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Omega Healthcare New Investor Presentation April 2022
Omega Healthcare New Investor Presentation April 2022
INVESTORS
INVESTOR
PRESENTATION
April 2022
Disclaimers; Forward-looking Statements and Non-GAAP Information
• This presentation may include projections and other “forward-looking statements” within the meaning of the Private
Securities Litigation Reform Act of 1995. Such statements relate to future events and expectations and involve unknown
risks and uncertainties. Omega’s actual results or actions may differ materially from those projected in the forward-
looking statements. For a summary of the specific risk factors that could cause results to differ materially from those
expressed in the forward-looking statements, see Omega’s filings with the Securities and Exchange Commission.
• This presentation may contain certain non-GAAP financial information including EBITDA, Adjusted EBITDA, Total
Adjusted Debt (a/k/a, Funded Debt), Adjusted FFO, FAD, Total Cash Fixed Charges and certain related ratios. A
reconciliation of these non-GAAP disclosures is available in the Exhibit to this presentation or on our website under
“Non-GAAP Financial Measures” at www.omegahealthcare.com. Other financial information is also available on our
website.
• Information presented on operator revenue mix, census and coverage data is based on information provided by our
operators for the indicated periods ended. We have not independently verified this information, and we are providing
this data for informational purposes only. Information on operator coverage calculations can be found under “Portfolio
Metrics” in our most recent quarterly supplement available at our Investor Relations website at
www.omegahealthcare.com.
• Information is provided as of December 31, 2021, unless specifically stated otherwise. We assume no duty to update or
supplement the information provided.
• The sourcing of all information provided in this presentation can be found on page 60.
INVESTOR PRESENTATION 2
Table of Contents
Page
INVESTOR PRESENTATION 3
1 Company
Profile &
Strategy
INVESTOR PRESENTATION 4
OMEGA SNAPSHOT
(NYSE:OHI)
63 939 95,703
Operators Properties (US & UK) Number of Beds
INVESTOR PRESENTATION 5
For source information see page 60 onwards
Differentiators that Support Today’s Strength and Tomorrow’s Opportunity
2 Consistent dividend
growth
Positioned to benefit
from macro tailwinds 6
3 Diversified geographic
exposure and tenant base
Investment grade credit
with ample liquidity 7
INVESTOR PRESENTATION 6
Experienced and Proven Management Team
INVESTOR PRESENTATION 7
Strategy that Supports Long-Term Shareholder Value Creation
Growth Through
Accretive Investments
Leverage Sound
Corporate Stewardship
Practices
INVESTOR PRESENTATION 8
COVID-19 Update
Impact Response Outcomes
COVID-19 is particularly Operators implemented new The contagion rate within SNFs
1 impactful to the old and frail, 1 and evolving protocols to 1 declined significantly in 1H21,
a key cohort of SNFs and ALFs limit the spread of COVID-19 but has increased in 4Q21 due
to the omicron variant
Occupancy declined ~13% between Staff at SNFs and ALFs have risked We collected more than 93% of
2 February 2020 and January 2021 before 2 their health and the health of 2 our 4Q21 contractual rents and
rebounding ~3% through December 2021 their families to protect residents mortgage payments, when
and subsequently remained range-bound including collateral, and 90%
when excluding collateral
Expenses in November were up ~$33 The Federal and many State However, operators representing
3 per patient day from January 2020 3 governments provided significant 3 ~18% of our 4Q21 contractual
and necessary financial relief to rent and mortgage payments,
the industry have stopped paying rent as of
March 2022
However, State relief has *See next page for more information
4 varied significantly, and
Federal relief has slowed in
the last 15 months
As disclosed in Omega’s fourth quarter earnings call and 10-K filing, an operator, representing
approximately 3.5% of Omega’s 4Q21 contractual rent and mortgage interest, failed to pay its
January and February contractual rent. We are in active discussions with this operator
regarding a short-term deferral but have not reached any agreement at this time. Omega
holds letters of credit from this operator equal to $1.0M.
An additional operator, representing 2.4% of our 4Q21 annualized contractual rent and
mortgage interest, did not pay rent in March. We are in active discussions with this operator
regarding a short-term deferral but have not reached an agreement at this time. Omega
holds security deposits from this operator equal to one month’s rent.
Finally, with many operators continuing to struggle with the impact of COVID on both
occupancy and staffing, there remains an elevated risk that additional operators may be
unable to pay in accordance with their contractual terms.
When will the Will government financial How quickly will Will operator costs If these costs occur,
pandemic end? support continue to be occupancy remain elevated for the will they be covered by
both sufficient and timely recover to pre- foreseeable future due to increased government
through the conclusion COVID-19 levels? increased infection reimbursement?
of this crisis? control protocols?
Skilled nursing facilities still The secular tailwind of improving Our relationship with our operators
fulfill an essential need within demographics will remain in will be even stronger for having
the healthcare continuum place after this pandemic faced this pandemic together
INVESTOR PRESENTATION 11
2
Why Invest?
INVESTOR PRESENTATION 12
Investment Thesis
1 2 3 4 5
INVESTOR PRESENTATION 13
Investment Thesis and Supporting Elements
1 2 3 4 5
INVESTOR PRESENTATION 14
Attractive Investment Opportunity
INCOME STOCK
Dividend Yield of
9.1%
VALUE
STOCK
Trades at GROWTH
9.6x AFFO STOCK
Annualized AFFO
Growth of 7.8%
since 2004
INVESTOR PRESENTATION 15
3
Skilled Nursing Facilities:
What Makes it an
Attractive Asset Class?
INVESTOR PRESENTATION 16
Skilled Nursing Facilities Meet an Essential Need
INVESTOR PRESENTATION 17
More Patients Are Discharged to Skilled Nursing
Facilities Than to Any Other Type of Facility
Skilled Nursing
Facilities (SNFs)
20.5%
IRFs 3.8%
Other 3.3%
Over the last decade, SNFs have consistently
been the highest discharge destination
LTACH 0.9%
INVESTOR PRESENTATION 18
Lowest Cost Provider of Post-Acute 24-Hour Nursing Care
$547
INVESTOR PRESENTATION 19
Skilled Nursing Facilities are Primarily Funded Through Medicare and Medicaid
AVERAGES
INVESTOR PRESENTATION 20
Omega’s Average Facility Statistics
~100 74%
Avg. Beds in Facility Occupancy
Medicare 33%
53% Medicaid
14%
Private /
Other
INVESTOR PRESENTATION 21
Limited Supply Growth Due to Regulatory Restrictions
INVESTOR PRESENTATION 22
“Stroke-of-the-Pen” Risk Overstated
1 • Most patients are too sick to
4
SNFs are a necessary care for at home, even with • SNFs are a low-margin business
Efficient and lean
part of the healthcare home health support • Reimbursement cuts could impact
business model
continuum • However, they do not require patient care. Not in anyone’s interests
hospital care
INVESTOR PRESENTATION 23
Highest Investment Yields Compared to Other Healthcare Real Estate Assets
11.0%
Investment yields
in SNFs have
10.0%
5.5% LS
5.0% MOB
Average yield over
the last five years: 4.0% 4.0%
9.2% 3.0%
10/2019
10/2020
10/2015
10/2016
10/2017
10/2018
10/2021
1/2015
4/2015
7/2015
1/2016
4/2016
7/2016
1/2017
4/2017
7/2017
1/2018
4/2018
7/2018
1/2019
4/2019
7/2019
1/2020
4/2020
7/2020
1/2021
4/2021
7/2021
INVESTOR PRESENTATION 24
4
Strong Portfolio &
Skilled Operators
INVESTOR PRESENTATION 25
Portfolio Overview GEOGRAPHIC & OPERATOR
DIVERSIFICATION
77%
NEAR-TERM SUPPLY &
DEMAND OUTLOOK
RENT/INTEREST
FAVORABLE
INVESTOR PRESENTATION 26
Diversified Geographic Portfolio
Omega’s geographic diversification helps
63 939 42 1
Foreign minimize impact of regulatory or
Operators Facilities States
Country reimbursement changes in any individual state
Investment Concentration
by Location
Florida 13.4%
Texas 10.1%
Michigan 6.6%
Indiana 6.5%
California 5.9%
Ohio 5.8%
Pennsylvania 5.6%
<10 facilities United Kingdom 4.5%
10 to 20 facilities 4.3%
Virginia
>20 facilities
New York 3.4%
No presence
Remaining States 33.8%
INVESTOR PRESENTATION 27
United Kingdom: An Attractive and Profitable Market
INVESTOR PRESENTATION 28
Triple-Net Leases Provide a Secure, Steady Source of Revenue
•
•
Seek strong credit profiles
Security deposits of generally 3 to 6 94%
•
months
Monthly reporting requirements
97% Revenues tied to
Fixed-Rate
Revenues tied Escalators
to Master
Leases
2.3%
Weighted-Avg.
Omega receives fixed rent payment from Fixed Escalator
tenants, with annual escalators
INVESTOR PRESENTATION 29
Favorable Portfolio Composition to Peers
EBITDA / Total Revenue Compared to other Healthcare REITS
3rd
90.2% Highest Concentration of
ALL REITs Top 5 relationships:
39%; Peer Avg: 53%
69.7%
Favorable
55.2% portfolio
diversification
& exposure
11.9% 12.5%
11.4%
4.2% 3.9%
1.2% 1.1%
0.0% 0.4%
2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 Thereafter
INVESTOR PRESENTATION 31
Strong Returns Start with Strong Operators
INVESTOR PRESENTATION 32
Skilled Operators with Extensive Patient Expertise
0.0
Headwinds are moderating and
demographic tailwinds should
EBITDARM EBITDAR drive occupancy and operator
performance going forward.
INVESTOR PRESENTATION 34
5
Benefits of
Investing in
Long-term Care
INVESTOR PRESENTATION 35
A Growing Aging Population
Provides Opportunity
22%
21% 21%
19%
17%
Aging Baby Boomers expected to drive a
1 multi-decade increase in demand for SNFs
44% projected increase in Adults 65+
2020 2025 2030 2035 2040 2 in the next 20 years
Census Estimates % of Population Increasing occupancy should improve
(in millions)
3 operator profitability and rent coverage
INVESTOR PRESENTATION 36
Demographic Tailwinds Expected to Drive Occupancy Growth
For the Next 20 Years
INVESTOR PRESENTATION 37
Significant Increase in SNF Utilization by Those Aged 75+
SNF UTILIZATION BY AGE AVERAGE SNF DAYS PER
6,500
1000 BENEFICIARIES
BY AGE RANGE
6,000
SNF Days per 1,000 Beneficiaries
5,500
5,000
4,500 75-84 65-74
2,461 849
4,000
3,500
3,000
85+
2,500
2,000
1,500
5,331
1,000
500
0
65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95
Age
INVESTOR PRESENTATION 38
SNF Demand to Outstrip Supply by 2030
1
2
Prudent incremental
supply will create
2021 2025 2030 2035 2040
additional
Residents Capacity Occupancy
development growth
opportunities.
INVESTOR PRESENTATION 39
6 Excellent
Financials and
Execution Track
Record
INVESTOR PRESENTATION 40
Consistently Performing and Growing
$10.40$10.35
$1,063
$10.06
$9.17 $9.09 $9.13 $929
$901 $908 $882 $892
16.0%
$8.11
$744
CAGR
15.4%
CAGR
$505
$4.47
$419
$3.92
$3.33 $350
$2.83 $292
$2.50 $251
$1.80 $179
2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021
INVESTOR PRESENTATION 41
Strong Growth in Profitability
$487 $363
$402 $299
$334
$279 $236
$236 $193
$156
$170 $123
2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021
INVESTOR PRESENTATION 42
Outstanding Financial Performance Among ALL REITs
1 2 3
INVESTOR PRESENTATION 43
High-Yield and Historically Consistent Dividend
$3.00
$2.64 $2.66 $2.68 $2.68 $2.68
$2.58
$2.50 $2.41
$2.22
$2.06
$2.00 $1.90
$1.73
$1.59
$1.50 $1.42
$1.20 $1.22
$1.11
$0.98
$1.00 $0.88
$0.75
$0.64
$0.50
$0.00
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022
Dividend Annualized
Shareholder Returns Through 12/31/21 OHI Total Returns vs. Healthcare REIT Averages
(Years ending 12/31/2021)
214.2%
3 5
TOTAL RETURN TOTAL RETURN
5.7% 41.4%
ANN. EQUIV. ANN. EQUIV.
YEAR 2%
YEAR 7% 122%
41.1%
10
TOTAL RETURN
5.7% 10% 13%
214.2%
INVESTOR PRESENTATION 45
7 Proven
Investment
Strategy for
Future Growth
INVESTOR PRESENTATION 46
A Long History of Prudent Capital Allocation
INVESTMENTS
In billions
Acquisitions
$12.2
Mortgages $4.4
Capex
CIP (2) billion $1.7
Other (3) New investments since
January 2010 (1)
$1.3
$0.8
$0.6 $0.6 $0.6
$0.5 $0.5 $0.5
$0.4
$0.3
2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021
INVESTOR PRESENTATION 48
Proven Investment Strategy for Future Growth
INVESTOR PRESENTATION 49
Ample Opportunity to Expand Portfolio
SNF OWNERSHIP
EXPECTATION:
Double in size in the next 10 years
INVESTOR PRESENTATION 50
8 Liquidity
Structure &
Credit Profile
INVESTOR PRESENTATION 51
Effective Balance Sheet Management Provides Financial Flexibility
Debt to adjusted Availability under Minimal encumbered assets: AFFO Payout Ratio:
4.8%
$1.45B revolving credit
86.9%
pro forma EBITDA ratio:
facility:
5.28x ~$1.45B
Of gross real estate assets are encumbered
4.2x $0.67
($2.68 annualized)
INVESTOR PRESENTATION 52
Conservative Capitalization Policy
Targeted Funded Debt to Adjusted EBITDA Ratio Typically have used drawings under the revolver to
make acquisitions and replenished revolver
4.0x – 5.0x availability with long-term debt and equity issuances
3.5x
3.3x
3.1x
0.9x 0.9x
0.7x 0.6x 0.5x 0.4x 0.4x 0.4x
0.3x
0.1x 0.1x 0.0x
INVESTOR PRESENTATION 53
Well-Laddered Debt Provides Stability
Debt Maturity Schedule as of 12/31/21
$1.45B unsecured revolving credit facility
$50MM unsecured term loan
• No near-term bond maturities
$1.45B Revolving
Credit Facility • Minimal secured debt (~$365MM)
• 99.9% of debt is fixed rate
$1,450M
2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2046+
INVESTOR PRESENTATION 54
Strong Balance Sheet and Secure Credit Ratings
The above include non-GAAP financial measures. See disclaimers page for further information. INVESTOR PRESENTATION 55
Readily Accessible Capital Markets as a Seasoned Issuer
Capital Markets Accessibility
Preferred Equity
1,300
$996 $1,030
$960 $982
$859
$785 $760
500
$592 700
775 700
$453 700
650
400 $339 700
$293
260 $231 610
530
225 $138 $102 $125
118 $91 339 282
$33 221 192 260 159
75 68 135 60 125
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021
INVESTOR PRESENTATION 56
9
Commitment to
ESG Principles
INVESTOR PRESENTATION 57
Prudent and Responsible ESG Program
E S G
STEWARDS OF THE ENVIRONMENT SOCIAL RESPONSIBILITY STRONG CORPORATE GOVERNANCE
Independence
65%+
Of Omega’s development in the
past five years has been built to One of 15 US REITs to be included in the 89% of directors are independent,
LEED certification standards 2022 Bloomberg Gender-Equality Index including the Chairman
INVESTOR PRESENTATION 58
Sources & Appendix
INVESTOR PRESENTATION 59
SOURCE INDEX
Page 5 - Current supplemental information report located in the Investor Relations tab at www.omegahealthcare.com. 3-Year TSR as of 12/31/2021.
Page 9 - Information as of 2/3/2022
Page 10 - Information as of 2/3/2022
Page 15 - Historical AFFO and dividend information can be found in the Investor Relations tab at www.omegahealthcare.com. AFFO per share based on TTM and share price as
of 12/31/2021
Page 18 - From proprietary analysis of Medicare Fee for Service (FFS) Standard Analytic File (SAF)
Page 19 - KFF.org Hospital Adjusted Expenses per Inpatient Day; MedPac Report to the Congress, March 2021
Page 20 - Average Medicare and Medicaid Rates by Quarter for Omega’s Entire Portfolio (through September 30, 2021)
Page 21 - Current supplemental information report located in the Investor Relations tab at www.omegahealthcare.com
Page 22 - Appendix A of VIG Digest - https://vigdigest.com/
Page 24 - Source – Public filings and disclosures of public healthcare REITs; 3rd party transaction reports.
Page 26 - TTM Rent Coverage at 9/30/2021. Current and historic supplemental information report located in the Investor Relations tab at www.omegahealthcare.com
Page 27 - Current supplemental information report located in the Investor Relations tab at www.omegahealthcare.com
Page 28 - Source: https://www.gov.uk/government/publications/end-of-life-care-profiles-february-2019-data-update/statistical-commentary-end-of-life-care-profiles-
february-2019-update
Page 30 - Source of EBITDA / Total Revenue is “December 2021 KeyBanc Capital Markets: The Leaderboard”
Page 31 - Current supplemental information report located in the Investor Relations tab at www.omegahealthcare.com
Page 32 - Represents 4Q21 Annualized Contractual Rent/Interest. Current supplemental information report located in the Investor Relations tab at www.omegahealthcare.com
Page 34 - Current supplemental information report located in the Investor Relations tab at www.omegahealthcare.com
Page 36 - Source: US Census Bureau - Projected Age Groups and Sex Composition of the Population: Main Projections Series for the United States, 2017-2060
Page 38 - Source: Avalere analysis of Medicare Part A 100% Standard Analytic File (SAF)
Page 39 - Sources: Supply data compiled by American Health Care Association (AHCA) Research Department from CMS OSCAR/CASPER survey data. Demand information
based on census information at CDC.gov.
Page 41 - Current and historic supplemental information report located in the Investor Relations tab at www.omegahealthcare.com
Page 42 - Current and historic supplemental information report located in the Investor Relations tab at www.omegahealthcare.com
Page 43 - Source for ranking is “2021 KeyBanc Capital Markets: The Leaderboard” as of 12/31/2021
Page 44 - Current and historic supplemental information report located in the Investor Relations tab at www.omegahealthcare.com
Page 45 - Source: “2021 KeyBanc Capital Markets: The Leaderboard” as of 12/31/2021. Peer returns are simple average of returns of NHI, HR, LTC, SABRA, VTR, and WELL
INVESTOR PRESENTATION 60
SOURCE INDEX
Page 47 - Current and historic supplemental information report located in the Investor Relations tab at www.omegahealthcare.com. 1) Includes the $3.9 billion Aviv acquisition
via merger on April 1, 2015; and the $623 million MRT acquisition via merger on May 17, 2019 2) Included in “Acquisitions” prior to 2016 3) Consists primarily of
mezzanine and JV investments
Page 52 - Current and historic supplemental information report located in the Investor Relations tab at www.omegahealthcare.com
Page 53 - Current and historic supplemental information report located in the Investor Relations tab at www.omegahealthcare.com
Page 54 - Current supplemental information report located in the Investor Relations tab at www.omegahealthcare.com. 1) Represents current HUD debt balance assumed via
acquisition of the Encore portfolio on 4/30/2021
Page 55 - All supporting information and reconciliations can be found in the current supplemental information report (pages 11, 17, 19, and 20) located in the Investor
Relations tab at www.omegahealthcare.com
Page 56 - Current and historic supplemental information report located in the Investor Relations tab at www.omegahealthcare.com
Page 62 - Current and historic earnings report press releases located in the Investor Relations tab at www.omegahealthcare.com
Page 63 - Current and historic earnings report press releases located in the Investor Relations tab at www.omegahealthcare.com
Page 64 - Current and historic earnings report press releases located in the Investor Relations tab at www.omegahealthcare.com
Page 65 - Source: CDC.gov
Page 66 - Source: Inpatient, SNF, Home Health and Enrollment Standard Analytic Files, 2015-2019
Page 67 - Compiled by American Health Care Association (AHCA) Research Department from CMS OSCAR/CASPER survey data (2009-2018)
INVESTOR PRESENTATION 61
2020 Quarterly Highlights
INVESTOR PRESENTATION 62
2021 Quarterly Highlights
INVESTOR PRESENTATION 63
2022 Quarterly Highlights
INVESTOR PRESENTATION 64
Industry Overview: Baby Boomers Started Turning 75 in 2016
U.S. Birthrates, 1909 to 1980
5,000
4,500
4,000
Births (000’s)
3,500
3,000
2,500
1,500
INVESTOR PRESENTATION 65
Industry Overview: Percentage of Historical Hospital Discharges
to SNFs has Remained Steady in Recent Years
19.6% 19.7%
Home Health Care
19.4% 19.5% 19.3%
IRF
3.5% 3.5% 3.5% 3.7% 3.8%
Other
3.3% 3.3% 3.3% 3.3% 3.3%
LTCH
1.2% 1.2% 1.1% 1.0% 0.9%
2015 2016 2017 2018 2019
INVESTOR PRESENTATION 66
Industry Overview: Limited Supply Availability
1,650k 15.9k
1,600k 15.8k
15.7k
Certified Facilities
1,550k
15.6k
Beds & Patients
1,500k
15.5k
1,450k
15.4k
1,400k
15.3k
1,350k 15.2k
1,300k 15.1k
1,250k 15.0k
Dec-10 Dec-11 Dec-12 Dec-13 Dec-14 Dec-15 Dec-16 Dec-17 Dec-18 Dec-19
Certified Beds 1,671k 1,674k 1,675k 1,667k 1,655k 1,654k 1,656k 1,653k 1,633k 1,615k
Patients in Certified Beds 1,403k 1,397k 1,393k 1,382k 1,366k 1,362k 1,356k 1,341k 1,322k 1,306k
Certified Facilities 15.9k 15.9k 15.8k 15.8k 15.7k 15.6k 15.6k 15.6k 15.6k 15.5k
INVESTOR PRESENTATION 67