10-K: Annual report pursuant to Section 13 and 15(d)

Published on February 28, 2020

202346000226631000P8YP3YP3MP4YP50Y0.00900.019000008884910001639315--12-31--12-3120192019FYFYfalsefalse2019-12-3110-Ktruefalsefalsefalse303 International Circle, Suite 200Hunt ValleyMD21030410427-17002044-07-314000000000010000888491ohi:OmegaCreditFacilities2014Member2017-01-012017-12-310000888491ohi:AgemoHoldingsLlcMemberus-gaap:StandbyLettersOfCreditMemberus-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember2019-12-310000888491ohi:AgemoHoldingsLlcMemberus-gaap:CollateralPledgedMemberus-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember2019-12-310000888491ohi:AgemoHoldingsLlcMemberohi:PersonalGuaranteeCollateralMemberus-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember2019-12-310000888491ohi:AgemoHoldingsLlcMemberohi:OtherCollateralMemberus-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember2019-12-310000888491ohi:ArkHoldingCompanyIncMemberus-gaap:CollateralPledgedMemberus-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember2018-12-310000888491ohi:ArkHoldingCompanyIncMemberohi:OtherCollateralMemberus-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember2018-12-310000888491ohi:AgemoHoldingsLlcMemberus-gaap:StandbyLettersOfCreditMemberus-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember2018-12-310000888491ohi:AgemoHoldingsLlcMemberus-gaap:CollateralPledgedMemberus-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember2018-12-310000888491ohi:AgemoHoldingsLlcMemberohi:PersonalGuaranteeCollateralMemberus-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember2018-12-310000888491ohi:AgemoHoldingsLlcMemberohi:OtherCollateralMemberus-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember2018-12-310000888491ohi:AgemoHoldingsLlcMemberus-gaap:OtherInvestmentsMemberus-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember2019-12-310000888491ohi:AgemoHoldingsLlcMemberus-gaap:AccountsReceivableMemberus-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember2019-12-310000888491ohi:AgemoHoldingsLlcMemberohi:StraightLineRentReceivablesMemberus-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember2019-12-310000888491ohi:AgemoHoldingsLlcMemberohi:RealEstateInvestmentsMemberus-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember2019-12-310000888491ohi:AgemoHoldingsLlcMemberohi:LeaseIncentiveMemberus-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember2019-12-310000888491ohi:ArkHoldingCompanyIncMemberus-gaap:OtherInvestmentsMemberus-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember2018-12-310000888491ohi:ArkHoldingCompanyIncMemberus-gaap:AccountsReceivableMemberus-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember2018-12-310000888491ohi:ArkHoldingCompanyIncMemberohi:RealEstateInvestmentsMemberus-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember2018-12-310000888491ohi:ArkHoldingCompanyIncMemberohi:InvestmentsInDirectFinancingLeasesMemberus-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember2018-12-310000888491ohi:AgemoHoldingsLlcMemberus-gaap:OtherInvestmentsMemberus-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember2018-12-310000888491ohi:AgemoHoldingsLlcMemberus-gaap:AccountsReceivableMemberus-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember2018-12-310000888491ohi:AgemoHoldingsLlcMemberus-gaap:AboveMarketLeasesMemberus-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember2018-12-310000888491ohi:AgemoHoldingsLlcMemberohi:StraightLineRentReceivablesMemberus-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember2018-12-310000888491ohi:AgemoHoldingsLlcMemberohi:RealEstateInvestmentsMemberus-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember2018-12-310000888491ohi:AgemoHoldingsLlcMemberohi:LeaseIncentiveMemberus-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember2018-12-310000888491ohi:AgemoHoldingsLlcMemberus-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember2019-12-310000888491ohi:ArkHoldingCompanyIncMemberus-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember2018-12-310000888491ohi:AgemoHoldingsLlcMemberus-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember2018-12-310000888491ohi:AgemoHoldingsLlcMemberus-gaap:InvestmentIncomeMember2019-01-012019-12-310000888491ohi:AgemoHoldingsLlcMember2019-01-012019-12-310000888491ohi:ArkHoldingCompanyIncMemberus-gaap:InvestmentIncomeMemberus-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember2018-01-012018-12-310000888491ohi:AgemoHoldingsLlcMemberus-gaap:InvestmentIncomeMemberus-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember2018-01-012018-12-310000888491ohi:AgemoHoldingsLlcMemberohi:RentalIncomeMemberus-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember2018-01-012018-12-310000888491ohi:ArkHoldingCompanyIncMemberus-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember2018-01-012018-12-310000888491ohi:AgemoHoldingsLlcMemberus-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember2018-01-012018-12-310000888491ohi:ArkHoldingCompanyIncMemberus-gaap:InvestmentIncomeMember2017-01-012017-12-310000888491ohi:ArkHoldingCompanyIncMemberohi:RentalIncomeMember2017-01-012017-12-310000888491ohi:ArkHoldingCompanyIncMemberohi:FinancingLeasesIncomeMember2017-01-012017-12-310000888491ohi:AgemoHoldingsLlcMemberus-gaap:InvestmentIncomeMember2017-01-012017-12-310000888491ohi:ArkHoldingCompanyIncMember2017-01-012017-12-310000888491ohi:AgemoHoldingsLlcMember2017-01-012017-12-310000888491us-gaap:AllowanceForNotesReceivableMember2019-01-012019-12-310000888491us-gaap:AllowanceForCreditLossMember2019-01-012019-12-310000888491us-gaap:AllowanceForNotesReceivableMember2018-01-012018-12-310000888491ohi:AllowanceForDoubtfulAccountsDirectFinancingLeasesMember2019-01-012019-12-310000888491us-gaap:AllowanceForCreditLossMember2018-01-012018-12-310000888491ohi:OtherReceivablesAndLeaseInducementsMember2018-01-012018-12-310000888491ohi:AllowanceForDoubtfulAccountsOtherInvestmentsMember2018-01-012018-12-310000888491ohi:AllowanceForDoubtfulAccountsDirectFinancingLeasesMember2018-01-012018-12-310000888491us-gaap:AllowanceForNotesReceivableMember2017-01-012017-12-310000888491us-gaap:AllowanceForCreditLossMember2017-01-012017-12-310000888491ohi:OtherReceivablesAndLeaseInducementsMember2017-01-012017-12-310000888491ohi:AllowanceForDoubtfulAccountsOtherInvestmentsMember2017-01-012017-12-310000888491ohi:AllowanceForDoubtfulAccountsDirectFinancingLeasesMember2017-01-012017-12-310000888491us-gaap:AllowanceForNotesReceivableMember2019-12-310000888491ohi:AllowanceForDoubtfulAccountsDirectFinancingLeasesMember2019-12-310000888491us-gaap:AllowanceForNotesReceivableMember2018-12-310000888491us-gaap:AllowanceForCreditLossMember2018-12-310000888491ohi:AllowanceForDoubtfulAccountsDirectFinancingLeasesMember2018-12-310000888491us-gaap:AllowanceForNotesReceivableMember2017-12-310000888491us-gaap:AllowanceForCreditLossMember2017-12-310000888491ohi:OtherReceivablesAndLeaseInducementsMember2017-12-310000888491ohi:AllowanceForDoubtfulAccountsOtherInvestmentsMember2017-12-310000888491ohi:AllowanceForDoubtfulAccountsDirectFinancingLeasesMember2017-12-310000888491us-gaap:AllowanceForNotesReceivableMember2016-12-310000888491us-gaap:AllowanceForCreditLossMember2016-12-310000888491ohi:OtherReceivablesAndLeaseInducementsMember2016-12-310000888491ohi:AllowanceForDoubtfulAccountsOtherInvestmentsMember2016-12-310000888491ohi:AllowanceForDoubtfulAccountsDirectFinancingLeasesMember2016-12-310000888491ohi:TwoDamagedFacilitiesMember2019-01-012019-12-310000888491ohi:FacilitiesThatIncurredDamagesMemberohi:ThirtyFiveFacilitiesMember2018-01-012018-12-310000888491ohi:ForwardEquitySalesAgreementMember2019-09-102019-12-310000888491srt:PartnershipInterestMemberus-gaap:AccumulatedNetInvestmentGainLossIncludingPortionAttributableToNoncontrollingInterestMember2019-12-310000888491srt:PartnershipInterestMemberus-gaap:AccumulatedNetGainLossFromCashFlowHedgesIncludingPortionAttributableToNoncontrollingInterestMember2019-12-310000888491srt:PartnershipInterestMemberus-gaap:AccumulatedForeignCurrencyAdjustmentIncludingPortionAttributableToNoncontrollingInterestMember2019-12-310000888491us-gaap:CommonStockMember2019-12-310000888491us-gaap:AdditionalPaidInCapitalMember2019-12-310000888491us-gaap:AccumulatedOtherComprehensiveIncomeMember2019-12-310000888491us-gaap:AccumulatedDistributionsInExcessOfNetIncomeMember2019-12-310000888491srt:PartnershipInterestMemberus-gaap:AccumulatedNetInvestmentGainLossIncludingPortionAttributableToNoncontrollingInterestMember2018-12-310000888491srt:PartnershipInterestMemberus-gaap:AccumulatedNetGainLossFromCashFlowHedgesIncludingPortionAttributableToNoncontrollingInterestMember2018-12-310000888491srt:PartnershipInterestMemberus-gaap:AccumulatedForeignCurrencyAdjustmentIncludingPortionAttributableToNoncontrollingInterestMember2018-12-310000888491us-gaap:RetainedEarningsMember2018-12-310000888491us-gaap:ParentMember2018-12-310000888491us-gaap:NoncontrollingInterestMember2018-12-310000888491us-gaap:CommonStockMember2018-12-310000888491us-gaap:AdditionalPaidInCapitalMember2018-12-310000888491us-gaap:AccumulatedOtherComprehensiveIncomeMember2018-12-310000888491us-gaap:AccumulatedDistributionsInExcessOfNetIncomeMember2018-12-310000888491srt:ScenarioPreviouslyReportedMemberus-gaap:RetainedEarningsMember2017-12-310000888491srt:ScenarioPreviouslyReportedMemberus-gaap:ParentMember2017-12-310000888491srt:ScenarioPreviouslyReportedMemberus-gaap:NoncontrollingInterestMember2017-12-310000888491srt:ScenarioPreviouslyReportedMemberus-gaap:CommonStockMember2017-12-310000888491srt:ScenarioPreviouslyReportedMemberus-gaap:AdditionalPaidInCapitalMember2017-12-310000888491srt:ScenarioPreviouslyReportedMemberus-gaap:AccumulatedOtherComprehensiveIncomeMember2017-12-310000888491srt:ScenarioPreviouslyReportedMemberus-gaap:AccumulatedDistributionsInExcessOfNetIncomeMember2017-12-310000888491srt:PartnershipInterestMemberus-gaap:AccumulatedNetInvestmentGainLossIncludingPortionAttributableToNoncontrollingInterestMember2017-12-310000888491srt:PartnershipInterestMemberus-gaap:AccumulatedNetGainLossFromCashFlowHedgesIncludingPortionAttributableToNoncontrollingInterestMember2017-12-310000888491srt:PartnershipInterestMemberus-gaap:AccumulatedForeignCurrencyAdjustmentIncludingPortionAttributableToNoncontrollingInterestMember2017-12-310000888491us-gaap:CommonStockMember2017-12-310000888491us-gaap:AdditionalPaidInCapitalMember2017-12-310000888491us-gaap:AccumulatedOtherComprehensiveIncomeMember2017-12-310000888491us-gaap:AccumulatedDistributionsInExcessOfNetIncomeMember2017-12-310000888491srt:ScenarioPreviouslyReportedMember2017-12-310000888491srt:PartnershipInterestMemberus-gaap:AccumulatedNetInvestmentGainLossIncludingPortionAttributableToNoncontrollingInterestMember2016-12-310000888491srt:PartnershipInterestMemberus-gaap:AccumulatedNetGainLossFromCashFlowHedgesIncludingPortionAttributableToNoncontrollingInterestMember2016-12-310000888491srt:PartnershipInterestMemberus-gaap:AccumulatedForeignCurrencyAdjustmentIncludingPortionAttributableToNoncontrollingInterestMember2016-12-310000888491us-gaap:RetainedEarningsMember2016-12-310000888491us-gaap:ParentMember2016-12-310000888491us-gaap:NoncontrollingInterestMember2016-12-310000888491us-gaap:CommonStockMember2016-12-310000888491us-gaap:AdditionalPaidInCapitalMember2016-12-310000888491us-gaap:AccumulatedOtherComprehensiveIncomeMember2016-12-310000888491us-gaap:AccumulatedDistributionsInExcessOfNetIncomeMember2016-12-310000888491us-gaap:CommonStockMember2017-01-012017-12-310000888491ohi:EquityShelfProgram500MillionMember2019-12-310000888491ohi:ForwardEquitySalesAgreementMember2019-12-270000888491ohi:EquityShelfProgram500MillionMember2018-12-310000888491ohi:EquityShelfProgram500MillionMember2017-12-310000888491ohi:AwardDateThreeMemberohi:PerformanceRestrictedStockUnitsAndProfitInterestUnitsMember2019-01-010000888491ohi:AwardDateTwoMemberohi:PerformanceRestrictedStockUnitsAndProfitInterestUnitsMember2018-01-010000888491ohi:AwardDateOneMemberohi:PerformanceRestrictedStockUnitsAndProfitInterestUnitsMember2017-01-010000888491ohi:StockIncentivePlan2018Member2018-06-082018-06-080000888491ohi:AwardDateThreeMemberohi:PerformanceRestrictedStockUnitsAndProfitInterestUnitsMember2019-01-012019-01-010000888491ohi:AwardDateTwoMemberohi:PerformanceRestrictedStockUnitsAndProfitInterestUnitsMember2018-01-012018-01-010000888491ohi:AwardDateOneMemberohi:PerformanceRestrictedStockUnitsAndProfitInterestUnitsMember2017-01-012017-01-010000888491ohi:RestrictedStockAndRestrictedStockUnitsRsuAndProfitInterestUnitsMember2016-12-310000888491ohi:PerformanceRestrictedStockUnitsAndProfitInterestUnitsMember2016-12-310000888491ohi:RestrictedStockAndRestrictedStockUnitsRsuAndProfitInterestUnitsMember2019-01-012019-12-310000888491ohi:RestrictedStockAndRestrictedStockUnitsRsuAndProfitInterestUnitsMember2018-01-012018-12-310000888491ohi:RestrictedStockAndRestrictedStockUnitsRsuAndProfitInterestUnitsMember2017-01-012017-12-310000888491ohi:LeaseAndMortgageSecurityDepositsMember2019-12-310000888491ohi:LeaseAndMortgageLiquidityAndOtherDepositsMember2019-12-310000888491ohi:LeaseAndMortgageLetterOfCreditMember2019-12-310000888491ohi:LeaseAndMortgageSecurityDepositsMember2018-12-310000888491ohi:LeaseAndMortgageLiquidityAndOtherDepositsMember2018-12-310000888491ohi:LeaseAndMortgageLetterOfCreditMember2018-12-310000888491us-gaap:SecuredDebtMember2019-12-310000888491ohi:EncorePortfolioMember2019-01-012019-12-310000888491us-gaap:NotesReceivableMember2019-01-012019-12-310000888491ohi:FacilitiesTransitionedToOtherOperatorsMemberohi:SkilledNursingFacilitiesMember2017-07-012017-07-310000888491ohi:FacilitiesClassifiedToAssetHeldForSaleMemberohi:TwentyThreeFacilitiesMember2019-12-310000888491us-gaap:LandMember2019-12-310000888491us-gaap:FurnitureAndFixturesMember2019-12-310000888491us-gaap:ConstructionInProgressMember2019-12-310000888491us-gaap:BuildingMember2019-12-310000888491us-gaap:BuildingImprovementsMember2019-12-310000888491ohi:ExistingOperatorMemberus-gaap:RealEstateInvestmentMemberus-gaap:LandMember2018-12-310000888491ohi:ExistingOperatorMemberus-gaap:RealEstateInvestmentMemberus-gaap:FurnitureAndFixturesMember2018-12-310000888491ohi:ExistingOperatorMemberus-gaap:RealEstateInvestmentMemberus-gaap:BuildingImprovementsMember2018-12-310000888491ohi:ExistingOperatorMemberus-gaap:RealEstateInvestmentMember2018-12-310000888491us-gaap:LandMember2018-12-310000888491us-gaap:FurnitureAndFixturesMember2018-12-310000888491us-gaap:ConstructionInProgressMember2018-12-310000888491us-gaap:BuildingMember2018-12-310000888491us-gaap:BuildingImprovementsMember2018-12-3100008884912019-06-300000888491ohi:SaberHealthGroupMembersrt:MinimumMemberstpr:OH2019-01-012019-12-310000888491ohi:SaberHealthGroupMembersrt:MinimumMemberstpr:NC2019-01-012019-12-310000888491ohi:SaberHealthGroupMembersrt:MaximumMemberstpr:OH2019-01-012019-12-310000888491ohi:SaberHealthGroupMembersrt:MaximumMemberstpr:NC2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MinimumMemberstpr:WV2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MinimumMemberstpr:WA2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MinimumMemberstpr:VA2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MinimumMemberstpr:TX2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MinimumMemberstpr:TN2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MinimumMemberstpr:SC2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MinimumMemberstpr:PA2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MinimumMemberstpr:OR2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MinimumMemberstpr:OK2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MinimumMemberstpr:OH2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MinimumMemberstpr:NV2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MinimumMemberstpr:NM2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MinimumMemberstpr:NH2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MinimumMemberstpr:NE2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MinimumMemberstpr:NC2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MinimumMemberstpr:MT2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MinimumMemberstpr:MS2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MinimumMemberstpr:MO2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MinimumMemberstpr:MI2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MinimumMemberstpr:MA2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MinimumMemberstpr:LA2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MinimumMemberstpr:IN2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MinimumMemberstpr:ID2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MinimumMemberstpr:IA2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MinimumMemberstpr:GA2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MinimumMemberstpr:FL2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MinimumMemberstpr:CO2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MinimumMemberstpr:CA2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MinimumMemberstpr:AZ2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MinimumMemberstpr:AR2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MinimumMemberstpr:AL2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MaximumMemberstpr:WV2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MaximumMemberstpr:WA2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MaximumMemberstpr:VA2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MaximumMemberstpr:TX2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MaximumMemberstpr:TN2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MaximumMemberstpr:SC2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MaximumMemberstpr:PA2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MaximumMemberstpr:OR2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MaximumMemberstpr:OK2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MaximumMemberstpr:OH2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MaximumMemberstpr:NV2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MaximumMemberstpr:NM2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MaximumMemberstpr:NH2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MaximumMemberstpr:NE2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MaximumMemberstpr:NC2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MaximumMemberstpr:MT2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MaximumMemberstpr:MS2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MaximumMemberstpr:MO2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MaximumMemberstpr:MI2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MaximumMemberstpr:MA2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MaximumMemberstpr:LA2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MaximumMemberstpr:IN2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MaximumMemberstpr:ID2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MaximumMemberstpr:IA2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MaximumMemberstpr:GA2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MaximumMemberstpr:FL2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MaximumMemberstpr:CO2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MaximumMemberstpr:CA2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MaximumMemberstpr:AZ2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MaximumMemberstpr:AR2019-01-012019-12-310000888491ohi:OtherOperatorMembersrt:MaximumMemberstpr:AL2019-01-012019-12-310000888491ohi:MaplewoodRealEstateHoldingsMembersrt:MinimumMemberstpr:OH2019-01-012019-12-310000888491ohi:MaplewoodRealEstateHoldingsMembersrt:MinimumMemberstpr:MA2019-01-012019-12-310000888491ohi:MaplewoodRealEstateHoldingsMembersrt:MinimumMemberstpr:CT2019-01-012019-12-310000888491ohi:MaplewoodRealEstateHoldingsMembersrt:MaximumMemberstpr:OH2019-01-012019-12-310000888491ohi:MaplewoodRealEstateHoldingsMembersrt:MaximumMemberstpr:MA2019-01-012019-12-310000888491ohi:MaplewoodRealEstateHoldingsMembersrt:MaximumMemberstpr:CT2019-01-012019-12-310000888491ohi:ConsulateHealthCareMembersrt:MinimumMemberstpr:NC2019-01-012019-12-310000888491ohi:ConsulateHealthCareMembersrt:MinimumMemberstpr:FL2019-01-012019-12-310000888491ohi:ConsulateHealthCareMembersrt:MaximumMemberstpr:NC2019-01-012019-12-310000888491ohi:ConsulateHealthCareMembersrt:MaximumMemberstpr:FL2019-01-012019-12-310000888491ohi:CommunicareHealthServicesIncMembersrt:MinimumMemberstpr:OH2019-01-012019-12-310000888491ohi:CommunicareHealthServicesIncMembersrt:MinimumMemberstpr:MD2019-01-012019-12-310000888491ohi:CommunicareHealthServicesIncMembersrt:MinimumMemberstpr:IN2019-01-012019-12-310000888491ohi:CommunicareHealthServicesIncMembersrt:MaximumMemberstpr:OH2019-01-012019-12-310000888491ohi:CommunicareHealthServicesIncMembersrt:MaximumMemberstpr:MD2019-01-012019-12-310000888491ohi:CommunicareHealthServicesIncMembersrt:MaximumMemberstpr:IN2019-01-012019-12-310000888491ohi:CienaHealthcareMembersrt:MinimumMemberstpr:OH2019-01-012019-12-310000888491ohi:CienaHealthcareMembersrt:MaximumMemberstpr:OH2019-01-012019-12-310000888491ohi:AgemoHoldingsLlcMembersrt:MinimumMemberstpr:TN2019-01-012019-12-310000888491ohi:AgemoHoldingsLlcMembersrt:MinimumMemberstpr:MD2019-01-012019-12-310000888491ohi:AgemoHoldingsLlcMembersrt:MinimumMemberstpr:KY2019-01-012019-12-310000888491ohi:AgemoHoldingsLlcMembersrt:MinimumMemberstpr:FL2019-01-012019-12-310000888491ohi:AgemoHoldingsLlcMembersrt:MaximumMemberstpr:TN2019-01-012019-12-310000888491ohi:AgemoHoldingsLlcMembersrt:MaximumMemberstpr:MD2019-01-012019-12-310000888491ohi:AgemoHoldingsLlcMembersrt:MaximumMemberstpr:KY2019-01-012019-12-310000888491ohi:AgemoHoldingsLlcMembersrt:MaximumMemberstpr:FL2019-01-012019-12-310000888491ohi:MaplewoodRealEstateHoldingsMemberstpr:NY2019-12-310000888491ohi:MaplewoodRealEstateHoldingsMemberstpr:NJ2019-12-310000888491ohi:SaberHealthGroupMemberstpr:PA2019-12-310000888491ohi:SaberHealthGroupMemberstpr:NC2019-12-310000888491ohi:SaberHealthGroupMemberstpr:FL2019-12-310000888491ohi:OtherOperatorMemberstpr:WV2019-12-310000888491ohi:OtherOperatorMemberstpr:WI2019-12-310000888491ohi:OtherOperatorMemberstpr:VT2019-12-310000888491ohi:OtherOperatorMemberstpr:VA2019-12-310000888491ohi:OtherOperatorMemberstpr:TN2019-12-310000888491ohi:OtherOperatorMemberstpr:SC2019-12-310000888491ohi:OtherOperatorMemberstpr:RI2019-12-310000888491ohi:OtherOperatorMemberstpr:OR2019-12-310000888491ohi:OtherOperatorMemberstpr:OK2019-12-310000888491ohi:OtherOperatorMemberstpr:OH2019-12-310000888491ohi:OtherOperatorMemberstpr:NV2019-12-310000888491ohi:OtherOperatorMemberstpr:NM2019-12-310000888491ohi:OtherOperatorMemberstpr:NH2019-12-310000888491ohi:OtherOperatorMemberstpr:NE2019-12-310000888491ohi:OtherOperatorMemberstpr:NC2019-12-310000888491ohi:OtherOperatorMemberstpr:MT2019-12-310000888491ohi:OtherOperatorMemberstpr:MS2019-12-310000888491ohi:OtherOperatorMemberstpr:MN2019-12-310000888491ohi:OtherOperatorMemberstpr:MI2019-12-310000888491ohi:OtherOperatorMemberstpr:MA2019-12-310000888491ohi:OtherOperatorMemberstpr:KY2019-12-310000888491ohi:OtherOperatorMemberstpr:IA2019-12-310000888491ohi:OtherOperatorMemberstpr:GA2019-12-310000888491ohi:OtherOperatorMemberstpr:CT2019-12-310000888491ohi:OtherOperatorMemberstpr:CO2019-12-310000888491ohi:OtherOperatorMemberstpr:AZ2019-12-310000888491ohi:OtherOperatorMemberstpr:AL2019-12-310000888491ohi:MaplewoodRealEstateHoldingsMemberstpr:OH2019-12-310000888491ohi:MaplewoodRealEstateHoldingsMemberstpr:CT2019-12-310000888491ohi:ConsulateHealthCareMemberstpr:VA2019-12-310000888491ohi:ConsulateHealthCareMemberstpr:PA2019-12-310000888491ohi:ConsulateHealthCareMemberstpr:MS2019-12-310000888491ohi:ConsulateHealthCareMemberstpr:MO2019-12-310000888491ohi:ConsulateHealthCareMemberstpr:LA2019-12-310000888491ohi:ConsulateHealthCareMemberstpr:KY2019-12-310000888491ohi:ConsulateHealthCareMemberstpr:FL2019-12-310000888491ohi:CommunicareHealthServicesIncMemberstpr:WV2019-12-310000888491ohi:CommunicareHealthServicesIncMemberstpr:VA2019-12-310000888491ohi:CommunicareHealthServicesIncMemberstpr:PA2019-12-310000888491ohi:CommunicareHealthServicesIncMemberstpr:MD2019-12-310000888491ohi:CienaHealthcareMemberstpr:NC2019-12-310000888491ohi:CienaHealthcareMemberstpr:MI2019-12-310000888491ohi:CienaHealthcareMemberstpr:IN2019-12-310000888491ohi:AgemoHoldingsLlcMemberstpr:TN2019-12-310000888491ohi:AgemoHoldingsLlcMemberstpr:MD2019-12-310000888491ohi:AgemoHoldingsLlcMemberstpr:KY2019-12-310000888491ohi:AgemoHoldingsLlcMemberstpr:GA2019-12-310000888491ohi:AgemoHoldingsLlcMemberstpr:FL2019-12-310000888491ohi:AgemoHoldingsLlcMember2019-12-310000888491ohi:StraightLineRentReceivableMember2017-01-012017-12-310000888491srt:MinimumMemberus-gaap:FurnitureAndFixturesMember2019-01-012019-12-310000888491srt:MinimumMemberus-gaap:BuildingMember2019-01-012019-12-310000888491srt:MinimumMemberohi:SiteImprovementsAndEquipmentMember2019-01-012019-12-310000888491srt:MaximumMemberus-gaap:FurnitureAndFixturesMember2019-01-012019-12-310000888491srt:MaximumMemberus-gaap:BuildingMember2019-01-012019-12-310000888491srt:MaximumMemberohi:SiteImprovementsAndEquipmentMember2019-01-012019-12-310000888491us-gaap:RetainedEarningsMember2019-01-012019-12-310000888491us-gaap:RetainedEarningsMember2018-01-012018-12-310000888491us-gaap:RetainedEarningsMember2017-01-012017-12-310000888491ohi:ArkHoldingCompanyIncMemberohi:SkilledNursingFacilitiesAndHeadquartersMember2018-07-012018-09-300000888491ohi:FacilitiesSoldMemberohi:SkilledNursingFacilitiesMember2018-01-012018-12-310000888491ohi:ArkHoldingCompanyIncMemberohi:DirectFinancingLeasesMemberohi:FifteenSkilledNursingFacilitiesMember2019-01-162019-12-310000888491ohi:ArkHoldingCompanyIncMemberohi:FifteenSkilledNursingFacilitiesMember2019-01-112019-01-110000888491ohi:OmegaOpTermLoanMember2019-09-012019-09-300000888491ohi:SeniorNotesDue2029Memberus-gaap:SeniorNotesMember2019-09-202019-09-200000888491ohi:SeniorNotesDue2028Memberus-gaap:SeniorNotesMember2017-04-012017-04-040000888491ohi:SeniorNotesDue2025Memberus-gaap:SeniorNotesMember2017-04-012017-04-040000888491ohi:SeniorNotesDue2023Memberus-gaap:SeniorNotesMember2016-06-012016-06-120000888491ohi:SeniorNotesDue2026Memberus-gaap:SeniorNotesMember2015-09-222015-09-230000888491ohi:SeniorNotesDue2027Memberus-gaap:SeniorNotesMember2015-03-012015-03-180000888491ohi:SeniorNotesDue2025Memberus-gaap:SeniorNotesMember2014-09-012014-09-110000888491ohi:SeniorNotesDue2024Memberus-gaap:SeniorNotesMember2014-03-012014-03-110000888491ohi:ForwardEquitySalesAgreementMember2019-12-272019-12-270000888491ohi:EquityShelfProgram500MillionMember2019-01-012019-12-310000888491ohi:DividendReinvestmentAndCommonStockPurchasePlanMember2019-01-012019-12-310000888491ohi:EquityShelfProgram500MillionMember2018-01-012018-12-310000888491ohi:DividendReinvestmentAndCommonStockPurchasePlanMember2018-01-012018-12-310000888491ohi:EquityShelfProgram500MillionMember2017-01-012017-12-310000888491ohi:DividendReinvestmentAndCommonStockPurchasePlanMember2017-01-012017-12-310000888491ohi:ArkHoldingCompanyIncMemberohi:FacilitiesSoldMemberohi:DirectFinancingLeasesMemberohi:EightFacilitiesMember2017-01-012017-12-310000888491ohi:AgemoHoldingsLlcMemberohi:TrancheOneMember2017-08-012017-08-310000888491ohi:HudMortgageAssumedMember2019-12-310000888491srt:ConsolidatedEntityExcludingVariableInterestEntitiesVIEMemberohi:LakewayTexasJointVentureMemberohi:MedicalOfficeBuildingMember2019-01-012019-03-3100008884912019-10-312019-10-310000888491ohi:FloridaIdahoKentuckyLouisianaMississippiMissouriMontanaAndNorthCarolinaMemberus-gaap:LandMember2019-10-012019-12-310000888491ohi:FloridaIdahoKentuckyLouisianaMississippiMissouriMontanaAndNorthCarolinaMemberus-gaap:FurnitureAndFixturesMember2019-10-012019-12-310000888491ohi:FloridaIdahoKentuckyLouisianaMississippiMissouriMontanaAndNorthCarolinaMemberus-gaap:BuildingImprovementsMember2019-10-012019-12-310000888491ohi:NorthCarolinaAndVirginiaMemberus-gaap:LandMember2019-07-012019-09-300000888491ohi:NorthCarolinaAndVirginiaMemberus-gaap:FurnitureAndFixturesMember2019-07-012019-09-300000888491ohi:NorthCarolinaAndVirginiaMemberus-gaap:BuildingImprovementsMember2019-07-012019-09-300000888491ohi:PennsylvaniaAndVirginiaMemberus-gaap:LandMember2019-04-012019-06-300000888491ohi:PennsylvaniaAndVirginiaMemberus-gaap:FurnitureAndFixturesMember2019-04-012019-06-300000888491ohi:PennsylvaniaAndVirginiaMemberus-gaap:BuildingImprovementsMember2019-04-012019-06-300000888491ohi:CaliforniaConnecticutIndianaNevadaSouthCarolinaTennesseeAndTexasMemberus-gaap:LandMember2019-04-012019-06-300000888491ohi:CaliforniaConnecticutIndianaNevadaSouthCarolinaTennesseeAndTexasMemberus-gaap:FurnitureAndFixturesMember2019-04-012019-06-300000888491ohi:CaliforniaConnecticutIndianaNevadaSouthCarolinaTennesseeAndTexasMemberus-gaap:BuildingImprovementsMember2019-04-012019-06-300000888491us-gaap:LandMember2019-01-012019-12-310000888491us-gaap:FurnitureAndFixturesMember2019-01-012019-12-310000888491us-gaap:BuildingImprovementsMember2019-01-012019-12-310000888491ohi:ParcelsAcquiredMember2019-01-012019-12-310000888491stpr:OHus-gaap:LandMember2019-01-012019-03-310000888491stpr:OHus-gaap:FurnitureAndFixturesMember2019-01-012019-03-310000888491stpr:OHus-gaap:BuildingImprovementsMember2019-01-012019-03-310000888491stpr:PAus-gaap:LandMember2018-10-012018-12-310000888491stpr:PAus-gaap:FurnitureAndFixturesMember2018-10-012018-12-310000888491stpr:PAus-gaap:BuildingImprovementsMember2018-10-012018-12-310000888491stpr:OHus-gaap:LandMember2018-10-012018-12-310000888491stpr:OHus-gaap:FurnitureAndFixturesMember2018-10-012018-12-310000888491stpr:OHus-gaap:BuildingImprovementsMember2018-10-012018-12-310000888491stpr:INus-gaap:LandMember2018-10-012018-12-310000888491stpr:INus-gaap:FurnitureAndFixturesMember2018-10-012018-12-310000888491stpr:INus-gaap:BuildingImprovementsMember2018-10-012018-12-310000888491stpr:TXus-gaap:LandMember2018-04-012018-06-300000888491stpr:TXus-gaap:FurnitureAndFixturesMember2018-04-012018-06-300000888491stpr:TXus-gaap:BuildingImprovementsMember2018-04-012018-06-300000888491us-gaap:LandMember2018-01-012018-12-310000888491us-gaap:FurnitureAndFixturesMember2018-01-012018-12-310000888491us-gaap:BuildingImprovementsMember2018-01-012018-12-310000888491ohi:ParcelsAcquiredMember2018-01-012018-12-310000888491stpr:VAus-gaap:LandMember2018-01-012018-03-310000888491stpr:VAus-gaap:FurnitureAndFixturesMember2018-01-012018-03-310000888491stpr:VAus-gaap:BuildingImprovementsMember2018-01-012018-03-310000888491stpr:PAus-gaap:LandMember2018-01-012018-03-310000888491stpr:PAus-gaap:FurnitureAndFixturesMember2018-01-012018-03-310000888491stpr:PAus-gaap:BuildingImprovementsMember2018-01-012018-03-310000888491ohi:GreatBritainOneMemberus-gaap:LandMember2018-01-012018-03-310000888491ohi:GreatBritainOneMemberus-gaap:FurnitureAndFixturesMember2018-01-012018-03-310000888491ohi:GreatBritainOneMemberus-gaap:BuildingImprovementsMember2018-01-012018-03-310000888491country:GBus-gaap:LandMember2018-01-012018-03-310000888491country:GBus-gaap:FurnitureAndFixturesMember2018-01-012018-03-310000888491country:GBus-gaap:BuildingImprovementsMember2018-01-012018-03-310000888491stpr:TXus-gaap:LandMember2017-10-012017-12-310000888491stpr:TXus-gaap:FurnitureAndFixturesMember2017-10-012017-12-310000888491stpr:TXus-gaap:BuildingImprovementsMember2017-10-012017-12-310000888491stpr:TXus-gaap:LandMember2017-07-012017-09-300000888491stpr:TXus-gaap:FurnitureAndFixturesMember2017-07-012017-09-300000888491stpr:TXus-gaap:BuildingImprovementsMember2017-07-012017-09-300000888491stpr:INus-gaap:LandMember2017-07-012017-09-300000888491stpr:INus-gaap:FurnitureAndFixturesMember2017-07-012017-09-300000888491stpr:INus-gaap:BuildingImprovementsMember2017-07-012017-09-300000888491ohi:TexasTwoMemberus-gaap:LandMember2017-07-012017-09-300000888491ohi:TexasTwoMemberus-gaap:FurnitureAndFixturesMember2017-07-012017-09-300000888491ohi:TexasTwoMemberus-gaap:BuildingImprovementsMember2017-07-012017-09-300000888491stpr:NCus-gaap:LandMember2017-04-012017-06-300000888491stpr:NCus-gaap:FurnitureAndFixturesMember2017-04-012017-06-300000888491stpr:NCus-gaap:BuildingImprovementsMember2017-04-012017-06-300000888491country:GBus-gaap:LandMember2017-04-012017-06-300000888491country:GBus-gaap:FurnitureAndFixturesMember2017-04-012017-06-300000888491country:GBus-gaap:BuildingImprovementsMember2017-04-012017-06-300000888491us-gaap:FurnitureAndFixturesMember2017-01-012017-12-310000888491us-gaap:BuildingImprovementsMember2017-01-012017-12-310000888491ohi:ThreeParcelsOfLandAcquiredMember2017-01-012017-12-310000888491stpr:VAus-gaap:LandMember2017-01-012017-03-310000888491stpr:VAus-gaap:FurnitureAndFixturesMember2017-01-012017-03-310000888491stpr:VAus-gaap:BuildingImprovementsMember2017-01-012017-03-310000888491srt:PartnershipInterestMemberus-gaap:ParentMember2019-12-310000888491srt:PartnershipInterestMemberus-gaap:NoncontrollingInterestMember2019-12-310000888491srt:PartnershipInterestMembersrt:ScenarioPreviouslyReportedMemberus-gaap:ParentMember2017-12-310000888491srt:PartnershipInterestMemberus-gaap:ParentMember2016-12-310000888491srt:PartnershipInterestMemberus-gaap:LimitedPartnerMember2019-12-310000888491srt:PartnershipInterestMemberus-gaap:GeneralPartnerMember2019-12-310000888491srt:PartnershipInterestMembersrt:ScenarioPreviouslyReportedMemberus-gaap:LimitedPartnerMember2017-12-310000888491srt:PartnershipInterestMembersrt:ScenarioPreviouslyReportedMemberus-gaap:GeneralPartnerMember2017-12-310000888491srt:PartnershipInterestMembersrt:ScenarioPreviouslyReportedMember2017-12-310000888491srt:PartnershipInterestMemberus-gaap:LimitedPartnerMember2016-12-310000888491srt:PartnershipInterestMemberus-gaap:GeneralPartnerMember2016-12-310000888491ohi:OmegaOpTermLoanMemberus-gaap:SecuredDebtMember2019-12-310000888491ohi:USTermLoanMemberus-gaap:UnsecuredDebtMember2018-12-310000888491ohi:TermLoan2015Memberus-gaap:UnsecuredDebtMember2018-12-310000888491ohi:SterlingTermLoanMemberus-gaap:UnsecuredDebtMember2018-12-310000888491ohi:OmegaOpTermLoanMemberus-gaap:UnsecuredDebtMember2018-12-310000888491ohi:USTermLoanMemberus-gaap:UnsecuredDebtMember2017-05-250000888491ohi:SterlingTermLoanMemberus-gaap:UnsecuredDebtMember2017-05-250000888491ohi:OmegaOpTermLoanMemberus-gaap:UnsecuredDebtMember2017-05-250000888491ohi:TermLoan2015Memberus-gaap:UnsecuredDebtMember2015-12-160000888491ohi:GenesisHealthcareMemberohi:OtherInvestmentNoteDue2021SecondLoanMember2019-12-310000888491ohi:GenesisHealthcareMemberohi:OtherInvestmentNoteDue2021FirstLoanMember2019-12-310000888491ohi:OtherInvestmentNoteDue2019Memberohi:SevenSkilledNursingFacilitiesAndThreeIndependentLivingFacilitiesAndOneAssistedLivingFacilityMember2018-09-282018-09-280000888491srt:PartnershipInterestMemberus-gaap:AccumulatedNetInvestmentGainLossIncludingPortionAttributableToNoncontrollingInterestMember2019-01-012019-12-310000888491srt:PartnershipInterestMemberus-gaap:AccumulatedNetInvestmentGainLossIncludingPortionAttributableToNoncontrollingInterestMember2018-01-012018-12-310000888491srt:PartnershipInterestMemberus-gaap:AccumulatedNetInvestmentGainLossIncludingPortionAttributableToNoncontrollingInterestMember2017-01-012017-12-310000888491srt:PartnershipInterestMemberus-gaap:AccumulatedNetGainLossFromCashFlowHedgesIncludingPortionAttributableToNoncontrollingInterestMember2019-01-012019-12-310000888491srt:PartnershipInterestMemberus-gaap:AccumulatedNetGainLossFromCashFlowHedgesIncludingPortionAttributableToNoncontrollingInterestMember2018-01-012018-12-310000888491srt:PartnershipInterestMemberus-gaap:AccumulatedNetGainLossFromCashFlowHedgesIncludingPortionAttributableToNoncontrollingInterestMember2017-01-012017-12-310000888491us-gaap:AccumulatedOtherComprehensiveIncomeMember2019-01-012019-12-310000888491srt:PartnershipInterestMemberus-gaap:LimitedPartnerMember2018-01-012018-12-310000888491srt:PartnershipInterestMemberus-gaap:GeneralPartnerMember2018-01-012018-12-310000888491us-gaap:AccumulatedOtherComprehensiveIncomeMember2018-01-012018-12-310000888491srt:PartnershipInterestMemberus-gaap:LimitedPartnerMember2017-01-012017-12-310000888491srt:PartnershipInterestMemberus-gaap:GeneralPartnerMember2017-01-012017-12-310000888491us-gaap:AccumulatedOtherComprehensiveIncomeMember2017-01-012017-12-310000888491srt:PartnershipInterestMemberus-gaap:AccumulatedForeignCurrencyAdjustmentIncludingPortionAttributableToNoncontrollingInterestMember2019-01-012019-12-310000888491srt:PartnershipInterestMemberus-gaap:AccumulatedForeignCurrencyAdjustmentIncludingPortionAttributableToNoncontrollingInterestMember2018-01-012018-12-310000888491srt:PartnershipInterestMemberus-gaap:AccumulatedForeignCurrencyAdjustmentIncludingPortionAttributableToNoncontrollingInterestMember2017-01-012017-12-310000888491us-gaap:IndemnificationGuaranteeMember2019-12-310000888491ohi:ArkHoldingCompanyIncMemberohi:DirectFinancingLeasesMemberohi:FifteenSkilledNursingFacilitiesMember2019-01-310000888491ohi:TaxableReitSubsidiariesMember2019-12-310000888491us-gaap:AccountingStandardsUpdate201602Member2019-01-012019-12-310000888491ohi:FacilitiesTransitionedToOtherOperatorsMemberohi:FiveExistingOperatorsMemberohi:TwentyTwoFacilitiesMember2018-07-012018-09-300000888491ohi:FacilitiesUsedInWeightedAverageInterestRateMemberohi:MortgageNoteDue2029Memberus-gaap:MortgageReceivablesMember2019-12-310000888491ohi:FacilitiesSoldMemberohi:SecondSpringHealthcareInvestmentsMemberohi:SkilledNursingFacilitiesMember2019-12-310000888491ohi:FacilitiesOwnedMemberohi:CindatIcePortfolioJvGpLimitedMemberohi:AssistedLivingFacilitiesMember2019-12-310000888491ohi:FacilitiesAcquiredMemberohi:FloridaIdahoKentuckyLouisianaMississippiMissouriMontanaAndNorthCarolinaMemberohi:SkilledNursingFacilitiesMember2019-12-310000888491ohi:FacilitiesAcquiredMemberohi:FloridaIdahoKentuckyLouisianaMississippiMissouriMontanaAndNorthCarolinaMemberohi:AssistedLivingFacilitiesMember2019-12-310000888491ohi:ParcelsAcquiredMemberus-gaap:LandMember2019-12-310000888491ohi:GroundAndOrFacilityLeasesMembersrt:OfficeBuildingMember2019-12-310000888491ohi:GroundAndOrFacilityLeasesMemberohi:SkilledNursingFacilitiesMember2019-12-310000888491ohi:FacilitiesWithImpairmentChargesMemberohi:TwentyThreeFacilitiesMember2019-12-310000888491ohi:FacilitiesWithImpairmentChargesMemberohi:SeventeenFacilitiesMember2019-12-310000888491ohi:FacilitiesWithImpairmentChargesMemberohi:FacilitiesMember2019-12-310000888491ohi:FacilitiesUnderFixedRateMortgageLoansMemberohi:SpecialtyMember2019-12-310000888491ohi:FacilitiesUnderFixedRateMortgageLoansMemberohi:SkilledNursingFacilitiesMember2019-12-310000888491ohi:FacilitiesUnderFixedRateMortgageLoansMemberohi:AssistedLivingFacilitiesMember2019-12-310000888491ohi:FacilitiesSoldPreviouslyHeldForSaleMemberohi:ThirtyFourFacilitiesMember2019-12-310000888491ohi:FacilitiesSoldPreviouslyHeldForSaleMemberohi:ElevenFacilitiesMember2019-12-310000888491ohi:FacilitiesSoldMemberohi:ThirtyFourFacilitiesMember2019-12-310000888491ohi:FacilitiesSoldMemberohi:SevenFacilitiesMember2019-12-310000888491ohi:FacilitiesSoldMemberohi:ElevenFacilitiesMember2019-12-310000888491ohi:FacilitiesConsideredLongTermMemberus-gaap:MortgageReceivablesMember2019-12-310000888491ohi:FacilitiesClassifiedToAssetHeldForSaleMemberohi:SeventeenFacilitiesMember2019-12-310000888491ohi:FacilitiesAcquiredMemberohi:SpecialtyMember2019-12-310000888491ohi:FacilitiesAcquiredMemberohi:SkilledNursingFacilitiesMember2019-12-310000888491ohi:FacilitiesAcquiredMemberohi:MedicalOfficeBuildingMember2019-12-310000888491ohi:FacilitiesAcquiredMemberohi:AssistedLivingFacilitiesMember2019-12-310000888491ohi:SpecialtyMember2019-12-310000888491ohi:SpecialtyFacilitiesLeasedMember2019-12-310000888491ohi:SkillNursingFacilitiesLeasesMember2019-12-310000888491ohi:SkilledNursingFacilitiesMember2019-12-310000888491ohi:MedicalOfficeBuildingsLeasedMember2019-12-310000888491ohi:MedicalOfficeBuildingMember2019-12-310000888491ohi:FacilitiesThatIncurredDamagesMember2019-12-310000888491ohi:FacilitiesSubjectToDirectFinancingLeasesMember2019-12-310000888491ohi:FacilitiesHeldForSaleOrClosedMember2019-12-310000888491ohi:AssistedLivingFacilitiesMember2019-12-310000888491ohi:AssistedLivingFacilitiesLeasedMember2019-12-310000888491ohi:FacilitiesAcquiredMember2019-10-310000888491ohi:FacilitiesAcquiredMemberohi:NorthCarolinaAndVirginiaMemberohi:SkilledNursingFacilitiesMember2019-09-300000888491ohi:FacilitiesAcquiredMemberohi:PennsylvaniaAndVirginiaMemberohi:SpecialtyMember2019-06-300000888491ohi:FacilitiesAcquiredMemberohi:PennsylvaniaAndVirginiaMemberohi:SkilledNursingFacilitiesMember2019-06-300000888491ohi:FacilitiesAcquiredMemberohi:PennsylvaniaAndVirginiaMemberohi:AssistedLivingFacilitiesMember2019-06-300000888491ohi:FacilitiesAcquiredMemberohi:CaliforniaConnecticutIndianaNevadaSouthCarolinaTennesseeAndTexasMemberohi:SpecialtyMember2019-06-300000888491ohi:FacilitiesAcquiredMemberohi:CaliforniaConnecticutIndianaNevadaSouthCarolinaTennesseeAndTexasMemberohi:SkilledNursingFacilitiesMember2019-06-300000888491ohi:FacilitiesAcquiredMemberohi:CaliforniaConnecticutIndianaNevadaSouthCarolinaTennesseeAndTexasMemberohi:MedicalOfficeBuildingMember2019-06-300000888491ohi:FacilitiesAcquiredMemberohi:CaliforniaConnecticutIndianaNevadaSouthCarolinaTennesseeAndTexasMemberohi:AssistedLivingFacilitiesMember2019-06-300000888491ohi:FacilitiesNoLongerHeldForSaleMember2019-06-300000888491ohi:FacilitiesAcquiredMemberstpr:VAohi:OtherInvestmentNoteDue2019Member2019-05-310000888491ohi:FacilitiesAcquiredMemberstpr:PAohi:OtherInvestmentNoteDue2019Member2019-05-310000888491ohi:FacilitiesAcquiredMemberohi:MedequitiesRealtyTrustInc.Member2019-05-170000888491ohi:FacilitiesAcquiredMemberstpr:OHohi:SkilledNursingFacilitiesMember2019-03-310000888491ohi:ArkHoldingCompanyIncMemberohi:FacilitiesSoldMemberohi:DistributionTrustMemberohi:SkilledNursingFacilitiesMember2019-01-160000888491ohi:ArkHoldingCompanyIncMemberohi:FacilitiesSoldMemberohi:DirectFinancingLeasesMemberohi:FifteenSkilledNursingFacilitiesMember2019-01-110000888491ohi:FacilitiesSoldMemberohi:SecondSpringHealthcareInvestmentsMemberohi:SkilledNursingFacilitiesMember2018-12-310000888491ohi:ArkHoldingCompanyIncMemberohi:FacilitiesOwnedAndLeasedMemberohi:OperatingLeaseMember2018-12-310000888491ohi:ArkHoldingCompanyIncMemberohi:DirectFinancingLeasesMemberohi:SoutheastMember2018-12-310000888491stpr:PAohi:SkilledNursingFacilitiesMember2018-12-310000888491stpr:PAohi:AssistedAndIndependentLivingFacilitiesMember2018-12-310000888491stpr:OHohi:SkilledNursingFacilitiesMember2018-12-310000888491stpr:INohi:SkilledNursingFacilitiesMember2018-12-310000888491ohi:ParcelsAcquiredMemberus-gaap:LandMember2018-12-310000888491ohi:FacilitiesWithImpairmentChargesMemberohi:ThirtyFiveFacilitiesMember2018-12-310000888491ohi:FacilitiesWithImpairmentChargesMemberohi:FacilitiesMember2018-12-310000888491ohi:FacilitiesWithImpairmentChargesMemberohi:AncillaryBuildingMember2018-12-310000888491ohi:FacilitiesTransitionedToFiveOtherOperatorsMemberohi:SkilledNursingFacilitiesMember2018-12-310000888491ohi:FacilitiesTransitionedToFiveOtherOperatorsMemberohi:AssistedLivingFacilitiesMember2018-12-310000888491ohi:FacilitiesSoldPreviouslyHeldForSaleMemberohi:SeventyEightFacilitiesMember2018-12-310000888491ohi:FacilitiesSoldMemberohi:FortyEightFacilitiesMember2018-12-310000888491ohi:SkilledNursingFacilitiesMember2018-12-310000888491ohi:FacilitiesSubjectToDirectFinancingLeasesMember2018-12-310000888491ohi:FacilitiesSoldMember2018-12-310000888491ohi:AssistedAndIndependentLivingFacilitiesMember2018-12-310000888491ohi:ArkHoldingCompanyIncMemberohi:FacilitiesSoldMemberohi:DirectFinancingLeasesMemberohi:SkilledNursingFacilitiesMember2018-09-300000888491ohi:ArkHoldingCompanyIncMemberohi:FacilitiesTransitionedToOtherOperatorsMemberohi:FiveExistingOperatorsMember2018-09-300000888491ohi:FacilitiesCoveredByMortgageAndUsedAsCollateralMemberohi:OtherInvestmentNoteDue2019Memberohi:SkillNursingFacilitiesLeasesMember2018-09-280000888491ohi:FacilitiesCoveredByMortgageAndUsedAsCollateralMemberohi:OtherInvestmentNoteDue2019Memberohi:IndependentLivingFacilitiesMember2018-09-280000888491ohi:FacilitiesCoveredByMortgageAndUsedAsCollateralMemberohi:OtherInvestmentNoteDue2019Memberohi:AssistedLivingFacilitiesMember2018-09-280000888491ohi:FacilitiesCoveredByMortgageAndUsedAsCollateralMemberohi:MortgageNoteDue2029Memberus-gaap:MortgageReceivablesMemberohi:SecondAmendedMasterMortgageMember2018-06-300000888491ohi:FacilitiesSoldPreviouslyHeldForSaleMemberstpr:ARohi:SkilledNursingFacilitiesMember2018-06-300000888491stpr:TXohi:SkilledNursingFacilitiesMember2018-06-300000888491ohi:FacilitiesSoldMemberohi:SeventyEightFacilitiesMember2018-06-010000888491ohi:ArkHoldingCompanyIncMemberohi:RestructuringSupportAgreementMemberohi:FacilitiesTransitionedToOtherOperatorsMember2018-03-310000888491ohi:ArkHoldingCompanyIncMemberohi:RestructuringSupportAgreementMemberohi:FacilitiesHeldForSaleOrClosedMember2018-03-310000888491stpr:VAohi:SkilledNursingFacilitiesMember2018-03-310000888491stpr:PAohi:SkilledNursingFacilitiesMember2018-03-310000888491ohi:GreatBritainOneMemberohi:AssistedAndIndependentLivingFacilitiesMember2018-03-310000888491country:GBohi:AssistedAndIndependentLivingFacilitiesMember2018-03-310000888491ohi:ArkHoldingCompanyIncMemberohi:FacilitiesTransitionedToOtherOperatorsMemberstpr:TXohi:SkilledNursingFacilitiesMember2017-12-310000888491ohi:FacilitiesAcquiredMemberstpr:TXohi:SkilledNursingFacilitiesMember2017-12-310000888491ohi:ArkHoldingCompanyIncMemberohi:FacilitiesSoldMemberohi:DirectFinancingLeasesMember2017-12-310000888491ohi:FacilitiesWithImpairmentChargesMemberohi:ThirtySevenFacilitiesMember2017-12-310000888491ohi:FacilitiesSoldPreviouslyHeldForSaleMemberohi:FiftyTwoFacilitiesMember2017-12-310000888491ohi:FacilitiesDidNotQualifyForSaleAccountingUnderFullAccrualMethodMemberohi:FiftyTwoFacilitiesMember2017-12-310000888491ohi:FacilitiesAcquiredMemberohi:SkilledNursingFacilitiesMember2017-12-310000888491ohi:FacilitiesAcquiredMemberohi:AssistedAndIndependentLivingFacilitiesMember2017-12-310000888491ohi:FacilitiesSoldMember2017-12-310000888491ohi:FacilitiesAcquiredMemberstpr:TXohi:AssistedAndIndependentLivingFacilitiesMember2017-09-300000888491ohi:FacilitiesAcquiredMemberstpr:INohi:SkilledNursingFacilitiesMember2017-09-300000888491ohi:FacilitiesAcquiredMemberohi:TexasTwoMemberohi:SkilledNursingFacilitiesMember2017-09-300000888491ohi:ArkHoldingCompanyIncMemberohi:SoutheastMemberohi:RecordedAllowanceOnDirectFinanceLeaseMember2017-09-300000888491ohi:FacilitiesTransitionedToOtherOperatorsMemberohi:SkilledNursingFacilitiesMember2017-07-310000888491ohi:FacilitiesAcquiredMemberstpr:NCohi:SkilledNursingFacilitiesMember2017-06-300000888491ohi:FacilitiesAcquiredMembercountry:GBohi:AssistedAndIndependentLivingFacilitiesMember2017-06-300000888491ohi:FacilitiesAcquiredMemberstpr:VAohi:AssistedAndIndependentLivingFacilitiesMember2017-03-310000888491ohi:FacilitiesCoveredByMortgageAndUsedAsCollateralMemberohi:MortgageNoteDue2029Memberus-gaap:MortgageReceivablesMemberohi:MasterMortgageMemberohi:SeventeenFacilitiesMember2014-06-300000888491ohi:FacilitiesCoveredByMortgageAndUsedAsCollateralMemberohi:MortgageNoteDue2029Memberus-gaap:MortgageReceivablesMemberohi:MasterMortgageMemberohi:FourteenFacilitiesMember2014-06-300000888491ohi:FacilitiesCoveredByMortgageAndUsedAsCollateralMemberohi:MortgageNoteDue2029Memberus-gaap:MortgageReceivablesMemberohi:TwentyFiveFacilitiesMember2014-06-300000888491ohi:FacilitiesCoveredByMortgageAndUsedAsCollateralMemberohi:MortgageNoteDue2027Memberus-gaap:MortgageReceivablesMemberstpr:PAohi:SkilledNursingFacilitiesMember2014-01-170000888491ohi:FacilitiesCoveredByMortgageAndUsedAsCollateralMemberus-gaap:MortgageReceivablesMemberstpr:OHohi:AssistedLivingFacilitiesMember2014-01-170000888491ohi:ArkHoldingCompanyIncMemberohi:SkilledNursingFacilitiesMember2013-11-270000888491ohi:ArkHoldingCompanyIncMemberohi:AssistedLivingFacilitiesMember2013-11-270000888491ohi:ThreeMortgageNotesDueThrough2021Memberus-gaap:MortgageReceivablesMemberus-gaap:ConstructionLoansMember2019-12-310000888491ohi:OtherMortgageNotesMemberus-gaap:MortgageReceivablesMember2019-12-310000888491ohi:MortgageNoteDue2029Memberus-gaap:MortgageReceivablesMember2019-12-310000888491ohi:MortgageNoteDue2027Memberus-gaap:MortgageReceivablesMember2019-12-310000888491ohi:GenesisHealthcareMemberohi:OtherInvestmentNoteDue2021Member2019-12-310000888491ohi:AgemoHoldingsLlcMemberohi:OtherInvestmentNoteDue2020Through2025SecondLoanMember2019-12-310000888491ohi:AgemoHoldingsLlcMemberohi:OtherInvestmentNoteDue2020Through2025Member2019-12-310000888491ohi:AgemoHoldingsLlcMemberohi:OtherInvestmentNoteDue2020Through2025FourthLoanMember2019-12-310000888491ohi:FiveOperatorsMemberohi:IndemnityFundingMemberohi:TwentyOneSkilledNursingFacilitiesAndOneAssistedLivingFacilityMember2018-12-310000888491ohi:FiveOperatorsMemberohi:CommitmentsToFundCapitalImprovementMemberohi:TwentyOneSkilledNursingFacilitiesAndOneAssistedLivingFacilityMember2018-12-310000888491ohi:OtherMortgageNotesMemberus-gaap:MortgageReceivablesMember2018-12-310000888491ohi:MortgageNoteDue2029Memberus-gaap:MortgageReceivablesMember2018-12-310000888491ohi:MortgageNoteDue2027Memberus-gaap:MortgageReceivablesMember2018-12-310000888491us-gaap:MortgageReceivablesMember2018-12-310000888491ohi:OtherInvestmentNotesOutstandingMember2018-12-310000888491ohi:OtherInvestmentNoteDue2023InterestAtTwelvePercentMember2018-12-310000888491ohi:OtherInvestmentNoteDue2023InterestAtSevenPointThirtyTwoPercentMember2018-12-310000888491ohi:OtherInvestmentNoteDue2021Member2018-12-310000888491ohi:OtherInvestmentNoteDue2020Through2025Member2018-12-310000888491ohi:OtherInvestmentNoteDue2019Member2018-12-310000888491ohi:MortgageNoteDue2029Memberus-gaap:MortgageReceivablesMemberohi:SecondAmendedMasterMortgageMemberohi:FiveFacilitiesMember2018-06-300000888491ohi:MortgageNoteDue2029Memberus-gaap:MortgageReceivablesMemberohi:MasterMortgageMemberohi:TwentyFiveFacilitiesMember2014-06-300000888491ohi:MortgageNoteDue2027Memberus-gaap:MortgageReceivablesMemberohi:SevenSeniorNursingFacilitiesAndTwoAssistedLivingFacilitiesMember2014-01-170000888491ohi:SeniorNotesDue2029Memberus-gaap:EstimateOfFairValueFairValueDisclosureMember2019-12-310000888491ohi:SeniorNotesDue2029Memberus-gaap:CarryingReportedAmountFairValueDisclosureMember2019-12-310000888491ohi:SeniorNotesDue2028Memberus-gaap:EstimateOfFairValueFairValueDisclosureMember2019-12-310000888491ohi:SeniorNotesDue2028Memberus-gaap:CarryingReportedAmountFairValueDisclosureMember2019-12-310000888491ohi:SeniorNotesDue2027Memberus-gaap:EstimateOfFairValueFairValueDisclosureMember2019-12-310000888491ohi:SeniorNotesDue2027Memberus-gaap:CarryingReportedAmountFairValueDisclosureMember2019-12-310000888491ohi:SeniorNotesDue2026Memberus-gaap:EstimateOfFairValueFairValueDisclosureMember2019-12-310000888491ohi:SeniorNotesDue2026Memberus-gaap:CarryingReportedAmountFairValueDisclosureMember2019-12-310000888491ohi:SeniorNotesDue2025Memberus-gaap:EstimateOfFairValueFairValueDisclosureMember2019-12-310000888491ohi:SeniorNotesDue2025Memberus-gaap:CarryingReportedAmountFairValueDisclosureMember2019-12-310000888491ohi:SeniorNotesDue2024Memberus-gaap:EstimateOfFairValueFairValueDisclosureMember2019-12-310000888491ohi:SeniorNotesDue2024Memberus-gaap:CarryingReportedAmountFairValueDisclosureMember2019-12-310000888491ohi:SeniorNotesDue2023Memberus-gaap:EstimateOfFairValueFairValueDisclosureMember2019-12-310000888491ohi:SeniorNotesDue2023Memberus-gaap:CarryingReportedAmountFairValueDisclosureMember2019-12-310000888491ohi:SeniorNotesDue2028Memberus-gaap:EstimateOfFairValueFairValueDisclosureMember2018-12-310000888491ohi:SeniorNotesDue2028Memberus-gaap:CarryingReportedAmountFairValueDisclosureMember2018-12-310000888491ohi:SeniorNotesDue2027Memberus-gaap:EstimateOfFairValueFairValueDisclosureMember2018-12-310000888491ohi:SeniorNotesDue2027Memberus-gaap:CarryingReportedAmountFairValueDisclosureMember2018-12-310000888491ohi:SeniorNotesDue2026Memberus-gaap:EstimateOfFairValueFairValueDisclosureMember2018-12-310000888491ohi:SeniorNotesDue2026Memberus-gaap:CarryingReportedAmountFairValueDisclosureMember2018-12-310000888491ohi:SeniorNotesDue2025Memberus-gaap:EstimateOfFairValueFairValueDisclosureMember2018-12-310000888491ohi:SeniorNotesDue2025Memberus-gaap:CarryingReportedAmountFairValueDisclosureMember2018-12-310000888491ohi:SeniorNotesDue2024Memberus-gaap:EstimateOfFairValueFairValueDisclosureMember2018-12-310000888491ohi:SeniorNotesDue2024Memberus-gaap:CarryingReportedAmountFairValueDisclosureMember2018-12-310000888491ohi:SeniorNotesDue2023Memberus-gaap:EstimateOfFairValueFairValueDisclosureMember2018-12-310000888491ohi:SeniorNotesDue2023Memberus-gaap:CarryingReportedAmountFairValueDisclosureMember2018-12-310000888491ohi:FiveOperatorsMemberohi:TwentyOneSkilledNursingFacilitiesAndOneAssistedLivingFacilityMember2018-12-310000888491ohi:ArkHoldingCompanyIncMemberohi:SoutheastMember2018-12-310000888491ohi:ArkHoldingCompanyIncMemberohi:FacilitiesTransitionedToOtherOperatorsMemberohi:FiveExistingOperatorsMemberohi:TwentyTwoFacilitiesMember2018-09-300000888491srt:PartnershipInterestMember2019-10-012019-12-310000888491srt:PartnershipInterestMember2019-07-012019-09-300000888491srt:PartnershipInterestMember2019-04-012019-06-300000888491srt:PartnershipInterestMember2019-01-012019-03-310000888491srt:PartnershipInterestMember2018-10-012018-12-310000888491srt:PartnershipInterestMember2018-07-012018-09-300000888491srt:PartnershipInterestMember2018-04-012018-06-300000888491srt:PartnershipInterestMember2018-01-012018-03-310000888491ohi:MortgageNoteDue2029Memberus-gaap:MortgageReceivablesMemberohi:SecondAmendedMasterMortgageMemberohi:FiveFacilitiesMember2019-12-310000888491ohi:OneMortgageMemberus-gaap:MortgageReceivablesMemberus-gaap:CommercialBorrowerMember2019-12-310000888491ohi:MortgageNoteDue2029Memberus-gaap:MortgageReceivablesMemberohi:MasterMortgageMember2019-12-310000888491ohi:MortgageNoteDue2029Memberus-gaap:MortgageReceivablesMemberohi:AmendedMasterMortgageMember2019-12-310000888491ohi:OneMortgageMemberus-gaap:MortgageReceivablesMemberus-gaap:CommercialBorrowerMember2018-12-310000888491ohi:MortgageNoteDue2029Memberus-gaap:MortgageReceivablesMemberohi:MasterMortgageMemberohi:SeventeenFacilitiesMember2014-06-300000888491srt:PartnershipInterestMemberus-gaap:AccumulatedOtherComprehensiveIncomeMember2019-12-310000888491srt:PartnershipInterestMemberus-gaap:AccumulatedOtherComprehensiveIncomeMember2018-12-310000888491srt:PartnershipInterestMemberus-gaap:AccumulatedOtherComprehensiveIncomeMember2017-12-310000888491srt:MinimumMemberohi:MortgageLoansGuaranteedByUnitedStatesDepartmentOfHousingAndUrbanDevelopmentMember2019-10-310000888491srt:MaximumMemberohi:MortgageLoansGuaranteedByUnitedStatesDepartmentOfHousingAndUrbanDevelopmentMember2019-10-310000888491stpr:ARohi:SkilledNursingFacilitiesMember2018-06-300000888491ohi:HudMortgageAssumedMemberus-gaap:EstimateOfFairValueFairValueDisclosureMember2019-12-310000888491ohi:HudMortgageAssumedMemberus-gaap:CarryingReportedAmountFairValueDisclosureMember2019-12-310000888491ohi:FiveOperatorsMemberohi:WorkingCapitalLoansMemberohi:TwentyOneSkilledNursingFacilitiesAndOneAssistedLivingFacilityMember2018-12-310000888491ohi:TrancheAThreeTermLoanMember2017-05-242017-05-240000888491ohi:TrancheAOneTermLoanMember2017-05-242017-05-240000888491ohi:TrancheATwoTermLoanMember2017-04-052017-04-050000888491us-gaap:RevolvingCreditFacilityMemberus-gaap:UnsecuredDebtMember2018-12-310000888491us-gaap:RevolvingCreditFacilityMemberus-gaap:UnsecuredDebtMember2017-05-250000888491ohi:SeniorUnsecured2014RevolvingCreditFacilityMember2017-05-240000888491ohi:OtherInvestorsMemberohi:OHIHealthcarePropertiesLimitedPartnershipMember2019-01-012019-12-310000888491ohi:OHIHealthcarePropertiesLimitedPartnershipMemberohi:OmegaOpUnitsMember2019-01-012019-12-310000888491ohi:OHIHealthcarePropertiesLimitedPartnershipMember2019-01-012019-12-310000888491stpr:ARohi:TwelveFacilitiesMember2018-04-012018-06-300000888491srt:MinimumMember2019-12-310000888491srt:MaximumMember2019-12-310000888491srt:MinimumMemberohi:GroundLeasesMember2019-12-310000888491srt:MaximumMemberohi:GroundLeasesMember2019-12-310000888491ohi:OfficeLeasesMember2019-12-310000888491ohi:AgemoHoldingsLlcMemberohi:OtherInvestmentNoteDue2020Through2025ThirdLoanMemberus-gaap:UnsecuredDebtMember2018-05-070000888491ohi:AgemoHoldingsLlcMemberohi:OtherInvestmentNoteDue2020Through2025Member2016-09-300000888491ohi:OtherInvestmentNoteDue2020Through2025Memberohi:TrancheTwoMember2016-09-300000888491ohi:GenesisHealthcareMemberohi:OtherInvestmentNoteDue2021FirstLoanMember2016-07-290000888491ohi:SecondSpringHealthcareInvestmentsMember2019-01-012019-12-310000888491ohi:OmgSeniorHousingLlcMember2019-01-012019-12-310000888491ohi:SecondSpringHealthcareInvestmentsMember2018-01-012018-12-310000888491ohi:SecondSpringHealthcareInvestmentsMember2017-01-012017-12-310000888491ohi:SevenOtherExistingOperatorsMember2019-12-310000888491ohi:GenesisHealthcareMember2019-12-310000888491ohi:CertainOperatorsMember2019-12-310000888491ohi:ArkHoldingCompanyIncMemberohi:FacilitiesSoldMemberohi:DirectFinancingLeasesMemberohi:NorthwestMemberohi:EightFacilitiesMemberohi:SalesAgreementMember2017-01-012017-12-310000888491ohi:EightFacilitiesMember2019-01-012019-12-310000888491ohi:TwentySixFacilitiesAndOneAncillaryBuildingMember2018-01-012018-12-310000888491ohi:FacilitiesSoldMemberohi:SevenFacilitiesMember2019-01-012019-12-310000888491ohi:FortyEightFacilitiesMember2018-01-012018-12-310000888491ohi:ElevenFacilitiesMember2019-10-012019-12-310000888491ohi:SecondSpringHealthcareInvestmentsMemberohi:FourteenSkilledNursingFacilitiesMember2019-01-012019-12-310000888491ohi:ThirtyFourFacilitiesMember2019-01-012019-12-310000888491ohi:TwelveFacilitiesMember2018-06-012018-06-010000888491ohi:SeventyEightFacilitiesMember2018-01-012018-12-310000888491ohi:TenFacilitiesMember2017-01-012017-12-310000888491srt:MaximumMemberohi:ForwardEquitySalesAgreementMember2019-07-012019-09-300000888491ohi:ForwardEquitySalesAgreementMember2019-09-092019-09-090000888491ohi:ForwardEquitySalesAgreementMember2019-07-012019-09-300000888491us-gaap:AboveMarketLeasesMember2019-01-012019-12-310000888491us-gaap:AboveMarketLeasesMember2019-12-310000888491us-gaap:AboveMarketLeasesMember2018-12-310000888491ohi:MortgageLoansGuaranteedByUnitedStatesDepartmentOfHousingAndUrbanDevelopmentMember2019-12-310000888491ohi:SecondSpringHealthcareInvestmentsMemberohi:SkilledNursingFacilitiesMember2018-12-310000888491ohi:SecondSpringHealthcareInvestmentsMemberohi:SkilledNursingFacilitiesMember2019-12-310000888491ohi:OmgSeniorHousingLlcMemberohi:IndependentLivingFacilitiesMember2019-12-310000888491ohi:LakewayPartnershipMemberohi:SpecialtyMember2019-12-310000888491ohi:CindatIcePortfolioJvGpLimitedMemberohi:AssistedLivingFacilitiesMember2019-12-310000888491ohi:OhChsSnpIncMember2019-12-310000888491ohi:LakewayPartnershipMemberohi:MedequitiesRealtyTrustInc.Member2019-05-170000888491ohi:CindatIcePortfolioJvGpLimitedMember2019-12-310000888491ohi:RestrictedStockAndRestrictedStockUnitsRsuAndProfitInterestUnitsMember2019-12-310000888491ohi:PerformanceRestrictedStockUnitsAndProfitInterestUnitsMember2019-12-310000888491ohi:RestrictedStockAndRestrictedStockUnitsRsuAndProfitInterestUnitsMember2018-12-310000888491ohi:PerformanceRestrictedStockUnitsAndProfitInterestUnitsMember2018-12-310000888491ohi:RestrictedStockAndRestrictedStockUnitsRsuAndProfitInterestUnitsMember2017-12-310000888491ohi:PerformanceRestrictedStockUnitsAndProfitInterestUnitsMember2017-12-310000888491ohi:AwardDateTwoMemberus-gaap:RestrictedStockUnitsRSUMember2019-12-310000888491ohi:AwardDateTwoMemberohi:TotalShareholderReturnPerformanceShareUnitsMember2019-12-310000888491ohi:AwardDateTwoMemberohi:RelativeTotalShareholderReturnPerformanceRestrictedStockUnitsMember2019-12-310000888491ohi:AwardDateThreeMemberus-gaap:RestrictedStockUnitsRSUMember2019-12-310000888491ohi:AwardDateThreeMemberohi:TotalShareholderReturnProfitInterestUnitsMember2019-12-310000888491ohi:AwardDateThreeMemberohi:TotalShareholderReturnPerformanceShareUnitsMember2019-12-310000888491ohi:AwardDateThreeMemberohi:RelativeTotalShareholderReturnProfitInterestUnitMember2019-12-310000888491ohi:AwardDateThreeMemberohi:RelativeTotalShareholderReturnPerformanceRestrictedStockUnitsMember2019-12-310000888491ohi:AwardDateThreeMemberohi:ProfitInterestUnitMember2019-12-310000888491ohi:AwardDateOneMemberohi:TotalShareholderReturnPerformanceShareUnitsMember2019-12-310000888491ohi:AwardDateOneMemberohi:RelativeTotalShareholderReturnPerformanceRestrictedStockUnitsMember2019-12-310000888491srt:DirectorMember2019-12-310000888491ohi:TotalShareholderReturnPerformanceRestrictedStockUnitsAndTotalShareholderReturnProfitInterestUnitsMember2019-12-310000888491ohi:RestrictedStockUnitsAndProfitInterestUnitsMember2019-12-310000888491ohi:RelativeTotalShareholderReturnPerformanceRestrictedStockUnitsAndRelativeTotalShareholderReturnProfitInterestUnitMember2019-12-310000888491us-gaap:LatestTaxYearMember2019-01-012019-12-310000888491us-gaap:TaxYear2017Member2017-01-012017-12-220000888491us-gaap:AccumulatedDistributionsInExcessOfNetIncomeMember2019-01-012019-12-310000888491us-gaap:AccumulatedDistributionsInExcessOfNetIncomeMember2018-01-012018-12-310000888491us-gaap:AccumulatedDistributionsInExcessOfNetIncomeMember2017-01-012017-12-310000888491ohi:SunMarHealthcareMember2019-12-310000888491ohi:SunMarHealthcareMember2018-12-310000888491ohi:MarkleysburgHealthcareInvestorsLpMember2018-12-310000888491ohi:ArkHoldingCompanyIncMember2018-12-310000888491ohi:ArkHoldingCompanyIncMemberohi:DirectFinancingLeasesMemberohi:FifteenSkilledNursingFacilitiesMember2019-03-012019-03-310000888491ohi:GreatBritainOneMember2018-03-310000888491country:GB2018-03-310000888491us-gaap:AccountingStandardsUpdate201409Member2018-01-010000888491ohi:TermLoanMemberus-gaap:UnsecuredDebtMember2019-12-310000888491ohi:TermLoanMemberus-gaap:UnsecuredDebtMember2018-12-310000888491us-gaap:UnsecuredDebtMember2019-12-310000888491us-gaap:UnsecuredDebtMember2018-12-310000888491srt:MinimumMemberohi:HudMortgageAssumedMemberus-gaap:SecuredDebtMember2019-01-012019-12-310000888491srt:MaximumMemberohi:HudMortgageAssumedMemberus-gaap:SecuredDebtMember2019-01-012019-12-310000888491us-gaap:SubordinatedDebtMemberus-gaap:UnsecuredDebtMember2019-01-012019-12-310000888491us-gaap:RevolvingCreditFacilityMemberus-gaap:UnsecuredDebtMember2019-01-012019-12-310000888491ohi:USTermLoanMemberus-gaap:UnsecuredDebtMember2019-01-012019-12-310000888491ohi:TermLoanMemberus-gaap:SecuredDebtMember2019-01-012019-12-310000888491ohi:TermLoan2015Memberus-gaap:UnsecuredDebtMember2019-01-012019-12-310000888491ohi:SterlingTermLoanMemberus-gaap:UnsecuredDebtMember2019-01-012019-12-310000888491ohi:SeniorNotesDue2029Memberus-gaap:SeniorNotesMember2019-01-012019-12-310000888491ohi:OmegaOpTermLoanMemberus-gaap:UnsecuredDebtMember2019-01-012019-12-310000888491ohi:OmegaOpTermLoanMemberus-gaap:InterestRateSwapMember2019-05-172019-05-170000888491us-gaap:RevolvingCreditFacilityMemberus-gaap:UnsecuredDebtMember2019-01-012019-12-310000888491ohi:UsTermLoanAndSterlingTermLoanMemberus-gaap:UnsecuredDebtMember2019-01-012019-12-310000888491ohi:SeniorNotesDue2028Memberus-gaap:SeniorNotesMember2019-01-012019-12-310000888491ohi:SeniorNotesDue2027Memberus-gaap:SeniorNotesMember2019-01-012019-12-310000888491ohi:SeniorNotesDue2026Memberus-gaap:SeniorNotesMember2019-01-012019-12-310000888491ohi:SeniorNotesDue2025Memberus-gaap:SeniorNotesMember2019-01-012019-12-310000888491ohi:SeniorNotesDue2024Memberus-gaap:SeniorNotesMember2019-01-012019-12-310000888491ohi:SeniorNotesDue2023Memberus-gaap:SeniorNotesMember2019-01-012019-12-310000888491stpr:ARohi:SkilledNursingFacilitiesMember2018-04-012018-06-300000888491ohi:TermLoan2015Memberus-gaap:UnsecuredDebtMember2017-05-012017-05-250000888491ohi:OmegaOpTermLoanMemberus-gaap:UnsecuredDebtMember2017-05-012017-05-250000888491us-gaap:RevolvingCreditFacilityMemberus-gaap:UnsecuredDebtMember2019-12-310000888491ohi:USTermLoanMemberus-gaap:UnsecuredDebtMember2019-12-310000888491ohi:TermLoanMemberus-gaap:SecuredDebtMember2019-12-310000888491ohi:TermLoan2015Memberus-gaap:UnsecuredDebtMember2019-12-310000888491ohi:SterlingTermLoanMemberus-gaap:UnsecuredDebtMember2019-12-310000888491ohi:OmegaOpTermLoanMemberus-gaap:UnsecuredDebtMember2019-12-310000888491ohi:HudMortgageAssumedMemberus-gaap:SecuredDebtMember2019-12-310000888491ohi:SeniorNotesDue2029Member2019-12-310000888491ohi:SeniorNotesDue2028Member2019-12-310000888491ohi:SeniorNotesDue2027Member2019-12-310000888491ohi:SeniorNotesDue2026Member2019-12-310000888491ohi:SeniorNotesDue2025Member2019-12-310000888491ohi:SeniorNotesDue2024Member2019-12-310000888491ohi:SeniorNotesDue2023Member2019-12-310000888491ohi:OtherInvestmentNotesOutstandingMember2019-12-310000888491ohi:OtherInvestmentNoteDue2023InterestAtTwelvePercentMember2019-12-310000888491ohi:OtherInvestmentNoteDue2023InterestAtSevenPointThirtyTwoPercentMember2019-12-310000888491ohi:OtherInvestmentNoteDue2021Member2019-12-310000888491ohi:OtherInvestmentNoteDue2020Through2025Member2019-12-310000888491ohi:AgemoHoldingsLlcMemberohi:OtherInvestmentNoteDue2020Through2025FourthLoanMember2019-11-050000888491ohi:OmegaOpTermLoanMemberus-gaap:InterestRateSwapMember2019-05-170000888491ohi:ArkHoldingCompanyIncMemberohi:DirectFinancingLeasesMemberohi:FifteenSkilledNursingFacilitiesMember2019-01-110000888491ohi:SeniorNotesDue2028Member2018-12-310000888491ohi:SeniorNotesDue2027Member2018-12-310000888491ohi:SeniorNotesDue2026Member2018-12-310000888491ohi:SeniorNotesDue2025Member2018-12-310000888491ohi:SeniorNotesDue2024Member2018-12-310000888491ohi:SeniorNotesDue2023Member2018-12-310000888491ohi:AgemoHoldingsLlcMemberohi:OtherInvestmentNoteDue2020Through2025SecondLoanMember2018-05-070000888491ohi:SeniorNotesDue2024SecondMemberus-gaap:SeniorNotesMember2017-12-310000888491ohi:AgemoHoldingsLlcMemberohi:OtherInvestmentNoteDue2020Through2025Memberohi:TrancheOneMember2017-08-310000888491ohi:OtherInvestmentNoteDue2023InterestRateNinePointFivePercentMember2017-05-170000888491ohi:AgemoHoldingsLlcMemberohi:OtherInvestmentNoteDue2020Through2025Memberohi:TrancheTwoMember2016-09-300000888491ohi:TermLoan2015Memberus-gaap:InterestRateSwapMemberus-gaap:UnsecuredDebtMember2015-12-160000888491ohi:OtherInvestmentNoteDue2023InterestRateSixPointSixtySixPercentMember2015-06-300000888491ohi:UsTermLoanAndSterlingTermLoanMemberus-gaap:UnsecuredDebtMember2017-05-012017-05-250000888491us-gaap:RevolvingCreditFacilityMember2017-05-012017-05-250000888491ohi:TermLoan2015Member2017-05-012017-05-250000888491ohi:SterlingTermLoanMember2017-05-012017-05-250000888491ohi:OmegaOpTermLoanMember2017-05-012017-05-250000888491ohi:TermLoan2015Memberus-gaap:InterestRateSwapMemberus-gaap:UnsecuredDebtMember2015-12-162015-12-160000888491us-gaap:SubordinatedDebtMemberus-gaap:UnsecuredDebtMember2019-12-310000888491ohi:SeniorNotesDue2029Memberus-gaap:SeniorNotesMember2019-12-310000888491ohi:SeniorNotesDue2028Memberus-gaap:SeniorNotesMember2019-12-310000888491ohi:SeniorNotesDue2027Memberus-gaap:SeniorNotesMember2019-12-310000888491ohi:SeniorNotesDue2026Memberus-gaap:SeniorNotesMember2019-12-310000888491ohi:SeniorNotesDue2025Memberus-gaap:SeniorNotesMember2019-12-310000888491ohi:SeniorNotesDue2024Memberus-gaap:SeniorNotesMember2019-12-310000888491ohi:SeniorNotesDue2023Memberus-gaap:SeniorNotesMember2019-12-310000888491us-gaap:SubordinatedDebtMemberus-gaap:UnsecuredDebtMember2018-12-310000888491ohi:SeniorNotesDue2028Memberus-gaap:SeniorNotesMember2018-12-310000888491ohi:SeniorNotesDue2027Memberus-gaap:SeniorNotesMember2018-12-310000888491ohi:SeniorNotesDue2026Memberus-gaap:SeniorNotesMember2018-12-310000888491ohi:SeniorNotesDue2025Memberus-gaap:SeniorNotesMember2018-12-310000888491ohi:SeniorNotesDue2024Memberus-gaap:SeniorNotesMember2018-12-310000888491ohi:SeniorNotesDue2023Memberus-gaap:SeniorNotesMember2018-12-310000888491ohi:TermLoan2015Member2017-05-250000888491ohi:SeniorUnsecured2014RevolvingCreditFacilityMember2017-05-250000888491ohi:SeniorNotesDue2024SecondMemberus-gaap:SeniorNotesMember2017-04-280000888491ohi:SeniorNotesDue2023Memberus-gaap:SeniorNotesMember2016-07-120000888491ohi:SeniorNotesDue2025AggregateMemberus-gaap:SeniorNotesMember2014-09-110000888491ohi:FiveSubordinatedDebtNotesMemberus-gaap:UnsecuredDebtMember2010-06-300000888491srt:MinimumMemberohi:OmegaOpTermLoanMemberus-gaap:InterestRateSwapMember2019-05-172019-05-170000888491srt:MaximumMemberohi:OmegaOpTermLoanMemberus-gaap:InterestRateSwapMember2019-05-172019-05-170000888491srt:MinimumMemberus-gaap:RevolvingCreditFacilityMemberus-gaap:UnsecuredDebtMember2017-05-012017-05-250000888491srt:MinimumMemberohi:USTermLoanMemberus-gaap:UnsecuredDebtMember2017-05-012017-05-250000888491srt:MinimumMemberohi:TermLoan2015Memberus-gaap:UnsecuredDebtMember2017-05-012017-05-250000888491srt:MinimumMemberohi:SterlingTermLoanMemberus-gaap:UnsecuredDebtMember2017-05-012017-05-250000888491srt:MinimumMemberohi:OmegaOpTermLoanMemberus-gaap:UnsecuredDebtMember2017-05-012017-05-250000888491srt:MaximumMemberus-gaap:RevolvingCreditFacilityMemberus-gaap:UnsecuredDebtMember2017-05-012017-05-250000888491srt:MaximumMemberohi:USTermLoanMemberus-gaap:UnsecuredDebtMember2017-05-012017-05-250000888491srt:MaximumMemberohi:TermLoan2015Memberus-gaap:UnsecuredDebtMember2017-05-012017-05-250000888491srt:MaximumMemberohi:SterlingTermLoanMemberus-gaap:UnsecuredDebtMember2017-05-012017-05-250000888491srt:MaximumMemberohi:OmegaOpTermLoanMemberus-gaap:UnsecuredDebtMember2017-05-012017-05-250000888491ohi:GenesisHealthcareMemberohi:OtherInvestmentNoteDue2021FirstLoanMemberus-gaap:LondonInterbankOfferedRateLIBORMember2016-07-292016-07-290000888491srt:MinimumMemberohi:TermLoan2015Memberus-gaap:InterestRateSwapMemberus-gaap:UnsecuredDebtMember2015-12-162015-12-160000888491srt:MaximumMemberohi:TermLoan2015Memberus-gaap:InterestRateSwapMemberus-gaap:UnsecuredDebtMember2015-12-162015-12-160000888491us-gaap:RetainedEarningsMember2019-12-310000888491us-gaap:ParentMember2019-12-310000888491us-gaap:NoncontrollingInterestMember2019-12-310000888491us-gaap:AccountingStandardsUpdate201602Member2019-01-010000888491srt:PartnershipInterestMemberus-gaap:ParentMember2018-12-310000888491srt:PartnershipInterestMemberus-gaap:LimitedPartnerMember2018-12-310000888491srt:PartnershipInterestMemberus-gaap:GeneralPartnerMember2018-12-310000888491srt:PartnershipInterestMemberus-gaap:ParentMember2017-12-310000888491srt:PartnershipInterestMemberus-gaap:LimitedPartnerMember2017-12-310000888491srt:PartnershipInterestMemberus-gaap:GeneralPartnerMember2017-12-310000888491us-gaap:RetainedEarningsMember2017-12-310000888491us-gaap:ParentMember2017-12-310000888491us-gaap:NoncontrollingInterestMember2017-12-310000888491srt:PartnershipInterestMemberus-gaap:NoncontrollingInterestMember2019-01-012019-12-310000888491us-gaap:SalesRevenueNetMemberus-gaap:CustomerConcentrationRiskMemberohi:CienaHealthcareMember2019-01-012019-12-310000888491stpr:TXus-gaap:GeographicConcentrationRiskMember2019-01-012019-12-310000888491stpr:MIus-gaap:GeographicConcentrationRiskMember2019-01-012019-12-310000888491stpr:FLus-gaap:GeographicConcentrationRiskMember2019-01-012019-12-310000888491us-gaap:ProductConcentrationRiskMember2019-01-012019-12-310000888491us-gaap:SalesRevenueNetMemberus-gaap:CustomerConcentrationRiskMemberohi:CienaHealthcareMember2018-01-012018-12-310000888491us-gaap:SalesRevenueNetMemberus-gaap:CustomerConcentrationRiskMemberohi:CienaHealthcareMember2017-01-012017-12-310000888491srt:PartnershipInterestMemberus-gaap:ParentMember2019-01-012019-12-310000888491srt:PartnershipInterestMemberus-gaap:ParentMember2018-01-012018-12-310000888491srt:PartnershipInterestMemberus-gaap:ParentMember2017-01-012017-12-310000888491ohi:DividendRecordDateTwoMember2019-01-012019-12-310000888491ohi:DividendRecordDateThreeMember2019-01-012019-12-310000888491ohi:DividendRecordDateOneMember2019-01-012019-12-310000888491ohi:DividendRecordDateFourMember2019-01-012019-12-310000888491ohi:DividendRecordDateFiveMember2019-01-012019-12-310000888491ohi:ReturnOfCapitalMember2019-01-012019-12-310000888491ohi:OrdinaryIncomeMember2019-01-012019-12-310000888491ohi:CapitalGainsMember2019-01-012019-12-310000888491ohi:ReturnOfCapitalMember2018-01-012018-12-310000888491ohi:OrdinaryIncomeMember2018-01-012018-12-310000888491ohi:CapitalGainsMember2018-01-012018-12-310000888491ohi:ReturnOfCapitalMember2017-01-012017-12-310000888491ohi:OrdinaryIncomeMember2017-01-012017-12-310000888491ohi:CapitalGainsMember2017-01-012017-12-310000888491ohi:StockIncentivePlan2018Member2019-12-310000888491us-gaap:CashFlowHedgingMember2019-12-310000888491us-gaap:CashFlowHedgingMember2018-12-310000888491srt:PartnershipInterestMember2017-12-310000888491srt:PartnershipInterestMember2016-12-3100008884912016-12-310000888491us-gaap:SecuredDebtMember2019-10-310000888491ohi:MedequitiesRealtyTrustInc.Memberohi:TermLoan125MillionMember2019-05-170000888491ohi:MedequitiesRealtyTrustInc.Member2019-05-172019-12-310000888491srt:ProFormaMember2019-01-012019-12-310000888491srt:ProFormaMember2018-01-012018-12-310000888491country:GB2017-06-300000888491ohi:ArkHoldingCompanyIncMemberohi:DirectFinancingLeasesMemberohi:FifteenSkilledNursingFacilitiesMember2019-12-310000888491ohi:SeventeenFacilitiesMember2019-10-012019-12-310000888491ohi:SecondSpringHealthcareInvestmentsMemberohi:ThirteenSkilledNursingFacilitiesMember2018-01-012018-12-310000888491us-gaap:ParentMember2017-01-012017-12-310000888491us-gaap:AdditionalPaidInCapitalMember2017-01-012017-12-310000888491ohi:AgemoHoldingsLimitedLiabilityCompanyAndArkHoldingCompanyIncorporatedMember2019-01-012019-12-310000888491us-gaap:MortgageReceivablesMemberus-gaap:CommercialBorrowerMember2019-01-012019-12-310000888491us-gaap:MortgageReceivablesMemberus-gaap:CommercialBorrowerMember2018-01-012018-12-310000888491ohi:MortgageNoteDue2029Memberus-gaap:MortgageReceivablesMemberohi:MasterMortgageMemberohi:SeventeenFacilitiesMember2014-06-302014-06-300000888491ohi:LakewayPartnershipMember2019-05-172019-05-170000888491ohi:MortgageNoteDue2029Membersrt:MinimumMemberus-gaap:MortgageReceivablesMemberohi:AmendedMasterMortgageMember2019-01-012019-12-310000888491ohi:MortgageNoteDue2029Membersrt:MaximumMemberus-gaap:MortgageReceivablesMemberohi:AmendedMasterMortgageMember2019-01-012019-12-310000888491ohi:MortgageNoteDue2029Memberus-gaap:MortgageReceivablesMemberohi:MasterMortgageMember2019-01-012019-12-310000888491ohi:OtherMortgageNotesMembersrt:WeightedAverageMember2019-01-012019-12-310000888491stpr:TXohi:GroupTwoMember2019-12-310000888491stpr:TXohi:GroupOneMember2019-12-310000888491stpr:OHohi:GroupTwoMember2019-12-310000888491stpr:OHohi:GroupOneMember2019-12-310000888491stpr:MIohi:GroupTwoMember2019-12-310000888491stpr:MIohi:GroupTwelveMember2019-12-310000888491stpr:MIohi:GroupThreeMember2019-12-310000888491stpr:MIohi:GroupThirteenMember2019-12-310000888491stpr:MIohi:GroupTenMember2019-12-310000888491stpr:MIohi:GroupSixMember2019-12-310000888491stpr:MIohi:GroupSevenMember2019-12-310000888491stpr:MIohi:GroupOneMember2019-12-310000888491stpr:MIohi:GroupNineMember2019-12-310000888491stpr:MIohi:GroupFourMember2019-12-310000888491stpr:MIohi:GroupFiveMember2019-12-310000888491stpr:MIohi:GroupElevenMember2019-12-310000888491stpr:MIohi:GroupEightMember2019-12-310000888491stpr:MDohi:GroupOneMember2019-12-310000888491stpr:MAohi:GroupOneMember2019-12-310000888491stpr:IDohi:GroupOneMember2019-12-310000888491ohi:LakewayPartnershipMember2019-05-170000888491stpr:TNohi:GroupOneMember2019-12-310000888491ohi:LakewayPartnershipMember2019-01-012019-12-310000888491ohi:MortgageNoteDue2027Memberus-gaap:MortgageReceivablesMemberohi:TrancheTwoMemberohi:SevenSeniorNursingFacilitiesAndTwoAssistedLivingFacilitiesMember2018-03-012018-03-310000888491ohi:MortgageNoteDue2027Memberus-gaap:MortgageReceivablesMemberohi:TrancheOneMemberohi:SevenSeniorNursingFacilitiesAndTwoAssistedLivingFacilitiesMember2018-03-012018-03-310000888491ohi:MortgageNoteDue2027Memberus-gaap:MortgageReceivablesMemberohi:SevenSeniorNursingFacilitiesAndTwoAssistedLivingFacilitiesMember2018-03-012018-03-310000888491us-gaap:ParentMember2018-01-012018-12-310000888491us-gaap:CommonStockMember2018-01-012018-12-310000888491us-gaap:AdditionalPaidInCapitalMember2018-01-012018-12-310000888491ohi:AgemoHoldingsLlcMemberohi:RentalIncomeMember2019-01-012019-12-310000888491ohi:AgemoHoldingsLlcMember2018-01-012018-12-310000888491ohi:AgemoHoldingsLlcMemberohi:RentalIncomeMember2017-01-012017-12-310000888491ohi:ArkHoldingCompanyIncMember2018-10-012018-12-310000888491srt:PartnershipInterestMember2019-12-310000888491srt:PartnershipInterestMember2018-12-310000888491ohi:TripleNetLeasesMember2019-01-012019-12-310000888491srt:PartnershipInterestMemberus-gaap:GeneralPartnerMember2019-01-012019-12-310000888491srt:PartnershipInterestMemberus-gaap:LimitedPartnerMember2019-01-012019-12-310000888491ohi:AwardDateTwoMemberus-gaap:RestrictedStockUnitsRSUMember2019-01-012019-12-310000888491ohi:AwardDateTwoMemberohi:TotalShareholderReturnPerformanceShareUnitsMember2019-01-012019-12-310000888491ohi:AwardDateTwoMemberohi:RelativeTotalShareholderReturnPerformanceRestrictedStockUnitsMember2019-01-012019-12-310000888491ohi:AwardDateThreeMemberus-gaap:RestrictedStockUnitsRSUMember2019-01-012019-12-310000888491ohi:AwardDateThreeMemberohi:TotalShareholderReturnProfitInterestUnitsMember2019-01-012019-12-310000888491ohi:AwardDateThreeMemberohi:TotalShareholderReturnPerformanceShareUnitsMember2019-01-012019-12-310000888491ohi:AwardDateThreeMemberohi:RelativeTotalShareholderReturnProfitInterestUnitMember2019-01-012019-12-310000888491ohi:AwardDateThreeMemberohi:RelativeTotalShareholderReturnPerformanceRestrictedStockUnitsMember2019-01-012019-12-310000888491ohi:AwardDateThreeMemberohi:ProfitInterestUnitMember2019-01-012019-12-310000888491ohi:AwardDateOneMemberohi:TotalShareholderReturnPerformanceShareUnitsMember2019-01-012019-12-310000888491ohi:AwardDateOneMemberohi:RelativeTotalShareholderReturnPerformanceRestrictedStockUnitsMember2019-01-012019-12-310000888491ohi:PerformanceRestrictedStockUnitsAndProfitInterestUnitsMember2019-01-012019-12-310000888491ohi:PerformanceRestrictedStockUnitsAndProfitInterestUnitsMember2018-01-012018-12-310000888491ohi:PerformanceRestrictedStockUnitsAndProfitInterestUnitsMember2017-01-012017-12-310000888491ohi:SeniorNotesAndOtherUnsecuredBorrowingsNetMemberus-gaap:UnsecuredDebtMember2019-12-310000888491ohi:SeniorNotesAndOtherUnsecuredBorrowingsNetMemberus-gaap:UnsecuredDebtMember2018-12-310000888491ohi:ArkHoldingCompanyIncMember2019-01-112019-01-110000888491ohi:SaberHealthGroupMemberstpr:VA2019-01-012019-12-310000888491ohi:SaberHealthGroupMemberstpr:PA2019-01-012019-12-310000888491ohi:SaberHealthGroupMemberstpr:OH2019-01-012019-12-310000888491ohi:SaberHealthGroupMemberstpr:NC2019-01-012019-12-310000888491ohi:SaberHealthGroupMemberstpr:FL2019-01-012019-12-310000888491ohi:OtherOperatorMemberstpr:WV2019-01-012019-12-310000888491ohi:OtherOperatorMemberstpr:WI2019-01-012019-12-310000888491ohi:OtherOperatorMemberstpr:WA2019-01-012019-12-310000888491ohi:OtherOperatorMemberstpr:VT2019-01-012019-12-310000888491ohi:OtherOperatorMemberstpr:VA2019-01-012019-12-310000888491ohi:OtherOperatorMemberstpr:TX2019-01-012019-12-310000888491ohi:OtherOperatorMemberstpr:TN2019-01-012019-12-310000888491ohi:OtherOperatorMemberstpr:SC2019-01-012019-12-310000888491ohi:OtherOperatorMemberstpr:RI2019-01-012019-12-310000888491ohi:OtherOperatorMemberstpr:PA2019-01-012019-12-310000888491ohi:OtherOperatorMemberstpr:OR2019-01-012019-12-310000888491ohi:OtherOperatorMemberstpr:OK2019-01-012019-12-310000888491ohi:OtherOperatorMemberstpr:OH2019-01-012019-12-310000888491ohi:OtherOperatorMemberstpr:NV2019-01-012019-12-310000888491ohi:OtherOperatorMemberstpr:NM2019-01-012019-12-310000888491ohi:OtherOperatorMemberstpr:NH2019-01-012019-12-310000888491ohi:OtherOperatorMemberstpr:NE2019-01-012019-12-310000888491ohi:OtherOperatorMemberstpr:NC2019-01-012019-12-310000888491ohi:OtherOperatorMemberstpr:MT2019-01-012019-12-310000888491ohi:OtherOperatorMemberstpr:MS2019-01-012019-12-310000888491ohi:OtherOperatorMemberstpr:MO2019-01-012019-12-310000888491ohi:OtherOperatorMemberstpr:MN2019-01-012019-12-310000888491ohi:OtherOperatorMemberstpr:MI2019-01-012019-12-310000888491ohi:OtherOperatorMemberstpr:MA2019-01-012019-12-310000888491ohi:OtherOperatorMemberstpr:LA2019-01-012019-12-310000888491ohi:OtherOperatorMemberstpr:KY2019-01-012019-12-310000888491ohi:OtherOperatorMemberstpr:KS2019-01-012019-12-310000888491ohi:OtherOperatorMemberstpr:IN2019-01-012019-12-310000888491ohi:OtherOperatorMemberstpr:ID2019-01-012019-12-310000888491ohi:OtherOperatorMemberstpr:IA2019-01-012019-12-310000888491ohi:OtherOperatorMemberstpr:GA2019-01-012019-12-310000888491ohi:OtherOperatorMemberstpr:FL2019-01-012019-12-310000888491ohi:OtherOperatorMemberstpr:CT2019-01-012019-12-310000888491ohi:OtherOperatorMemberstpr:CO2019-01-012019-12-310000888491ohi:OtherOperatorMemberstpr:CA2019-01-012019-12-310000888491ohi:OtherOperatorMemberstpr:AZ2019-01-012019-12-310000888491ohi:OtherOperatorMemberstpr:AR2019-01-012019-12-310000888491ohi:OtherOperatorMemberstpr:AL2019-01-012019-12-310000888491ohi:OtherOperatorMembercountry:GB2019-01-012019-12-310000888491ohi:MaplewoodRealEstateHoldingsMemberstpr:OH2019-01-012019-12-310000888491ohi:MaplewoodRealEstateHoldingsMemberstpr:NY2019-01-012019-12-310000888491ohi:MaplewoodRealEstateHoldingsMemberstpr:NJ2019-01-012019-12-310000888491ohi:MaplewoodRealEstateHoldingsMemberstpr:MA2019-01-012019-12-310000888491ohi:MaplewoodRealEstateHoldingsMemberstpr:CT2019-01-012019-12-310000888491ohi:ConsulateHealthCareMemberstpr:VA2019-01-012019-12-310000888491ohi:ConsulateHealthCareMemberstpr:PA2019-01-012019-12-310000888491ohi:ConsulateHealthCareMemberstpr:NC2019-01-012019-12-310000888491ohi:ConsulateHealthCareMemberstpr:MS2019-01-012019-12-310000888491ohi:ConsulateHealthCareMemberstpr:MO2019-01-012019-12-310000888491ohi:ConsulateHealthCareMemberstpr:LA2019-01-012019-12-310000888491ohi:ConsulateHealthCareMemberstpr:KY2019-01-012019-12-310000888491ohi:ConsulateHealthCareMemberstpr:FL2019-01-012019-12-310000888491ohi:CommunicareHealthServicesIncMemberstpr:WV2019-01-012019-12-310000888491ohi:CommunicareHealthServicesIncMemberstpr:VA2019-01-012019-12-310000888491ohi:CommunicareHealthServicesIncMemberstpr:PA2019-01-012019-12-310000888491ohi:CommunicareHealthServicesIncMemberstpr:OH2019-01-012019-12-310000888491ohi:CommunicareHealthServicesIncMemberstpr:MD2019-01-012019-12-310000888491ohi:CommunicareHealthServicesIncMemberstpr:IN2019-01-012019-12-310000888491ohi:CienaHealthcareMemberstpr:VA2019-01-012019-12-310000888491ohi:CienaHealthcareMemberstpr:OH2019-01-012019-12-310000888491ohi:CienaHealthcareMemberstpr:NC2019-01-012019-12-310000888491ohi:CienaHealthcareMemberstpr:MI2019-01-012019-12-310000888491ohi:CienaHealthcareMemberstpr:IN2019-01-012019-12-310000888491ohi:AgemoHoldingsLlcMemberstpr:TN2019-01-012019-12-310000888491ohi:AgemoHoldingsLlcMemberstpr:MD2019-01-012019-12-310000888491ohi:AgemoHoldingsLlcMemberstpr:KY2019-01-012019-12-310000888491ohi:AgemoHoldingsLlcMemberstpr:GA2019-01-012019-12-310000888491ohi:AgemoHoldingsLlcMemberstpr:FL2019-01-012019-12-310000888491ohi:OmegaCreditFacilities2017Member2017-05-250000888491ohi:ArkHoldingCompanyIncMembersrt:MinimumMemberohi:SoutheastMemberohi:ThirtyEightFacilitiesMember2017-07-012017-09-300000888491ohi:ArkHoldingCompanyIncMembersrt:MaximumMemberohi:SoutheastMemberohi:ThirtyEightFacilitiesMember2017-07-012017-09-300000888491ohi:OtherInvestmentNoteDue2023InterestRateSixPointSixtySixPercentMember2019-12-310000888491ohi:OtherInvestmentNoteDue2023InterestRateNinePointFivePercentMember2019-12-310000888491ohi:ExistingOperatorMember2018-12-310000888491ohi:TwentyThreeFacilitiesMember2019-01-012019-12-310000888491ohi:FacilitiesClassifiedToAssetHeldForSaleMemberohi:ThirtyFiveFacilitiesMember2018-01-012018-12-310000888491ohi:ThirtyFiveFacilitiesMember2018-01-012018-12-310000888491ohi:ArkHoldingCompanyIncMemberohi:OperatingLeaseMember2018-12-310000888491ohi:SaberHealthGroupMemberstpr:VA2019-12-310000888491ohi:SaberHealthGroupMemberstpr:OH2019-12-310000888491ohi:OtherOperatorMemberstpr:WA2019-12-310000888491ohi:OtherOperatorMemberstpr:TX2019-12-310000888491ohi:OtherOperatorMemberstpr:PA2019-12-310000888491ohi:OtherOperatorMemberstpr:MO2019-12-310000888491ohi:OtherOperatorMemberstpr:LA2019-12-310000888491ohi:OtherOperatorMemberstpr:KS2019-12-310000888491ohi:OtherOperatorMemberstpr:IN2019-12-310000888491ohi:OtherOperatorMemberstpr:ID2019-12-310000888491ohi:OtherOperatorMemberstpr:FL2019-12-310000888491ohi:OtherOperatorMemberstpr:CA2019-12-310000888491ohi:OtherOperatorMemberstpr:AR2019-12-310000888491ohi:OtherOperatorMembercountry:GB2019-12-310000888491ohi:MaplewoodRealEstateHoldingsMemberstpr:MA2019-12-310000888491ohi:ConsulateHealthCareMemberstpr:NC2019-12-310000888491ohi:CommunicareHealthServicesIncMemberstpr:OH2019-12-310000888491ohi:CommunicareHealthServicesIncMemberstpr:IN2019-12-310000888491ohi:CienaHealthcareMemberstpr:VA2019-12-310000888491ohi:CienaHealthcareMemberstpr:OH2019-12-310000888491ohi:SaberHealthGroupMember2019-12-310000888491ohi:OtherOperatorMember2019-12-310000888491ohi:MaplewoodRealEstateHoldingsMember2019-12-310000888491ohi:ConsulateHealthCareMember2019-12-310000888491ohi:CommunicareHealthServicesIncMember2019-12-310000888491ohi:CienaHealthcareMember2019-12-3100008884912019-10-012019-12-3100008884912019-07-012019-09-3000008884912019-04-012019-06-3000008884912019-01-012019-03-3100008884912018-10-012018-12-3100008884912018-07-012018-09-3000008884912018-04-012018-06-3000008884912018-01-012018-03-310000888491ohi:FiveOperatorsMember2019-01-012019-12-310000888491ohi:ExistingOperatorMember2019-01-012019-12-310000888491ohi:ContractualReceivableMember2017-01-012017-12-310000888491ohi:MortgageLoansGuaranteedByUnitedStatesDepartmentOfHousingAndUrbanDevelopmentMember2019-10-310000888491ohi:TrancheATwoTermLoanMember2017-04-012017-04-050000888491ohi:TaxYearsSubsequentToDecember312018Member2019-01-012019-12-310000888491ohi:MortgageNoteDue2029Memberus-gaap:MortgageReceivablesMemberohi:SecondAmendedMasterMortgageMemberohi:FiveFacilitiesMember2018-06-012018-06-300000888491ohi:MortgageNoteDue2029Memberus-gaap:MortgageReceivablesMemberohi:MasterMortgageMember2014-06-302014-06-300000888491ohi:MortgageNoteDue2029Memberus-gaap:MortgageReceivablesMemberohi:AmendedMasterMortgageMember2014-06-302014-06-300000888491ohi:MortgageNoteDue2029Membersrt:MinimumMemberus-gaap:MortgageReceivablesMemberohi:AmendedMasterMortgageMember2019-12-310000888491ohi:MortgageNoteDue2029Membersrt:MaximumMemberus-gaap:MortgageReceivablesMemberohi:AmendedMasterMortgageMember2019-12-310000888491ohi:FloridaIdahoKentuckyLouisianaMississippiMissouriMontanaAndNorthCarolinaMember2019-10-012019-12-310000888491ohi:NorthCarolinaAndVirginiaMember2019-07-012019-09-300000888491ohi:PennsylvaniaAndVirginiaMember2019-04-012019-06-300000888491ohi:CaliforniaConnecticutIndianaNevadaSouthCarolinaTennesseeAndTexasMember2019-04-012019-06-300000888491stpr:OH2019-01-012019-03-310000888491stpr:PA2018-10-012018-12-310000888491stpr:OH2018-10-012018-12-310000888491stpr:IN2018-10-012018-12-310000888491stpr:TX2018-04-012018-06-300000888491ohi:FiveOperatorsMemberohi:TwentyOneSkilledNursingFacilitiesAndOneAssistedLivingFacilityMember2018-01-012018-12-310000888491stpr:VA2018-01-012018-03-310000888491stpr:PA2018-01-012018-03-310000888491ohi:GreatBritainOneMember2018-01-012018-03-310000888491country:GB2018-01-012018-03-310000888491stpr:TX2017-10-012017-12-310000888491stpr:TX2017-07-012017-09-300000888491stpr:IN2017-07-012017-09-300000888491ohi:TexasTwoMember2017-07-012017-09-300000888491stpr:NC2017-04-012017-06-300000888491country:GB2017-04-012017-06-300000888491stpr:VA2017-01-012017-03-310000888491ohi:ExistingOperatorMember2018-01-012018-12-310000888491ohi:ArkHoldingCompanyIncMemberohi:RestructuringSupportAgreementMember2018-03-012018-03-310000888491ohi:ArkHoldingCompanyIncMemberohi:SoutheastMember2017-01-012017-12-310000888491ohi:TwelveFacilitiesMember2018-06-010000888491ohi:FiveSubordinatedDebtNotesMemberus-gaap:UnsecuredDebtMember2019-10-012019-12-310000888491us-gaap:ForeignCountryMember2019-12-310000888491ohi:DomesticCountryAndStateAndLocalJurisdictionMember2019-12-310000888491ohi:FiveSubordinatedDebtNotesMember2010-06-3000008884912017-12-310000888491us-gaap:LandMember2017-01-012017-12-310000888491ohi:CindatIcePortfolioJvGpLimitedMemberohi:SixtySevenFacilitiesMember2019-12-310000888491ohi:ThirtySevenFacilitiesMember2017-01-012017-12-310000888491ohi:ArkHoldingCompanyIncMember2013-11-012013-11-270000888491us-gaap:MortgageReceivablesMember2019-12-310000888491us-gaap:MortgageReceivablesMember2019-01-012019-12-310000888491ohi:GenesisHealthcareMemberohi:OtherInvestmentNoteDue2021SecondLoanMemberus-gaap:DebtInstrumentRedemptionPeriodOneMember2016-07-292016-07-290000888491ohi:OtherInvestmentNoteDue2023MezzanineLoanMember2018-05-012018-05-310000888491ohi:OtherInvestmentNoteDue2023MezzanineLoanMember2016-02-260000888491ohi:TaxYearsPriorToJanuary12018Member2019-01-012019-12-310000888491ohi:MortgageNoteDue2027Memberus-gaap:MortgageReceivablesMemberohi:SevenSeniorNursingFacilitiesAndTwoAssistedLivingFacilitiesMember2019-01-012019-12-310000888491ohi:MortgageNoteDue2029Memberus-gaap:MortgageReceivablesMemberohi:SecondAmendedMasterMortgageMember2019-12-310000888491ohi:MortgageNoteDue2029Membersrt:MinimumMemberus-gaap:MortgageReceivablesMemberohi:MasterMortgageMemberohi:SeventeenFacilitiesMember2019-01-012019-12-310000888491ohi:MortgageNoteDue2029Membersrt:MaximumMemberus-gaap:MortgageReceivablesMemberohi:MasterMortgageMemberohi:SeventeenFacilitiesMember2019-01-012019-12-310000888491ohi:MortgageNoteDue2029Memberus-gaap:MortgageReceivablesMemberohi:MasterMortgageMemberohi:TwentyFiveFacilitiesMember2019-01-012019-12-310000888491ohi:MortgageNoteDue2029Memberus-gaap:MortgageReceivablesMemberohi:AmendedMasterMortgageMemberohi:TrancheTwoMember2019-01-012019-12-310000888491ohi:ThreeMortgageNotesDueThrough2021Memberus-gaap:MortgageReceivablesMemberus-gaap:ConstructionLoansMember2019-01-012019-12-310000888491ohi:MortgageNoteDue2029Memberus-gaap:MortgageReceivablesMemberus-gaap:ConstructionLoansMember2019-01-012019-12-310000888491ohi:MortgageNoteDue2029Memberus-gaap:MortgageReceivablesMember2019-01-012019-12-310000888491ohi:MortgageNoteDue2027Memberus-gaap:MortgageReceivablesMember2019-01-012019-12-310000888491ohi:OtherMortgageNotesMember2019-01-012019-12-310000888491stpr:TXohi:GroupTwoMember2019-01-012019-12-310000888491stpr:TXohi:GroupOneMember2019-01-012019-12-310000888491stpr:TNohi:GroupOneMember2019-01-012019-12-310000888491stpr:OHohi:GroupTwoMember2019-01-012019-12-310000888491stpr:OHohi:GroupOneMember2019-01-012019-12-310000888491stpr:MIohi:GroupTwoMember2019-01-012019-12-310000888491stpr:MIohi:GroupTwelveMember2019-01-012019-12-310000888491stpr:MIohi:GroupThreeMember2019-01-012019-12-310000888491stpr:MIohi:GroupThirteenMember2019-01-012019-12-310000888491stpr:MIohi:GroupTenMember2019-01-012019-12-310000888491stpr:MIohi:GroupSixMember2019-01-012019-12-310000888491stpr:MIohi:GroupSevenMember2019-01-012019-12-310000888491stpr:MIohi:GroupOneMember2019-01-012019-12-310000888491stpr:MIohi:GroupNineMember2019-01-012019-12-310000888491stpr:MIohi:GroupFourMember2019-01-012019-12-310000888491stpr:MIohi:GroupFiveMember2019-01-012019-12-310000888491stpr:MIohi:GroupElevenMember2019-01-012019-12-310000888491stpr:MIohi:GroupEightMember2019-01-012019-12-310000888491stpr:MDohi:GroupOneMember2019-01-012019-12-310000888491stpr:MAohi:GroupOneMember2019-01-012019-12-310000888491stpr:IDohi:GroupOneMember2019-01-012019-12-310000888491ohi:MortgageLoansGuaranteedByUnitedStatesDepartmentOfHousingAndUrbanDevelopmentMember2019-10-312019-10-310000888491srt:MinimumMemberohi:MortgageLoansGuaranteedByUnitedStatesDepartmentOfHousingAndUrbanDevelopmentMember2019-10-312019-10-310000888491srt:MaximumMemberohi:MortgageLoansGuaranteedByUnitedStatesDepartmentOfHousingAndUrbanDevelopmentMember2019-10-312019-10-310000888491ohi:OtherInvestmentNoteDue2023MezzanineLoanMember2019-12-310000888491ohi:OtherInvestmentNoteDue2019Memberohi:SevenSkilledNursingFacilitiesAndThreeIndependentLivingFacilitiesAndOneAssistedLivingFacilityMember2018-09-280000888491ohi:GenesisHealthcareMemberohi:OtherInvestmentNoteDue2021SecondLoanMember2018-03-060000888491ohi:GenesisHealthcareMemberohi:OtherInvestmentNoteDue2021Member2018-02-220000888491ohi:ExistingOperatorMemberus-gaap:AccountingStandardsUpdate201602Member2019-01-012019-12-310000888491ohi:ArkHoldingCompanyIncMember2013-11-270000888491srt:MinimumMember2019-01-012019-12-310000888491srt:MaximumMember2019-01-012019-12-310000888491ohi:OutsideInvestorsMembersrt:ConsolidatedEntityExcludingVariableInterestEntitiesVIEMemberohi:LakewayTexasJointVentureMemberohi:MedicalOfficeBuildingMember2019-02-280000888491srt:ConsolidatedEntityExcludingVariableInterestEntitiesVIEMemberohi:LakewayTexasJointVentureMemberohi:MedicalOfficeBuildingMember2019-02-280000888491ohi:OtherInvestmentNoteDue2023MezzanineLoanMember2018-05-310000888491ohi:OhChsSnpIncMember2019-12-202019-12-200000888491ohi:CindatIcePortfolioJvGpLimitedMemberohi:AssistedLivingFacilitiesMember2019-12-182019-12-180000888491ohi:LakewayPartnershipMemberohi:SpecialtyMember2019-05-172019-05-170000888491ohi:SecondSpringHealthcareInvestmentsMemberohi:SkilledNursingFacilitiesMember2016-11-012016-11-010000888491srt:MinimumMemberus-gaap:IndemnificationGuaranteeMember2019-01-012019-12-310000888491srt:MaximumMemberus-gaap:IndemnificationGuaranteeMember2019-01-012019-12-310000888491ohi:GenesisHealthcareMemberohi:OtherInvestmentNoteDue2021SecondLoanMemberus-gaap:DebtInstrumentRedemptionPeriodTwoMember2016-07-292016-07-290000888491srt:ConsolidatedEntityExcludingVariableInterestEntitiesVIEMemberohi:LakewayTexasJointVentureMemberohi:MedicalOfficeBuildingMember2019-02-012019-02-280000888491ohi:ForwardEquitySalesAgreementMember2019-09-090000888491ohi:SecondSpringHealthcareInvestmentsMemberohi:SkilledNursingFacilitiesMember2019-01-012019-12-310000888491ohi:OmgSeniorHousingLlcMemberohi:IndependentLivingFacilitiesMember2019-01-012019-12-310000888491ohi:LakewayPartnershipMemberohi:SpecialtyMember2019-01-012019-12-310000888491ohi:CindatIcePortfolioJvGpLimitedMemberohi:AssistedLivingFacilitiesMember2019-01-012019-12-310000888491ohi:OhChsSnpIncMember2019-01-012019-12-310000888491ohi:CindatIcePortfolioJvGpLimitedMember2019-12-182019-12-310000888491ohi:LakewayPartnershipMember2019-06-012019-12-310000888491ohi:EquityShelfProgram500MillionMember2015-09-012015-09-030000888491ohi:ArkHoldingCompanyIncMemberohi:FacilitiesTransitionedToOtherOperatorsMemberstpr:TXohi:NineFacilitiesMember2017-01-012017-12-310000888491ohi:FacilitiesSoldMemberohi:SkilledNursingFacilitiesMember2018-12-310000888491ohi:ArkHoldingCompanyIncMemberohi:SkilledNursingFacilitiesAndHeadquartersMember2018-09-300000888491ohi:ArkHoldingCompanyIncMemberohi:FacilitiesSoldMemberohi:DirectFinancingLeasesMemberohi:EightFacilitiesMember2017-12-310000888491ohi:FacilitiesDidNotQualifyForSaleAccountingUnderFullAccrualMethodMemberohi:TenFacilitiesMember2017-12-310000888491ohi:NonOriannaEntitiesMember2018-12-310000888491ohi:NonOriannaEntitiesMember2019-12-310000888491ohi:ArkHoldingCompanyIncMember2018-12-310000888491ohi:FiftyTwoFacilitiesMember2018-01-012018-01-010000888491ohi:FiftyTwoFacilitiesMember2017-01-012017-12-3100008884912018-12-310000888491ohi:SeniorNotesDue2024SecondMemberus-gaap:SeniorNotesMember2017-01-012017-12-310000888491srt:MinimumMemberohi:OtherInvestmentNoteDue2020Through2025Member2019-01-012019-12-310000888491srt:MaximumMemberohi:OtherInvestmentNoteDue2020Through2025Member2019-01-012019-12-310000888491ohi:OtherInvestmentNotesOutstandingMember2019-01-012019-12-310000888491ohi:OtherInvestmentNoteDue2023InterestAtTwelvePercentMember2019-01-012019-12-310000888491ohi:OtherInvestmentNoteDue2023InterestAtSevenPointThirtyTwoPercentMember2019-01-012019-12-310000888491ohi:OtherInvestmentNoteDue2021Member2019-01-012019-12-310000888491ohi:OtherInvestmentNoteDue2019Member2019-01-012019-12-310000888491ohi:SeniorNotesDue2029Memberus-gaap:SeniorNotesMember2019-09-200000888491ohi:SeniorNotesDue2028Memberus-gaap:SeniorNotesMember2017-04-040000888491ohi:SeniorNotesDue2025Memberus-gaap:SeniorNotesMember2017-04-040000888491ohi:SeniorNotesDue2023Memberus-gaap:SeniorNotesMember2016-06-120000888491ohi:SeniorNotesDue2026Memberus-gaap:SeniorNotesMember2015-09-230000888491ohi:SeniorNotesDue2027Memberus-gaap:SeniorNotesMember2015-03-180000888491ohi:SeniorNotesDue2025Memberus-gaap:SeniorNotesMember2014-09-110000888491ohi:SeniorNotesDue2024Memberus-gaap:SeniorNotesMember2014-03-110000888491ohi:SeniorUnsecuredRevolvingAndTermLoanCreditFacility2017Member2017-05-250000888491ohi:AgemoHoldingsLlcMemberus-gaap:ScenarioPlanMemberus-gaap:VariableInterestEntityNotPrimaryBeneficiaryMember2019-12-310000888491ohi:EquityShelfProgram500MillionMember2015-09-030000888491us-gaap:NoncontrollingInterestMember2018-01-012018-12-310000888491us-gaap:NoncontrollingInterestMember2017-01-012017-12-310000888491us-gaap:ParentMember2019-01-012019-12-310000888491us-gaap:NoncontrollingInterestMember2019-01-012019-12-310000888491us-gaap:CommonStockMember2019-01-012019-12-310000888491us-gaap:AdditionalPaidInCapitalMember2019-01-012019-12-310000888491us-gaap:EstimateOfFairValueFairValueDisclosureMember2019-12-310000888491us-gaap:CarryingReportedAmountFairValueDisclosureMember2019-12-310000888491us-gaap:EstimateOfFairValueFairValueDisclosureMember2018-12-310000888491us-gaap:CarryingReportedAmountFairValueDisclosureMember2018-12-3100008884912019-10-310000888491ohi:MedequitiesRealtyTrustInc.Member2019-05-172019-05-170000888491ohi:MedequitiesRealtyTrustInc.Member2019-05-170000888491ohi:TwelveFacilitiesMember2018-01-012018-12-310000888491ohi:FacilitiesDidNotQualifyForSaleAccountingUnderFullAccrualMethodMemberohi:TenFacilitiesMember2017-01-012017-12-3100008884912019-12-310000888491ohi:TermLoan2015Memberus-gaap:UnsecuredDebtMember2017-05-250000888491ohi:OmegaOpTermLoanMember2017-05-250000888491ohi:ArkHoldingCompanyIncMemberohi:RestructuringSupportAgreementMember2018-03-310000888491ohi:ArkHoldingCompanyIncMemberohi:SoutheastMember2018-01-012018-12-310000888491ohi:ArkHoldingCompanyIncMemberohi:SoutheastMember2017-07-012017-09-300000888491ohi:ArkHoldingCompanyIncMemberohi:DirectFinancingLeasesMemberohi:FifteenSkilledNursingFacilitiesMember2019-01-112019-01-110000888491srt:PartnershipInterestMember2018-01-012018-12-3100008884912018-01-012018-12-310000888491srt:PartnershipInterestMember2017-01-012017-12-3100008884912017-01-012017-12-3100008884912019-06-2800008884912020-02-190000888491srt:PartnershipInterestMember2019-01-012019-12-3100008884912019-01-012019-12-31ohi:contractohi:subsidiaryohi:loanutr:sqftohi:segmentohi:facilityohi:stateiso4217:GBPxbrli:sharesiso4217:USDiso4217:USDxbrli:sharesxbrli:pureohi:itemohi:leaseohi:shareholderohi:propertyohi:entity

UNITED STATES SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-K

   ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the fiscal year ended December 31, 2019

   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 or other jurisdiction of incorporation or organization)

(Commission file number)

(IRS EmployerIdentification 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

Trading Symbol (s)

Name of Exchange on
Which Registered

 

Omega Healthcare Investors, Inc.

Common Stock, $.10 Par Value

OHI

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  No

OHI Healthcare Properties Limited Partnership Yes No 

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

OHI Healthcare Properties Limited Partnership Yes No 

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  No

OHI Healthcare Properties Limited Partnership Yes  No

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

Omega Healthcare Investors, Inc. Yes  No

OHI Healthcare Properties Limited Partnership Yes  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

Accelerated filer

Non-accelerated filer

Smaller reporting company

Emerging growth company

OHI Healthcare Properties Limited Partnership

Large accelerated filer

Accelerated filer

Non-accelerated filer

Smaller reporting company

Emerging growth company

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 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 

OHI Healthcare Properties Limited Partnership Yes No

The aggregate market value of the common stock Omega Healthcare Investors, Inc. held by non-affiliates was $7,941,285,634 as of June 28, 2019, the last business day of the registrant’s most recently completed second fiscal quarter. The aggregate market value was computed using the $36.75 closing price per share for such stock on the New York Stock Exchange on such date.

As of February 19, 2020, there were 226,809,863 shares of Omega Healthcare Investors, Inc. common stock outstanding. As of February 19, 2020, 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 2020 Annual Meeting of Stockholders to be filed with the Securities and Exchange Commission no later than 120 days after December 31, 2019, 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, 2019 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” mean 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” mean 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 by, and all of Omega’s operations are conducted directly or indirectly through, its operating partnership subsidiary, Omega OP.

Parent directly owned approximately 97% of the issued and outstanding partnership units in Omega OP (the “Omega OP Units”) at December 31, 2019. 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 presentations 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 Parent 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” and 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

Page

PART I

Item 1.

Business

1

Overview; Recent Events

1

Summary of Financial Information by Asset Category

2

Description of the Business

3

Taxation of Omega

5

Government Regulation and Reimbursement

14

Information about our Executive Officers

19

Item 1A.

Risk Factors

20

Item 1B.

Unresolved Staff Comments

38

Item 2.

Properties

39

Item 3.

Legal Proceedings

42

Item 4.

Mine Safety Disclosures

44

PART II

Item 5.

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

44

Item 6.

Selected Financial Data

47

Item 7.

Management’s Discussion and Analysis of Financial Condition and Results of Operations

49

Forward-Looking Statements and Factors Affecting Future Results

49

Overview and Outlook

49

2019 and Recent Highlights

51

Portfolio and Other Developments

52

Asset Sales, Impairments, Accounts Receivable and Other

57

Results of Operations

61

Liquidity and Capital Resources

66

Critical Accounting Policies and Estimates

70

Item 7A.

Quantitative and Qualitative Disclosures About Market Risk

73

Item 8.

Financial Statements and Supplementary Data

74

Item 9.

Changes in and Disagreements with Accountants on Accounting and Financial Disclosure

74

Item 9A.

Controls and Procedures

74

Item 9B.

Other Information

75

PART III

Item 10.

Directors, Executive Officers of the Registrant and Corporate Governance

76

Item 11.

Executive Compensation

76

Item 12.

Security Ownership of Certain Beneficial Owners and Management

76

Item 13.

Certain Relationships and Related Transactions, and Director Independence

76

Item 14.

Principal Accountant Fees and Services

76

PART IV

Item 15.

Exhibits and Financial Statement Schedules

77

Item 16.

Summary

78

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.  Omega is structured as an umbrella partnership REIT (“UPREIT”) under which all of Omega's assets are owned directly or indirectly by, and all of Omega's operations are conducted directly or indirectly through, its operating partnership subsidiary, OHI Healthcare Properties Limited Partnership (“Omega OP”).  Omega OP was formed as a limited partnership and organized in the State of Delaware on October 24, 2014.  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 assisted living facilities (“ALFs”), and to a lesser extent, independent living facilities (“ILFs”), and rehabilitation and acute care facilities (“specialty facilities”) and medical office buildings (“MOBs”).  Our core portfolio consists of long-term leases and mortgage agreements.  All of our leases are “triple-net” leases, which require the operators (we use the term “operator” to refer to our tenants and mortgagors and their affiliates who manage and/or operate our properties) 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 other investment income derives from fixed and variable rate loans to our operators to fund working capital and capital expenditures. These loans, which may be either unsecured or secured by the collateral of the borrower, are classified as other investments.      

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”).  Omega has exclusive control over Omega OP’s day-to-day management pursuant to the Partnership Agreement.  As of December 31, 2019, Omega owned approximately 97% of the issued and outstanding units of partnership interest in Omega OP (“Omega OP Units”), and other investors owned approximately 3% of the outstanding Omega OP Units.

On May 17, 2019, Omega and Omega OP completed their merger with MedEquities Realty Trust, Inc. (“MedEquities”) and its subsidiary operating partnership and the general partner of its subsidiary operating partnership. Pursuant to the Agreement and Plan of Merger, as amended by the First Amendment to the Agreement and Plan of Merger, dated March 26, 2019, (the “Merger Agreement”) Omega acquired MedEquities and MedEquities was merged with and into Omega (the “Merger”) at the effective time of the Merger with Omega continuing as the surviving company. At the effective time, each outstanding share of MedEquities common stock was converted into the right to receive (i) 0.235 of a share of Omega common stock, plus cash in lieu of fractional shares, and (ii) $2.00 in cash.  Pursuant to the Merger Agreement, MedEquities declared a special dividend of $0.21 per share of MedEquities common stock (the “Pre-Closing Dividend”) payable to the holders of record of MedEquities common stock as of the trading day immediately prior to the closing date of the Merger, which dividend was payable following the effective time of the Merger together with the cash consideration under the Merger Agreement.  

In 2019, we completed the following transactions totaling approximately $1.7 billion in new investments:

$661 million acquisition by merger of MedEquities.  In connection with the MedEquities Merger, we issued approximately 7.5 million shares of Omega common stock and paid approximately $63.7 million of cash consideration to former MedEquities stockholders.  We borrowed approximately $350 million under our existing senior unsecured revolving credit facility to fund the cash consideration and the repayment of MedEquities’ previously outstanding debt.  As a result of the MedEquities Merger, we acquired 33 facilities subject to operating leases, four mortgages, three other investments and an investment in an unconsolidated joint venture.  We also acquired other assets and assumed debt and other liabilities.  

$757 million Encore portfolio acquisition.  We completed the $757 million portfolio acquisition of 60 facilities (the “Encore Portfolio”).  Consideration at closing consisted of approximately $369 million of cash and the assumption of approximately $389 million in mortgage loans guaranteed by the U.S. Department of Housing and Urban Development (“HUD”).  Our investment primarily consisted of $735 million of real estate assets and escrows.  

1

$104 million investment in an unconsolidated joint venture in the U.K., inclusive of transaction costs. We purchased a 49% interest in the joint venture from Healthpeak Properties, Inc.  The joint venture primarily owns 67 care homes in the U.K. and development and working capital loans.

Acquisition of three SNFs for approximately $25 million from an unrelated third party.  The facilities are located in North Carolina and Virginia, and were added to an existing operator’s master lease with an initial cash yield of 9.5% with 2.0% annual rent escalators.

$192 million of investments in our capital expenditure programs.

As of December 31, 2019, our portfolio of investments included 987 healthcare facilities located in 40 states and the U.K. and operated by 71 third-party operators and was made up of the following:

784 SNFs, 114 ALFs, 28 specialty facilities and two MOBs;
fixed rate mortgages on 47 SNFs, two ALFs and four specialty facilities; and
six facilities closed and held for sale.

As of December 31, 2019, our investments in these facilities, net of impairments and allowances, totaled approximately $9.8 billion.  In addition, we held other investments of approximately $419.2 million, consisting primarily of secured loans to third-party operators of our facilities and $199.9 million of investment in five unconsolidated joint ventures.

Summary of Financial Information by Asset Category

The following table summarizes our revenues by asset category for 2019, 2018 and 2017. (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, 

    

2019

    

2018

    

2017

Real estate related income:

Rental income

$

804,076

$

767,340

$

775,176

Income from direct financing leases

 

1,036

 

1,636

 

32,336

Mortgage interest income

 

76,542

 

70,312

 

66,202

Total real estate related revenues

 

881,654

 

839,288

 

873,714

Other investment income

 

43,400

 

40,228

 

29,225

Miscellaneous income

 

3,776

 

2,166

 

5,446

Total operating revenues

$

928,830

$

881,682

$

908,385

2

The following table summarizes our real estate assets by asset category as of December 31, 2019 and 2018:

Assets by Category

(in thousands)

As of December 31, 

    

2019

    

2018

Real estate assets:

Buildings

$

7,056,106

$

6,056,820

Land

 

901,246

 

786,174

Furniture, fixtures and equipment

 

515,421

 

447,610

Site improvements

 

287,655

 

250,917

Construction in progress

 

225,566

 

204,889

Total real estate assets

 

8,985,994

 

7,746,410

Investments in direct financing leases - net

 

11,488

 

132,262

Mortgage notes receivable - net

 

773,563

 

710,858

Total real estate related assets

 

9,771,045

 

8,589,530

Other investments

 

419,228

 

504,626

Investment in unconsolidated joint ventures

 

199,884

 

31,045

Assets held for sale - net

 

4,922

 

989

Total investments

$

10,395,079

$

9,126,190

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 we believe 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.

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 applying data analytics to our investment underwriting and asset management, as well as selling or transitioning assets that do not meet our portfolio criteria.  

We seek to obtain (i) contractual rent escalations under long-term, non-cancelable, “triple-net” leases and (ii) fixed-rate mortgage loans. We also typically seek to 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 obligations under 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, 2019, set forth below, are not necessarily indicative of future yields, which may be lower.

3

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 rents that are subject to annual escalators. At December 31, 2019, our average annualized yield from operating leases was approximately 9.4%.

Direct Financing Leases. In addition to our typical lease agreements, two of our leases are being accounted for as direct financing leases with annual escalators. At December 31, 2019, our average annualized yield from the direct financing leases was approximately 9.0%.

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, 2019, our average annualized yield on these investments was approximately 10.1%.

The table set forth in Item 2 – Properties contains information regarding our properties and investments as of December 31, 2019.

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 in making and pricing new investments from other public and private 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.  We believe our use of data analytics to underwrite investments and manage our portfolio may provide us a competitive advantage. 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, amongst other factors, 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.

4

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 21% for taxable years beginning on or after January 1, 2018, and 35% for taxable years beginning before January 1, 2018.

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

5

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 21% (35% for taxable years beginning before January 1, 2018) 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 have been 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).

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 must satisfy two gr