 24.5          

 

(1) Omega recorded a non-cash deferred tax liability and acquisition costs of approximately $8.2 million and $1.2 million, respectively, in connection with this acquisition.
(2) The cash yield is based on the purchase price.
(3) In July 2017, we transitioned nine SNFs formerly subject to a direct financing lease to another operator. As a result of terminating the direct financing lease, we wrote down the facilities to our original cost basis and recorded an impairment on the direct financing lease of approximately $1.8 million. See Note 4 – Direct Financing Leases for additional information.
(4) All of the aforementioned acquisitions were accounted for as asset acquisitions.

 

During 2017, we acquired three parcels of land which are not reflected in the table above for approximately $6.7 million with the intent of building new facilities for existing operators.

 

2016 Acquisitions and Other

 

    Number of
Facilities
    Country/   Total Investment(6)     Land    

Building & Site
Improvements

    Furniture
& Fixtures
    Initial
Annual
Cash 
Yield (7)
 
Period   SNF     ALF     State   (in millions)     (%)  
Q1     -       1     UK   $ 8.3     $ 1.4     $ 6.7     $ 0.2       7.00  
Q1     -       1     UK     6.1       0.6       5.3       0.2       7.00  
Q1     10       -     OH, VA, MI     169.0 (2)     10.5       152.5       6.0       8.50  
Q1     -       2     GA     20.2       0.8       18.3       1.1       7.50  
Q1     3       -     MD     25.0       2.5       19.9       2.6       8.50  
Q1     21       -     VA, NC     212.5       19.3       181.1       12.1       8.50  
Q2     -       10     UK     111.9 (3)     24.8       83.9       3.2       7.00  
Q2     -       3     TX     66.0 (4)     5.8       58.6       1.6       6.80  
Q2     3       -     CO, MO     31.8       3.1       26.2       2.5       9.00  
Q3     -       1     FL     4.3       2.3       1.8       0.2       8.00  
Q3     -       1     GA     2.5       0.2       2.1       0.2       8.00  
Q3     -       1     FL     16.5       1.8       14.3       0.4       8.00  
Q3     1       -     SC     10.1       2.7       6.5       0.9       9.00  
Q3     1       -     OH     9.0 (5)     -       8.6       0.4       9.00  
Q3     31       -     FL, KY,TN     329.6 (1)     24.6       290.8       14.2       9.00  
Total     70       20         $ 1,022.8     $ 100.4     $ 876.6     $ 45.8          

 

(1) The Company’s investment includes a purchase option buyout obligation with a fair value of approximately $29.6 million. The future buyout obligation is recorded in accrued expenses and other liabilities on our Consolidated Balance Sheet. The Company also acquired a term loan with a fair value of approximately $37.0 million which is recorded in other investments on our Consolidated Balance Sheet. In August 2017, the purchase option was terminated and the operator used the proceeds to repay certain other investments, refer to Note – 6 Other Investments for details.
(2) Acquired from a related party. Refer to Note – 2 Summary of Significant Accounting Policies - Related Party Transactions.
(3) Omega also recorded a deferred tax asset of approximately $1.9 million in connection with the acquisition.
(4) The Company paid $63.0 million in cash at closing to acquire the facilities. We paid an additional $1.5 million in April 2017 and the remaining $1.5 million will be paid in April 2018. The additional consideration to be paid is contractually determined and not contingent on other factors.
(5) The Company paid approximately $3.5 million in cash to acquire the facility. The remainder of the purchase price (approximately $5.5 million) was funded with the redemption of an other investment note.
(6) All of the aforementioned acquisitions were accounted for as business combinations.
(7) The cash yield is based on the purchase price.

 

During 2016, the Company also acquired five parcels of land which are not reflected in the table above for approximately $8.3 million with the intent of building new facilities for existing operators.

 

For the year ended December 31, 2016, we recognized rental revenue of approximately $58.1 million and expensed approximately $9.6 million of acquisition related costs in connection with the aforementioned acquisitions. No goodwill was recorded in connection with these acquisitions.

 

2015 Acquisitions and Other

 

    Number of
Facilities
    Total
Investment
    Land     Building & Site
Improvements
    Furniture
& Fixtures
    Initial 
Annual
Cash
Yield (4)
 
Period   SNF     ALF     State   (in millions)     (%)  
Q1     1       -     TX   $ 6.8     $ 0.1     $ 6.1     $ 0.6       9.50  
Q3     6       -     NE     15.0       1.4       12.1       1.5       9.00  
Q3     1       2     WA     18.0       2.2       14.9       0.9       8.00  
Q3     -       2     GA     10.8       1.2       9.0       0.6       7.00  
Q3     1       -     VA     28.5 (1)     1.9       24.2       2.4       9.25  
Q3     2       -     FL     32.0       1.4       29.0       1.6       9.00  
Q3     -       -     NY     111.7 (2)(3)     111.7       -       -       -  
Q4     1       -     AZ     0.6 (3)     0.3       0.3       -       9.00  
Q4     1       -     TX     5.3       1.8       3.0       0.5       9.50  
Total     13       4         $ 228.7     $ 122.0     $ 98.6     $ 8.1          

 

(1) In July 2015, we leased the facility to a new operator with an initial lease term of 10 years.
(2) On July 24, 2015, we purchased five buildings located in New York City, New York for approximately $111.7 million. We and our operator plan to construct a 215,000 square-foot assisted living and memory care facility. The properties were added to the operator’s existing master lease. The lease provides for a 5% annual cash yield on the land during the construction phase. Upon issuance of a certification of occupancy, the annual cash yield will increase to 7% in year one and 8% in year two with 2.5% annual escalators thereafter.
(3) Accounted for as an asset acquisition.
(4) The cash yield is based on the purchase price.

 

For the year ended December 31, 2015, we recognized rental revenue of approximately $4.9 million and expensed $2.2 million of acquisition related costs related to the aforementioned acquisitions. No goodwill was recorded in connection with these acquisitions.

 

Acquisition of Care Homes in the U.K.

 

On May 1, 2015, we closed on a purchase/leaseback Care Homes Transaction (the “Care Homes Transaction”) for 23 care homes located in the U.K. and operated by Healthcare Homes Holding Limited (“Healthcare Homes”). As part of the transaction, we acquired title to the 23 care homes with 1,018 registered beds and leased them back to Healthcare Homes pursuant to a 12-year master lease agreement with an initial annual cash yield of 7%, and annual escalators of 2.5%. The care homes, comparable to ALFs in the U.S., are located throughout the East Anglia region (north of London) of the U.K. Healthcare Homes is headquartered in Colchester (Essex County), England. We recorded approximately $193.8 million of assets consisting of land ($20.7 million), building and site improvements ($152.1 million), furniture and fixtures ($5.3 million) and goodwill ($15.7 million). We also recorded an initial deferred tax liability associated with the temporary tax basis difference of approximately $15 million.

 

For the year ended December 31, 2015, we recognized approximately $9.5 million of rental revenue and expensed approximately $3.2 million of acquisition related costs associated with the Care Homes Transaction.

  

Aviv Merger

 

On April 1, 2015, Omega completed the Aviv Merger, which was structured as a stock-for-stock merger. Under the terms of the Merger Agreement, each outstanding share of Aviv common stock was converted into 0.90 of a share of Omega Common Stock. In connection with the Aviv Merger, Omega issued approximately 43.7 million shares of Omega Common Stock to former Aviv stockholders. As a result of the Aviv Merger, Omega acquired 342 facilities, two facilities subject to direct financing leases, one medical office building, two mortgages and other investments. Omega also assumed certain outstanding equity awards and other debt and liabilities. Based on the closing price of Omega’s common stock on April 1, 2015, the fair value of the consideration exchanged was approximately $2.3 billion.

 

For the year ended December 31, 2015, we recognized approximately $188.4 million of total revenue and expensed approximately $52.1 million in acquisition and merger related costs in connection with the Aviv Merger.

 

Pro Forma Acquisition Results

 

The businesses acquired in 2015 are included in our results of operations from the dates of acquisition. The following unaudited pro forma results reflect the impact of the acquisitions as if they occurred on January 1, 2014. In the opinion of management, all significant necessary adjustments to reflect the effect of the acquisitions have been made. The following pro forma information is not indicative of future operations.

 

    Year Ended December 31, 2015  
    (in thousands, except per share
amounts, unaudited)
 
Pro forma revenues   $ 817,642  
Pro forma net income   $ 258,927  
         
Earnings per share – diluted:        
Net income – as reported   $ 1.29  
Net income – pro forma   $ 1.33  

 

Asset Sales, Impairments and Other

 

During the fourth quarter of 2017, we sold 32 facilities (two previously held for sale at September 30, 2017) subject to operating leases for approximately $188.0 million in net proceeds recognizing a gain on sale of approximately $46.4 million. In addition, we recorded impairments on real estate properties of approximately $63.5 million on 32 facilities (two were subsequently reclassified to held for sale). Of the $63.5 million impairment on real estate properties, $12.6 million related to one facility that was destroyed in a fire.

 

In 2017, we sold 52 facilities (14 previously held for sale at December 31, 2016) subject to operating leases for approximately $257.8 million in net proceeds recognizing a gain on sale of approximately $53.9 million. In addition, we recorded impairments on real estate properties of approximately $99.1 million on 37 facilities including approximately $2.6 million of capitalized costs associated with the termination of construction projects with two of our operators. The total net recorded investment in these properties after impairments and excluding facilities previously sold was approximately $125.1 million as of December 31, 2017, with approximately $7.7 million related to properties classified as held for sale.

 

Of the 52 facilities sold in 2017, the sale of ten of these facilities did not qualify for sale accounting under the full accrual method. The ten SNFs with a carrying value of approximately $23.2 million were sold to a third-party for approximately $43.3 million, resulting in a total gain of approximately $17.5 million after $2.6 million of closing costs. In connection with this sale, we provided the buyer a $10.0 million loan which is recorded in other investments on our Consolidated Balance Sheet. We recognized a net gain of approximately $7.5 million in 2017 and deferred $10.0 million of gain related to this sale. The $10.0 million of deferred gain is recorded as a reduction to our other investments on our Consolidated Balance Sheet. See Note 6 – Other Investments for more details.

 

In 2016, we sold 38 facilities (three previously held for sale at December 31, 2015) subject to operating leases for approximately $169.6 million in net proceeds recognizing a gain on sale of approximately $50.2 million. We also recorded impairments on real estate properties of approximately $58.7 million on 29 facilities.

 

In 2015, we sold seven SNFs (three previously held for sale at December 31, 2014) subject to operating leases for total cash proceeds of approximately $41.5 million, generating a gain on sale of approximately $6.4 million. We also recorded impairments on real estate properties of approximately $17.7 million on six SNFs.

 

The 2017 and 2016 impairments were primarily the result of decisions to exit certain non-strategic facilities and/or operators. The 2015 impairments are primarily the result of closing facilities or updating the estimated proceeds we expected to receive for the sale of closed facilities at that time. We reduced the net book value of the impaired facilities to their estimated fair values or, with respect to the facilities reclassified to held for sale, to its estimated fair value less costs to sell. To estimate the fair value of the facilities, we utilized a market approach and Level 3 inputs (which generally consist of non-binding offers from unrelated third parties). See also Note 4 – Direct Financing Leases and Note 8 – Assets Held For Sale for more details.

XML 33 R13.htm IDEA: XBRL DOCUMENT v3.8.0.1
DIRECT FINANCING LEASES
12 Months Ended
Dec. 31, 2017
DIRECT FINANCING LEASES  
DIRECT FINANCING LEASES

NOTE 4 – DIRECT FINANCING LEASES

 

The components of investments in direct financing leases consist of the following:

 

    December 31,  
    2017     2016  
    (in thousands)  
Minimum lease payments receivable   $ 3,707,079     $ 4,287,069  
Less unearned income     (3,169,942 )     (3,685,131 )
Investment in direct financing leases     537,137       601,938  
Less allowance for loss on direct financing leases     (172,172 )      
Investment in direct financing leases – net   $ 364,965     $ 601,938  
                 
Properties subject to direct financing leases     41       58  
Number of direct financing leases     5       7  

 

The following table summarizes our investments in the direct financing leases by operator, net of allowance for loss:

 

    December 31,  
    2017     2016  
    (in thousands)  
Orianna   $ 337,705     $ 574,581  
Reliance Health Care Management, Inc.     15,458       15,498  
Sun Mar Healthcare     11,481       11,443  
Markleysburg Healthcare Investors, LP     321       416  
Investment in direct financing leases - net   $ 364,965     $ 601,938  

 

The following minimum rents are due under our direct financing leases for the next five years (in thousands):

 

2018(1) 2019(1) 2020(1) 2021(1) 2022(1)

$2,612

$2,654

$2,686

$2,629

$2,680

 

(1)

Orianna has been excluded from the contractual minimum rent payments due under our direct financing leases. See below for additional information.

 

On November 27, 2013, we closed an aggregate $529 million purchase/leaseback transaction in connection with the acquisition of Ark Holding Company, Inc. (“Ark Holding”) by 4 West Holdings Inc. At closing, we acquired 55 SNFs and 1 ALF operated by Ark Holding and leased the facilities back to Ark Holding, now known as New Ark Investment Inc. (“New Ark” which does business as “Orianna Health Systems” and is herein referred to as “Orianna”), pursuant to four 50-year master leases with rental payments yielding 10.6% per annum over the term of the leases. The purchase/leaseback transaction is being accounted for as a direct financing lease.

 

The lease agreements allow the tenant the right to purchase the facilities for a bargain purchase price plus closing costs at the end of the lease term. In addition, commencing in the 41st year of each lease, the tenant will have the right to prepay the remainder of its obligations thereunder for an amount equal to the sum of the unamortized portion of the original aggregate $529 million investment plus the net present value of the remaining payments under the lease and closing costs. In the event the tenant exercises either of these options, we have the right to purchase the properties for fair value at the time.

 

In 2017, we sold eight of these facilities, with a carrying value of approximately $36.4 million for approximately $33.3 million to unrelated third parties. These facilities were subject to direct financing leases with Orianna in the Northwest region and the Southeast region. We recorded approximately $3.3 million of impairment related to these sales. In addition, we transitioned nine SNFs, representing all of the facilities subject to another direct financing lease with Orianna in the Texas region, to an existing operator of the Company pursuant to an operating lease. In connection with this transaction, we recorded the real estate properties at our original cost basis of approximately $19.0 million, eliminated our investment in the direct financing lease and recorded an impairment of approximately $1.8 million. In conjunction with this transaction, we also amended our Orianna Southeast region master lease to reduce the outstanding balance by $19.3 million. As a result of the amendment, we recorded impairment on our investment in direct financing lease of approximately $20.8 million.

 

Orianna has not satisfied the contractual payments due under the terms of the remaining two direct financing leases or the separate operating lease with the Company and the collectability of future amounts due is uncertain. The Company is in continuing discussions with Orianna regarding the Orianna portfolio. The outcome of such negotiations may include the sale of some facilities and transitioning certain facilities from Orianna to other operators.

 

In 2017, we recorded an allowance for loss on direct financing leases of $172.2 million with Orianna covering 38 facilities in the Southeast region of the U.S. The amount of the allowance was determined based on the fair value of the facilities subject to the direct financing lease. To estimate the fair value of the underlying collateral, we utilized an income approach and Level 3 inputs. Our estimate of fair value assumed annual rents ranging between $32.0 million and $38.0 million, rental yields between 9% and 10%, current and projected operating performance of the facilities, coverage ratios and bed values. Such assumptions are subject to change based on changes in market conditions and the ultimate resolution of this matter. Such changes could be significantly different than the currently estimated fair value and such differences could have a material impact on our financial statements.

 

The 38 facilities under our master leases with Orianna as of December 31, 2017 are located in seven states, predominantly in the southeastern U.S. (37 facilities) and Indiana (1 facility). Our recorded investment in these direct financing leases, net of the $172.2 million allowance, amounted to $337.7 million, as of December 31, 2017. We have not recognized any direct financing lease income from Orianna for the period from July 1, 2017 through December 31, 2017. For the year ended December 31, 2017, we recognized a total impairment of $198.2 million on direct financing leases.

 

Additionally, we own four facilities and lease them to Orianna under a master lease which expires in 2026. The four facility lease is being accounted for as an operating lease. We have not recognized any income on this operating lease for the period from July 1, 2017 through December 31, 2017, as Orianna did not pay the contractual amounts due and collectability is uncertain. Our recorded investment in this operating lease was $38.4 million as of December 31, 2017. As of December 31, 2017, we have an allowance for contractual receivables and straight-line rent receivables related to this lease of $1.9 million representing all amounts past due.

XML 34 R14.htm IDEA: XBRL DOCUMENT v3.8.0.1
MORTGAGE NOTES RECEIVABLE
12 Months Ended
Dec. 31, 2017
Mortgage Notes Receivable Investments [Abstract]  
MORTGAGE NOTES RECEIVABLE

NOTE 5 - MORTGAGE NOTES RECEIVABLE

 

As of December 31, 2017, mortgage notes receivable relate to 31 fixed rate mortgages on 51 long-term care facilities. The mortgage notes are secured by first mortgage liens on the borrowers' underlying real estate and personal property. The mortgage notes receivable relate to facilities located in ten states, operated by seven independent healthcare operating companies. We monitor compliance with mortgages and when necessary have initiated collection, foreclosure and other proceedings with respect to certain outstanding loans.

 

The outstanding principal amounts of mortgage notes receivable, net of allowances, were as follows:

 

  December 31, 
  2017  2016 
  (in thousands) 
       
Mortgage note due 2024; interest at 9.98% $112,500  $112,500 
Mortgage note due 2029; interest at 9.68%  410,763   412,140 
Other mortgage notes outstanding (1)  152,874   118,637 
Mortgage notes receivable, gross  676,137   643,277 
Allowance for loss on mortgage notes receivable(2)  (4,905)  (3,934)
Total mortgages — net $671,232  $639,343 

 

(1)Other mortgage notes outstanding have stated interest rates ranging from 8.35% to 14.0% per annum and maturity dates through 2029.
(2)The allowance for loss on mortgage notes receivable relates to one mortgage with an operator. The carrying value and fair value of the mortgage note receivable is approximately $1.5 million at December 31, 2017 and $2.5 million at December 31, 2016.

 

$112.5 Million of Mortgage Note due 2024

 

On January 17, 2014, we entered into a $112.5 million first mortgage loan with an existing operator. The loan is secured by 7 SNFs and 2 ALFs located in Pennsylvania (7) and Ohio (2). The mortgage is cross-defaulted and cross-collateralized with our existing master lease with the operator.

 

Mortgage Note due 2028

 

On April 29, 2016, an existing operator exercised an option to repay certain mortgage notes. We received proceeds of approximately $47.8 million for the mortgage notes due. In connection with the repayment of the mortgage notes we recognized a net gain of approximately $5.4 million which is recorded in mortgage interest income on our Consolidated Statement of Operations. The remaining $36.0 million interest only mortgage is secured by three facilities located in Maryland. The interest rate will accrue at a fixed rate of 11% per annum through April 2018. After April 2018, the interest rate will increase to 13.75% per annum. The initial maturity date was extended to December 2028. The mortgage is cross-defaulted and cross-collateralized with our existing master lease and other investment notes with the operator.

 

$415 Million of Refinancing/Consolidating Mortgage Loans due 2029

 

On June 30, 2014, we entered into an agreement to refinance/consolidate $117 million in existing mortgages with maturity dates ranging from 2021 to 2023 on 17 facilities into one mortgage and simultaneously provide mortgage financing for an additional 14 facilities. The original $415 million mortgage matures in 2029 and was secured by 31 facilities. The new loan bore an initial annual cash interest rate of 9.0% that increases by 0.225% per year (e.g., beginning in year 2 the annual cash interest rate was 9.225%, in year 3 the annual cash interest rate was 9.45%, etc.). The mortgage is cross-defaulted and cross-collateralized with our existing master lease and other investment notes with the operator.

 

Conversion of Mortgage Notes due 2046 to Leased Properties

 

In January 2016, we acquired three facilities via a deed-in-lieu of foreclosure from a mortgagor. The fair value of the facilities approximated the $25.0 million carrying value of the mortgages. These facilities are located in Maryland. Simultaneously, we leased these facilities to an existing operator.

XML 35 R15.htm IDEA: XBRL DOCUMENT v3.8.0.1
OTHER INVESTMENTS
12 Months Ended
Dec. 31, 2017
Receivables [Abstract]  
OTHER INVESTMENTS

NOTE 6 - OTHER INVESTMENTS

 

A summary of our other investments is as follows:

 

    December 31,  
    2017     2016  
    (in thousands)  
             
Other investment note due 2019; interest at 11.25%   $ 49,708     $ 49,458  
Other investment note due 2020; interest at 14.57%     49,490       47,913  
Other investment note due 2022, interest at 9.00%     31,987       31,987  
Other investment note due 2030; interest at 6.66%     50,000       44,595  
Other investment notes outstanding (1)     95,530       87,691  
Other investments, gross     276,715       261,644  
Allowance for loss on other investments (2)     (373 )     (4,798 )
Total other investments   $ 276,342     $ 256,846  

 

(1) Other investment notes have maturity dates through 2028 and interest rates ranging from 6.0% to 12.0% per annum.
(2)

The 2017 allowance for loss on other investments relates to one loan with an operator that has been fully reserved at December 31, 2017 with a charge to earnings in 2017. The reserves at December 31, 2016 were written off in 2017.

 

The following is an overview of certain notes, including certain notes entered into or fully repaid in 2017 and 2016.

 

Other Investment note due 2019

 

On February 26, 2016, we acquired and funded a $50.0 million mezzanine note at a discount of approximately $0.75 million to a new operator.

 

Other Investment note due 2020

 

On July 29, 2016, we provided an existing operator $48.0 million of term loan funding. The term loan bears interest at LIBOR with a floor of 1% plus 13% and matures on July 29, 2020. The term loan requires monthly principal payments of $0.25 million through July 2019, and $0.5 million from August 2019 through maturity. In addition, a portion of the monthly interest may be accrued to the outstanding principal balance of the loan. In November 2017, we provided the operator forbearance through February 2018. The forbearance allows for the deferral of principal payments and permits the operator to accrue all interest due to the outstanding principal balance of the loan.

 

Other Investment notes due 2020

 

On December 28, 2017, we provided subsidiaries of a third party buyer $10.0 million of financing to acquire ten SNFs previously owned by the Company. The loan bears interest at 10% per annum and requires principal payments of $5.0 million in December 2018, $2.0 million in December 2019 and $3.0 million at maturity in December 2020. The $10.0 million loan is offset by a $10.0 million deferred gain as a result of the sale. See Note 3 – Properties for more details.

 

Other Investment note due 2022

 

On September 30, 2016, we acquired and amended a term loan with a fair value of approximately $37.0 million with an existing operator. A $5.0 million tranche of the term loan bears interest at 13% and matures on September 30, 2019 and a $32.0 million tranche of the term loan bears interest at 9% per annum and matures on March 31, 2022. The $5.0 million tranche was paid off in August 2017.

 

Other Investment note due 2030

 

On June 30, 2015, we entered into a $50.0 million revolving credit facility with an operator. The note bears interest at approximately 6.66% per annum and matures in 2030. As of December 31, 2017, approximately $50.0 million has been drawn and remains outstanding.

 

Other Investment notes settlement and paid off

 

On December 29, 2016, we provided an operator a $2.9 million term loan note. The term loan note bore interest at 11.0% per annum and initially matured in April 2017. The note was paid off in January 2017.

 

On January 1, 2016, we entered into a $10.0 million revolving credit facility with an existing operator. The revolving credit facility bore interest at 7.5% per annum and initially matured in December 2017. The revolving credit facility was paid off in March 2017.

 

On February 1, 2016, we provided an existing operator a $15.0 million secured working capital note. The working capital note bore interest at 8.5% per annum and was repaid at maturity in December 2017.

 

In August 2017, we executed an agreement with an existing operator that terminated our purchase option buyout obligation of approximately $30.7 million. The purchase option buyout obligation was recorded in accrued expenses and other liabilities on our Consolidated Balance Sheets. In exchange, we agreed to the settlement of other investment notes with a weighted average interest rate of 10.5% and a carrying value of approximately $30.2 million.

XML 36 R16.htm IDEA: XBRL DOCUMENT v3.8.0.1
INVESTMENT IN UNCONSOLIDATED JOINT VENTURE
12 Months Ended
Dec. 31, 2017
Equity Method Investments and Joint Ventures [Abstract]  
INVESTMENT IN UNCONSOLIDATED JOINT VENTURE

NOTE 7 – INVESTMENT IN UNCONSOLIDATED JOINT VENTURE

 

On November 1, 2016, we invested approximately $50.0 million for an approximate 15% ownership interest in a joint venture operating as Second Spring Healthcare Investments. The other approximate 85% interest is owned by affiliates of Lindsey Goldberg LLC. We account for our investment in the joint venture using the equity method. On November 1, 2016, the joint venture acquired 64 SNFs for approximately $1.1 billion.

 

We receive asset management fees from the joint venture for services provided. For the years ended December 31, 2017 and 2016, we recognized $2.0 million and $0.3 million, respectively, of asset management fees. These fees are included in miscellaneous income in the accompanying Consolidated Statements of Operations. The accounting policies for the unconsolidated joint venture are the same as those of the Company.

XML 37 R17.htm IDEA: XBRL DOCUMENT v3.8.0.1
ASSETS HELD FOR SALE
12 Months Ended
Dec. 31, 2017
Property, Plant and Equipment Assets Held-for-sale Disclosure [Abstract]  
ASSETS HELD FOR SALE

NOTE 8 – ASSETS HELD FOR SALE

 

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

 

  Properties Held For Sale 
  Number of
Properties
  Net Book Value
(in thousands)
 
    
December 31, 2015  3  $6,599 
Properties sold/other (1)  (24)  (75,948)
Properties added (2)  41   122,217 
December 31, 2016  20   52,868 
Properties sold/other (3)  (17)  (39,299)
Properties added (4)  19   73,130 
December 31, 2017 (5)  22  $86,699 

 

(1)In 2016, we sold 21 SNFs for approximately $86.7 million in net proceeds recognizing gains on sales of approximately $16.5 million. We also recorded approximately $4.9 million of impairments on 16 facilities to reduce their net book values to their estimated fair value less costs to sell. Two SNFs and one ALF classified as assets held for sale in the second quarter were no longer considered held for sale and were reclassified in the third quarter back to leased properties at their fair values (approximately $7.0 million).
(2)In 2016, we reclassified ten ALFs and 31 SNFs to assets held for sale (including the two SNFs and one ALF mentioned above that were reclassified back to leased properties in the third quarter). We recorded approximately $49.4 million of impairment charges on 20 of these facilities to reduce their net book values to their estimated fair value less costs to sell before they were reclassified to assets held for sale.
(3)In 2017, we sold 13 SNFs and three ALFs for approximately $38.8 million in net proceeds recognizing a gain on sale of approximately $4.3 million. One SNF classified as an asset held for sale at December 31, 2016 was no longer considered held for sale during the first quarter of 2017 and was reclassified back to leased properties at approximately $5.1 million which represents the facility’s then carrying value adjusted for depreciation that was not recognized while classified as held for sale.
(4)In 2017, we reclassified one ALF, one specialty facility and 17 SNFs to assets held for sale. We recorded approximately $10.3 million of impairment charges to reduce one ALF, one specialty facility and three SNFs to their estimated fair value less costs to sell before they were reclassified to assets held for sale.
(5)We plan to sell the facilities classified as held for sale at December 31, 2017 within the next twelve months.
XML 38 R18.htm IDEA: XBRL DOCUMENT v3.8.0.1
INTANGIBLES
12 Months Ended
Dec. 31, 2017
Goodwill and Intangible Assets Disclosure [Abstract]  
INTANGIBLES

NOTE 9 – INTANGIBLES

 

The following is a summary of our intangibles as of December 31, 2017 and 2016:

 

  December 31, 
  2017  2016 
  (in thousands) 
Assets:        
Goodwill $644,690  $643,474 
         
Above market leases $22,426  $22,476 
In-place leases  167   167 
Accumulated amortization  (17,059)  (15,864)
Net intangible assets $5,534  $6,779 
         
Liabilities:        
Below market leases $164,443  $165,028 
Accumulated amortization  (83,824)  (70,738)
Net intangible liabilities $80,619  $94,290 

 

Above market leases and in-place 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.

 

For the years ended December 31, 2017, 2016 and 2015, our net amortization related to intangibles was $11.9 million, $14.0 million and $13.8 million, respectively. The estimated net amortization related to these intangibles for the subsequent five years is as follows: 2018 – $10.1 million; 2019 – $8.9 million; 2020 – $8.8 million; 2021 – $8.2 million; 2022 - $7.5 million and $31.6 million thereafter. As of December 31, 2017 the weighted average remaining amortization period of above market lease assets and below market lease liabilities is approximately eight years and nine years, respectively.

 

The following is a summary of our goodwill as of December 31 2017:

 

  (in thousands) 
Balance as of December 31, 2016 $643,474 
Add: foreign currency translation  1,216 
Balance as of December 31, 2017 $644,690 
XML 39 R19.htm IDEA: XBRL DOCUMENT v3.8.0.1
CONCENTRATION OF RISK
12 Months Ended
Dec. 31, 2017
Risks and Uncertainties [Abstract]  
CONCENTRATION OF RISK

NOTE 10 - CONCENTRATION OF RISK

 

As of December 31, 2017, our portfolio of real estate investments consisted of 983 healthcare facilities, located in 41 states and the U.K. and operated by 74 third party operators. Our investment in these facilities, net of impairments and reserve for uncollectible loans, totaled approximately $8.8 billion at December 31, 2017, with approximately 99% of our real estate investments related to long-term care facilities. Our portfolio is made up of 775 SNFs, 119 ALFs, 15 specialty facilities, one medical office building, fixed rate mortgages on 47 SNFs and four ALFs, and 22 facilities that are closed/held for sale. At December 31, 2017, we also held other investments of approximately $276.3 million, consisting primarily of secured loans to third-party operators of our facilities and a $36.5 million investment in an unconsolidated joint venture.

 

At December 31, 2017, we had investments with one operator/or manager that exceeded 10% of our total investments: Ciena Healthcare (“Ciena”). Ciena generated 10% of our total revenues for the year ended December 31, 2017. At December 31, 2017, the three states in which we had our highest concentration of investments were Texas (9%), Florida (9%) and Ohio (8%).

XML 40 R20.htm IDEA: XBRL DOCUMENT v3.8.0.1
LEASE AND MORTGAGE DEPOSITS
12 Months Ended
Dec. 31, 2017
Security Deposits and Letters Of Credit [Abstract]  
LEASE AND MORTGAGE DEPOSITS

NOTE 11 - LEASE AND MORTGAGE DEPOSITS

 

We obtain liquidity deposits and other deposits, security deposits and letters of credit from most operators pursuant to our lease and mortgage agreements with the operators or our borrowing agreements. These generally represent the rental and mortgage interest for periods ranging from three to six months with respect to certain of our investments or the required deposits in connection with our HUD borrowings. At December 31, 2017, we held $10.9 million in liquidity and other deposits, $41.2 million in security deposits and $58.4 million in letters of credit. The liquidity deposits and other deposits, security deposits and the letters of credit may be used in the event of lease and or loan defaults, subject to applicable limitations under bankruptcy law with respect to operators filing under Chapter 11 of the United States Bankruptcy Code. Liquidity deposits and other deposits are recorded as restricted cash on our Consolidated Balance Sheets with the offset recorded as a liability in accrued expenses and other liabilities on our Consolidated Balance Sheets. Security deposits related to cash received from the operator are primarily recorded in cash and cash equivalents on our Consolidated Balance Sheets with a corresponding offset in accrued expenses and other liabilities on our Consolidated Balance Sheets. Additional security for rental and mortgage interest revenue from operators is provided by covenants regarding minimum working capital and net worth, liens on accounts receivable and other operating assets of the operators, provisions for cross default, provisions for cross-collateralization and by corporate or personal guarantees.

XML 41 R21.htm IDEA: XBRL DOCUMENT v3.8.0.1
BORROWING ARRANGEMENTS
12 Months Ended
Dec. 31, 2017
Debt Disclosure [Abstract]  
BORROWING ARRANGEMENTS

NOTE 12 - BORROWING ARRANGEMENTS

 

The following is a summary of our long-term borrowings:

 

          Annual Interest
Rate as of
December 31,
    December 31,  
    Maturity     2017     2017(5)     2016(5)  
                (in thousands)  
Secured borrowings:                                
HUD mortgages assumed December 2011(1)     2044       3.06 %   $ 53,666     $ 54,954  
Deferred financing costs – net                     (568 )     (589 )
Total secured borrowings – net(2)                     53,098       54,365  
                                 
Unsecured borrowings:                                
Revolving line of credit     2021       2.65 %     290,000       190,000  
                                 
Tranche A-1 term loan     -       -             200,000  
Tranche A-2 term loan     -       -             200,000  
Tranche A-3 term loan     -       -             350,000  
U.S. term loan     2022       3.02 %     425,000        
Sterling term loan (3)     2022       1.94 %     135,130        
Omega OP term loan(2)     2022       3.02 %     100,000       100,000  
2015 term loan     2022       3.80 %     250,000       250,000  
Discounts and deferred financing costs – net(4)                     (5,460 )     (5,657 )
Total term loans – net                     904,670       1,094,343  
                                 
2023 notes     2023       4.375 %     700,000       700,000  
2024 notes     2024       5.875 %           400,000  
2024 notes     2024       4.95 %     400,000       400,000  
2025 notes     2025       4.50 %     400,000       250,000  
2026 notes     2026       5.25 %     600,000       600,000  
2027 notes     2027       4.50 %     700,000       700,000  
2028 notes     2028       4.75 %     550,000        
Other     2018       -       1,500       3,000  
Subordinated debt     2021       9.00 %     20,000       20,000  
Discount – net                     (21,073 )     (17,151 )
Deferred financing costs – net                     (26,037 )     (27,703 )
Total senior notes and other unsecured borrowings – net                    

3,324,390

     

3,028,146

 

Total unsecured borrowings – net

                   

4,519,060

     

4,312,489

 
                                 
Total secured and unsecured borrowings – net                   $ 4,572,158     $ 4,366,854  

 

(1) Reflects the weighted average annual contractual interest rate on the mortgages at December 31, 2017 excluding a third-party administration fee of approximately 0.5% annually. Secured by real estate assets with a net carrying value of $62.0 million as of December 31, 2017. This borrowing was incurred by wholly owned subsidiaries of Omega OP.
(2) These amounts represent borrowings that were incurred by Omega OP or wholly owned subsidiaries of Omega OP.
(3) This borrowing is denominated in British Pounds Sterling.
(4) The amount includes $0.6 million of net deferred financing costs related to the Omega OP term loan as of December 31, 2017.
(5) All borrowing are direct borrowings of Omega unless otherwise noted.

 

Unsecured Borrowings

 

2017 Omega Credit Facilities

 

On May 25, 2017, Omega entered into a credit agreement (the “2017 Omega Credit Agreement”) providing us with a new $1.8 billion senior unsecured revolving and term loan credit facility, consisting of a $1.25 billion senior unsecured multicurrency revolving credit facility (the “Revolving Credit Facility”), a $425 million senior unsecured U.S. Dollar term loan facility (the “U.S. Term Loan Facility”), and a £100 million senior unsecured British Pound Sterling term loan facility (the “Sterling Term Loan Facility” and, together with the Revolving Credit Facility and the U.S. Term Loan Facility, collectively, the “2017 Omega Credit Facilities”). The 2017 Omega Credit Agreement contains an accordion feature permitting us, subject to compliance with customary conditions, to increase the maximum aggregate commitments under the 2017 Omega Credit Facilities to $2.5 billion.

 

The 2017 Omega Credit Facilities replace the previous $1.25 billion senior unsecured 2014 revolving credit facility, the previous $200 million Tranche A-1 senior unsecured term loan facility, and the previous $350 million Tranche A-3 senior unsecured incremental term loan facility established under our 2014 credit agreement, which has been terminated (the “2014 Omega Credit Agreement”). We had previously repaid and terminated the $200 million Tranche A-2 senior unsecured term loan facility established under the 2014 Omega Credit Agreement, with proceeds from our $550 million and $150 million unsecured senior notes issued in April 2017.

 

The Revolving Credit Facility bears interest at LIBOR plus an applicable percentage (with a range of 100 to 195 basis points) based on our ratings from Standard & Poor’s, Moody’s and/or Fitch Ratings. The Revolving Credit Facility matures on May 25, 2021, subject to an option by us to extend such maturity date for two, six month periods. The 2017 Omega Credit Agreement provides for the Revolving Credit Facility to be drawn in Euros, British Pounds Sterling, Canadian Dollars (collectively, “Alternative Currencies”) or U.S. Dollars, with a $900 million tranche available in U.S. Dollars and a $350 million tranche available in U.S. Dollars or Alternative Currencies. For purposes of the 2017 Omega Credit Facilities, references to LIBOR include the Canadian dealer offered rates for amounts offered in Canadian Dollars and any other Alternative Currency rate approved in accordance with the terms of the 2017 Omega Credit Agreement for amounts offered in any other non-London interbank offered rate quoted currency, as applicable.

 

The U.S. Term Loan Facility and the Sterling Term Loan Facility bear interest at LIBOR plus an applicable percentage (with a range of 90 to 190 basis points) based on our ratings from Standard & Poor’s, Moody’s and/or Fitch Ratings. The U.S. Term Loan Facility and the Sterling Term Loan Facility each mature on May 25, 2022.

 

We recorded a non-cash charge of approximately $5.5 million relating to the write-off of deferred financing costs associated with the termination of the 2014 Omega Credit Agreement.

 

2017 Omega OP Term Loan Facility

 

On May 25, 2017, Omega OP entered into a credit agreement (the “2017 Omega OP Credit Agreement”) providing it with a new $100 million senior unsecured term loan facility (the “2017 Omega OP Term Loan Facility”). The 2017 Omega OP Credit Agreement replaces the $100 million senior unsecured term loan facility obtained in 2015 (the “2015 Omega OP Term Loan Facility”) and the related credit agreement (the “2015 Omega OP Credit Agreement”). The 2017 Omega OP Term Loan Facility bears interest at LIBOR plus an applicable percentage (with a range of 90 to 190 basis points) based on our ratings from Standard & Poor’s, Moody’s and/or Fitch Ratings. The 2017 Omega OP Term Loan Facility matures on May 25, 2022.

 

Omega OP’s obligations in connection with the 2017 Omega OP Term Loan Facility are not currently guaranteed, but will be jointly and severally guaranteed by any domestic subsidiary of Omega OP that provides a guaranty of any unsecured indebtedness of Omega or Omega OP for borrowed money evidenced by bonds, debentures, notes or other similar instruments in an amount of at least $50 million individually or in the aggregate.

 

Amended 2015 Term Loan Facility

 

On May 25, 2017, Omega entered into an amended and restated credit agreement (the “Amended 2015 Credit Agreement”), which amended and restated our previous $250 million senior unsecured term loan facility (the “Amended 2015 Term Loan Facility”). The Amended 2015 Term Loan Facility bears interest at LIBOR plus an applicable percentage (with a range of 140 to 235 basis points) based on our ratings from Standard & Poor’s, Moody’s and/or Fitch Ratings. The Amended 2015 Term Loan Facility continues to mature on December 16, 2022. The Amended 2015 Credit Agreement permits us, subject to compliance with customary conditions, to add one or more incremental tranches to the Amended 2015 Term Loan Facility in an aggregate principal amount not exceeding $150 million.

 

Omega’s obligations under the 2017 Omega Credit Facilities and the Amended 2015 Term Loan Facility are jointly and severally guaranteed by Omega OP and any domestic subsidiary of Omega that provides a guaranty of any unsecured indebtedness of Omega for borrowed money evidenced by bonds, debentures, notes or other similar instruments in an amount of at least $50 million individually or in the aggregate.

 

As a result of exposure to interest rate movements associated with the Amended 2015 Term Loan Facility, on December 16, 2015, we entered into various forward-starting interest rate swap arrangements, which effectively converted $250 million of our variable-rate debt based on one-month LIBOR to an aggregate fixed rate of approximately 3.8005% effective December 30, 2016. The effective fixed rate achieved by the combination of the Amended 2015 Term Loan Facility and the interest rate swaps could fluctuate up by 55 basis points or down by 40 basis points based on future changes to our credit ratings. Each of these swaps began on December 30, 2016 and mature on December 15, 2022. On the date of inception, we designated the interest rate swaps as cash flow hedges in accordance with accounting guidance for derivatives and hedges and linked the interest rate swaps to the Amended 2015 Term Loan Facility. Because the critical terms of the interest rate swaps and Amended 2015 Term Loan Facility coincided, the hedges are expected to exactly offset changes in expected cash flows as a result of fluctuations in 1-month LIBOR over the term of the hedges. The purpose of entering into the swaps was to reduce our exposure to future changes in variable interest rates. The interest rate swaps settle on a monthly basis when interest payments are made. These settlements will occur through the maturity date of the Amended 2015 Term Loan Facility. The interest rate for the Amended 2015 Term Loan Facility was not hedged for the portion of the term prior to December 30, 2016.

 

$700 Million 4.375% Senior Notes due 2023

 

On July 12, 2016, we issued $700 million aggregate principal amount of our 4.375% Senior Notes due 2023 (the “2023 Notes”). The 2023 Notes were sold at an issue price of 99.739% of their face value before the underwriters’ discount. Our net proceeds from the offering, after deducting underwriting discounts and expenses, were approximately $692.0 million. The net proceeds from the offering were used to repay outstanding borrowings under our revolving credit facility, to purchase the $180.0 million mortgage term loan and for general corporate purposes. The 2023 Notes mature on August 1, 2023 and pay interest semi-annually.

 

Redemption of $400 Million 5.875% Senior Notes due 2024

 

On April 28, 2017, we redeemed all of our outstanding $400 million aggregate principal amount of 5.875% Senior Notes due 2024 (the “5.875% Notes”). As a result of the redemption, during the second quarter of 2017, we recorded approximately $16.5 million in redemption related costs and write-offs, including $11.8 million for the call premium and $4.7 million in net write-offs associated with unamortized deferred financing costs.

 

$400 Million 4.95% Senior Notes due 2024

 

On March 11, 2014, we sold $400 million aggregate principal amount of our 4.95% Senior Notes due 2024 (the “2024 Notes”). These notes were sold at an issue price of 98.58% of the principal amount of the notes, before the initial purchasers’ discount resulting in gross proceeds of approximately $394.3 million. The 2024 Notes mature on April 1, 2024 and pay interest semi-annually.

 

$400 Million 4.50% Senior Notes due 2025

 

On September 11, 2014, we sold $250 million aggregate principal amount of our 4.50% Senior Notes due 2025 (the “2025 Notes”). The 2025 Notes were sold at an issue price of 99.131% of their face value before the initial purchasers’ discount resulting in gross proceeds of approximately $247.8 million. The 2025 Notes mature on January 15, 2025 and pay interest semi-annually.

 

On April 4, 2017, we issued an additional $150 million aggregate principal amount of our existing 2025 Notes (the “additional $150 million 2025 Notes”). The additional $150 million 2025 Notes were sold at an issue price of 99.540% of their face value before the underwriters’ discount. Our net proceeds from the additional $150 million 2025 Notes, after deducting underwriting discounts and expenses, were approximately $149.9 million (inclusive of accrued interest). See $550 Million 4.75% Senior Notes due 2028 below for the use of these proceeds.

 

$600 Million 5.25% Senior Notes due 2026

 

On September 23, 2015, we sold $600 million aggregate principal amount of our 5.250% Senior Notes due 2026 (the “2026 Notes”). The 2026 Notes were sold at an issue price of 99.717% of their face value before the initial purchasers’ discount. Our total net proceeds from the offering, after deducting initial purchasers’ discounts and other offering expenses, were approximately $594.4 million. The net proceeds of the offering were used to repay our outstanding $575 million aggregate principal amount 6.75% Senior Notes due 2022 and for general corporate purposes. The 2026 Notes mature on January 15, 2026 and pay interest semi-annually.

 

$700 Million 4.50% Senior Notes due 2027

 

On March 18, 2015, we sold $700 million aggregate principal amount of our 4.50% Senior Notes due 2027 (the “2027 Notes”). The 2027 Notes were sold at an issue price of 98.546% of their face value before the initial purchasers’ discount. Our total net proceeds from the offering, after deducting initial purchasers’ discounts and other offering expenses, were approximately $683 million. The net proceeds of the offering were used for general corporate purposes, including the repayment of Aviv indebtedness on April 1, 2015 in connection with the Aviv Merger, and repayment of future maturities on our outstanding debt. The 2027 Notes mature on April 1, 2027 and pay interest semi-annually.

 

$550 Million 4.75% Senior Notes due 2028

 

On April 4, 2017, we issued $550 million aggregate principal amount of our 4.75% Senior Notes due 2028 (the “2028 Notes”). The 2028 Notes mature on January 15, 2028. The 2028 Notes were sold at an issue price of 98.978% of their face value before the underwriters’ discount. Our net proceeds from the 2028 Notes offering, after deducting underwriting discounts and expenses, were approximately $540.8 million. The net proceeds from the 2028 Notes offering and the additional $150 million 2025 Notes offering were used to (i) redeem all of our outstanding 5.875% Notes on April 28, 2017, (ii) prepay the $200 million Tranche A-2 Term Loan Facility on April 5, 2017 that otherwise would have become due on June 27, 2017, and (iii) repay outstanding borrowings under our revolving credit facility.

 

Other Debt Repayments

 

In connection with the Aviv Merger on April 1, 2015, we assumed notes payable with a face amount of $650 million and a revolving credit facility with an outstanding balance of $525 million. In connection with the Aviv Merger, we repaid this debt assumed from Aviv on April 1, 2015. Due to the contractual requirements for early repayments; we paid approximately $705.6 million to retire the $650 million notes assumed. The amount repaid in connection with the revolving credit facility was $525 million.

 

General

 

Certain of our other secured and unsecured borrowings are subject to customary affirmative and negative covenants, including financial covenants. As of December 31, 2017 and 2016, we were in compliance with all affirmative and negative covenants, including financial covenants, for our secured and unsecured borrowings. Omega OP, the guarantor of Parent’s outstanding senior notes, does not directly own any substantive assets other than its interest in non-guarantor subsidiaries.

 

The required principal payments, excluding the premium or discount and deferred financing costs on our secured and unsecured borrowings, for each of the five years following December 31, 2017 and the aggregate due thereafter are set forth below:

 

    (in thousands)  
2018   $ 2,828  
2019     1,370  
2020     1,412  
2021     311,456  
2022     911,631  
Thereafter     3,396,599  
Totals   $ 4,625,296  

 

 

The following summarizes the refinancing related costs:

 

    Year Ended December 31,  
    2017     2016     2015  
    (in thousands)  
                   
Write off of deferred financing costs and unamortized premiums due to refinancing (1)(2)(3)   $ 10,195     $ 301     $ (7,134 )
Prepayment and other costs associated with refinancing (4)     11,770       1,812       35,971  
Total debt extinguishment costs   $ 21,965     $ 2,113     $ 28,837  

 

(1) In 2017, we recorded (a) $4.7 million of write-offs of unamortized deferred costs associated with the early redemption of our 5.875% Notes and (b) $5.5 million of write-offs of unamortized deferred financing costs associated with the termination of the 2014 Omega Credit Agreement.
(2) In 2016, we recorded $0.3 million of write-offs of unamortized deferred financing costs associated with three facilities that were acquired via a deed-in-lieu of foreclosure.
(3) In 2015, we recorded: (a) $4.2 million of write-offs of unamortized deferred financing costs and discount associated with the early redemption of our $200 million 7.5% Senior Notes due 2020, (b) $1.9 million in net write-offs associated with unamortized deferred financing costs and original issuance premiums/discounts associated with the early redemption of our $575 million 6.75% Senior Notes due 2022, offset by (c) $13.2 million gain related to the early extinguishment of debt from the write off of unamortized premiums on HUD debt. In 2015, we paid approximately $188.5 million to retire 24 HUD mortgage loans.
(4) In 2017, we made $11.8 million of prepayment penalties associated with the early redemption of our 5.875% Notes. In 2016, we purchased a $180 million mortgage term loan and paid a 1% premium of approximately $1.8 million to purchase the debt. In 2015, we made: (a) $7.5 million of prepayment penalties associated with the early redemption of our $200 million 7.5% Senior Notes due 2020, (b) $19.4 million of prepayment penalties associated with the early redemption of our $575 million 6.75% Senior Notes due 2022 and (c) $9.1 million of prepayment penalties associated with 24 HUD mortgage loans that we paid off in 2015.
XML 42 R22.htm IDEA: XBRL DOCUMENT v3.8.0.1
FINANCIAL INSTRUMENTS
12 Months Ended
Dec. 31, 2017
Fair Value Disclosures [Abstract]  
FINANCIAL INSTRUMENTS

NOTE 13 - FINANCIAL INSTRUMENTS

 

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

 

At December 31, 2017 and 2016, the net carrying amounts and fair values of our financial instruments were as follows:

 

    2017     2016  
    Carrying
Amount
    Fair
Value
    Carrying
Amount
    Fair
Value
 
    (in thousands)  
Assets:                                
Investments in direct financing leases – net   $ 364,965     $ 364,965     $ 601,938     $ 598,665  
Mortgage notes receivable – net     671,232       686,772       639,343       644,961  
Other investments – net     276,342       281,031       256,846       253,385  
Total   $ 1,312,539     $ 1,332,768     $ 1,498,127     $ 1,497,011  
Liabilities:                                
Revolving line of credit   $ 290,000     $ 290,000     $ 190,000     $ 190,000  
Tranche A-1 term loan – net                 198,830       200,000  
Tranche A-2 term loan                 200,000       200,000  
Tranche A-3 term loan – net                 347,449       350,000  
U.S. term loan – net     422,498       425,000              
Sterling term loan – net     134,360       135,130              
Omega OP term loan – net(1)     99,423       100,000       100,000       100,000  
2015 term loan – net     248,390       250,000       248,064       250,000  
4.375% notes due 2023 – net     693,474       711,190       692,305       693,505  
5.875% notes due 2024 – net                 395,065       432,938  
4.95% notes due 2024 – net     393,680       420,604       392,669       406,361  
4.50% notes due 2025 – net     394,640       399,874       245,949       249,075  
5.25% notes due 2026 – net     594,321       625,168       593,616       611,461  
4.50% notes due 2027 – net     686,516       681,007       685,052       681,978  
4.75% notes due 2028 – net     539,882       550,667              
HUD debt – net(1)     53,098       51,817       54,365       52,510  
Subordinated debt – net     20,376       23,646       20,490       23,944  
Other     1,500       1,500       3,000       3,000  
Total   $ 4,572,158     $ 4,665,603     $ 4,366,854     $ 4,444,772  

 

(1) These amounts represent borrowings that were incurred by Omega OP or wholly owned subsidiaries of Omega OP.

 

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). The use of different market assumptions and estimation methodologies may have a material effect on the reported estimated fair value amounts.

 

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

 

· Direct financing leases: The fair value of the investments in direct financing leases are estimated using a discounted cash flow analysis, using interest rates being offered for similar leases to borrowers with similar credit ratings (Level 3). In addition, the Company may estimate the fair value of its investment based on the estimated fair value of the collateral using a market approach or an income approach which considers inputs such as, current and projected operating performance of the facilities, projected rent, prevailing capitalization rates and/or coverages and bed values (Level 3).

 

· Mortgage notes receivable: The fair value of the mortgage notes 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).

 

· Other investments: Other investments 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 line of credit and term loans: The fair value of our borrowings under variable rate agreements are estimated using a present value technique based on expected cash flows discounted using the current market rates (Level 3).

 

· Senior notes and subordinated debt: The fair value of our borrowings under fixed rate agreements are estimated using a present value technique based on inputs from trading activity provided by a third party (Level 2).

 

· HUD debt: The fair value of our borrowings under HUD debt agreements are estimated using an expected present value technique based on quotes obtained by HUD debt brokers (Level 2).
XML 43 R23.htm IDEA: XBRL DOCUMENT v3.8.0.1
TAXES
12 Months Ended
Dec. 31, 2017
Income Tax Disclosure [Abstract]  
TAXES

NOTE 14 – TAXES

 

Omega is a REIT for United States federal income tax purposes, and Omega OP is a pass through entity for United States federal income tax purposes.

 

Omega and Omega OP, including their wholly owned subsidiaries were organized, have operated, and intend 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. On a quarterly and annual basis we perform several analyses to test our compliance within the REIT taxation rules. In order to qualify as a REIT, in addition to other requirements, we must: (i) distribute dividends (other than capital gain dividends) to our stockholders in an amount at least equal to (A) the sum of (a) 90% of our “REIT taxable income” (computed without regard to the dividends paid deduction and our net capital gain), and (b) 90% of the net income (after tax), if any, from foreclosure property, minus (B) the sum of certain items of non-cash income on an annual basis, (ii) ensure that at least 75% and 95%, respectively, of our gross income is generated from qualifying sources that are described in the REIT tax law, (iii) ensure that at least 75% of our assets consist of qualifying assets, such as real property, mortgages, and other qualifying assets described in the REIT tax law, (iv) ensure that we do not own greater than 10% in voting power or value of securities of any one issuer, (v) ensure that we do not own either debt or equity securities of another company that are in excess of 5% of our total assets and (vi) ensure that no more than 25% of our assets are invested in one or more taxable REIT subsidiaries (and with respect to taxable years beginning after December 31, 2017, no more than 20%). In addition to the above requirements, the REIT rules require that no less than 100 stockholders own shares or an interest in the REIT and that five or fewer individuals do not own (directly or indirectly) more than 50% of the shares or proportionate interest in the REIT during the last half of any taxable year. If we fail to meet the above or any other requirements for qualification as a REIT in any tax year, we will be subject to federal income tax on our taxable income at regular corporate rates and may not be able to qualify as a REIT for the four subsequent years, unless we qualify for certain relief provisions that are available in the event we fail to satisfy any of these requirements.

 

We are also subject to federal taxation of 100% of the net income derived from the sale or other disposition of property, other than foreclosure property, that we held primarily for sale to customers in the ordinary course of a trade or business. We believe that we do not hold assets for sale to customers in the ordinary course of business and that none of the assets currently held for sale or that have been sold would be considered a prohibited transaction within the REIT taxation rules.

 

So long as we qualify as a REIT under the Code, we generally will not be subject to federal income taxes on the REIT taxable income that we distribute to stockholders, subject to certain exceptions. In 2017, 2016, and 2015, we distributed dividends in excess of our taxable income.

 

Since the year 2000, the definition of foreclosure property has included any “qualified health care property,” as defined in Code Section 856(e)(6) acquired by us as the result of the termination or expiration of a lease of such property. We have from time to time operated qualified healthcare facilities acquired in this manner for up to two years (or longer if an extension was granted). Properties that we had taken back in a foreclosure or bankruptcy and operated for our own account were treated as foreclosure properties for income tax purposes, pursuant to Code Section 856(e). Gross income from foreclosure properties was classified as “good income” for purposes of the annual REIT income tests upon making the election on the tax return. Once made, the income was classified as “good” for a period of three years, or until the properties were no longer operated for our own account. In all cases of foreclosure property, we utilized an independent contractor to conduct day-to-day operations to maintain REIT status. In certain cases, we operated these facilities through a taxable REIT subsidiary. For those properties operated through the taxable REIT subsidiary, we formed a new entity (TC Healthcare) to act as the eligible independent contractor on our behalf and conduct the day-to-day operations with respect to the health care facilities we held as foreclosure property in order for us to maintain REIT status. We have not held foreclosure property since 2011. As a result of the foregoing, we do not believe that our past participation in the operation of nursing homes increased the risk that we would fail to qualify as a REIT.

  

We may be subject to income or franchise taxes in certain states and municipalities. Also, we created five wholly owned subsidiary REITs and added a sixth wholly owned subsidiary REIT as of January 1, 2016, all of which are subject to all of the REIT qualification rules set forth in the Code. We merged five of the wholly owned subsidiary REITs into a single wholly owned subsidiary REIT in December 2015, and then merged the sixth wholly owned subsidiary REIT into our other wholly owned subsidiary REIT in December 2016, which wholly owned subsidiary REIT remains subject to all of the REIT qualification rules set forth in the Code.

 

Subject to the limitation under the REIT asset test rules, we are permitted to own up to 100% of the stock of one or more taxable REIT subsidiaries (“TRSs”). We have elected for two of our active subsidiaries to be treated as TRSs. One of our TRSs is subject to federal, state and local income taxes at the applicable corporate rates and the other is subject to foreign income taxes. As of December 31, 2017, our TRS that is subject to federal, state and local income taxes at the applicable corporate rates had a net operating loss carry-forward of approximately $5.4 million. The loss carry-forward is fully reserved as of December 31, 2017, with a valuation allowance due to uncertainties regarding realization. Our net operating loss carryforwards generated up through December 31, 2017 will be carried forward for no more than 20 years.

 

For the year ended December 31, 2017, 2016 and 2015, we recorded approximately $2.4 million, $3.3 million and $1.0 million, respectively, of federal, state and local income tax provision. For the year ended December 31, 2017, 2016 and 2015, we recorded a provision (benefit) for foreign income taxes of approximately $0.8 million, $(1.9) million and $0.2 million, respectively.

 

The following is a summary of deferred tax assets and liabilities:

 

    December 31,  
    2017     2016  
    (in thousands)  
Deferred tax assets:                
Foreign deferred tax assets (1)   $ 2,341     $ 1,811  
Federal net operating loss carryforward    

1,142

     

253

 
Total deferred assets    

3,483

     

2,064

 
                 
Deferred tax liabilities:                
Foreign deferred tax liabilities (1)     17,747       9,906  
Total net deferred liabilities before valuation allowances     (14,264 )     (7,842 )
Valuation allowance on deferred tax asset     (1,142 )     (253 )
Net deferred tax liabilities   $ (15,406 )   $ (8,095 )

 

(1) The deferred tax assets and liabilities primarily resulted from inherited basis differences resulting from our acquisition of entities in the U.K. Subsequent adjustments to these accounts result from GAAP to tax differences related to depreciation, indexation and revenue recognition.

 

On December 22, 2017, the Tax Cuts and Jobs Act (the "Tax Act") was enacted. The Tax Act includes numerous changes to existing U.S. tax law, including lowering the statutory U.S. federal corporate income tax rate from 35% to 21% effective January 1, 2018. The Company has completed its preliminary assessment of these changes, and has determined that there is an immaterial impact to the financial statements.

XML 44 R24.htm IDEA: XBRL DOCUMENT v3.8.0.1
RETIREMENT ARRANGEMENTS
12 Months Ended
Dec. 31, 2017
Compensation Related Costs [Abstract]  
RETIREMENT ARRANGEMENTS

NOTE 15 - RETIREMENT ARRANGEMENTS

 

Our Company has a 401(k) Profit Sharing Plan covering all eligible employees. Under this plan, employees are eligible to make contributions, and we, at our discretion, may match contributions and make a profit sharing contribution. Amounts charged to operations with respect to these retirement arrangements totaled approximately $0.5 million, $0.5 million, $0.4 million in 2017, 2016 and 2015, respectively.

 

In addition, we have a deferred stock compensation plan that allows employees and directors the ability to defer the receipt of stock awards. The deferred stock awards (units) participate in future dividends as well as the change in the value of the Company’s common stock. As of December 31, 2017 and 2016, the Company had 423,296 and 384,107 deferred stock units outstanding.

XML 45 R25.htm IDEA: XBRL DOCUMENT v3.8.0.1
STOCKHOLDERS'/OWNERS' EQUITY
12 Months Ended
Dec. 31, 2017
Stockholders' Equity Note [Abstract]  
STOCKHOLDERS'/OWNERS' EQUITY

NOTE 16 – STOCKHOLDERS’/OWNERS’ EQUITY

 

$500 Million Equity Shelf Program

 

On September 3, 2015, we entered into separate Equity Distribution Agreements (collectively, the “Equity Shelf Agreements”) to sell shares of our common stock having an aggregate gross sales price of up to $500 million (the “2015 Equity Shelf Program”) with several financial institutions, each as a sales agent and or principal (collectively, the “Managers”). Under the terms of the Equity Shelf Agreements, we may sell shares of our common stock, from time to time, through or to the Managers having an aggregate gross sales price of up to $500 million. Sales of the shares, if any, will be made by means of ordinary brokers’ transactions on the New York Stock Exchange at market prices, or as otherwise agreed with the applicable Manager. We will pay each Manager compensation for sales of the shares equal to 2% of the gross sales price per share for shares sold through such Manager under the applicable Equity Shelf Agreements.

 

For the year ended December 31, 2015, we did not issue any shares under the 2015 Equity Shelf Program. For the year ended December 31, 2016, we issued approximately 0.7 million shares under the 2015 Equity Shelf Program, at an average price of $29.97 per share, net of issuance costs, generating net proceeds of approximately $19.7 million. For the year ended December 31, 2017, we issued approximately 0.7 million shares under the 2015 Equity Shelf Program, at an average price of $30.81 per share, net of issuance costs, generating net proceeds of approximately $22.1 million.

 

Increase of Authorized Omega Common Stock

 

On March 27, 2015, we amended our charter to increase the number of authorized shares of our capital stock from 220 million to 370 million and the number of authorized shares of our common stock from 200 million to 350 million.

 

10.925 Million Common Stock Offering

 

On February 9, 2015, we completed an underwritten public offering of 10.925 million shares of our common stock at $42.00 per share before underwriting and other offering expenses. The Company’s total net proceeds from the offering were approximately $440 million, after deducting underwriting discounts and commissions and other estimated offering expenses.

 

Dividend Reinvestment and Common Stock Purchase Plan

 

We have a Dividend Reinvestment and Common Stock Purchase Plan (the “DRSPP”) that allows for the reinvestment of dividends and the optional purchase of our common stock. For the year ended December 31, 2017, we issued 1.2 million shares of common stock for gross proceeds of approximately $36.7 million. For the year ended December 31, 2016, we issued 7.2 million shares of common stock for gross proceeds of approximately $240.0 million. For the year ended December 31, 2015, we issued 4.2 million shares of common stock for gross proceeds of approximately $150.8 million.

  

Accumulated Other Comprehensive Loss

 

The following is a summary of our accumulated other comprehensive loss, net of tax where applicable:

 

    As of and For the Year Ended
December 31,
 
    2017     2016     2015  
    (in thousands)  
                   
Foreign Currency Translation:                        
Beginning balance   $ (54,948 )   $ (8,413 )   $  
Translation gain (loss)     28,644       (46,303 )     (8,240 )
Realized gain (loss)     311       (232 )     (173 )
Ending balance     (25,993 )     (54,948 )     (8,413 )
                         
Derivative Instruments:                        
Cash flow hedges:                        
Beginning balance     (1,420 )     (718 )      
Unrealized gain (loss)     545       (719 )     (718 )
Realized gain(1)     2,338       17        
Ending balance     1,463       (1,420 )     (718 )
Net investment hedge:                        
Beginning balance                  
Unrealized loss     (7,110 )            
Ending balance     (7,110 )            
                         
Total accumulated other comprehensive loss for Omega OP(2)     (31,640 )     (56,368 )     (9,131 )
Add: portion included in noncontrolling interest     1,490       2,541       419  
                         
Total accumulated other comprehensive loss for Omega   $ (30,150 )   $ (53,827 )   $ (8,712 )

 

(1) Recorded in interest expense on the Consolidated Statements of Operations.
(2) These amounts are included in owners’ equity.
XML 46 R26.htm IDEA: XBRL DOCUMENT v3.8.0.1
STOCK-BASED COMPENSATION
12 Months Ended
Dec. 31, 2017
Disclosure Of Compensation Related Costs, Share-Based Payments [Abstract]  
STOCK-BASED COMPENSATION

NOTE 17 – STOCK-BASED COMPENSATION

 

Restricted Stock and Restricted Stock Units

 

Restricted stock and restricted stock units (“RSUs”) are subject to forfeiture if the holder’s service to us terminates prior to vesting, subject to certain exceptions for certain qualifying terminations of employment or a change in control of the Company. Prior to vesting, ownership of the shares/Omega OP Units cannot be transferred. The restricted stock has the same dividend and voting rights as our common stock. RSUs accrue dividend equivalents but have no voting rights. Restricted stock and RSUs are valued at the price of our common stock on the date of grant. We expense the cost of these awards ratably over their vesting period.

 

The RSUs assumed from Aviv as part of the Aviv Merger were valued at the closing price of our stock on the date of the transaction. The portion of the vesting accruing prior to the acquisition was recorded as part of the purchase price consideration. The expense associated with the vesting that occurred after the date of the transaction was recorded as stock compensation expense ratably over the remaining life of the RSUs.

 

The following table summarizes the activity in restricted stock and RSUs for the years ended December 31, 2015, 2016 and 2017:

 

    Number of
Shares/Omega
OP Units
    Weighted -
Average Grant-
Date Fair Value
per Share
    Compensation
Cost (1)
(in millions) 
 
Non-vested at December 31, 2014     309,934     $ 30.08          
Granted during 2015     233,483       39.25     $ 9.2  
Assumed in Aviv Merger (2)     38,268       23.50     $ 0.9  
Cancelled during 2015     (61,911 )     33.77          
Vested during 2015     (106,146 )     28.72          
Non-vested at December 31, 2015     413,628     $ 34.45          
Granted during 2016     158,506       34.49     $ 5.5  
Cancelled during 2016     (905 )     24.92          
Vested during 2016     (235,176 )     30.41          
Non-vested at December 31, 2016     336,053     $ 37.32          
Granted during 2017     185,004       31.25     $ 5.8  
Cancelled during 2017     (1,000 )     34.78          
Vested during 2017     (182,548 )     39.58          
Non-vested at December 31, 2017     337,509     $ 32.78          

 

(1) Total compensation cost to be recognized on the awards based on grant date fair value, which is based on the market price of the Company’s common stock on the date of grant.
(2) Omega stock price on April 1, 2015 was $40.74. The weighted average stock price indicated in the table above represents the expense per unit that we will record related to the assumed Aviv RSUs.

 

Performance Based Incentive Stock Units

 

Performance restricted stock units (“PRSUs”) and long term incentive plan units (“LTIP Units”) are subject to forfeiture if the performance requirements are not achieved or if the holder’s service to us terminates prior to vesting, subject to certain exceptions for certain qualifying terminations of employment or a change in control of the Company. The PRSUs awarded in January 2013, December 2013, January 2014, March 2015, April 2015, July 2015, March 2016, and January 2017 and the LTIP Units awarded in March 2015, April 2015, July 2015, March 2016, and January 2017 have varying degrees of performance requirements to achieve vesting, and each PRSU and LTIP Units award represents the right to a variable number of shares of common stock or partnership units (each LTIP Unit once earned is convertible into one Omega OP Unit in Omega OP, subject to certain conditions). The vesting requirements are based on either the (i) total shareholders return (“TSR”) of Omega or (ii) Omega’s TSR relative to other real estate investment trusts in the MSCI U.S. REIT Index for awards before 2016 and in the FTSE NAREIT Equity Health Care Index for awards granted in or after 2016 (“Relative TSR”). We expense the cost of these awards ratably over their service period.

 

Prior to vesting and the distribution of shares, ownership of the PRSUs cannot be transferred. Dividends on the PRSUs are accrued and only paid to the extent the applicable performance requirements are met. While each LTIP Unit is unearned, the employee receives a partnership distribution equal to 10% of the quarterly approved regular periodic distributions per Omega OP Unit. The remaining partnership distributions (which in the case of normal periodic distributions is equal to the total approved quarterly dividend on Omega’s common stock) on the LTIP Units accumulate, and if the LTIP Units are earned, the accumulated distributions are paid.

 

We used a Monte Carlo model to estimate the fair value for the PRSUs and LTIP Units granted to the employees. The following are the significant assumptions used in estimating the value of the awards for grants made on the following dates:

 

    December
31, 2013
and
January 1,
2014
    March
31, 2015
    April 1,
2015
    July 31,
2015
    March 17,
2016
    January 1,
2017
 
Closing price on date of grant   $ 29.80     $ 40.57     $ 40.74     $ 36.26     $ 34.78     $ 31.26  
Dividend yield     6.44%     5.23%     5.20%     6.07%     6.56%     7.81%
Risk free interest rate at time of grant     0.04% to 0.86%       0.10% to 0.94%       0.09% to 0.91%       0.13% to 1.08%       0.50% to 1.14%       0.66% to 1.58%  
Expected volatility     24.16% to 25.86%       20.06% to 21.09%       20.06% to 21.08%       20.06% to 20.21%       23.92% to 24.88%       22.82% to 25.26%  

 

The following table summarizes the activity in PRSUs and LTIP Units for the years ended December 31, 2015, 2016 and 2017:

 

    Number of
Shares
    Weighted-
Average Grant-
Date Fair Value
per Share
    Compensation
Cost (1)
(in millions)
 
Non-vested at December 31, 2014     850,213     $ 10.97          
Granted during 2015     537,923       18.51     $ 10.0  
Cancelled during 2015     (165,570 )     14.11          
Forfeited during 2015     (128,073 )     12.04          
Vested during 2015(2)     (181,406 )     10.10          
Non-vested at December 31, 2015     913,087     $ 14.87          
Granted during 2016     679,549       14.67     $ 10.0  
Forfeited during 2016     (518,638 )     12.10          
Vested during 2016     -       -          
Non-vested at December 31, 2016     1,073,998     $ 16.08          
Granted during 2017     685,064       14.87     $ 10.2  
Cancelled during 2017     (5,361 )     15.98          
Forfeited during 2017     (392,921 )     18.33          
Vested during 2017     -       -          
Non-vested at December 31, 2017     1,360,780     $ 14.82          

 

(1) Total compensation cost to be recognized on the awards was based on the grant date fair value or the modification date fair value.
(2) PRSUs are shown as vesting in the year that the Compensation Committee determines the level of achievement of the applicable performance measures.
 

The following table summarizes our total unrecognized compensation cost as of December 31, 2017 associated with restricted stock, restricted stock units, PRSU awards, and LTIP Unit awards to employees:

 

    Grant
Year
 

Shares/ Units (1)

    Grant Date
Average
Fair Value
Per Unit/
Share
    Total
Compensation
Cost (1)  (in millions)
    Weighted
Average
Period of
Expense
Recognition
(in months)
    Unrecognized
Compensation
Cost (2) (in
millions)
    Performance
Period
  Vesting
Dates
RSUs                                                    
                                                     
3/17/16  RSU   2016     130,006       34.78       4.5       33       0.9     N/A   12/31/2018
1/1/2017  RSU   2017     140,416       31.26       4.4       36       2.9     N/A   12/31/2019
Restricted Stock Units Total         270,422     $ 32.95     $ 8.9             $ 3.8          
                                                     
TSR PRSUs and LTIP Units                                                    
                                                     
3/31/15 2017 LTIP Units   2015     137,249       14.66       2.0       45       0.5     1/1/2015-12/31/2017   Quarterly in 2018
4/1/2015 2017 LTIP Units   2015     53,387       14.81       0.8       45       0.2     1/1/2015-12/31/2017   Quarterly in 2018
3/17/2016 2018 LTIP Units   2016     370,152       13.21       4.9       45       2.6     1/1/2016-12/31/2018   Quarterly in 2019
1/1/2017 2019 LTIP Units   2017     399,726       12.61       5.0       48       3.8     1/1/2017-12/31/2019   Quarterly in 2020
TSR PRSUs & LTIP Total         960,514     $ 13.26     $ 12.7             $ 7.1          
                                                     
Relative TSR PRSUs                                                    
                                                     
3/31/15 2017 Relative TSR   2015     137,249       22.50       3.1       45       0.8     1/1/2015-12/31/2017   Quarterly in 2018
4/1/2015 2017 Relative TSR   2015     53,387       22.92       1.2       45       0.3     1/1/2015-12/31/2017   Quarterly in 2018
3/17/2016 2018 Relative TSR   2016     305,563       16.44       5.1       45       2.6     1/1/2016-12/31/2018   Quarterly in 2019
1/1/2017 2019 Relative TSR   2017     285,338       18.04       5.1       48       3.9     1/1/2017-12/31/2019   Quarterly in 2020
Relative TSR PRSUs Total         781,537     $ 18.53     $ 14.5             $ 7.6          
Grand Total         2,012,473     $ 17.95     $ 36.1             $ 18.5          

 

(1) Total shares/units and compensation costs are net of shares/units cancelled.

(2) This table excludes approximately $1.1 million of unrecognized compensation costs related to our directors.

 

Stock Options and Tax Withholding

 

As part of the Aviv Merger, we assumed approximately 5.7 million Aviv employee stock options that were fully vested prior to the merger. On April 1, 2015, the Aviv stock options were converted into Omega stock options at an exchange ratio of 0.9 resulting in issuance of approximately 5.1 million Omega stock options. The intrinsic value of the stock option assumed on April 1, 2015 was approximately $99.2 million and was recorded as part of the consideration provided in the merger. During 2017, 2016 and 2015, approximately 26 thousand, 2.5 million and 2.6 million options, respectively, were exercised at a weighted average price of $18.97 per share, $19.38 per share and $19.38 per share, respectively.

 

Stock withheld to pay minimum statutory tax withholdings for equity instruments granted under stock-based payment arrangements for the years ended December 31, 2017, 2016 and 2015, was $2.1 million, $23.4 million and $26.7 million, respectively.

 

Shares Available for Issuance for Compensation Purposes

 

On June 6, 2013, at our Company’s Annual Meeting, our stockholders approved the 2013 Stock Incentive Plan (the “2013 Plan”), which amended and restated the Company’s 2004 Stock Incentive Plan. The 2013 Plan is a comprehensive incentive compensation plan that allows for various types of equity-based compensation, including restricted stock units (including performance-based restricted stock units and LTIP units), stock awards, deferred restricted stock units, incentive stock options, non-qualified stock options, stock appreciation rights, dividend equivalent rights and certain cash-based awards (including performance-based cash awards). The 2013 Plan increased the number of shares reserved for issuance for compensation purposes by 3.0 million.

 

As of December 31, 2017, approximately 1.6 million shares of common stock were reserved for issuance to our employees, directors and consultants under our stock incentive plans.
XML 47 R27.htm IDEA: XBRL DOCUMENT v3.8.0.1
DIVIDENDS
12 Months Ended
Dec. 31, 2017
Dividends [Abstract]  
DIVIDENDS

NOTE 18 - DIVIDENDS

 

Common Dividends

 

The Board of Directors has declared common stock dividends as set forth below:

 

Record Date Payment Date Dividend per
 Common Share
  Increase over
 Prior Quarter
 
January 31, 2017 February 15, 2017 $0.62  $0.01 
May 1, 2017 May 15, 2017  0.63   0.01 
August 1, 2017 August 15, 2017  0.64   0.01 
October 31, 2017 November 15, 2017  0.65   0.01 
January 31, 2018 February 15, 2018  0.66   0.01 

 

On the same dates listed above, Omega OP Unit holders received the same distributions per unit as those paid to the common stockholders of Omega.

 

Per Share Distributions

 

Per share distributions by our Company were characterized in the following manner for income tax purposes (unaudited):

 

  Year Ended December 31, 
  2017  2016  2015 
Common            
Ordinary income $1.571  $1.968  $1.133 
Return of capital  0.932   0.322   1.047 
Capital gains  0.037   0.070   - 
Total dividends paid $2.540  $2.360  $2.180 

 

For additional information regarding dividends, see Note 14 – Taxes.

XML 48 R28.htm IDEA: XBRL DOCUMENT v3.8.0.1
COMMITMENTS AND CONTINGENCIES
12 Months Ended
Dec. 31, 2017
Commitments and Contingencies Disclosure [Abstract]  
COMMITMENTS AND CONTINGENCIES

NOTE 19 – COMMITMENTS AND CONTINGENCIES

 

Litigation

 

On November 16, 2017, a purported securities class action complaint captioned Dror Gronich v. Omega Healthcare Investors, Inc., C. Taylor Pickett, Robert O. Stephenson, and Daniel J. Booth was filed against the Company and certain of its officers in the United States District Court for the Southern District of New York, Case No. 1:17-cv-08983-NRB. On November 17, 2017, a second purported securities class action complaint captioned Steve Klein v. Omega Healthcare Investors, Inc., C. Taylor Pickett, Robert O. Stephenson, and Daniel J. Booth was filed against the Company and the same officers in the United States District Court for the Southern District of New York, Case No. 1:17-cv-09024-NRB. Both lawsuits purport to be class actions brought on behalf of shareholders who acquired the Company’s securities between February 8, 2017 and October 31, 2017. Both complaints allege that the defendants violated the Securities Exchange Act of 1934, as amended (the “Exchange Act”), by making materially false and/or misleading statements, and by failing to disclose material adverse facts, about the Company’s business, operations, and prospects, including regarding the financial and operating results of certain of the Company’s operators, the ability of certain operators to make timely rent payments, and the impairment of certain of the Company’s leases and the uncollectibility of certain receivables. The complaints, which purport to assert claims for violations of Section 10(b) of the Exchange Act and Rule 10b-5 promulgated thereunder, as well as Section 20(a) of the Exchange Act, seek an unspecified amount of monetary damages, interest, fees and expenses of attorneys and experts, and other relief.

 

On January 16, 2017, four plaintiffs and one group of plaintiffs acting jointly filed motions for consolidation of the two actions, appointment of counsel, and appointment of lead plaintiff. They are: (i) The Hannah Rosa Trust; (ii) Patricia Zaborowski, Hong Jun, Cynthia Peterson, Simona Vacchieri, and Glenn Fausz (self-defined as the “Omega Investor Group”); (iii) Royce Setzer; (iv) Carpenters Pension Fund of Illinois; and (v) Glenn Fausz. The Omega Investor Group and The Hannah Rosa Trust thereafter withdrew their applications. The motions are pending before the Court.

 

Although the Company denies the material allegations of the two complaints and intends to vigorously pursue its defense, we are in the very early stages of this litigation and are unable to predict the outcome of the case or to estimate the amount of potential costs.

 

In addition, 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.

 

Commitments

 

We have committed to fund the construction of new leased and mortgaged facilities and other capital improvements. We expect the funding of these commitments to be completed over the next several years. Our remaining commitments at December 31, 2017, are outlined in the table below (in thousands):

 

Total commitment   $ 682,249  
Amount funded (1)     383,586  
Remaining commitment   $ 298,663  

 

(1) Includes finance costs.

 

Environmental Matters

 

As of December 31, 2017 and 2016, we had identified conditional asset retirement obligations primarily related to the future removal and disposal of asbestos that is contained within certain of our real estate investment properties. The asbestos is appropriately contained, and we believe we are compliant with current environmental regulations. If these properties undergo major renovations or are demolished, certain environmental regulations are in place, which specify the manner in which asbestos must be handled and disposed. We are required to record the fair value of these conditional liabilities if they can be reasonably estimated. As of December 31, 2017 and 2016, sufficient information was not available to estimate our liability for conditional asset retirement obligations as the obligations to remove the asbestos from these properties have indeterminable settlement dates. As such, no liability for conditional asset retirement obligations was recorded on our accompanying Consolidated Balance Sheets as of December 31, 2017 and 2016.

XML 49 R29.htm IDEA: XBRL DOCUMENT v3.8.0.1
SUPPLEMENTAL DISCLOSURE TO CONSOLIDATED STATEMENTS OF CASH FLOWS
12 Months Ended
Dec. 31, 2017
Condensed Financial Information of Parent Company Only Disclosure [Abstract]  
SUPPLEMENTAL DISCLOSURE TO CONSOLIDATED STATEMENTS OF CASH FLOWS

NOTE 20 – SUPPLEMENTAL DISCLOSURE TO CONSOLIDATED STATEMENTS OF CASH FLOWS

 

The following are supplemental disclosures to the consolidated statements of cash flows for the year ended December 31, 2017, 2016 and 2015:

 

OMEGA HEALTHCARE INVESTORS, INC.

 

  Year Ended December 31, 
  2017  2016  2015 
  (in thousands) 
Reconciliation of cash and cash equivalents and restricted cash:            
Cash and cash equivalents $85,937  $93,687  $5,424 
Restricted cash  10,871   13,589   14,607 
Cash, cash equivalents and restricted cash at end of period $96,808  $107,276  $20,031 
             
Supplemental Information:            
Interest paid during the period, net of amounts capitalized $182,832  $148,326  $145,929 
Taxes paid during the period $4,141  $4,922  $1,016 
             
Non cash investing activities:            
Non cash acquisition of real estate (See Note 3) $(27,170) $  $ 
Non cash acquisition of businesses (see Note 3 and Note 5)     (60,079)  (3,602,040)
Non cash surrender of mortgage (see Note 3 and Note 5)     25,000    
Non cash investment in other investments  (6,353)      
Non cash proceeds from other investments (see Note 6 and Note 3)  30,187   5,500    
Non cash settlement of direct financing lease (See Note 4)  18,989       
Total $15,653  $(29,579) $(3,602,040)
             
Non cash financing activities:            
Assumed Aviv debt $  $  $1,410,637 
Stock exchanged in merger        1,902,866 
Omega OP Units exchanged in merger        373,394 
Purchase option buyout obligation (see Note 3)     29,579    
Change in fair value of cash flow hedges  2,970   764   718 
Remeasurement of debt denominated in a foreign currency  7,070       
Other unsecured long term borrowing (see Note 3 and Note 12)     3,000    
Total $10,040  $33,343  $3,687,615 

 

OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

 

  Year Ended December 31,  The period from
April 1, 2015
(Aviv Merger
date) through
December 31,
 
  2017  2016  2015 
  (in thousands) 
Reconciliation of cash and cash equivalents and restricted cash:            
Cash and cash equivalents $85,937  $93,687  $5,424 
Restricted cash  10,871   13,589   14,607 
Cash, cash equivalents and restricted cash at end of period $96,808  $107,276  $20,031 
             
Supplemental Information:            
Interest paid during the period, net of amounts capitalized $182,832  $148,326  $120,100 
Taxes paid during the period $4,141  $4,922  $1,016 
             
Non cash investing activities:            
Non cash acquisition of real estate (See Note 3) $(27,170) $  $ 
Non cash acquisition of businesses (see Note 3 and Note 5)     (60,079)  (3,602,040)
Non cash surrender of mortgage (see Note 3 and Note 5)     25,000    
Non cash investment in other investments  (6,353)      
Non cash proceeds from other investments (see Note 6 and Note 3)  30,187   5,500    
Non cash settlement of direct financing lease (See Note 4)  18,989       
Total $15,653  $(29,579) $(3,602,040)
             
Non cash financing activities:            
Assumed Aviv debt $  $  $1,410,637 
Contribution from Omega in merger        1,902,866 
Omega OP Units exchanged in merger        373,394 
Purchase option buyout obligation (see Note 3)     29,579    
Change in fair value of cash flow hedges  2,970   764   718 
Remeasurement of debt denominated in a foreign currency  7,070       
Other unsecured long term borrowing (see Note 3 and Note 12)     3,000    
Total $10,040  $33,343  $3,687,615 
XML 50 R30.htm IDEA: XBRL DOCUMENT v3.8.0.1
SUMMARY OF QUARTERLY RESULTS (UNAUDITED)
12 Months Ended
Dec. 31, 2017
Quarterly Financial Information Disclosure [Abstract]  
SUMMARY OF QUARTERLY RESULTS (UNAUDITED)

NOTE 21 - SUMMARY OF QUARTERLY RESULTS (UNAUDITED)

 

The following summarizes the Omega and Omega OP’s quarterly results of operations for the years ended December 31, 2017 and 2016:

 

Omega   March 31     June 30     September 30     December 31  
    (in thousands, except per share amounts)  
2017                                
Revenues   $ 231,744     $ 235,797     $ 219,638     $ 221,206  
Net income (loss) (1)   $ 109,112     $ 68,157     $ (137,515 )   $ 65,156  
Net income (loss) available to common stockholders   $ 104,440     $ 65,257     $ (131,678 )   $ 62,400  
Net income (loss) available to common per share:                                
Basic   $ 0.53     $ 0.33     $ (0.67 )   $ 0.31  
Net income (loss) per share:                                
Diluted   $ 0.53     $ 0.33     $ (0.67 )   $ 0.31  
                                 
2016                                
Revenues   $ 212,879     $ 228,824     $ 224,638     $ 234,486  
Net income   $ 58,196     $ 113,154     $ 82,134     $ 129,883  
Net income available to common stockholders   $ 55,555     $ 108,052     $ 78,549     $ 124,259  
Net income available to common per share:                                
Basic   $ 0.30     $ 0.57     $ 0.40     $ 0.63  
Net income per share:                                
Diluted   $ 0.29     $ 0.57     $ 0.40     $ 0.63  

 

Omega OP   March 31     June 30     September 30     December 31  
    (in thousands, except per share amounts)  
2017                                
Revenues   $ 231,744     $ 235,797     $ 219,638     $ 221,206  
Net income (loss) (1)   $ 109,112     $ 68,157     $ (137,515 )   $ 65,156  
Net income (loss) available to Omega OP Unit holders:                                
Basic   $ 0.53     $ 0.33     $ (0.67 )   $ 0.31  
Net income (loss) per unit:                                
Diluted   $ 0.53     $ 0.33     $ (0.67 )   $ 0.31  
                                 
2016                                
Revenues   $ 212,879     $ 228,824     $ 224,638     $ 234,486  
Net income   $ 58,196     $ 113,154     $ 82,134     $ 129,883  
Net income available to Omega OP Unit holders:                                
Basic   $ 0.30     $ 0.57     $ 0.40     $ 0.63  
Net income per unit:                                
Diluted   $ 0.29     $ 0.57     $ 0.40     $ 0.63  

 

(1) Amounts reflect provisions for uncollectible accounts and impairment losses on real estate properties and direct financing leases of $10.0 million, $12.8 million, $224.4 million and $64.6 million for the three month periods ended March 31, 2017, June 30, 2017, September 30, 2017 and December 31, 2017, respectively. Amounts also reflect net gain (loss) on assets sold of $7.4 million, $(0.6) million, $0.7 million and $46.4 million for the three month periods ended March 31, 2017, June 30, 2017, September 30, 2017 and December 31, 2017, respectively.
XML 51 R31.htm IDEA: XBRL DOCUMENT v3.8.0.1
EARNINGS PER SHARE/UNIT
12 Months Ended
Dec. 31, 2017
Net Income Available To Common Per Share  
EARNINGS PER SHARE/UNIT

NOTE 22 - EARNINGS PER SHARE/UNIT

 

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

 

  Omega  Omega OP 
  Year Ended December 31,  Year Ended December 31, 
  2017  2016  2015  2017  2016  2015(1) 
  (in thousands, except per share amounts)    
Numerator:                        
Net income $104,910  $383,367  $233,315  $104,910  $383,367  $190,263 
Less: Net income attributable to noncontrolling interests  (4,491)  (16,952)  (8,791)         
Net income available to common stockholders/Omega OP Unit holders $100,419  $366,415  $224,524  $104,910  $383,367  $190,263 
Denominator:                        
Denominator for basic earnings per share/unit  197,738   191,781   172,242   206,521   200,679   193,843 
Effect of dilutive securities:                        
Common stock equivalents  269   956   1,539   269   956   1,899 
Noncontrolling interest – Omega OP Units  8,783   8,898   6,727          
Denominator for diluted earnings per share/unit  206,790   201,635   180,508   206,790   201,635   195,742 
                         
Earnings per share - basic:                        
Net income available to common stockholders/Omega OP Unit holders $0.51  $1.91  $1.30  $0.51  $1.91  $0.98 
Earnings per share/unit - diluted:                        
Net income $0.51  $1.90  $1.29  $0.51  $1.90  $0.97 

 

(1)The period is from April 1, 2015 (Aviv Merger date) through December 31, 2015.
XML 52 R32.htm IDEA: XBRL DOCUMENT v3.8.0.1
SUBSEQUENT EVENTS
12 Months Ended
Dec. 31, 2017
Subsequent Events [Abstract]  
SUBSEQUENT EVENTS

NOTE 23 – SUBSEQUENT EVENTS

 

 

In February 2018, the Company agreed to transition an existing portfolio of 13 facilities in Ohio. The transition is expected to occur during the first half of 2018 with the facilities being leased to another existing operator pursuant to a new master lease agreement. As a result of the transition, the Company expects to write-off approximately $7.5 million of straight-line rent receivable.

XML 53 R33.htm IDEA: XBRL DOCUMENT v3.8.0.1
SCHEDULE II - VALUATION AND QUALIFYING ACCOUNTS
12 Months Ended
Dec. 31, 2017
Valuation and Qualifying Accounts [Abstract]  
VALUATION AND QUALIFYING ACCOUNTS

SCHEDULE II – VALUATION AND QUALIFYING ACCOUNTS

(in thousands)

December 31, 2017

 

 

 

Description

  Balance at 
Beginning of 
Period
    Charged to 
Provision 
Accounts
   

 

Deductions or 
Other (1)

    Balance at 
End of 
Period
 
Year Ended December 31, 2017:                                
Allowance for doubtful accounts:                                
Accounts receivable   $ 357     $ 13,392     $ 5,286     $ 8,463  
Mortgage notes receivable     3,934       971             4,905  
Other investments     4,798       217       4,642       373  
Direct financing leases           198,199       26,027       172,172  
Total   $ 9,089     $ 212,779     $ 35,955     $ 185,913  
                                 
Year Ended December 31, 2016:                                
Allowance for doubtful accounts:                                
Accounts receivable   $ 309     $ 4,246     $ 4,198     $ 357  
Mortgage notes receivable           3,934             3,934  
Other investments     2,960       1,665       (173 )     4,798  
Total   $ 3,269     $ 9,845     $ 4,025     $ 9,089  
                                 
Year Ended December 31, 2015:                                
Allowance for doubtful accounts:                                
Accounts receivable   $ 78     $ 4,994     $ 4,763     $ 309  
Other investments           2,879       (81 )     2,960  
Total   $ 78     $ 7,873     $ 4,682     $ 3,269  

 

(1) Uncollectible accounts written off, net of recoveries or adjustments.
XML 54 R34.htm IDEA: XBRL DOCUMENT v3.8.0.1
SCHEDULE III - REAL ESTATE AND ACCUMULATED DEPRECIATION
12 Months Ended
Dec. 31, 2017
Real Estate and Accumulated Depreciation Disclosure [Abstract]  
REAL ESTATE AND ACCUMULATED DEPRECIATION

OMEGA HEALTHCARE INVESTORS, INC. AND OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

  

SCHEDULE III REAL ESTATE AND ACCUMULATED DEPRECIATION

(in thousands)

December 31, 2017

   

                                      (3)(5)                    
                                      Gross Amount at                    
        Initial Cost to     Cost Capitalized     Which Carried at                   Life on Which
        Company     Subsequent to     Close of Period                   Depreciation
                    Acquisition                       (4)             in Latest
            Buildings and           Carrying     (6)         Buildings and         Accumulated     Date of   Date   Income Statements
Description (1)   Encumbrances   Land      Improvements     Improvements     Cost     Other     Land      Improvements     Total     Depreciation     Construction   Acquired   is Computed
Maplewood Real Estate Holdings:                                                                                        
Connecticut (AL)       $ 25,063     $ 216,538     $ 3,287     $ 59     $ -     $ 25,063     $ 219,884     $ 244,947     $ 20,109     1968-2015   2015   33 years
Massachusetts (AL, SNF)         19,041       113,728       11,982       -       (680 )     19,041       125,030       144,071       10,614     1988-2017   2015   30 years to 33 years
New York (AL)         118,606       -       34,738       5,759       -       118,606       40,497       159,103       -     -   2015   -
Ohio  (AL)         3,683       27,628       35       -       -       3,683       27,663       31,346       2,275     1999-2016   2015   30 years to 33 years
Total Maplewood       $ 166,393     $ 357,894     $ 50,042     $ 5,818     $ (680 )   $ 166,393     $ 413,074     $ 579,467     $ 32,998              
                                                                                         
Signature Holdings II:                                                                                        
Florida (SNF)       $ 14,077     $ 166,901     $ 13,295     $ 158     $ -     $ 14,077     $ 180,354     $ 194,431     $ 48,710     1940-1997   1996-2016   3 years to 39 years
Georgia (SNF)         3,833       10,847       3,949       -       -       3,833       14,796       18,629       9,522     1964-1970   2007   20 years
Kentucky (SNF)         13,335       87,791       4,174       -       -       13,335       91,965       105,300       23,772     1964-1980   1999-2016   20 years to 33 years
Maryland (SNF)         1,480       19,663       1,183       -       -       1,480       20,846       22,326       7,804     1959-1977   2010   29 years to 30 years
Tennessee (AL, SNF)         8,414       182,235       -       -       -       8,414       182,235       190,649       12,029     1966-2016   2014-2016   25 years to 30 years
Total Signature       $ 41,139     $ 467,437     $ 22,601     $ 158     $ -     $ 41,139     $ 490,196     $ 531,335     $ 101,837              
                                                                                         
Saber Health Group:                                                                                        
Florida (SNF)       $ 423     $ 4,422     $ 197     $ -     $ -     $ 423     $ 4,619     $ 5,042     $ 536     2009   2015   33 years
North Carolina (SNF)         10,780       106,695       11,899       323       -       10,780       118,917       129,697       11,448     1965-2013   2016   3 years to 30 years
Ohio (SNF, AL)         5,035       107,057       6,124       -       (268 )     5,035       112,913       117,948       11,379     1979-2000   2015-2016   30 years to 33 years
Pennsylvania (SNF)         7,134       124,476       3,858       -       -       7,134       128,334       135,468       13,132     1873-2002   2015   33 years
Virginia (SNF)         8,500       85,982       2,675       -       -       8,500       88,657       97,157       7,433     1964-2013   2016   30 years
Total Saber Health Group       $ 31,872     $ 428,632     $ 24,753     $ 323     $ (268 )   $ 31,872     $ 453,440     $ 485,312     $ 43,928              
                                                                                         
Ciena Healthcare:                                                                                        
Indiana (SNF)       $ 321     $ 7,703     $ -     $ -     $ -     $ 321     $ 7,703     $ 8,024     $ 902     1973   2015   33 years
Michigan (SNF, AL)         4,087       115,547       -       -       -       4,087       115,547       119,634       12,261     1964-1997   2015   33 years
North Carolina (ILF, SNF)         4,331       65,027       -       -       -       4,331       65,027       69,358       7,233     1927-1997   2015   12 years to 33 years
Ohio (SNF, AL)         10,343       159,846       -       -       (80 )     10,343       159,766       170,109       16,833     1960-2007   2010-2016   20 years to 33 years
Virginia (SNF)         6,300       87,772       -       -       (177 )     6,123       87,772       93,895       6,729     1979-2007   2016   30 years
Total Ciena HealthCare       $ 25,382     $ 435,895     $ -     $ -     $ (257 )   $ 25,205     $ 435,815     $ 461,020     $ 43,958              
                                                                                         
CommuniCare Health Services, Inc.:                                                                                        
Indiana (SNF)       $ 17,949     $ 193,059     $ -     $ -     $ -     $ 17,949     $ 193,059     $ 211,008     $ 3,333     1963-2014   2017   20 years to 30 years
Maryland (SNF)         7,190       74,029       3,844       -       -       7,190       77,873       85,063       17,808     1921-1985   2010-2011   25 years to 30 years
Ohio (SNF, SH, ALF)         6,445       76,436       11,821       -       -       6,445       88,257       94,702       37,954     1927-2008   1998-2008   20 years to 39 years
Pennsylvania (SNF)         1,753       18,533       11,281       -       -       1,753       29,814       31,567       12,167     1950-1964   2005   39 years
West Virginia (SNF)         450       14,758       185       -       -       450       14,943       15,393       3,053     1963   2011   35 years
Total CommuniCare       $ 33,787     $ 376,815     $ 27,131     $ -     $ -     $ 33,787     $ 403,946     $ 437,733     $ 74,315              

    

 

                                      (3)(5)                    
                                      Gross Amount at                    
        Initial Cost to     Cost Capitalized     Which Carried at                   Life on Which
        Company     Subsequent to     Close of Period                   Depreciation
                    Acquisition                       (4)             in Latest
            Buildings and           Carrying     (6)         Buildings and         Accumulated     Date of   Date   Income Statements
Description (1)   Encumbrances   Land      Improvements     Improvements     Cost     Other     Land      Improvements     Total     Depreciation     Construction   Acquired   is Computed
Other:                                                                                        
Alabama (SNF)       $ 1,817     $ 33,356     $ 12,916     $ -     $ -     $ 1,817     $ 46,272     $ 48,089     $ 33,080     1960-1982   1992-1997   31 years to 33 years
Arizona (TBI, SNF, AL)         10,995       86,868       -       -       -       10,995       86,868       97,863       13,093     1949-1999   2012-2015   33 years to 40 years
Arkansas (SNF, AL)   (2)     3,698       85,308       8,856       -       (36 )     3,698       94,128       97,826       39,139     1967-2009   1992-2015   25 years to 33 years
California (SNF, TBI)         73,466       408,201       3,837       -       -       73,466       412,038       485,504       68,870     1927-2013   1997-2015   5 years to 35 years
Colorado (SNF, ILF)         11,279       88,831       7,790       -       -       11,279       96,621       107,900       33,257     1925-1975   1998-2016   20 years to 39 years
Connecticut (land only)         879       4,446       980       -       (5,426 )     879       -       879       -     N/A   1999   N/A
Florida (SNF, AL)         63,094       504,796       42,010       1,082       (9,737 )     63,019       538,226       601,245       170,325     1933-2017   1992-2017   2 years to 40 years
Georgia (SNF, AL)         3,730       47,387       669       -       -       3,730       48,056       51,786       7,015     1967-1998   1998-2016   30 years to 40 years
Idaho (SNF, AL)         6,625       62,353       1,322       -       (14,690 )     6,625       48,985       55,610       12,887     1911-2008   1997-2015   25 years to 39 years
Illinois (SNF)         5,112       98,178       66       -       (44,462 )     4,977       53,917       58,894       892     1961-1981   2015   30 years to 33 years
Indiana (SNF, ILF, AL, MOB, SH,)         25,781       335,737       435       -       (1,828 )     25,773       334,352       360,125       80,438     1942-2008   1992-2015   20 years to 40 years
Iowa (SNF, AL)         2,485       60,406       -       -       -       2,485       60,406       62,891       9,456     1961-1998   2010-2015   12 years to 33 years
Kansas (SNF)         4,800       47,496       12,767       -       (2,229 )     4,800       58,034       62,834       8,524     1957-1985   2010-2015   12 years to 33 years
Kentucky (SNF, AL)         5,611       123,995       9,851       -       -       5,611       133,846       139,457       25,761     1917-2002   1994-2015   33 years
Louisiana (SNF)         2,178       52,870       3,303       -       (189 )     2,178       55,984       58,162       19,388     1957-1983   1997-2006   22 years to 39 years
Massachusetts (SNF)         5,389       35,826       2,160       -       -       5,389       37,986       43,375       19,661     1964-1993   1997-2010   20 years to 39 years
Michigan (SNF)         830       30,921       -       -       -       830       30,921       31,751       5,921     1964-1975   2011-2015   25 years to 33 years
Minnesota (SNF, AL, ILF)         10,502       52,585       4,294       -       -       10,502       56,879       67,381       6,407     1966-1983   2015   33 years
Mississippi (SNF)         2,910       49,507       827       -       -       2,910       50,334       53,244       16,050     1962-1988   2009-2010   20 years to 40 years
Missouri (SNF)         7,333       121,481       693       -       (37,104 )     7,325       85,078       92,403       9,624     1955-1994   1999-2016   30 years to 33 years
Montana (SNF)         1,319       11,698       -       -       -       1,319       11,698       13,017       1,274     1963-1971   2015   33 years
Nebraska (SNF)         1,600       23,142       -       -       -       1,600       23,142       24,742       3,687     1963-1969   2015   20 years to 33 years
Nevada (SNF, SH, TBI)         5,501       50,472       8,350       -       -       5,501       58,822       64,323       12,858     1972-2004   2009-2015   26 years to 33 years
New Hampshire (SNF, AL)         1,782       19,837       1,463       -       -       1,782       21,300       23,082       9,057     1963-1999   1998-2006   33 years to 39 years
New Mexico (SNF)         8,372       62,191       -       -       -       8,372       62,191       70,563       6,493     1960-1985   2015   33 years
North Carolina (SNF)         3,798       60,591       3,551       -       -       3,798       64,142       67,940       28,802     1964-1987   1994-2017   25 years to 36 years
Ohio (SNF, SH, AL)         18,135       254,695       7,134       -       (552 )     18,135       261,277       279,412       64,195     1920-1998   1994-2015   21 years to 39 years
Oklahoma (SNF, AL)         4,650       36,247       -       -       -       4,650       36,247       40,897       9,820     1965-2013   2010-2015   20 years to 33 years
Oregon (AL, SNF)         3,641       45,218       4,004       -       -       3,641       49,222       52,863       5,350     1959-2004   2014-2015   25 years to 33 years
Pennsylvania (SNF, AL, ILF)         9,981       187,731       -       -       (5 )     9,976       187,731       197,707       62,399     1942-2012   1998-2015   16 years to 39 years
Rhode Island (SNF)         3,658       35,082       4,793       -       -       3,658       39,875       43,533       17,682     1965-1981   2006   39 years
South Carolina (SNF)         7,800       59,782       -       -       -       7,800       59,782       67,582       8,838     1959-2007   2014-2016   20 years to 33 years
Tennessee (SNF)         5,827       99,457       5,332       -       (135 )     5,933       104,548       110,481       51,466     1958-1985   1992-2015   20 years to 31 years
Texas (AL, SNF)         70,761       721,428       27,074       68       (2,532 )     70,761       746,038       816,799       124,486     1952-2015   1997-2017   2 years to 40 years
United Kingdom (AL)         81,843       346,104       1,791       -       (22,258 )     79,688       327,792       407,480       22,033     1750-2012   2015-2017   30 years
Vermont (SNF)         318       6,006       602       -       -       318       6,608       6,926       2,592     1971   2004   39 years
Virginia (SNF, AL)         3,021       37,129       -       -       -       3,021       37,129       40,150       2,942     1989-1995   2015-2017   30 years to 40 years
Washington (SNF, AL)         11,719       138,056       2,627       -       (2 )     11,718       140,682       152,400       27,356     1930-2004   1995-2015   20 years to 33 years
West Virginia (SNF)         1,523       52,187       6,877       -       -       1,523       59,064       60,587       32,336     1961-1996   1994-2008   25 years to 39 years
Wisconsin (SNF)         5,996       44,333       6,043       -       (12,982 )     5,996       37,394       43,390       6,338     1964-1994   2010-2015   12 years to 33 years
Total Other       $ 499,759     $ 4,621,934     $ 192,417     $ 1,150     $ (154,167 )   $ 497,478     $ 4,663,615     $ 5,161,093     $ 1,079,792              
                                                                                         
                                                                                         
Total       $ 798,332     $ 6,688,607     $ 316,944     $ 7,449     $ (155,372 )   $ 795,874     $ 6,860,086     $ 7,655,960     $ 1,376,828              

   

(1) The real estate included in this schedule is being used in either the operation of skilled nursing facilities (SNF), assisted living facilities (AL), independent living facilities (ILF), traumatic brain injury (TBI), medical office building (MOB) or specialty hospitals (SH) located in the states or country indicated.
(2) Certain of the real estate indicated are security for the HUD loan borrowings totalling $53.7 million.

 

    Year Ended December 31,  
(3)   2015     2016     2017  
     Balance at beginning of period   $ 3,223,785     $ 6,743,958     $ 7,566,358  
         Acquisitions through foreclosure     -       25,000       -  
         Acquisitions (a)     3,371,234       1,017,761       419,333  
         Impairment     (12,916 )     (53,717 )     (98,672 )
         Improvements     220,272       95,807       116,786  
         Disposals/other     (58,417 )     (262,451 )     (347,845 )
     Balance at close of period   $ 6,743,958     $ 7,566,358     $ 7,655,960  

 

(a) Includes approximately $3.1 billion, $35.1 million and $27.2 million of noncash consideration exchanged during the years ended December 31, 2015, 2016 and 2017, respectively.               

 

    Year Ended December 31,  
(4)   2015     2016     2017  
     Balance at beginning of period   $ 821,712     $ 1,019,150     $ 1,240,336  
         Provisions for depreciation     210,555       266,904       287,189  
         Dispositions/other     (13,117 )     (45,718 )     (150,697 )
     Balance at close of period   $ 1,019,150     $ 1,240,336     $ 1,376,828  

 

(5) The reported amount of our real estate at December 31, 2017 is greater than the tax basis of the real estate by approximately $0.9 billion.
(6) Reflects bed sales, impairments (including the write-off of accumulated depreciation), land easements and impacts from foreign currency exchange rates.
XML 55 R35.htm IDEA: XBRL DOCUMENT v3.8.0.1
SCHEDULE IV - MORTGAGE LOANS ON REAL ESTATE
12 Months Ended
Dec. 31, 2017
Mortgage Loans On Real Estate [Abstract]  
MORTGAGE LOANS ON REAL ESTATE

SCHEDULE IV MORTGAGE LOANS ON REAL ESTATE

(in thousands)

December 31, 2017

  

Grouping   Description (1)   Interest Rate     Fixed/Variable   Final Maturity Date   Periodic Payment Terms   Prior Liens   Face Amount of Mortgages     Carrying Amount of Mortgages (2) (3) (6)     Carrying Amount of Loans Subject to Delinquent Principal or Interest  
                                             
1   Louisiana (1 AL facility)     8.75 %   F   2018   Interest plus $17 of principal payable monthly with $10,836 due at maturity   None   $ 11,027     $ 10,944     $ -  
2   Maryland (3 SNF facilities)     11.00 %   V   2028   Interest payable monthly until maturity   None     74,928       35,964       -  
3   Michigan (1 SNF facility)     11.04 %   V   2029   Interest payable monthly until maturity   None     3,968       3,968       -  
4   Michigan (1 SNF facility)     10.77 %   V   2029   Interest payable monthly until maturity   None     4,112       4,112       -  
5   Michigan (8 SNF facilities)     10.51 %   V   2029   Interest payable monthly until maturity   None     12,107       12,107       -  
6   Michigan (8 SNF facilities)     9.74 %   V   2029   Interest payable monthly until maturity   None     12,500       12,500       -  
7   Michigan (31 SNF facilities)     9.68 %   V   2029   Interest plus $115 of principal payable monthly with $382,127 due at maturity   None     415,000       410,763       -  
8   Michigan (3 SNF facilities)     9.50 %   V   2029   Interest plus $2 of principal payable monthly with $10,466 due at maturity   None     11,000       10,988       -  
9   Michigan (1 SNF facility)     9.50 %   V   2029   Interest payable monthly until maturity   None     188       188       -  
10   Michigan (1 SNF facility)     8.67 %   V   2029   Interest payable monthly until maturity   None     14,045       14,045       -  
11   Michigan (1 SNF facility)     9.50 %   V   2019   Interest payable monthly until maturity   None     210       210       -  
12   Michigan (1 SNF facility)     9.50 %   V   2018   Interest payable monthly until maturity   None     7,440       7,440       -  
13   New Jersey (1 AL facility)     14.00 %   F   2018   Interest payable monthly until maturity   None     3,195       3,195       -  
14   Ohio (2 SNF facilities) and Pennsylvania (5 SNF and 2 AL facilities)     9.98 %   V   2024   Interest payable monthly until maturity   None     112,500       112,500       -  
15   Ohio (1 SNF facility)     11.91 %   V   2018   Interest payable monthly until maturity   None     11,874       12,001 (4)     -  
16   South Carolina (1 AL facility)     8.75 %   F   2018   Interest accrues monthly until maturity   None     10,288       10,288       -  
17   Tennessee ( 1 SNF facility)     8.35 %   F   2015   Past due   None     6,997       1,472       1,472  (5)
18   Virginia (1 AL facility)     8.75 %   F   2018   Interest accrues monthly until maturity   None     8,548       8,547       -  
                                                     
                                $ 719,927     $ 671,232     $ 1,472  

  

(1) Mortgage loans included in this schedule represent first mortgages on facilities used in the delivery of long-term healthcare of which such facilities are located in the states indicated.
(2) The aggregate cost for federal income tax purposes is approximately $676.6 million.

 

    Year Ended December 31,  
(3)   2015     2016     2017  
Balance at beginning of period   $ 648,079     $ 679,795     $ 639,343  
Additions during period - new mortgage loans or additional fundings     33,288       48,722       34,643  
Deductions during period - collection of principal/other     (1,572 )     (89,174 )     (2,754 )
Balance at close of period   $ 679,795     $ 639,343     $ 671,232  

  

(4) The carrying value of the mortgage exceeds the face value of the mortgage due to an acquisition date fair market value adjustment.

 

(5) Mortgage written down to the fair value of the underlying collateral.

 

(6) Mortgages included in the schedule which were extended during 2017 aggregated approximately $3.2 million.
XML 56 R36.htm IDEA: XBRL DOCUMENT v3.8.0.1
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Policies)
12 Months Ended
Dec. 31, 2017
Organization, Consolidation and Presentation of Financial Statements [Abstract]  
Accounting Estimates

Accounting Estimates

 

The preparation of financial statements in conformity with U.S. generally accepted accounting principles (“GAAP”) requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, the disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates.

Fair Value Measurement

Fair Value Measurement

 

The Company measures and discloses the fair value of nonfinancial and financial assets and liabilities utilizing a hierarchy of valuation techniques based on whether the inputs to a fair value measurement are considered to be observable or unobservable in a marketplace. Observable inputs reflect market data obtained from independent sources, while unobservable inputs reflect the Company's market assumptions. This hierarchy requires the use of observable market data when available. These inputs have created the following fair value hierarchy:

 

· Level 1 - quoted prices for identical instruments in active markets;

 

· Level 2 - quoted prices for similar instruments in active markets; quoted prices for identical or similar instruments in markets that are not active; and model-derived valuations in which significant inputs and significant value drivers are observable in active markets; and

 

· Level 3 - fair value measurements derived from valuation techniques in which one or more significant inputs or significant value drivers are unobservable.

 

The Company measures fair value using a set of standardized procedures that are outlined herein for all assets and liabilities which are required to be measured at fair value. When available, the Company utilizes quoted market prices from an independent third party source to determine fair value and classifies such items in Level 1. In some instances where a market price is available, but the instrument is in an inactive or over-the-counter market, the Company consistently applies the dealer (market maker) pricing estimate and classifies such items in Level 2.

 

If quoted market prices or inputs are not available, fair value measurements are based upon valuation models that utilize current market or independently sourced market inputs, such as interest rates, option volatilities, credit spreads and/or market capitalization rates. Items valued using such internally-generated valuation techniques are classified according to the lowest level input that is significant to the fair value measurement. As a result, these items could be classified in either Level 2 or Level 3 even though there may be some significant inputs that are readily observable. Internal fair value models and techniques used by the Company include discounted cash flow and Monte Carlo valuation models.

Risks and Uncertainties

Risks and Uncertainties

 

The Company is subject to certain risks and uncertainties affecting the healthcare industry as a result of healthcare legislation and growing regulation by federal, state and local governments. Additionally, we are subject to risks and uncertainties as a result of changes affecting operators of nursing home facilities due to the actions of governmental agencies and insurers to limit the rising cost of healthcare services.

Business Combinations

Business Combinations

 

We record the purchase of properties to net tangible and identified intangible assets acquired and liabilities assumed at fair value. Transaction costs are expensed as incurred as part of a business combination. In making estimates of fair value for purposes of recording the purchase, we utilize a number of sources, including independent appraisals that may be obtained in connection with the acquisition or financing of the respective property and other market data. We also consider information obtained about each property as a result of our pre-acquisition due diligence, marketing and leasing activities as well as other critical valuation metrics such as current capitalization rates and discount rates used to estimate the fair value of the tangible and intangible assets acquired (Level 3). When liabilities are assumed as part of a transaction, we consider information obtained about the liabilities and use similar valuation metrics (Level 3). In some instances when debt is assumed and an identifiable active market for similar debt is present, we use market interest rates for similar debt to estimate the fair value of the debt assumed (Level 2). The Company determines fair value as follows:

 

·Land is determined based on third party appraisals which typically include market comparables.

 

·Buildings and site improvements acquired are valued using a combination of discounted cash flow projections that assume certain future revenues and costs and consider capitalization and discount rates using current market conditions as well as replacement cost analysis.

 

·Furniture and fixtures are determined based on third party appraisals which typically utilize a replacement cost approach.

 

·Intangible assets and liabilities acquired are valued using a combination of discounted cash flow projections as well as other valuation techniques based on current market conditions for the intangible asset or liability being acquired. When evaluating below market leases we consider extension options controlled by the lessee in our evaluation. For additional information regarding above and below market leases assumed as part of an acquisition see “In-Place Leases" below.

 

·Other assets acquired and liabilities assumed are typically valued at stated amounts, which approximate fair value on the date of the acquisition.

 

·Assumed debt balances are valued by discounting the remaining contractual cash flows using a current market rate of interest.

 

·Stock based compensation and noncontrolling interests are valued using a stock price on the acquisition date.

 

·Goodwill represents the purchase price in excess of the fair value of assets acquired and liabilities assumed and the cost associated with expanding our investment portfolio. Goodwill is not amortized.
Asset Acquisitions

Asset Acquisitions

 

On October 1, 2016, we early adopted Financial Accounting Standards Board (“FASB”) Accounting Standards Update (“ASU”) 2017-01, Business Combinations-Clarifying the Definition of a Business (“ASU 2017-01”), which clarifies the definition of a business with the objective of adding guidance to assist entities with evaluating whether transactions should be accounted for as business acquisitions. As a result of adopting ASU 2017-01, real estate acquisitions completed after October 1, 2016 did not meet the definition of a business combination and were deemed to be asset acquisitions. Real estate asset acquisitions completed prior to October 1, 2016 were typically deemed to be business combinations and the related acquisition costs were expensed as incurred. For asset acquisitions, assets acquired and liabilities assumed are recognized by allocating the cost of the acquisition to the individual assets acquired and liabilities assumed on a relative fair value basis and the costs of the acquisition are capitalized. The fair value of the assets acquired and liabilities assumed in an asset acquisition are determined in a consistent manner with the immediately preceding “Business Combinations” section.

Real Estate Investments and Depreciation

Real Estate Investments and Depreciation

 

The costs of significant improvements, renovations and replacements, including interest are capitalized. In addition, we capitalize leasehold improvements when certain criteria are met, including when we supervise construction and will own the improvement. Expenditures for maintenance and repairs are charged to operations as they are incurred.

 

Depreciation is computed on a straight-line basis over the estimated useful lives ranging from 20 to 40 years for buildings, eight to 15 years for site improvements, and three to ten years for furniture, fixtures and equipment. Leasehold interests are amortized over the shorter of the estimated useful life or term of the lease.

Lease Accounting

Lease Accounting

 

At the inception of the lease and during the amendment process, we evaluate each lease to determine if the lease should be considered an operating lease, sales-type lease, or direct financing lease. As of December 31, 2017, we have determined that all but five of our leases should be accounted for as operating leases. The other five leases are accounted for as direct financing leases.

 

For leases accounted for as operating leases, we retain ownership of the asset and record depreciation expense, see “Business Combinations” and “Real Estate Investments and Depreciation” above for additional information regarding our investment in real estate leased under operating lease agreements. We also record lease revenue based on the contractual terms of the operating lease agreement which often includes annual rent escalators, see “Revenue Recognition” below for further discussion regarding the recordation of revenue on our operating leases.

 

For leases accounted for as direct financing leases, we record the present value of the future minimum lease payments (utilizing a constant interest rate over the term of the lease agreement) as a receivable and record interest income based on the contractual terms of the lease agreement. Certain direct financing leases include annual rent escalators; see “Revenue Recognition” below for further discussion regarding the recording of interest income on our direct financing leases. As of December 31, 2017, we fully reserved $2.9 million of unamortized direct costs related to originating our direct financing leases. As of December 31, 2016, we have $3.3 million of unamortized direct costs related to originating our direct financing leases recorded on our Consolidated Balance Sheet.

In-Place Leases

In-Place Leases

 

In-place lease assets and liabilities result when we assume a lease as part of a facility purchase or business combination. The fair value of in-place leases consists of the following components, as applicable (1) the estimated cost to replace the leases, and (2) the above or below market cash flow of the leases, determined by comparing the projected cash flows of the leases in place at the time of acquisition to projected cash flows of comparable market-rate leases (referred to as Lease Intangibles). Lease intangible assets and liabilities are classified as lease contracts above and below market value, respectively, in other assets and accrued expenses and other liabilities on our Consolidated Balance Sheets, and amortized on a straight-line basis as decreases and increases, respectively, to rental income over the estimated remaining term of the underlying leases. Should a tenant terminate the lease, the unamortized portion of the lease intangible is recognized immediately as income or expense.

Real Estate Investment Impairment

Real Estate Investment Impairment

 

Management evaluates our real estate investments for impairment indicators at each reporting period, including the evaluation of our assets’ useful lives. The judgment regarding the existence of impairment indicators is based on factors such as, but not limited to, market conditions, operator performance including the current payment status of contractual obligations and expectations of the ability to meet future contractual obligations, legal structure, as well as our intent with respect to holding or disposing of the asset. If indicators of impairment are present, management evaluates the carrying value of the related real estate investments in relation to management’s estimate of future undiscounted cash flows of the underlying facilities. The estimated future undiscounted cash flows are generally based on the related lease which relates to one or more properties and may include cash flows from the eventual disposition of the asset. In some instances, there may be various potential outcomes for a real estate investment and its potential future cash flows. In these instances, the undiscounted future cash flows used to assess the recoverability are probability-weighted based on management’s best estimates as of the date of evaluation. Provisions for impairment losses related to long-lived assets are recognized when expected future undiscounted cash flows based on our intended use of the property are determined to be less than the carrying values of the assets. An adjustment is made to the net carrying value of the real estate investments for the excess of carrying value over fair value. The fair value of the real estate investment is determined based on current market conditions and consider matters such as rental rates and occupancies for comparable properties, recent sales data for comparable properties, and, where applicable, contracts or the results of negotiations with purchasers or prospective purchasers. Additionally, our evaluation of fair value may consider valuing the property as a nursing home as well as alternative uses. All impairments are taken as a period cost at that time, and depreciation is adjusted going forward to reflect the new value assigned to the asset. Management’s impairment evaluation process, and when applicable, impairment calculations involve estimation of the future cash flows from management’s intended use of the property as well as the fair value of the property. Changes in the facts and circumstances that drive management’s assumptions may result in an impairment of the Company’s assets in a future period that could be material to the Company’s results of operations.

 

For the years ended December 31, 2017, 2016 and 2015, we recognized impairment losses on real estate investments of $99.1 million, $58.7 million and $17.7 million, respectively.

Allowance for Losses on Mortgages, Other Investments and Direct Financing Leases

Allowance for Losses on Mortgages, Other Investments and Direct Financing Leases

 

The allowances for losses on mortgage notes receivable, other investments and direct financing leases (collectively, our “loans”) are maintained at a level believed adequate to absorb potential losses. The determination of the allowances is based on a quarterly evaluation of these loans, including general economic conditions and estimated collectability of loan payments. We evaluate the collectability of our loans receivable based on a combination of factors, including, but not limited to, delinquency status, financial strength of the borrower and guarantors and the value of the underlying collateral. If such factors indicate that there is greater risk of loan charge-offs, additional allowances or placement on non-accrual status may be required. A loan is impaired when, based on current information and events, it is probable that we will be unable to collect all amounts due as scheduled according to the contractual terms of the loan agreements. Consistent with this definition, all loans on non-accrual status may be deemed impaired. To the extent circumstances improve and the risk of collectability is diminished, we will return these loans to full accrual status. When management identifies potential loan impairment indicators, the loan is written down to the present value of the expected future cash flows. In cases where expected future cash flows are not readily determinable, the loan is written down to the fair value of the underlying collateral. We may base our valuation on a loan’s observable market price, if any, or the fair value of collateral, net of sales costs, if the repayment of the loan is expected to be provided solely by the sale of the collateral.

 

We account for impaired loans and direct financing leases using (a) the cost-recovery method, and/or (b) the cash basis method. We generally utilize the cost-recovery method for impaired loans or direct financing leases for which impairment reserves were recorded. We utilize the cash basis method for impaired loans or direct financing leases for which no impairment reserves were recorded because the net present value of the discounted cash flows expected under the loan or direct financing lease and/or the underlying collateral supporting the loan or direct financing lease were equal to or exceeded the book value of the loans or direct financing leases. Under the cost-recovery method, we apply cash received against the outstanding loan balance or direct financing lease prior to recording interest income. Under the cash basis method, we apply cash received to principal or interest income based on the terms of the agreement. As of December 31, 2017 and 2016, we had $177.5 million and $8.7 million, respectively, of reserves on our loans.

Investment in Unconsolidated Joint Venture

Investment in Unconsolidated Joint Venture

 

We account for our investment in an unconsolidated joint venture using the equity method of accounting as we exercise significant influence, but do not control the entity.

 

Under the equity method of accounting, the net equity investment of the Company is reflected in the accompanying Consolidated Balance Sheets and the Company's share of net income and comprehensive income from the joint venture is included in the accompanying Consolidated Statements of Operations and Consolidated Statements of Comprehensive Income, respectively.

 

On a periodic basis, management assesses whether there are any indicators that the value of the Company's investment in the unconsolidated joint venture may be other-than-temporarily-impaired. An investment is impaired only if management's estimate of the value of the investment is less than the carrying value of the investment, and such a decline in value is deemed to be other than-temporary. To the extent impairment has occurred, the loss is measured as the excess of the carrying amount of the investment over the estimated fair value of the investment. The estimated fair value of the investment is determined using a discounted cash flow model which is a Level 3 valuation. We consider a number of assumptions that are subject to economic and market uncertainties including, among others, rental rates, operating costs, capitalization rates, holding periods and discount rates.

 

No impairment loss on our investment in unconsolidated joint venture was recognized during the years ended December 31, 2017 or 2016.

Assets Held for Sale

Assets Held for Sale

 

We consider properties to be assets held for sale when (1) management commits to a plan to sell the property; (2) it is unlikely that the disposal plan will be significantly modified or discontinued; (3) the property is available for immediate sale in its present condition; (4) actions required to complete the sale of the property have been initiated; (5) sale of the property is probable and we expect the completed sale will occur within one year; and (6) the property is actively being marketed for sale at a price that is reasonable given our estimate of current market value. Upon designation of a property as an asset held for sale, we record the property's value at the lower of its carrying value or its estimated fair value, less estimated costs to sell, and we cease depreciation.

Cash and Cash Equivalents

Cash and Cash Equivalents

 

Cash and cash equivalents consist of cash on hand and highly liquid investments with a maturity date of three months or less when purchased. These investments are stated at cost, which approximates fair value. The majority of our cash and cash equivalents are held at major commercial banks.

Restricted Cash

Restricted Cash

 

Restricted cash consists primarily of liquidity deposits escrowed for tenant obligations required by us pursuant to certain contractual terms and other deposits required by the U.S. Department of Housing and Urban Development (“HUD”) in connection with our HUD borrowings.

Accounts Receivable

Accounts Receivable

 

Accounts receivable includes: contractual receivables, effective yield interest receivables, straight-line rent receivables and lease inducements, net of an estimated provision for losses related to uncollectible and disputed accounts. 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 or renewal of the lease, and are amortized as a reduction of rental revenue over the non-cancellable lease term.

 

On a quarterly basis, we review our accounts receivable to determine their collectability. The determination of collectability of these assets requires significant judgment and is affected by several factors relating to the credit quality of our operators that we regularly monitor, including (i) payment history, (ii) the age of the contractual receivables, (iii) the current economic conditions and reimbursement environment, (iv) the ability of the tenant to perform under the terms of their lease and/or contractual loan agreements and (v) the value of the underlying collateral of the agreement. If we determine collectability of any of our contractual receivables is at risk, we estimate the potential uncollectible amounts and provide an allowance. In the case of a lease recognized on a straight-line basis, a loan recognized on an effective yield basis or the existence of lease inducements, we generally provide an allowance for straight-line, effective interest, and or lease inducement accounts receivable when certain conditions or indicators of adverse collectability are present. If the accounts receivable balance is subsequently deemed uncollectible, the receivable and allowance for doubtful account balance are written off.

 

At December 31, 2017, three of our operators were approximately 90 days or more past due on rent/interest payments to the Company. Two of these operators are considered top ten operators as determined based on total revenue for the year ended December 31, 2017. Of these three operators, rent/interest from two of these operators is being recognized on a cash basis as of December 31, 2017.

 

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

 

    December 31,  
    2017     2016  
    (in thousands)  
             
Contractual receivables   $ 43,258     $ 13,376  
Effective yield interest receivables     11,673       9,749  
Straight-line rent receivables – net     216,054       208,874  
Lease inducements     16,812       8,393  
Allowance     (8,463 )     (357 )
Accounts receivable – net   $ 279,334     $ 240,035  

 

In 2017, we recorded a provision for uncollectible accounts of approximately $9.3 million related to contractual and straight-line rent receivables for one of our top ten operators and approximately $4.1 million of provision for uncollectible accounts, net of recoveries related to contractual and straight-line receivables of other operators and/or facilities that we intend to exist or transition.

 

In 2016, we wrote-off approximately $4.3 million of straight-line rent receivable. The write-off primarily related to the transition of facilities from a former operator to a current operator.

 

In 2015, we wrote-off $3.2 million of straight-line rent receivables and $1.5 million of effective yield interest receivables associated with four facilities that were transitioned to a new operator and three mortgages that were repaid prior to their maturity. This transaction closed in 2016.

Goodwill Impairment

Goodwill Impairment

 

We assess goodwill for potential impairment during the fourth quarter of each fiscal year, or during the year if an event or other circumstance indicates that we may not be able to recover the carrying amount of the net assets of the reporting unit. In evaluating goodwill for impairment on an interim basis, we assess qualitative factors such as a significant decline in real estate valuations, current macroeconomic conditions, state of the equity and capital markets and our overall financial and operating performance or a significant decline in the value of our market capitalization, to determine whether it is more likely than not (that is, a likelihood of more than 50 percent) that the fair value of the reporting unit is less than its carrying amount. On an annual basis during the fourth quarter of each fiscal year, or on an interim basis if we conclude it is more likely than not that the fair value of the reporting unit is less than its carrying value, we perform a two-step goodwill impairment test to identify potential impairment and measure the amount of impairment we will recognize, if any. The goodwill is not deductible for tax purposes.

 

In the first step of the two-step goodwill impairment test (“Step 1”), we compare the fair value of the reporting unit to its net book value, including goodwill. As the Company has only one reporting unit, the fair value of the reporting unit is determined by reference to the market capitalization of the Company as determined through quoted market prices and adjusted for other relevant factors. A potential impairment exists if the fair value of the reporting unit is lower than its net book value. The second step (“Step 2”) of the process is only performed if a potential impairment exists, and it involves determining the difference between the fair value of the reporting unit's net assets other than goodwill and the fair value of the reporting unit. If the difference is less than the net book value of goodwill, impairment exists and is recorded. The Company has not been required to perform Step 2 of the process because the fair value of the reporting unit has significantly exceeded its book value at the measurement date. There was no impairment of goodwill during 2017, 2016, or 2015.

Income Taxes

Income Taxes

 

Omega and its wholly owned subsidiaries were organized to qualify for taxation as a REIT under Section 856 through 860 of the Internal Revenue Code (“Code”). As long as we qualify as a REIT; we will not be subject to federal income taxes on the REIT taxable income that we distributed to stockholders, subject to certain exceptions. However, with respect to certain of our subsidiaries that have elected to be treated as taxable REIT subsidiaries (“TRSs”), we record income tax expense or benefit, as those entities are subject to federal income tax similar to regular corporations. Omega OP is a pass through entity for United States federal income tax purposes.

 

We account for deferred income taxes using the asset and liability method and recognize deferred tax assets and liabilities for the expected future tax consequences of events that have been included in our financial statements or tax returns. Under this method, we determine deferred tax assets and liabilities based on the differences between the financial reporting and tax bases of assets and liabilities using enacted tax rates in effect for the year in which the differences are expected to reverse. Any increase or decrease in the deferred tax liability that results from a change in circumstances, and that causes us to change our judgment about expected future tax consequences of events, is included in the tax provision when such changes occur. Deferred income taxes also reflect the impact of operating loss and tax credit carryforwards. A valuation allowance is provided if we believe it is more likely than not that all or some portion of the deferred tax asset will not be realized. Any increase or decrease in the valuation allowance that results from a change in circumstances, and that causes us to change our judgment about the realizability of the related deferred tax asset, is included in the tax provision when such changes occur.

Revenue Recognition

Revenue Recognition

 

We have various different investments that generate revenue, including leased and mortgaged properties, as well as other investments, including working capital loans. We recognize rental income and other investment income as earned over the terms of the related leases and notes, respectively. Interest income is recorded on an accrual basis to the extent that such amounts are expected to be collected using the effective interest method. In applying the effective interest method, the effective yield on a loan is determined based on its contractual payment terms, adjusted for prepayment terms.
 

Substantially all of our operating leases contain provisions for specified annual increases over the rents of the prior year and are generally computed in one of three methods depending on specific provisions of each lease as follows: (i) a specific annual increase over the prior year’s rent, generally between 2.0% and 3.0%; (ii) an increase based on the change in pre-determined formulas from year to year (e.g. increases in the Consumer Price Index); or (iii) specific dollar increases over prior years. Revenue under lease arrangements with minimum fixed and determinable increases is recognized over the non-cancellable term of the lease on a straight-line basis. The authoritative guidance does not provide for the recognition of contingent revenue until all possible contingencies have been eliminated. We consider the operating history of the lessee, the payment history, the general condition of the industry and various other factors when evaluating whether all possible contingencies have been eliminated.

 

In the case of rental revenue recognized on a straight-line basis, we generally record reserves against earned revenues from leases when collection becomes questionable or when negotiations for restructurings of troubled operators result in significant uncertainty regarding ultimate collection. The amount of the reserve is estimated based on what management believes will likely be collected. We continually evaluate the collectability of our straight-line rent assets. If it appears that we will not collect future rent due under our leases, we will record a provision for loss related to the straight-line rent asset.

 

We record direct financing lease income on a constant interest rate basis over the term of the lease. The costs related to originating the direct financing leases have been deferred and are being amortized on a straight-line basis as a reduction to income from direct financing leases over the term of the direct financing leases. Allowances are provided against earned revenues from direct financing leases when collection of amounts due becomes questionable or when negotiations for restructurings of troubled operators lead to lower expectations regarding ultimate collection.

 

Mortgage interest income and other investment income is recognized as earned over the terms of the related mortgage notes or other investment, typically using the effective yield method. Allowances are provided against earned revenues from mortgage interest or other investments when collection of amounts due becomes questionable or when negotiations for restructurings of troubled operators lead to lower expectations regarding ultimate collection.

 

Gains and losses on sales of real estate assets are recognized in accordance with the authoritative guidance for sales of real estate. The specific timing of the recognition of the sale and the related gain is measured against the various criteria in the guidance related to the terms of the transactions and any continuing involvement associated with the assets sold. To the extent the sales criteria are not met, we defer gain recognition until the sales criteria are met.

Stock-Based Compensation

Stock-Based Compensation

 

We recognize stock-based compensation expense adjusted for estimated forfeitures to employees and directors, in general and administrative in our Consolidated Statements of Operations on a straight-line basis over the requisite service period of the awards.

Deferred Financing Costs and Original Issuance Premium and/or Discounts for Debt Issuance

Deferred Financing Costs and Original Issuance Premium and/or Discounts for Debt Issuance

 

External costs incurred from the placement of our debt are capitalized and amortized on a straight-line basis over the terms of the related borrowings which approximates the effective interest method. Deferred financing costs related to our revolving line of credit are included in other assets on our Consolidated Balance Sheets and deferred financing costs related to our other borrowings are included as a direct deduction from the carrying amount of the related debt liability on our Consolidated Balance Sheets. Original issuance premium or discounts reflect the difference between the face amount of the debt issued and the cash proceeds received and are amortized on a straight-line basis over the term of the related borrowings. All premiums and discounts are recorded as an addition to or reduction from debt on our Consolidated Balance Sheets. Amortization of deferred financing costs and original issuance premiums or discounts totaled $9.5 million, $9.3 million and $7.0 million in 2017, 2016 and 2015, respectively, and are classified as interest - amortization of deferred financing costs on our Consolidated Statements of Operations. When financings are terminated, unamortized deferred financing costs and unamortized premiums or discounts, as well as charges incurred for the termination, are recognized as expense or income at the time the termination is made. Gains and losses from the extinguishment of debt are presented in interest-refinancing costs on our Consolidated Statements of Operations.

Earnings Per Share/Unit

Earnings Per Share/Unit

 

The computation of basic earnings per share/unit (“EPS” or “EPU”) is computed by dividing net income available to common stockholders/Omega OP Unit holders by the weighted-average number of shares of common stock/units outstanding during the relevant period. Diluted EPS/EPU is computed using the treasury stock method, which is net income divided by the total weighted-average number of common outstanding shares/Omega OP Units plus the effect of dilutive common equivalent shares/Omega OP Units during the respective period. Dilutive common shares reflect the assumed issuance of additional common shares/Omega OP Units pursuant to certain of our share-based compensation plans, including stock options, restricted stock and performance restricted stock units and the assumed issuance of additional shares related to Omega OP Units held by outside investors. Dilutive Omega OP Units reflect the assumed issuance of additional Omega OP Units pursuant to certain of our share-based compensation plans, including stock options, restricted stock and performance restricted stock.

Redeemable Limited Partnership Unitholder Interests and Noncontrolling Interests

Redeemable Limited Partnership Unitholder Interests and Noncontrolling Interests

 

As of April 1, 2015 and after giving effect to the Aviv Merger, the Company owned approximately 138.8 million Omega OP Units and Aviv OP owned approximately 52.9 million Omega OP Units. Each of the Omega OP Units (other than the Omega OP Units owned by Omega) is redeemable at the election of the Omega OP Unit holder for cash equal to the then-fair market value of one share of Omega common stock, par value $0.10 per share (“Omega Common Stock”), subject to the Company’s election to exchange the Omega OP Units tendered for redemption for unregistered shares of Omega Common Stock on a one-for-one basis, subject to adjustment as set forth in the Partnership Agreement.

 

Effective June 30, 2015, Omega (through OHI Holdco, in its capacity as the general partner of Aviv OP) caused Aviv OP to make a distribution of Omega OP Units held by Aviv OP (or equivalent value) to Aviv OP investors (the “Aviv OP Distribution”) in connection with the liquidation of Aviv OP. As a result of the Aviv OP Distribution, Omega directly and indirectly owned approximately 95% of the outstanding Omega OP Units, and the other investors owned approximately 5% of the outstanding Omega OP Units at that time. As a part of the Aviv OP Distribution, Omega settled approximately 0.2 million units via cash settlement. As of December 31, 2017, Omega owns approximately 96% of the issued and outstanding Omega OP Units, and investors own approximately 4% of the outstanding Omega OP Units.

Noncontrolling Interests

Noncontrolling Interests

 

Noncontrolling interests is the portion of equity not attributable to the respective reporting entity. We present the portion of any equity that we do not own in consolidated entities as noncontrolling interests and classify those interests as a component of total equity, separate from total stockholders’ equity, or owners’ equity on our Consolidated Balance Sheets. We include net income (loss) attributable to the noncontrolling interests in net income in our Consolidated Statements of Operations.

 

As our ownership of a controlled subsidiary increases or decreases, any difference between the aggregate consideration paid to acquire the noncontrolling interests and our noncontrolling interest balance is recorded as a component of equity in additional paid-in capital, so long as we maintain a controlling ownership interest.

 

The noncontrolling interest for Omega represents the outstanding Omega OP Units held by outside investors.

Foreign Operations

Foreign Operations

 

The U.S. dollar is the functional currency for our consolidated subsidiaries operating in the U.S. The functional currency for our consolidated subsidiaries operating in the U.K. is the British Pound. For our consolidated subsidiaries whose functional currency is not the U.S. dollar, we translate their financial statements into the U.S. dollar. We translate assets and liabilities at the exchange rate in effect as of the financial statement date. Revenue and expense accounts are translated using an average exchange rate for the period. Gains and losses resulting from translation are included in Omega OP’s owners’ equity and Omega’s accumulated other comprehensive loss (“AOCL”), as a separate component of equity and a proportionate amount of gain or loss is allocated to noncontrolling interests.

 

We and certain of our consolidated subsidiaries may have intercompany and third-party debt that is not denominated in the entity’s functional currency. When the debt is remeasured against the functional currency of the entity, a gain or loss can result. The resulting adjustment is reflected in results of operations, unless it is intercompany debt that is deemed to be long-term in nature in which case the adjustments are included in Omega OP’s owners’ equity and Omega’s AOCL.

Derivative Instruments

Derivative Instruments

 

Cash flow hedges

 

During our normal course of business, we may use certain types of derivative instruments for the purpose of managing interest rate and currency risk. To qualify for hedge accounting, derivative instruments used for risk management purposes must effectively reduce the risk exposure that they are designed to hedge. In addition, at the inception of a qualifying cash flow hedging relationship, the underlying transaction or transactions, must be, and are expected to remain, probable of occurring in accordance with the Company’s related assertions. The Company recognizes all derivative instruments, including embedded derivatives required to be bifurcated, as assets or liabilities on the Consolidated Balance Sheets at fair value which is determined using a market approach and Level 2 inputs. Changes in the fair value of derivative instruments that are not designated in hedging relationships or that do not meet the criteria of hedge accounting are recognized in earnings. For derivatives designated as qualifying cash flow hedging relationships, the change in fair value of the effective portion of the derivatives is recognized in Omega OP’s owners’ equity and Omega’s AOCL as a separate component of equity and a proportionate amount of gain or loss is allocated to noncontrolling interest, whereas the change in fair value of the ineffective portion is recognized in earnings. We formally document all relationships between hedging instruments and hedged items, as well as our risk-management objectives and strategy for undertaking various hedge transactions. This process includes designating all derivatives that are part of a hedging relationship to specific forecasted transactions as well as recognized liabilities or assets on the Consolidated Balance Sheets. We also assess and document, both at inception of the hedging relationship and on a quarterly basis thereafter, whether the derivatives are highly effective in offsetting the designated risks associated with the respective hedged items. If it is determined that a derivative ceases to be highly effective as a hedge, or that it is probable the underlying forecasted transaction will not occur, we discontinue hedge accounting prospectively and record the appropriate adjustment to earnings based on the current fair value of the derivative. As a matter of policy, we do not use derivatives for trading or speculative purposes. At December 31, 2017, $1.5 million of qualifying cash flow hedges were recorded at fair value in other assets and at December 31, 2016, $1.5 million of qualifying cash flow hedges were recorded at fair value in accrued expenses and other liabilities on our Consolidated Balance Sheets.

 

Net investment hedge

 

We use the spot method to measure the effectiveness of our net investment hedge. Under this method, for each reporting period, the change in the carrying value of the hedging instrument due to remeasurement of the effective portion is reported in Omega OP’s owners’ equity and Omega’s AOCL in our Consolidated Balance Sheets and the remaining change in the carrying value of the ineffective portion, if any, is recognized in earnings. We evaluate the effectiveness of our net investment hedge on a quarterly basis. We did not record any ineffectiveness during 2017.

Related Party Transactions

Related Party Transactions

 

The Company has a policy which generally requires related party transactions to be approved or ratified by the Audit Committee. On February 1, 2016, we acquired 10 SNFs from Laurel Healthcare Holdings, Inc. (“Laurel”) for approximately $169.0 million in cash and leased them to an unrelated existing operator. A former member of the Board of Directors of the Company, together with certain members of his immediate family, beneficially owned approximately 34% of the equity of Laurel prior to the transaction. Immediately following our acquisition, the unrelated existing operator acquired all of the outstanding equity interests of Laurel, including the interests previously held by the former director of the Company and his family.

Reclassification

Reclassification

 

Certain prior year amounts have been reclassified to conform with the current year presentation.

Recently Adopted Accounting Pronouncements

Recently Adopted Accounting Pronouncements

 

In March 2016, FASB issued ASU 2016-09, Compensation-Stock Compensation (Topic 718) (“ASU 2016-09”). ASU 2016-09 amends the accounting for share-based payment transactions, including the income tax consequences, classification of awards as either equity or liabilities and classification on the statement of cash flows. This guidance is effective for annual and interim reporting periods of public entities beginning after December 15, 2016. We adopted this accounting standard on January 1, 2017, at which time the Company began prospectively accounting for excess tax benefits or tax deficiencies as an adjustment to income tax expense in our Consolidated Statements of Operations as opposed to the prior requirement that these excess tax benefits be recognized in additional paid-in capital and tax deficiencies be recognized either as an offset to accumulated excess tax benefits, if any, or in the income statement. The Company will continue to account for forfeitures as they occur and present employee taxes paid as a financing activity on our Consolidated Statements of Cash Flows. The adoption of this accounting standard did not have a material impact on our consolidated financial statements.

  

During the fourth quarter of 2017, we adopted ASU 2016-18, Statement of Cash Flows (Topic 230) Restricted Cash (“ASU 2016-18”). ASU 2016-18 requires restricted cash balances be included along with cash and cash equivalents as of the end of the period and the beginning of period, respectively, in the Company's consolidated statement of cash flows for all periods presented. We have retrospectively adjusted the presentation of restricted cash on the Company’s Consolidated Statement of Cash Flows for all prior periods presented, as required. There is no impact to the Company’s net assets, net income or retained earnings in any period presented. Total net cash provided by operating activities decreased in 2016 and 2015 by approximately $1.0 million and $14.5 million, respectively, with a corresponding increase to the change in cash, cash equivalents and restricted cash for the years ended 2016 and 2015.

 

During the fourth quarter of 2017, we adopted ASU 2016-15, Statement of Cash Flows (Topic 230) Classification of Certain Cash Receipts and Cash Payments (“ASU 2016-15”). ASU 2016-15 eliminates the diversity in practice related to the classification of certain cash receipts and payments in a company’s statement of cash flows for debt prepayment or extinguishment costs, the maturing of a zero coupon bond, the settlement of contingent liabilities arising from a business combination, proceeds from insurance settlements, distributions from certain equity method investees and beneficial interests obtained in a financial asset securitization. Historically, the Company has classified the receipt and reinvestment of property insurance proceeds as an operating activity in its statement of cash flows. The receipt and reinvestment of property insurance proceeds in 2016 and 2015 was immaterial to the Company’s financial statements and not adjusted. As a result of adopting ASU 2016-15, the Company presented the receipt and subsequent reinvestment of property insurance proceeds in 2017 as an investing activity in the Consolidated Statement of Cash Flows, as this classification more accurately reflects the nature of the cash flows. There was no impact to the Company’s net assets, income or retained earnings in any period presented as a result of adopting ASU 2016-15.

Recent Accounting Pronouncements - Pending Adoption

Recent Accounting Pronouncements - Pending Adoption

 

In 2014, the FASB issued ASU 2014-09, Revenue from Contracts with Customers (“ASU 2014-09”), which outlines a comprehensive model for entities to use in accounting for revenue arising from contracts with customers. ASU 2014-09 states that “an entity recognizes revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services.” While ASU 2014-09 specifically references contracts with customers, it may apply to certain other transactions such as the sale of real estate or equipment. ASU 2014-09 is effective for the Company beginning January 1, 2018. In addition, the FASB has begun to issue targeted updates to clarify specific implementation issues of ASU 2014-09. These updates include ASU 2016-08, Principal versus Agent Considerations (Reporting Revenue Gross versus Net), ASU 2016-10, Identifying Performance Obligations and Licensing, and ASU 2016-12, Narrow-Scope Improvements and Practical Expedients. As a result of adopting ASU 2014-09 and its updates on January 1, 2018, the Company will recognize $10.0 million of deferred gain resulting from the sale of facilities to a third party in December 2017 through retained earnings on January 1, 2018. The Company intends to adopt ASU 2014-09 and its subsequent updates in accordance with the modified retrospective approach. The Company has completed its analysis of ASU 2014-09 and its related updates and has determined that its adoption will not have a material impact on our consolidated financial statements, as a substantial portion of our revenue consists of rental income from leasing arrangements and interest income from loan arrangements, both of which are specifically excluded from ASU 2014-09 and its updates.

 

In February 2016, the FASB issued ASU 2016-02, Leases (“ASU 2016-02”), which amends the existing accounting standards for lease accounting, including requiring lessees to recognize most leases on their balance sheets and making targeted changes to lessor accounting. ASU 2016-02 will be effective for the Company beginning January 1, 2019. Early adoption of ASU 2016-02 as of its issuance is permitted. The new standard requires a modified retrospective transition approach for all leases existing at, or entered into after, the date of initial application, with an option to use certain transition relief. As a result of the pending adoption of ASU 2016-02 and in connection with the pending adoption of ASU 2014-09, the Company may be required to record real estate tax revenues and an equal and offsetting real estate tax expense, as a result of our operators paying real estate taxes on our behalf. We are continuing to evaluate the other impacts of adopting ASU 2016-02 on our consolidated financial statements.

 

In June 2016, the FASB issued ASU 2016-13, Financial Instruments - Credit Losses (Topic 326) (“ASU 2016-13”), which changes the impairment model for most financial assets. The new model uses a forward-looking expected loss method, which will generally result in earlier recognition of allowances for losses. ASU 2016-13 is effective for annual and interim periods beginning after December 15, 2019 and early adoption is permitted for annual and interim periods beginning after December 15, 2018. We are currently evaluating the impact of adopting ASU 2016-13 on our consolidated financial statements.

  

In August 2017 the FASB issued ASU 2017-12, Derivatives and Hedging: Targeted Improvements to Accounting for Hedging Activities (“ASU 2017-12”). The purpose of this updated guidance is to better align the financial reporting for hedging activities with the economic objectives of those activities. The transition guidance provides companies with the option of early adopting the new standard using a modified retrospective transition method in any interim period after issuance of the update, or alternatively requires adoption for fiscal years beginning after December 15, 2018. This adoption method will require the Company to recognize the cumulative effect of initially applying ASU 2017-12 as an adjustment to accumulated other comprehensive income (loss) with a corresponding adjustment to the opening balance of retained earnings as of the beginning of the fiscal year that an entity adopts the update. While the Company continues to assess all potential impacts of the standard, we do not expect the adoption of ASU 2017-12 to have a material impact on our consolidated financial statements.

XML 57 R37.htm IDEA: XBRL DOCUMENT v3.8.0.1
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Tables)
12 Months Ended
Dec. 31, 2017
Accounting Policies [Abstract]  
Schedule of summary of net receivables
  December 31, 
  2017  2016 
  (in thousands) 
       
Contractual receivables $43,258  $13,376 
Effective yield interest receivables  11,673   9,749 
Straight-line rent receivables – net  216,054   208,874 
Lease inducements  16,812   8,393 
Allowance  (8,463)  (357)
Accounts receivable – net $279,334  $240,035 
XML 58 R38.htm IDEA: XBRL DOCUMENT v3.8.0.1
PROPERTIES (Tables)
12 Months Ended
Dec. 31, 2017
Real Estate Properties [Line Items]  
Schedule of investment in leased real estate properties
    December 31,  
    2017     2016  
    (in thousands)  
Buildings   $

6,098,119

    $

6,090,294

 
Land     795,874       759,295  
Furniture, fixtures and equipment     440,737       454,760  
Site improvements     227,150       206,206  
Construction in progress    

94,080

     

55,803

 
Total real estate investments     7,655,960       7,566,358  
Less accumulated depreciation     (1,376,828 )     (1,240,336 )
Real estate investments - net   $ 6,279,132     $ 6,326,022  
Schedule of future minimum estimated contractual rents due for the remainder of the initial terms of the leases
  (in thousands) 
2018 $687,567 
2019  696,793 
2020  710,610 
2021  722,609 
2022  720,818 
Thereafter  4,095,073 
Total $7,633,470 
Schedule of pro forma information not indicative of future operations
  Year Ended December 31, 2015 
  (in thousands, except per share
amounts, unaudited)
 
Pro forma revenues $817,642 
Pro forma net income $258,927 
     
Earnings per share – diluted:    
Net income – as reported $1.29 
Net income – pro forma $1.33 
2017 Acquisitions and Other  
Real Estate Properties [Line Items]  
Schedule of significant acquisitions
    Number of
Facilities
    Country/   Total 
Investment (4)
    Land     Building & Site
Improvements
    Furniture
& Fixtures
    Initial
Annual
Cash 
Yield (2)
 
Period   SNF     ALF     State   (in millions)     (%)  
Q1     -       1     VA   $ 7.6     $ 0.5     $ 6.8     $ 0.3       7.50  
Q2     1       -     NC     8.6       0.7       7.3       0.6       9.50  
Q2     -       18     UK     124.2 (1)     34.1       85.1       5.0       8.50  
Q3     -       1     TX     2.3       0.7       1.5       0.1       9.25  
Q3     15       -     IN     211.0       18.0       180.2       12.8       9.50  
Q3     9       -     TX     19.0 (3)     1.7       15.5       1.8       18.60  
Q4     6       -     TX     40.0       1.0       35.1       3.9       9.25  
                                                             
Total     31       20         $ 412.7     $ 56.7     $ 331.5     $ 24.5          

 

(1) Omega recorded a non-cash deferred tax liability and acquisition costs of approximately $8.2 million and $1.2 million, respectively, in connection with this acquisition.
(2) The cash yield is based on the purchase price.
(3) In July 2017, we transitioned nine SNFs formerly subject to a direct financing lease to another operator. As a result of terminating the direct financing lease, we wrote down the facilities to our original cost basis and recorded an impairment on the direct financing lease of approximately $1.8 million. See Note 4 – Direct Financing Leases for additional information.
(4) All of the aforementioned acquisitions were accounted for as asset acquisitions.
2016 Acquisitions and Other  
Real Estate Properties [Line Items]  
Schedule of significant acquisitions

 

    Number of
Facilities
    Country/   Total Investment(6)     Land    

Building & Site
Improvements

    Furniture
& Fixtures
    Initial
Annual
Cash 
Yield (7)
 
Period   SNF     ALF     State   (in millions)     (%)  
Q1     -       1     UK   $ 8.3     $ 1.4     $ 6.7     $ 0.2       7.00  
Q1     -       1     UK     6.1       0.6       5.3       0.2       7.00  
Q1     10       -     OH, VA, MI     169.0 (2)     10.5       152.5       6.0       8.50  
Q1     -       2     GA     20.2       0.8       18.3       1.1       7.50  
Q1     3       -     MD     25.0       2.5       19.9       2.6       8.50  
Q1     21       -     VA, NC     212.5       19.3       181.1       12.1       8.50  
Q2     -       10     UK     111.9 (3)     24.8       83.9       3.2       7.00  
Q2     -       3     TX     66.0 (4)     5.8       58.6       1.6       6.80  
Q2     3       -     CO, MO     31.8       3.1       26.2       2.5       9.00  
Q3     -       1     FL     4.3       2.3       1.8       0.2       8.00  
Q3     -       1     GA     2.5       0.2       2.1       0.2       8.00  
Q3     -       1     FL     16.5       1.8       14.3       0.4       8.00  
Q3     1       -     SC     10.1       2.7       6.5       0.9       9.00  
Q3     1       -     OH     9.0 (5)     -       8.6       0.4       9.00  
Q3     31       -     FL, KY,TN     329.6 (1)     24.6       290.8       14.2       9.00  
Total     70       20         $ 1,022.8     $ 100.4     $ 876.6     $ 45.8          

 

(1) The Company’s investment includes a purchase option buyout obligation with a fair value of approximately $29.6 million. The future buyout obligation is recorded in accrued expenses and other liabilities on our Consolidated Balance Sheet. The Company also acquired a term loan with a fair value of approximately $37.0 million which is recorded in other investments on our Consolidated Balance Sheet. In August 2017, the purchase option was terminated and the operator used the proceeds to repay certain other investments, refer to Note – 6 Other Investments for details.
(2) Acquired from a related party. Refer to Note – 2 Summary of Significant Accounting Policies - Related Party Transactions.
(3) Omega also recorded a deferred tax asset of approximately $1.9 million in connection with the acquisition.
(4) The Company paid $63.0 million in cash at closing to acquire the facilities. We paid an additional $1.5 million in April 2017 and the remaining $1.5 million will be paid in April 2018. The additional consideration to be paid is contractually determined and not contingent on other factors.
(5) The Company paid approximately $3.5 million in cash to acquire the facility. The remainder of the purchase price (approximately $5.5 million) was funded with the redemption of an other investment note.
(6) All of the aforementioned acquisitions were accounted for as business combinations.
(7) The cash yield is based on the purchase price.
2015 Acquisitions and Other  
Real Estate Properties [Line Items]  
Schedule of significant acquisitions
    Number of
Facilities
    Total
Investment
    Land     Building & Site
Improvements
    Furniture
& Fixtures
    Initial 
Annual
Cash
Yield (4)
 
Period   SNF     ALF     State   (in millions)     (%)  
Q1     1       -     TX   $ 6.8     $ 0.1     $ 6.1     $ 0.6       9.50  
Q3     6       -     NE     15.0       1.4       12.1       1.5       9.00  
Q3     1       2     WA     18.0       2.2       14.9       0.9       8.00  
Q3     -       2     GA     10.8       1.2       9.0       0.6       7.00  
Q3     1       -     VA     28.5 (1)     1.9       24.2       2.4       9.25  
Q3     2       -     FL     32.0       1.4       29.0       1.6       9.00  
Q3     -       -     NY     111.7 (2)(3)     111.7       -       -       -  
Q4     1       -     AZ     0.6 (3)     0.3       0.3       -       9.00  
Q4     1       -     TX     5.3       1.8       3.0       0.5       9.50  
Total     13       4         $ 228.7     $ 122.0     $ 98.6     $ 8.1          

 

(1) In July 2015, we leased the facility to a new operator with an initial lease term of 10 years.
(2) On July 24, 2015, we purchased five buildings located in New York City, New York for approximately $111.7 million. We and our operator plan to construct a 215,000 square-foot assisted living and memory care facility. The properties were added to the operator’s existing master lease. The lease provides for a 5% annual cash yield on the land during the construction phase. Upon issuance of a certification of occupancy, the annual cash yield will increase to 7% in year one and 8% in year two with 2.5% annual escalators thereafter.
(3) Accounted for as an asset acquisition.
(4) The cash yield is based on the purchase price.
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DIRECT FINANCING LEASES (Tables)
12 Months Ended
Dec. 31, 2017
DIRECT FINANCING LEASES  
Schedule of components of investments in direct financing leases
  December 31, 
  2017  2016 
  (in thousands) 
Minimum lease payments receivable $3,707,079  $4,287,069 
Less unearned income  (3,169,942)  (3,685,131)
Investment in direct financing leases  537,137   601,938 
Less allowance for loss on direct financing leases  (172,172)   
Investment in direct financing leases – net $364,965  $601,938 
         
Properties subject to direct financing leases  41   58 
Number of direct financing leases  5   7 
Schedule of investment in the direct financing leases by operator
  December 31, 
  2017  2016 
  (in thousands) 
Orianna $337,705  $574,581 
Reliance Health Care Management, Inc.  15,458   15,498 
Sun Mar Healthcare  11,481   11,443 
Markleysburg Healthcare Investors, LP  321   416 
Investment in direct financing leases - net $364,965  $601,938 
Schedule of rents due under direct financing leases for the next five years
2018(1) 2019(1) 2020(1) 2021(1) 2022(1)

$2,612

$2,654

$2,686

$2,629

$2,680

 

(1)

Orianna has been excluded from the contractual minimum rent payments due under our direct financing leases. See below for additional information.

XML 60 R40.htm IDEA: XBRL DOCUMENT v3.8.0.1
MORTGAGE NOTES RECEIVABLE (Tables)
12 Months Ended
Dec. 31, 2017
Mortgage Notes Receivable Investments [Abstract]  
Schedule of outstanding principal amounts of mortgage notes receivable, net of allowances
  December 31, 
  2017  2016 
  (in thousands) 
       
Mortgage note due 2024; interest at 9.98% $112,500  $112,500 
Mortgage note due 2029; interest at 9.68%  410,763   412,140 
Other mortgage notes outstanding (1)  152,874   118,637 
Mortgage notes receivable, gross  676,137   643,277 
Allowance for loss on mortgage notes receivable(2)  (4,905)  (3,934)
Total mortgages — net $671,232  $639,343 

 

(1)Other mortgage notes outstanding have stated interest rates ranging from 8.35% to 14.0% per annum and maturity dates through 2029.
(2)The allowance for loss on mortgage notes receivable relates to one mortgage with an operator. The carrying value and fair value of the mortgage note receivable is approximately $1.5 million at December 31, 2017 and $2.5 million at December 31, 2016.
XML 61 R41.htm IDEA: XBRL DOCUMENT v3.8.0.1
OTHER INVESTMENTS (Tables)
12 Months Ended
Dec. 31, 2017
Receivables [Abstract]  
Schedule of other investments
    December 31,  
    2017     2016  
    (in thousands)  
             
Other investment note due 2019; interest at 11.25%   $ 49,708     $ 49,458  
Other investment note due 2020; interest at 14.57%     49,490       47,913  
Other investment note due 2022, interest at 9.00%     31,987       31,987  
Other investment note due 2030; interest at 6.66%     50,000       44,595  
Other investment notes outstanding (1)     95,530       87,691  
Other investments, gross     276,715       261,644  
Allowance for loss on other investments (2)     (373 )     (4,798 )
Total other investments   $ 276,342     $ 256,846  

 

(1) Other investment notes have maturity dates through 2028 and interest rates ranging from 6.0% to 12.0% per annum.
(2)

The 2017 allowance for loss on other investments relates to one loan with an operator that has been fully reserved at December 31, 2017 with a charge to earnings in 2017. The reserves at December 31, 2016 were written off in 2017.

XML 62 R42.htm IDEA: XBRL DOCUMENT v3.8.0.1
ASSETS HELD FOR SALE (Tables)
12 Months Ended
Dec. 31, 2017
Property, Plant and Equipment Assets Held-for-sale Disclosure [Abstract]  
Schedule of assets held for sale
  Properties Held For Sale 
  Number of
Properties
  Net Book Value
(in thousands)
 
    
December 31, 2015  3  $6,599 
Properties sold/other (1)  (24)  (75,948)
Properties added (2)  41   122,217 
December 31, 2016  20   52,868 
Properties sold/other (3)  (17)  (39,299)
Properties added (4)  19   73,130 
December 31, 2017 (5)  22  $86,699 

 

(1)In 2016, we sold 21 SNFs for approximately $86.7 million in net proceeds recognizing gains on sales of approximately $16.5 million. We also recorded approximately $4.9 million of impairments on 16 facilities to reduce their net book values to their estimated fair value less costs to sell. Two SNFs and one ALF classified as assets held for sale in the second quarter were no longer considered held for sale and were reclassified in the third quarter back to leased properties at their fair values (approximately $7.0 million).
(2)In 2016, we reclassified ten ALFs and 31 SNFs to assets held for sale (including the two SNFs and one ALF mentioned above that were reclassified back to leased properties in the third quarter). We recorded approximately $49.4 million of impairment charges on 20 of these facilities to reduce their net book values to their estimated fair value less costs to sell before they were reclassified to assets held for sale.
(3)In 2017, we sold 13 SNFs and three ALFs for approximately $38.8 million in net proceeds recognizing a gain on sale of approximately $4.3 million. One SNF classified as an asset held for sale at December 31, 2016 was no longer considered held for sale during the first quarter of 2017 and was reclassified back to leased properties at approximately $5.1 million which represents the facility’s then carrying value adjusted for depreciation that was not recognized while classified as held for sale.
(4)In 2017, we reclassified one ALF, one specialty facility and 17 SNFs to assets held for sale. We recorded approximately $10.3 million of impairment charges to reduce one ALF, one specialty facility and three SNFs to their estimated fair value less costs to sell before they were reclassified to assets held for sale.
(5)We plan to sell the facilities classified as held for sale at December 31, 2017 within the next twelve months.
XML 63 R43.htm IDEA: XBRL DOCUMENT v3.8.0.1
INTANGIBLES (Tables)
12 Months Ended
Dec. 31, 2017
Goodwill and Intangible Assets Disclosure [Abstract]  
Schedule of intangibles
  December 31, 
  2017  2016 
  (in thousands) 
Assets:        
Goodwill $644,690  $643,474 
         
Above market leases $22,426  $22,476 
In-place leases  167   167 
Accumulated amortization  (17,059)  (15,864)
Net intangible assets $5,534  $6,779 
         
Liabilities:        
Below market leases $164,443  $165,028 
Accumulated amortization  (83,824)  (70,738)
Net intangible liabilities $80,619  $94,290 
Schedule of summary of goodwill
  (in thousands) 
Balance as of December 31, 2016 $643,474 
Add: foreign currency translation  1,216 
Balance as of December 31, 2017 $644,690 
XML 64 R44.htm IDEA: XBRL DOCUMENT v3.8.0.1
BORROWING ARRANGEMENTS (Tables)
12 Months Ended
Dec. 31, 2017
Debt Disclosure [Abstract]  
Schedule of summary of long-term borrowings
          Annual Interest
Rate as of
December 31,
    December 31,  
    Maturity     2017     2017(5)     2016(5)  
                (in thousands)  
Secured borrowings:                                
HUD mortgages assumed December 2011(1)     2044       3.06 %   $ 53,666     $ 54,954  
Deferred financing costs – net                     (568 )     (589 )
Total secured borrowings – net(2)                     53,098       54,365  
                                 
Unsecured borrowings:                                
Revolving line of credit     2021       2.65 %     290,000       190,000  
                                 
Tranche A-1 term loan     -       -             200,000  
Tranche A-2 term loan     -       -             200,000  
Tranche A-3 term loan     -       -             350,000  
U.S. term loan     2022       3.02 %     425,000        
Sterling term loan (3)     2022       1.94 %     135,130        
Omega OP term loan(2)     2022       3.02 %     100,000       100,000  
2015 term loan     2022       3.80 %     250,000       250,000  
Discounts and deferred financing costs – net(4)                     (5,460 )     (5,657 )
Total term loans – net                     904,670       1,094,343  
                                 
2023 notes     2023       4.375 %     700,000       700,000  
2024 notes     2024       5.875 %           400,000  
2024 notes     2024       4.95 %     400,000       400,000  
2025 notes     2025       4.50 %     400,000       250,000  
2026 notes     2026       5.25 %     600,000       600,000  
2027 notes     2027       4.50 %     700,000       700,000  
2028 notes     2028       4.75 %     550,000        
Other     2018       -       1,500       3,000  
Subordinated debt     2021       9.00 %     20,000       20,000  
Discount – net                     (21,073 )     (17,151 )
Deferred financing costs – net                     (26,037 )     (27,703 )
Total senior notes and other unsecured borrowings – net                    

3,324,390

     

3,028,146

 

Total unsecured borrowings – net

                   

4,519,060

     

4,312,489

 
                                 
Total secured and unsecured borrowings – net                   $ 4,572,158     $ 4,366,854  

 

(1) Reflects the weighted average annual contractual interest rate on the mortgages at December 31, 2017 excluding a third-party administration fee of approximately 0.5% annually. Secured by real estate assets with a net carrying value of $62.0 million as of December 31, 2017. This borrowing was incurred by wholly owned subsidiaries of Omega OP.
(2) These amounts represent borrowings that were incurred by Omega OP or wholly owned subsidiaries of Omega OP.
(3) This borrowing is denominated in British Pounds Sterling.
(4) The amount includes $0.6 million of net deferred financing costs related to the Omega OP term loan as of December 31, 2017.
(5) All borrowing are direct borrowings of Omega unless otherwise noted.
Schedule of principal payments, excluding the premium/discount and the aggregate due thereafter
  (in thousands) 
2018 $2,828 
2019  1,370 
2020  1,412 
2021  311,456 
2022  911,631 
Thereafter  3,396,599 
Totals $4,625,296 
Schedule of refinancing related costs
  Year Ended December 31, 
  2017  2016  2015 
  (in thousands) 
          
Write off of deferred financing costs and unamortized premiums due to refinancing (1)(2)(3) $10,195  $301  $(7,134)
Prepayment and other costs associated with refinancing (4)  11,770   1,812   35,971 
Total debt extinguishment costs $21,965  $2,113  $28,837 

 

(1)In 2017, we recorded (a) $4.7 million of write-offs of unamortized deferred costs associated with the early redemption of our 5.875% Notes and (b) $5.5 million of write-offs of unamortized deferred financing costs associated with the termination of the 2014 Omega Credit Agreement.
(2)In 2016, we recorded $0.3 million of write-offs of unamortized deferred financing costs associated with three facilities that were acquired via a deed-in-lieu of foreclosure.
(3)In 2015, we recorded: (a) $4.2 million of write-offs of unamortized deferred financing costs and discount associated with the early redemption of our $200 million 7.5% Senior Notes due 2020, (b) $1.9 million in net write-offs associated with unamortized deferred financing costs and original issuance premiums/discounts associated with the early redemption of our $575 million 6.75% Senior Notes due 2022, offset by (c) $13.2 million gain related to the early extinguishment of debt from the write off of unamortized premiums on HUD debt. In 2015, we paid approximately $188.5 million to retire 24 HUD mortgage loans.
(4)In 2017, we made $11.8 million of prepayment penalties associated with the early redemption of our 5.875% Notes. In 2016, we purchased a $180 million mortgage term loan and paid a 1% premium of approximately $1.8 million to purchase the debt. In 2015, we made: (a) $7.5 million of prepayment penalties associated with the early redemption of our $200 million 7.5% Senior Notes due 2020, (b) $19.4 million of prepayment penalties associated with the early redemption of our $575 million 6.75% Senior Notes due 2022 and (c) $9.1 million of prepayment penalties associated with 24 HUD mortgage loans that we paid off in 2015.
XML 65 R45.htm IDEA: XBRL DOCUMENT v3.8.0.1
FINANCIAL INSTRUMENTS (Tables)
12 Months Ended
Dec. 31, 2017
Fair Value Disclosures [Abstract]  
Schedule of carrying amounts and fair values of financial instruments
    2017     2016  
    Carrying
Amount
    Fair
Value
    Carrying
Amount
    Fair
Value
 
    (in thousands)  
Assets:                                
Investments in direct financing leases – net   $ 364,965     $ 364,965     $ 601,938     $ 598,665  
Mortgage notes receivable – net     671,232       686,772       639,343       644,961  
Other investments – net     276,342       281,031       256,846       253,385  
Total   $ 1,312,539     $ 1,332,768     $ 1,498,127     $ 1,497,011  
Liabilities:                                
Revolving line of credit   $ 290,000     $ 290,000     $ 190,000     $ 190,000  
Tranche A-1 term loan – net                 198,830       200,000  
Tranche A-2 term loan                 200,000       200,000  
Tranche A-3 term loan – net                 347,449       350,000  
U.S. term loan – net     422,498       425,000              
Sterling term loan – net     134,360       135,130              
Omega OP term loan – net(1)     99,423       100,000       100,000       100,000  
2015 term loan – net     248,390       250,000       248,064       250,000  
4.375% notes due 2023 – net     693,474       711,190       692,305       693,505  
5.875% notes due 2024 – net                 395,065       432,938  
4.95% notes due 2024 – net     393,680       420,604       392,669       406,361  
4.50% notes due 2025 – net     394,640       399,874       245,949       249,075  
5.25% notes due 2026 – net     594,321       625,168       593,616       611,461  
4.50% notes due 2027 – net     686,516       681,007       685,052       681,978  
4.75% notes due 2028 – net     539,882       550,667              
HUD debt – net(1)     53,098       51,817       54,365       52,510  
Subordinated debt – net     20,376       23,646       20,490       23,944  
Other     1,500       1,500       3,000       3,000  
Total   $ 4,572,158     $ 4,665,603     $ 4,366,854     $ 4,444,772  

 

(1) These amounts represent borrowings that were incurred by Omega OP or wholly owned subsidiaries of Omega OP.

 

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TAXES (Tables)
12 Months Ended
Dec. 31, 2017
Income Tax Disclosure [Abstract]  
Schedule of deferred tax assets and liabilities
    December 31,  
    2017     2016  
    (in thousands)  
Deferred tax assets:                
Foreign deferred tax assets (1)   $ 2,341     $ 1,811  
Federal net operating loss carryforward    

1,142

     

253

 
Total deferred assets    

3,483

     

2,064

 
                 
Deferred tax liabilities:                
Foreign deferred tax liabilities (1)     17,747       9,906  
Total net deferred liabilities before valuation allowances     (14,264 )     (7,842 )
Valuation allowance on deferred tax asset     (1,142 )     (253 )
Net deferred tax liabilities   $ (15,406 )   $ (8,095 )

 

(1) The deferred tax assets and liabilities primarily resulted from inherited basis differences resulting from our acquisition of entities in the U.K. Subsequent adjustments to these accounts result from GAAP to tax differences related to depreciation, indexation and revenue recognition.

 

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STOCKHOLDERS'/OWNERS' EQUITY (Tables)
12 Months Ended
Dec. 31, 2017
Stockholders' Equity Note [Abstract]  
Schedule of accumulated other comprehensive loss
    As of and For the Year Ended
December 31,
 
    2017     2016     2015  
    (in thousands)  
                   
Foreign Currency Translation:                        
Beginning balance   $ (54,948 )   $ (8,413 )   $  
Translation gain (loss)     28,644       (46,303 )     (8,240 )
Realized gain (loss)     311       (232 )     (173 )
Ending balance     (25,993 )     (54,948 )     (8,413 )
                         
Derivative Instruments:                        
Cash flow hedges:                        
Beginning balance     (1,420 )     (718 )      
Unrealized gain (loss)     545       (719 )     (718 )
Realized gain(1)     2,338       17        
Ending balance     1,463       (1,420 )     (718 )
Net investment hedge:                        
Beginning balance                  
Unrealized loss     (7,110 )            
Ending balance     (7,110 )            
                         
Total accumulated other comprehensive loss for Omega OP(2)     (31,640 )     (56,368 )     (9,131 )
Add: portion included in noncontrolling interest     1,490       2,541       419  
                         
Total accumulated other comprehensive loss for Omega   $ (30,150 )   $ (53,827 )   $ (8,712 )

 

(1) Recorded in interest expense on the Consolidated Statements of Operations.
(2) These amounts are included in owners’ equity.
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STOCK-BASED COMPENSATION (Tables)
12 Months Ended
Dec. 31, 2017
Disclosure Of Compensation Related Costs, Share-Based Payments [Abstract]  
Schedule of activity in restricted stock and RSUs
  Number of
Shares/Omega
OP Units
  Weighted -
Average Grant-
Date Fair Value
per Share
  Compensation
Cost (1)
(in millions) 
 
Non-vested at December 31, 2014  309,934  $30.08     
Granted during 2015  233,483   39.25  $9.2 
Assumed in Aviv Merger (2)  38,268   23.50  $0.9 
Cancelled during 2015  (61,911)  33.77     
Vested during 2015  (106,146)  28.72     
Non-vested at December 31, 2015  413,628  $34.45     
Granted during 2016  158,506   34.49  $5.5 
Cancelled during 2016  (905)  24.92     
Vested during 2016  (235,176)  30.41     
Non-vested at December 31, 2016  336,053  $37.32     
Granted during 2017  185,004   31.25  $5.8 
Cancelled during 2017  (1,000)  34.78     
Vested during 2017  (182,548)  39.58     
Non-vested at December 31, 2017  337,509  $32.78     

 

(1)Total compensation cost to be recognized on the awards based on grant date fair value, which is based on the market price of the Company’s common stock on the date of grant.
(2)Omega stock price on April 1, 2015 was $40.74. The weighted average stock price indicated in the table above represents the expense per unit that we will record related to the assumed Aviv RSUs.

 

Schedule of assumptions used for estimating fair value of stock awards using Monte-Carlo model
  December
31, 2013
and
January 1,
2014
  March
31, 2015
  April 1,
2015
  July 31,
2015
  March 17,
2016
  January 1,
2017
 
Closing price on date of grant $29.80  $40.57  $40.74  $36.26  $34.78  $31.26 
Dividend yield  6.44%  5.23%  5.20%  6.07%  6.56%  7.81%
Risk free interest rate at time of grant  0.04% to 0.86%   0.10% to 0.94%   0.09% to 0.91%   0.13% to 1.08%   0.50% to 1.14%   0.66% to 1.58% 
Expected volatility  24.16% to 25.86%   20.06% to 21.09%   20.06% to 21.08%   20.06% to 20.21%   23.92% to 24.88%   22.82% to 25.26% 
Schedule of activity in PRSU and LTIP Units
  Number of
Shares
  Weighted-
Average Grant-
Date Fair Value
per Share
  Compensation
Cost (1)
(in millions)
 
Non-vested at December 31, 2014  850,213  $10.97     
Granted during 2015  537,923   18.51  $10.0 
Cancelled during 2015  (165,570)  14.11     
Forfeited during 2015  (128,073)  12.04     
Vested during 2015(2)  (181,406)  10.10     
Non-vested at December 31, 2015  913,087  $14.87     
Granted during 2016  679,549   14.67  $10.0 
Forfeited during 2016  (518,638)  12.10     
Vested during 2016  -   -     
Non-vested at December 31, 2016  1,073,998  $16.08     
Granted during 2017  685,064   14.87  $10.2 
Cancelled during 2017  (5,361)  15.98     
Forfeited during 2017  (392,921)  18.33     
Vested during 2017  -   -     
Non-vested at December 31, 2017  1,360,780  $14.82     

 

(1)Total compensation cost to be recognized on the awards was based on the grant date fair value or the modification date fair value.
(2)PRSUs are shown as vesting in the year that the Compensation Committee determines the level of achievement of the applicable performance measures.
Schedule of unrecognized compensation cost associated with restricted stock and PRSU awards and LTIP Unit awards
    Grant
Year
 

Shares/ Units (1)

    Grant Date
Average
Fair Value
Per Unit/
Share
    Total
Compensation
Cost (1)  (in millions)
    Weighted
Average
Period of
Expense
Recognition
(in months)
    Unrecognized
Compensation
Cost (2) (in
millions)
    Performance
Period
  Vesting
Dates
RSUs                                                    
                                                     
3/17/16  RSU   2016     130,006       34.78       4.5       33       0.9     N/A   12/31/2018
1/1/2017  RSU   2017     140,416       31.26       4.4       36       2.9     N/A   12/31/2019
Restricted Stock Units Total         270,422     $ 32.95     $ 8.9             $ 3.8          
                                                     
TSR PRSUs and LTIP Units                                                    
                                                     
3/31/15 2017 LTIP Units   2015     137,249       14.66       2.0       45       0.5     1/1/2015-12/31/2017   Quarterly in 2018
4/1/2015 2017 LTIP Units   2015     53,387       14.81       0.8       45       0.2     1/1/2015-12/31/2017   Quarterly in 2018
3/17/2016 2018 LTIP Units   2016     370,152       13.21       4.9       45       2.6     1/1/2016-12/31/2018   Quarterly in 2019
1/1/2017 2019 LTIP Units   2017     399,726       12.61       5.0       48       3.8     1/1/2017-12/31/2019   Quarterly in 2020
TSR PRSUs & LTIP Total         960,514     $ 13.26     $ 12.7             $ 7.1          
                                                     
Relative TSR PRSUs                                                    
                                                     
3/31/15 2017 Relative TSR   2015     137,249       22.50       3.1       45       0.8     1/1/2015-12/31/2017   Quarterly in 2018
4/1/2015 2017 Relative TSR   2015     53,387       22.92       1.2       45       0.3     1/1/2015-12/31/2017   Quarterly in 2018
3/17/2016 2018 Relative TSR   2016     305,563       16.44       5.1       45       2.6     1/1/2016-12/31/2018   Quarterly in 2019
1/1/2017 2019 Relative TSR   2017     285,338       18.04       5.1       48       3.9     1/1/2017-12/31/2019   Quarterly in 2020
Relative TSR PRSUs Total         781,537     $ 18.53     $ 14.5             $ 7.6          
Grand Total         2,012,473     $ 17.95     $ 36.1             $ 18.5          

 

(1) Total shares/units and compensation costs are net of shares/units cancelled.

(2) This table excludes approximately $1.1 million of unrecognized compensation costs related to our directors.
XML 69 R49.htm IDEA: XBRL DOCUMENT v3.8.0.1
DIVIDENDS (Tables)
12 Months Ended
Dec. 31, 2017
Dividends [Abstract]  
Schedule of declared common stock dividends
Record Date Payment Date Dividend per
 Common Share
  Increase over
 Prior Quarter
 
January 31, 2017 February 15, 2017 $0.62  $0.01 
May 1, 2017 May 15, 2017  0.63   0.01 
August 1, 2017 August 15, 2017  0.64   0.01 
October 31, 2017 November 15, 2017  0.65   0.01 
January 31, 2018 February 15, 2018  0.66   0.01 
Schedule of per share distribution for income tax purpose
  Year Ended December 31, 
  2017  2016  2015 
Common            
Ordinary income $1.571  $1.968  $1.133 
Return of capital  0.932   0.322   1.047 
Capital gains  0.037   0.070   - 
Total dividends paid $2.540  $2.360  $2.180 
XML 70 R50.htm IDEA: XBRL DOCUMENT v3.8.0.1
COMMITMENTS AND CONTINGENCIES (Tables)
12 Months Ended
Dec. 31, 2017
Commitments and Contingencies Disclosure [Abstract]  
Schedule of remaining commitments
Total commitment $682,249 
Amount funded (1)  383,586 
Remaining commitment $298,663 

 

(1)Includes finance costs.
XML 71 R51.htm IDEA: XBRL DOCUMENT v3.8.0.1
SUPPLEMENTAL DISCLOSURE TO CONSOLIDATED STATEMENTS OF CASH FLOWS (Tables)
12 Months Ended
Dec. 31, 2017
Condensed Financial Information Of Parent Company Only Disclosure [Line Items]  
Schedule of consolidated statements of cash flows
  Year Ended December 31, 
  2017  2016  2015 
  (in thousands) 
Reconciliation of cash and cash equivalents and restricted cash:            
Cash and cash equivalents $85,937  $93,687  $5,424 
Restricted cash  10,871   13,589   14,607 
Cash, cash equivalents and restricted cash at end of period $96,808  $107,276  $20,031 
             
Supplemental Information:            
Interest paid during the period, net of amounts capitalized $182,832  $148,326  $145,929 
Taxes paid during the period $4,141  $4,922  $1,016 
             
Non cash investing activities:            
Non cash acquisition of real estate (See Note 3) $(27,170) $  $ 
Non cash acquisition of businesses (see Note 3 and Note 5)     (60,079)  (3,602,040)
Non cash surrender of mortgage (see Note 3 and Note 5)     25,000    
Non cash investment in other investments  (6,353)      
Non cash proceeds from other investments (see Note 6 and Note 3)  30,187   5,500    
Non cash settlement of direct financing lease (See Note 4)  18,989       
Total $15,653  $(29,579) $(3,602,040)
             
Non cash financing activities:            
Assumed Aviv debt $  $  $1,410,637 
Stock exchanged in merger        1,902,866 
Omega OP Units exchanged in merger        373,394 
Purchase option buyout obligation (see Note 3)     29,579    
Change in fair value of cash flow hedges  2,970   764   718 
Remeasurement of debt denominated in a foreign currency  7,070       
Other unsecured long term borrowing (see Note 3 and Note 12)     3,000    
Total $10,040  $33,343  $3,687,615 
OHI Healthcare Properties Limited Partnership  
Condensed Financial Information Of Parent Company Only Disclosure [Line Items]  
Schedule of consolidated statements of cash flows
 Year Ended December 31,  The period from
April 1, 2015
(Aviv Merger
date) through
December 31,
 
  2017  2016  2015 
  (in thousands) 
Reconciliation of cash and cash equivalents and restricted cash:            
Cash and cash equivalents $85,937  $93,687  $5,424 
Restricted cash  10,871   13,589   14,607 
Cash, cash equivalents and restricted cash at end of period $96,808  $107,276  $20,031 
             
Supplemental Information:            
Interest paid during the period, net of amounts capitalized $182,832  $148,326  $120,100 
Taxes paid during the period $4,141  $4,922  $1,016 
             
Non cash investing activities:            
Non cash acquisition of real estate (See Note 3) $(27,170) $  $ 
Non cash acquisition of businesses (see Note 3 and Note 5)     (60,079)  (3,602,040)
Non cash surrender of mortgage (see Note 3 and Note 5)     25,000    
Non cash investment in other investments  (6,353)      
Non cash proceeds from other investments (see Note 6 and Note 3)  30,187   5,500    
Non cash settlement of direct financing lease (See Note 4)  18,989       
Total $15,653  $(29,579) $(3,602,040)
             
Non cash financing activities:            
Assumed Aviv debt $  $  $1,410,637 
Contribution from Omega in merger        1,902,866 
Omega OP Units exchanged in merger        373,394 
Purchase option buyout obligation (see Note 3)     29,579    
Change in fair value of cash flow hedges  2,970   764   718 
Remeasurement of debt denominated in a foreign currency  7,070       
Other unsecured long term borrowing (see Note 3 and Note 12)     3,000    
Total $10,040  $33,343  $3,687,615 
XML 72 R52.htm IDEA: XBRL DOCUMENT v3.8.0.1
SUMMARY OF QUARTERLY RESULTS (UNAUDITED) (Tables)
12 Months Ended
Dec. 31, 2017
Quarterly Financial Information Disclosure [Abstract]  
Schedule of quarterly results of operations
Omega   March 31     June 30     September 30     December 31  
    (in thousands, except per share amounts)  
2017                                
Revenues   $ 231,744     $ 235,797     $ 219,638     $ 221,206  
Net income (loss) (1)   $ 109,112     $ 68,157     $ (137,515 )   $ 65,156  
Net income (loss) available to common stockholders   $ 104,440     $ 65,257     $ (131,678 )   $ 62,400  
Net income (loss) available to common per share:                                
Basic   $ 0.53     $ 0.33     $ (0.67 )   $ 0.31  
Net income (loss) per share:                                
Diluted   $ 0.53     $ 0.33     $ (0.67 )   $ 0.31  
                                 
2016                                
Revenues   $ 212,879     $ 228,824     $ 224,638     $ 234,486  
Net income   $ 58,196     $ 113,154     $ 82,134     $ 129,883  
Net income available to common stockholders   $ 55,555     $ 108,052     $ 78,549     $ 124,259  
Net income available to common per share:                                
Basic   $ 0.30     $ 0.57     $ 0.40     $ 0.63  
Net income per share:                                
Diluted   $ 0.29     $ 0.57     $ 0.40     $ 0.63  

 

Omega OP   March 31     June 30     September 30     December 31  
    (in thousands, except per share amounts)  
2017                                
Revenues   $ 231,744     $ 235,797     $ 219,638     $ 221,206  
Net income (loss) (1)   $ 109,112     $ 68,157     $ (137,515 )   $ 65,156  
Net income (loss) available to Omega OP Unit holders:                                
Basic   $ 0.53     $ 0.33     $ (0.67 )   $ 0.31  
Net income (loss) per unit:                                
Diluted   $ 0.53     $ 0.33     $ (0.67 )   $ 0.31  
                                 
2016                                
Revenues   $ 212,879     $ 228,824     $ 224,638     $ 234,486  
Net income   $ 58,196     $ 113,154     $ 82,134     $ 129,883  
Net income available to Omega OP Unit holders:                                
Basic   $ 0.30     $ 0.57     $ 0.40     $ 0.63  
Net income per unit:                                
Diluted   $ 0.29     $ 0.57     $ 0.40     $ 0.63  

 

(1) Amounts reflect provisions for uncollectible accounts and impairment losses on real estate properties and direct financing leases of $10.0 million, $12.8 million, $224.4 million and $64.6 million for the three month periods ended March 31, 2017, June 30, 2017, September 30, 2017 and December 31, 2017, respectively. Amounts also reflect net gain (loss) on assets sold of $7.4 million, $(0.6) million, $0.7 million and $46.4 million for the three month periods ended March 31, 2017, June 30, 2017, September 30, 2017 and December 31, 2017, respectively.
XML 73 R53.htm IDEA: XBRL DOCUMENT v3.8.0.1
EARNINGS PER SHARE/UNIT (Tables)
12 Months Ended
Dec. 31, 2017
Net Income Available To Common Per Share  
Schedule of computation of basic and diluted earnings per share
 Omega  Omega OP 
  Year Ended December 31,  Year Ended December 31, 
  2017  2016  2015  2017  2016  2015(1) 
  (in thousands, except per share amounts)    
Numerator:                        
Net income $104,910  $383,367  $233,315  $104,910  $383,367  $190,263 
Less: Net income attributable to noncontrolling interests  (4,491)  (16,952)  (8,791)         
Net income available to common stockholders/Omega OP Unit holders $100,419  $366,415  $224,524  $104,910  $383,367  $190,263 
Denominator:                        
Denominator for basic earnings per share/unit  197,738   191,781   172,242   206,521   200,679   193,843 
Effect of dilutive securities:                        
Common stock equivalents  269   956   1,539   269   956   1,899 
Noncontrolling interest – Omega OP Units  8,783   8,898   6,727          
Denominator for diluted earnings per share/unit  206,790   201,635   180,508   206,790   201,635   195,742 
                         
Earnings per share - basic:                        
Net income available to common stockholders/Omega OP Unit holders $0.51  $1.91  $1.30  $0.51  $1.91  $0.98 
Earnings per share/unit - diluted:                        
Net income $0.51  $1.90  $1.29  $0.51  $1.90  $0.97 

 

(1)The period is from April 1, 2015 (Aviv Merger date) through December 31, 2015.
XML 74 R54.htm IDEA: XBRL DOCUMENT v3.8.0.1
ORGANIZATION AND BASIS OF PRESENTATION (Detail) - Segment
12 Months Ended
Dec. 31, 2017
Jun. 30, 2015
Organization Consolidation And Presentation Of Financial Statements [Line Items]    
Number of Reportable Segments 1  
Omega OP Units    
Organization Consolidation And Presentation Of Financial Statements [Line Items]    
Percentage of limited partnership interests owned 96.00% 95.00%
Other Investors | Omega OP Units    
Organization Consolidation And Presentation Of Financial Statements [Line Items]    
Percentage of limited partnership interests owned 4.00% 5.00%
XML 75 R55.htm IDEA: XBRL DOCUMENT v3.8.0.1
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Detail) - USD ($)
$ in Thousands
Dec. 31, 2017
Dec. 31, 2016
Accounting Policies [Abstract]    
Contractual receivables $ 43,258 $ 13,376
Effective yield interest receivables 11,673 9,749
Straight-line rent receivables - net 216,054 208,874
Lease inducements 16,812 8,393
Allowance (8,463) (357)
Accounts receivable - net $ 279,334 $ 240,035
XML 76 R56.htm IDEA: XBRL DOCUMENT v3.8.0.1
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Narrative) (Detail)
12 Months Ended
Dec. 31, 2017
Property, Plant and Equipment [Line Items]  
Depreciation method straight-line basis
Buildings | Minimum  
Property, Plant and Equipment [Line Items]  
Estimated useful lives 20 years
Buildings | Maximum  
Property, Plant and Equipment [Line Items]  
Estimated useful lives 40 years
Site improvements | Minimum  
Property, Plant and Equipment [Line Items]  
Estimated useful lives 8 years
Site improvements | Maximum  
Property, Plant and Equipment [Line Items]  
Estimated useful lives 15 years
Furniture, fixtures and equipment | Minimum  
Property, Plant and Equipment [Line Items]  
Estimated useful lives 3 years
Furniture, fixtures and equipment | Maximum  
Property, Plant and Equipment [Line Items]  
Estimated useful lives 10 years
XML 77 R57.htm IDEA: XBRL DOCUMENT v3.8.0.1
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Narrative) (Detail 1)
$ / shares in Units, $ in Thousands, shares in Millions
1 Months Ended 12 Months Ended
Feb. 01, 2016
USD ($)
Facility
Jun. 30, 2015
shares
Dec. 31, 2017
USD ($)
Operator
Facility
Healthcare_facility
Dec. 31, 2016
USD ($)
Dec. 31, 2015
USD ($)
Facility
Apr. 01, 2015
$ / shares
shares
Accounting Policies [Line Items]            
Unamortized direct costs related to origination of direct financing leases     $ 2,900 $ 3,300    
Impairment loss on real estate properties     99,070 58,726 $ 17,681  
Loan loss reserves     $ 177,500 8,700    
Number of operators 90 days past due | Operator     3      
Number of operators being recognized on a cash basis | Operator     2      
Provision of contractual and straight-line rent receivables     $ 9,300      
Provision for uncollectible accounts to contractual and straight-line receivables     $ 4,100      
Straight line rent receivable wrote off       4,300 3,200  
Effective yield interest receivables wrote off         $ 1,500  
Number of facilities transitioned | Facility         4  
Annual percentage increases over the rents of the prior year, minimum     2.00%      
Annual percentage increases over the rents of the prior year, maximum     3.00%      
Amortization of financing cost     $ 9,516 9,345 $ 6,990  
Number of leased real estate properties | Healthcare_facility     983      
Decrease in net cash provided by operating activities     $ 1,000 14,500    
ASU 2014-09            
Accounting Policies [Line Items]            
Deferred gain resulting from sale of facilities to third party through retained earnings     $ 10,000      
SNF            
Accounting Policies [Line Items]            
Number of leased real estate properties | Facility     735      
Cash flow hedges            
Accounting Policies [Line Items]            
Cash flow hedges recorded at fair value in accrued expenses and other liabilities       $ 1,500    
Cash flow hedges recorded at fair value in other assets     $ 1,500      
Omega OP Units            
Accounting Policies [Line Items]            
Limited partnership interest owned | shares           138.8
Number of units settled in cash | shares   0.2        
Percentage of limited partnership interests owned   95.00% 96.00%      
Aviv Operating Partnership | Omega OP Units            
Accounting Policies [Line Items]            
Limited partnership interest owned | shares           52.9
Limited Partnership units, redeemable, par value per share | $ / shares           $ 0.10
Other Investors | Omega OP Units            
Accounting Policies [Line Items]            
Percentage of limited partnership interests owned   5.00% 4.00%      
Laurel | SNF            
Accounting Policies [Line Items]            
Number of leased real estate properties | Facility 10          
Purchase price of buildings acquired paid in cash $ 169,000          
Percentage of ownership interest 34.00%          
XML 78 R58.htm IDEA: XBRL DOCUMENT v3.8.0.1
PROPERTIES - Summary of our investment in leased real estate properties (Detail) - USD ($)
$ in Thousands
Dec. 31, 2017
Dec. 31, 2016
Property, Plant and Equipment [Line Items]    
Total real estate investments $ 7,655,960 $ 7,566,358
Less accumulated depreciation (1,376,828) (1,240,336)
Real estate investments - net 6,279,132 6,326,022
Buildings    
Property, Plant and Equipment [Line Items]    
Total real estate investments 6,098,119 6,090,294
Land    
Property, Plant and Equipment [Line Items]    
Total real estate investments 795,874 759,295
Furniture, fixtures and equipment    
Property, Plant and Equipment [Line Items]    
Total real estate investments 440,737 454,760
Site improvements    
Property, Plant and Equipment [Line Items]    
Total real estate investments 227,150 206,206
Construction in progress    
Property, Plant and Equipment [Line Items]    
Total real estate investments $ 94,080 $ 55,803
XML 79 R59.htm IDEA: XBRL DOCUMENT v3.8.0.1
PROPERTIES - Future minimum estimated contractual rents due (Detail 1)
$ in Thousands
Dec. 31, 2017
USD ($)
Real Estate [Abstract]  
2018 $ 687,567
2019 696,793
2020 710,610
2021 722,609
2022 720,818
Thereafter 4,095,073
Total $ 7,633,470
XML 80 R60.htm IDEA: XBRL DOCUMENT v3.8.0.1
PROPERTIES - 2017 Acquisitions and Other (Detail 2)
$ in Millions
12 Months Ended
Dec. 31, 2017
USD ($)
Facility
Healthcare_facility
Real Estate Properties [Line Items]  
Number of Facilities | Healthcare_facility 983
SNF  
Real Estate Properties [Line Items]  
Number of Facilities | Facility 735
ALF  
Real Estate Properties [Line Items]  
Number of Facilities | Facility 118
2017 Acquisitions and Other  
Real Estate Properties [Line Items]  
Total Investment $ 412.7 [1]
2017 Acquisitions and Other | SNF  
Real Estate Properties [Line Items]  
Number of Facilities | Facility 31
2017 Acquisitions and Other | ALF  
Real Estate Properties [Line Items]  
Number of Facilities | Facility 20
2017 Acquisitions and Other | Land  
Real Estate Properties [Line Items]  
Total Investment $ 56.7
2017 Acquisitions and Other | Building & Site Improvements  
Real Estate Properties [Line Items]  
Total Investment 331.5
2017 Acquisitions and Other | Furniture & Fixtures  
Real Estate Properties [Line Items]  
Total Investment 24.5
2017 Acquisitions and Other | Q1 | VA  
Real Estate Properties [Line Items]  
Total Investment $ 7.6 [1]
Initial Annual Cash Yield (%) 7.50% [2]
2017 Acquisitions and Other | Q1 | VA | ALF  
Real Estate Properties [Line Items]  
Number of Facilities | Facility 1
2017 Acquisitions and Other | Q1 | VA | Land  
Real Estate Properties [Line Items]  
Total Investment $ 0.5
2017 Acquisitions and Other | Q1 | VA | Building & Site Improvements  
Real Estate Properties [Line Items]  
Total Investment 6.8
2017 Acquisitions and Other | Q1 | VA | Furniture & Fixtures  
Real Estate Properties [Line Items]  
Total Investment 0.3
2017 Acquisitions and Other | Q2 | NC  
Real Estate Properties [Line Items]  
Total Investment $ 8.6 [1]
Initial Annual Cash Yield (%) 9.50% [2]
2017 Acquisitions and Other | Q2 | NC | SNF  
Real Estate Properties [Line Items]  
Number of Facilities | Facility 1
2017 Acquisitions and Other | Q2 | NC | Land  
Real Estate Properties [Line Items]  
Total Investment $ 0.7
2017 Acquisitions and Other | Q2 | NC | Building & Site Improvements  
Real Estate Properties [Line Items]  
Total Investment 7.3
2017 Acquisitions and Other | Q2 | NC | Furniture & Fixtures  
Real Estate Properties [Line Items]  
Total Investment 0.6
2017 Acquisitions and Other | Q2 | UK  
Real Estate Properties [Line Items]  
Total Investment $ 124.2 [1],[3]
Initial Annual Cash Yield (%) 8.50% [2]
2017 Acquisitions and Other | Q2 | UK | ALF  
Real Estate Properties [Line Items]  
Number of Facilities | Facility 18
2017 Acquisitions and Other | Q2 | UK | Land  
Real Estate Properties [Line Items]  
Total Investment $ 34.1
2017 Acquisitions and Other | Q2 | UK | Building & Site Improvements  
Real Estate Properties [Line Items]  
Total Investment 85.1
2017 Acquisitions and Other | Q2 | UK | Furniture & Fixtures  
Real Estate Properties [Line Items]  
Total Investment 5.0
2017 Acquisitions and Other | Q3 | TX  
Real Estate Properties [Line Items]  
Total Investment $ 2.3 [1]
Initial Annual Cash Yield (%) 9.25% [2]
2017 Acquisitions and Other | Q3 | TX | ALF  
Real Estate Properties [Line Items]  
Number of Facilities | Facility 1
2017 Acquisitions and Other | Q3 | TX | Land  
Real Estate Properties [Line Items]  
Total Investment $ 0.7
2017 Acquisitions and Other | Q3 | TX | Building & Site Improvements  
Real Estate Properties [Line Items]  
Total Investment 1.5
2017 Acquisitions and Other | Q3 | TX | Furniture & Fixtures  
Real Estate Properties [Line Items]  
Total Investment 0.1
2017 Acquisitions and Other | Q3 | IN  
Real Estate Properties [Line Items]  
Total Investment $ 211.0 [1]
Initial Annual Cash Yield (%) 9.50% [2]
2017 Acquisitions and Other | Q3 | IN | SNF  
Real Estate Properties [Line Items]  
Number of Facilities | Facility 15
2017 Acquisitions and Other | Q3 | IN | Land  
Real Estate Properties [Line Items]  
Total Investment $ 18.0
2017 Acquisitions and Other | Q3 | IN | Building & Site Improvements  
Real Estate Properties [Line Items]  
Total Investment 180.2
2017 Acquisitions and Other | Q3 | IN | Furniture & Fixtures  
Real Estate Properties [Line Items]  
Total Investment 12.8
2017 Acquisitions and Other | Q3 | TX  
Real Estate Properties [Line Items]  
Total Investment $ 19.0 [1],[4]
Initial Annual Cash Yield (%) 18.60% [2]
2017 Acquisitions and Other | Q3 | TX | SNF  
Real Estate Properties [Line Items]  
Number of Facilities | Facility 9
2017 Acquisitions and Other | Q3 | TX | Land  
Real Estate Properties [Line Items]  
Total Investment $ 1.7
2017 Acquisitions and Other | Q3 | TX | Building & Site Improvements  
Real Estate Properties [Line Items]  
Total Investment 15.5
2017 Acquisitions and Other | Q3 | TX | Furniture & Fixtures  
Real Estate Properties [Line Items]  
Total Investment 1.8
2017 Acquisitions and Other | Q4 | TX  
Real Estate Properties [Line Items]  
Total Investment $ 40.0 [1]
Initial Annual Cash Yield (%) 9.25% [2]
2017 Acquisitions and Other | Q4 | TX | SNF  
Real Estate Properties [Line Items]  
Number of Facilities | Facility 6
2017 Acquisitions and Other | Q4 | TX | Land  
Real Estate Properties [Line Items]  
Total Investment $ 1.0
2017 Acquisitions and Other | Q4 | TX | Building & Site Improvements  
Real Estate Properties [Line Items]  
Total Investment 35.1
2017 Acquisitions and Other | Q4 | TX | Furniture & Fixtures  
Real Estate Properties [Line Items]  
Total Investment $ 3.9
[1] All of the aforementioned acquisitions were accounted for as asset acquisitions.
[2] The cash yield is based on the purchase price.
[3] Omega recorded a non-cash deferred tax liability and acquisition costs of approximately $8.2 million and $1.2 million, respectively, in connection with this acquisition.
[4] In July 2017, we transitioned nine SNFs formerly subject to a direct financing lease to another operator. As a result of terminating the direct financing lease, we wrote down the facilities to our original cost basis and recorded an impairment on the direct financing lease of approximately $1.8 million. See Note 4 - Direct Financing Leases for additional information.
XML 81 R61.htm IDEA: XBRL DOCUMENT v3.8.0.1
PROPERTIES - 2017 Acquisitions and Other (Parentheticals) (Detail 2)
$ in Millions
1 Months Ended
Jul. 31, 2017
USD ($)
Facility
Dec. 31, 2017
USD ($)
Facility
Healthcare_facility
Real Estate Properties [Line Items]    
Number of Real Estate Properties | Healthcare_facility   983
SNF    
Real Estate Properties [Line Items]    
Number of Real Estate Properties | Facility   735
Facility Transition    
Real Estate Properties [Line Items]    
Recorded an impairment on direct financing lease | $ $ 1.8  
2017 Acquisitions and Other | SNF    
Real Estate Properties [Line Items]    
Number of Real Estate Properties | Facility   31
2017 Acquisitions and Other | Facility Transition | SNF    
Real Estate Properties [Line Items]    
Number of Real Estate Properties | Facility 9  
2017 Acquisitions and Other | Q2 | UK    
Real Estate Properties [Line Items]    
Deferred tax liability | $   $ 8.2
Acquisitions costs | $   $ 1.2
XML 82 R62.htm IDEA: XBRL DOCUMENT v3.8.0.1
PROPERTIES - 2016 Acquisitions and Other (Detail 3)
$ in Millions
12 Months Ended
Dec. 31, 2017
USD ($)
Facility
Healthcare_facility
Real Estate Properties [Line Items]  
Number of Facilities | Healthcare_facility 983
SNF  
Real Estate Properties [Line Items]  
Number of Facilities | Facility 735
ALF  
Real Estate Properties [Line Items]  
Number of Facilities | Facility 118
2016 Acquisitions and Other  
Real Estate Properties [Line Items]  
Total Investment $ 1,022.8 [1]
2016 Acquisitions and Other | SNF  
Real Estate Properties [Line Items]  
Number of Facilities | Facility 70
2016 Acquisitions and Other | ALF  
Real Estate Properties [Line Items]  
Number of Facilities | Facility 20
2016 Acquisitions and Other | Land  
Real Estate Properties [Line Items]  
Total Investment $ 100.4
2016 Acquisitions and Other | Building & Site Improvements  
Real Estate Properties [Line Items]  
Total Investment 876.6
2016 Acquisitions and Other | Furniture & Fixtures  
Real Estate Properties [Line Items]  
Total Investment 45.8
2016 Acquisitions and Other | Q1 | UK  
Real Estate Properties [Line Items]  
Total Investment $ 8.3 [1]
Initial Annual Cash Yield (%) 7.00% [2]
2016 Acquisitions and Other | Q1 | UK | ALF  
Real Estate Properties [Line Items]  
Number of Facilities | Facility 1
2016 Acquisitions and Other | Q1 | UK | Land  
Real Estate Properties [Line Items]  
Total Investment $ 1.4
2016 Acquisitions and Other | Q1 | UK | Building & Site Improvements  
Real Estate Properties [Line Items]  
Total Investment 6.7
2016 Acquisitions and Other | Q1 | UK | Furniture & Fixtures  
Real Estate Properties [Line Items]  
Total Investment 0.2
2016 Acquisitions and Other | Q1 | UK  
Real Estate Properties [Line Items]  
Total Investment $ 6.1 [1]
Initial Annual Cash Yield (%) 7.00% [2]
2016 Acquisitions and Other | Q1 | UK | ALF  
Real Estate Properties [Line Items]  
Number of Facilities | Facility 1
2016 Acquisitions and Other | Q1 | UK | Land  
Real Estate Properties [Line Items]  
Total Investment $ 0.6
2016 Acquisitions and Other | Q1 | UK | Building & Site Improvements  
Real Estate Properties [Line Items]  
Total Investment 5.3
2016 Acquisitions and Other | Q1 | UK | Furniture & Fixtures  
Real Estate Properties [Line Items]  
Total Investment 0.2
2016 Acquisitions and Other | Q1 | OH, VA, MI  
Real Estate Properties [Line Items]  
Total Investment $ 169.0 [1],[3]
Initial Annual Cash Yield (%) 8.50% [2]
2016 Acquisitions and Other | Q1 | OH, VA, MI | SNF  
Real Estate Properties [Line Items]  
Number of Facilities | Facility 10
2016 Acquisitions and Other | Q1 | OH, VA, MI | Land  
Real Estate Properties [Line Items]  
Total Investment $ 10.5
2016 Acquisitions and Other | Q1 | OH, VA, MI | Building & Site Improvements  
Real Estate Properties [Line Items]  
Total Investment 152.5
2016 Acquisitions and Other | Q1 | OH, VA, MI | Furniture & Fixtures  
Real Estate Properties [Line Items]  
Total Investment 6.0
2016 Acquisitions and Other | Q1 | GA  
Real Estate Properties [Line Items]  
Total Investment $ 20.2 [1]
Initial Annual Cash Yield (%) 7.50% [2]
2016 Acquisitions and Other | Q1 | GA | ALF  
Real Estate Properties [Line Items]  
Number of Facilities | Facility 2
2016 Acquisitions and Other | Q1 | GA | Land  
Real Estate Properties [Line Items]  
Total Investment $ 0.8
2016 Acquisitions and Other | Q1 | GA | Building & Site Improvements  
Real Estate Properties [Line Items]  
Total Investment 18.3
2016 Acquisitions and Other | Q1 | GA | Furniture & Fixtures  
Real Estate Properties [Line Items]  
Total Investment 1.1
2016 Acquisitions and Other | Q1 | MD  
Real Estate Properties [Line Items]  
Total Investment $ 25.0 [1]
Initial Annual Cash Yield (%) 8.50% [2]
2016 Acquisitions and Other | Q1 | MD | SNF  
Real Estate Properties [Line Items]  
Number of Facilities | Facility 3
2016 Acquisitions and Other | Q1 | MD | Land  
Real Estate Properties [Line Items]  
Total Investment $ 2.5
2016 Acquisitions and Other | Q1 | MD | Building & Site Improvements  
Real Estate Properties [Line Items]  
Total Investment 19.9
2016 Acquisitions and Other | Q1 | MD | Furniture & Fixtures  
Real Estate Properties [Line Items]  
Total Investment 2.6
2016 Acquisitions and Other | Q1 | VA, NC  
Real Estate Properties [Line Items]  
Total Investment $ 212.5 [1]
Initial Annual Cash Yield (%) 8.50% [2]
2016 Acquisitions and Other | Q1 | VA, NC | SNF  
Real Estate Properties [Line Items]  
Number of Facilities | Facility 21
2016 Acquisitions and Other | Q1 | VA, NC | Land  
Real Estate Properties [Line Items]  
Total Investment $ 19.3
2016 Acquisitions and Other | Q1 | VA, NC | Building & Site Improvements  
Real Estate Properties [Line Items]  
Total Investment 181.1
2016 Acquisitions and Other | Q1 | VA, NC | Furniture & Fixtures  
Real Estate Properties [Line Items]  
Total Investment 12.1
2016 Acquisitions and Other | Q2 | UK  
Real Estate Properties [Line Items]  
Total Investment $ 111.9 [1],[4]
Initial Annual Cash Yield (%) 7.00% [2]
2016 Acquisitions and Other | Q2 | UK | ALF  
Real Estate Properties [Line Items]  
Number of Facilities | Facility 10
2016 Acquisitions and Other | Q2 | UK | Land  
Real Estate Properties [Line Items]  
Total Investment $ 24.8
2016 Acquisitions and Other | Q2 | UK | Building & Site Improvements  
Real Estate Properties [Line Items]  
Total Investment 83.9
2016 Acquisitions and Other | Q2 | UK | Furniture & Fixtures  
Real Estate Properties [Line Items]  
Total Investment 3.2
2016 Acquisitions and Other | Q2 | TX  
Real Estate Properties [Line Items]  
Total Investment $ 66.0 [1],[5]
Initial Annual Cash Yield (%) 6.80% [2]
2016 Acquisitions and Other | Q2 | TX | ALF  
Real Estate Properties [Line Items]  
Number of Facilities | Facility 3
2016 Acquisitions and Other | Q2 | TX | Land  
Real Estate Properties [Line Items]  
Total Investment $ 5.8
2016 Acquisitions and Other | Q2 | TX | Building & Site Improvements  
Real Estate Properties [Line Items]  
Total Investment 58.6
2016 Acquisitions and Other | Q2 | TX | Furniture & Fixtures  
Real Estate Properties [Line Items]  
Total Investment 1.6
2016 Acquisitions and Other | Q2 | CO, MO  
Real Estate Properties [Line Items]  
Total Investment $ 31.8 [1]
Initial Annual Cash Yield (%) 9.00% [2]
2016 Acquisitions and Other | Q2 | CO, MO | SNF  
Real Estate Properties [Line Items]  
Number of Facilities | Facility 3
2016 Acquisitions and Other | Q2 | CO, MO | Land  
Real Estate Properties [Line Items]  
Total Investment $ 3.1
2016 Acquisitions and Other | Q2 | CO, MO | Building & Site Improvements  
Real Estate Properties [Line Items]  
Total Investment 26.2
2016 Acquisitions and Other | Q2 | CO, MO | Furniture & Fixtures  
Real Estate Properties [Line Items]  
Total Investment 2.5
2016 Acquisitions and Other | Q3 | FL  
Real Estate Properties [Line Items]  
Total Investment $ 4.3 [1]
Initial Annual Cash Yield (%) 8.00% [2]
2016 Acquisitions and Other | Q3 | FL | ALF  
Real Estate Properties [Line Items]  
Number of Facilities | Facility 1
2016 Acquisitions and Other | Q3 | FL | Land  
Real Estate Properties [Line Items]  
Total Investment $ 2.3
2016 Acquisitions and Other | Q3 | FL | Building & Site Improvements  
Real Estate Properties [Line Items]  
Total Investment 1.8
2016 Acquisitions and Other | Q3 | FL | Furniture & Fixtures  
Real Estate Properties [Line Items]  
Total Investment 0.2
2016 Acquisitions and Other | Q3 | GA  
Real Estate Properties [Line Items]  
Total Investment $ 2.5 [1]
Initial Annual Cash Yield (%) 8.00% [2]
2016 Acquisitions and Other | Q3 | GA | ALF  
Real Estate Properties [Line Items]  
Number of Facilities | Facility 1
2016 Acquisitions and Other | Q3 | GA | Land  
Real Estate Properties [Line Items]  
Total Investment $ 0.2
2016 Acquisitions and Other | Q3 | GA | Building & Site Improvements  
Real Estate Properties [Line Items]  
Total Investment 2.1
2016 Acquisitions and Other | Q3 | GA | Furniture & Fixtures  
Real Estate Properties [Line Items]  
Total Investment 0.2
2016 Acquisitions and Other | Q3 | FL  
Real Estate Properties [Line Items]  
Total Investment $ 16.5 [1]
Initial Annual Cash Yield (%) 8.00% [2]
2016 Acquisitions and Other | Q3 | FL | ALF  
Real Estate Properties [Line Items]  
Number of Facilities | Facility 1
2016 Acquisitions and Other | Q3 | FL | Land  
Real Estate Properties [Line Items]  
Total Investment $ 1.8
2016 Acquisitions and Other | Q3 | FL | Building & Site Improvements  
Real Estate Properties [Line Items]  
Total Investment 14.3
2016 Acquisitions and Other | Q3 | FL | Furniture & Fixtures  
Real Estate Properties [Line Items]  
Total Investment 0.4
2016 Acquisitions and Other | Q3 | SC  
Real Estate Properties [Line Items]  
Total Investment $ 10.1 [1]
Initial Annual Cash Yield (%) 9.00% [2]
2016 Acquisitions and Other | Q3 | SC | SNF  
Real Estate Properties [Line Items]  
Number of Facilities | Facility 1
2016 Acquisitions and Other | Q3 | SC | Land  
Real Estate Properties [Line Items]  
Total Investment $ 2.7
2016 Acquisitions and Other | Q3 | SC | Building & Site Improvements  
Real Estate Properties [Line Items]  
Total Investment 6.5
2016 Acquisitions and Other | Q3 | SC | Furniture & Fixtures  
Real Estate Properties [Line Items]  
Total Investment 0.9
2016 Acquisitions and Other | Q3 | OH  
Real Estate Properties [Line Items]  
Total Investment $ 9.0 [1],[6]
Initial Annual Cash Yield (%) 9.00% [2]
2016 Acquisitions and Other | Q3 | OH | SNF  
Real Estate Properties [Line Items]  
Number of Facilities | Facility 1
2016 Acquisitions and Other | Q3 | OH | Building & Site Improvements  
Real Estate Properties [Line Items]  
Total Investment $ 8.6
2016 Acquisitions and Other | Q3 | OH | Furniture & Fixtures  
Real Estate Properties [Line Items]  
Total Investment 0.4
2016 Acquisitions and Other | Q3 | FL, KY,TN  
Real Estate Properties [Line Items]  
Total Investment $ 329.6 [1],[7]
Initial Annual Cash Yield (%) 9.00% [2]
2016 Acquisitions and Other | Q3 | FL, KY,TN | SNF  
Real Estate Properties [Line Items]  
Number of Facilities | Facility 31
2016 Acquisitions and Other | Q3 | FL, KY,TN | Land  
Real Estate Properties [Line Items]  
Total Investment $ 24.6
2016 Acquisitions and Other | Q3 | FL, KY,TN | Building & Site Improvements  
Real Estate Properties [Line Items]  
Total Investment 290.8
2016 Acquisitions and Other | Q3 | FL, KY,TN | Furniture & Fixtures  
Real Estate Properties [Line Items]  
Total Investment $ 14.2
[1] All of the aforementioned acquisitions were accounted for as business combinations.
[2] The cash yield is based on the purchase price.
[3] Acquired from a related party. Refer to Note - 2 Summary of Significant Accounting Policies - Related Party Transactions.
[4] Omega also recorded a deferred tax asset of approximately $1.9 million in connection with the acquisition.
[5] The Company paid $63.0 million in cash at closing to acquire the facilities. We paid an additional $1.5 million in April 2017 and the remaining $1.5 million will be paid in April 2018. The additional consideration to be paid is contractually determined and not contingent on other factors.
[6] The Company paid approximately $3.5 million in cash to acquire the facility. The remainder of the purchase price (approximately $5.5 million) was funded with the redemption of an other investment note.
[7] The Company's investment includes a purchase option buyout obligation with a fair value of approximately $29.6 million. The future buyout obligation is recorded in accrued expenses and other liabilities on our Consolidated Balance Sheet. The Company also acquired a term loan with a fair value of approximately $37.0 million which is recorded in other investments on our Consolidated Balance Sheet. In August 2017, the purchase option was terminated and the operator used the proceeds to repay certain other investments, refer to Note - 6 Other Investments for details.
XML 83 R63.htm IDEA: XBRL DOCUMENT v3.8.0.1
PROPERTIES - 2016 Acquisitions and Other (Parentheticals) (Detail 3) - 2016 Acquisitions and Other
$ in Millions
12 Months Ended
Dec. 31, 2017
USD ($)
FL, KY,TN  
Real Estate Properties [Line Items]  
Fair value of purchase option buyout obligation $ 29.6
Fair value of acquired term loan 37.0
UK  
Real Estate Properties [Line Items]  
Deferred tax asset on acquisition of investment 1.9
TX  
Real Estate Properties [Line Items]  
Cash payment to acquire facilities 63.0
Additional agreed payment due in April 2017 1.5
Remaining facilities payment due in April 2018 1.5
OH  
Real Estate Properties [Line Items]  
Cash payment to acquire facilities 3.5
Remainder of purchase price funded by redemption of a note $ 5.5
XML 84 R64.htm IDEA: XBRL DOCUMENT v3.8.0.1
PROPERTIES - 2015 Acquisitions and Other (Detail 4)
$ in Millions
1 Months Ended 12 Months Ended
Jul. 24, 2015
USD ($)
Dec. 31, 2017
USD ($)
Facility
Healthcare_facility
Real Estate Properties [Line Items]    
Number of Facilities | Healthcare_facility   983
SNF    
Real Estate Properties [Line Items]    
Number of Facilities | Facility   735
ALF    
Real Estate Properties [Line Items]    
Number of Facilities | Facility   118
2015 Acquisitions and Other    
Real Estate Properties [Line Items]    
Total Investment   $ 228.7
Initial Annual Cash Yield (%) 5.00%  
2015 Acquisitions and Other | SNF    
Real Estate Properties [Line Items]    
Number of Facilities | Facility   13
2015 Acquisitions and Other | ALF    
Real Estate Properties [Line Items]    
Number of Facilities | Facility   4
2015 Acquisitions and Other | Land    
Real Estate Properties [Line Items]    
Total Investment   $ 122.0
2015 Acquisitions and Other | Building & Site Improvements    
Real Estate Properties [Line Items]    
Total Investment   98.6
2015 Acquisitions and Other | Furniture & Fixtures    
Real Estate Properties [Line Items]    
Total Investment   8.1
2015 Acquisitions and Other | NY    
Real Estate Properties [Line Items]    
Total Investment $ 111.7  
2015 Acquisitions and Other | Q1 | TX    
Real Estate Properties [Line Items]    
Total Investment   $ 6.8
Initial Annual Cash Yield (%) [1]   9.50%
2015 Acquisitions and Other | Q1 | TX | SNF    
Real Estate Properties [Line Items]    
Number of Facilities | Facility   1
2015 Acquisitions and Other | Q1 | TX | Land    
Real Estate Properties [Line Items]    
Total Investment   $ 0.1
2015 Acquisitions and Other | Q1 | TX | Building & Site Improvements    
Real Estate Properties [Line Items]    
Total Investment   6.1
2015 Acquisitions and Other | Q1 | TX | Furniture & Fixtures    
Real Estate Properties [Line Items]    
Total Investment   0.6
2015 Acquisitions and Other | Q3 | NE    
Real Estate Properties [Line Items]    
Total Investment   $ 15.0
Initial Annual Cash Yield (%) [1]   9.00%
2015 Acquisitions and Other | Q3 | NE | SNF    
Real Estate Properties [Line Items]    
Number of Facilities | Facility   6
2015 Acquisitions and Other | Q3 | NE | Land    
Real Estate Properties [Line Items]    
Total Investment   $ 1.4
2015 Acquisitions and Other | Q3 | NE | Building & Site Improvements    
Real Estate Properties [Line Items]    
Total Investment   12.1
2015 Acquisitions and Other | Q3 | NE | Furniture & Fixtures    
Real Estate Properties [Line Items]    
Total Investment   1.5
2015 Acquisitions and Other | Q3 | WA    
Real Estate Properties [Line Items]    
Total Investment   $ 18.0
Initial Annual Cash Yield (%) [1]   8.00%
2015 Acquisitions and Other | Q3 | WA | SNF    
Real Estate Properties [Line Items]    
Number of Facilities | Facility   1
2015 Acquisitions and Other | Q3 | WA | ALF    
Real Estate Properties [Line Items]    
Number of Facilities | Facility   2
2015 Acquisitions and Other | Q3 | WA | Land    
Real Estate Properties [Line Items]    
Total Investment   $ 2.2
2015 Acquisitions and Other | Q3 | WA | Building & Site Improvements    
Real Estate Properties [Line Items]    
Total Investment   14.9
2015 Acquisitions and Other | Q3 | WA | Furniture & Fixtures    
Real Estate Properties [Line Items]    
Total Investment   0.9
2015 Acquisitions and Other | Q3 | GA    
Real Estate Properties [Line Items]    
Total Investment   $ 10.8
Initial Annual Cash Yield (%) [1]   7.00%
2015 Acquisitions and Other | Q3 | GA | ALF    
Real Estate Properties [Line Items]    
Number of Facilities | Facility   2
2015 Acquisitions and Other | Q3 | GA | Land    
Real Estate Properties [Line Items]    
Total Investment   $ 1.2
2015 Acquisitions and Other | Q3 | GA | Building & Site Improvements    
Real Estate Properties [Line Items]    
Total Investment   9.0
2015 Acquisitions and Other | Q3 | GA | Furniture & Fixtures    
Real Estate Properties [Line Items]    
Total Investment   0.6
2015 Acquisitions and Other | Q3 | VA    
Real Estate Properties [Line Items]    
Total Investment [2]   $ 28.5
Initial Annual Cash Yield (%) [1]   9.25%
2015 Acquisitions and Other | Q3 | VA | SNF    
Real Estate Properties [Line Items]    
Number of Facilities | Facility   1
2015 Acquisitions and Other | Q3 | VA | Land    
Real Estate Properties [Line Items]    
Total Investment   $ 1.9
2015 Acquisitions and Other | Q3 | VA | Building & Site Improvements    
Real Estate Properties [Line Items]    
Total Investment   24.2
2015 Acquisitions and Other | Q3 | VA | Furniture & Fixtures    
Real Estate Properties [Line Items]    
Total Investment   2.4
2015 Acquisitions and Other | Q3 | FL    
Real Estate Properties [Line Items]    
Total Investment   $ 32.0
Initial Annual Cash Yield (%) [1]   9.00%
2015 Acquisitions and Other | Q3 | FL | SNF    
Real Estate Properties [Line Items]    
Number of Facilities | Facility   2
2015 Acquisitions and Other | Q3 | FL | Land    
Real Estate Properties [Line Items]    
Total Investment   $ 1.4
2015 Acquisitions and Other | Q3 | FL | Building & Site Improvements    
Real Estate Properties [Line Items]    
Total Investment   29.0
2015 Acquisitions and Other | Q3 | FL | Furniture & Fixtures    
Real Estate Properties [Line Items]    
Total Investment   1.6
2015 Acquisitions and Other | Q3 | NY    
Real Estate Properties [Line Items]    
Total Investment [3],[4]   111.7
2015 Acquisitions and Other | Q3 | NY | Land    
Real Estate Properties [Line Items]    
Total Investment   111.7
2015 Acquisitions and Other | Q4 | AZ    
Real Estate Properties [Line Items]    
Total Investment [3]   $ 0.6
Initial Annual Cash Yield (%) [1]   9.00%
2015 Acquisitions and Other | Q4 | AZ | SNF    
Real Estate Properties [Line Items]    
Number of Facilities | Facility   1
2015 Acquisitions and Other | Q4 | AZ | Land    
Real Estate Properties [Line Items]    
Total Investment   $ 0.3
2015 Acquisitions and Other | Q4 | AZ | Building & Site Improvements    
Real Estate Properties [Line Items]    
Total Investment   0.3
2015 Acquisitions and Other | Q4 | TX    
Real Estate Properties [Line Items]    
Total Investment   $ 5.3
Initial Annual Cash Yield (%) [1]   9.50%
2015 Acquisitions and Other | Q4 | TX | SNF    
Real Estate Properties [Line Items]    
Number of Facilities | Facility   1
2015 Acquisitions and Other | Q4 | TX | Land    
Real Estate Properties [Line Items]    
Total Investment   $ 1.8
2015 Acquisitions and Other | Q4 | TX | Building & Site Improvements    
Real Estate Properties [Line Items]    
Total Investment   3.0
2015 Acquisitions and Other | Q4 | TX | Furniture & Fixtures    
Real Estate Properties [Line Items]    
Total Investment   $ 0.5
[1] The cash yield is based on the purchase price.
[2] In July 2015, we leased the facility to a new operator with an initial lease term of 10 years.
[3] Accounted for as an asset acquisition.
[4] On July 24, 2015, we purchased five buildings located in New York City, New York for approximately $111.7 million. We and our operator plan to construct a 215,000 square-foot assisted living and memory care facility. The properties were added to the operator's existing master lease. The lease provides for a 5% annual cash yield on the land during the construction phase. Upon issuance of a certification of occupancy, the annual cash yield will increase to 7% in year one and 8% in year two with 2.5% annual escalators thereafter.
XML 85 R65.htm IDEA: XBRL DOCUMENT v3.8.0.1
PROPERTIES - 2015 Acquisitions and Other (Parentheticals) (Detail 4)
$ in Millions
1 Months Ended 12 Months Ended
Jul. 31, 2015
Jul. 24, 2015
USD ($)
ft²
Facility
Dec. 31, 2017
USD ($)
Healthcare_facility
Real Estate Properties [Line Items]      
Number of real estate properties | Healthcare_facility     983
2015 Acquisitions and Other      
Real Estate Properties [Line Items]      
Payments to Acquire Businesses, Gross     $ 228.7
Area of land | ft²   215,000  
Percentage of annual cash yield   5.00%  
Percentage of annual cash yield increase in year one   7.00%  
Percentage of annual cash yield increase in year two   8.00%  
Percentage of annual cash yield increase in year thereafter   2.50%  
2015 Acquisitions and Other | VA      
Real Estate Properties [Line Items]      
Lease term 10 years    
2015 Acquisitions and Other | NY      
Real Estate Properties [Line Items]      
Payments to Acquire Businesses, Gross   $ 111.7  
2015 Acquisitions and Other | NY | Buildings      
Real Estate Properties [Line Items]      
Number of real estate properties | Facility   5  
XML 86 R66.htm IDEA: XBRL DOCUMENT v3.8.0.1
PROPERTIES - Pro Forma Acquisition Results (Detail 5) - USD ($)
$ / shares in Units, $ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2017
Sep. 30, 2017
Jun. 30, 2017
Mar. 31, 2017
Dec. 31, 2016
Sep. 30, 2016
Jun. 30, 2016
Mar. 31, 2016
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Earnings per share - diluted:                      
Net income - as reported $ 0.31 $ (0.67) $ 0.33 $ 0.53 $ 0.63 $ 0.40 $ 0.57 $ 0.29 $ 0.51 $ 1.90 $ 1.29
Pro forma                      
Business Acquisition, Pro Forma Information [Abstract]                      
Pro forma revenues                     $ 817,642
Pro forma net income                     $ 258,927
Earnings per share - diluted:                      
Net income - as reported                     $ 1.29
Net income - pro forma                     $ 1.33
XML 87 R67.htm IDEA: XBRL DOCUMENT v3.8.0.1
PROPERTIES - Leased Property (Narrative) (Detail)
$ in Thousands
12 Months Ended
Dec. 31, 2017
USD ($)
Facility
Healthcare_facility
Parcel
Dec. 31, 2016
USD ($)
Parcel
Dec. 31, 2015
USD ($)
Real Estate Properties [Line Items]      
Number of real estate properties | Healthcare_facility 983    
Capitalized interest | $ $ 8,000 $ 6,600 $ 3,700
Rental income | $ $ 775,176 743,885 605,991
Acquisition related costs | $   9,582 57,525
Property available for operating lease | Minimum      
Real Estate Properties [Line Items]      
Lease term 5 years    
Property available for operating lease | Maximum      
Real Estate Properties [Line Items]      
Lease term 15 years    
SNF      
Real Estate Properties [Line Items]      
Number of real estate properties 735    
ALF      
Real Estate Properties [Line Items]      
Number of real estate properties 118    
Specialty facilities      
Real Estate Properties [Line Items]      
Number of real estate properties 15    
Medical office building      
Real Estate Properties [Line Items]      
Number of real estate properties 1    
2017 Acquisitions and Other | SNF      
Real Estate Properties [Line Items]      
Number of real estate properties 31    
2017 Acquisitions and Other | ALF      
Real Estate Properties [Line Items]      
Number of real estate properties 20    
2017 Acquisitions and Other | Land      
Real Estate Properties [Line Items]      
Number of properties acquired | Parcel 3    
Cash payment to acquire facilities | $ $ 6,700    
2016 Acquisitions and Other      
Real Estate Properties [Line Items]      
Rental income | $   58,100  
Acquisition related costs | $   $ 9,600  
2016 Acquisitions and Other | SNF      
Real Estate Properties [Line Items]      
Number of real estate properties 70    
2016 Acquisitions and Other | ALF      
Real Estate Properties [Line Items]      
Number of real estate properties 20    
2016 Acquisitions and Other | Land      
Real Estate Properties [Line Items]      
Number of properties acquired | Parcel   5  
Cash payment to acquire facilities | $   $ 8,300  
2015 Acquisitions and Other      
Real Estate Properties [Line Items]      
Rental income | $     4,900
Acquisition related costs | $     $ 2,200
2015 Acquisitions and Other | SNF      
Real Estate Properties [Line Items]      
Number of real estate properties 13    
2015 Acquisitions and Other | ALF      
Real Estate Properties [Line Items]      
Number of real estate properties 4    
XML 88 R68.htm IDEA: XBRL DOCUMENT v3.8.0.1
PROPERTIES - Acquisition of Care Homes in the U.K. (Narrative) (Detail 1)
$ in Thousands
12 Months Ended
May 01, 2015
USD ($)
Care_home
Bed
Dec. 31, 2017
USD ($)
Dec. 31, 2016
USD ($)
Dec. 31, 2015
USD ($)
Real Estate Properties [Line Items]        
Rental income   $ 775,176 $ 743,885 $ 605,991
Acquisition related costs     $ 9,582 57,525
Care Homes        
Real Estate Properties [Line Items]        
Number of care homes located in the United Kingdom | Care_home 23      
Number of registered beds | Bed 1,018      
Master lease agreement term 12 years      
Percentage of initial annual cash yield 7.00%      
Percentage of annual escalators 2.50%      
Purchase price of beds acquired paid in cash $ 193,800      
Deferred tax liability 15,000      
Rental income       9,500
Acquisition related costs       $ 3,200
Care Homes | Land        
Real Estate Properties [Line Items]        
Purchase price of beds acquired paid in cash 20,700      
Care Homes | Building & Site Improvements        
Real Estate Properties [Line Items]        
Purchase price of beds acquired paid in cash 152,100      
Care Homes | Furniture & Fixtures        
Real Estate Properties [Line Items]        
Purchase price of beds acquired paid in cash 5,300      
Care Homes | Goodwill        
Real Estate Properties [Line Items]        
Purchase price of beds acquired paid in cash $ 15,700      
XML 89 R69.htm IDEA: XBRL DOCUMENT v3.8.0.1
PROPERTIES - Aviv Merger (Narrative) (Detail 2)
$ in Thousands, shares in Millions
3 Months Ended 12 Months Ended
Apr. 01, 2015
USD ($)
Facility
Property
Lease
Mortgage
shares
Dec. 31, 2017
USD ($)
Sep. 30, 2017
USD ($)
Jun. 30, 2017
USD ($)
Mar. 31, 2017
USD ($)
Dec. 31, 2016
USD ($)
Sep. 30, 2016
USD ($)
Jun. 30, 2016
USD ($)
Mar. 31, 2016
USD ($)
Dec. 31, 2017
USD ($)
Dec. 31, 2016
USD ($)
Dec. 31, 2015
USD ($)
Real Estate Properties [Line Items]                        
Revenues   $ 221,206 $ 219,638 $ 235,797 $ 231,744 $ 234,486 $ 224,638 $ 228,824 $ 212,879 $ 908,385 $ 900,827 $ 743,617
Acquisition related costs                     $ 9,582 57,525
Aviv REIT, Inc | Merger Agreement                        
Real Estate Properties [Line Items]                        
Conversion ratio of shares 0.90                      
Number of shares and units issued | shares 43.7                      
Number of properties acquired | Property 342                      
Number of facilities subject to direct financing leases | Lease 2                      
Number of mortgage facilities | Mortgage 2                      
Fair value of consideration $ 2,300,000                      
Revenues                       188,400
Acquisition related costs                       $ 52,100
Aviv REIT, Inc | Merger Agreement | Medical office building                        
Real Estate Properties [Line Items]                        
Number of properties acquired | Facility 1                      
XML 90 R70.htm IDEA: XBRL DOCUMENT v3.8.0.1
PROPERTIES - Assets Sold or Held for Sale (Narrative) (Detail 3)
$ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2017
USD ($)
Facility
Dec. 31, 2017
USD ($)
Operator
Facility
Dec. 31, 2016
USD ($)
Facility
Dec. 31, 2015
USD ($)
Facility
Sep. 30, 2017
Facility
Dec. 31, 2014
Facility
Real Estate Properties [Line Items]            
Number of facilities sold | Facility 32 52 38 7    
Number of previously classified as held for sale | Facility     14 3 2 3
Total cash proceeds $ 188,000 $ 257,800 $ 169,600 $ 41,500    
Amount of gain (loss) from sale of facilities 46,400 53,900 50,200 6,400    
Provision for impairment on real estate properties $ 63,500 $ 99,100 $ 58,700 $ 17,700    
Number of facilities with impairment charges | Facility 32 37 29      
Number of subsequently reclassified as held for sale | Facility 2          
Impairment on real estate properties destroyed in a fire $ 12,600          
Number of facility destroyed in fire | Facility 1          
Wrote off associated with the termination project   $ 2,600        
Number of operator | Operator   2        
Loan recorded in other investments $ 276,715 $ 276,715 $ 261,644      
Recorded investment properties after impairments   125,100        
Properties classified as held for sale 7,700 $ 7,700        
SNF            
Real Estate Properties [Line Items]            
Number of facility not qualify for sale | Facility   10        
Carrying amount of facility 23,200 $ 23,200        
Total cash proceeds   43,300        
Amount of gain (loss) from sale of facilities   17,500        
Number of facilities with impairment charges | Facility       6    
Closing cost   2,600        
Loan recorded in other investments $ 10,000 10,000        
Recognized net gain sale of loan   7,500        
Deferred gain loss on sale of loans   10,000        
Deferred gain loss on sale of loans recorded reduction to other investments   $ 10,000        
XML 91 R71.htm IDEA: XBRL DOCUMENT v3.8.0.1
DIRECT FINANCING LEASES (Detail)
$ in Thousands
Dec. 31, 2017
USD ($)
Lease
Dec. 31, 2016
USD ($)
Lease
DIRECT FINANCING LEASES    
Minimum lease payments receivable $ 3,707,079 $ 4,287,069
Less unearned income (3,169,942) (3,685,131)
Investment in direct financing leases 537,137 601,938
Less allowance for loss on direct financing leases (172,172)  
Investment in direct financing leases - net $ 364,965 $ 601,938
Properties subject to direct financing leases | Lease 41 58
Number of direct financing leases | Lease 5 7
XML 92 R72.htm IDEA: XBRL DOCUMENT v3.8.0.1
DIRECT FINANCING LEASES (Detail 1) - USD ($)
$ in Thousands
Dec. 31, 2017
Dec. 31, 2016
Capital Leased Assets [Line Items]    
Investment in direct financing leases - net $ 364,965 $ 601,938
Orianna    
Capital Leased Assets [Line Items]    
Investment in direct financing leases - net 337,705 574,581
Reliance Health Care Management, Inc.    
Capital Leased Assets [Line Items]    
Investment in direct financing leases - net 15,458 15,498
Sun Mar Healthcare    
Capital Leased Assets [Line Items]    
Investment in direct financing leases - net 11,481 11,443
Markleysburg Healthcare Investors, LP    
Capital Leased Assets [Line Items]    
Investment in direct financing leases - net $ 321 $ 416
XML 93 R73.htm IDEA: XBRL DOCUMENT v3.8.0.1
DIRECT FINANCING LEASES (Detail 2)
$ in Thousands
Dec. 31, 2017
USD ($)
[1]
DIRECT FINANCING LEASES  
2018 $ 2,612
2019 2,654
2020 2,686
2021 2,629
2022 $ 2,680
[1] Orianna has been excluded from the contractual minimum rent payments due under our direct financing leases. See below for additional information.
XML 94 R74.htm IDEA: XBRL DOCUMENT v3.8.0.1
DIRECT FINANCING LEASES (Narrative) (Detail)
$ in Thousands
1 Months Ended 12 Months Ended
Nov. 27, 2013
USD ($)
Facility
Lease
Dec. 31, 2017
USD ($)
Facility
Healthcare_facility
State
Dec. 31, 2016
USD ($)
Dec. 31, 2015
USD ($)
Facility
Capital Leased Assets [Line Items]        
Number of leased real estate properties | Healthcare_facility   983    
Number of states | State   41    
Impairment on real estate properties   $ 99,070 $ 58,726 $ 17,681
Income from direct financing leases   32,336 $ 62,298 $ 59,936
Number of facilities transitioned | Facility       4
Minimum        
Capital Leased Assets [Line Items]        
Fair value of annual rents   $ 32,000    
Rental yields   9.00%    
Maximum        
Capital Leased Assets [Line Items]        
Fair value of annual rents   $ 38,000    
Rental yields   10.00%    
Northwest | Direct financing leases | Sales Agreement        
Capital Leased Assets [Line Items]        
Carrying amount of facility   $ 36,400    
Number of facilities to be sold | Facility   8    
Number of facilities sold | Facility   2    
Proceeds from sale of facility   $ 33,300    
Impairment on real estate properties   $ 3,300    
Orianna        
Capital Leased Assets [Line Items]        
Purchase price of beds acquired paid in cash $ 529,000      
Number of lease | Lease 4      
Master lease term 50 years      
Interest on lease per annum 10.60%      
Number of states | State   7    
Number of additional owned as an operating lease | Facility   4    
Impairment on real estate properties   $ 198,200    
Allowance for loss under direct financing leases   $ 172,200    
Number of remaining facilities | Facility   38    
Recorded investment in direct financing leases   $ 337,700    
Recorded investment in operating lease   38,400    
Allowance for contractual receivables   1,900    
Orianna | Southeast        
Capital Leased Assets [Line Items]        
Impairment on real estate properties   20,800    
Outstanding receivable reduction   $ 19,300    
Number of remaining facilities | Facility   37    
Orianna | Texas        
Capital Leased Assets [Line Items]        
Impairment on real estate properties   $ 1,800    
Number of facilities transitioned | Facility   9    
Written down value of direct financing lease assets to original cost   $ 19,000    
Orianna | Indiana        
Capital Leased Assets [Line Items]        
Number of remaining facilities | Facility   1    
SNF | Orianna | Direct financing leases        
Capital Leased Assets [Line Items]        
Number of leased real estate properties | Facility 55      
ALF | Orianna | Direct financing leases        
Capital Leased Assets [Line Items]        
Number of leased real estate properties | Facility 1      
XML 95 R75.htm IDEA: XBRL DOCUMENT v3.8.0.1
MORTGAGE NOTES RECEIVABLE (Detail) - USD ($)
$ in Thousands
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Dec. 31, 2014
Mortgage Loans on Real Estate [Line Items]        
Mortgage notes receivable, gross $ 676,137 $ 643,277    
Allowance for loss on mortgage notes receivable [1] (4,905) (3,934)    
Total mortgages - net 671,232 639,343 $ 679,795 $ 648,079
Mortgage note due 2024; interest at 9.98%        
Mortgage Loans on Real Estate [Line Items]        
Mortgage notes receivable, gross 112,500 112,500    
Mortgage note due 2029; interest at 9.68%        
Mortgage Loans on Real Estate [Line Items]        
Mortgage notes receivable, gross 410,763 412,140    
Other mortgage notes outstanding        
Mortgage Loans on Real Estate [Line Items]        
Mortgage notes receivable, gross [2] $ 152,874 $ 118,637    
[1] The allowance for loss on mortgage notes receivable relates to one mortgage with an operator. The carrying value and fair value of the mortgage note receivable is approximately $1.5 million at December 31, 2017 and $2.5 million at December 31, 2016.
[2] Other mortgage notes outstanding have stated interest rates ranging from 8.35% to 14.0% per annum and maturity dates through 2029.
XML 96 R76.htm IDEA: XBRL DOCUMENT v3.8.0.1
MORTGAGE NOTES RECEIVABLE (Parentheticals) (Detail)
$ in Millions
12 Months Ended
Dec. 31, 2017
USD ($)
Mortgage
Dec. 31, 2016
USD ($)
Mortgage Receivable    
Mortgage Loans on Real Estate [Line Items]    
The allowance for loss on number of mortgage | Mortgage 1  
Carrying value of mortgage note receivable $ 1.5 $ 2.5
Fair value of mortgage note receivable $ 1.5 $ 2.5
Other mortgage notes outstanding | Minimum    
Mortgage Loans on Real Estate [Line Items]    
Mortgage loans on real estate, interest rate 8.35%  
Other mortgage notes outstanding | Maximum    
Mortgage Loans on Real Estate [Line Items]    
Maturity year 2029  
Mortgage loans on real estate, interest rate 14.00%  
XML 97 R77.htm IDEA: XBRL DOCUMENT v3.8.0.1
MORTGAGE NOTES RECEIVABLE (Narrative) (Detail)
$ in Thousands
1 Months Ended 12 Months Ended
Apr. 29, 2016
USD ($)
Facility
Jan. 31, 2016
USD ($)
Facility
Dec. 31, 2017
USD ($)
Facility
Healthcare_facility
Mortgage
State
Entity
Dec. 31, 2016
USD ($)
Dec. 31, 2015
USD ($)
Dec. 31, 2014
USD ($)
Jun. 30, 2014
USD ($)
Facility
Jan. 17, 2014
USD ($)
Facility
Mortgage Loans on Real Estate [Line Items]                
Number of states | State     41          
Mortgage notes receivable     $ 671,232 $ 639,343 $ 679,795 $ 648,079    
Number of leased real estate properties | Healthcare_facility     983          
Collection of mortgage principal     $ 1,529 59,975 1,359      
Placement of mortgage loans     34,643 48,722 14,042      
Effective yield interest receivables     $ 11,673 $ 9,749        
Effective yield interest receivables wrote off         $ 1,500      
Mortgage loans                
Mortgage Loans on Real Estate [Line Items]                
Number of fixed rate mortgage | Mortgage     31          
Number of long term care facilities | Facility     51          
Number of states | State     10          
Number of mortgage notes receivable independent operating companies | Entity     7          
SNF                
Mortgage Loans on Real Estate [Line Items]                
Number of leased real estate properties | Facility     735          
ALF                
Mortgage Loans on Real Estate [Line Items]                
Number of leased real estate properties | Facility     118          
Mortgage Notes due 2046 | Maryland                
Mortgage Loans on Real Estate [Line Items]                
Number of facility acquired | Facility   3            
Fair value of facilities approximated   $ 25,000            
Mortgage Notes Due 2024 | Mortgage loans                
Mortgage Loans on Real Estate [Line Items]                
Mortgage notes receivable               $ 112,500
Mortgage Notes Due 2024 | SNF | Mortgage loans | Pennsylvania                
Mortgage Loans on Real Estate [Line Items]                
Number of leased real estate properties | Facility               7
Mortgage Notes Due 2024 | ALF | Mortgage loans | Ohio                
Mortgage Loans on Real Estate [Line Items]                
Number of leased real estate properties | Facility               2
Mortgage Notes due 2028 | Mortgage loans                
Mortgage Loans on Real Estate [Line Items]                
Mortgage loans on real estate, interest rate 11.00%              
Mortgage loan, initial annual cash interest rate increase in 2 year 13.75%              
Collection of mortgage principal $ 47,800              
Net gain from repayment of a mortgage note 5,400              
Mortgage Notes due 2028 | Mortgage loans | Maryland                
Mortgage Loans on Real Estate [Line Items]                
Mortgage notes receivable $ 36,000              
Number of facilities under fixed rate mortgage loan | Facility 3              
Mortgage Notes Due 2029 | Retired Mortgage Loans Mortgage Facility | Mortgage loans | Michigan                
Mortgage Loans on Real Estate [Line Items]                
Mortgage notes receivable             $ 117,000  
Annual incremental interest rate     0.225%          
Description of cash interest rate     The new loan bore an initial annual cash interest rate of 9.0% that increases by 0.225% per year (e.g., beginning in year 2 the annual cash interest rate will be 9.225%, in year 3 the annual cash interest rate will be 9.45%, etc.).          
Mortgage loans on real estate, interest rate     9.00%          
Mortgage loan, initial annual cash interest rate increase in 2 year     9.225%          
Mortgage loan, initial annual cash interest rate increase in 3 year     9.45%          
Number of additional facilities for mortgage financing | Facility             14  
Number of leased real estate properties | Facility     31       17  
Placement of mortgage loans     $ 415,000          
XML 98 R78.htm IDEA: XBRL DOCUMENT v3.8.0.1
OTHER INVESTMENTS (Detail) - USD ($)
$ in Thousands
Dec. 31, 2017
Dec. 31, 2016
Schedule of Investments [Line Items]    
Other investments, gross $ 276,715 $ 261,644
Allowance for loss on other investments [1] (373) (4,798)
Total other investments 276,342 256,846
Other investment note due 2019; interest at 11.25%    
Schedule of Investments [Line Items]    
Other investments, gross $ 49,708 49,458
Interest rate 11.25%  
Other investment note due 2020; interest at 14.57%    
Schedule of Investments [Line Items]    
Other investments, gross $ 49,490 47,913
Interest rate 14.57%  
Other investment note due 2022, interest at 9.00%    
Schedule of Investments [Line Items]    
Other investments, gross $ 31,987 $ 31,987
Interest rate 9.00% 9.00%
Other investment note due 2030; interest at 6.66%    
Schedule of Investments [Line Items]    
Other investments, gross $ 50,000 $ 44,595
Interest rate 6.66% 6.66%
Other investment notes outstanding    
Schedule of Investments [Line Items]    
Other investments, gross [2] $ 95,530 $ 87,691
[1] The 2017 allowance for loss on other investments relates to one loan with an operator that has been fully reserved at December 31, 2017 with a charge to earnings in 2017. The reserves at December 31, 2016 were written off in 2017.
[2] Other investment notes have maturity dates through 2028 and interest rates ranging from 6.0% to 12.0% per annum.
XML 99 R79.htm IDEA: XBRL DOCUMENT v3.8.0.1
OTHER INVESTMENTS (Parentheticals) (Detail) - Other investment note through 2028
12 Months Ended
Dec. 31, 2017
Minimum  
Schedule of Investments [Line Items]  
Interest rate 6.00%
Maximum  
Schedule of Investments [Line Items]  
Interest rate 12.00%
Maturity year 2028
XML 100 R80.htm IDEA: XBRL DOCUMENT v3.8.0.1
OTHER INVESTMENTS (Narrative) (Detail)
$ in Thousands
1 Months Ended 12 Months Ended
Dec. 28, 2017
USD ($)
Facility
Aug. 31, 2017
USD ($)
Dec. 31, 2017
USD ($)
Facility
Healthcare_facility
Dec. 31, 2016
USD ($)
Dec. 29, 2016
USD ($)
Sep. 30, 2016
USD ($)
Jul. 29, 2016
USD ($)
Feb. 26, 2016
USD ($)
Feb. 01, 2016
USD ($)
Jan. 02, 2016
USD ($)
Jun. 30, 2015
USD ($)
Schedule of Investments [Line Items]                      
Other investments, gross     $ 276,715 $ 261,644              
Total Investments     $ 7,714,886 7,925,793              
Number of leased real estate properties | Healthcare_facility     983                
SNF                      
Schedule of Investments [Line Items]                      
Other investments, gross     $ 10,000                
Number of leased real estate properties | Facility     735                
Deferred gain loss on sale of loans     $ 10,000                
Other investment note due 2022                      
Schedule of Investments [Line Items]                      
Fair value of term loan           $ 37,000          
Other investment note due 2019                      
Schedule of Investments [Line Items]                      
Other Investment notes               $ 50,000      
Discount on notes receivable               $ 750      
Other investment note due 2020; interest at 10.00%                      
Schedule of Investments [Line Items]                      
Other investments, gross $ 10,000                    
Deferred gain loss on sale of loans     $ 10,000                
Other investment note due 2020; interest at 10.00% | SNF                      
Schedule of Investments [Line Items]                      
Number of leased real estate properties | Facility 10                    
Other investment note due 2020; interest at 10.00% | December 2018                      
Schedule of Investments [Line Items]                      
Principal payments $ 5,000                    
Other investment note due 2020; interest at 10.00% | December 2019                      
Schedule of Investments [Line Items]                      
Principal payments 2,000                    
Other investment note due 2020; interest at 10.00% | December 2020                      
Schedule of Investments [Line Items]                      
Principal payments $ 3,000                    
Other investment note due 2020; interest at 14.57%                      
Schedule of Investments [Line Items]                      
Other Investment notes             $ 48,000        
Interest rate     14.57%                
Other investments, gross     $ 49,490 $ 47,913              
Description of variable rate basis     LIBOR                
LIBOR with floor rate     1.00%                
LIBOR plus an applicable percentage     13.00%                
Other investment note due 2020; interest at 14.57% | Through July 2019                      
Schedule of Investments [Line Items]                      
Principal payments     $ 250                
Frequency of periodic payment     monthly                
Other investment note due 2020; interest at 14.57% | August 2019 through maturity                      
Schedule of Investments [Line Items]                      
Principal payments     $ 500                
Frequency of periodic payment     monthly                
Other investment note due 2019, interest at 13.00%, Tranche one                      
Schedule of Investments [Line Items]                      
Interest rate           13.00%          
Other investments, gross           $ 5,000          
Amount of tranche was paid off   $ 5,000                  
Other investment note due 2022, interest at 9.00%, Tranche two                      
Schedule of Investments [Line Items]                      
Interest rate     9.00% 9.00%              
Other investments, gross     $ 31,987 $ 31,987              
Other Investment Note Due 2030 Interest At 6.6 %                      
Schedule of Investments [Line Items]                      
Interest rate     6.66% 6.66%              
Other investments, gross     $ 50,000 $ 44,595              
Remaining outstanding amount of loan     $ 50,000                
Other Investment Note Due 2030 Interest At 6.6 % | Revolving line of credit                      
Schedule of Investments [Line Items]                      
Fair value of term loan                     $ 50,000
Other Investment Note Due 2017 Interest At 8.5% payoff                      
Schedule of Investments [Line Items]                      
Other Investment notes                 $ 15,000    
Interest rate                 8.50%    
Other Investment Note Due 2017 Interest At 11% payoff                      
Schedule of Investments [Line Items]                      
Other Investment notes         $ 2,900            
Interest rate         11.00%            
Other Investment Note Due 2017 Interest At 11% payoff | Revolving line of credit                      
Schedule of Investments [Line Items]                      
Interest rate                   7.50%  
Other investments, gross                   $ 10,000  
Other Investment notes paid off                      
Schedule of Investments [Line Items]                      
Fair value of terminated purchase option buyout obligation   $ 30,700                  
Weighted average interest rate of terminated purchase option buyout obligation   10.50%                  
Total Investments   $ 30,200                  
XML 101 R81.htm IDEA: XBRL DOCUMENT v3.8.0.1
INVESTMENT IN UNCONSOLIDATED JOINT VENTURE (Detail)
$ in Thousands
12 Months Ended
Nov. 01, 2016
USD ($)
Facility
Dec. 31, 2017
USD ($)
Dec. 31, 2016
USD ($)
Schedule of Equity Method Investments [Line Items]      
Investment in unconsolidated joint venture   $ 36,516 $ 48,776
Assets management fees recognized   $ 2,000 $ 300
Second Spring Healthcare Investments      
Schedule of Equity Method Investments [Line Items]      
Investment in unconsolidated joint venture $ 50,000    
Percentage of ownership interest 15.00%    
Second Spring Healthcare Investments | SNF      
Schedule of Equity Method Investments [Line Items]      
Number of properties acquired | Facility 64    
Payments to acquire facilities $ 1,100,000    
Second Spring Healthcare Investments | Affiliates of Lindsey Goldberg LLC      
Schedule of Equity Method Investments [Line Items]      
Percentage of ownership interest 85.00%    
XML 102 R82.htm IDEA: XBRL DOCUMENT v3.8.0.1
ASSETS HELD FOR SALE (Detail)
$ in Thousands
12 Months Ended
Dec. 31, 2017
USD ($)
Property
Dec. 31, 2016
USD ($)
Property
Number Of Properties    
Beginning Balance | Property 20 3
Properties sold/other | Property (17) [1] (24) [2]
Properties added | Property 19 [3] 41 [4]
Ending balance | Property 22 [5] 20
Net Book Value    
Beginning Balance | $ $ 52,868 $ 6,599
Properties sold/other | $ (39,299) [1] (75,948) [2]
Properties added | $ 73,130 [3] 122,217 [4]
Ending balance | $ $ 86,699 [5] $ 52,868
[1] In 2017, we sold 13 SNFs and three ALFs for approximately $38.8 million in net proceeds recognizing a gain on sale of approximately $4.3 million. One SNF classified as an asset held for sale at December 31, 2016 was no longer considered held for sale during the first quarter of 2017 and was reclassified back to leased properties at approximately $5.1 million which represents the facility's then carrying value adjusted for depreciation that was not recognized while classified as held for sale.
[2] In 2016, we sold 21 SNFs for approximately $86.7 million in net proceeds recognizing gains on sales of approximately $16.5 million. We also recorded approximately $4.9 million of impairments on 16 facilities to reduce their net book values to their estimated fair value less costs to sell. Two SNFs and one ALF classified as assets held for sale in the second quarter were no longer considered held for sale and were reclassified in the third quarter back to leased properties at their fair values (approximately $7.0 million).
[3] In 2017, we reclassified one ALF, one specialty facility and 17 SNFs to assets held for sale. We recorded approximately $10.3 million of impairment charges to reduce one ALF, one specialty facility and three SNFs to their estimated fair value less costs to sell before they were reclassified to assets held for sale.
[4] In 2016, we reclassified ten ALFs and 31 SNFs to assets held for sale (including the two SNFs and one ALF mentioned above that were reclassified back to leased properties in the third quarter). We recorded approximately $49.4 million of impairment charges on 20 of these facilities to reduce their net book values to their estimated fair value less costs to sell before they were reclassified to assets held for sale.
[5] We plan to sell the facilities classified as held for sale at December 31, 2017 within the next twelve months.
XML 103 R83.htm IDEA: XBRL DOCUMENT v3.8.0.1
ASSETS HELD FOR SALE (Parentheticals) (Detail)
$ in Millions
12 Months Ended
Dec. 31, 2017
USD ($)
Facility
Property
Dec. 31, 2016
USD ($)
Facility
Property
Lease
Real Estate Properties [Line Items]    
Number of property reclassified | Property   20
Impairment charges | $ $ 10.3 $ 49.4
SNF    
Real Estate Properties [Line Items]    
Number of facilities held for sale sold | Facility 13 21
Number of facilities added to held for sale | Facility 17 31
Net proceeds from sale of facilities held for sale | $ $ 38.8 $ 86.7
Gain (loss) from sale of facilities | $ $ 4.3 $ 16.5
Number of property reclassified | Property 3 16
Impairment charges | $   $ 4.9
Fair value of leased properties | $ $ 5.1 $ 7.0
ALF    
Real Estate Properties [Line Items]    
Number of facilities held for sale sold | Facility 3  
Number of facilities added to held for sale | Facility 1 10
Number of property reclassified | Property 1  
Number of leased real estate properties | Lease   1
Specialty facilities    
Real Estate Properties [Line Items]    
Number of facilities added to held for sale | Facility 1  
Number of property reclassified | Property 1  
XML 104 R84.htm IDEA: XBRL DOCUMENT v3.8.0.1
INTANGIBLES - Summary of our intangibles (Detail) - USD ($)
$ in Thousands
Dec. 31, 2017
Dec. 31, 2016
Assets:    
Goodwill $ 644,690 $ 643,474
Accumulated amortization (17,059) (15,864)
Net intangible assets 5,534 6,779
Liabilities:    
Below market leases 164,443 165,028
Accumulated amortization (83,824) (70,738)
Net intangible liabilities 80,619 94,290
Above market leases    
Assets:    
Gross intangible assets 22,426 22,476
In-place leases    
Assets:    
Gross intangible assets $ 167 $ 167
XML 105 R85.htm IDEA: XBRL DOCUMENT v3.8.0.1
INTANGIBLES - Reconciliation of goodwill (Detail 1)
$ in Thousands
12 Months Ended
Dec. 31, 2017
USD ($)
Goodwill [Roll Forward]  
Balance as of December 31, 2016 $ 643,474
Add: foreign currency translation 1,216
Balance as of December 31, 2017 $ 644,690
XML 106 R86.htm IDEA: XBRL DOCUMENT v3.8.0.1
INTANGIBLES (Narrative) (Detail) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Goodwill and Intangible Assets Disclosure [Abstract]      
Amortization of intangible assets $ 11.9 $ 14.0 $ 13.8
2018 10.1    
2019 8.9    
2020 8.8    
2021 8.2    
2022 7.5    
Thereafter $ 31.6    
XML 107 R87.htm IDEA: XBRL DOCUMENT v3.8.0.1
INTANGIBLES (Narrative) (Detail 1)
12 Months Ended
Dec. 31, 2017
Finite-Lived Intangible Assets [Line Items]  
Below market leases, weighted average remaining amortization 9 years
Above market lease intangibles  
Finite-Lived Intangible Assets [Line Items]  
Weighted average remaining amortization 8 years
XML 108 R88.htm IDEA: XBRL DOCUMENT v3.8.0.1
CONCENTRATION OF RISK (Narrative) (Detail)
$ in Thousands
12 Months Ended
Dec. 31, 2017
USD ($)
Operator
Facility
Healthcare_facility
State
Dec. 31, 2016
USD ($)
Concentration Risk [Line Items]    
Number of leased real estate properties | Healthcare_facility 983  
Number of states | State 41  
Number of operators | Operator 74  
Gross investment in facilities, net of impairments and before reserve for uncollectible loans | $ $ 8,800,000  
Percentage share of real estate investments related to long-term care facilities 99.00%  
Number of facilities held-for-sale/closed 22  
Other investments | $ $ 276,342 $ 256,846
Revenues from operations 10.00%  
Investment in unconsolidated joint venture | $ $ 36,516 $ 48,776
Texas    
Concentration Risk [Line Items]    
Concentration percent by state 9.00%  
Florida    
Concentration Risk [Line Items]    
Concentration percent by state 9.00%  
Ohio    
Concentration Risk [Line Items]    
Concentration percent by state 8.00%  
SNF    
Concentration Risk [Line Items]    
Number of leased real estate properties 735  
Number of facilities under fixed rate mortgage loan 47  
SNF | OMEGA HEALTHCARE INVESTORS INC    
Concentration Risk [Line Items]    
Number of leased real estate properties 775  
ALF    
Concentration Risk [Line Items]    
Number of leased real estate properties 118  
Number of facilities under fixed rate mortgage loan 4  
ALF | OMEGA HEALTHCARE INVESTORS INC    
Concentration Risk [Line Items]    
Number of leased real estate properties 119  
Specialty facilities    
Concentration Risk [Line Items]    
Number of leased real estate properties 15  
Medical office building    
Concentration Risk [Line Items]    
Number of leased real estate properties 1  
Ciena Healthcare    
Concentration Risk [Line Items]    
Revenues from operations 10.00%  
XML 109 R89.htm IDEA: XBRL DOCUMENT v3.8.0.1
LEASE AND MORTGAGE DEPOSITS (Narrative) (Detail)
$ in Millions
12 Months Ended
Dec. 31, 2017
USD ($)
Security Deposits And Letters Of Credit [Line Items]  
Liquidity deposits $ 10.9
Security Deposit 41.2
Letters of credit outstanding $ 58.4
Minimum  
Security Deposits And Letters Of Credit [Line Items]  
Period specified for rental and mortgage interest 3 months
Maximum  
Security Deposits And Letters Of Credit [Line Items]  
Period specified for rental and mortgage interest 6 months
XML 110 R90.htm IDEA: XBRL DOCUMENT v3.8.0.1
BORROWING ARRANGEMENTS (Detail) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2017
Apr. 28, 2017
Apr. 04, 2017
Dec. 31, 2016
Jun. 12, 2016
Sep. 23, 2015
Mar. 18, 2015
Sep. 11, 2014
Mar. 11, 2014
Debt Instrument [Line Items]                  
Total secured borrowings - net [1],[2] $ 53,098     $ 54,365          
Revolving line of credit 290,000     190,000          
Total term loans - net [1] 904,670     1,094,343          
Senior notes and other unsecured borrowings - net [1] 3,324,390     3,028,146          
Unsecured Debt [1] 4,519,060     4,312,489          
Total secured and unsecured borrowings - net [1] $ 4,572,158     4,366,854          
HUD mortgages assumed December 2011                  
Debt Instrument [Line Items]                  
Maturity [3] 2044                
Annual Interest Rate [3] 3.06%                
Long-term debt, gross [1],[3] $ 53,666     54,954          
Deferred financing costs - net [1] $ (568)     (589)          
Revolving line of credit                  
Debt Instrument [Line Items]                  
Maturity 2021                
Annual Interest Rate 2.65%                
Revolving line of credit [1] $ 290,000     190,000          
Term loan                  
Debt Instrument [Line Items]                  
Discounts and deferred financing costs - net [1],[4] $ (5,460)     (5,657)          
Tranche A-1 term loan                  
Debt Instrument [Line Items]                  
Long-term debt, gross [1]       200,000          
Tranche A-2 term loan                  
Debt Instrument [Line Items]                  
Long-term debt, gross [1]       200,000          
Tranche A-3 term loan                  
Debt Instrument [Line Items]                  
Long-term debt, gross [1]       350,000          
U.S. term loan                  
Debt Instrument [Line Items]                  
Maturity 2022                
Annual Interest Rate 3.02%                
Total term loans - net [1] $ 425,000                
Sterling term loan                  
Debt Instrument [Line Items]                  
Maturity [5] 2022                
Annual Interest Rate [5] 1.94%                
Long-term debt, gross [1],[5] $ 135,130                
Omega OP Term loan                  
Debt Instrument [Line Items]                  
Maturity [2] 2022                
Annual Interest Rate [2] 3.02%                
Long-term debt, gross [1],[2] $ 100,000     100,000          
Deferred financing costs - net $ (600)                
2015 term loan                  
Debt Instrument [Line Items]                  
Maturity 2022                
Annual Interest Rate 3.80%                
Long-term debt, gross [1] $ 250,000     250,000          
Senior notes and other unsecured borrowings - net                  
Debt Instrument [Line Items]                  
Deferred financing costs - net (26,037)     (27,703)          
Discount - net $ (21,073)     (17,151)          
2023 notes                  
Debt Instrument [Line Items]                  
Maturity 2023                
Annual Interest Rate 4.375%       4.375%        
Long-term debt, gross $ 700,000 [1]     700,000 [1] $ 700,000        
2024 notes                  
Debt Instrument [Line Items]                  
Maturity 2024                
Annual Interest Rate 5.875% 5.875%              
Long-term debt, gross   $ 400,000   400,000 [1]          
2024 notes                  
Debt Instrument [Line Items]                  
Maturity 2024                
Annual Interest Rate 4.95%               4.95%
Long-term debt, gross $ 400,000 [1]     400,000 [1]         $ 400,000
2025 notes                  
Debt Instrument [Line Items]                  
Maturity 2025                
Annual Interest Rate 4.50%             4.50%  
Long-term debt, gross $ 400,000 [1]   $ 150,000 250,000 [1]       $ 250,000  
2026 notes                  
Debt Instrument [Line Items]                  
Maturity 2026                
Annual Interest Rate 5.25%         5.25%      
Long-term debt, gross $ 600,000 [1]     600,000 [1]   $ 600,000      
2027 notes                  
Debt Instrument [Line Items]                  
Maturity 2027                
Annual Interest Rate 4.50%           4.50%    
Long-term debt, gross $ 700,000 [1]     700,000 [1]     $ 700,000    
2028 notes                  
Debt Instrument [Line Items]                  
Maturity 2028                
Annual Interest Rate 4.75%   4.75%            
Long-term debt, gross $ 550,000 [1]   $ 550,000            
Other                  
Debt Instrument [Line Items]                  
Maturity 2018                
Long-term debt, gross [1] $ 1,500     3,000          
Subordinated debt                  
Debt Instrument [Line Items]                  
Maturity 2021                
Annual Interest Rate 9.00%                
Long-term debt, gross [1] $ 20,000     $ 20,000          
[1] All borrowing are direct borrowings of Omega unless otherwise noted.
[2] These amounts represent borrowings that were incurred by Omega OP or wholly owned subsidiaries of Omega OP.
[3] Reflects the weighted average annual contractual interest rate on the mortgages at December 31, 2017 excluding a third-party administration fee of approximately 0.5% annually. Secured by real estate assets with a net carrying value of $62.0 million as of December 31, 2017. This borrowing was incurred by wholly owned subsidiaries of Omega OP.
[4] The amount includes $0.6 million of net deferred financing costs related to the Omega OP term loan as of December 31, 2017.
[5] This borrowing is denominated in British Pounds Sterling.
XML 111 R91.htm IDEA: XBRL DOCUMENT v3.8.0.1
BORROWING ARRANGEMENTS (Parentheticals) (Detail) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2017
Dec. 31, 2016
HUD mortgages assumed December 2011    
Debt Instrument [Line Items]    
Percentage of third-party administration fee 0.50%  
Real estate assets with a net carrying value $ 62,000  
Deferred financing costs [1] 568 $ 589
Omega OP Term loan    
Debt Instrument [Line Items]    
Deferred financing costs $ 600  
[1] All borrowing are direct borrowings of Omega unless otherwise noted.
XML 112 R92.htm IDEA: XBRL DOCUMENT v3.8.0.1
BORROWING ARRANGEMENTS - Principal payments (Detail 1)
$ in Thousands
Dec. 31, 2017
USD ($)
Debt Disclosure [Abstract]  
2018 $ 2,828
2019 1,370
2020 1,412
2021 311,456
2022 911,631
Thereafter 3,396,599
Totals $ 4,625,296
XML 113 R93.htm IDEA: XBRL DOCUMENT v3.8.0.1
BORROWING ARRANGEMENTS - Refinancing related costs (Detail 2) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Debt Disclosure [Abstract]      
Write off of deferred financing costs and unamortized premiums due to refinancing [1],[2],[3] $ 10,195 $ 301 $ (7,134)
Prepayment and other costs associated with refinancing [4] 11,770 1,812 35,971
Total debt extinguishment costs $ 21,965 $ 2,113 $ 28,837
[1] In 2015, we recorded: (a) $4.2 million of write-offs of unamortized deferred financing costs and discount associated with the early redemption of our $200 million 7.5% Senior Notes due 2020, (b) $1.9 million in net write-offs associated with unamortized deferred financing costs and original issuance premiums/discounts associated with the early redemption of our $575 million 6.75% Senior Notes due 2022, offset by (c) $13.2 million gain related to the early extinguishment of debt from the write off of unamortized premiums on HUD debt. In 2015, we paid approximately $188.5 million to retire 24 HUD mortgage loans.
[2] In 2016, we recorded $0.3 million of write-offs of unamortized deferred financing costs associated with three facilities that were acquired via a deed-in-lieu of foreclosure.
[3] In 2017, we recorded (a) $4.7 million of write-offs of unamortized deferred costs associated with the early redemption of our 5.875% Notes and (b) $5.5 million of write-offs of unamortized deferred financing costs associated with the termination of the 2014 Omega Credit Agreement.
[4] In 2017, we made $11.8 million of prepayment penalties associated with the early redemption of our 5.875% Notes. In 2016, we purchased a $180 million mortgage term loan and paid a 1% premium of approximately $1.8 million to purchase the debt. In 2015, we made: (a) $7.5 million of prepayment penalties associated with the early redemption of our $200 million 7.5% Senior Notes due 2020, (b) $19.4 million of prepayment penalties associated with the early redemption of our $575 million 6.75% Senior Notes due 2022 and (c) $9.1 million of prepayment penalties associated with 24 HUD mortgage loans that we paid off in 2015.
XML 114 R94.htm IDEA: XBRL DOCUMENT v3.8.0.1
BORROWING ARRANGEMENTS - Refinancing related costs (Parentheticals) (Detail 2)
$ in Thousands
1 Months Ended 12 Months Ended
Apr. 28, 2017
USD ($)
Dec. 31, 2017
USD ($)
Dec. 31, 2016
USD ($)
Facility
Dec. 31, 2015
USD ($)
HUD_mortgage_loan
Sep. 23, 2015
USD ($)
Financing Activities and Borrowing Arrangements [Line Items]          
Write off of deferred financing costs and unamortized premiums due to refinancing [1],[2],[3]   $ 10,195 $ 301 $ (7,134)  
Prepayment and other costs associated with refinancing [4]   11,770 1,812 35,971  
5.875% notes due 2024          
Financing Activities and Borrowing Arrangements [Line Items]          
Write off of deferred financing costs and unamortized premiums due to refinancing $ 4,700 4,700      
Prepayment and other costs associated with refinancing 11,800 11,800      
Principal amount of senior notes $ 400,000   $ 400,000 [5]    
2014 Omega Credit Facilities          
Financing Activities and Borrowing Arrangements [Line Items]          
Write off of deferred financing costs and unamortized premiums due to refinancing   $ 5,500      
7.50% Notes due 2020          
Financing Activities and Borrowing Arrangements [Line Items]          
Write off of deferred financing costs and unamortized premiums due to refinancing       4,200  
Prepayment and other costs associated with refinancing       7,500  
Principal amount of senior notes       200,000  
6.75% Notes due 2022          
Financing Activities and Borrowing Arrangements [Line Items]          
Write off of deferred financing costs and unamortized premiums due to refinancing       1,900  
Prepayment and other costs associated with refinancing       19,400  
Principal amount of senior notes       575,000 $ 575,000
HUD Mortgage          
Financing Activities and Borrowing Arrangements [Line Items]          
Prepayment and other costs associated with refinancing       9,100  
Gain from write-off of unamortized premium on the HUD loans       13,200  
Payments to retire 24 HUD mortgage loans       $ 188,500  
Number of HUD loans retire | HUD_mortgage_loan       24  
Number of HUD loans paid off | HUD_mortgage_loan       24  
Mortgage term loan          
Financing Activities and Borrowing Arrangements [Line Items]          
Number of facilities acquired via a deed-in-lieu foreclosure | Facility     3    
Prepayment and other costs associated with refinancing     $ 1,800    
Purchased of loan     $ 180,000    
Percentage of premium paid to purchase debt     1.00%    
[1] In 2015, we recorded: (a) $4.2 million of write-offs of unamortized deferred financing costs and discount associated with the early redemption of our $200 million 7.5% Senior Notes due 2020, (b) $1.9 million in net write-offs associated with unamortized deferred financing costs and original issuance premiums/discounts associated with the early redemption of our $575 million 6.75% Senior Notes due 2022, offset by (c) $13.2 million gain related to the early extinguishment of debt from the write off of unamortized premiums on HUD debt. In 2015, we paid approximately $188.5 million to retire 24 HUD mortgage loans.
[2] In 2016, we recorded $0.3 million of write-offs of unamortized deferred financing costs associated with three facilities that were acquired via a deed-in-lieu of foreclosure.
[3] In 2017, we recorded (a) $4.7 million of write-offs of unamortized deferred costs associated with the early redemption of our 5.875% Notes and (b) $5.5 million of write-offs of unamortized deferred financing costs associated with the termination of the 2014 Omega Credit Agreement.
[4] In 2017, we made $11.8 million of prepayment penalties associated with the early redemption of our 5.875% Notes. In 2016, we purchased a $180 million mortgage term loan and paid a 1% premium of approximately $1.8 million to purchase the debt. In 2015, we made: (a) $7.5 million of prepayment penalties associated with the early redemption of our $200 million 7.5% Senior Notes due 2020, (b) $19.4 million of prepayment penalties associated with the early redemption of our $575 million 6.75% Senior Notes due 2022 and (c) $9.1 million of prepayment penalties associated with 24 HUD mortgage loans that we paid off in 2015.
[5] All borrowing are direct borrowings of Omega unless otherwise noted.
XML 115 R95.htm IDEA: XBRL DOCUMENT v3.8.0.1
BORROWING ARRANGEMENTS (Narrative) (Detail)
$ in Thousands, £ in Millions
1 Months Ended 12 Months Ended
May 25, 2017
USD ($)
Dec. 31, 2017
USD ($)
Dec. 31, 2016
USD ($)
Dec. 31, 2015
USD ($)
May 25, 2017
GBP (£)
Debt Instrument [Line Items]          
Long-term line of credit   $ 290,000 $ 190,000    
Repayment of Term loan/facility   1,587,000 1,344,000 $ 1,681,000  
Write-off of deferred financing costs [1],[2],[3]   10,195 301 $ (7,134)  
2017 Omega Credit Facilities          
Debt Instrument [Line Items]          
Long-term line of credit $ 1,800,000        
Credit facility, borrowing capacity 2,500,000        
Revolving credit facility to be drawn in Alternative Currencies or U.S. Dollars in tranche one 900,000        
Revolving credit facility to be drawn in Alternative Currencies or U.S. Dollars in tranche two 350,000        
Revolving Credit Facility          
Debt Instrument [Line Items]          
Long-term line of credit [4]   290,000 $ 190,000    
Credit facility, borrowing capacity $ 1,250,000        
Description of variable rate basis LIBOR        
Revolving Credit Facility | Minimum          
Debt Instrument [Line Items]          
LIBOR plus an applicable percentage 1.00%        
Revolving Credit Facility | Maximum          
Debt Instrument [Line Items]          
LIBOR plus an applicable percentage 1.95%        
U.S. Term Loan Facility          
Debt Instrument [Line Items]          
Credit facility, borrowing capacity $ 425,000        
Description of variable rate basis LIBOR        
U.S. Term Loan Facility | Minimum          
Debt Instrument [Line Items]          
LIBOR plus an applicable percentage 0.90%        
U.S. Term Loan Facility | Maximum          
Debt Instrument [Line Items]          
LIBOR plus an applicable percentage 1.90%        
Sterling Term Loan Facility          
Debt Instrument [Line Items]          
Credit facility, borrowing capacity | £         £ 100
Description of variable rate basis LIBOR        
Sterling Term Loan Facility | Minimum          
Debt Instrument [Line Items]          
LIBOR plus an applicable percentage 0.90%        
Sterling Term Loan Facility | Maximum          
Debt Instrument [Line Items]          
LIBOR plus an applicable percentage 1.90%        
Tranche A-1 term loan          
Debt Instrument [Line Items]          
Term loan/facility terminated $ 200,000        
Tranche A-2 term loan          
Debt Instrument [Line Items]          
Repayment of Term loan/facility 200,000        
Term loan/facility terminated 200,000        
Tranche A-3 term loan          
Debt Instrument [Line Items]          
Term loan/facility terminated 350,000        
Senior unsecured 2014 revolving credit facility          
Debt Instrument [Line Items]          
Term loan/facility terminated 1,250,000        
2014 Omega Credit Facilities          
Debt Instrument [Line Items]          
Write-off of deferred financing costs   $ 5,500      
Amended 2015 Term Loan Facility          
Debt Instrument [Line Items]          
Credit facility, borrowing capacity $ 250,000        
Description of variable rate basis LIBOR        
Maturity date Dec. 16, 2022        
Maximum aggregate principal amount available under credit facility $ 150,000        
Amount of guaranty of unsecured indebtedness $ 50,000        
Amended 2015 Term Loan Facility | Minimum          
Debt Instrument [Line Items]          
LIBOR plus an applicable percentage 1.40%        
Amended 2015 Term Loan Facility | Maximum          
Debt Instrument [Line Items]          
LIBOR plus an applicable percentage 2.35%        
2017 Omega OP Term Loan Facility          
Debt Instrument [Line Items]          
Credit facility, borrowing capacity $ 100,000        
Description of variable rate basis LIBOR        
Maturity date May 25, 2022        
Amount of guaranty of unsecured indebtedness $ 50,000        
2017 Omega OP Term Loan Facility | Minimum          
Debt Instrument [Line Items]          
LIBOR plus an applicable percentage 0.90%        
2017 Omega OP Term Loan Facility | Maximum          
Debt Instrument [Line Items]          
LIBOR plus an applicable percentage 1.90%        
[1] In 2015, we recorded: (a) $4.2 million of write-offs of unamortized deferred financing costs and discount associated with the early redemption of our $200 million 7.5% Senior Notes due 2020, (b) $1.9 million in net write-offs associated with unamortized deferred financing costs and original issuance premiums/discounts associated with the early redemption of our $575 million 6.75% Senior Notes due 2022, offset by (c) $13.2 million gain related to the early extinguishment of debt from the write off of unamortized premiums on HUD debt. In 2015, we paid approximately $188.5 million to retire 24 HUD mortgage loans.
[2] In 2016, we recorded $0.3 million of write-offs of unamortized deferred financing costs associated with three facilities that were acquired via a deed-in-lieu of foreclosure.
[3] In 2017, we recorded (a) $4.7 million of write-offs of unamortized deferred costs associated with the early redemption of our 5.875% Notes and (b) $5.5 million of write-offs of unamortized deferred financing costs associated with the termination of the 2014 Omega Credit Agreement.
[4] All borrowing are direct borrowings of Omega unless otherwise noted.
XML 116 R96.htm IDEA: XBRL DOCUMENT v3.8.0.1
BORROWING ARRANGEMENTS (Narrative) (Detail 2) - USD ($)
$ in Thousands
1 Months Ended
May 25, 2017
Dec. 16, 2016
Dec. 31, 2017
Dec. 31, 2016
Borrowing Arrangements [Line Items]        
Term loan [1]     $ 904,670 $ 1,094,343
2015 term loan        
Borrowing Arrangements [Line Items]        
Description of variable rate basis LIBOR      
Maturity date Dec. 16, 2022      
2015 term loan | Minimum        
Borrowing Arrangements [Line Items]        
Pricing of credit facility at LIBOR plus an applicable percentage 1.40%      
2015 term loan | Maximum        
Borrowing Arrangements [Line Items]        
Pricing of credit facility at LIBOR plus an applicable percentage 2.35%      
Unsecured borrowings | 2015 term loan        
Borrowing Arrangements [Line Items]        
Term loan   $ 250,000    
Unsecured borrowings | 2015 term loan | Interest rate swaps        
Borrowing Arrangements [Line Items]        
Rate   3.8005%    
Description of variable rate basis   One-month LIBOR    
Maturity date   Dec. 15, 2022    
Unsecured borrowings | 2015 term loan | Minimum | Interest rate swaps        
Borrowing Arrangements [Line Items]        
Pricing of credit facility at LIBOR plus an applicable percentage   0.44%    
Unsecured borrowings | 2015 term loan | Maximum | Interest rate swaps        
Borrowing Arrangements [Line Items]        
Pricing of credit facility at LIBOR plus an applicable percentage   0.55%    
[1] All borrowing are direct borrowings of Omega unless otherwise noted.
XML 117 R97.htm IDEA: XBRL DOCUMENT v3.8.0.1
BORROWING ARRANGEMENTS (Narrative) (Detail 3) - USD ($)
$ in Thousands
1 Months Ended 12 Months Ended
Apr. 05, 2017
Apr. 04, 2017
Jun. 12, 2016
Sep. 11, 2014
Mar. 11, 2014
Apr. 28, 2017
Sep. 23, 2015
Mar. 18, 2015
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Borrowing Arrangements [Line Items]                      
Net write-offs associated with unamortized deferred financing costs [1],[2],[3]                 $ 10,195 $ 301 $ (7,134)
Initial 2022 Notes                      
Borrowing Arrangements [Line Items]                      
Principal amount of senior notes             $ 575,000       575,000
Interest rate             6.75%        
Net write-offs associated with unamortized deferred financing costs                     $ 1,900
2023 notes                      
Borrowing Arrangements [Line Items]                      
Principal amount of senior notes     $ 700,000           $ 700,000 [4] 700,000 [4]  
Interest rate     4.375%           4.375%    
Rate     99.739%                
Gross proceeds from issuance of debt     $ 692,000                
Purchased of loan     $ 180,000                
2024 notes                      
Borrowing Arrangements [Line Items]                      
Principal amount of senior notes           $ 400,000       400,000 [4]  
Interest rate           5.875%     5.875%    
Redemption related costs and write offs           $ 16,500          
Call premium           11,800          
Net write-offs associated with unamortized deferred financing costs           $ 4,700     $ 4,700    
2024 notes                      
Borrowing Arrangements [Line Items]                      
Principal amount of senior notes         $ 400,000       $ 400,000 [4] 400,000 [4]  
Interest rate         4.95%       4.95%    
Rate         98.58%            
Gross proceeds from issuance of debt         $ 394,300            
2025 notes                      
Borrowing Arrangements [Line Items]                      
Principal amount of senior notes   $ 150,000   $ 250,000         $ 400,000 [4] 250,000 [4]  
Interest rate       4.50%         4.50%    
Rate   99.54%   99.131%              
Gross proceeds from issuance of debt   $ 149,900   $ 247,800              
2026 notes                      
Borrowing Arrangements [Line Items]                      
Principal amount of senior notes             $ 600,000   $ 600,000 [4] 600,000 [4]  
Interest rate             5.25%   5.25%    
Rate             99.717%        
Gross proceeds from issuance of debt             $ 594,400        
2027 notes                      
Borrowing Arrangements [Line Items]                      
Principal amount of senior notes               $ 700,000 $ 700,000 [4] 700,000 [4]  
Interest rate               4.50% 4.50%    
Rate               98.546%      
Gross proceeds from issuance of debt               $ 683,000      
2028 notes                      
Borrowing Arrangements [Line Items]                      
Principal amount of senior notes   $ 550,000             $ 550,000 [4]    
Interest rate   4.75%             4.75%    
Rate   98.978%                  
Gross proceeds from issuance of debt   $ 540,800                  
Prepayment of term loan facility $ 200,000                    
Other                      
Borrowing Arrangements [Line Items]                      
Principal amount of senior notes [4]                 $ 1,500 $ 3,000  
[1] In 2015, we recorded: (a) $4.2 million of write-offs of unamortized deferred financing costs and discount associated with the early redemption of our $200 million 7.5% Senior Notes due 2020, (b) $1.9 million in net write-offs associated with unamortized deferred financing costs and original issuance premiums/discounts associated with the early redemption of our $575 million 6.75% Senior Notes due 2022, offset by (c) $13.2 million gain related to the early extinguishment of debt from the write off of unamortized premiums on HUD debt. In 2015, we paid approximately $188.5 million to retire 24 HUD mortgage loans.
[2] In 2016, we recorded $0.3 million of write-offs of unamortized deferred financing costs associated with three facilities that were acquired via a deed-in-lieu of foreclosure.
[3] In 2017, we recorded (a) $4.7 million of write-offs of unamortized deferred costs associated with the early redemption of our 5.875% Notes and (b) $5.5 million of write-offs of unamortized deferred financing costs associated with the termination of the 2014 Omega Credit Agreement.
[4] All borrowing are direct borrowings of Omega unless otherwise noted.
XML 118 R98.htm IDEA: XBRL DOCUMENT v3.8.0.1
BORROWING ARRANGEMENTS (Narrative) (Detail 4) - USD ($)
$ in Thousands
Apr. 01, 2015
Dec. 31, 2017
Dec. 31, 2016
Debt Instrument [Line Items]      
Long-term line of credit   $ 290,000 $ 190,000
Aviv REIT, Inc | Note Payable      
Debt Instrument [Line Items]      
Loan amount $ 650,000    
Early repayment of debt 705,600    
Aviv REIT, Inc | Revolving line of credit      
Debt Instrument [Line Items]      
Long-term line of credit 525,000    
Early repayment of debt $ 525,000    
XML 119 R99.htm IDEA: XBRL DOCUMENT v3.8.0.1
FINANCIAL INSTRUMENTS (Detail) - USD ($)
$ in Thousands
Dec. 31, 2017
Dec. 31, 2016
Assets:    
Investments in direct financing leases - net $ 364,965 $ 601,938
Mortgage notes receivable - net 671,232 639,343
Other investments - net 276,342 256,846
Liabilities:    
Revolving line of credit 290,000 190,000
Term loans - net [1] 904,670 1,094,343
HUD debt - net [1],[2] 53,098 54,365
Carrying Amount    
Assets:    
Investments in direct financing leases - net 364,965 601,938
Mortgage notes receivable - net 671,232 639,343
Other investments - net 276,342 256,846
Total 1,312,539 1,498,127
Liabilities:    
Revolving line of credit 290,000 190,000
Tranche A-1 term loan - net 0 198,830
Tranche A-2 term loan 0 200,000
Tranche A-3 term loan - net 0 347,449
U.S. term loan - net 422,498 0
Sterling term loan 134,360 0
Omega OP term loan - net [2] 99,423 100,000
Term loans - net 248,390 248,064
HUD debt - net [2] 53,098 54,365
Subordinated debt - net 20,376 20,490
Other 1,500 3,000
Total 4,572,158 4,366,854
Carrying Amount | 4.375% notes due 2023    
Liabilities:    
Notes Payable 693,474 692,305
Carrying Amount | 5.875% notes due 2024    
Liabilities:    
Notes Payable 0 395,065
Carrying Amount | 4.95% notes due 2024    
Liabilities:    
Notes Payable 393,680 392,669
Carrying Amount | 4.50% notes due 2025    
Liabilities:    
Notes Payable 394,640 245,949
Carrying Amount | 5.25% notes due 2026    
Liabilities:    
Notes Payable 594,321 593,616
Carrying Amount | 4.50% notes due 2027    
Liabilities:    
Notes Payable 686,516 685,052
Carrying Amount | 4.75% notes due 2028    
Liabilities:    
Notes Payable 539,882 0
Fair Value    
Assets:    
Investments in direct financing leases - net 364,965 598,665
Mortgage notes receivable - net 686,772 644,961
Other investments - net 281,031 253,385
Total 1,332,768 1,497,011
Liabilities:    
Revolving line of credit 290,000 190,000
Tranche A-1 term loan - net 0 200,000
Tranche A-2 term loan 0 200,000
Tranche A-3 term loan - net 0 350,000
U.S. term loan - net 425,000 0
Sterling term loan 135,130 0
Omega OP term loan - net [2] 100,000 100,000
2015 term loan - net 250,000 250,000
HUD debt - net [2] 51,817 52,510
Subordinated debt - net 23,646 23,944
Other 1,500 3,000
Total 4,665,603 4,444,772
Fair Value | 4.375% notes due 2023    
Liabilities:    
Notes Payable 711,190 693,505
Fair Value | 5.875% notes due 2024    
Liabilities:    
Notes Payable 0 432,938
Fair Value | 4.95% notes due 2024    
Liabilities:    
Notes Payable 420,604 406,361
Fair Value | 4.50% notes due 2025    
Liabilities:    
Notes Payable 399,874 249,075
Fair Value | 5.25% notes due 2026    
Liabilities:    
Notes Payable 625,168 611,461
Fair Value | 4.50% notes due 2027    
Liabilities:    
Notes Payable 681,007 681,978
Fair Value | 4.75% notes due 2028    
Liabilities:    
Notes Payable $ 550,667 $ 0
[1] All borrowing are direct borrowings of Omega unless otherwise noted.
[2] These amounts represent borrowings that were incurred by Omega OP or wholly owned subsidiaries of Omega OP.
XML 120 R100.htm IDEA: XBRL DOCUMENT v3.8.0.1
FINANCIAL INSTRUMENTS (Parentheticals) (Detail)
Dec. 31, 2017
Apr. 28, 2017
Apr. 04, 2017
Jun. 12, 2016
Sep. 23, 2015
Mar. 18, 2015
Sep. 11, 2014
Mar. 11, 2014
4.375% notes due 2023                
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]                
Notes issued, interest rate 4.375%     4.375%        
5.875% notes due 2024                
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]                
Notes issued, interest rate 5.875% 5.875%            
4.95% notes due 2024                
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]                
Notes issued, interest rate 4.95%             4.95%
4.50% notes due 2025                
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]                
Notes issued, interest rate 4.50%           4.50%  
5.25% notes due 2026                
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]                
Notes issued, interest rate 5.25%       5.25%      
4.50% notes due 2027                
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]                
Notes issued, interest rate 4.50%         4.50%    
4.75% notes due 2028                
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]                
Notes issued, interest rate 4.75%   4.75%          
XML 121 R101.htm IDEA: XBRL DOCUMENT v3.8.0.1
TAXES (Detail) - USD ($)
$ in Thousands
Dec. 31, 2017
Dec. 31, 2016
Deferred tax assets:    
Foreign deferred tax assets [1] $ 2,341 $ 1,811
Federal net operating loss carryforward 1,142 253
Total deferred assets 3,483 2,064
Deferred tax liabilities:    
Foreign deferred tax liabilities [1] 17,747 9,906
Total net deferred liabilities before valuation allowances (14,264) (7,842)
Valuation allowance on deferred tax asset (1,142) (253)
Net deferred tax liabilities $ (15,406) $ (8,095)
[1] The deferred tax assets and liabilities primarily resulted from inherited basis differences resulting from our acquisition of entities in the U.K. Subsequent adjustments to these accounts result from GAAP to tax differences related to depreciation, indexation and revenue recognition.
XML 122 R102.htm IDEA: XBRL DOCUMENT v3.8.0.1
TAXES (Narrative) (Detail)
$ in Millions
1 Months Ended 12 Months Ended
Dec. 22, 2017
Dec. 31, 2017
USD ($)
Shareholder
Subsidiary
Dec. 31, 2016
USD ($)
Dec. 31, 2015
USD ($)
Income Tax Disclosure [Abstract]        
Required dividend distribution as a percent of REIT taxable income   90.00%    
Required dividend distribution by a REIT as a percent of net income from foreclosure property   90.00%    
Required 75% of gross income test from qualifying sources   75.00%    
Required 95% of gross income test from qualifying sources   95.00%    
Required percentage of REIT qualifying assets   75.00%    
Maximum ownership percentage of voting or value of any one security by REIT   10.00%    
Maximum ownership percentage by REIT of either debt or equity securities of another company   5.00%    
Maximum percentage of assets invested in one or more taxable REIT subsidiaries   25.00%    
Maximum percentage of assets invested in one or more taxable REIT subsidiaries after December 31, 2017   20.00%    
Minimum number of stockholders who own shares or interest in the REIT | Shareholder   100    
Maximum percentage of interest in REIT that five or fewer individuals own directly or indirectly   50.00%    
Minimum number of subsequent years the company may not be able to qualify as a REIT   4 years    
Percentage of income subject to federal taxation   100.00%    
Permitted ownership of a taxable REIT subsidiary ("TRS"), maximum percentage   100.00%    
Number of subsidiary created REITs as per qualification rules | Subsidiary   5    
Number of taxable REIT subsidiaries | Subsidiary   1    
Number of subsidiary elected for treated as TRSs | Subsidiary   2    
Net operating loss carry-forward | $   $ 5.4    
Net operating loss carryforwards period  
Carried forward for no more than 20 years
   
State and local income tax provision | $   $ 2.4 $ 3.3 $ 1.0
Provision (benefit) for foreign income taxes | $   $ 0.8 $ (1.9) $ 0.2
Tax Year 2017        
Taxes [Line Items]        
TCJA US corporate income tax rate 35.00%      
Effective January 1, 2018        
Taxes [Line Items]        
TCJA US corporate income tax rate 21.00%      
XML 123 R103.htm IDEA: XBRL DOCUMENT v3.8.0.1
RETIREMENT ARRANGEMENTS (Narrative) (Detail) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Compensation Related Costs [Abstract]      
Amounts charged to operations with respect to retirement arrangements $ 0.5 $ 0.5 $ 0.4
Deferred stock units outstanding 423,296 384,107  
XML 124 R104.htm IDEA: XBRL DOCUMENT v3.8.0.1
STOCKHOLDERS'/OWNERS' EQUITY (Detail) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
AOCI Including Portion Attributable to Noncontrolling Interest, Net of Tax [Roll Forward]      
Beginning balance : Accumulated other comprehensive loss for Omega OP [1] $ (56,368) $ (9,131)  
Ending balance : Accumulated other comprehensive loss for Omega OP [1] (31,640) (56,368) $ (9,131)
Add: portion included in noncontrolling interest 1,490 2,541 419
Total accumulated other comprehensive loss for Omega (30,150) (53,827) (8,712)
Foreign Currency Translation      
AOCI Including Portion Attributable to Noncontrolling Interest, Net of Tax [Roll Forward]      
Beginning balance : Accumulated other comprehensive loss for Omega OP (54,948) (8,413) 0
Translation gain (loss) 28,644 (46,303) (8,240)
Realized gain (loss) 311 (232) (173)
Ending balance : Accumulated other comprehensive loss for Omega OP (25,993) (54,948) (8,413)
Cash flow hedges      
AOCI Including Portion Attributable to Noncontrolling Interest, Net of Tax [Roll Forward]      
Beginning balance : Accumulated other comprehensive loss for Omega OP (1,420) (718) 0
Unrealized loss (gain) 545 (719) (718)
Realized gain (loss) [2] 2,338 17 0
Ending balance : Accumulated other comprehensive loss for Omega OP 1,463 (1,420) (718)
Net investment hedge      
AOCI Including Portion Attributable to Noncontrolling Interest, Net of Tax [Roll Forward]      
Beginning balance : Accumulated other comprehensive loss for Omega OP 0 0 0
Unrealized loss (gain) (7,110) 0 0
Ending balance : Accumulated other comprehensive loss for Omega OP $ (7,110) $ 0 $ 0
[1] These amounts are included in owners' equity.
[2] Recorded in interest expense on the Consolidated Statements of Operations.
XML 125 R105.htm IDEA: XBRL DOCUMENT v3.8.0.1
STOCKHOLDERS'/OWNERS' EQUITY (Narrative) (Detail) - USD ($)
$ / shares in Units, shares in Thousands, $ in Thousands
12 Months Ended
Sep. 03, 2015
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Equity Shelf Program [Abstract]        
Stock issued   718 656  
Net proceeds from issuance of common stock   $ 22,120 $ 19,651 $ 439,322
500 Million Equity Shelf Program        
Equity Shelf Program [Abstract]        
Stock issued   718 656  
Issuance of common stock, average price per share   $ 30.81 $ 29.97  
Sales price, equity distribution agreement $ 500,000      
Compensation percentage for sale of shares 2.00%      
XML 126 R106.htm IDEA: XBRL DOCUMENT v3.8.0.1
STOCKHOLDERS'/OWNERS' EQUITY (Narrative) (Detail 1) - USD ($)
$ / shares in Units, shares in Thousands, $ in Thousands
12 Months Ended
Feb. 09, 2015
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Mar. 27, 2015
Mar. 26, 2015
Stockholders Equity Note [Line Items]            
Capital stock, shares authorized         370,000 220,000
Common stock, shares authorized   350,000 350,000   350,000 200,000
Issuance of common stock (in shares)       10,925    
Stock issued   718 656      
Aggregate gross sales price of common stock sold   $ 22,120 $ 19,651      
10.925 Million Common Stock Offering            
Stockholders Equity Note [Line Items]            
Stock issued 10,925          
Issuance of common stock, average price per share $ 42.00          
Aggregate gross sales price of common stock sold $ 440,000          
XML 127 R107.htm IDEA: XBRL DOCUMENT v3.8.0.1
STOCKHOLDERS'/OWNERS' EQUITY (Narrative) (Detail 2) - USD ($)
shares in Thousands, $ in Thousands
12 Months Ended
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Dividend [Line Items]      
Gross proceeds from issuance of common stock $ 22,120 $ 19,651 $ 439,322
Dividend reinvestment plan (in shares) 1,199 7,215 4,184
Dividend Reinvestment and Common Stock Purchase Plan      
Dividend [Line Items]      
Gross proceeds from issuance of common stock $ 36,700 $ 240,000 $ 150,800
Dividend reinvestment plan (in shares) 1,199 7,215 4,184
XML 128 R108.htm IDEA: XBRL DOCUMENT v3.8.0.1
STOCK-BASED COMPENSATION (Detail) - USD ($)
$ / shares in Units, $ in Millions
12 Months Ended
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Number of Shares/Omega OP Units      
Non-vested 2,012,473    
Weighted - Average Grant-Date Fair Value per Share      
Non-vested $ 17.95    
Compensation Cost $ 36.1    
Restricted stock and RSUs      
Number of Shares/Omega OP Units      
Non-vested 336,053 413,628 309,934
Granted 185,004 158,506 233,483
Assumed in Aviv Merger [1]     38,268
Cancelled (1,000) (905) (61,911)
Vested (182,548) (235,176) (106,146)
Non-vested 337,509 336,053 413,628
Weighted - Average Grant-Date Fair Value per Share      
Non-vested $ 37.32 $ 34.45 $ 30.08
Granted 31.25 34.49 39.25
Assumed in Aviv Merger [1]     23.50
Cancelled 34.78 24.92 33.77
Vested 39.58 30.41 28.72
Non-vested $ 32.78 $ 37.32 $ 34.45
Compensation Cost [2] $ 5.8 $ 5.5 $ 9.2
Compensation Cost - Assumed in Aviv Merger [1],[2]     $ 0.9
[1] Omega stock price on April 1, 2015 was $40.74. The weighted average stock price indicated in the table above represents the expense per unit that we will record related to the assumed Aviv RSUs.
[2] Total compensation cost to be recognized on the awards based on grant date fair value, which is based on the market price of the Company's common stock on the date of grant.
XML 129 R109.htm IDEA: XBRL DOCUMENT v3.8.0.1
STOCK-BASED COMPENSATION (Parentheticals) (Detail)
Dec. 31, 2017
$ / shares
Restricted stock and RSUs | Award granted in April 1, 2015  
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]  
Closing stock price $ 40.74
XML 130 R110.htm IDEA: XBRL DOCUMENT v3.8.0.1
STOCK-BASED COMPENSATION (Detail 1) - PRSUs and LTIP Units
12 Months Ended
Dec. 31, 2017
$ / shares
Awards granted in December 31, 2013 and January 1, 2014  
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]  
Closing price on date of grant $ 29.80
Dividend yield 6.44%
Risk free interest rate at time of grant, minimum 0.04%
Risk free interest rate at time of grant, maximum 0.86%
Expected volatility, minimum 24.16%
Expected volatility, maximum 25.86%
Award granted in March 31, 2015  
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]  
Closing price on date of grant $ 40.57
Dividend yield 5.23%
Risk free interest rate at time of grant, minimum 0.10%
Risk free interest rate at time of grant, maximum 0.94%
Expected volatility, minimum 20.06%
Expected volatility, maximum 21.09%
Award granted in April 1, 2015  
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]  
Closing price on date of grant $ 40.74
Dividend yield 5.20%
Risk free interest rate at time of grant, minimum 0.09%
Risk free interest rate at time of grant, maximum 0.91%
Expected volatility, minimum 20.06%
Expected volatility, maximum 21.08%
Awards granted in July 31, 2015  
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]  
Closing price on date of grant $ 36.26
Dividend yield 6.07%
Risk free interest rate at time of grant, minimum 0.13%
Risk free interest rate at time of grant, maximum 1.08%
Expected volatility, minimum 20.06%
Expected volatility, maximum 20.21%
Awards granted in March 17, 2016  
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]  
Closing price on date of grant $ 34.78
Dividend yield 6.56%
Risk free interest rate at time of grant, minimum 0.50%
Risk free interest rate at time of grant, maximum 1.14%
Expected volatility, minimum 23.92%
Expected volatility, maximum 24.88%
Awards granted in January 1, 2017  
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]  
Closing price on date of grant $ 31.26
Dividend yield 7.81%
Risk free interest rate at time of grant, minimum 0.66%
Risk free interest rate at time of grant, maximum 1.58%
Expected volatility, minimum 22.82%
Expected volatility, maximum 25.26%
XML 131 R111.htm IDEA: XBRL DOCUMENT v3.8.0.1
STOCK-BASED COMPENSATION (Detail 2) - USD ($)
$ / shares in Units, $ in Millions
12 Months Ended
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Number of Shares/Units      
Non-vested 2,012,473    
Weighted - Average Grant-Date Fair Value per Share      
Non-vested $ 17.95    
Compensation Cost $ 36.1    
PRSUs and LTIP Units      
Number of Shares/Units      
Non-vested 1,073,998 913,087 850,213
Granted 685,064 679,549 537,923
Cancelled (5,361)   (165,570)
Forfeited (392,921) (518,638) (128,073)
Vested 0 0 (181,406) [1]
Non-vested 1,360,780 1,073,998 913,087
Weighted - Average Grant-Date Fair Value per Share      
Non-vested $ 16.08 $ 14.87 $ 10.97
Granted 14.87 14.67 18.51
Cancelled 15.98   14.11
Forfeited 18.33 12.10 12.04
Vested 0.00 0.00 10.10 [1]
Non-vested $ 14.82 $ 16.08 $ 14.87
Compensation Cost [2] $ 10.2 $ 10.0 $ 10.0
[1] PRSUs are shown as vesting in the year that the Compensation Committee determines the level of achievement of the applicable performance measures.
[2] Total compensation cost to be recognized on the awards was based on the grant date fair value or the modification date fair value.
XML 132 R112.htm IDEA: XBRL DOCUMENT v3.8.0.1
STOCK-BASED COMPENSATION (Detail 3)
$ / shares in Units, $ in Millions
12 Months Ended
Dec. 31, 2017
USD ($)
$ / shares
shares
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]  
Shares/Units | shares 2,012,473
Grant Date Average Fair Value Per Unit/ Share | $ / shares $ 17.95
Total Compensation Cost $ 36.1
Unrecognized Compensation Cost $ 18.5
RSUs  
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]  
Shares/Units | shares 270,422 [1]
Grant Date Average Fair Value Per Unit/ Share | $ / shares $ 32.95
Total Compensation Cost $ 8.9 [1]
Unrecognized Compensation Cost $ 3.8 [2]
RSUs | 3/17/16 RSU  
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]  
Grant Year 2016
Shares/Units | shares 130,006 [1]
Grant Date Average Fair Value Per Unit/ Share | $ / shares $ 34.78
Total Compensation Cost $ 4.5 [1]
Weighted Average Period of Expense Recognition 33 months
Unrecognized Compensation Cost $ 0.9 [2]
Vesting Dates 12/31/2018
RSUs | 1/1/2017 RSU  
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]  
Grant Year 2017
Shares/Units | shares 140,416 [1]
Grant Date Average Fair Value Per Unit/ Share | $ / shares $ 31.26
Total Compensation Cost $ 4.4 [1]
Weighted Average Period of Expense Recognition 36 months
Unrecognized Compensation Cost $ 2.9 [2]
Vesting Dates 12/31/2019
TSR PRSUs and LTIP Units  
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]  
Shares/Units | shares 960,514 [1]
Grant Date Average Fair Value Per Unit/ Share | $ / shares $ 13.26
Total Compensation Cost $ 12.7 [1]
Unrecognized Compensation Cost $ 7.1 [2]
TSR PRSUs and LTIP Units | 3/31/15 2017 LTIP Units  
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]  
Grant Year 2015
Shares/Units | shares 137,249 [1]
Grant Date Average Fair Value Per Unit/ Share | $ / shares $ 14.66
Total Compensation Cost $ 2.0 [1]
Weighted Average Period of Expense Recognition 45 months
Unrecognized Compensation Cost $ 0.5 [2]
Performance Period 1/1/2015-12/31/2017
Vesting Dates Quarterly in 2018
TSR PRSUs and LTIP Units | 4/1/2015 2017 LTIP Units  
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]  
Grant Year 2015
Shares/Units | shares 53,387 [1]
Grant Date Average Fair Value Per Unit/ Share | $ / shares $ 14.81
Total Compensation Cost $ 0.8 [1]
Weighted Average Period of Expense Recognition 45 months
Unrecognized Compensation Cost $ 0.2 [2]
Performance Period 1/1/2015-12/31/2017
Vesting Dates Quarterly in 2018
TSR PRSUs and LTIP Units | 3/17/2016 2018 LTIP Units  
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]  
Grant Year 2016
Shares/Units | shares 370,152 [1]
Grant Date Average Fair Value Per Unit/ Share | $ / shares $ 13.21
Total Compensation Cost $ 4.9 [1]
Weighted Average Period of Expense Recognition 45 months
Unrecognized Compensation Cost $ 2.6 [2]
Performance Period 1/1/2016-12/31/2018
Vesting Dates Quarterly in 2019
TSR PRSUs and LTIP Units | 1/1/2017 2019 LTIP Units  
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]  
Grant Year 2017
Shares/Units | shares 399,726 [1]
Grant Date Average Fair Value Per Unit/ Share | $ / shares $ 12.61
Total Compensation Cost $ 5.0 [1]
Weighted Average Period of Expense Recognition 48 months
Unrecognized Compensation Cost $ 3.8 [2]
Performance Period 1/1/2017-12/31/2019
Vesting Dates Quarterly in 2020
Relative TSR PRSUs  
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]  
Shares/Units | shares 781,537 [1]
Grant Date Average Fair Value Per Unit/ Share | $ / shares $ 18.53
Total Compensation Cost $ 14.5 [1]
Unrecognized Compensation Cost $ 7.6 [2]
Relative TSR PRSUs | 3/31/15 2017 Relative TSR  
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]  
Grant Year 2015
Shares/Units | shares 137,249 [1]
Grant Date Average Fair Value Per Unit/ Share | $ / shares $ 22.50
Total Compensation Cost $ 3.1 [1]
Weighted Average Period of Expense Recognition 45 months
Unrecognized Compensation Cost $ 0.8 [2]
Performance Period 1/1/2015-12/31/2017
Vesting Dates Quarterly in 2018
Relative TSR PRSUs | 4/1/2015 2017 Relative TSR  
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]  
Grant Year 2015
Shares/Units | shares 53,387 [1]
Grant Date Average Fair Value Per Unit/ Share | $ / shares $ 22.92
Total Compensation Cost $ 1.2 [1]
Weighted Average Period of Expense Recognition 45 months
Unrecognized Compensation Cost $ 0.3 [2]
Performance Period 1/1/2015-12/31/2017
Vesting Dates Quarterly in 2018
Relative TSR PRSUs | 3/17/2016 2018 Relative TSR  
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]  
Grant Year 2016
Shares/Units | shares 305,563 [1]
Grant Date Average Fair Value Per Unit/ Share | $ / shares $ 16.44
Total Compensation Cost $ 5.1 [1]
Weighted Average Period of Expense Recognition 45 months
Unrecognized Compensation Cost $ 2.6 [2]
Performance Period 1/1/2016-12/31/2018
Vesting Dates Quarterly in 2019
Relative TSR PRSUs | 1/1/2017 2019 Relative TSR  
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]  
Grant Year 2017
Shares/Units | shares 285,338 [1]
Grant Date Average Fair Value Per Unit/ Share | $ / shares $ 18.04
Total Compensation Cost $ 5.1 [1]
Weighted Average Period of Expense Recognition 48 months
Unrecognized Compensation Cost $ 3.9 [2]
Performance Period 1/1/2017-12/31/2019
Vesting Dates Quarterly in 2020
[1] Total shares/units and compensation costs are net of shares/units cancelled.
[2] This table excludes approximately $1.1 million of unrecognized compensation costs related to our directors.
XML 133 R113.htm IDEA: XBRL DOCUMENT v3.8.0.1
STOCK-BASED COMPENSATION (Narrative) (Detail) - USD ($)
$ / shares in Units, $ in Millions
12 Months Ended
Apr. 01, 2015
Jun. 06, 2013
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]          
Percentage of operating partnership units distributions     10.00%    
Value of shares issued net of tax withholdings     $ 2.1 $ 23.4 $ 26.7
Shares of restricted stock outstanding/shares     2,012,473    
Compensation Cost     $ 36.1    
Unrecognized Compensation Cost     $ 18.5    
Aviv          
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]          
Number of employee stock options assumed 5,700,000        
Conversion ratio of assumed employee stock options 0.9        
Number of stock options issued 5,100,000        
Intrinsic value of stock option assumed $ 99.2        
Number of stock options exercised     26,000 2,500,000 2,600,000
Weighted average rate of stock options exercised     $ 18.97 $ 19.38 $ 19.38
Directors          
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]          
Unrecognized Compensation Cost     $ 1.1    
2013 Stock Incentive Plan          
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]          
Increase in number of shares reserved for issuance   3,000,000      
Number of common shares reserved for future issuance     1,600,000    
XML 134 R114.htm IDEA: XBRL DOCUMENT v3.8.0.1
DIVIDENDS (Detail) - Board of Directors
12 Months Ended
Dec. 31, 2017
$ / shares
January 31, 2017  
Dividend [Line Items]  
Record Date Jan. 31, 2017
Payment Date Feb. 15, 2017
Dividend per Common Share $ 0.62
Increase over Prior Quarter $ 0.01
May 1, 2017  
Dividend [Line Items]  
Record Date May 01, 2017
Payment Date May 15, 2017
Dividend per Common Share $ 0.63
Increase over Prior Quarter $ 0.01
August 1, 2017  
Dividend [Line Items]  
Record Date Aug. 01, 2017
Payment Date Aug. 15, 2017
Dividend per Common Share $ 0.64
Increase over Prior Quarter $ 0.01
October 31, 2017  
Dividend [Line Items]  
Record Date Oct. 31, 2017
Payment Date Nov. 15, 2017
Dividend per Common Share $ 0.65
Increase over Prior Quarter $ 0.01
January 31, 2018  
Dividend [Line Items]  
Record Date Jan. 31, 2018
Payment Date Feb. 15, 2018
Dividend per Common Share $ 0.66
Increase over Prior Quarter $ 0.01
XML 135 R115.htm IDEA: XBRL DOCUMENT v3.8.0.1
DIVIDENDS (Details 1) - $ / shares
12 Months Ended
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Dividends [Line Items]      
Per share distributions of common dividends (in dollars per share) $ 2.54 $ 2.36 $ 2.18
Ordinary income      
Dividends [Line Items]      
Per share distributions of common dividends (in dollars per share) 1.571 1.968 1.133
Return of capital      
Dividends [Line Items]      
Per share distributions of common dividends (in dollars per share) 0.932 0.322 1.047
Capital gains      
Dividends [Line Items]      
Per share distributions of common dividends (in dollars per share) $ 0.037 $ 0.070 $ 0
XML 136 R116.htm IDEA: XBRL DOCUMENT v3.8.0.1
COMMITMENTS AND CONTINGENCIES (Detail)
$ in Thousands
Dec. 31, 2017
USD ($)
Commitments and Contingencies Disclosure [Abstract]  
Total commitment $ 682,249
Amount funded 383,586 [1]
Remaining commitment $ 298,663
[1] Includes finance costs.
XML 137 R117.htm IDEA: XBRL DOCUMENT v3.8.0.1
SUPPLEMENTAL DISCLOSURE TO CONSOLIDATED STATEMENTS OF CASH FLOWS (Detail) - USD ($)
$ in Thousands
9 Months Ended 12 Months Ended
Dec. 31, 2015
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Reconciliation of cash and cash equivalents and restricted cash:        
Restricted cash   $ 10,871 $ 13,589  
Parent company        
Reconciliation of cash and cash equivalents and restricted cash:        
Cash and cash equivalents $ 5,424 85,937 93,687 $ 5,424
Restricted cash 14,607 10,871 13,589 14,607
Cash, cash equivalents and restricted cash at end of period 20,031 96,808 107,276 20,031
Supplemental Information:        
Interest paid during the period, net of amounts capitalized   182,832 148,326 145,929
Taxes paid during the period   4,141 4,922 1,016
Non cash investing activities:        
Non cash acquisition of real estate (See Note 3)   (27,170) 0 0
Non cash acquisition of businesses (see Note 3 and Note 5)   0 (60,079) (3,602,040)
Non cash surrender of mortgage (see Note 3 and Note 5)   0 25,000 0
Non cash investment in other investments   (6,353) 0 0
Non cash proceeds from other investments (see Note 6 and Note 3)   30,187 5,500 0
Non cash settlement of direct financing lease (See Note 4)   18,989 0 0
Total   15,653 (29,579) (3,602,040)
Non cash financing activities:        
Assumed Aviv debt   0 0 1,410,637
Stock exchanged in merger   0 0 1,902,866
Omega OP Units exchanged in merger   0 0 373,394
Purchase option buyout obligation (see Note 3)   0 29,579 0
Change in fair value of cash flow hedges   2,970 764 718
Remeasurement of debt denominated in a foreign currency   7,070 0 0
Other unsecured long term borrowing (see Note 3 and Note 12)   0 3,000 0
Total   10,040 33,343 3,687,615
OHI Healthcare Properties Limited Partnership        
Reconciliation of cash and cash equivalents and restricted cash:        
Cash and cash equivalents 5,424 85,937 93,687 5,424
Restricted cash 14,607 10,871 13,589 14,607
Cash, cash equivalents and restricted cash at end of period 20,031 96,808 107,276 $ 20,031
Supplemental Information:        
Interest paid during the period, net of amounts capitalized 120,100 182,832 148,326  
Taxes paid during the period 1,016 4,141 4,922  
Non cash investing activities:        
Non cash acquisition of real estate (See Note 3) 0 (27,170) 0  
Non cash acquisition of businesses (see Note 3 and Note 5) (3,602,040) 0 (60,079)  
Non cash surrender of mortgage (see Note 3 and Note 5) 0 0 25,000  
Non cash investment in other investments 0 (6,353) 0  
Non cash proceeds from other investments (see Note 6 and Note 3) 0 30,187 5,500  
Non cash settlement of direct financing lease (See Note 4) 0 18,989 0  
Total (3,602,040) 15,653 (29,579)  
Non cash financing activities:        
Assumed Aviv debt 1,410,637 0 0  
Stock exchanged in merger 1,902,866 0 0  
Omega OP Units exchanged in merger 373,394 0 0  
Purchase option buyout obligation (see Note 3) 0 0 29,579  
Change in fair value of cash flow hedges 718 2,970 764  
Remeasurement of debt denominated in a foreign currency 0 7,070 0  
Other unsecured long term borrowing (see Note 3 and Note 12) 0 0 3,000  
Total $ 3,687,615 $ 10,040 $ 33,343  
XML 138 R118.htm IDEA: XBRL DOCUMENT v3.8.0.1
SUMMARY OF QUARTERLY RESULTS (UNAUDITED) (Detail) - USD ($)
$ / shares in Units, $ in Thousands
3 Months Ended 9 Months Ended 12 Months Ended
Dec. 31, 2017
Sep. 30, 2017
Jun. 30, 2017
Mar. 31, 2017
Dec. 31, 2016
Sep. 30, 2016
Jun. 30, 2016
Mar. 31, 2016
Dec. 31, 2015
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Summary Of Quarterly Results [Line Items]                        
Revenues $ 221,206 $ 219,638 $ 235,797 $ 231,744 $ 234,486 $ 224,638 $ 228,824 $ 212,879   $ 908,385 $ 900,827 $ 743,617
Net income (loss) 65,156 [1] (137,515) [1] 68,157 [1] 109,112 [1] 129,883 82,134 113,154 58,196   104,910 383,367 233,315
Net income (loss) available to common stockholders $ 62,400 $ (131,678) $ 65,257 $ 104,440 $ 124,259 $ 78,549 $ 108,052 $ 55,555   $ 100,419 $ 366,415 $ 224,524
Net income (loss) available to common per share:                        
Basic (in dollars per share) $ 0.31 $ (0.67) $ 0.33 $ 0.53 $ 0.63 $ 0.40 $ 0.57 $ 0.30   $ 0.51 $ 1.91 $ 1.30
Net income (loss) per share:                        
Diluted (in dollars per share) $ 0.31 $ (0.67) $ 0.33 $ 0.53 $ 0.63 $ 0.40 $ 0.57 $ 0.29   $ 0.51 $ 1.90 $ 1.29
Omega OP                        
Summary Of Quarterly Results [Line Items]                        
Revenues $ 221,206 $ 219,638 $ 235,797 $ 231,744 $ 234,486 $ 224,638 $ 228,824 $ 212,879 $ 610,197 $ 908,385 $ 900,827  
Net income (loss) $ 65,156 [1] $ (137,515) [1] $ 68,157 [1] $ 109,112 [1] $ 129,883 $ 82,134 $ 113,154 $ 58,196 190,263 [2] 104,910 383,367  
Net income (loss) available to common stockholders                 $ 190,263 [2] $ 104,910 $ 383,367  
Net income (loss) available to Omega OP Unit holders:                        
Basic (in dollars per share) $ 0.31 $ (0.67) $ 0.33 $ 0.53 $ 0.63 $ 0.40 $ 0.57 $ 0.30 $ 0.98 [2] $ 0.51 $ 1.91  
Net income per unit:                        
Diluted (in dollars per share) $ 0.31 $ (0.67) $ 0.33 $ 0.53 $ 0.63 $ 0.40 $ 0.57 $ 0.29 $ 0.97 [2] $ 0.51 $ 1.90  
[1] Amounts reflect provisions for uncollectible accounts and impairment losses on real estate properties and direct financing leases of $10.0 million, $12.8 million, $224.4 million and $64.6 million for the three month periods ended March 31, 2017, June 30, 2017, September 30, 2017 and December 31, 2017, respectively. Amounts also reflect net gain (loss) on assets sold of $7.4 million, $(0.6) million, $0.7 million and $46.4 million for the three month periods ended March 31, 2017, June 30, 2017, September 30, 2017 and December 31, 2017, respectively.
[2] The period is from April 1, 2015 (Aviv Merger date) through December 31, 2015.
XML 139 R119.htm IDEA: XBRL DOCUMENT v3.8.0.1
SUMMARY OF QUARTERLY RESULTS (UNAUDITED) (Parentheticals) (Detail) - USD ($)
$ in Millions
3 Months Ended
Dec. 31, 2017
Sep. 30, 2017
Jun. 30, 2017
Mar. 31, 2017
Quarterly Financial Information Disclosure [Abstract]        
Provisions for uncollectible accounts and impairment losses on real estate properties and direct financing leases $ 64.6 $ 224.4 $ 12.8 $ 10.0
Net gain (loss) on assets sold $ 46.4 $ 0.7 $ (0.6) $ 7.4
XML 140 R120.htm IDEA: XBRL DOCUMENT v3.8.0.1
EARNINGS PER SHARE/UNIT - Computation of basic and diluted earnings per share (Detail) - USD ($)
$ / shares in Units, shares in Thousands, $ in Thousands
3 Months Ended 9 Months Ended 12 Months Ended
Dec. 31, 2017
Sep. 30, 2017
Jun. 30, 2017
Mar. 31, 2017
Dec. 31, 2016
Sep. 30, 2016
Jun. 30, 2016
Mar. 31, 2016
Dec. 31, 2015
[2]
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Numerator:                        
Net income $ 65,156 [1] $ (137,515) [1] $ 68,157 [1] $ 109,112 [1] $ 129,883 $ 82,134 $ 113,154 $ 58,196   $ 104,910 $ 383,367 $ 233,315
Less: net income (loss) attributable to noncontrolling interests                   (4,491) (16,952) (8,791)
Net income available to common stockholders/Omega OP Unit holders $ 62,400 $ (131,678) $ 65,257 $ 104,440 $ 124,259 $ 78,549 $ 108,052 $ 55,555   $ 100,419 $ 366,415 $ 224,524
Denominator:                        
Denominator for basic earnings per share/unit                   197,738 191,781 172,242
Effect of dilutive securities:                        
Common stock equivalents                   269 956 1,539
Noncontrolling interest - Omega OP Units                   8,783 8,898 6,727
Denominator for diluted earnings per share/unit                   206,790 201,635 180,508
Earnings per share - basic:                        
Net income available to common stockholders (in dollars per share) $ 0.31 $ (0.67) $ 0.33 $ 0.53 $ 0.63 $ 0.40 $ 0.57 $ 0.30   $ 0.51 $ 1.91 $ 1.30
Earnings per share/unit - diluted:                        
Net income (in dollars per share) $ 0.31 $ (0.67) $ 0.33 $ 0.53 $ 0.63 $ 0.40 $ 0.57 $ 0.29   $ 0.51 $ 1.90 $ 1.29
Omega OP                        
Numerator:                        
Net income $ 65,156 [1] $ (137,515) [1] $ 68,157 [1] $ 109,112 [1] $ 129,883 $ 82,134 $ 113,154 $ 58,196 $ 190,263 $ 104,910 $ 383,367  
Net income available to common stockholders/Omega OP Unit holders                 $ 190,263 $ 104,910 $ 383,367  
Denominator:                        
Denominator for basic earnings per unit                 193,843 206,521 200,679  
Effect of dilutive securities:                        
Common stock equivalents                 1,899 269 956  
Noncontrolling interest - Omega OP Units                 0 0 0  
Denominator for diluted earnings per unit                 195,742 206,790 201,635  
Earnings per unit - basic:                        
Net income available to Omega OP Unit holders (in dollars per share) $ 0.31 $ (0.67) $ 0.33 $ 0.53 $ 0.63 $ 0.40 $ 0.57 $ 0.30 $ 0.98 $ 0.51 $ 1.91  
Earnings per unit - diluted:                        
Net income (in dollars per share) $ 0.31 $ (0.67) $ 0.33 $ 0.53 $ 0.63 $ 0.40 $ 0.57 $ 0.29 $ 0.97 $ 0.51 $ 1.90  
[1] Amounts reflect provisions for uncollectible accounts and impairment losses on real estate properties and direct financing leases of $10.0 million, $12.8 million, $224.4 million and $64.6 million for the three month periods ended March 31, 2017, June 30, 2017, September 30, 2017 and December 31, 2017, respectively. Amounts also reflect net gain (loss) on assets sold of $7.4 million, $(0.6) million, $0.7 million and $46.4 million for the three month periods ended March 31, 2017, June 30, 2017, September 30, 2017 and December 31, 2017, respectively.
[2] The period is from April 1, 2015 (Aviv Merger date) through December 31, 2015.
XML 141 R121.htm IDEA: XBRL DOCUMENT v3.8.0.1
SUBSEQUENT EVENTS (Narrative) (Detail)
$ in Millions
1 Months Ended 12 Months Ended
Feb. 23, 2018
USD ($)
Facility
Dec. 31, 2016
USD ($)
Dec. 31, 2015
USD ($)
Subsequent Event [Line Items]      
Straight-line rent receivable write-off   $ 4.3 $ 3.2
Subsequent event      
Subsequent Event [Line Items]      
Straight-line rent receivable write-off $ 7.5    
Subsequent event | Ohio      
Subsequent Event [Line Items]      
Number of existing portfolio facility | Facility 13    
XML 142 R122.htm IDEA: XBRL DOCUMENT v3.8.0.1
SCHEDULE II - VALUATION AND QUALIFYING ACCOUNTS (Detail) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Allowance for doubtful accounts:      
Balance at Beginning of Period $ 9,089 $ 3,269 $ 78
Charged to Provision Accounts 212,779 9,845 7,873
Deductions or Other [1] 35,955 4,025 4,682
Balance at End of Period 185,913 9,089 3,269
Accounts receivable      
Allowance for doubtful accounts:      
Balance at Beginning of Period 357 309 78
Charged to Provision Accounts 13,392 4,246 4,994
Deductions or Other [1] 5,286 4,198 4,763
Balance at End of Period 8,463 357 309
Mortgage notes receivable      
Allowance for doubtful accounts:      
Balance at Beginning of Period 3,934 0  
Charged to Provision Accounts 971 3,934  
Deductions or Other [1] 0 0  
Balance at End of Period 4,905 3,934 0
Other investments      
Allowance for doubtful accounts:      
Balance at Beginning of Period 4,798 2,960 0
Charged to Provision Accounts 217 1,665 2,879
Deductions or Other [1] 4,642 (173) (81)
Balance at End of Period 373 4,798 $ 2,960
Direct financing leases      
Allowance for doubtful accounts:      
Balance at Beginning of Period 0    
Charged to Provision Accounts 198,199    
Deductions or Other [1] 26,027    
Balance at End of Period $ 172,172 $ 0  
[1] Uncollectible accounts written off, net of recoveries or adjustments.
XML 143 R123.htm IDEA: XBRL DOCUMENT v3.8.0.1
SCHEDULE III - REAL ESTATE AND ACCUMULATED DEPRECIATION (Detail) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Dec. 31, 2014
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 798,332      
Initial Cost to Company Buildings and Improvements [1] 6,688,607      
Cost Capitalized Subsequent to Acquisition Improvements [1] 316,944      
Cost Capitalized Subsequent to Acquisition Carrying Cost [1] 7,449      
Cost Capitalized Subsequent to Acquisition Other [1],[2] (155,372)      
Gross Amount at Which Carried at Close of Period Land [1],[3] 795,874      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 6,860,086      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total 7,655,960 [3],[4] $ 7,566,358 $ 6,743,958 $ 3,223,785
Accumulated Depreciation 1,376,828 [4] $ 1,240,336 $ 1,019,150 $ 821,712
Maplewood Real Estate Holdings        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] 166,393      
Initial Cost to Company Buildings and Improvements [1] 357,894      
Cost Capitalized Subsequent to Acquisition Improvements [1] 50,042      
Cost Capitalized Subsequent to Acquisition Carrying Cost [1] 5,818      
Cost Capitalized Subsequent to Acquisition Other [1],[2] (680)      
Gross Amount at Which Carried at Close of Period Land [1],[3] 166,393      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 413,074      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 579,467      
Accumulated Depreciation [1],[5] 32,998      
Maplewood Real Estate Holdings | New York        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] 118,606      
Cost Capitalized Subsequent to Acquisition Improvements [1] 34,738      
Cost Capitalized Subsequent to Acquisition Carrying Cost [1] 5,759      
Gross Amount at Which Carried at Close of Period Land [1],[3] 118,606      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 40,497      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] $ 159,103      
Date Acquired [1] 2015      
Maplewood Real Estate Holdings | Connecticut        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 25,063      
Initial Cost to Company Buildings and Improvements [1] 216,538      
Cost Capitalized Subsequent to Acquisition Improvements [1] 3,287      
Cost Capitalized Subsequent to Acquisition Carrying Cost [1] 59      
Gross Amount at Which Carried at Close of Period Land [1],[3] 25,063      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 219,884      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 244,947      
Accumulated Depreciation [1],[5] $ 20,109      
Date Of Construction [1] 1968-2015      
Date Acquired [1] 2015      
Life on Which Depreciation in Latest Income Statements is Computed [1] 33 years      
Maplewood Real Estate Holdings | Massachusetts        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 19,041      
Initial Cost to Company Buildings and Improvements [1] 113,728      
Cost Capitalized Subsequent to Acquisition Improvements [1] 11,982      
Cost Capitalized Subsequent to Acquisition Other [1],[2] (680)      
Gross Amount at Which Carried at Close of Period Land [1],[3] 19,041      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 125,030      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 144,071      
Accumulated Depreciation [1],[5] $ 10,614      
Date Of Construction [1] 1988-2017      
Date Acquired [1] 2015      
Maplewood Real Estate Holdings | Massachusetts | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 30 years      
Maplewood Real Estate Holdings | Massachusetts | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 33 years      
Maplewood Real Estate Holdings | Ohio        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 3,683      
Initial Cost to Company Buildings and Improvements [1] 27,628      
Cost Capitalized Subsequent to Acquisition Improvements [1] 35      
Gross Amount at Which Carried at Close of Period Land [1],[3] 3,683      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 27,663      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 31,346      
Accumulated Depreciation [1],[5] $ 2,275      
Date Of Construction [1] 1999-2016      
Date Acquired [1] 2015      
Maplewood Real Estate Holdings | Ohio | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 30 years      
Maplewood Real Estate Holdings | Ohio | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 33 years      
Signature Holdings II        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 41,139      
Initial Cost to Company Buildings and Improvements [1] 467,437      
Cost Capitalized Subsequent to Acquisition Improvements [1] 22,601      
Cost Capitalized Subsequent to Acquisition Carrying Cost [1] 158      
Gross Amount at Which Carried at Close of Period Land [1],[3] 41,139      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 490,196      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 531,335      
Accumulated Depreciation [1],[5] 101,837      
Signature Holdings II | Florida        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] 14,077      
Initial Cost to Company Buildings and Improvements [1] 166,901      
Cost Capitalized Subsequent to Acquisition Improvements [1] 13,295      
Cost Capitalized Subsequent to Acquisition Carrying Cost [1] 158      
Gross Amount at Which Carried at Close of Period Land [1],[3] 14,077      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 180,354      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 194,431      
Accumulated Depreciation [1],[5] $ 48,710      
Date Of Construction [1] 1940-1997      
Date Acquired [1] 1996-2016      
Signature Holdings II | Florida | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 3 years      
Signature Holdings II | Florida | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 39 years      
Signature Holdings II | Georgia        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 3,833      
Initial Cost to Company Buildings and Improvements [1] 10,847      
Cost Capitalized Subsequent to Acquisition Improvements [1] 3,949      
Gross Amount at Which Carried at Close of Period Land [1],[3] 3,833      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 14,796      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 18,629      
Accumulated Depreciation [1],[5] $ 9,522      
Date Of Construction [1] 1964-1970      
Date Acquired [1] 2007      
Life on Which Depreciation in Latest Income Statements is Computed [1] 20 years      
Signature Holdings II | Kentucky        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 13,335      
Initial Cost to Company Buildings and Improvements [1] 87,791      
Cost Capitalized Subsequent to Acquisition Improvements [1] 4,174      
Gross Amount at Which Carried at Close of Period Land [1],[3] 13,335      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 91,965      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 105,300      
Accumulated Depreciation [1],[5] $ 23,772      
Date Of Construction [1] 1964-1980      
Date Acquired [1] 1999-2016      
Signature Holdings II | Kentucky | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 20 years      
Signature Holdings II | Kentucky | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 33 years      
Signature Holdings II | Maryland        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 1,480      
Initial Cost to Company Buildings and Improvements [1] 19,663      
Cost Capitalized Subsequent to Acquisition Improvements [1] 1,183      
Gross Amount at Which Carried at Close of Period Land [1],[3] 1,480      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 20,846      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 22,326      
Accumulated Depreciation [1],[5] $ 7,804      
Date Of Construction [1] 1959-1977      
Date Acquired [1] 2010      
Signature Holdings II | Maryland | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 29 years      
Signature Holdings II | Maryland | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 30 years      
Signature Holdings II | Tennessee        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 8,414      
Initial Cost to Company Buildings and Improvements [1] 182,235      
Gross Amount at Which Carried at Close of Period Land [1],[3] 8,414      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 182,235      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 190,649      
Accumulated Depreciation [1],[5] $ 12,029      
Date Of Construction [1] 1966-2016      
Date Acquired [1] 2014-2016      
Signature Holdings II | Tennessee | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 25 years      
Signature Holdings II | Tennessee | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 30 years      
Saber Health Group        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 31,872      
Initial Cost to Company Buildings and Improvements [1] 428,632      
Cost Capitalized Subsequent to Acquisition Improvements [1] 24,753      
Cost Capitalized Subsequent to Acquisition Carrying Cost [1] 323      
Cost Capitalized Subsequent to Acquisition Other [1],[2] (268)      
Gross Amount at Which Carried at Close of Period Land [1],[3] 31,872      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 453,440      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 485,312      
Accumulated Depreciation [1],[5] 43,928      
Saber Health Group | Florida        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] 423      
Initial Cost to Company Buildings and Improvements [1] 4,422      
Cost Capitalized Subsequent to Acquisition Improvements [1] 197      
Gross Amount at Which Carried at Close of Period Land [1],[3] 423      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 4,619      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 5,042      
Accumulated Depreciation [1],[5] $ 536      
Date Of Construction [1] 2009      
Date Acquired [1] 2015      
Life on Which Depreciation in Latest Income Statements is Computed [1] 33 years      
Saber Health Group | North Carolina        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 10,780      
Initial Cost to Company Buildings and Improvements [1] 106,695      
Cost Capitalized Subsequent to Acquisition Improvements [1] 11,899      
Cost Capitalized Subsequent to Acquisition Carrying Cost [1] 323      
Gross Amount at Which Carried at Close of Period Land [1],[3] 10,780      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 118,917      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 129,697      
Accumulated Depreciation [1],[5] $ 11,448      
Date Of Construction [1] 1965-2013      
Date Acquired [1] 2016      
Saber Health Group | North Carolina | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 3 years      
Saber Health Group | North Carolina | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 30 years      
Saber Health Group | Ohio        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 5,035      
Initial Cost to Company Buildings and Improvements [1] 107,057      
Cost Capitalized Subsequent to Acquisition Improvements [1] 6,124      
Cost Capitalized Subsequent to Acquisition Other [1],[2] (268)      
Gross Amount at Which Carried at Close of Period Land [1],[3] 5,035      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 112,913      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 117,948      
Accumulated Depreciation [1],[5] $ 11,379      
Date Of Construction [1] 1979-2000      
Date Acquired [1] 2015-2016      
Saber Health Group | Ohio | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 30 years      
Saber Health Group | Ohio | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 33 years      
Saber Health Group | Pennsylvania        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 7,134      
Initial Cost to Company Buildings and Improvements [1] 124,476      
Cost Capitalized Subsequent to Acquisition Improvements [1] 3,858      
Gross Amount at Which Carried at Close of Period Land [1],[3] 7,134      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 128,334      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 135,468      
Accumulated Depreciation [1],[5] $ 13,132      
Date Of Construction [1] 1873-2002      
Date Acquired [1] 2015      
Life on Which Depreciation in Latest Income Statements is Computed [1] 33 years      
Saber Health Group | Virginia        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 8,500      
Initial Cost to Company Buildings and Improvements [1] 85,982      
Cost Capitalized Subsequent to Acquisition Improvements [1] 2,675      
Gross Amount at Which Carried at Close of Period Land [1],[3] 8,500      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 88,657      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 97,157      
Accumulated Depreciation [1],[5] $ 7,433      
Date Of Construction [1] 1964-2013      
Date Acquired [1] 2016      
Life on Which Depreciation in Latest Income Statements is Computed [1] 30 years      
Ciena Healthcare        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 25,382      
Initial Cost to Company Buildings and Improvements [1] 435,895      
Cost Capitalized Subsequent to Acquisition Other [1],[2] (257)      
Gross Amount at Which Carried at Close of Period Land [1],[3] 25,205      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 435,815      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 461,020      
Accumulated Depreciation [1],[5] 43,958      
Ciena Healthcare | Indiana        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] 321      
Initial Cost to Company Buildings and Improvements [1] 7,703      
Gross Amount at Which Carried at Close of Period Land [1],[3] 321      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 7,703      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 8,024      
Accumulated Depreciation [1],[5] $ 902      
Date Of Construction [1] 1973      
Date Acquired [1] 2015      
Life on Which Depreciation in Latest Income Statements is Computed [1] 33 years      
Ciena Healthcare | Michigan        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 4,087      
Initial Cost to Company Buildings and Improvements [1] 115,547      
Gross Amount at Which Carried at Close of Period Land [1],[3] 4,087      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 115,547      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 119,634      
Accumulated Depreciation [1],[5] $ 12,261      
Date Of Construction [1] 1964-1997      
Date Acquired [1] 2015      
Life on Which Depreciation in Latest Income Statements is Computed [1] 33 years      
Ciena Healthcare | North Carolina        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 4,331      
Initial Cost to Company Buildings and Improvements [1] 65,027      
Gross Amount at Which Carried at Close of Period Land [1],[3] 4,331      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 65,027      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 69,358      
Accumulated Depreciation [1],[5] $ 7,233      
Date Of Construction [1] 1927-1997      
Date Acquired [1] 2015      
Ciena Healthcare | North Carolina | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 12 years      
Ciena Healthcare | North Carolina | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 33 years      
Ciena Healthcare | Ohio        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 10,343      
Initial Cost to Company Buildings and Improvements [1] 159,846      
Cost Capitalized Subsequent to Acquisition Other [1],[2] (80)      
Gross Amount at Which Carried at Close of Period Land [1],[3] 10,343      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 159,766      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 170,109      
Accumulated Depreciation [1],[5] $ 16,833      
Date Of Construction [1] 1960-2007      
Date Acquired [1] 2010-2016      
Ciena Healthcare | Ohio | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 20 years      
Ciena Healthcare | Ohio | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 33 years      
Ciena Healthcare | Virginia        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 6,300      
Initial Cost to Company Buildings and Improvements [1] 87,772      
Cost Capitalized Subsequent to Acquisition Other [1],[2] (177)      
Gross Amount at Which Carried at Close of Period Land [1],[3] 6,123      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 87,772      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 93,895      
Accumulated Depreciation [1],[5] $ 6,729      
Date Of Construction [1] 1979-2007      
Date Acquired [1] 2016      
Life on Which Depreciation in Latest Income Statements is Computed [1] 30 years      
CommuniCare Health Services, Inc        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 33,787      
Initial Cost to Company Buildings and Improvements [1] 376,815      
Cost Capitalized Subsequent to Acquisition Improvements [1] 27,131      
Gross Amount at Which Carried at Close of Period Land [1],[3] 33,787      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 403,946      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 437,733      
Accumulated Depreciation [1],[5] 74,315      
CommuniCare Health Services, Inc | Indiana        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] 17,949      
Initial Cost to Company Buildings and Improvements [1] 193,059      
Gross Amount at Which Carried at Close of Period Land [1],[3] 17,949      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 193,059      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 211,008      
Accumulated Depreciation [1],[5] $ 3,333      
Date Of Construction [1] 1963-2014      
Date Acquired [1] 2017      
CommuniCare Health Services, Inc | Indiana | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 20 years      
CommuniCare Health Services, Inc | Indiana | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 30 years      
CommuniCare Health Services, Inc | Maryland        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 7,190      
Initial Cost to Company Buildings and Improvements [1] 74,029      
Cost Capitalized Subsequent to Acquisition Improvements [1] 3,844      
Gross Amount at Which Carried at Close of Period Land [1],[3] 7,190      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 77,873      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 85,063      
Accumulated Depreciation [1],[5] $ 17,808      
Date Of Construction [1] 1921-1985      
Date Acquired [1] 2010-2011      
CommuniCare Health Services, Inc | Maryland | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 25 years      
CommuniCare Health Services, Inc | Maryland | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 30 years      
CommuniCare Health Services, Inc | Ohio        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 6,445      
Initial Cost to Company Buildings and Improvements [1] 76,436      
Cost Capitalized Subsequent to Acquisition Improvements [1] 11,821      
Gross Amount at Which Carried at Close of Period Land [1],[3] 6,445      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 88,257      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 94,702      
Accumulated Depreciation [1],[5] $ 37,954      
Date Of Construction [1] 1927-2008      
Date Acquired [1] 1998-2008      
CommuniCare Health Services, Inc | Ohio | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 20 years      
CommuniCare Health Services, Inc | Ohio | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 39 years      
CommuniCare Health Services, Inc | Pennsylvania        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 1,753      
Initial Cost to Company Buildings and Improvements [1] 18,533      
Cost Capitalized Subsequent to Acquisition Improvements [1] 11,281      
Gross Amount at Which Carried at Close of Period Land [1],[3] 1,753      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 29,814      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 31,567      
Accumulated Depreciation [1],[5] $ 12,167      
Date Of Construction [1] 1950-1964      
Date Acquired [1] 2005      
Life on Which Depreciation in Latest Income Statements is Computed [1] 39 years      
CommuniCare Health Services, Inc | West Virginia        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 450      
Initial Cost to Company Buildings and Improvements [1] 14,758      
Cost Capitalized Subsequent to Acquisition Improvements [1] 185      
Gross Amount at Which Carried at Close of Period Land [1],[3] 450      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 14,943      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 15,393      
Accumulated Depreciation [1],[5] $ 3,053      
Date Of Construction [1] 1963      
Date Acquired [1] 2011      
Life on Which Depreciation in Latest Income Statements is Computed [1] 35 years      
Other        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 499,759      
Initial Cost to Company Buildings and Improvements [1] 4,621,934      
Cost Capitalized Subsequent to Acquisition Improvements [1] 192,417      
Cost Capitalized Subsequent to Acquisition Carrying Cost [1] 1,150      
Cost Capitalized Subsequent to Acquisition Other [1],[2] (154,167)      
Gross Amount at Which Carried at Close of Period Land [1],[3] 497,478      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 4,663,615      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 5,161,093      
Accumulated Depreciation [1],[5] 1,079,792      
Other | Alabama        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] 1,817      
Initial Cost to Company Buildings and Improvements [1] 33,356      
Cost Capitalized Subsequent to Acquisition Improvements [1] 12,916      
Gross Amount at Which Carried at Close of Period Land [1],[3] 1,817      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 46,272      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 48,089      
Accumulated Depreciation [1],[5] $ 33,080      
Date Of Construction [1] 1960-1982      
Date Acquired [1] 1992-1997      
Other | Alabama | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 31 years      
Other | Alabama | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 33 years      
Other | Arizona        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 10,995      
Initial Cost to Company Buildings and Improvements [1] 86,868      
Gross Amount at Which Carried at Close of Period Land [1],[3] 10,995      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 86,868      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 97,863      
Accumulated Depreciation [1],[5] $ 13,093      
Date Of Construction [1] 1949-1999      
Date Acquired [1] 2012-2015      
Other | Arizona | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 33 years      
Other | Arizona | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 40 years      
Other | Arkansas        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1],[6] $ 3,698      
Initial Cost to Company Buildings and Improvements [1],[6] 85,308      
Cost Capitalized Subsequent to Acquisition Improvements [1],[6] 8,856      
Cost Capitalized Subsequent to Acquisition Other [1],[2],[6] (36)      
Gross Amount at Which Carried at Close of Period Land [1],[3],[6] 3,698      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3],[6] 94,128      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3],[6] 97,826      
Accumulated Depreciation [1],[5],[6] $ 39,139      
Date Of Construction [1],[6] 1967-2009      
Date Acquired [1],[6] 1992-2015      
Other | Arkansas | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1],[6] 25 years      
Other | Arkansas | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1],[6] 33 years      
Other | California        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 73,466      
Initial Cost to Company Buildings and Improvements [1] 408,201      
Cost Capitalized Subsequent to Acquisition Improvements [1] 3,837      
Gross Amount at Which Carried at Close of Period Land [1],[3] 73,466      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 412,038      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 485,504      
Accumulated Depreciation [1],[5] $ 68,870      
Date Of Construction [1] 1927-2013      
Date Acquired [1] 1997-2015      
Other | California | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 5 years      
Other | California | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 35 years      
Other | Colorado        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 11,279      
Initial Cost to Company Buildings and Improvements [1] 88,831      
Cost Capitalized Subsequent to Acquisition Improvements [1] 7,790      
Gross Amount at Which Carried at Close of Period Land [1],[3] 11,279      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 96,621      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 107,900      
Accumulated Depreciation [1],[5] $ 33,257      
Date Of Construction [1] 1925-1975      
Date Acquired [1] 1998-2016      
Other | Colorado | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 20 years      
Other | Colorado | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 39 years      
Other | Connecticut        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 879      
Initial Cost to Company Buildings and Improvements [1] 4,446      
Cost Capitalized Subsequent to Acquisition Improvements [1] 980      
Cost Capitalized Subsequent to Acquisition Other [1],[2] (5,426)      
Gross Amount at Which Carried at Close of Period Land [1],[3] 879      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] $ 879      
Date Acquired [1] 1999      
Other | Florida        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 63,094      
Initial Cost to Company Buildings and Improvements [1] 504,796      
Cost Capitalized Subsequent to Acquisition Improvements [1] 42,010      
Cost Capitalized Subsequent to Acquisition Carrying Cost [1] 1,082      
Cost Capitalized Subsequent to Acquisition Other [1],[2] (9,737)      
Gross Amount at Which Carried at Close of Period Land [1],[3] 63,019      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 538,226      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 601,245      
Accumulated Depreciation [1],[5] $ 170,325      
Date Of Construction [1] 1933-2017      
Date Acquired [1] 1992-2017      
Other | Florida | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 2 years      
Other | Florida | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 40 years      
Other | Georgia        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 3,730      
Initial Cost to Company Buildings and Improvements [1] 47,387      
Cost Capitalized Subsequent to Acquisition Improvements [1] 669      
Gross Amount at Which Carried at Close of Period Land [1],[3] 3,730      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 48,056      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 51,786      
Accumulated Depreciation [1],[5] $ 7,015      
Date Of Construction [1] 1967-1998      
Date Acquired [1] 1998-2016      
Other | Georgia | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 30 years      
Other | Georgia | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 40 years      
Other | Idaho        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 6,625      
Initial Cost to Company Buildings and Improvements [1] 62,353      
Cost Capitalized Subsequent to Acquisition Improvements [1] 1,322      
Cost Capitalized Subsequent to Acquisition Other [1],[2] (14,690)      
Gross Amount at Which Carried at Close of Period Land [1],[3] 6,625      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 48,985      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 55,610      
Accumulated Depreciation [1],[5] $ 12,887      
Date Of Construction [1] 1911-2008      
Date Acquired [1] 1997-2015      
Other | Idaho | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 25 years      
Other | Idaho | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 39 years      
Other | Illinois        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 5,112      
Initial Cost to Company Buildings and Improvements [1] 98,178      
Cost Capitalized Subsequent to Acquisition Improvements [1] 66      
Cost Capitalized Subsequent to Acquisition Other [1],[2] (44,462)      
Gross Amount at Which Carried at Close of Period Land [1],[3] 4,977      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 53,917      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 58,894      
Accumulated Depreciation [1],[5] $ 892      
Date Of Construction [1] 1961-1981      
Date Acquired [1] 2015      
Other | Illinois | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 30 years      
Other | Illinois | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 33 years      
Other | Indiana        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 25,781      
Initial Cost to Company Buildings and Improvements [1] 335,737      
Cost Capitalized Subsequent to Acquisition Improvements [1] 435      
Cost Capitalized Subsequent to Acquisition Other [1],[2] (1,828)      
Gross Amount at Which Carried at Close of Period Land [1],[3] 25,773      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 334,352      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 360,125      
Accumulated Depreciation [1],[5] $ 80,438      
Date Of Construction [1] 1942-2008      
Date Acquired [1] 1992-2015      
Other | Indiana | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 20 years      
Other | Indiana | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 40 years      
Other | Iowa        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 2,485      
Initial Cost to Company Buildings and Improvements [1] 60,406      
Gross Amount at Which Carried at Close of Period Land [1],[3] 2,485      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 60,406      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 62,891      
Accumulated Depreciation [1],[5] $ 9,456      
Date Of Construction [1] 1961-1998      
Date Acquired [1] 2010-2015      
Other | Iowa | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 12 years      
Other | Iowa | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 33 years      
Other | Kansas        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 4,800      
Initial Cost to Company Buildings and Improvements [1] 47,496      
Cost Capitalized Subsequent to Acquisition Improvements [1] 12,767      
Cost Capitalized Subsequent to Acquisition Other [1],[2] (2,229)      
Gross Amount at Which Carried at Close of Period Land [1],[3] 4,800      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 58,034      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 62,834      
Accumulated Depreciation [1],[5] $ 8,524      
Date Of Construction [1] 1957-1985      
Date Acquired [1] 2010-2015      
Other | Kansas | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 12 years      
Other | Kansas | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 33 years      
Other | Kentucky        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 5,611      
Initial Cost to Company Buildings and Improvements [1] 123,995      
Cost Capitalized Subsequent to Acquisition Improvements [1] 9,851      
Gross Amount at Which Carried at Close of Period Land [1],[3] 5,611      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 133,846      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 139,457      
Accumulated Depreciation [1],[5] $ 25,761      
Date Of Construction [1] 1917-2002      
Date Acquired [1] 1994-2015      
Life on Which Depreciation in Latest Income Statements is Computed [1] 33 years      
Other | Louisiana        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 2,178      
Initial Cost to Company Buildings and Improvements [1] 52,870      
Cost Capitalized Subsequent to Acquisition Improvements [1] 3,303      
Cost Capitalized Subsequent to Acquisition Other [1],[2] (189)      
Gross Amount at Which Carried at Close of Period Land [1],[3] 2,178      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 55,984      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 58,162      
Accumulated Depreciation [1],[5] $ 19,388      
Date Of Construction [1] 1957-1983      
Date Acquired [1] 1997-2006      
Other | Louisiana | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 22 years      
Other | Louisiana | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 39 years      
Other | Massachusetts        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 5,389      
Initial Cost to Company Buildings and Improvements [1] 35,826      
Cost Capitalized Subsequent to Acquisition Improvements [1] 2,160      
Gross Amount at Which Carried at Close of Period Land [1],[3] 5,389      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 37,986      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 43,375      
Accumulated Depreciation [1],[5] $ 19,661      
Date Of Construction [1] 1964-1993      
Date Acquired [1] 1997-2010      
Other | Massachusetts | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 20 years      
Other | Massachusetts | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 39 years      
Other | Michigan        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 830      
Initial Cost to Company Buildings and Improvements [1] 30,921      
Gross Amount at Which Carried at Close of Period Land [1],[3] 830      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 30,921      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 31,751      
Accumulated Depreciation [1],[5] $ 5,921      
Date Of Construction [1] 1964-1975      
Date Acquired [1] 2011-2015      
Other | Michigan | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 25 years      
Other | Michigan | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 33 years      
Other | Minnesota        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 10,502      
Initial Cost to Company Buildings and Improvements [1] 52,585      
Cost Capitalized Subsequent to Acquisition Improvements [1] 4,294      
Gross Amount at Which Carried at Close of Period Land [1],[3] 10,502      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 56,879      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 67,381      
Accumulated Depreciation [1],[5] $ 6,407      
Date Of Construction [1] 1966-1983      
Date Acquired [1] 2015      
Life on Which Depreciation in Latest Income Statements is Computed [1] 33 years      
Other | Mississippi        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 2,910      
Initial Cost to Company Buildings and Improvements [1] 49,507      
Cost Capitalized Subsequent to Acquisition Improvements [1] 827      
Gross Amount at Which Carried at Close of Period Land [1],[3] 2,910      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 50,334      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 53,244      
Accumulated Depreciation [1],[5] $ 16,050      
Date Of Construction [1] 1962-1988      
Date Acquired [1] 2009-2010      
Other | Mississippi | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 20 years      
Other | Mississippi | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 40 years      
Other | Missouri        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 7,333      
Initial Cost to Company Buildings and Improvements [1] 121,481      
Cost Capitalized Subsequent to Acquisition Improvements [1] 693      
Cost Capitalized Subsequent to Acquisition Other [1],[2] (37,104)      
Gross Amount at Which Carried at Close of Period Land [1],[3] 7,325      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 85,078      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 92,403      
Accumulated Depreciation [1],[5] $ 9,624      
Date Of Construction [1] 1955-1994      
Date Acquired [1] 1999-2016      
Other | Missouri | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 30 years      
Other | Missouri | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 33 years      
Other | Montana        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 1,319      
Initial Cost to Company Buildings and Improvements [1] 11,698      
Gross Amount at Which Carried at Close of Period Land [1],[3] 1,319      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 11,698      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 13,017      
Accumulated Depreciation [1],[5] $ 1,274      
Date Of Construction [1] 1963-1971      
Date Acquired [1] 2015      
Life on Which Depreciation in Latest Income Statements is Computed [1] 33 years      
Other | Nebraska        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 1,600      
Initial Cost to Company Buildings and Improvements [1] 23,142      
Gross Amount at Which Carried at Close of Period Land [1],[3] 1,600      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 23,142      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 24,742      
Accumulated Depreciation [1],[5] $ 3,687      
Date Of Construction [1] 1963-1969      
Date Acquired [1] 2015      
Other | Nebraska | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 20 years      
Other | Nebraska | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 33 years      
Other | Nevada        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 5,501      
Initial Cost to Company Buildings and Improvements [1] 50,472      
Cost Capitalized Subsequent to Acquisition Improvements [1] 8,350      
Gross Amount at Which Carried at Close of Period Land [1],[3] 5,501      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 58,822      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 64,323      
Accumulated Depreciation [1],[5] $ 12,858      
Date Of Construction [1] 1972-2004      
Date Acquired [1] 2009-2015      
Other | Nevada | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 26 years      
Other | Nevada | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 33 years      
Other | New Hampshire        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 1,782      
Initial Cost to Company Buildings and Improvements [1] 19,837      
Cost Capitalized Subsequent to Acquisition Improvements [1] 1,463      
Gross Amount at Which Carried at Close of Period Land [1],[3] 1,782      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 21,300      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 23,082      
Accumulated Depreciation [1],[5] $ 9,057      
Date Of Construction [1] 1963-1999      
Date Acquired [1] 1998-2006      
Other | New Hampshire | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 33 years      
Other | New Hampshire | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 39 years      
Other | New Mexico        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 8,372      
Initial Cost to Company Buildings and Improvements [1] 62,191      
Gross Amount at Which Carried at Close of Period Land [1],[3] 8,372      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 62,191      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 70,563      
Accumulated Depreciation [1],[5] $ 6,493      
Date Of Construction [1] 1960-1985      
Date Acquired [1] 2015      
Life on Which Depreciation in Latest Income Statements is Computed [1] 33 years      
Other | North Carolina        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 3,798      
Initial Cost to Company Buildings and Improvements [1] 60,591      
Cost Capitalized Subsequent to Acquisition Improvements [1] 3,551      
Gross Amount at Which Carried at Close of Period Land [1],[3] 3,798      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 64,142      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 67,940      
Accumulated Depreciation [1],[5] $ 28,802      
Date Of Construction [1] 1964-1987      
Date Acquired [1] 1994-2017      
Other | North Carolina | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 25 years      
Other | North Carolina | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 36 years      
Other | Ohio        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 18,135      
Initial Cost to Company Buildings and Improvements [1] 254,695      
Cost Capitalized Subsequent to Acquisition Improvements [1] 7,134      
Cost Capitalized Subsequent to Acquisition Other [1],[2] (552)      
Gross Amount at Which Carried at Close of Period Land [1],[3] 18,135      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 261,277      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 279,412      
Accumulated Depreciation [1],[5] $ 64,195      
Date Of Construction [1] 1920-1998      
Date Acquired [1] 1994-2015      
Other | Ohio | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 21 years      
Other | Ohio | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 39 years      
Other | Oklahoma        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 4,650      
Initial Cost to Company Buildings and Improvements [1] 36,247      
Gross Amount at Which Carried at Close of Period Land [1],[3] 4,650      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 36,247      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 40,897      
Accumulated Depreciation [1],[5] $ 9,820      
Date Of Construction [1] 1965-2013      
Date Acquired [1] 2010-2015      
Other | Oklahoma | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 20 years      
Other | Oklahoma | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 33 years      
Other | Oregon        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 3,641      
Initial Cost to Company Buildings and Improvements [1] 45,218      
Cost Capitalized Subsequent to Acquisition Improvements [1] 4,004      
Gross Amount at Which Carried at Close of Period Land [1],[3] 3,641      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 49,222      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 52,863      
Accumulated Depreciation [1],[5] $ 5,350      
Date Of Construction [1] 1959-2004      
Date Acquired [1] 2014-2015      
Other | Oregon | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 25 years      
Other | Oregon | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 33 years      
Other | Pennsylvania        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 9,981      
Initial Cost to Company Buildings and Improvements [1] 187,731      
Cost Capitalized Subsequent to Acquisition Other [1],[2] (5)      
Gross Amount at Which Carried at Close of Period Land [1],[3] 9,976      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 187,731      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 197,707      
Accumulated Depreciation [1],[5] $ 62,399      
Date Of Construction [1] 1942-2012      
Date Acquired [1] 1998-2015      
Other | Pennsylvania | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 16 years      
Other | Pennsylvania | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 39 years      
Other | Rhode Island        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 3,658      
Initial Cost to Company Buildings and Improvements [1] 35,082      
Cost Capitalized Subsequent to Acquisition Improvements [1] 4,793      
Gross Amount at Which Carried at Close of Period Land [1],[3] 3,658      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 39,875      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 43,533      
Accumulated Depreciation [1],[5] $ 17,682      
Date Of Construction [1] 1965-1981      
Date Acquired [1] 2006      
Life on Which Depreciation in Latest Income Statements is Computed [1] 39 years      
Other | South Carolina        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 7,800      
Initial Cost to Company Buildings and Improvements [1] 59,782      
Gross Amount at Which Carried at Close of Period Land [1],[3] 7,800      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 59,782      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 67,582      
Accumulated Depreciation [1],[5] $ 8,838      
Date Of Construction [1] 1959-2007      
Date Acquired [1] 2014-2016      
Other | South Carolina | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 20 years      
Other | South Carolina | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 33 years      
Other | Tennessee        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 5,827      
Initial Cost to Company Buildings and Improvements [1] 99,457      
Cost Capitalized Subsequent to Acquisition Improvements [1] 5,332      
Cost Capitalized Subsequent to Acquisition Other [1],[2] (135)      
Gross Amount at Which Carried at Close of Period Land [1],[3] 5,933      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 104,548      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 110,481      
Accumulated Depreciation [1],[5] $ 51,466      
Date Of Construction [1] 1958-1985      
Date Acquired [1] 1992-2015      
Other | Tennessee | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 20 years      
Other | Tennessee | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 31 years      
Other | Texas        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 70,761      
Initial Cost to Company Buildings and Improvements [1] 721,428      
Cost Capitalized Subsequent to Acquisition Improvements [1] 27,074      
Cost Capitalized Subsequent to Acquisition Carrying Cost [1] 68      
Cost Capitalized Subsequent to Acquisition Other [1],[2] (2,532)      
Gross Amount at Which Carried at Close of Period Land [1],[3] 70,761      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 746,038      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 816,799      
Accumulated Depreciation [1],[5] $ 124,486      
Date Of Construction [1] 1952-2015      
Date Acquired [1] 1997-2017      
Other | Texas | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 2 years      
Other | Texas | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 40 years      
Other | United Kingdom        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 81,843      
Initial Cost to Company Buildings and Improvements [1] 346,104      
Cost Capitalized Subsequent to Acquisition Improvements [1] 1,791      
Cost Capitalized Subsequent to Acquisition Other [1],[2] (22,258)      
Gross Amount at Which Carried at Close of Period Land [1],[3] 79,688      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 327,792      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 407,480      
Accumulated Depreciation [1],[5] $ 22,033      
Date Of Construction [1] 1750-2012      
Date Acquired [1] 2015-2017      
Life on Which Depreciation in Latest Income Statements is Computed [1] 30 years      
Other | Vermont        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 318      
Initial Cost to Company Buildings and Improvements [1] 6,006      
Cost Capitalized Subsequent to Acquisition Improvements [1] 602      
Gross Amount at Which Carried at Close of Period Land [1],[3] 318      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 6,608      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 6,926      
Accumulated Depreciation [1],[5] $ 2,592      
Date Of Construction [1] 1971      
Date Acquired [1] 2004      
Life on Which Depreciation in Latest Income Statements is Computed [1] 39 years      
Other | Virginia        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 3,021      
Initial Cost to Company Buildings and Improvements [1] 37,129      
Gross Amount at Which Carried at Close of Period Land [1],[3] 3,021      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 37,129      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 40,150      
Accumulated Depreciation [1],[5] $ 2,942      
Date Of Construction [1] 1989-1995      
Date Acquired [1] 2015-2017      
Other | Virginia | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 30 years      
Other | Virginia | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 40 years      
Other | Washington        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 11,719      
Initial Cost to Company Buildings and Improvements [1] 138,056      
Cost Capitalized Subsequent to Acquisition Improvements [1] 2,627      
Cost Capitalized Subsequent to Acquisition Other [1],[2] (2)      
Gross Amount at Which Carried at Close of Period Land [1],[3] 11,718      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 140,682      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 152,400      
Accumulated Depreciation [1],[5] $ 27,356      
Date Of Construction [1] 1930-2004      
Date Acquired [1] 1995-2015      
Other | Washington | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 20 years      
Other | Washington | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 33 years      
Other | West Virginia        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 1,523      
Initial Cost to Company Buildings and Improvements [1] 52,187      
Cost Capitalized Subsequent to Acquisition Improvements [1] 6,877      
Gross Amount at Which Carried at Close of Period Land [1],[3] 1,523      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 59,064      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 60,587      
Accumulated Depreciation [1],[5] $ 32,336      
Date Of Construction [1] 1961-1996      
Date Acquired [1] 1994-2008      
Other | West Virginia | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 25 years      
Other | West Virginia | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 39 years      
Other | Wisconsin        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost to Company Land [1] $ 5,996      
Initial Cost to Company Buildings and Improvements [1] 44,333      
Cost Capitalized Subsequent to Acquisition Improvements [1] 6,043      
Cost Capitalized Subsequent to Acquisition Other [1],[2] (12,982)      
Gross Amount at Which Carried at Close of Period Land [1],[3] 5,996      
Gross Amount at Which Carried at Close of Period Buildings and Improvements [1],[3] 37,394      
Gross Amount at Which Carried at Close of Period Land and Buildings and Improvements Total [1],[3] 43,390      
Accumulated Depreciation [1],[5] $ 6,338      
Date Of Construction [1] 1964-1994      
Date Acquired [1] 2010-2015      
Other | Wisconsin | Minimum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 12 years      
Other | Wisconsin | Maximum        
Real Estate and Accumulated Depreciation [Line Items]        
Life on Which Depreciation in Latest Income Statements is Computed [1] 33 years      
[1] The real estate included in this schedule is being used in either the operation of skilled nursing facilities (SNF), assisted living facilities (AL), independent living facilities (ILF), traumatic brain injury (TBI), medical office building (MOB) or specialty hospitals (SH) located in the states or country indicated.
[2] Reflects bed sales, impairments (including the write-off of accumulated depreciation), land easements and impacts from foreign currency exchange rates.
[3] Year Ended December 31, 2015, 2016, 2017 Balance at beginning of period $3,223,785 $ 6,743,958 $ 7,566,358 Acquisitions through foreclosure - 25,000 - Acquisitions (a) 3,371,234 1,017,761 419,333 Impairment (12,916 ) (53,717 ) (98,672 ) Improvements 220,272 95,807 116,786 Disposals/other (58,417 ) (262,451 ) (347,845 ) Balance at close of period $ 6,743,958 $ 7,566,358 $ 7,655,960
[4] The reported amount of our real estate at December 31, 2017 is greater than the tax basis of the real estate by approximately $0.9 billion.
[5] Year Ended December 31,2015,2016,2017 Balance at beginning of period $821,712 $ 1,019,150 $ 1,240,336 Provisions for depreciation 210,555 266,904 287,189 Dispositions/other (13,117 ) (45,718 ) (150,697 ) Balance at close of period $ 1,019,150 $ 1,240,336 $ 1,376,828
[6] Certain of the real estate indicated are security for the HUD loan borrowings totalling $53.7 million.
XML 144 R124.htm IDEA: XBRL DOCUMENT v3.8.0.1
SCHEDULE III - REAL ESTATE AND ACCUMULATED DEPRECIATION (Parentheticals) (Detail) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
SEC Schedule III, Reconciliation of Carrying Amount of Real Estate Investments [Roll Forward]      
Balance at beginning of period $ 7,566,358 $ 6,743,958 $ 3,223,785
Acquisitions through foreclosure [1] 0 25,000 0
Acquisitions 419,333 1,017,761 3,371,234
Impairment (98,672) (53,717) (12,916)
Improvements 116,786 95,807 220,272
Disposals/other (347,845) (262,451) (58,417)
Balance at close of period 7,655,960 [2],[3] 7,566,358 6,743,958
Reconciliation of real estate accumulated depreciation      
Balance at beginning of period 1,240,336 1,019,150 821,712
Provisions for depreciation 287,189 266,904 210,555
Dispositions/other (150,697) (45,718) (13,117)
Balance at close of period $ 1,376,828 [2] $ 1,240,336 $ 1,019,150
[1] Includes approximately $3.1 billion, $35.1 million and $27.2 million of noncash consideration exchanged during the years ended December 31, 2015, 2016 and 2017, respectively.
[2] The reported amount of our real estate at December 31, 2017 is greater than the tax basis of the real estate by approximately $0.9 billion.
[3] Year Ended December 31, 2015, 2016, 2017 Balance at beginning of period $3,223,785 $ 6,743,958 $ 7,566,358 Acquisitions through foreclosure - 25,000 - Acquisitions (a) 3,371,234 1,017,761 419,333 Impairment (12,916 ) (53,717 ) (98,672 ) Improvements 220,272 95,807 116,786 Disposals/other (58,417 ) (262,451 ) (347,845 ) Balance at close of period $ 6,743,958 $ 7,566,358 $ 7,655,960
XML 145 R125.htm IDEA: XBRL DOCUMENT v3.8.0.1
SCHEDULE III - REAL ESTATE AND ACCUMULATED DEPRECIATION (Parentheticals) (Detail 1 - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Real Estate and Accumulated Depreciation [Line Items]      
Reported amount of real estate in excess of the tax basis $ 900,000    
Noncash consideration exchanged 3,100,000 $ 35,100 $ 27,200
HUD mortgages assumed December 2011      
Real Estate and Accumulated Depreciation [Line Items]      
HUD loan borrowings [1] $ 53,666    
[1] Reflects the weighted average annual contractual interest rate on the mortgages at December 31, 2017 excluding a third-party administration fee of approximately 0.5% annually. Secured by real estate assets with a net carrying value of $62.0 million as of December 31, 2017. This borrowing was incurred by wholly owned subsidiaries of Omega OP.
XML 146 R126.htm IDEA: XBRL DOCUMENT v3.8.0.1
SCHEDULE IV - MORTGAGE LOANS ON REAL ESTATE (Detail)
$ in Thousands
12 Months Ended
Dec. 31, 2017
USD ($)
[1]
Mortgage Loans on Real Estate [Line Items]  
Face Amount of Mortgages $ 719,927
Carrying Amount of Mortgages 671,232 [2],[3],[4]
Carrying Amount of Loans Subject to Delinquent Principal or Interest $ 1,472
Louisiana | Group 1  
Mortgage Loans on Real Estate [Line Items]  
Interest Rate 8.75%
Fixed/Variable F
Final Maturity Date 2018
Periodic Payment Terms Interest plus $17 of principal payable monthly with $10,836 due at maturity
Prior Liens None
Face Amount of Mortgages $ 11,027
Carrying Amount of Mortgages 10,944 [2],[3],[4]
Carrying Amount of Loans Subject to Delinquent Principal or Interest $ 0
Maryland | Group 1  
Mortgage Loans on Real Estate [Line Items]  
Interest Rate 11.00%
Fixed/Variable V
Final Maturity Date 2028
Periodic Payment Terms Interest payable monthly until maturity
Prior Liens None
Face Amount of Mortgages $ 74,928
Carrying Amount of Mortgages 35,964 [2],[3],[4]
Carrying Amount of Loans Subject to Delinquent Principal or Interest $ 0
Michigan | Group 1  
Mortgage Loans on Real Estate [Line Items]  
Interest Rate 11.04%
Fixed/Variable V
Final Maturity Date 2029
Periodic Payment Terms Interest payable monthly until maturity
Prior Liens None
Face Amount of Mortgages $ 3,968
Carrying Amount of Mortgages 3,968 [2],[3],[4]
Carrying Amount of Loans Subject to Delinquent Principal or Interest $ 0
Michigan | Group 2  
Mortgage Loans on Real Estate [Line Items]  
Interest Rate 10.77%
Fixed/Variable V
Final Maturity Date 2029
Periodic Payment Terms Interest payable monthly until maturity
Prior Liens None
Face Amount of Mortgages $ 4,112
Carrying Amount of Mortgages 4,112 [2],[3],[4]
Carrying Amount of Loans Subject to Delinquent Principal or Interest $ 0
Michigan | Group 3  
Mortgage Loans on Real Estate [Line Items]  
Interest Rate 10.51%
Fixed/Variable V
Final Maturity Date 2029
Periodic Payment Terms Interest payable monthly until maturity
Prior Liens None
Face Amount of Mortgages $ 12,107
Carrying Amount of Mortgages 12,107 [2],[3],[4]
Carrying Amount of Loans Subject to Delinquent Principal or Interest $ 0
Michigan | Group 4  
Mortgage Loans on Real Estate [Line Items]  
Interest Rate 9.74%
Fixed/Variable V
Final Maturity Date 2029
Periodic Payment Terms Interest payable monthly until maturity
Prior Liens None
Face Amount of Mortgages $ 12,500
Carrying Amount of Mortgages 12,500 [2],[3],[4]
Carrying Amount of Loans Subject to Delinquent Principal or Interest $ 0
Michigan | Group 5  
Mortgage Loans on Real Estate [Line Items]  
Interest Rate 9.68%
Fixed/Variable V
Final Maturity Date 2029
Periodic Payment Terms Interest plus $115 of principal payable monthly with $382,127 due at maturity
Prior Liens None
Face Amount of Mortgages $ 415,000
Carrying Amount of Mortgages 410,763 [2],[3],[4]
Carrying Amount of Loans Subject to Delinquent Principal or Interest $ 0
Michigan | Group 6  
Mortgage Loans on Real Estate [Line Items]  
Interest Rate 9.50%
Fixed/Variable V
Final Maturity Date 2029
Periodic Payment Terms Interest plus $2 of principal payable monthly with $10,466 due at maturity
Prior Liens None
Face Amount of Mortgages $ 11,000
Carrying Amount of Mortgages 10,988 [2],[3],[4]
Carrying Amount of Loans Subject to Delinquent Principal or Interest $ 0
Michigan | Group 7  
Mortgage Loans on Real Estate [Line Items]  
Interest Rate 9.50%
Fixed/Variable V
Final Maturity Date 2029
Periodic Payment Terms Interest payable monthly until maturity
Prior Liens None
Face Amount of Mortgages $ 188
Carrying Amount of Mortgages 188 [2],[3],[4]
Carrying Amount of Loans Subject to Delinquent Principal or Interest $ 0
Michigan | Group 8  
Mortgage Loans on Real Estate [Line Items]  
Interest Rate 8.67%
Fixed/Variable V
Final Maturity Date 2029
Periodic Payment Terms Interest payable monthly until maturity
Prior Liens None
Face Amount of Mortgages $ 14,045
Carrying Amount of Mortgages 14,045 [2],[3],[4]
Carrying Amount of Loans Subject to Delinquent Principal or Interest $ 0
Michigan | Group 9  
Mortgage Loans on Real Estate [Line Items]  
Interest Rate 9.50%
Fixed/Variable V
Final Maturity Date 2019
Periodic Payment Terms Interest payable monthly until maturity
Prior Liens None
Face Amount of Mortgages $ 210
Carrying Amount of Mortgages 210 [2],[3],[4]
Carrying Amount of Loans Subject to Delinquent Principal or Interest $ 0
Michigan | Group 10  
Mortgage Loans on Real Estate [Line Items]  
Interest Rate 9.50%
Fixed/Variable V
Final Maturity Date 2018
Periodic Payment Terms Interest payable monthly until maturity
Prior Liens None
Face Amount of Mortgages $ 7,440
Carrying Amount of Mortgages 7,440 [2],[3],[4]
Carrying Amount of Loans Subject to Delinquent Principal or Interest $ 0
New Jersey | Group 1  
Mortgage Loans on Real Estate [Line Items]  
Interest Rate 14.00%
Fixed/Variable F
Final Maturity Date 2018
Periodic Payment Terms Interest payable monthly until maturity
Prior Liens None
Face Amount of Mortgages $ 3,195
Carrying Amount of Mortgages 3,195 [2],[3],[4]
Carrying Amount of Loans Subject to Delinquent Principal or Interest $ 0
Ohio and Pennsylvania | Group 1  
Mortgage Loans on Real Estate [Line Items]  
Interest Rate 9.98%
Fixed/Variable V
Final Maturity Date 2024
Periodic Payment Terms Interest payable monthly until maturity
Prior Liens None
Face Amount of Mortgages $ 112,500
Carrying Amount of Mortgages 112,500 [2],[3],[4]
Carrying Amount of Loans Subject to Delinquent Principal or Interest $ 0
Ohio | Group 1  
Mortgage Loans on Real Estate [Line Items]  
Interest Rate 11.91%
Fixed/Variable V
Final Maturity Date 2018
Periodic Payment Terms Interest payable monthly until maturity
Prior Liens None
Face Amount of Mortgages $ 11,874
Carrying Amount of Mortgages 12,001 [2],[3],[4],[5]
Carrying Amount of Loans Subject to Delinquent Principal or Interest $ 0
South Carolina | Group 1  
Mortgage Loans on Real Estate [Line Items]  
Interest Rate 8.75%
Fixed/Variable F
Final Maturity Date 2018
Periodic Payment Terms Interest accrues monthly until maturity
Prior Liens None
Face Amount of Mortgages $ 10,288
Carrying Amount of Mortgages 10,288 [2],[3],[4]
Carrying Amount of Loans Subject to Delinquent Principal or Interest $ 0
Tennessee | Group 1  
Mortgage Loans on Real Estate [Line Items]  
Interest Rate 8.35%
Fixed/Variable F
Final Maturity Date 2015
Periodic Payment Terms Past due
Prior Liens None
Face Amount of Mortgages $ 6,997
Carrying Amount of Mortgages 1,472 [2],[3],[4]
Carrying Amount of Loans Subject to Delinquent Principal or Interest $ 1,472 [6]
Virginia | Group 1  
Mortgage Loans on Real Estate [Line Items]  
Interest Rate 8.75%
Fixed/Variable F
Final Maturity Date 2018
Periodic Payment Terms Interest accrues monthly until maturity
Prior Liens None
Face Amount of Mortgages $ 8,548
Carrying Amount of Mortgages 8,547 [2],[3],[4]
Carrying Amount of Loans Subject to Delinquent Principal or Interest $ 0
[1] Mortgage loans included in this schedule represent first mortgages on facilities used in the delivery of long-term healthcare of which such facilities are located in the states indicated.
[2] Mortgages included in the schedule which were extended during 2017 aggregated approximately $3.2 million.
[3] The aggregate cost for federal income tax purposes is approximately $676.6 million.
[4] Year Ended December 31, 2015, 2016, 2017, Balance at beginning of period. $ 648,079 $ 679,795 $ 639,343 Additions during period - new mortgage loans or additional fundings 33,288 48,722 34,643 Deductions during period - collection of principal/other (1,572 ) (89,174 ) (2,754 ) Balance at close of period. $ 679,795 $ 639,343 $ 671,232 .
[5] The carrying value of the mortgage exceeds the face value of the mortgage due to an acquisition date fair market value adjustment.
[6] Mortgage written down to the fair value of the underlying collateral.
XML 147 R127.htm IDEA: XBRL DOCUMENT v3.8.0.1
SCHEDULE IV - MORTGAGE LOANS ON REAL ESTATE (Parentheticals) (Detail)
$ in Thousands
Dec. 31, 2017
USD ($)
Facility
Healthcare_facility
Mortgage Loans on Real Estate [Line Items]  
Number of Facilities | Healthcare_facility 983
SNF  
Mortgage Loans on Real Estate [Line Items]  
Number of Facilities 735
SNF | OMEGA HEALTHCARE INVESTORS INC  
Mortgage Loans on Real Estate [Line Items]  
Number of Facilities 775
ALF  
Mortgage Loans on Real Estate [Line Items]  
Number of Facilities 118
ALF | OMEGA HEALTHCARE INVESTORS INC  
Mortgage Loans on Real Estate [Line Items]  
Number of Facilities 119
Louisiana | Group 1 | ALF  
Mortgage Loans on Real Estate [Line Items]  
Principle Amount of Loans Payable Monthly | $ $ 17 [1]
Number of Facilities 1 [1]
Periodic Payment due at maturity | $ $ 10,836 [1]
Maryland | Group 1 | SNF  
Mortgage Loans on Real Estate [Line Items]  
Number of Facilities 3 [1]
Michigan | Group 1 | SNF  
Mortgage Loans on Real Estate [Line Items]  
Number of Facilities 1 [1]
Michigan | Group 2 | SNF  
Mortgage Loans on Real Estate [Line Items]  
Number of Facilities 1 [1]
Michigan | Group 3 | SNF  
Mortgage Loans on Real Estate [Line Items]  
Number of Facilities 8 [1]
Michigan | Group 4 | SNF  
Mortgage Loans on Real Estate [Line Items]  
Number of Facilities 8 [1]
Michigan | Group 5 | SNF  
Mortgage Loans on Real Estate [Line Items]  
Principle Amount of Loans Payable Monthly | $ $ 115 [1]
Number of Facilities 31 [1]
Periodic Payment due at maturity | $ $ 382,127 [1]
Michigan | Group 6 | SNF  
Mortgage Loans on Real Estate [Line Items]  
Principle Amount of Loans Payable Monthly | $ $ 2 [1]
Number of Facilities 3 [1]
Periodic Payment due at maturity | $ $ 10,466 [1]
Michigan | Group 7 | SNF  
Mortgage Loans on Real Estate [Line Items]  
Number of Facilities 1 [1]
Michigan | Group 8 | SNF  
Mortgage Loans on Real Estate [Line Items]  
Number of Facilities 1 [1]
Michigan | Group 9 | SNF  
Mortgage Loans on Real Estate [Line Items]  
Number of Facilities 1 [1]
Michigan | Group 10 | SNF  
Mortgage Loans on Real Estate [Line Items]  
Number of Facilities 1 [1]
New Jersey | Group 1 | ALF  
Mortgage Loans on Real Estate [Line Items]  
Number of Facilities 1 [1]
Ohio and Pennsylvania | Group 1 | SNF  
Mortgage Loans on Real Estate [Line Items]  
Number of Facilities 2 [1]
Ohio and Pennsylvania | Group 1 | SNF  
Mortgage Loans on Real Estate [Line Items]  
Number of Facilities 5 [1]
Ohio and Pennsylvania | Group 1 | ALF  
Mortgage Loans on Real Estate [Line Items]  
Number of Facilities 2 [1]
Ohio | Group 1 | SNF  
Mortgage Loans on Real Estate [Line Items]  
Number of Facilities 1 [1]
South Carolina | Group 1 | ALF  
Mortgage Loans on Real Estate [Line Items]  
Number of Facilities 1 [1]
Tennessee | Group 1 | SNF  
Mortgage Loans on Real Estate [Line Items]  
Number of Facilities 1 [1]
Virginia | Group 1 | ALF  
Mortgage Loans on Real Estate [Line Items]  
Number of Facilities 1 [1]
[1] Mortgage loans included in this schedule represent first mortgages on facilities used in the delivery of long-term healthcare of which such facilities are located in the states indicated.
XML 148 R128.htm IDEA: XBRL DOCUMENT v3.8.0.1
SCHEDULE IV - MORTGAGE LOANS ON REAL ESTATE (Parentheticals) (Detail 1) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Movement in Mortgage Loans on Real Estate [Roll Forward]      
Balance at beginning of period $ 639,343 $ 679,795 $ 648,079
Additions during period - new mortgage loans or additional fundings 34,643 48,722 33,288
Deductions during period - collection of principal/other (2,754) (89,174) (1,572)
Balance at close of period $ 671,232 $ 639,343 $ 679,795
XML 149 R129.htm IDEA: XBRL DOCUMENT v3.8.0.1
SCHEDULE IV - MORTGAGE LOANS ON REAL ESTATE (Parentheticals) (Detail 2)
$ in Millions
Dec. 31, 2017
USD ($)
Mortgage Loans On Real Estate [Abstract]  
Aggregate cost for federal income tax purposes $ 676.6
Mortgages included in the schedule which extended during 2017 $ 3.2
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