10-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-K

[X]	ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF
	THE SECURITIES EXCHANGE ACT OF 1934
	For the fiscal year ended December 31, 2012.
[  ]	TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF
	THE SECURITIES EXCHANGE ACT OF 1934
	For the transition period from                     to

Commission file number 1-11316

OMEGA HEALTHCARE INVESTORS, INC.

(Exact Name of Registrant as Specified in its Charter)

Maryland	38-3041398
(State or Other Jurisdiction	(I.R.S. Employer Identification No.)
of Incorporation or Organization)
200 International Circle, Suite 3500
Hunt Valley, MD	21030
(Address of Principal Executive Offices)	(Zip Code)

Registrant’s telephone number, including area code: 410-427-1700

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

Title of Each Class	Name of Exchange on Which Registered
Common Stock, $.10 Par Value	New York Stock Exchange

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

None.

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

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

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities and 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. Yes    xNo   o

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

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

Yes    x                               No   o

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, or a non-accelerated filer. See definition of “accelerated filer and large accelerated filer” in Rule 12b-2 of the Exchange Act. (Check one):

Large accelerated filer x                  Accelerated filer o                  Non-accelerated filer o               Smaller reporting company o

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

The aggregate market value of the common stock of the registrant held by non-affiliates was $2,425,939,178.  The aggregate market value was computed using the $22.50 closing price per share for such stock on the New York Stock Exchange on June 30, 2012.

As of February 22, 2013, there were 112,971,775 shares of common stock outstanding.

DOCUMENTS INCORPORATED BY REFERENCE

Proxy Statement for the registrant’s 2013 Annual Meeting of Stockholders to be filed with

 the Securities and Exchange Commission not later than 120 days after December 31, 2012, is incorporated by reference in Part III herein.

OMEGA HEALTHCARE INVESTORS, INC.

2012 FORM 10-K ANNUAL REPORT

TABLE OF CONTENTS

PART I
		Page
Item 1.	Business	1
	Overview	1
	Summary of Financial Information	2
	Description of the Business	2
	Taxation	4
	Government Regulation and Reimbursement	10
	Executive Officers of Our Company	14
Item 1A.	Risk Factors	14
Item 1B.	Unresolved Staff Comments	27
Item 2.	Properties	28
Item 3.	Legal Proceedings	31
Item 4.	Mine Safety Disclosures	31
PART II
Item 5.	Market for the Registrant’s Common Equity, Related Stockholder Matters
	and Issuer Purchases of Equity Securities	32
Item 6.	Selected Financial Data	33
Item 7.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	34
	Forward-Looking Statements, Reimbursement Issues and Other Factors Affecting Future Results	34
	Overview	34
	Portfolio and Other Developments	36
	Results of Operations	42
	Liquidity and Capital Resources	46
	Critical Accounting Policies and Estimates	51
Item 7A.	Quantitative and Qualitative Disclosures About Market Risk	53
Item 8.	Financial Statements and Supplementary Data	53
Item 9.	Changes in and Disagreements with Accountants on Accounting and Financial Disclosure	53
Item 9A.	Controls and Procedures	54
PART III
Item 10.	Directors, Executive Officers of the Registrant and Corporate Governance	56
Item 11.	Executive Compensation	56
Item 12.	Security Ownership of Certain Beneficial Owners and Management	56
Item 13.	Certain Relationships and Related Transactions, and Director Independence	56
Item 14.	Principal Accountant Fees and Services	56
PART IV
Item 15.	Exhibits and Financial Statement Schedules	57

Item 1 – Business

Overview; Recent Events

Omega Healthcare Investors, Inc. (“Omega” or the “Company”) was incorporated in the State of Maryland on March 31, 1992.  We are a self-administered real estate investment trust (“REIT”), investing in income producing healthcare facilities, principally long-term care facilities located throughout the United States.  We provide lease or mortgage financing to qualified operators of skilled nursing facilities (“SNFs”) and, to a lesser extent, assisted living facilities (“ALFs”), independent living facilities and rehabilitation and acute care facilities. We have historically financed investments through borrowings under our revolving credit facilities, private placements or public offerings of debt or equity securities, the assumption of secured indebtedness, or a combination of these methods.

In 2012, we completed the following transactions totaling approximately $510 million in new investments:

● During the fourth quarter of 2012 we completed the purchase of approximately $203.4 million in new investments with a new operator.  The investments included the purchase/leaseback of 14 facilities located in California (10) and Arizona (4) representing 1,830 operating beds.  The two transactions consisted of $131.5 million in cash and the assumption of $71.9 million in debt guaranteed by the U.S. Department of Housing and Urban Development (“HUD”) with a blended interest rate of approximately 5.50%.

● $227.4 million of new investments with an existing operator.  The investments included (i) $224.6 million in purchase/leaseback of 31 facilities located in Indiana, totaling 3,275 operating beds and (ii) one parcel of land for $2.8 million.

● $21.5 million of new investments with existing operators to Omega.  The investments included (i) the purchase/leaseback of one ALF located in Michigan for $20 million and (ii) a mortgage on one SNF located in Michigan for $1.5 million.  These two facilities operate a total of 231 operating beds.

● $12.9 million of new investments with an existing operator to Omega.  The investments included the purchase/leaseback of three facilities located in Indiana, totaling 247 operating beds.

● $2.7 million of new investments with an existing operator to Omega.  The investment included the purchase /leaseback of one SNF in Texas totaling 90 operating beds.

● $31.3 million of investments in our capital expenditure programs.

● $10.5 million in mortgage related investments with our existing operators.

As of December 31, 2012, our portfolio of investments consisted of 478 healthcare facilities located in 34 states and operated by 46 third-party operators.  We use the term “operator” to refer to our tenants and mortgagees and their affiliates who manage and/or operate our properties.  This portfolio was made up of:

● 418 SNFs, 16 ALFs and 11 specialty facilities;

● fixed rate mortgages on 31 long-term healthcare facilities; and

● two facilities and one parcel of land held-for-sale.

As of December 31, 2012, our gross investments in these facilities, net of impairments and before reserve for uncollectible loans, totaled approximately $3.3 billion.  In addition, we held miscellaneous investments of approximately $47.3 million at December 31, 2012, consisting primarily of secured loans to third-party operators of our facilities.

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

1

Summary of Financial Information

The following table summarizes our revenues by asset category for 2012, 2011 and 2010.  (See “Item 7 – Management’s Discussion and Analysis of Financial Condition and Results of Operations,”“Note 3 – Properties” and “Note 5 – Mortgage Notes Receivable”).

Revenues by Asset Category

(in thousands)

	Year Ended December 31,
	2012		2011		2010
Core assets:
Lease rental income	$	314,592	$	273,517	$	232,772
Mortgage interest income		30,446		16,274		10,391
Total core asset revenues		345,038		289,791		243,163
Other asset revenue		4,760		2,070		3,936
Miscellaneous income		662		343		3,886
Total revenue before owned and operated assets		350,460		292,204		250,985
Owned and operated asset revenue		—		—		7,336
Total revenue	$	350,460	$	292,204	$	258,321

The following table summarizes our real estate assets by asset category as of December 31, 2012 and 2011.

Assets by Category

(in thousands)

	As of December 31,
	2012		2011
Core assets:
Leased assets	$	3,038,553	$	2,537,039
Mortgaged assets		238,621		238,675
Total core assets		3,277,174		2,775,714
Other assets		47,339		52,957
Total real estate assets before held for sale assets		3,324,513		2,828,671
Held for sale assets		1,020		2,461
Total real estate assets	$	3,325,533	$	2,831,132

Description of the Business

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

● the quality and experience of management and the creditworthiness of the operator of the facility;

● the facility’s historical and forecasted cash flow and its ability to meet operational needs, capital expenditure requirements and lease or debt service obligations;

● the construction quality, condition and design of the facility;

● the location of the facility;

● the tax, growth, regulatory and reimbursement environment of the applicable jurisdiction;

● the occupancy rate for the facility and demand for similar healthcare facilities in the same or nearby communities; and

● the payor mix of private, Medicare and Medicaid patients at the facility.

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

2

We prefer to invest in equity ownership of properties.  Due to regulatory, tax or other considerations, we may pursue alternative investment structures.  The following summarizes our primary investment structures.  The average annualized yields described below reflect existing contractual arrangements.  However, due to the nature of the long-term care industry, we cannot assure you that the operators of our facilities will meet their payment obligations in full or when due.  Therefore, the annualized yields as of January 1, 2013, set forth below, are not necessarily indicative of future yields, which may be lower.

Purchase/Leaseback.  In a purchase/leaseback transaction, we purchase a property from an operator and lease it back to the operator over a term typically ranging from 5 to 15 years, plus renewal options.  Our leases generally provide for minimum annual rentals that are subject to annual formula increases based on factors such as increases in the Consumer Price Index (“CPI”).  At January 1, 2013, our average annualized yield from leases was approximately 10.9%.

Fixed-Rate Mortgage.  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 January 1, 2013, our average annualized yield on these investments was approximately 11.4%.

The table set forth in “Item 2 – Properties” contains information regarding our properties and investments as of December 31, 2012.

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 concerning taxability of undistributed REIT taxable income), or a combination of these methods.  Our financing alternatives include bank borrowings, publicly or privately placed debt instruments, purchase money obligations to the sellers of assets or securitizations, any of which may be issued as secured or unsecured indebtedness.

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

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

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

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

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

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

3

Taxation

The following is a general summary of the material U.S. 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 U.S. federal income tax consequences applicable to a particular stockholder in view of any person’s particular circumstances, nor is it intended to represent a detailed description of the U.S. federal income tax consequences applicable to stockholders subject to special treatment under the federal income tax laws such as insurance companies, tax-exempt organizations, financial institutions, securities broker-dealers, 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), accurately represents some of the material U.S. federal income tax considerations relevant to ownership of our securities. The sections of the Internal Revenue Code (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 the Code sections that govern the U.S. federal income tax treatment of a REIT and its stockholders. The following 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; current, temporary and proposed 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.

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.

If we qualify for taxation as a REIT, we generally will not be subject to federal corporate income taxes on our net income that is currently distributed to stockholders. However, we will be subject to certain federal income taxes as follows: First, we will be taxed at regular corporate rates on any undistributed REIT taxable income, including undistributed net capital gains; provided, however, that if we have a net capital gain, we will be taxed at regular corporate rates on our undistributed REIT taxable income, computed without regard to net capital gain and the deduction for capital gains dividends, plus a 35% tax on undistributed net capital gain, if our tax as thus computed is less than the tax computed in the regular manner. Second, under certain circumstances, we may be subject to the “alternative minimum tax” on our items of tax preference that we do not distribute or allocate to our stockholders. Third, if we have (i) net income from the sale or other disposition of “foreclosure property,” which is held primarily for sale to customers in the ordinary course of business, or (ii) other nonqualifying income from foreclosure property, we will be subject to tax at the highest regular corporate 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 during the 10-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 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).

4

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).

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

Rents received by us will qualify as “rents from real property” in satisfying the gross income requirements for a REIT described above only if several conditions are met. First, the amount of the rent must not be based in whole or in part on the income or profits of any person. However, any amount received or accrued generally will not be excluded from the term “rents from real property” solely by reason of being based on a fixed percentage or percentages of receipts or sales. Second, the Code provides that rents received from a tenant (other than rent from a tenant that is a TRS that meets the requirements described below) will not qualify as “rents from real property” in satisfying the gross income tests if we, or an owner (actually or constructively) of 10% or more of the value of our stock, actually or constructively owns 10% or more of such tenant, which is defined as a related party tenant. Third, if rent attributable to personal property, leased in connection with a lease of real property, is greater than 15% of the total rent received under the lease, then the portion of rent attributable to such personal property will not qualify as “rents from real property.” Finally, for rents received to qualify as “rents from real property,” we generally must not operate or manage the property or furnish or render services to the tenants of such property, other than through an independent contractor from which we derive no revenue. We may, however, directly perform certain services that are “usually or customarily rendered” in connection with the rental of space for occupancy only and are not otherwise considered “rendered to the occupant” of the property. In addition, we may directly provide a minimal amount of “non-customary” services to the tenants of a property as long as our income from the services does not exceed 1% of our income from the related property. Furthermore, we may own up to 100% of the stock of a TRS, which may provide customary and non-customary services to our tenants without tainting our rental income from the related properties. For our tax years beginning after 2004, rents for customary services performed by a TRS or that are received from a TRS and are described in Code Section 512(b)(3) no longer need to meet the 100% excise tax safe harbor. Instead, such payments avoid the excise tax if we pay the TRS at least 150% of its direct cost of furnishing such services. Beginning in 2009, we were allowed to include as qualified rents from real property rental income that is paid to us by a TRS with respect to a lease of a health care facility to the TRS provided that the facility is operated and managed by an “eligible independent contractor,” although none of our facilities were leased to any of our TRSs.

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

5

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

Interest on debt secured by mortgages on real property or on interests in real property generally is qualifying income for purposes of the 75% gross income test. However, if the highest principal amount of a loan outstanding during a taxable year exceeds the fair market value of the real property securing the loan as of the date we agreed to originate or acquire the loan, a portion of the interest income from such loan will not be qualifying income for purposes of the 75% gross income test, but will be qualifying income for purposes of the 95% gross income test. The portion of the interest income that will not be qualifying income for purposes of the 75% gross income test will be equal to the portion of the principal amount of the loan that is not secured by real property. The extreme duress being experienced by the real estate market has required a number of lenders and borrowers to modify the terms of their mortgage loans. A modification of a mortgage loan, if it is deemed substantial for income tax purposes, could be considered to be the deemed issuance of a new mortgage loan that is subject to re-testing under these rules, with the possible re-characterization of the mortgage interest on such loan as non-qualifying income for purposes of the 75% gross income test (but not the 95% gross income test, which is discussed below), as well as non-qualifying assets under the asset test (discussed below) and the deemed exchange of the modified loan for the new loan could result in imposition of the 100% prohibited transaction tax (also discussed below). The IRS recently issued guidance providing relief in the case of certain existing mortgage loans held by a REIT that are modified in response to these market conditions such that (i) the modified mortgage loan need not be re-tested for purposes of determining whether the income from the mortgage loan continues to be qualified income for purposes of the 75% gross income test or whether the mortgage loan retains its character as a qualified REIT asset for purposes of the asset test (discussed below), and (ii) the modification of the loan will not be treated as a prohibited transaction. At present, we do not hold any mortgage loans that have been modified, which would require us to take advantage of these rules for special relief.

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

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

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

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

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

6

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

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

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

● which is more than 90 days after the day on which the REIT acquired the property and the property is used in a trade or business that is conducted by the REIT, other than through an independent contractor from whom the REIT itself does not derive or receive any income.

In July 2008, we assumed operating responsibilities for the 15 properties due to the bankruptcy of Haven Eldercare, LLC (“Haven facilities”), one of our operators/tenants, as described in “Item 7 – Management’s Discussion and Analysis of Financial Condition and Results of Operations – Portfolio and Other Developments.” In September 2008, we entered into an agreement to lease these facilities to a new operator/tenant. Effective September 1, 2008, the new operator/tenant assumed operating responsibility for 13 of the 15 facilities and, as of December 31, 2009, we held only two properties for which we retained operating responsibility. During 2010, the state regulatory process was completed and the requirements necessary to transfer the final two properties to the new operator/tenant were met.  As a result, as of December 31, 2010, we no longer had any operating responsibility with respect to properties that we previously foreclosed upon. As we have previously disclosed, we made an election on our 2008 federal income tax return to treat the Haven facilities as foreclosure properties and, under the REIT foreclosure rules, generally we had to dispose of these properties prior to the close of our 2011 tax year, which condition has been met. Accordingly, all of the income from operating the Haven facilities was qualifying income for the 75% and 95% gross income tests, but we were subject to corporate income tax at the highest rate on the net income, if any, generated from operating the Haven facilities.

The definition of foreclosure property includes any “qualified health care property,” as defined in Code Section 856(e)(6) acquired by us as the result of the termination or expiration of a lease of such property. We have from time to time operated qualified healthcare facilities acquired in this manner for up to two years (or longer if an extension was granted). However, we do not currently own any property with respect to which we have made foreclosure property elections other than the Haven facilities discussed in the prior paragraph.  Properties that we had taken back in a foreclosure or bankruptcy and operated for our own account were treated as foreclosure properties for income tax purposes, pursuant to Code Section 856(e). Gross income from foreclosure properties was classified as “good income” for purposes of the annual REIT income tests upon making the election on the tax return. Once made, the income was classified as “good” for a period of three years, or until the properties were no longer operated for our own account. In all cases of foreclosure property, we utilized an independent contractor to conduct day-to-day operations to maintain REIT status. In certain cases, we operated these facilities through a taxable REIT subsidiary. For those properties operated through the taxable REIT subsidiary, we utilized an eligible independent contractor to conduct day-to-day operations to maintain REIT status. As a result of the foregoing, we do not believe that our participation in the operation of nursing homes increased the risk that we would fail to qualify as a REIT. Through our 2011 taxable year, we had not paid any tax on our foreclosure property because those properties had been producing losses. We cannot predict whether, in the future, our income from foreclosure property will be significant and whether we could be required to pay a significant amount of tax on that income.

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Hedging Transactions. From time to time, we may enter into hedging transactions with respect to one or more of our assets or liabilities. Our hedging activities may include entering into interest rate swaps, caps and floors, options to purchase these items and futures and forward contracts. To the extent that we enter into an interest rate swap or cap contract, option, futures contract, forward rate agreement, or any similar financial instrument to hedge our indebtedness incurred to acquire or carry “real estate assets,” any periodic income or gain from the disposition of that contract should be qualifying income for purposes of the 95% gross income test, but not the 75% gross income test. Accordingly, our income and gain from our interest rate swap agreements generally is qualifying income for purposes of the 95% gross income test, but not the 75% gross income test. To the extent that we hedge with other types of financial instruments, or in other situations, it is not entirely clear how the income from those transactions will be treated for purposes of the gross income tests. We have structured and intend to continue to structure any hedging transactions in a manner that does not jeopardize our status as a REIT. For tax years beginning after 2004, we were no longer required to include income from hedging transactions in gross income (i.e., not included in either the numerator or the denominator) for purposes of the 95% gross income test and we are no longer required to include in gross income (i.e., not included in either the numerator or the denominator) for purposes of the 75% gross income test any gross income from any hedging transaction entered into after July 30, 2008.  We did not engage in hedge transactions in 2010, 2011, or 2012.

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

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

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

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

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We may own up to 100% of the stock of one or more TRSs. However, overall, no more than 25% of the value of our assets may consist of securities of one or more TRSs, and no more than 25% of the value of our assets may consist of the securities of TRSs and other non-TRS taxable subsidiaries (including stock in non-REIT C corporations) and other assets that are not qualifying assets for purposes of the 75% asset test. If the outstanding principal balance of a mortgage loan exceeds the fair market value of the real property securing the loan, a portion of such loan likely will not be a qualifying real estate asset for purposes of the 75% test. The nonqualifying portion of that mortgage loan will be equal to the portion of the loan amount that exceeds the value of the associated real property. As discussed under the 75% gross income test (see above), the IRS recently provided relief from re-testing certain mortgage loans held by a REIT that have been modified as a result of the current distressed market conditions with respect to real property. At present, we do not hold any mortgage loans that have been modified, which would require us to take advantage of these rules for special relief.

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

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

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

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

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

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

● any undistributed taxable income from prior periods.

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

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

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Reasonable Cause Savings Clause. We may avoid disqualification in the event of a failure to meet certain requirements for REIT qualification if the failures are due to reasonable cause and not willful neglect, and if the REIT pays a penalty of $50,000 for each such failure. This reasonable cause safe harbor is not available for failures to meet the 95% and 75% gross income tests, the rules with respect to ownership of securities of more than 10% of a single issuer and the new rules provided for failures of the asset tests.

Failure to Qualify. If we fail to qualify as a REIT in any taxable year, and the reasonable cause relief provisions do not apply, we will be subject to tax (including any applicable alternative minimum tax) on our taxable income at regular corporate rates. Distributions to stockholders in any year in which we fail to qualify will not be deductible, and our failure to qualify as a REIT would reduce the cash available for distribution by us to our stockholders. In addition, if we fail to qualify as a REIT, all distributions to stockholders will be taxable as ordinary income, to the extent of our current and accumulated earnings and profits.  However, in such a case, subject to certain limitations of the Code, corporate distributees may be eligible for the dividends received deduction with respect to dividends that we make. Unless entitled to relief under specific statutory provisions, we would also be disqualified from taxation as a REIT for the four taxable years following the year during which qualification was lost. It is not possible to state whether in all circumstances we would be entitled to such statutory relief. Failure to qualify could result in our incurring indebtedness or liquidating investments to pay the resulting taxes.

Other Tax Matters. We own and operate a number of properties through qualified REIT subsidiaries (“QRSs”). The QRSs are treated as qualified REIT subsidiaries under the Code. Code Section 856(i) provides that a corporation that is a qualified REIT subsidiary shall not be treated as a separate corporation, and all assets, liabilities and items of income, deduction and credit of a qualified REIT subsidiary shall be treated as assets, liabilities and such items (as the case may be) of the REIT. Thus, in applying the tests for REIT qualification described above, the QRSs will be ignored, and all assets, liabilities and items of income, deduction, and credit of such QRSs will be treated as our assets, liabilities and items of income, deduction, and credit.

In the case of a REIT that is a partner in a partnership, such REIT is treated as owning its proportionate share of the assets of the partnership and as earning its allocable share of the gross income of the partnership for purposes of the applicable REIT qualification tests. Thus, in testing our compliance with the income and assets discussed above, we include our proportionate share of the assets, liabilities, and items of income of any partnership, joint venture, or limited liability company that is treated as a partnership for federal income tax purposes and in which we own an interest.

Government Regulation and Reimbursement

The following is a description of certain of the laws and regulations and reimbursement policies and programs affecting our business and the businesses conducted by our operators.  The following description should be read in conjunction with the risk factors described under “Item 1A – Risk Factors.”

Healthcare Reform.  The Patient Protection and Affordable Care Act and accompanying Healthcare and Education Affordability and Reconciliation Act of 2010 (the “Healthcare Reform Law”) were signed into law in March 2010. This legislation represents the most comprehensive change to healthcare benefits since the inception of the Medicare program in 1965 and will affect reimbursement for governmental programs, private insurance and employee welfare benefit plans in various ways.  Significant rule making and regulation promulgated under the Healthcare Reform Law has already occurred, and we expect additional rules, regulations and interpretation that may materially affect the operations of our operators.

On June 28, 2012, the U.S. Supreme Court upheld all of the Healthcare Reform Law except for the requirement that states expand Medicaid beginning in 2014. However, the Healthcare Reform Law and the implementation thereof continues to receive challenge and scrutiny from Congress, state attorneys general and legislators, and private individuals and organizations.  For example, several congressional bills and budget proposals have sought to repeal or change certain provisions of the law.

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In addition, certain measures recently taken under the authority of, or in connection with, the Healthcare Reform Law may lead to additional modification and/or clarification in the future, including the following:

●         On January 3, 2013, a new federal Commission on Long-Term Care was established and tasked with developing a plan for the establishment, implementation and financing of a high-quality system to provide long-term care services.

●         The Healthcare Reform Law requires private health insurers that sell policies to individuals and small businesses to provide, starting in 2014, a set of “essential health benefits” in ten categories, including prescription drugs, rehabilitative and habilitative services, and chronic disease management.  As required under the law, states define the essential health benefits. States are now submitting their essential health benefit packages to the Department of Health and Human Services (HHS).  How these benefits are established will affect payments for long term care facilities.

●         The Healthcare Reform Law requires SNFs to implement a compliance and ethics program by March 23, 2013 that is effective in preventing and detecting criminal, civil and administrative violations and in promoting quality of care.  HHS has not yet issued the proposed regulations to implement this law that were due in March 2012.  It is unclear whether this provision of the law will be enforced until the regulations are issued.

Given the recent and potential for future challenges to the Healthcare Reform Law, in addition to the complexity of the law and the substantial requirements for regulation thereunder, the impact of the Healthcare Reform Law on our operators or their ability to meet their obligations to us is uncertain.  The Healthcare Reform Law could result in decreases in payments to our operators or otherwise adversely affect the financial condition of our operators, thereby negatively impacting our financial condition.  The efforts of our operators to modify their operations to lessen the impact of any increased costs or other adverse effects resulting from changes in governmental programs, private insurance and/or employee welfare benefit plans may not be successful.  The impact of the Healthcare Reform Law on each of our operators will vary depending on payor mix, resident conditions and a variety of other factors.  In addition to the provisions relating to reimbursement, other provisions of the Healthcare Reform Law may impact our operators as employers (e.g., requirements related to providing health insurance for employees). We anticipate that many of the provisions in the Healthcare Reform Law may be subject to further clarification and modification during the rule making process.

Reimbursement. A significant portion of our operators’ revenue is derived from governmentally-funded reimbursement programs, primarily Medicare and Medicaid.  According to The Alliance for Quality Nursing Home Care, as of January 2013, approximately 70% of SNF residents depend upon Medicare and/or Medicaid funding for care. The federal government and many state governments are currently focusing on reducing expenditures under Medicare and Medicaid programs, resulting in significant cost-cutting at both the federal and state levels.   These cost-cutting measures, together with the implementation of changes in reimbursement rates such as those described below, could result in a significant reduction of reimbursement rates to our operators under both the Medicare and Medicaid programs.

For the federal fiscal year 2013, CMS has announced that it will increase SNF payment rates by 1.8% (2.5% market basket update minus 0.7% productivity adjustment), which amounts to an estimated $670 million increase in payments to SNFs beginning October 1, 2012.  Provisions contained in the American Taxpayer Relief Act (ATRA) of 2012, known colloquially as the fiscal cliff deal, will reduce Medicare payments to SNFs by an estimated $600 million during 2012 to 2022.  It also reduces payments for multiple procedures or therapies provided on the same day, which will result in approximately $1.8 billion savings to Medicare over the next 10 years, which will impact SNFs as well.  Under the ATRA, sequestration cuts impacting domestic and defense spending are scheduled to become effective March 1, 2013.  These cuts include a 2% cut in payments to Medicare providers and suppliers.

We currently believe that our operator coverage ratios are adequate and that our operators can absorb moderate reimbursement rate reductions and still meet their obligations to us.  However, significant limits on the scopes of services reimbursed and/or reductions of reimbursement rates could have a material adverse effect on our operators’ results of operations and financial condition, which could adversely affect our operators’ ability to meet their obligations to us.

We cannot predict whether Congress will take any action to change the automatic spending cuts.  Further, we cannot predict how states will react to any changes that occur at the federal level.

Medicaid.  State budgetary concerns, coupled with the implementation of rules under the Healthcare Reform Law, may result in significant changes in healthcare spending at the state level.

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Many states are currently focusing on the reduction of expenditures under their state Medicaid programs, which may result in a reduction in reimbursement rates for our operators.  The need to control Medicaid expenditures may be exacerbated by the potential for increased enrollment in Medicaid due to unemployment and declines in family incomes.  Since our operators’ profit margins on Medicaid patients are generally relatively low, more than modest reductions in Medicaid reimbursement or an increase in the number of Medicaid patients could adversely affect our operators’ results of operations and financial conditions, which in turn could negatively impact us.

Under the Healthcare Reform Law, Medicaid coverage will be expanded to all individuals under age 65 with incomes up to 133% of the federal poverty level, beginning January 1, 2014.  The federal government will pay the entire cost for Medicaid coverage for newly eligible beneficiaries for 3 years (2014 through 2016).  In 2017, the federal share declines to 95%; in 2018, to 94%; in 2019, to 93%; and in 2020 and subsequent years, to 90%.  States may delay Medicaid expansion after 2014 but the federal payment rates will be less.  However, on June 28, 2012, the Supreme Court issued its opinion in National Federation of Independent Business v. Sebellius, which stated that states could not be required to expand Medicaid or risk losing federal funding of their existing Medicaid programs.  Currently, 22 states and the District of Columbia have decided to expand or are leaning toward expansion; however, it is predicted that at least most states will expand.

Although states are currently required by law to maintain current Medicaid eligibility standards until at least 2014, at least one state has filed a lawsuit challenging the constitutionality of the “maintenance of effort” (MOE) provision based on the Supreme Court’s decision.

Medicare.  In 2009, the CMS finalized a revised case-mix classification system, the RUG-IV, which was in effect from October 1, 2010 through September 30, 2011.  According to the CMS, this change in case-mix classification methodology resulted in a significant increase in Medicare expenditures for government fiscal year 2011.

In response to this increase, on July 29, 2011, the CMS announced the final rule for SNF funding for government fiscal year 2012.  The final rule includes a recalibration of the case-mix indexes that form the RUG-IV and is expected to result in a reduction of aggregate Medicare reimbursement to SNFs of $4.47 billion or 12.6% for the government fiscal year.  However, the reduction is partially offset by an update that reflects a 2.7% increase in the prices of a “market basket” of goods and services reduced by a 1.0% multi-factor productivity adjustment mandated by the Healthcare Reform Law.  The combination of the recalibration and the update is expected to result in a net reduction of aggregate Medicare reimbursement to SNFs of $3.87 billion or 11.1%.  We believe that the implementation of RUG-IV in 2010 had a positive effect on the cash flow and rent coverage ratios of our operators.  The subsequent funding cut has reduced operator coverage ratios; however, we currently believe that our operator coverage ratios are adequate and that our operators can absorb the government fiscal year 2012 reimbursement rate reductions and still meet their obligations to us.

The Middle Class Tax Relief and Job Creation Act of 2012 was signed into law on February 22, 2012 and extended the Medicare Part B Outpatient Therapy Cap Exceptions Process through December 31, 2012.  The statutory Medicare Part B outpatient cap for occupational therapy was $1,880 for 2012, and the combined cap for physical therapy and speech therapy was also $1,880 for 2012.  These caps do not apply to therapy services covered under Medicare Part A for SNFs, although the caps apply in most other instances involving patients in SNFs or long-term care facilities who receive therapy services covered under Medicare Part B.  Congress implemented a temporary therapy cap exceptions process, which permits medically necessary therapy services to exceed the payment limits.  The caps for 2013 have not yet been issued.  Expiration of the therapy cap exceptions process in the future could have a material adverse effect on our operators’ financial condition and operations, which could adversely impact their ability to meet their obligations to us.

Quality of Care Initiatives.  The CMS has implemented a number of initiatives focused on the quality of care provided by nursing homes that could affect our operators.  For instance, in December 2008, the CMS released quality ratings for all of the nursing homes that participate in Medicare or Medicaid. Facility rankings, ranging from five stars (“much above average”) to one star (“much below average”) are updated on a monthly basis.  SNFs are required to provide information for the CMS Nursing Home Compare website regarding staffing and quality measures.  Based on this data and the results of state health inspections, SNFs are then rated based on the five-star rating system.  We cannot predict what changes, if any, CMS will make to the rating system.  It is possible that this or any other ranking system could lead to future reimbursement policies that reward or penalize facilities on the basis of the reported quality of care parameters.

CMS has incorporated hospital readmissions review into the Quality Indicators Survey.  Under Medicare’s Inpatient Prospective Payment System, CMS began adjusting payments to hospitals for excessive readmissions of patients for heart attacks, heart failure, and pneumonia during fiscal years beginning on and after October 1, 2012.  Long term care facilities will be under increased scrutiny to prevent residents from being readmitted to hospitals for these conditions in particular, and have an opportunity to demonstrate their quality of care by reducing their hospital readmission rates.  It is anticipated that hospital readmissions will be a consideration in the future in the CMS five-star rating system.

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Office of the Inspector General Activities.  The Office of Inspector General’s (OIG) Work Plan for government fiscal year 2013, which describes projects that the OIG plans to address during the fiscal year, includes a number of projects related to nursing homes.  Reviews of Medicare Part A and Part B payments and services for SNFs will focus on the following: (1) adverse events in post-acute care; (2) Medicare requirements for quality of care; (3) verification of state agency identified deficiencies’ corrections; (4) oversight of poorly performing SNFs; (5) use of atypical antipsychotic drugs; (6) hospitalizations of SNF residents; (7) questionable billing practices for Part B services; and (8) oversight of the accuracy and completeness of MDS data.  Medicaid reviews will focus on communicable diseases and MDS data.  The OIG plans to continue its efforts in addressing fraud and abuse.  While we cannot predict the results of the OIG’s activities, the projects could result in further scrutiny and/or oversight of nursing homes.

Fraud and Abuse. There are various federal and state civil and criminal laws and regulations governing a wide array of healthcare provider referrals, relationships and arrangements, including laws and regulations prohibiting fraud by healthcare providers. Many of these complex laws raise issues that have not been clearly interpreted by the relevant governmental authorities and courts.  In addition, federal and state governments are devoting increasing attention and resources to anti-fraud initiatives against healthcare providers.

The federal anti-kickback statute is a criminal statute that prohibits the knowing and willful offer, payment, solicitation or receipt of any remuneration in return for, to induce or to arrange for the referral of individuals for any item or service payable by a federal or state healthcare program. There is also a civil analogue. States also have enacted similar statutes covering Medicaid payments, and some states have broader statutes. Some enforcement efforts have targeted relationships between SNFs and ancillary providers, relationships between SNFs and referral sources for SNFs and relationships between SNFs and facilities for which the SNFs serve as referral sources. The federal self-referral law, commonly known as the “Stark Law,” is a civil statute that prohibits a physician from making referrals to an entity for “designated health services” if the physician has a financial relationship with the entity. Some of the services provided in SNFs are classified as designated health services. There are also criminal provisions that prohibit filing false claims or making false statements to receive payment or certification under Medicare and Medicaid, as well as failing to refund overpayments or improper payments. Violation of the anti-kickback statute or Stark Law may form the basis for a federal False Claims Act violation. In addition, the federal False Claims Act allows a private individual with knowledge of fraud to bring a claim on behalf of the federal government and earn a percentage of the federal government’s recovery. Because of these incentives, these so-called “whistleblower” suits have become more frequent. The violation of any of these laws or regulations by an operator may result in the imposition of fines or other penalties, including exclusion from Medicare, Medicaid and all other federal and state healthcare programs.

Privacy. Our operators are subject to various federal, state and local laws and regulations designed to protect the confidentiality and security of patient health information, including the federal Health Insurance Portability and Accountability Act of 1996, as amended, and the corresponding regulations promulgated thereunder (“HIPAA”).  On January 25, 2013, the Office for Civil Rights (OCR) issued a final rule modifying HIPAA which will require our operators to expend significant time and money to implement.  Some of the new requirements include, among other things: making business associates subject to the HIPAA Privacy and Security Rules which will require new business associate agreements; changes in determining whether a breach of unsecured protected health information occurred; new requirements for the Notice of Privacy Practices; and decreasing the time to disclose protected health information and requiring disclosures to be electronic under certain conditions.

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

Licensing and Certification. Our operators and facilities are subject to various federal, state and local licensing and certification laws and regulations, including laws and regulations under Medicare and Medicaid requiring operators of SNFs and ALFs to comply with extensive standards governing operations. Governmental agencies administering these laws and regulations regularly inspect our operators’ facilities and investigate complaints. Our operators and their managers receive notices of observed violations and deficiencies from time to time, and sanctions have been imposed from time to time on facilities operated by them.

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

General and Professional Liability.  Although arbitration agreements have been effective in limiting general and professional liabilities for long term care providers, there have been national efforts to outlaw the use of pre-dispute arbitration agreements in long term care settings.  At least one state is allowing residents to sue a SNF for failing to comply with staffing quality measures.  All of these factors have a potential impact on liability costs of our operators, which could adversely affect our operators’ ability to meet their obligations to us.

Executive Officers of Our Company

As of February 22, 2013, the executive officers of our company were as follows:

C. Taylor Pickett (51) is our Chief Executive Officer and has served in this capacity since June 2001.  Mr. Pickett is also a Director and has served in this capacity since May 30, 2002.  Mr. Pickett’s term as a Director expires in 2014.  From January 1993 to June 2001, Mr. Pickett served as a member of the senior management team of Integrated Health Services, Inc., most recently as Executive Vice President and Chief Financial Officer.  Prior to joining Integrated Health Services, Inc. Mr. Pickett held various positions at PHH Corporation and KPMG Peat Marwick.

Daniel J. Booth (49) is our Chief Operating Officer and has served in this capacity since October 2001. From 1993 to October 2001, Mr. Booth served as a member of the management team of Integrated Health Services, Inc., most recently serving as Senior Vice President, Finance.  Prior to joining Integrated Health Services, Inc., Mr. Booth served as a Vice President in the Healthcare Lending Division of Maryland National Bank (now Bank of America).

R. Lee Crabill, Jr. (59) is our Senior Vice President of Operations and has served in this capacity since July 2001.  From 1997 to 2000, Mr. Crabill served as a Senior Vice President of Operations at Mariner Post-Acute Network, Inc.  Prior to joining Mariner Post-Acute Network, Inc., Mr. Crabill served as an Executive Vice President of Operations at Beverly Enterprises, Inc.

Robert O. Stephenson (49) is our Chief Financial Officer and has served in this capacity since August 2001.  From 1996 to July 2001, Mr. Stephenson served as the Senior Vice President and Treasurer of Integrated Health Services, Inc.  Prior to joining Integrated Health Services, Inc., Mr. Stephenson held various positions at CSX Intermodal, Inc., Martin Marietta Corporation and Electronic Data Systems.

Michael D. Ritz (44) is our Chief Accounting Officer and has served in this capacity since February 2007.  From April 2005 to February 2007, Mr. Ritz served as the Vice President, Accounting & Assistant Corporate Controller of Newell Rubbermaid Inc., and from August 2002 to April 2005, Mr. Ritz served as the Director, Financial Reporting of Newell Rubbermaid Inc.  From July 2001 through August 2002, Mr. Ritz served as the Director of Accounting and Controller of Novavax Inc.

As of December 31, 2012, we had 25 full-time employees, including the five executive officers listed above.

Item 1A - Risk Factors

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

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Risks Related to the Operators of Our Facilities

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

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

We are exposed to the risk that a distressed operator may not be able to meet its lease, mortgage or other obligations to us or other third parties.  This risk is heightened during a period of economic or political instability.  Although each of our lease and loan agreements typically provide us with the right to terminate, evict an operator, foreclose on our collateral, demand immediate payment and exercise other remedies upon the bankruptcy or insolvency of an operator, title 11 of the United States Code, as amended and supplemented (the “Bankruptcy Code”), would limit or, at a minimum, delay our ability to collect unpaid pre-bankruptcy rents and mortgage payments and to pursue other remedies against a bankrupt operator.

Leases.  A bankruptcy filing by one of our lessee operators would typically prevent us from collecting unpaid pre-bankruptcy rents or evicting the operator, absent approval of the bankruptcy court.  The Bankruptcy Code provides a lessee with the option to assume or reject an unexpired lease within certain specified periods of time.  Generally, a lessee is required to pay all rent that becomes payable between the date of its bankruptcy filing and the date of the assumption or rejection of the lease (although such payments will likely be delayed as a result of the bankruptcy filing).  If one of our lessee operators chooses to assume its lease with us, the operator must cure all monetary defaults existing under the lease (including payment of unpaid pre-bankruptcy rents) and provide adequate assurance of its ability to perform its future obligations under the lease.  If one of our lessee operators opts to reject its lease with us, we would have a claim against such operator for unpaid and future rents payable under the lease, but such claim would be subject to a statutory “cap” and would generally result in a recovery substantially less than the face value of such claim.  Although the operator’s rejection of the lease would permit us to recover possession of the leased facility, we would likely face losses, costs and delays associated with re-leasing the facility to a new operator.

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

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

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

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

● Healthcare Reform.  The Healthcare Reform Law represents the most comprehensive change to healthcare benefits since the inception of the Medicare program in 1965 and will affect reimbursement for governmental programs, private insurance and employee welfare benefit plans in various ways.See “Item 1. Business – Government Regulation and Reimbursement – Healthcare Reform.” We cannot predict the impact of the Healthcare Reform Law on our operators or their ability to meet their obligations to us.

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

● Quality of Care Initiatives.  The CMS has implemented a number of initiatives focused on the quality of care provided by nursing homes that could affect our operators, including a quality rating system for nursing homes released in December 2008.  See “Item 1. Business – Government Regulation and Reimbursement – Quality of Care Initiatives.”  Any unsatisfactory rating of our operators under any rating system promulgated by the CMS could result in the loss of our operators’ residents or lower reimbursement rates, which could adversely impact their revenues and our business.

● Licensing and Certification. Our operators and facilities are subject to various federal, state and local licensing and certification laws and regulations, including laws and regulations under Medicare and Medicaid requiring operators of SNFs and ALFs to comply with extensive standards governing operations. See “Item 1. Business – Government Regulation and Reimbursement – Licensing and Certification.”  Governmental agencies administering these laws and regulations regularly inspect our operators’ facilities and investigate complaints. Our operators and their managers receive notices of observed violations and deficiencies from time to time, and sanctions have been imposed from time to time on facilities operated by them. Failure to obtain any required licensure or certification, the loss or suspension of any required licensure or certification, or any violations or deficiencies with respect to relevant operating standards may require a facility to cease operations or result in ineligibility for reimbursement until the necessary licenses or certifications are obtained or reinstated, or any such violations or deficiencies are cured. In such event, our revenues from these facilities could be reduced or eliminated for an extended period of time or permanently.

● Fraud and Abuse Laws and Regulations. There are various federal and state civil and criminal laws and regulations governing a wide array of healthcare provider referrals, relationships and arrangements, including laws and regulations prohibiting fraud by healthcare providers. Many of these complex laws raise issues that have not been clearly interpreted by the relevant governmental authorities and courts. In addition, federal and state governments are devoting increasing attention and resources to anti-fraud initiatives against healthcare providers. See “Item 1. Business – Government Regulation and Reimbursement – Fraud and Abuse.”  The violation of any of these laws or regulations, including the anti-kickback statute and the Stark Law, by an operator may result in the imposition of fines or other penalties, including exclusion from Medicare, Medicaid and all other federal and state healthcare programs. Such fines or penalties could jeopardize an operator’s ability to make lease or mortgage payments to us or to continue operating its facility.

● Privacy Laws. Our operators are subject to federal, state and local laws and regulations designed to protect the privacy and security of patient health information, including HIPAA, among others.  See “Item 1. Business – Government Regulation and Reimbursement – Privacy.”  These laws and regulations require our operators to expend the requisite resources to protect and secure patient health information, including the funding of costs associated with technology upgrades.  Operators found in violation of HIPAA or any other privacy or security law may face large penalties.  In addition, compliance with an operator’s notification requirements in the event of a breach of unsecured protected health information could cause reputational harm to an operator’s business.  Such penalties and damaged reputation could adversely affect an operator’s ability to meet its obligations to us.

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

● Legislative and Regulatory Developments.  Each year, legislative and regulatory proposals are introduced at the federal, state and local levels that, if adopted, would result in major changes to the healthcare system.  See “Item 1. Business – Government Regulation and Reimbursement” in addition to the other risk factors set forth below. We cannot accurately predict whether any proposals will be adopted, and if adopted, what effect (if any) these proposals would have on our operators or our business.  

Provisions of the Healthcare Reform Law require certain changes to reimbursement and studies of reimbursement policies that may adversely affect payments to SNFs.

Several provisions of the Healthcare Reform Law will affect Medicare payments to SNFs, including, but not limited to, provisions changing the payment methodology, implementing value-based purchasing and payment bundling and studying the appropriateness of restrictions on payments for health care acquired conditions.  These provisions are in various stages of implementation See “Item 1. Business – Government Regulation and Reimbursement – Healthcare Reform,” “– Reimbursement,” “– Medicaid,” and “– Medicare.”  Although we cannot accurately predict whether or how such provisions may be implemented, or the effect any such implementation would have on our operators or our business, the Healthcare Reform Law could result in decreases in payments to our operators, increase our operators’ costs or otherwise adversely affect the financial condition of our operators, thereby negatively impacting their ability to meet their obligations to us.

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

The Healthcare Reform Law requires SNFs to implement, by March 2013, a compliance and ethics program that is effective in preventing and detecting criminal, civil and administrative violations and in promoting quality of care. See “Item 1. Business – Government Regulation and Reimbursement – Healthcare Reform.”  If our operators fall short in their compliance and ethics programs and quality assurance and performance improvement programs, or if the information they provide to the CMS for the Nursing Home Compare website reveals significant shortcomings, their reputations and ability to attract residents could be adversely affected.

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

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

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

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Government budget deficits could lead to a reduction in Medicare and Medicaid reimbursement.

Many states are focusing on the reduction of expenditures under their Medicaid programs, which may result in a reduction in reimbursement rates for our operators.  See “Item 1. Business – Government Regulation and Reimbursement – Reimbursement,” “– Medicaid,” and “– Medicare.” These potential reductions could be compounded by the potential for federal cost-cutting efforts that could lead to reductions in reimbursement to our operators under both the Medicare and Medicaid programs. Potential reductions in Medicare and Medicaid reimbursement to our operators could reduce the cash flow of our operators and their ability to make rent or mortgage payments to us. The need to control Medicaid expenditures may be exacerbated by the potential for increased enrollment in Medicaid due to unemployment and declines in family incomes.  Medicaid enrollment may significantly increase in the near future, as the Healthcare Reform Law allows states to increase the number of people who are eligible for Medicaid beginning in 2014 and simplifies enrollment in this program.  Since our operators’ profit margins on Medicaid patients are generally relatively low, more than modest reductions in Medicaid reimbursement and an increase in the number of Medicaid patients could place some operators in financial distress, which in turn could adversely affect us.  If funding for Medicare and/or Medicaid is reduced, it could have a material adverse effect on our operators’ results of operations and financial condition, which could adversely affect our operators’ ability to meet their obligations to us.

The American Taxpayer Relief Act will cut payments to SNFs.

On January 3, 2013, Congress enacted the American Taxpayer Relief Act (ATRA) of 2012.  Payments to SNFs will be cut by approximately $600 million from FY 2013 - FY 2022.  Under the ATRA, payments for multiple procedures or therapies provided on the same day will be reduced, resulting in approximately $1.8 billion savings to Medicare over the next 10 years.  Sequestration cuts to domestic and defense spending, including a 2% cut in payments to Medicare providers and suppliers, will become effective on March 1, 2013.  We cannot predict whether Congress will take action to prevent the sequestration cuts from becoming effective, or how states will react to any changes that occur at the federal level.

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

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

A prolonged economic slowdown could adversely impact our operating income and earnings, as well as the results of operations of our operators, which could impair their ability to meet their obligations to us.

Despite the fact that the U.S. economy has started to recover from the recent economic recession, the rate of recovery has been much slower than from past recessions.  The United States is continuing to experience the effects of the recession, resulting in continued concerns regarding the adverse impact caused by inflation, deflation, increased unemployment, volatile energy costs, geopolitical issues, the availability and cost of credit, the U.S. mortgage market, a distressed real estate market, market volatility and weakened business and consumer confidence. This difficult operating environment could have an adverse impact on the ability of our operators to maintain occupancy rates, which could harm their financial condition. Any sustained period of increased payment delinquencies, foreclosures or losses by our operators under our leases and loans could adversely affect our income from investments in our portfolio.

Certain third parties may not be able to satisfy their obligations to us or our operators due to uncertainty in the capital markets.

Interest rate fluctuations, financial market volatility or credit market disruptions could limit the ability of our operators to obtain credit to finance their businesses on acceptable terms, which could adversely affect their ability to satisfy their obligations to us. Similarly, if any of our other counterparties, such as letter of credit issuers, insurance carriers, banking institutions, title companies and escrow agents, experience difficulty in accessing capital or other sources of funds or fails to remain a viable entity, it could have an adverse effect on our business.

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

As is typical in the long-term healthcare industry, our operators are often subject to claims for damages relating to the services that they provide.  We can give no assurance that the insurance coverage maintained by our operators will cover all claims made against them or continue to be available at a reasonable cost, if at all.  In some states, insurance coverage for the risk of punitive damages arising from professional and general liability claims and/or litigation may not, in certain cases, be available to operators due to state law prohibitions or limitations of availability.  As a result, our operators operating in these states may be liable for punitive damage awards that are either not covered or are in excess of their insurance policy limits.  TC Healthcare, the entity that operated these facilities on our behalf through an independent contractor on an interim basis, may be named as a defendant in professional liability claims related to the Haven facilities as described in “Item 7 – Management’s Discussion and Analysis of Financial Condition and Results of Operations –Portfolio and Other Developments.”

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

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

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

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

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

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

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

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Certain of our operators account for a significant percentage of our real estate investment and revenues.

At December 31, 2012, we had two investments with operators and/or managers that exceeded 10% of our total investments: (i) Genesis Healthcare (“Genesis”) (11%), and (ii) CommuniCare Health Services, Inc. (“CommuniCare”) (10%).  No other operator represents more than 9% of our investments.  

For the year ended December 31, 2012, our revenues from operations totaled $350.5 million, of which approximately $44.5 million were from Genesis (on a pro forma basis including Sun Healthcare, which Genesis acquired in December 2012) (13%) and $44.2 million from CommuniCare (13%).  No other operator generated more than 9% of our revenues from operations for the year ended December 31, 2012.

We cannot assure you that any of our operators will have sufficient assets, income or access to financing to enable it them to satisfy their obligations to us.  Any failure by our operators, and specifically those operators described above, to effectively conduct their operations could materially reduce our revenues and net income, which could in turn reduce the amount of dividends we pay and cause our stock price to decline.

Risks Related to Us and Our Operations

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

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

Economic conditions and turbulence in the credit markets may create challenges in securing third-party borrowings or refinancing our existing debt.

Current economic conditions, the availability and cost of credit, turmoil in the mortgage market and depressed real estate markets have contributed to increased volatility and diminished expectations for real estate markets and the economy as a whole. While the capital markets have recently shown signs of improvement, the sustainability of an economic recovery is uncertain, and additional levels of market disruption and volatility could impact our ability to secure third-party borrowings or refinance our existing debt in the future.

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

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

● the extent of investor interest;

● the general reputation of REITs and the attractiveness of their equity securities in comparison to other equity securities, including securities issued by other real estate-based companies;

● our financial performance and that of our operators;

● the contents of analyst reports about us and the REIT industry;

● general stock and bond market conditions, including changes in interest rates on fixed income securities, which may lead prospective purchasers of our common stock to demand a higher annual yield from future distributions;

● our failure to maintain or increase our dividend, which is dependent, to a large part, on growth of funds from operations, which in turn depends upon increased revenues from additional investments and rental increases; and

● other factors such as governmental regulatory action and changes in REIT tax laws.

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

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

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

Unforeseen costs associated with the acquisition of new properties could reduce our profitability.

Our business strategy contemplates future acquisitions that may not prove to be successful.  For example, we might encounter unanticipated difficulties and expenditures relating to our acquired properties, including contingent liabilities, or our newly acquired properties might require significant management attention that would otherwise be devoted to our ongoing business.  As a further example, if we agree to provide funding to enable healthcare operators to build, expand or renovate facilities on our properties and the project is not completed, we could be forced to become involved in the development to ensure completion or we could lose the property.  Such costs may negatively affect our results of operations.

We may not be able to adapt our management and operational systems to integrate and manage our growth without additional expense.

We cannot assure you that we will be able to adapt our management, administrative, accounting and operational systems to integrate and manage the long-term care facilities we have acquired in the past and those that we may acquire under our existing cost structure in a timely manner.  Our failure to timely integrate and manage recent and future acquisitions or developments could have a material adverse effect on our results of operations and financial condition.

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

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

● our limited prior business experience with certain of the operators of the facilities we have recently acquired or may acquire in the future;

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● the facilities may underperform due to various factors, including unfavorable terms and conditions of the lease agreements that we assume, disruptions caused by the management of the operators of the facilities or changes in economic conditions impacting the facilities and/or the operators;

● diversion of our management’s attention away from other business concerns;

● exposure to any undisclosed or unknown potential liabilities relating to the facilities; and

● potential underinsured losses on the facilities.

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

Our assets may be subject to impairment charges.

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

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

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

Our indebtedness could adversely affect our financial condition.

We have a material amount of indebtedness and we may increase our indebtedness in the future.  Debt financing could have important consequences to our stockholders.  For example, it could:

● increase our vulnerability to adverse changes in general economic, industry and competitive conditions;

● limit our ability to borrow additional funds for working capital, capital expenditures, acquisitions, debt service requirements, execution of our business plan or other general corporate purposes on satisfactory terms or at all;

● require us to dedicate a substantial portion of our cash flow from operations to make payments on our indebtedness and leases, thereby reducing the availability of our cash flow to fund working capital, capital expenditures and other general corporate purposes;

● limit our ability to make material acquisitions or take advantage of business opportunities that may arise;

● expose us to fluctuations in interest rates, to the extent our borrowings bear variable rates of interests;

● limit our flexibility in planning for, or reacting to, changes in our business and the industry in which we operate; and

● place us at a competitive disadvantage compared to our competitors that have less debt.

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

The terms of our credit agreement and note indentures require us to comply with a number of customary financial and other covenants which may limit our management’s discretion by restricting our ability to, among other things, incur additional debt, redeem our capital stock, enter into certain transactions with affiliates, pay dividends and make other distributions, make investments and other restricted payments, and create liens.  Any additional financing we may obtain could contain similar or more restrictive covenants.  Our continued ability to incur indebtedness and conduct our operations is subject to compliance with these financial and other covenants. Breaches of these covenants could result in defaults under the instruments governing the applicable indebtedness, in addition to any other indebtedness cross-defaulted against such instruments. Any such breach could materially adversely affect our business, results of operations and financial condition.

We have now, and may have in the future, exposure to contingent rent escalators.

We receive revenue primarily by leasing our assets under leases that are long-term triple-net leases in which the rental rate is generally fixed with annual rent escalations, subject to certain limitations.  Certain leases contain escalators contingent on changes in the CPI.  If the CPI does not increase, our revenues may not increase.

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

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

● general liability, property and casualty losses, some of which may be uninsured;

● the inability to purchase or sell our assets rapidly to respond to changing economic conditions, due to the illiquid nature of real estate and the real estate market;

● leases that are not renewed or are renewed at lower rental amounts at expiration;

● the exercise of purchase options by operators resulting in a reduction of our rental revenue;

● costs relating to maintenance and repair of our facilities and the need to make expenditures due to changes in governmental regulations, including the Americans with Disabilities Act;

● environmental hazards created by prior owners or occupants, existing tenants, mortgagors or other persons for which we may be liable;

● acts of God affecting our properties; and

● acts of terrorism affecting our properties.

Our real estate investments are relatively illiquid.

Real estate investments are relatively illiquid and generally cannot be sold quickly.  In addition, some of our properties serve as collateral for our secured debt obligations and cannot be readily sold.  Additional factors that are specific to our industry also tend to limit our ability to vary our portfolio promptly in response to changes in economic or other conditions.  For example, all of our properties are ‘‘special purpose’’ properties that cannot be readily converted into general residential, retail or office use.  In addition, transfers of operations of nursing homes and other healthcare-related facilities are subject to regulatory approvals not required for transfers of other types of commercial operations and other types of real estate.  Thus, if the operation of any of our properties becomes unprofitable due to competition, age of improvements or other factors such that an operator becomes unable to meet its obligations to us, then the liquidation value of the property may be substantially less, particularly relative to the amount owing on any related mortgage loan, than would be the case if the property were readily adaptable to other uses.  Furthermore, the receipt of liquidation proceeds or the replacement of an operator that has defaulted on its lease or loan could be delayed by the approval process of any federal, state or local agency necessary for the transfer of the property or the replacement of the operator with a new operator licensed to manage the facility.  In addition, certain significant expenditures associated with real estate investment, such as real estate taxes and maintenance costs, are generally not reduced when circumstances cause a reduction in income from the investment.  Should such events occur, our income and cash flows from operations would be adversely affected.

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

Under various federal, state and local environmental laws, ordinances and regulations, a current or previous owner of real property or a secured lender, such as us, may be liable in certain circumstances for the costs of investigation, removal or remediation of, or related releases of, certain hazardous or toxic substances at, under or disposed of in connection with such property, as well as certain other potential costs relating to hazardous or toxic substances, including government fines and damages for injuries to persons and adjacent property.  Such laws often impose liability based on the owner’s knowledge of, or responsibility for, the presence or disposal of such substances.  As a result, liability may be imposed on the owner in connection with the activities of an operator of the property.  The cost of any required investigation, remediation, removal, fines or personal or property damages and the owner’s liability therefore could exceed the value of the property and/or the assets of the owner.  In addition, the presence of such substances, or the failure to properly dispose of or remediate such substances, may adversely affect an operators’ ability to attract additional residents and our ability to sell or rent such property or to borrow using such property as collateral which, in turn, could negatively impact our revenues.

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

23

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

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

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

We and several of our wholly-owned subsidiaries were named as defendants in professional liability and general liability claims related to our owned and operated facilities prior to 2005.  Other third-party managers responsible for the day-to-day operations of these facilities were also named as defendants in these claims.  In these suits, patients of certain previously owned and operated facilities have alleged significant damages, including punitive damages, against the defendants.  Although all of these prior suits have been settled, we or our affiliates could be named as defendants in similar suits related to our owned and operated assets resulting from the transition of the Haven facilities as described in “Item 7 – Management’s Discussion and Analysis of Financial Condition and Results of Operations –Portfolio and Other Developments.”  There can be no assurance that we would be successful in our defense of such potential matters or in asserting our claims against various managers of the subject facilities or that the amount of any settlement or judgment would be substantially covered by insurance or that any punitive damages will be covered by insurance.

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

Our articles of incorporation and bylaws contain various procedural and other requirements which could make it difficult for stockholders to effect certain corporate actions.  Our Board of Directors is divided into three classes and the members of our Board of Directors are elected for terms that are staggered.  Our Board of Directors also has the authority to issue additional shares of preferred stock and to fix the preferences, rights and limitations of the preferred stock without stockholder approval.  These provisions could discourage unsolicited acquisition proposals or make it more difficult for a third party to gain control of us, which could adversely affect the market price of our securities and/or result in the delay, deferral or prevention of a change in control or other transactions that could provide our stockholders with the opportunity to realize a premium over the then-prevailing market price of our common stock.

We may change our investment strategies and policies and capital structure.

Our Board of Directors, without the approval of our stockholders, may alter our investment strategies and policies if it determines that a change is in our stockholders’ best interests.  The methods of implementing our investment strategies and policies may vary as new investments and financing techniques are developed.

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

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

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

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

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

Pursuant to the Sarbanes-Oxley Act of 2002, we are required to provide a report by management on internal control over financial reporting, including management’s assessment of the effectiveness of such control. Changes to our business will necessitate ongoing changes to our internal control systems and processes. Internal control over financial reporting may not prevent or detect misstatements due to inherent limitations, including the possibility of human error, the circumvention or overriding of controls, or fraud. Therefore, even effective internal controls can provide only reasonable assurance with respect to the preparation and fair presentation of financial statements. In addition, projections of any evaluation of effectiveness of internal control over financial reporting to future periods are subject to the risk that the control may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate. If we fail to maintain the adequacy of our internal controls, including any failure to implement required new or improved controls, or if we experience difficulties in their implementation, our business, results of operations and financial condition could be materially adversely harmed, we could fail to meet our reporting obligations and there could be a material adverse effect on our stock price.

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

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

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

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

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

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

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

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

Risks Related to Our Stock

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

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

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

● the market for similar securities issued by REITs;

● changes in estimates by analysts;

● our ability to meet analysts’ estimates;

● prevailing interest rates;

● our credit rating;

● general economic and market conditions; and

● our financial condition, performance and prospects.

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

We cannot predict the effect, if any, that future sales of our capital stock, warrants or debt securities, or the availability of our securities for future sale, will have on the market price of our securities, including our common stock.  Sales of substantial amounts of our common stock or preferred shares, warrants or debt securities convertible into or exercisable or exchangeable for common stock in the public market, or the perception that such sales might occur, could negatively impact the market price of our stock and the terms upon which we may obtain additional equity financing in the future.

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

● the issuance and exercise of options to purchase our common stock or other equity awards under remuneration plans. We may also issue equity to our employees in lieu of cash bonuses or to our directors in lieu of director’s fees;

● the issuance of shares pursuant to our dividend reinvestment and direct stock purchase plan;

● the issuance of debt securities exchangeable for our common stock;

● the exercise of warrants we may issue in the future;

● lenders sometimes ask for warrants or other rights to acquire shares in connection with providing financing, and we cannot assure you that our lenders will not request such rights; and

● the sales of securities convertible into our common stock could dilute the interests of existing common stockholders.

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

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

Holders of our preferred stock that we may issue from time to time may have liquidation and other rights that are senior to the rights of the holders of our common stock.

On March 7, 2011, we redeemed all of our issued and outstanding 8.375% Series D cumulative redeemable preferred stock.  However, our Board of Directors has the authority to designate and issue preferred stock that may have dividend, liquidation and other rights that are senior to those of our common stock.  

Legislative or regulatory action could adversely affect purchasers of our stock.

In recent years, numerous legislative, judicial and administrative changes have been made in the provisions of the federal income tax laws that have or could impact the income tax consequences in an adverse manner of owning our stock.  Changes are likely to continue to occur in the future, and we cannot assure you that any of these changes will not adversely affect our stockholder’s stock.  Any of these changes could have an adverse effect on an investment in our stock or on its market value or resale potential.  Stockholders are urged to consult with their own tax advisor with respect to the impact that past legislative, regulatory or administrative changes or potential legislation may have on their investment in our stock.

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

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

Item 1B – Unresolved Staff Comments

None.

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Item 2 - Properties

At December 31, 2012, our real estate investments included long-term care facilities and rehabilitation hospital investments, either in the form of purchased facilities that are leased to operators or other affiliates, mortgages on facilities that are operated by the mortgagors or their affiliates and facilities subject to leasehold interests.  The facilities are located in 34 states and are operated by 46 operators.  We use the term “operator” to refer to our tenants and mortgagees and their affiliates who manage and/or operate our properties.  In some cases, our tenants and mortgagees contract with a healthcare operator to operate the facilities.  The following table summarizes our property investments as of December 31, 2012:

Investment Structure/Operator	Number of Operating Beds		Number of Facilities		Gross Investment (in thousands)
Leased Facilities(1)
Genesis HealthCare		6,120		53	$	356,684
Health and Hospital Corporation		4,212		40		279,476
Airamid Health Management		4,535		38		263,561
CommuniCare Health Services, Inc		3,525		28		255,618
Signature Holdings II, LLC.		3,264		31		226,062
S&F Management Company, LLC		1,830		14		212,448
Advocat, Inc.		3,962		36		148,408
Gulf Coast Master Tenant I, LLC.		2,157		17		146,636
Affiliates of Capital Funding Group, Inc.		1,816		17		129,697
Guardian LTC Management Inc.		1,683		23		125,971
Consulate Health Care		2,023		17		117,654
Nexion Health Inc		2,146		20		86,903
Affiliates of Persimmon Ventures, LLC & White Pine Holdings, LLC.		757		5		83,940
Essex Healthcare Corporation		1,271		13		83,587
TenInOne Acquisition Group, LLC		1,456		10		82,617
Swain/Herzog		1,008		9		56,400
Mark Ide Limited Liability Company		1,085		12		46,771
Sava Senior Care, LLC.		567		4		41,818
Infinia Properties of Arizona, LLC		476		6		33,371
StoneGate Senior Care LP		750		7		32,438
Pinon Management, Inc.		492		6		30,390
Fundamental Long Term Care Holding, LLC		381		3		20,927
Daybreak Venture, LLC		483		5		18,143
Rest  Haven Nursing Center Inc.		176		1		14,400
Health Systems of Oklahoma LLC.		407		3		12,470
Washington N&R		239		2		12,152
Care Initiatives, Inc		188		1		10,347
Adcare Health Systems		300		2		10,000
Ensign Group, Inc.		271		3		9,656
Lakeland Investors, LLC		274		1		9,625
Infinity Health Care Management		200		2		9,547
Laurel		235		2		7,585
Community Eldercare Services, LLC.		100		1		7,312
Hickory Creek Healthcare Foundation		138		2		7,250
Southwest LTC		150		1		6,839
Longwood Management Corporation.		185		2		6,448
Crowne Management, LLC		172		1		6,351
Elite Senior Living, Inc		105		1		5,893
Emeritus Corporation		52		1		5,674
Country Villa Claremont Healthcare Center, Inc		99		1		4,546
HMS Holdings at Texarkana, LLC		114		1		4,281
Hoosier Enterprises Inc.		47		1		3,622
Generations Healthcare, Inc		59		1		3,007
Diamond Care Vida Encantada, LLC		102		1		2,028
		49,612		445		3,038,553
Assets Held for Sale
Closed Facility		-		2		1,020
		-		2		1,020

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Investment Structure/Operator	Number of Operating Beds		Number of Facilities		Gross Investment (in thousands)
Fixed - Rate Mortgages(2)
Ciena Healthcare (3)		1,656		15		114,220
CommuniCare Health Services, Inc		1,064		8		77,004
Affiliates of Persimmon Ventures, LLC & White Pine Holdings, LLC		412		4		26,500
Meridian		240		3		15,897
Nexion Health Management		120		1		5,000
		3,492		31		238,621
Total		53,104		478	$	3,278,194

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

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

(3)   The mortgage includes two properties for which we have provided construction to permanent mortgage financing.  The properties are currently under construction.  We have not included the properties (facilities) under construction in our facility count.

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The following table presents the concentration of our facilities by state as of December 31, 2012:

	Number of Facilities		Number of Operating Beds		Gross Investment (in thousands)		% of Gross Investment
Florida		85		10,053	$	604,848		18.5
Ohio		50		5,494		365,535		11.2
Indiana (1)		51		5,002		318,719		9.7
California		22		2,336		187,109		5.7
Pennsylvania		25		2,298		175,728		5.4
Maryland		16		2,112		174,076		5.3
Texas		32		3,970		171,080		5.2
Michigan (2)		19		2,026		152,221		4.6
Arkansas		23		2,385		125,912		3.8
Tennessee		16		2,236		118,913		3.6
Arizona		10		987		98,014		3.0
Colorado		12		1,262		79,659		2.4
West Virginia		11		1,255		75,796		2.3
Kentucky		15		1,215		67,252		2.1
North Carolina		10		1,224		59,296		1.8
Massachusetts		8		896		57,347		1.8
Louisiana		14		1,478		55,514		1.7
Alabama		10		1,259		54,440		1.7
Mississippi		6		606		52,984		1.6
Rhode Island		4		558		43,534		1.3
Wisconsin		4		526		30,562		0.9
Georgia		4		625		28,401		0.9
New Hampshire		3		221		23,082		0.7
Idaho		4		377		22,679		0.7
Oklahoma		4		511		22,643		0.7
Iowa		3		359		21,202		0.7
Nevada		3		381		20,927		0.6
Washington		2		194		17,473		0.5
Vermont		2		270		15,382		0.5
Illinois		4		446		14,406		0.4
Missouri		2		239		12,152		0.4
New Mexico		2		221		7,228		0.2
Kansas		1		82		3,210		0.1
Connecticut (1)		1		-		870		0.0
Total		478		53,104	$	3,278,194		100.00

(1)   Both states include one facility that is classified as held-for-sale as of December 31, 2012.

(2)   The mortgage includes two properties for which we have provided construction to permanent mortgage financing. The properties are currently under construction.  We have not included the properties (facilities) under construction in our facility count.

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Geographically Diverse Property Portfolio.Our portfolio of properties is broadly diversified by geographic location.  Our portfolio includes healthcare facilities located in 34 states.  In addition, the majority of our 2012 rental and mortgage income was derived from facilities in states that require state approval for development and expansion of healthcare facilities.  We believe that such state approvals may limit competition for our operators and enhance the value of our properties.

Large Number of Tenants.Our facilities are operated by 46 different public and private healthcare providers and/or managers.  Except for Genesis HealthCare (11%), CommuniCare Health Services, Inc. (10%), Health and Hospital Corporation (9%), subsidiaries and affiliates of Airamid Health Management (8%), Signature Holdings II, LLC (7%) and S&F Management Company, LLC (6%) which together hold approximately 51% of our portfolio (by investment), no other single tenant holds greater than 5% of our portfolio (by investment).

Significant Number of Long-term Leases and Mortgage Loans.At December 31, 2012, approximately 86% of our leases and mortgages had primary terms that expire in 2016 or later.  The majority of our leased real estate properties are leased under provisions of master lease agreements.  We also lease facilities under single facility leases.  The initial terms of both types of leases typically range from 5 to 15 years, plus renewal options.

All of our leased properties are leased under long term, triple-net leases. The following table displays the expiration of the annualized straight-line rental revenues under our lease agreements as of December 31, 2012 by year without giving effect to any renewal options:

Expiration Year	Annualized Straight-line Rental Revenue Expiring		Number of Lease Expiring
	($ in thousands)
2013	$	3,677		4
2014		1,347		4
2015		2,822		5
2016		30,166		7
2017		7,351		5
2018		56,630		8
2019		-		-
2020		1,785		2
2021		31,429		3
2022		57,648		8
Thereafter		172,985		33
Total	$	365,840		79

Item 3 - Legal Proceedings

On January 7, 2010, LCT SE Texas Holdings, L.L.C. (“LCT”), an affiliate of Mariner Health Care and the lessee of four facilities located in the Houston area (the “LCT Facilities”), filed a petition in the District Court of Harris County, Texas (No. 2010-01120) against four landlord entities (the “CSE Entities”), the member interests of which we purchased as part of the December 2009 CapitalSource acquisition. The petition relates to a right of first refusal (“ROFR”) under the master lease between LCT and the CSE Entities. The petition alleges, among other things, that (i) the notice of the acquisition of the member’s interests of the CSE Entities was not proper under the ROFR provision in the master lease, (ii) the purchase price allocated to the member’s interests of the CSE Entities (or the LCT Facilities) pursuant to the CapitalSource Purchase Agreement and specified in the notice to LCT of its ROFR, if any, was not a bona fide offer, did not represent “true market value” and failed to trigger the ROFR and (iii) we tortiously interfered with LCT’s right to exercise the ROFR.  The petition seeks a declaratory adjudication with respect to the identified claims above, a claim for specific performance permitting LCT to exercise its ROFR and unspecified actual and punitive damages relating to the alleged breach of the master lease by the CSE Entities and tortious interference by us.  On April 19, 2011, the court dismissed with prejudice plaintiff’s claim against the defendants, all pursuant to a joint motion to dismiss filed by the parties.

Item 4 - Mine Safety Disclosures

Not applicable.

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PART II

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

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

2012							2011
Quarter	High		Low		Dividends Per Share		Quarter	High		Low		Dividends Per Share
First	$	22.23	$	19.03	$	0.41	First	$	24.00	$	21.38	$	0.37
Second		23.09		20.14		0.42	Second		24.46		19.07		0.38
Third		25.00		22.54		0.42	Third		22.05		14.40		0.40
Fourth		24.35		21.30		0.44	Fourth		19.87		14.45		0.40
					$	1.69						$	1.55

The closing price for our common stock on the New York Stock Exchange on February 22, 2013 was $27.81 per share.  As of February 22, 2013 there were 112,971,775 shares of common stock outstanding with approximately 2,867 registered holders.

The following table provides information about shares available for future issuance under our equity compensation plans as of December 31, 2012.

Equity Compensation Plan Information

	(a)		(b)		(c)
Plan category	Number of securities to be issued upon exercise of outstanding options, warrants and rights (1)		Weighted-average exercise price of outstanding options, warrants and rights (2)		Number of securities remaining available for future issuance under equity compensation plans (excluding securities reflected in column (a) (3)
Equity compensation plans approved by security holders		372,735	$	—		1,297,509
Equity compensation plans not approved by security holders		—		—		—
Total		372,735	$	—		1,297,509

(1) Reflects a maximum of 372,735 shares that could be earned if certain performance conditions are achieved under performance restricted stock units that vest on December 31, 2013.

(2) No exercise price is payable with respect to the performance restricted stock units.

(3) Reflects shares of common stock remaining available for future awards under our 2000 and 2004 Stock Incentive Plans.

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Item 6 - Selected Financial Data

The following table sets forth our selected financial data and operating data for our company on a historical basis.  The following data should be read in conjunction with our audited consolidated financial statements and notes thereto and Management’s Discussion and Analysis of Financial Condition and Results of Operations included elsewhere herein.  Our historical operating results may not be comparable to our future operating results.  The comparability of our selected financial data is significantly affected by our acquisitions and new investments in 2009, 2010, 2011 and 2012.  See “Item 7 – Management’s Discussion and Analysis of Financial Condition and Results of Operations – Portfolio and Other Developments.”

	Year Ended December 31,
	2012		2011		2010		2009		2008
	(in thousands, except per share amounts)
Operating Data
Revenues from core operations	$	350,460	$	292,204	$	250,985	$	179,008	$	169,592
Revenues from nursing home operations		-		-		7,336		18,430		24,170
Total revenues	$	350,460	$	292,204	$	258,321	$	197,438	$	193,762
Income from continuing operations	$	120,698	$	52,606	$	58,436	$	82,111	$	77,691
Net income available to common stockholders		120,698		47,459		49,350		73,025		70,551
Per share amounts:
Income from continuing operations:
Basic	$	1.12	$	0.46	$	0.52	$	0.87	$	0.93
Diluted		1.12		0.46		0.52		0.87		0.93
Net income available to common stockholders:
Basic	$	1.12	$	0.46	$	0.52	$	0.87	$	0.94
Diluted		1.12		0.46		0.52		0.87		0.94
Dividends, Common Stock(1)	$	1.69	$	1.55	$	1.37	$	1.20	$	1.19
Dividends, Series D Preferred(1)		-		0.74		2.09		2.09		2.09
Weighted-average common shares outstanding, basic		107,591		102,119		94,056		83,556		75,127
Weighted-average common shares outstanding, diluted		108,011		102,177		94,237		83,649		75,213

	As of December 31,
	2012		2011		2010		2009		2008
Balance Sheet Data
Gross investments	$	3,325,533	$	2,831,132	$	2,504,818	$	1,803,743	$	1,502,847
Total assets		2,982,005		2,557,312		2,304,007		1,655,033		1,364,467
Revolving line of credit		258,000		272,500		-		94,100		63,500
Other long-term borrowings		1,566,932		1,278,900		1,176,965		644,049		484,697
Stockholders’ equity		1,011,329		878,484		1,004,066		865,227		787,988

(1) Dividends per share are those declared and paid during such period.

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

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

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

(i) those items discussed under “Risk Factors” in Item 1A of this report;

(ii) uncertainties relating to the business operations of the operators of our assets, including those relating to reimbursement by third-party payors, regulatory matters and occupancy levels;

(iii) the ability of any operators in bankruptcy to reject unexpired lease obligations, modify the terms of our mortgages and impede our ability to collect unpaid rent or interest during the process of a bankruptcy proceeding and retain security deposits for the debtors’ obligations;

(iv) our ability to sell closed or foreclosed assets on a timely basis and on terms that allow us to realize the carrying value of these assets;

(v) our ability to negotiate appropriate modifications to the terms of our credit facilities;

(vi) our ability to manage, re-lease or sell any owned and operated facilities;

(vii) the availability and cost of capital;

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

(ix) competition in the financing of healthcare facilities;

(x) regulatory and other changes in the healthcare sector;

(xi) the effect of economic and market conditions generally and, particularly, in the healthcare industry;

(xii) changes in the financial position of our operators;

(xiii) changes in interest rates;

(xiv) the amount and yield of any additional investments;

(xv) changes in tax laws and regulations affecting real estate investment trusts; and

(xvi) our ability to maintain our status as a real estate investment trust.

Overview

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

Our portfolio of investments at December 31, 2012, consisted of 478 healthcare facilities (including two assets held for sale), located in 34 states and operated by 46 third-party operators.  Our gross investment in these facilities totaled approximately $3.3 billion at December 31, 2012, with 99% of our real estate investments related to long-term healthcare facilities.  The portfolio is made up of (i) 418 SNFs, (ii) 16 ALFs, (iii) 11 specialty facilities, (iv) fixed rate mortgages on 31 SNFs and (v) two facilities and one parcel of land that are currently held for sale.  At December 31, 2012, we also held other investments of approximately $47.3 million, consisting primarily of secured loans to third-party operators of our facilities.

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

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We currently believe that our operator coverage ratios are strong and that our operators can absorb moderate reimbursement rate reductions under Medicaid and Medicare and still meet their obligations to us.  However, significant limits on the scope of services reimbursed and on reimbursement rates and fees could have a material adverse effect on an operator’s results of operations and financial condition, which could adversely affect the operator’s ability to meet its obligations to us.

On July 7, 2008, through bankruptcy court proceedings, we took ownership and/or possession of 15 facilities which were previously operated by Haven.  Prior to July 7, 2008, we had (i) leased eight facilities to Haven under a master lease agreement and (ii) provided mortgage financing to a Haven entity for seven facilities that we had previously consolidated according to accounting rules regarding variable interest entities then in place.  As a result of the bankruptcy court judgment, the mortgage on the seven facilities was retired in exchange for ownership of the facilities, and we were also awarded certain other operational assets of Haven.  In addition to receiving title to the seven facilities and certain other operational assets, on July 7, 2008, we assumed operating responsibility for the 15 Haven facilities.  In July 2008, a new entity (TC Healthcare) was formed to operate these properties on our behalf through the use of an independent contractor.  TC Healthcare’s managing member and sole voting member, an individual with experience in operating these types of facilities, has no equity investment at risk and is unrelated to Omega.  Omega and TC Healthcare entered into an agreement that required Omega to provide the working capital requirements for TC Healthcare and to absorb the operating losses of TC Healthcare.  The agreement also provided Omega with the right to receive the economic benefits of the entity.  TC Healthcare is a variable interest entity as the entity does not have sufficient equity investment at risk to support its operations without subordinated financial support.  Additionally, Omega has the power to direct the activities of TC Healthcare as Omega has the unilateral right to replace the shareholder.  Omega is deemed the primary beneficiary of TC Healthcare as Omega has the controlling economic interest in the entity and therefore, consolidated the operations of TC Healthcare.

Our consolidated financial statements include the accounts of (i) Omega, (ii) all direct and indirect wholly owned subsidiaries of Omega and (iii) TC Healthcare.  We consolidate the financial results of TC Healthcare into our financial statements based on the applicable consolidation accounting literature.  We include the operating results, assets and liabilities of these facilities for the period of time that TC Healthcare was responsible for the operations of the facilities.  Thirteen of these facilities were transitioned from TC Healthcare to a new tenant/operator on September 1, 2008.  The two remaining facilities were transitioned to the new tenant/operator on June 1, 2010 upon approval by state regulators of the operating license transfer.  The operating revenues and expenses and related operating assets and liabilities of the two facilities are shown on a gross basis in our Consolidated Statements of Operations and Consolidated Balance Sheets, respectively.  TC Healthcare was responsible for the collection of the accounts receivable earned and the liabilities incurred prior to the date of the transition to the newtenant/operator.  All inter-company accounts and transactions have been eliminated in consolidation of the financial statements.

2012 and Recent Highlights

Acquisition and Other Investments

See “Portfolio and Other Developments” below for a description of 2012 acquisitions and other investments.

$175 Million 7% Senior Notes due 2016 Tender Offer and Redemption

On March 5, 2012, we commenced a tender offer to purchase for cash any and all of our outstanding $175 million aggregate principal amount of 7% Senior Notes due 2016, or the 2016 Notes.  Pursuant to the terms of the tender offer, on March 19, 2012, we purchased $168.9 million aggregate principal amount of the 2016 Notes.  On March 27, 2012, pursuant to the terms of the indenture governing the 2016 Notes, we redeemed the remaining $6.1 million aggregate principal amount of the 2016 Notes at a redemption price of 102.333% of their principal amount, plus accrued and unpaid interest up to the redemption date.  See “Liquidity and Capital Resources – Financing Activities and Borrowing Arrangements” below for detail.

Issuance of $400 Million 5.875% Senior Notes due 2024 and Exchange Offer

On March 19, 2012, we issued $400 million aggregate principal amount of our 5.875% Senior Notes due 2024, or the 2024 Notes.  The 2024 Notes mature on March 15, 2024 and pay interest semi-annually on March 15 and September 15 of each year, commencing on September 15, 2012.  See “Liquidity and Capital Resources – Financing Activities and Borrowing Arrangements” below for detail.”

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$245 Million Equity Shelf Program

On June 19, 2012, we entered into separate Equity Distribution Agreements (collectively, the “2012 Agreements”) with several financial institutions, each as a sales agent and/or principal (collectively, the “Managers”) to establish a $245 million Equity Shelf Program.  Under the terms of the 2012 Agreements, we may sell shares of our common stock, from time to time, through or to the Managers having an aggregate gross sales price of up to $245 million.  We will pay each Manager compensation for sales of the shares equal to 2% of the gross sales price per share of shares sold through such Manager under the applicable 2012 Agreement.

For the year ended December 31, 2012, we issued 2.6 million shares under the 2012 ESP, at an average price of $24.10 per share, generating gross proceeds of approximately $63.6 million, before $1.3 million of commissions.  For the three months ended December 31, 2012, we did not issue shares under the 2012 ESP.  The proceeds of the sale of our common stock under the 2012 ESP were used for working capital and for general corporate purposes, including funding the recent investments described above.  As of December 31, 2012, we have approximately $181.4 million available for issuance under the 2012 ESP.

Termination of $140 Million Equity Shelf Program

On June 19, 2012, we terminated our $140 million Equity Shelf Program (the “2010 ESP”).  For the year ended December 31, 2012, we issued approximately 759,000 shares of our common stock under the 2010 ESP at an average price per share of $21.27, generating gross proceeds of approximately $16.1 million, before $0.3 million of commissions.

From inception of the 2010 ESP, through its termination in June 2012 in connection with the implementation of the 2012 ESP, we sold a total of 5.3 million shares of common stock under the 2010 ESP generating total gross proceeds of $114.9 million under the program, before $2.3 million of commissions.  As a result of the termination of the 2010 ESP, no additional shares were issued under the 2010 ESP.  The proceeds of the sale of our common stock under the 2010 ESP were used for working capital and for general corporate purposes.

HUD Mortgage Payoffs

On June 29, 2012, we paid approximately $11.8 million to retire four HUD mortgages that were assumed as part of the December 2011 acquisition.  The retirement of the four HUD mortgages resulted in a net gain of approximately $1.7 million.  The net gain included the write-off of approximately $1.8 million related to the unamortized fair value adjustment of the assumed debt as well as a prepayment fee of approximately $0.1 million.

$700 Million Unsecured Credit Facility

On December 6, 2012, we entered into a new $700 million unsecured credit facility, comprised of a $500 million senior unsecured revolving credit facility  (the “2012 Revolving Credit Facility”) and a $200 million unsecured, deferred draw term loan facility (the “2012 Term Loan Facility” and, together with the 2012 Revolving Credit Facility, collectively, the “2012 Credit Facilities”).  The 2012 Credit Facilities replaced our previous $475 million senior unsecured revolving credit facility (the “2011 Credit Facility”).  See “Liquidity and Capital Resources – Financing Activities and Borrowing Arrangements” below for detail.

Dividends

On January 16, 2013, the Board of Directors declared a common stock dividend of $0.45 per share, increasing the quarterly common dividend by $0.01 per share over the prior quarter, which was paid February 15, 2013 to common stockholders of record on January 31, 2013.

On February 15, 2012, May 15, 2012, August 15, 2012 and November 15, 2012, we paid dividends to our common stockholders in the per share amounts of $0.41, $0.42, $0.42 and $0.44, for stockholders of record on January 31, 2012, April 30, 2012, July 31, 2012 and October 31, 2012, respectively.

Portfolio and Other Developments

The partial expiration of certain Medicare rate increases and state cuts to Medicaid reimbursement rates has had an adverse impact on the revenues of the operators of nursing home facilities and could negatively impact some operators’ ability to satisfy their monthly lease or debt payment to us.  See “Item 1 Business - Government Regulation and Reimbursement” above for further discussion.  In several instances, we hold security deposits that can be applied in the event of lease and loan defaults, subject to applicable limitations under bankruptcy law with respect to operators seeking protection under the Bankruptcy Code.

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Significant Lease Amendment – Genesis Healthcare

On December 1, 2012, Genesis Healthcare (“Genesis”), an existing operator to Omega, completed the purchase of Sun Healthcare Group (“Sun”), also an existing operator to Omega.  Prior to the purchase, Sun was our second largest tenant with $235 million in leased assets representing 40 facilities located in 10 states.  We leased the 40 facilities to Sun under a master lease with expiration dates in 2013 and 2017.  Prior to the purchase, we also had a master lease with Genesis covering approximately $122 million in leased assets representing 13 facilities located in 5 states.

In connection with the acquisition, on December 1, 2012, we entered into a new 53 facility master lease with Genesis expiring on December 31, 2025.  At December 31, 2012, Genesis was our largest tenant with $357 million in leased assets (approximately 11% of our total gross investments) located in 13 states.

2012 Acquisitions and Other Investments

Arizona and California Acquisitions

During the three-month period ended December 31, 2012, we completed the acquisition of approximately $203.4 million of new investments and leased them back to a new operator.  The investments involved two separate transactions to purchase 14 facilities (12 SNFs, one assisted living facility (“ALF”) and 1 combined SNF/ALF).  The combined transactions consisted of the assumption of approximately $71.9 million of HUD indebtedness and payment of $131.5 million in cash. The $71.9 million of assumed HUD debt is comprised of 8 HUD mortgage loans with a blended interest rate of 5.50% and maturities between April 2031 and February 2045. The 14 facilities, representing 1,830 operating beds, are located in California (10) and Arizona (4). The transaction involved several separate master lease agreements covering all 14 facilities.

Transaction 1 (First Closing):  On November 30, 2012, we purchased four Arizona facilities (2 SNFs, 1 ALF and 1 combined SNF/ALF) for an aggregate purchase price of $60.0 million.  The transaction consisted of the assumption of $27.6 million of indebtedness guaranteed by HUD and $32.4 million in cash.  The blended interest rate on the HUD indebtedness assumed for the Arizona facilities was 4.73%.  The four facilities were simultaneously leased back to a new operator under a new 12 year master lease.

We are in the process of finalizing our fair value allocation and we expect the allocation process to be completed during the first half of 2013.  As of December 31, 2012, we allocated approximately $64.6 million consisting of land ($5.5 million), building and site improvements ($55.9 million), and furniture and fixture ($3.2 million).  We recorded approximately $4.6 million of fair value adjustment related to above market debt assumed based on the terms of comparable debt and other market factors.  We estimate amortization of the fair value adjustment related to the above market debt will average approximately $0.2 million per year for the next five years.  We have not recorded goodwill in connection with this transaction.

Transaction 2 (Second Closing):  In November 2012, we entered into a Purchase and Sales Agreement to purchase and then leaseback 10 California SNFs.  On November 30, 2012, we purchased five SNFs for approximately $70.2 million.  The five SNFs were then leased back to the new operator under a 12 year master lease.

We are in the process of finalizing our fair value allocation and we expect the allocation process to be completed during the first half of 2013.  As of December 31, 2012, we allocated approximately $70.2 million consisting of land ($11.5 million), building and site improvements ($55.5 million), and furniture and fixture ($3.2 million).  We have not recorded goodwill in connection with this transaction.

Transaction 2 (Third Closing):  On December 31, 2012, we purchased the remaining five California SNFs for an aggregate purchase price of $72.2 million (net of purchase price reduction of approximately $1.0 million related to funds escrowed by the seller to reimburse us for costs associated with refinancing some of the assumed HUD debt).  The transaction consisted of the assumption of $44.3 million of HUD indebtedness and $28.9 million in cash.  The blended interest rate on the HUD indebtedness assumed for the five California facilities was 5.97%.  The five SNFs were then leased back to the new operator under new 12 year master leases.

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We are in the process of finalizing our fair value allocation and we expect the allocation process to be completed during the first half of 2013.  As of December 31, 2012, we allocated approximately $77.6 million consisting of land ($13.0 million), building and site improvements ($60.9 million), and furniture and fixture ($3.7 million).  We recorded approximately $5.4 million of fair value adjustment related to the above market debt assumed based on the terms of comparable debt and other market factors.  We estimate amortization of the fair value adjustment related to the above market debt will be approximately $0.3 million in 2013 and will average approximately $0.2 million per year from 2014 through 2017.  We have not recorded goodwill in connection with this transaction.

Indiana Acquisitions

In 2012 we completed four transactions in Indiana involving two existing operators and 34 facilities.  The following is a summary of the transactions:

Transaction 1:  On June 29, 2012, we purchased one SNF encompassing 80 operating beds in Indiana for approximately $3.4 million and leased the facility back to an existing operator under an existing master lease.  As of December 31, 2012, we allocated approximately $3.4 million consisting of land ($0.2 million), building and site improvements ($2.9 million), and furniture and fixture ($0.3 million).  We have not recorded goodwill in connection with this transaction.

Transaction 2:  On June 29, 2012, we purchased four facilities encompassing 383 operating beds in Indiana for approximately $21.7 million and leased the facilities to Health and Hospital Corporation.  As of December 31, 2012, we allocated approximately $21.7 million consisting of land ($1.9 million), buildings and site improvements ($18.4 million) and furniture and fixtures ($1.4 million). We have not recorded goodwill in connection with this transaction.

Transaction 3:  On August 31, 2012, we purchased 27 facilities (17 SNFs, four ALFs and six independent living facilities) totaling 2,892 operating beds in Indiana from an unrelated third party for approximately $203 million in cash and assumed a liability associated with the lease of approximately $13.9 million.  Simultaneous with the transaction, we also purchased one parcel of land for $2.8 million.  The purchase price of both (i) 27 facilities and (ii) the parcel of land were funded from cash on hand and borrowings from our credit facility.  The 27 facilities and land parcel were added to an existing master lease.  We are in the process of finalizing our fair value allocation and we expect the allocation process to be completed during the first half of 2013.  As of December 31, 2012, we allocated approximately $219.7 million consisting of land ($16.1 million), building and site improvements ($189.2 million) and furniture and fixture ($14.4 million).  We have not recorded goodwill in connection with this transaction.

Transaction 4:  On December 31, 2012, we purchased two SNFs encompassing 167 operating beds in Indiana for approximately $9.5 million and leased these facilities back to an existing operator under a new consolidated master lease.  We are in the process of finalizing our fair value allocation and we expect the allocation process to be completed during the first half of 2013.  As of December 31, 2012, we allocated approximately $9.5 million consisting of land ($0.6 million), building and site improvements ($8.0 million), and furniture and fixture ($0.9 million).  We have not recorded goodwill in connection with this transaction.

Michigan Acquisition and New Mortgage

On November 30, 2012, we completed $21.5 million of combined new investments with an existing operator and mortgagee.  The investments involved both a purchase and mortgage transaction related to two facilities and 231 operating beds.

Purchase Transaction – We purchased one ALF for $20 million from an unrelated third party and added it to an existing master lease with an existing operator.  The 171 operating bed ALF is located in Michigan.  We are in the process of finalizing our fair value allocation and we expect the allocation process to be completed during the first half of 2013.  As of December 31, 2012, we allocated approximately $20.0 million consisting of land ($0.4 million), building and site improvements ($18.9 million), and furniture and fixture ($0.7 million).  We have not recorded goodwill in connection with this transaction.

Mortgage Transaction – We entered into a new $1.5 million first mortgage loan with an existing operator/mortgagee.  The mortgage is secured by a lien on one 60 operating bed SNF located in Michigan.

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Texas Acquisition

On October 31, 2012, we purchased one SNF from an unrelated third party encompassing 90 operating beds in Texas for approximately $2.7 million and leased the facility to an existing operator.  We are in the process of finalizing our fair value allocation and we expect the allocation process to be completed during the first half of 2013.  As of December 31, 2012, we allocated approximately $2.7 million consisting of land ($0.2 million), building and site improvements ($2.2 million), and furniture and fixture ($0.3 million).  We have not recorded goodwill in connection with this transaction.

Acquisition costs related to the above transactions were expensed as period costs.  For the year ended December 31, 2012, we expensed $0.9 million of acquisition related expenses.

2011 Acquisitions and New Investments

During the fourth quarter of 2011, we (i) completed two acquisitions, (ii) funded two new mortgages and (iii) funded a new working capital note.  The first acquisition was comprised of the purchase of four SNFs in Maryland and West Virginia; the second acquisition was comprised of the purchase/leaseback of 17 SNFs in five states, including Arkansas, Colorado, Florida, Michigan and Wisconsin.  Acquisition costs related to the two acquisitions was approximately $1.2 million in 2011 and was expensed.  In addition, we funded two new mortgages to two operators covering a total of 16 SNFs and closed a new note with an existing operator.  The following is summary of the transactions and other investments:

2011 First Acquisition (Maryland and West Virginia) and New Mortgage

During the fourth quarter of 2011, we completed $86 million of combined new investments with two new operators.  The combined transaction consisted of $56 million in cash and $30 million in assumed HUD indebtedness, with a combined initial annual yield of approximately 10%.  The investments involved a purchase / lease back transaction and a mortgage transaction.  The combined transaction consists of 7 facilities and 938 operating beds.

Purchase / Lease Back Transaction

We purchased four SNFs located in Maryland (3) and West Virginia (1), totaling 586 beds for a total investment of $61 million, including approximately $1 million to complete renovations at one facility.  The consideration consisted of $31 million in cash and the assumption of $30 million in HUD – indebtedness, which bears an interest rate of 4.87% (weighted-average) and matures between March 2036 and September 2040.

We completed our fair value allocation in 2012.  We allocated approximately $62.7 million consisting of land ($4.4 million), buildings and site improvements ($55.0 million) and furniture and fixtures ($3.3 million).  We funded approximately $1.3 million in renovation costs for one of the facilities acquired in connection with this transaction and completed the renovation during the third quarter of 2012.  We recorded approximately $3.0 million of fair value adjustment related to the above market debt assumed based on the terms of comparable debt.  We estimate amortization will be approximately $0.2 million per year over the next five years. We have not recorded goodwill in connection with this transaction.

2011 First Mortgage Transaction

We entered into a first mortgage loan with a new operator in the amount of $25 million secured by a lien on three SNFs, totaling 352 operating beds, all located in Maryland.  The mortgage currently bears interest at 12% and increases to 13.5% in year 7.

2011 Second Acquisition (Arkansas, Colorado, Florida, Michigan and Wisconsin)

On December 23, 2011, we purchased 17 SNFs and leased them back to a new operator, for an aggregate purchase price of $128 million.  The acquisition consisted of the assumption of $71.3 million of indebtedness guaranteed by HUD and $56.7 million in cash.

The $71.3 million of assumed HUD debt was comprised of 15 HUD mortgage loans with a blended interest rate of 5.70% and maturities between October 2029 and July 2044.

The 17 SNFs, representing 1,820 operating beds, are located in Arkansas (12), Colorado (1), Florida (1), Michigan (2) and Wisconsin (1). The purchase/leaseback transaction involved two separate master lease agreements covering all 17 SNFs.

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We completed our fair value allocation in 2012.  We allocated approximately $129.9 million consisting of land ($9.0 million), buildings and site improvements ($111.5 million) and furniture and fixtures ($9.4 million).  We recorded approximately $1.9 million of fair value adjustment related to the above market debt assumed based on the terms of comparable debt.  We have not recorded goodwill in connection with this transaction.

2011 Second Mortgage Transaction

On November 14, 2011, we entered into a $92.0 million new first mortgage loan with affiliates of Ciena.  The loan is secured by 13 SNFs located in Michigan, which operate a total of 1,421 beds.  The term of the mortgage is 10 years and it bears an initial interest rate of 11% with fixed escalators in years 4 and 7.  The mortgage is cross-defaulted with existing investments with affiliates of Ciena.

2011 Funding of New Note

In December 2011, we entered into a five year $28.0 million loan agreement with an existing operator.  The loan bears interest at 10% per annum.  In 2012, we received $1.5 million in principal payments related to the loan.

143 Facility CapitalSource Acquisitions (2009 – 2010)

In November 2009, we entered into a securities purchase agreement (the “CapitalSource Purchase Agreement”) with CapitalSource Inc. (“CapitalSource”) and several of its affiliates, pursuant to which we agreed to purchase CapitalSource subsidiaries owning 80 long term care facilities, plus an option to purchase CapitalSource subsidiaries owning an additional 63 facilities (the “Option”), for approximately $858 million.  Our acquisition of the CapitalSource subsidiaries pursuant to the terms of the purchase agreement was conducted in three separate closings: (i) on December 22, 2009, we acquired CapitalSource subsidiaries owning 40 long-term care facilities and an option to acquire an additional 63 facilities; (ii) on June 9, 2010, we exercised our option to acquire CapitalSource subsidiaries owning 63 long-term care facilities; and (iii) on June 29, 2010, we acquired CapitalSource subsidiaries owning 40 long-term care facilities.  We accounted for these acquisitions as business combinations.  We incurred approximately $3.1 million in transaction costs for the transactions, of which $1.6 million was expensed during 2009 and $1.5 million was expensed in 2010.

First Closing

On December 22, 2009, we purchased CapitalSource entities owning 40 facilities for approximately $271.4 million and an option to purchase CapitalSource entities owning 63 additional facilities for $25.0 million.  The consideration consisted of: (i) approximately $184.2 million in cash; (ii) 2,714,959 shares of Omega common stock and (iii) the assumption of approximately $59.4 million of 6.8% mortgage debt maturing on December 31, 2011.  We valued the 2,714,959 shares of our common stock at approximately $52.8 million on December 22, 2009.

The 40 facilities represent 5,264 operating beds located in 12 states, and are part of 15 in-place triple net leases among 12 operators.  The 12 leases generate approximately $31 million of annualized revenue.

We allocated approximately $282.0 million consisting of land ($22.5 million), building and site improvements ($241.9 million) and furniture and fixtures ($17.6 million).  We allocated approximately $9.5 million to in-place above market leases assumed at the first closing and approximately $19.8 million to in-place below market leases assumed at the first closing.  In 2010, 2011 and 2012, net amortization associated with net in-place below market leases assumed at the first closing was approximately $1.4 million, $1.3 million and $1.2 million, respectively.

As of December 31, 2012, we estimate the net impact to revenue of amortizing the assumed net in-place below market leases associated with the December 22, 2009 acquisition as follows (in millions):

1 year	1-3 years	3-5 years	Thereafter
$1.2	$2.1	$1.7	$1.8

The fair value of the debt assumed approximated face value.  We did not record goodwill in connection with this transaction.

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HUD Portfolio Closing

On June 29, 2010, we purchased CapitalSource entities owning 40 facilities for approximately$271 million.   We also paid approximately $15 million for escrow accounts transferred to us at closing.  The 40 facilities are encumbered by approximately $182 million in long-term mortgage financing guaranteed by the U.S. Department of Housing and Urban Development (“HUD”) and $20 million in subordinated notes.  The following summarizes the consideration paid at closing:

● $65 million in cash;

● $202 million face value of assumed debt, which includes $20 million of 9.0% unsecured debt maturing in December 2021, $53million of HUD debt at a 6.61% weighted average annual interest rate maturing between January 2036 and May 2040, and $129 million of new HUD Debt at a 4.85% annual interest rate maturing between January 2040 and January 2045; and

● 995 thousand shares of our common stock valued at approximately $19 million on June 29, 2010.

The 40 facilities represent 4,882 operating beds located in two states, and are part of 13 in-place triple net leases among two operators.  The 13 leases generate approximately $30 million of annualized revenue.

We allocated approximately $313.3 million consisting of land ($32.3 million), building and site improvements ($264.1 million) and furniture and fixtures ($16.9 million).  We allocated approximately $4.9 million to in-place above market leases assumed and approximately $24.1 million to in-place below market leases assumed at the HUD portfolio closing.  In 2010, 2011 and 2012, net amortization associated with net in-place below market leases assumed at the HUD portfolio closing was approximately $1.9 million, $3.5 million and $3.2 million, respectively.

As of December 31, 2012, we estimate the net impact to revenue of amortizing the assumed net in-place below market leases associated with the June 29, 2010 acquisition as follows (in millions):

1 year	1-3 years	3-5 years	Thereafter
$2.9	$5.1	$0.9	$1.7

In addition, we recorded approximately $22.5 million of fair value adjustment related to the above market debt assumed based on the terms of comparable debt.  In 2010, 2011 and 2012, we amortized approximately $0.7 million, $1.4 million and $1.3 million for the fair value adjustment, respectively.  We estimate amortization will average approximately $1.2 million per year for the next five years.  We did not record goodwill in connection with this transaction.

Option Exercise and Closing

On April 20, 2010, we provided notice of our intent to exercise our Option to acquire CapitalSource entities owning 63 facilities.  On June 9, 2010, we completed our purchase of the 63 CapitalSource facilities for an aggregate purchase price of approximately $293 million in cash.  The total purchase price including the purchase option deposit was $318 million.

The 63 facilities represent 6,607 operating beds located in 19 states, and are part of 30 in-place triple net leases among 18 operators. The 30 leases generate approximately $34 million of annualized revenue.

We allocated approximately $328.9 million consisting of land ($35.8 million), building and site improvements ($276.0 million) and furniture and fixtures ($17.1 million).  We allocated approximately $8.2 million to in-place above market leases assumed and approximately $18.8 million to in-place below market leases assumed at the Option portfolio closing.  In 2010, 2011 and 2012, net amortization associated with net in-place below market leases assumed at the Option portfolio closing was approximately $0.7 million, $1.3 million and $0.9 million, respectively.

As of December 31, 2012, we estimate the net impact to revenue of amortizing the assumed net in-place below market leases associated with the June 9, 2010 acquisition as follows:

1 year	1-3 years	3-5 years	Thereafter
$1.0	$2.4	$1.9	$2.5

We did not record goodwill in connection with this transaction.

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Results of Operations

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

Year Ended December 31, 2012 compared to Year Ended December 31, 2011

Operating Revenues

Our operating revenues for the year ended December 31, 2012, were $350.5 million, an increase of $58.3 million over the same period in 2011.  Following is a description of certain of the changes in operating revenues for the year ended December 31, 2012:

● Rental income was $314.6 million, an increase of $41.1 million over the same period in 2011.  The increase was primarily due to: (i) $189 million of fourth quarter 2011 acquisitions; and (ii) new investment made during 2012.

● Mortgage interest income totaled $30.4 million, an increase of $14.2 million over the same period in 2011.  The increase was primarily due to (i) a $92.0 million first mortgage loan that we entered with an operator in November 2011 and (ii) a $25.0 million first mortgage loan that we entered with a new operator in October 2011.

● Other investment income totaled $4.8 million, an increase of $2.7 million over the same period in 2011.  The increase was primarily the result of a $28.0 million term loan that we entered with an existing operator in the fourth quarter of 2011.

● Miscellaneous revenue was $0.7 million, an increase of $0.3 million over the same period in 2011.  

Operating Expenses

Operating expenses for the year ended December 31, 2012, were $135.5 million, a decrease of approximately $18.9 million over the same period in 2011.  Following is a description of certain of the changes in our operating expenses for the year ended December 31, 2012:

● Our depreciation and amortization expense was $113.0 million for the year ended December 31, 2012, compared to $100.3 million for the same period in 2011.  The increase is primarily due to (i) a full year of depreciation related to the fourth quarter 2011 acquisitions and (ii) additional depreciation associated with the 2012 new investments and capital renovation and improvement program.

● Our general and administrative expense, excluding stock-based compensation expense, was $15.4 million, compared to $13.4 million for the same period in 2011.  The increase was primarily due to increased costs associated with acquisitions, including payroll and tax related expenses.

● Our stock-based compensation expense was $5.9 million, a decrease of $95 thousand over the same period in 2011.  The decrease was primarily due to a reduction in the fair value of the shares issued in 2012 compared to 2011 for the annual portion of the Company’s stock plan.

● In 2012, provision for impairment was $0.3 million, compared to $26.3 million for the same period in 2011.  During the first quarter of 2012, we recorded a $0.3 million impairment charge to reduce the carrying value of two SNFs to their estimated fair value. The $26.3 million provision of impairment recorded in 2011 was primarily the result of (i) $24.4 million impairment on four Connecticut properties that we closed during the year and (ii) three other facilities.  In 2012, we sold five of these seven properties.

● No provision for uncollectible mortgages, notes and accounts receivable was recorded in 2012, compared to $6.4 million for the same period in 2011.  The $6.4 million recorded in 2011 was related to the write-off of Formation Capital, LLC (“Formation”) straight line rent of $1.1 million and lease inducement of $3.0 million during the second quarter of 2011.  In addition, during the fourth quarter of 2011, we recorded a $2.3 million write-off associated with our Formation working capital note.

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● No nursing home expenses of owned and operated assets were recorded in 2012, compared to $0.7 million for the same period in 2011.  The decrease was due to the deconsolidation of two owned and operated facilities effective June 1, 2010.  The 2011 cost relates to run-off costs.

Other Income (Expense)

For the year ended December 31, 2012, total other expenses were $106.1 million, an increase of approximately $19.2 million over the same period in 2011.  The increase in interest expense of approximately $14.4 million was primarily due to an increase in borrowings outstanding, including debt assumed or incurred (i) to finance the fourth quarter of 2011 new investments and (ii) to finance the 2012 new investments.  In 2012, we recorded $7.9 million of net interest refinancing costs.  The refinancing costs included $7.1 million in costs related to the tender and redemption of our $175 million of 7% Senior Notes due 2016, and $2.5 million related to the write-off of deferred financing costs associated with the termination of the $475 million 2011 Credit Facility; offset by a gain associated with the early retirement of $11.8 million in HUD indebtedness.  The net gain of $1.7 million included the write-off of approximately $1.8 million of unamortized fair value adjustment of assumed debt as well as a prepayment fee of approximately $0.1 million.  The $3.1 million 2011 refinancing related costs related to the write-off of deferred financing costs associated with the termination of the $320 million 2010 Credit Facility.

2012 Taxes

Because we qualify as a REIT, we generally are not subject to Federal income taxes on the REIT taxable income that we distribute to stockholders, subject to certain exceptions.  For tax year 2012, we made common dividend payments of $182.2 million to satisfy REIT requirements relating to qualifying income.  Currently, we have one TRS that is taxable as a corporation and that pays federal, state and local income tax on its net income at the applicable corporate rates.  The TRS had a net operating loss carry-forward as of December 31, 2012 of $1.1 million.  The loss carry-forward was fully reserved with a valuation allowance due to uncertainties regarding realization.  We recorded interest and penalty charges associated with tax matters as income tax expense.

Income from Continuing Operations

Income from continuing operations for the year ended December 31, 2012 was $120.7 million compared to $52.6 million for the same period in 2011.

Funds From Operations

Our funds from operations available to common stockholders (“FFO”), for the year ended December 31, 2012, was $222.2 million, compared to $172.5 million for the same period in 2011.

We calculate and report FFO in accordance with the definition and interpretive guidelines issued by the National Association of Real Estate Investment Trusts (“NAREIT”), and, consequently, FFO is defined as net income available to common stockholders, adjusted for the effects of asset dispositions and certain non-cash items, primarily depreciation and amortization and impairment on real estate assets.  We believe that FFO is an important supplemental measure of our operating performance.  Because the historical cost accounting convention used for real estate assets requires depreciation (except on land), such accounting presentation implies that the value of real estate assets diminishes predictably over time, while real estate values instead have historically risen or fallen with market conditions.  The term FFO was designed by the real estate industry to address this issue.  FFO herein is not necessarily comparable to FFO of other REITs that do not use the same definition or implementation guidelines or interpret the standards differently from us.

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

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The following table presents our FFO results for the years ended December 31, 2012 and 2011:

	Year Ended December 31,
	2012			2011
	(in thousands)
Net income available to common	$	120,698		$	47,459
Deduct gain from real estate dispositions		(11,799	)		(1,670	)
		108,899			45,789
Elimination of non-cash items included in net income:
Depreciation and amortization		112,983			100,337
Add back impairments on real estate properties		272			26,344
Funds from operations available to common stockholders	$	222,154		$	172,470

Year Ended December 31, 2011 compared to Year Ended December 31, 2010

Operating Revenues

Our operating revenues for the year ended December 31, 2011, were $292.2 million, an increase of $33.9 million over the same period in 2010.  Following is a description of certain of the changes in operating revenues for the year ended December 31, 2011:

● Rental income was $273.5 million, an increase of $40.7 million over the same period in 2010.  The increase was primarily due to: (i) the June 2010 CapitalSource acquisitions; and to a lesser degree (ii) the fourth quarter of 2011 acquisitions and (iii) new lease amendments and the impact of incremental revenue associated with capital expenditures.

● Mortgage interest income totaled $16.3 million, an increase of $5.9 million over the same period in 2010.  The increase was primarily due to (i) a $92.0 million first mortgage loan that we entered with an operator in November 2011; (ii) a $25.0 million first mortgage loan that we entered with a new operator in October 2011; (iii) two new construction-to-permanent mortgage loans that we entered into with an operator in August 2010; (iv) a $15.9 million first mortgage loan that we entered into with an operator in December 2010 and (v) a $5.0 million first mortgage loan that we entered into with an operator in September 2011.

● Other investment income totaled $2.1 million, a decrease of $1.9 million over the same period in 2010.  The decrease was primarily the result of the $1.2 million income received from two mortgage-backed notes that were retired during the second quarter of 2010 and a reduction in the weighted average balance of notes outstanding, due in part, to loan repayment.

● Miscellaneous revenue was $0.3 million, a decrease of $3.5 million over the same period in 2010.  The decrease was primarily due to a $3.7 million settlement with one of our prior operators in February 2010 for breach of contract related to failure to pay rent.

● No nursing home revenues of owned and operated assets were recorded in 2011, compared to $7.3 million for the same period in 2010.  Thedecrease was due to the deconsolidation of two owned and operated facilities effective June 1, 2010.

Operating Expenses

Operating expenses for the year ended December 31, 2011, were $154.4 million, an increase of approximately $45.0 million over the same period in 2010.  Following is a description of certain of the changes in our operating expenses for the year ended December 31, 2010:

● Our depreciation and amortization expense was $100.3 million, compared to $84.6 million for the same period in 2010.  The increase is primarily due to (i) the CapitalSource acquisitions in June 2010; and to a lesser degree (ii) the fourth quarter of 2011 acquisitions and (iii) additional capital renovation and improvement program throughout 2010 and 2011, partially offset by a reduction in depreciation expense associated with the impairments of the Connecticut facilities, the Murphy Healthcare III, LTC property and the Health and Hospital Corporation property.

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● Our general and administrative expense, excluding stock-based compensation expense was $13.4 million, compared to $12.8 million for the same period in 2010.  The increase was primarily due to increased costs associated with the closed Connecticut facilities.

● Our stock-based compensation expense was $6.0 million, an increase of $3.8 million over the same period in 2010.  The increase was primarily due to a new 2011 restricted stock grant for the employees.

● In 2011, we recorded $26.3 million of provision for impairment, compared to $0.2 million for the same period in 2010.  The $26.3 million provision of impairment in 2011 primarily resulted from (i) a $24.4 million impairment on four closed Connecticut properties and (ii) three other facilities that have been or will be closed.

● The $6.4 million provision for uncollectible mortgages, notes and accounts receivable in 2011 related the write-off of Formation Capital, LLC (“Formation”) straight line rent of $1.1 million and lease inducement of $3.0 million during the second quarter of 2011.  In addition, during the fourth quarter of 2011, we recorded a $2.3 million write-off associated with our Formation working capital note.

● Nursing home expenses of owned and operated assets was $0.6 million, a decrease of $7.3 million over the same period in 2010.  The decrease was due to the deconsolidation of two owned and operated facilities effective June 1, 2010.  The 2011 cost relates to run-off costs.

Other Income (Expense)

For the year ended December 31, 2011, total other expenses were $86.9 million, a decrease of approximately $3.6 million over the same period in 2010.  The increase in interest expense of approximately $13.8 million was primarily due to an increase in borrowings outstanding, including debt assumed or incurred to finance the CapitalSource acquisitions in 2010, the fourth quarter of 2011 acquisitions and to fund the two new mortgages.  This was offset by (i) a decrease of $16.4 million in refinancing related costs which included (a) the write-off of $3.5 million during the second quarter of 2010 associated with the termination of our $200 million 2009 Credit Facility, (b) the write-off of $2.2 million during the fourth quarter of 2010 associated with the termination of our $100 million GECC loan and payment of a $3.0 million prepayment penalty premium, and (c) a penalty payment and costs of approximately $8.2 million and the write-off of approximately $2.6 million during the fourth quarter of 2010 associated with the tender offer and retirement of our outstanding $310 million 7% Senior Notes due 2014, as compared to the write-off of $3.1 million during 2011 associated with the termination of the $320 million 2010 Credit Facility and (ii) a decrease of $1.1 million in amortization of deferred financing costs related to: (a) the termination of the $200 million 2009 Credit Facility, (b) the $100 million GECC term loan payoff in October 2010 and (c) the redemption of our outstanding $310 million senior notes in December 2010.

2011 Taxes

Because we qualify as a REIT, we generally are not subject to Federal income taxes on the REIT taxable income that we distribute to stockholders, subject to certain exceptions.  For tax year 2011, we made preferred and common dividend payments of $161.9 million to satisfy REIT requirements relating to qualifying income.  Currently, we have one TRS that is taxable as a corporation and that pays federal, state and local income tax on its net income at the applicable corporate rates.  The TRS had a net operating loss carry-forward as of December 31, 2011 of $1.1 million.  The loss carry-forward was fully reserved with a valuation allowance due to uncertainties regarding realization.  We recorded interest and penalty charges associated with tax matters as income tax expense.

Income from Continuing Operations

Income from continuing operations for the year ended December 31, 2011 was $52.6 million compared to $58.4 million for the same period in 2010.

Funds From Operations

Our FFO available to common stockholders (“FFO”), for the year ended December 31, 2011, was $172.5 million, compared to $134.1 million for the same period in 2010.

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The following table presents our FFO results for the years ended December 31, 2011 and 2010:

	Year Ended December 31,
	2011			2010
	(in thousands)
Net income available to common	$	47,459		$	49,350
(Deduct gain) add back loss from real estate dispositions		(1,670	)		4
		45,789			49,354
Elimination of non-cash items included in net income:
Depreciation and amortization		100,337			84,623
Add back impairments on real estate properties		26,344			155
Funds from operations available to common stockholders	$	172,470		$	134,132

Liquidity and Capital Resources

At December 31, 2012, we had total assets of $3.0 billion, stockholders’ equity of $1.0 billion and debt of $1.8 billion, with such debt representing approximately 64.3% of total capitalization.

The following table shows the amounts due in connection with the contractual obligations described below as of December 31, 2012.

	Payments due by period
	Total		Less than 1 year		1-3 years		3-5 years		More than 5 years
	(in thousands)
Debt(1)	$	1,788,711	$	5,251	$	11,385	$	270,677	$	1,501,398
Interest payments on long-term debt		1,130,583		102,191		203,497		198,601		626,294
Operating lease obligations		24,595		2,562		5,150		5,186		11,697
Total	$	2,943,889	$	110,004	$	220,032	$	474,464	$	2,139,389

(1) The $1.8 billion of debt outstanding includes (i) $158.0 million in borrowings under the $500 million unsecured revolving credit facility (the “2012 Revolving Credit Facility”) due in December 2016; (ii) $100 million unsecured, deferred draw term loan facility (the “2012 Term Loan Facility”) due in December 2017; (iii) $200 million aggregate principal amount of 7.5% Senior Notes due February 2020; (iv) $575 million aggregate principal amount of 6.75% Senior Notes due October 2022, (v) $400 million of 5.875% Senior Notes due March 2024; (vi) $20 million of 9.0% subordinated debt maturing in December 2021; (vii) $51 million of HUD debt at a 6.61% weighted average annual interest rate maturing between January 2036 and May 2040; (viii) $125 million of HUD Debt at a 4.85% annual interest rate and maturing between January 2040 and January 2045; (ix) $59 million of HUD debt at a 5.55% weighted average annual interest rate maturing July 2044; (x) $29 million of HUD debt at a 4.87% weighted average annual interest rate maturing between March 2036 and September 2040; (xi) $28 million of HUD debt at a 4.73% weighted average annual interest rate maturing between February 2040 and February 2045 and (xii) $44 million of HUD debt at a $5.97% weighted average annual interest rate maturing between April 2031 and March 2041.

Financing Activities and Borrowing Arrangements

$175 Million 7% Senior Notes due 2016 Tender Offer and Redemption

On March 5, 2012, we commenced a tender offer to purchase for cash any and all of our outstanding $175 million aggregate principal amount of 7% Senior Notes due 2016, or the 2016 Notes.  Pursuant to the terms of the tender offer, on March 19, 2012, we purchased $168.9 million aggregate principal amount of the 2016 Notes.

On March 27, 2012, pursuant to the terms of the indenture governing the 2016 Notes, we redeemed the remaining $6.1 million aggregate principal amount of the 2016 Notes at a redemption price of 102.333% of their principal amount, plus accrued and unpaid interest up to the redemption date. Following redemption, the 2016 Notes, the indenture governing the 2016 Notes and the related guarantees were terminated.

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The redemption resulted in approximately $7.1 million of redemption related costs and write-offs, including $4.5 million in payments made to bondholders for early redemption, $2.2 million of write-offs associated with unamortized deferred financing costs and $0.4 million of expenses associated with the tender and redemption.

Issuance of $400 Million 5.875% Senior Notes due 2024 and Exchange Offer

On March 19, 2012, we issued $400 million aggregate principal amount of our 5.875% Senior Notes due 2024, or the 2024 Notes.  The 2024 Notes mature on March 15, 2024 and pay interest semi-annually on March 15 and September 15 of each year, commencing on September 15, 2012.

We may redeem the 2024 Notes, in whole at any time or in part from time to time, at redemption prices of 102.938%, 101.958% and 100.979% of the principal amount thereof if the redemption occurs during the 12-month periods beginning on March 15 of the years 2017, 2018 and 2019, respectively, and at a redemption price of 100% of the principal amount thereof on and after March 15, 2020, in each case, plus any accrued and unpaid interest to the redemption date.  In addition, until March 15, 2015 we may redeem up to 35% of the 2024 Notes with the net cash proceeds of one or more public equity offerings at a redemption price of 105.875% of the principal amount of the 2024 Notes to be so redeemed, plus any accrued and unpaid interest to the redemption date.  If we undergo a change of control, we may be required to offer to purchase the notes from holders at a purchase price equal to 101% of the principal amount plus accrued interest.

The 2024 Notes were sold at an issue price of 100% of the principal amount. We used the net proceeds of the offering to fund the tender offer and consent solicitation for the 2016 Notes (described below), to fund the redemption of the untendered 2016 Notes (described below) and to repay a portion of our indebtedness outstanding under our 2011 Credit Facility.  As December 31, 2012, our subsidiaries that are not guarantors of the 2024 Notes accounted for approximately $597.9 million of our total assets.

On August 15, 2012, we commenced an offer to exchange $400 million of our 5.875% Senior Notes due 2024 for all of the 2024 Notes.  All $400 million outstanding aggregate principal amount of the initial notes were validly tendered and not withdrawn prior to the expiration of the exchange offer, and were exchanged for exchange notes as of September 20, 2012, pursuant to the terms of the exchange offer.  The Exchange Notes are identical in all material respects to the Initial Notes, except that the Exchange Notes were registered under the Securities Act of 1933 and the provisions of the Initial Notes relating to transfer restrictions, registration rights and additional interest will not apply to the Exchange Notes.

$245 Million Equity Shelf Program

On June 19, 2012, we entered into separate Equity Distribution Agreements (collectively, the “2012 Agreements”) with several financial institutions, each as a sales agent and/or principal (collectively, the “Managers”) to establish a $245 million Equity Shelf Program.  Under the terms of the 2012 Agreements, we may sell shares of our common stock, from time to time, through or to the Managers having an aggregate gross sales price of up to $245 million.  Sales of the shares will be made by means of ordinary brokers’ transactions on the New York Stock Exchange at market prices, or as otherwise agreed with the applicable Manager.  We will pay each Manager compensation for sales of the shares equal to 2% of the gross sales price per share of shares sold through such Manager under the applicable 2012 Agreement.

For the twelve months ended December 31, 2012, we issued 2.6 million shares under the 2012 ESP, at an average price of $24.10 per share, generating gross proceeds of approximately $63.6 million, before $1.3 million of commissions.  For the three months ended December 31, 2012, we did not issue shares under the 2012 ESP.  The proceeds of the sale of our common stock under the 2012 ESP were used for working capital and for general corporate purposes, including funding the recent investments described above.  As of December 31, 2012, we have approximately $181.4 million available for issuance under the 2012 ESP.

Termination of $140 Million Equity Shelf Program

On June 25, 2010, we entered into separate equity distribution agreements (the “2010 ESP Agreements”) to sell shares of our common stock from time to time having an aggregate gross sales price of up to $140 million (the “2010 ESP”) with various financial institutions, each as sales agents and/or principal.  On June 19, 2012, we terminated our $140 million 2010 ESP.

For the year ended December 31, 2012, we issued approximately 759,000 shares of our common stock under the 2010 ESP at an average price per share of $21.27, generating gross proceeds of approximately $16.1 million, before $0.3 million of commissions.  For the year ended December 31, 2011, 1.4 million shares of our common stock were issued through the 2010 ESP for net proceeds of approximately $31.4 million, net of $0.6 million of commissions.  For the year ended December 31, 2010, 3.1 million shares of our common stock were issued through the 2010 ESP for approximately $65.4 million, net of $1.3 million of commissions.

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Since inception of the 2010 ESP, we have sold a total of 5.3 million shares of common stock generating total gross proceeds of $114.9 million under the program, before $2.3 million of commissions.  As a result of the termination of the 2010 ESP, no additional shares were issued under the 2010 ESP.  The proceeds of the sale of our common stock were used for working capital and for general corporate purposes.

HUD Mortgage Payoffs

On June 29, 2012, we paid approximately $11.8 million to retire four HUD mortgages that were assumed as part of the December 2011 acquisition.  The retirement of the four HUD mortgages resulted in a net gain of approximately $1.7 million.  The net gain included the write-off of approximately $1.8 million the unamortized fair value adjustment of the assumed debt as well as a prepayment fee of approximately $0.1 million.

New Assumed HUD Mortgage Debt

In connection with the fourth quarter acquisitions, we assumed $71.9 million of HUD indebtedness with maturity dates range from April 2031and February 2045.  On the date of the assumption, we estimated the fair value of the assumed debt to be approximately $10.1 million more than the face value of the debt assumed.  We will amortize the fair value adjustment utilizing the effective interest method from the date of assumption.  As of December 31, 2012, the assumed debt balance including the fair value adjustment was $81.9 million.

Prior $475 million Unsecured Revolving Credit Facility

On December 6, 2012, we terminated our $475 million 2011 Credit Facility and recorded a non-cash charge of approximately $2.5 million relating to the write-off of deferred financing costs associated with the termination of the 2011 Credit Facility.

Current $700 Million Unsecured Credit Facility

On December 6, 2012, concurrent with the termination of our 2011 Credit Facility, we entered into a new $700 million unsecured credit facility, comprised of a $500 million senior unsecured revolving credit facility (the “2012 Revolving Credit Facility”) and a $200 million unsecured, deferred draw term loan facility (the “2012 Term Loan Facility” and, together with the 2012 Revolving Credit Facility, collectively, the “2012 Credit Facilities”). The 2012 Credit Facilities include an “accordion feature” that permits us to expand our borrowing capacity by an additional $300 million, for a maximum aggregate commitment of $1 billion.

The Revolving Credit Facility is priced at LIBOR plus an applicable percentage (beginning at 150 basis points, with a range of 100 to 190 basis points) based on our ratings from Standard & Poor’s, Moody’s and/or Fitch Ratings, plus a facility fee based on the same ratings (initially 30 basis points, with a range of 15 to 45 basis points).  At December 31, 2012, we had $158 million in borrowings outstanding under the 2012 Revolving Credit Facility. The 2012 Revolving Credit Facility matures in four years, on December 6, 2016, with an option by us to extend the maturity one additional year.

The 2012 Term Loan Facility is also priced at LIBOR plus an applicable percentage (beginning at 175 basis points, with a range of 110 to 230 basis points) based on our ratings from Standard & Poor’s, Moody’s and/or Fitch Ratings.  At December 31, 2012, we had $100 million in borrowings outstanding under the 2012 Term Loan Facility.  We have until April 5, 2013 to borrow the full $200 million under the 2012 Term Loan Facility.  The 2012 Term Loan Facility matures in five years, on December 6, 2017.

The Credit Agreement governing the 2012 Credit Facilities (the “2012 Credit Agreement”) contains customary affirmative and negative covenants, including, without limitation, limitations on indebtedness; limitations on investments; limitations on liens; limitations on mergers and consolidations; limitations on sales of assets; limitations on transactions with affiliates; limitations on negative pledges; limitations on prepayment of debt; limitations on use of proceeds; limitations on changes in lines of business; limitations on repurchases of our capital stock if a default or event of default exists; and maintenance of REIT status. In addition, the 2012 Credit Agreement contains financial covenants, including, without limitation, those relating to maximum total leverage, maximum secured leverage, maximum unsecured leverage, minimum fixed charge coverage, minimum consolidated tangible net worth, minimum unsecured debt yield, minimum unsecured interest coverage and maximum distributions.

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At December 31, 2012, we had a total of $258.0 million outstanding under the 2012 Credit Facilities, and no letters of credit outstanding, leaving availability of $442.0 million.  For the year ended December 31, 2012, the weighted average interest rate was 1.81% for borrowings under our 2012 Credit Facilities.

As of December 31, 2011 and 2012, we were in compliance with all affirmative and negative covenants, including financial covenants, for our secured and unsecured borrowings.

Dividends

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

In addition, our 2012 Credit Agreement has certain financial covenants that limit the distribution of dividends paid during a fiscal quarter to no more than 95% of our aggregate cumulative FFO as defined in the credit agreement, unless a greater distribution is required to maintain REIT status.  Solely for purposes of the credit agreement, FFO is defined as net income (or loss) plus depreciation and amortization, adjusted to take into account our interests in unconsolidated partnerships and joint ventures, and further adjusted to exclude gains or losses resulting from: (i) restructuring our debt; (ii) sales of property; (iii) sales or redemptions of preferred stock; (iv) revenue or expenses related to owned and operated assets; (v) revenues or expenses related to FIN 46 consolidation requirements, (vi) cash litigation charges up to $10.0 million over the term of the credit agreement; (vii) non-cash charges associated with the write-down of accounts due to straight-line rent; (viii) other non-cash charges for accounts and notes receivable up to $20.0 million over the term of the credit agreement; (ix) certain non-cash compensation related expenses; (x) non-cash real property impairment charges; (xi) non-cash charges associated with the sale or settlement of derivative instruments; and (xii) charges related to acquisition deal-related costs.

In 2012, we paid dividends of $1.69 per share of common stock and a total of $182.2 million in dividends to common stockholders.

Common Dividends

On January 16, 2013, the Board of Directors declared a common stock dividend of $0.45 per share, increasing the quarterly common dividend by $0.01 per share over the prior quarter, which was paid February 15, 2013 to common stockholders of record on January 31, 2013.

On October 17, 2012, the Board of Directors declared a common stock dividend of $0.44 per share, increasing the quarterly common dividend by $0.02 per share, or 4.8% over the previous quarter, which was paid November 15, 2012 to common stockholders of record on October 31, 2012.

On July 17, 2012, the Board of Directors declared a common stock dividend of $0.42 per share, which was paid August 15, 2012 to common stockholders of record on July 31, 2012.

On April 17, 2012, the Board of Directors declared a common stock dividend of $0.42 per share, increasing the quarterly common dividend by $0.01 per share over the prior quarter, which was paid May 15, 2012 to common stockholders of record on April 30, 2012.

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On January 13, 2012, the Board of Directors declared a common stock dividend of $0.41 per share, increasing the quarterly common dividend by $0.01 per share over the prior quarter, which was paid February 15, 2012 to common stockholders of record on January 31, 2012.

Liquidity

We believe our liquidity and various sources of available capital, including cash from operations, our existing availability under our 2012 Credit Facility and expected proceeds from mortgage payoffs are more than adequate to finance operations, meet recurring debt service requirements and fund future investments through the next twelve months.

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

●           normal recurring expenses;

●           debt service payments;

●           common stock dividends; and

●           growth through acquisitions of additional properties.

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

Cash and cash equivalents totaled $1.7 million as of December 31, 2012, an increase of $1.4 million as compared to the balance at December 31, 2011.  The following is a discussion of changes in cash and cash equivalents due to operating, investing and financing activities, which are presented in our Consolidated Statement of Cash Flows.

Operating Activities– Net cash flow from operating activities generated $208.3 million for the year ended December 31, 2012, as compared to $169.8 million for the same period in 2011, an increase of $38.5 million.  The increase was primarily due to: (i) the full year impact of rental revenue from the fourth quarter 2011 acquisitions and the 2012 acquisitions and (ii) the placement of additional mortgages, offset by additional interest associated with financing the acquisition and new mortgages.

Investing Activities – Net cash flow from investing activities was an outflow of $390.7 million for year ended December 31, 2012, as compared to an outflow of $257.6 million for the same period in 2011.  The $133.1 million increase in cash outflow from investing activities relates primarily to the change in acquisition activities.  During the year ended December 31, 2011, we acquired $86.7 million real estate facilities, placed five mortgage and construction-to-permanent mortgage loans for approximate $130.0 million, invested $19.6 million in capital improvement projects and had net cash outflow from other investments of $26.5 million.  During the year ended December 31, 2012, we acquired $396.6 million real estate facilities, placed $12.0 million in new mortgages, invested $29.4 million in capital improvement projects and had net cash inflow from other investments of $5.6 million along with $12.7 million of cash collected on principal mortgage payments.  In 2012, we also had an increase in cash inflows from the sale of real estate over 2011 of $23.9 million.

Financing Activities – Net cash flow from financing activities was an inflow of $183.8 million for the year ended December 31, 2012, as compared to an inflow of $81.3 million for the same period in 2011.  The $102.5 million increase in cash inflow from financing activities was primarily a result of: (i) net proceeds of $400 million from our 5.875% Senior Notes due 2024 issued in March 2012; (ii) net proceeds of $111.9 million from our dividend reinvestment plan in 2012 as compared to $59.1 million in 2011; (iii) net proceeds of $77.6 million from our common stock issued through our Equity Shelf Program in 2012 as compared to $31.2 million 2011.  Offsetting these increases were (i) a $188.1 million change in payments of long term borrowings including (a) $175.0 million tender offer and redemption payments for our outstanding $175 million 2016 Notes in March 2012, (b) $11.7 million early retirement of four HUD mortgages in June 2012 and (c) $4.0 million in routine HUD debt principal payments in 2012 as compared to $2.6 million in 2011; (ii) an increase in payment of $12.8 million related to deferred financing costs and refinancing costs primarily associated with (a) the issuance of our $400 million 5.875% Senior Notes due 2024 in March 2012, (b) the tender offer and redemption of our outstanding $175 million 2016 Notes in March 2012, (c) a prepayment penalty related to the early retirement of four HUD mortgages in June 2012 and (d) the issuance of our $700 million 2012 Credit Facilities in December 2012; (iii) an increase in dividend payments of $20.3 million related to an increase in number of shares outstanding and an increase of $0.14 per share in the common dividends; (iv) a net payment of $14.5 million on our credit facility during the twelve months of 2012 as compared to net proceeds of $272.5 million for the same period in 2011; (v) the impact of the $108.6 million preferred stock redemption in the first quarter of 2011 and (vi) $2.9 million repurchase of our common stock in 2011 under our $100 million Stock Repurchase Program.

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Critical Accounting Policies and Estimates

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

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

Revenue Recognition and Allowance for Doubtful Accounts

We have various different investments that generate revenue, including leased and mortgaged properties, as well as, other investments, including working capital loans.  We recognized rental income and mortgage interest income and other investment income as earned over the terms of the related master leases and notes, respectively.

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

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

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

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

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Nursing home revenues of owned and operated assets consist of long-term care revenues, rehabilitation therapy services revenues, temporary medical staffing services revenues and other ancillary services revenues. The revenues are recognized as services are provided.  Revenues are recorded net of provisions for discount arrangements with commercial payors and contractual allowances with third-party payors, primarily Medicare and Medicaid.  Revenues realizable under third-party payor agreements are subject to change due to examination and retroactive adjustment.  Estimated third-party payor settlements are recorded in the period the related services are rendered. The methods of making such estimates are reviewed periodically, and differences between the net amounts accrued and subsequent settlements or estimates of expected settlements are reflected in the current period results of operations. Laws and regulations governing the Medicare and Medicaid programs are extremely complex and subject to interpretation.  For additional information, see “Note 4 – Owned and Operated Assets.”

Depreciation and Asset Impairment

Under GAAP, real estate assets are stated at the lower of depreciated cost or fair value, if deemed impaired.  Depreciation is computed on a straight-line basis over the estimated useful lives of 20 to 40 years for buildings and improvements and three to 10 years for furniture, fixtures and equipment.  Management periodically, but not less than annually,evaluates our real estate investments for impairment indicators, including the evaluation of our assets’ useful lives.  The judgment regarding the existence of impairment indicators is based on factors such as, but not limited to, market conditions, operator performance and legal structure.  If indicators of impairment are present, management evaluates the carrying value of the related real estate investments in relation to the future undiscounted cash flows of the underlying facilities.  Provisions for impairment losses related to long-lived assets are recognized when expected future undiscounted cash flows are determined to be permanently less than the carrying values of the assets.  An adjustment is made to the net carrying value of the leased properties and other long-lived assets for the excess of historical cost over fair value.  The fair value of the real estate investment is determined by market research, which includes valuing the property as a nursing home as well as other alternative uses.All impairments are taken as a period cost at that time, and depreciation is adjusted going forward to reflect the new value assigned to the asset.

If we decide to sell rental properties or land holdings, we evaluate the recoverability of the carrying amounts of the assets.  If the evaluation indicates that the carrying value is not recoverable from estimated net sales proceeds, the property is written down to estimated fair value less costs to sell.  Our estimates of cash flows and fair values of the properties are based on current market conditions and consider matters such as rental rates and occupancies for comparable properties, recent sales data for comparable properties, and, where applicable, contracts or the results of negotiations with purchasers or prospective purchasers.

For the years ended December 31, 2012, 2011, and 2010, we recognized impairment losses of $0.3 million, $26.3 million and $0.2 million, respectively.  The impairments are primarily the result of closing facilities or updating the estimated proceeds we expect for the sale of closed facilities.

Loan Impairment

Management evaluates our outstanding loans and notes receivable.  When management identifies potential loan impairment indicators, such as non-payment under the loan documents, impairment of the underlying collateral, financial difficulty of the operator or other circumstances that may impair full execution of the loan documents, and management believes it is probable that all amounts will not be collected under the contractual terms of the loan, the loan is written down to the present value of the expected future cash flows.  In cases where expected future cash flows are not readily determinable, the loan is written down to the fair value of the collateral.  The fair value of the loan is determined by market research, which includes valuing the property as a nursing home as well as other alternative uses.

We account for impaired loans using (a) the cost-recovery method, and/or (b) the cash basis method.  We generally utilize the cost recovery method for impaired loans for which impairment reserves were recorded.  We utilize the cash basis method for impairment loans for which no impairment reserves were recorded because the net present value of the discounted cash flows and/or the underlying collateral supporting the loan were equal to or exceeded the book value of the loans.  Under the cost recovery method, we apply cash received against the outstanding loan balance prior to recording interest income.  Under the cash basis method, we apply cash received to interest income.  As of December 31, 2012 and 2011, we had loan loss reserve totaling $2.0 million and $2.0 million, respectively.  In 2011, we recorded provisions for loan losses of $2.3 related to a working capital note.  In 2010 and 2012, we did not record provisions for loan losses or charges-offs related to our mortgage or note receivable portfolios.  For additional information see “Note 5 – Mortgage Notes Receivable”and“Note 6 – Other Investments.”

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Item 7A - Quantitative and Qualitative Disclosure about Market Risk

We are exposed to various market risks, including the potential loss arising from adverse changes in interest rates.  We do not enter into derivatives or other financial instruments for trading or speculative purposes, but we seek to mitigate the effects of fluctuations in interest rates by matching the term of new investments with new long-term fixed rate borrowing to the extent possible.

The following disclosures of estimated fair value of financial instruments are subjective in nature and are dependent on a number of important assumptions, including estimates of future cash flows, risks, discount rates and relevant comparable market information associated with each financial instrument.  Readers are cautioned that many of the statements contained in these paragraphs are forward-looking and should be read in conjunction with our disclosures under the heading “Forward-looking Statements, Reimbursement Issues and Other Factors Affecting Future Results” set forth above. The use of different market assumptions and estimation methodologies may have a material effect on the reported estimated fair value amounts. Accordingly, the estimates presented below are not necessarily indicative of the amounts we would realize in a current market exchange.

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

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

Borrowings under variable rate agreements - Our variable rate debt as of December 31, 2012 includes our credit facility. The fair value of our borrowings under variable rate agreements is estimated using an expected present value technique based on expected cash flows discounted using the current credit-adjusted risk-free rate.

Senior unsecured notes -The fair value of the senior unsecured notes is estimated by discounting the future cash flows using the current borrowing rate available for the similar debt.

The market value of our long-term fixed rate borrowings and mortgages is subject to interest rate risks.  Generally, the market value of fixed rate financial instruments will decrease as interest rates rise and increase as interest rates fall.  The estimated fair value of our total long-term borrowings at December 31, 2012 was approximately $2.1 billion.  A one percent increase in interest rates would result in a decrease in the fair value of long-term borrowings by approximately $139 million at December 31, 2012.  The estimated fair value of our total long-term borrowings at December 31, 2011 was approximately $1.6 billion.  A one percent increase in interest rates would result in a decrease in the fair value of long-term borrowings by approximately $91 million at December 31, 2011.

While we currently do not engage in hedging strategies, we may engage in such strategies in the future, depending on management’s analysis of the interest rate environment and the costs and risks of such strategies.

Item 8 - Financial Statements and Supplementary Data

The consolidated financial statements and the report of Ernst & Young LLP, Independent Registered Public Accounting Firm, on such financial statements are filed as part of this report beginning on page F-1.  The summary of unaudited quarterly results of operations for the years ended December 31, 2012 and 2011 is included in “Note 17” to our audited consolidated financial statements, which is incorporated herein by reference in response to Item 302 of Regulation S-K.

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

None.

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Item 9A - Controls and Procedures

Evaluation of Disclosure Controls and Procedures

Disclosure controls and procedures (as defined in Rule 13a-15(e) under the Securities Exchange Act of 1934, as amended (the “Exchange Act”)) are controls and other procedures of an issuer that are designed to ensure that information required to be disclosed by the issuer in the reports that it files or submits under the Exchange Act is recorded, processed, summarized and reported, within the time periods specified in the SEC’s rules and forms. Disclosure controls and procedures include, without limitation, controls and procedures designed to ensure that information required to be disclosed by an issuer in the reports that it files or submits under the Exchange Act is accumulated and communicated to the issuer’s management, including its principal executive and principal financial officers, or persons performing similar functions, as appropriate to allow timely decisions regarding required disclosure.

In connection with the preparation of our Form 10-K as of and for the year ended December 31, 2012, we evaluated the effectiveness of the design and operation of our disclosure controls and procedures as of December 31, 2012.  Based on this evaluation, our Chief Executive Officer and Chief Financial Officer concluded that our disclosure controls and procedures were effective at the reasonable assurance level as of December 31, 2012.

Management’s Report on Internal Control over Financial Reporting

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

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

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

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

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

In connection with the preparation of our Form 10-K, our management assessed the effectiveness of our internal control over financial reporting as of December 31, 2012.  In making that assessment, management used the criteria set forth by the Committee of Sponsoring Organizations of the Treadway Commission (COSO) in Internal Control-Integrated Framework. Based on management’s assessment, management believes that, as of December 31, 2012, our internal control over financial reporting was effective based on those criteria.

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Pursuant to Section 404 of the Sarbanes-Oxley Act of 2002, we have included above a report of management’s assessment of the design and effectiveness of our internal controls as part of this Annual Report on Form 10-K for the fiscal year ended December 31, 2012. Our independent registered public accounting firm also reported on the effectiveness of internal control over financial reporting. The independent registered public accounting firm’s attestation report is included in our 2012 financial statements under the caption entitled “Report of Independent Registered Public Accounting Firm” and is incorporated herein by reference.

Changes in Internal Control Over Financial Reporting

There were no changes in our internal control over financial reporting (as defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) during the quarter ended December 31, 2012 identified in connection with the evaluation of our disclosure controls and procedures described above that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

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PART III

Item 10 – Directors, Executive Officers and Corporate Governance

The information required by this item is incorporated herein by reference to our Company’s definitive proxy statement for the 2013 Annual Meeting of Stockholders, to be filed with the SEC pursuant to Regulation 14A.

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

Code of Business Conduct and Ethics.  We have adopted a written Code of Business Conduct and Ethics (“Code of Ethics”) that applies to all of our directors and employees, including our chief executive officer, chief financial officer, chief accounting officer and controller.  A copy of our Code of Ethics is available on our website at www.omegahealthcare.com, and print copies are available upon request without charge.  You can request print copies by contacting our Chief Financial Officer in writing at Omega Healthcare Investors, Inc., 200 International Circle, Suite 3500, Hunt Valley, Maryland 21030 or by telephone at 410-427-1700.  Any amendment to our Code of Ethics or any waiver of our Code of Ethics will be disclosed on our website at www.omegahealthcare.com promptly following the date of such amendment or waiver.

Item 11 - Executive Compensation

The information required by this item is incorporated herein by reference to our Company’s definitive proxy statement for the 2013 Annual Meeting of Stockholders, to be filed with the SEC pursuant to Regulation 14A.

Item 12 - Security Ownership of Certain Beneficial Owners and Management

The information required by this item is incorporated herein by reference to our Company’s definitive proxy statement for the 2013 Annual Meeting of Stockholders, to be filed with the SEC pursuant to Regulation 14A.

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

The information required by this item, if any, is incorporated herein by reference to our Company’s definitive proxy statement for the 2013 Annual Meeting of Stockholders, to be filed with the SEC pursuant to Regulation 14A.

Item 14 - Principal Accounting Fees and Services

The information required by this item is incorporated herein by reference to our Company’s definitive proxy statement for the 2013 Annual Meeting of Stockholders, to be filed with the SEC pursuant to Regulation 14A.

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PART IV

Item 15 - Exhibits and Financial Statement Schedules

(a)(1) Listing of Consolidated Financial Statements

Title of Document	Page Number
Reports of Independent Registered Public Accounting Firm	F-1
Consolidated Balance Sheets as of December 31, 2012 and 2011	F-3
Consolidated Statements of Operations for the years ended December 31, 2012, 2011 and 2010	F-4
Consolidated Statements of Stockholders’ Equity for the years ended December  31, 2012, 2011 and 2010	F-5
Consolidated Statements of Cash Flows for the years ended December 31, 2012, 2011 and 2010	F-6
Notes to Consolidated Financial Statements	F-8

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

Schedule III – Real Estate and Accumulated Depreciation	F-45
Schedule IV – Mortgage Loans on Real Estate	F-46

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

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

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

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

Schedule III — Real Estate and Accumulated Depreciation.

Schedule IV — Mortgage Loans on Real Estate.

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Report of Independent Registered Public Accounting Firm

The Board of Directors and Stockholders

of Omega Healthcare Investors, Inc.

We have audited the accompanying consolidated balance sheets of Omega Healthcare Investors, Inc. as of December 31, 2012 and 2011, and the related consolidated statements of operations, stockholders’ equity, and cash flows for each of the three years in the period ended December 31, 2012. Our audits also included the financial statement schedules listed in the Index at Item 15(a)(2). These financial statements and schedules are the responsibility of the Company’s management. Our responsibility is to express an opinion on these financial statements and schedules based on our audits.

We conducted our audits in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion.

In our opinion, the financial statements referred to above present fairly, in all material respects, the consolidated financial position of Omega Healthcare Investors, Inc. at December 31, 2012 and 2011, and the consolidated results of its operations and its cash flows for each of the three years in the period ended December 31, 2012, in conformity with U.S. generally accepted accounting principles. Also, in our opinion, the related financial statement schedules, when considered in relation to the basic financial statements taken as a whole, present fairly in all material respects the information set forth therein.

We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States), Omega Healthcare Investors Inc.’s internal control over financial reporting as of December 31, 2012, based on criteria established in Internal Control-Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission and our report dated February 28, 2013 expressed an unqualified opinion thereon.

/s/ Ernst & Young LLP

Baltimore, Maryland

February 28, 2013

F-1

Report of Independent Registered Public Accounting Firm

The Board of Directors and Stockholders

of Omega Healthcare Investors, Inc.

We have audited Omega Healthcare Investors, Inc.’s internal control over financial reporting as of December 31, 2012, based on criteria established in Internal Control—Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (the COSO criteria). Omega Healthcare Investors, Inc.’s management is responsible for maintaining effective internal control over financial reporting, and for its assessment of the effectiveness of internal control over financial reporting included in the accompanying Management’s Report on Internal Control over Financial Reporting.  Our responsibility is to express an opinion on the company’s internal control over financial reporting based on our audit.

We conducted our audit in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether effective internal control over financial reporting was maintained in all material respects. Our audit included obtaining an understanding of internal control over financial reporting, assessing the risk that a material weakness exists, testing and evaluating the design and operating effectiveness of internal control based on the assessed risk, and performing such other procedures as we considered necessary in the circumstances. We believe that our audit provides a reasonable basis for our opinion.

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

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

In our opinion, Omega Healthcare Investors, Inc. maintained, in all material respects, effective internal control over financial reporting as of December 31, 2012, based onthe COSO criteria.

We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States), the consolidated balance sheets of Omega Healthcare Investors, Inc. as of December 31, 2012 and 2011, and the related consolidated statements of operations, stockholders’ equity, and cash flows for each of the three years in the period ended December 31, 2012 and our report dated February 28, 2013 expressed an unqualified opinion thereon.

/s/ Ernst & Young LLP

Baltimore, Maryland

February 28, 2013

F-2

OMEGA HEALTHCARE INVESTORS, INC.

CONSOLIDATED BALANCE SHEETS

(in thousands, except per share amounts)

	December 31,			December 31,
	2012			2011
ASSETS
Real estate properties
Land and buildings	$	3,038,553		$	2,537,039
Less accumulated depreciation		(580,373	)		(470,420	)
Real estate properties – net		2,458,180			2,066,619
Mortgage notes receivable – net		238,621			238,675
		2,696,801			2,305,294
Other investments – net		47,339			52,957
		2,744,140			2,358,251
Assets held for sale – net		1,020			2,461
Total investments		2,745,160			2,360,712
Cash and cash equivalents		1,711			351
Restricted cash		36,660			34,112
Accounts receivable – net		125,180			100,664
Other assets		73,294			61,473
Total assets	$	2,982,005		$	2,557,312
LIABILITIES AND STOCKHOLDERS’ EQUITY
Revolving line of credit	$	258,000		$	272,500
Secured borrowings		366,538			303,610
Unsecured borrowings – net		1,200,394			975,290
Accrued expenses and other liabilities		145,744			127,428
Total liabilities		1,970,676			1,678,828
Stockholders’ equity:
Common stock $.10 par value authorized – 200,000 shares issued and outstanding – 112,393 shares as of December 31, 2012 and 103,410 as of December 31, 2011		11,239			10,341
Common stock – additional paid-in-capital		1,664,855			1,471,381
Cumulative net earnings		754,128			633,430
Cumulative dividends paid		(1,418,893	)		(1,236,668	)
Total stockholders’ equity		1,011,329			878,484
Total liabilities and stockholders’ equity	$	2,982,005		$	2,557,312

See accompanying notes.

F-3

OMEGA HEALTHCARE INVESTORS, INC.

CONSOLIDATED STATEMENTS OF OPERATIONS

(in thousands, except per share amounts)

	Year Ended December 31,
	2012			2011			2010
Revenues
Rental income	$	314,592		$	273,517		$	232,772
Mortgage interest income		30,446			16,274			10,391
Other investment income – net		4,760			2,070			3,936
Miscellaneous		662			343			3,886
Nursing home revenues of owned and operated assets		-			-			7,336
Total operating revenues		350,460			292,204			258,321
Expenses
Depreciation and amortization		112,983			100,337			84,623
General and administrative		21,330			19,432			15,054
Acquisition costs		909			1,204			1,554
Impairment on real estate properties		272			26,344			155
Provisions for uncollectible mortgages, notes and accounts receivable		-			6,439			-
Nursing home expenses of owned and operated assets		-			653			7,998
Total operating expenses		135,494			154,409			109,384
Income before other income and expense		214,966			137,795			148,937
Other income (expense)
Interest income		29			40			105
Interest expense		(95,527	)		(81,154	)		(67,340	)
Interest – amortization of deferred financing costs		(2,649	)		(2,674	)		(3,780	)
Interest – refinancing costs		(7,920	)		(3,071	)		(19,482	)
Total other expense		(106,067	)		(86,859	)		(90,497	)
Income before gain (loss) on assets sold		108,899			50,936			58,440
Gain (loss) on assets sold – net		11,799			1,670			(4	)
Net income		120,698			52,606			58,436
Preferred stock dividends		-			(1,691	)		(9,086	)
Preferred stock redemption		-			(3,456	)		-
Net income available to common stockholders	$	120,698		$	47,459		$	49,350
Income per common share available to common stockholders:
Basic:
Net income	$	1.12		$	0.46		$	0.52
Diluted:
Net income	$	1.12		$	0.46		$	0.52
Weighted-average shares outstanding, basic		107,591			102,119			94,056
Weighted-average shares outstanding, diluted		108,011			102,177			94,237

See accompanying notes.

F-4

OMEGA HEALTHCARE INVESTORS, INC.

CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY

(in thousands, except per share amounts)

	Preferred Stock			Common Stock Par Value			Common Stock Additional Paid-in Capital			Cumulative Net Earnings		Cumulative Dividends Paid			Total
Balance at December 31, 2009 (88,266 common shares)	$	108,488		$	8,827		$	1,157,931		$	522,388	$	(932,407	)	$	865,227
Issuance of common stock:
Grant of restricted stock (13 shares at $20.00 per share)		—			1			(1	)		—		—			—
Amortization of restricted stock		—			—			2,180			—		—			2,180
Vesting of restricted stock (grants 112 shares)		—			11			(2,119	)		—		—			(2,108	)
Dividend reinvestment and stock purchase plan (2,961 shares at $20.45 per share)		—			296			60,215			—		—			60,511
Exercised options (15 shares at an average exercise  price of $6.12 per share)		—			1			88			—		—			89
Grant of stock as payment of directors fees (7 shares at an average of $20.07 per share)		—			1			149			—		—			150
Equity Shelf Program (6,865 shares at $20.74 per share, net of issuance costs)		—			687			138,094			—		—			138,781
Issuance of common stock for acquisition (995 shares at $19.80 per share)		—			99			19,594			—		—			19,693
Net income		—			—			—			58,436		—			58,436
Common dividends ($1.37 per share)		—			—			—			—		(129,807	)		(129,807	)
Preferred dividends (Series D of $2.09 per share)		—			—			—			—		(9,086	)		(9,086	)
Balance at December 31, 2010 (99,233 common shares)		108,488			9,923			1,376,131			580,824		(1,071,300	)		1,004,066
Issuance of common stock:
Grant of restricted stock (13 shares at $22.00 per share)		—			1			(1	)		—		—			—
Amortization of restricted stock		—			—			5,984			—		—			5,984
Vesting of restricted stock (grants 68 shares)		—			7			(1,261	)		—		—			(1,254	)
Dividend reinvestment plan (2,853 shares at $20.78 per share)		—			285			58,833			—		—			59,118
Grant of stock as payment of directors fees (8 shares at an average of $19.43 per share)		—			1			149			—		—			150
Equity Shelf Program (1,419 shares at $22.61 per share, net of issuance costs)		—			142			31,068			—		—			31,210
Common stock repurchase (183 shares at $15.96 per share)		—			(18	)		(2,910	)		—		—			(2,928	)
Preferred stock redemption		(108,488	)		—			3,388			—		(3,456	)		(108,556	)
Net income		—			—			—			52,606		—			52,606
Common dividends ($1.55 per share)		—			—			—			—		(158,707	)		(158,707	)
Preferred dividends (Series D of $0.74 per share)		—			—			—			—		(3,205	)		(3,205	)
Balance at December 31, 2011 (103,410 common shares)		—			10,341			1,471,381			633,430		(1,236,668	)		878,484
Issuance of common stock:
Grant of restricted stock to company executives (428 shares)		—			43			(43	)		—		—			—
Grant of restricted stock to company directors (13 shares at $20.29 per share)		—			1			(1	)		—		—			—
Amortization of restricted stock		—			—			5,880			—		—			5,880
Vesting of restricted stock to company executives, net of tax withholdings (72 shares)		—			7			(1,247	)		—		—			(1,240	)
Dividend reinvestment plan (5,063 shares at $22.11 per share)		—			506			111,408			—		—			111,914
Grant of stock as payment of directors fees (9 shares at an average of $22.17 per share)		—			1			199			—		—			200
Equity Shelf Program (3,398 shares at $23.47 per share, net of issuance costs)		—			340			77,278			—		—			77,618
Net income		—			—			—			120,698		—			120,698
Common dividends ($1.69 per share)		—			—			—			—		(182,225	)		(182,225	)
Balance at December 31, 2012 (112,393 common shares)	$	—		$	11,239		$	1,664,855		$	754,128	$	(1,418,893	)	$	1,011,329

See accompanying notes.

F-5

OMEGA HEALTHCARE INVESTORS, INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS

(in thousands)

	Year Ended December 31,
	2012			2011			2010
Cash flow from operating activities
Net income	$	120,698		$	52,606		$	58,436
Adjustment to reconcile net income to cash provided by operating activities:
Depreciation and amortization		112,983			100,337			84,623
Impairment on real estate properties		272			26,344			155
Provisions for uncollectible mortgages, notes and accounts receivable		—			6,439			—
Amortization of deferred financing  and refinancing costs		10,569			5,745			23,262
Restricted stock amortization expense		5,942			6,037			2,211
(Gain) loss on assets sold – net		(11,799	)		(1,670	)		4
Amortization of acquired in-place leases – net		(5,312	)		(6,088	)		(3,968	)
Other		(663	)		(150	)		(93	)
Gain on sale of securities		—			—			(789	)
Change in operating assets and liabilities – net of amounts assumed/acquired:
Accounts receivable, net		(246	)		(1,463	)		(45	)
Straight-line rent		(25,404	)		(12,560	)		(11,210	)
Lease inducement		3,369			3,380			(6	)
Effective yield receivable on mortgage notes		(2,235	)		(1,341	)		—
Other operating assets and liabilities		97			(7,601	)		2,762
Operating assets and liabilities for owned and operated properties		—			(244	)		2,221
Net cash provided by operating activities		208,271			169,771			157,563
Cash flow from investing activities
Acquisition of real estate – net of liabilities assumed and escrows acquired		(396,623	)		(86,704	)		(343,180	)
Placement of mortgage loans		(11,969	)		(130,042	)		(20,657	)
Proceeds from sale of real estate investments		29,023			5,150			81
Capital improvements and funding of other investments		(29,436	)		(19,597	)		(36,025	)
Proceeds from other investments		15,355			6,983			21,324
Investments in other investments		(9,737	)		(33,504	)		(16,436	)
Collection of mortgage principal – net		12,684			74			78
Net cash used in investing activities		(390,703	)		(257,640	)		(394,815	)
Cash flow from financing activities
Proceeds from credit line borrowings		712,000			569,000			385,000
Payments of credit line borrowings		(726,500	)		(296,500	)		(479,100	)
Receipts of other long-term borrowings		400,000			—			779,770
Payments of other long-term borrowings		(190,686	)		(2,593	)		(470,478	)
Payments of financing related costs		(17,124	)		(4,305	)		(31,579	)
Receipts from Dividend Reinvestment Plan – net		111,914			59,118			60,511
Payments for exercised options and restricted stock – net		(1,240	)		(1,254	)		(2,019	)
Net proceeds from issuance of common stock		77,618			31,210			138,781
Dividends paid		(182,190	)		(161,893	)		(138,883	)
Repurchase of common stock		—			(2,928	)		—
Redemption of preferred stock		—			(108,556	)		—
Net cash provided by financing activities		183,792			81,299			242,003
Increase (decrease) in cash and cash equivalents		1,360			(6,570	)		4,751
Cash and cash equivalents at beginning of year		351			6,921			2,170
Cash and cash equivalents at end of year	$	1,711		$	351		$	6,921
Interest paid during the year, net of amounts capitalized	$	94,841		$	79,199		$	60,290

F-6

Non-cash investing activities:

	Year Ended December 31,
	2012		2011		2010
	(in thousands)
Assumed debt obligations	$	80,946	$	101,259	$	202,015
Assumed other assets/liabilities		13,640		—		—
Non-cash settlement of mortgage obligations		—		—		(12,395	)
Non-cash acquisition of real estate properties		—		—		12,395
Stock consideration issued for acquisition		—		—		19,693
Total non-cash real estate acquisition related items	$	94,586	$	101,259	$	221,708

See accompanying notes.

F-7

OMEGA HEALTHCARE INVESTORS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

NOTE 1 - ORGANIZATION AND BASIS OF PRESENTATION

Organization

Omega Healthcare Investors, Inc. (“Omega” or the “Company”), a Maryland corporation, is a self-administered real estate investment trust (“REIT”).  From the date that we commenced operations in 1992, we have invested primarily in income-producing healthcare facilities, which include long-term care nursing homes, assisted living facilities, independent living facilities and rehabilitation hospitals.

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

Substantially all depreciation expenses reflected in the consolidated statements of operations relate to the ownership of our investment in real estate.  At December 31, 2012, we have investments in 478 healthcare facilities located throughout the United States, including two facilities that are currently held for sale.

Consolidation

Our consolidated financial statements include the accounts of (i) Omega, (ii) all direct and indirect wholly owned subsidiaries of Omega, and (iii) TC Healthcare, a variable interest entity (“VIE”) that we consolidate as the primary beneficiary.  All inter-company accounts and transactions have been eliminated in consolidation of the financial statements.

On July 7, 2008, through bankruptcy court proceedings, we took ownership and/or possession of 15 facilities which were previously operated by Haven Eldercare (“Haven”).  Prior to July 7, 2008, we had (i) leased eight facilities to Haven under a master lease agreement and (ii) provided mortgage financing to a Haven entity for seven facilities that we had previously consolidated according to accounting rules regarding variable interest entities then in place.  As a result of the bankruptcy court judgment, the mortgage on the seven facilities was retired in exchange for ownership of the facilities, and we were also awarded certain other operational assets of Haven.  In addition to receiving title to the seven facilities and certain other operational assets, on July 7, 2008, we assumed operating responsibility for the 15 Haven facilities.  In July 2008, a new entity (TC Healthcare) was formed to operate these properties on our behalf through the use of an independent contractor.  TC Healthcare’s managing member and sole voting member, an individual with experience in operating these types of facilities, has no equity investment at risk and is unrelated to Omega.  Omega and TC Healthcare entered into an agreement that required Omega to provide the working capital requirements for TC Healthcare and to absorb the operating losses of TC Healthcare.  The agreement also provided Omega with the right to receive the economic benefits of the entity.  TC Healthcare is a variable interest entity as the entity does not have sufficient equity investment at risk to support its operations without subordinated financial support.  Additionally, Omega has the power to direct the activities of TC Healthcare as Omega has the unilateral right to replace the shareholder.  Omega is deemed the primary beneficiary of TC Healthcare as Omega has the controlling economic interest in the entity and therefore, consolidated the operations of TC Healthcare.  On September 1, 2008, thirteen of these facilities were transitioned from TC Healthcare to a new tenant/operator.  The two remaining facilities were transitioned to the new tenant/operator on June 1, 2010 upon approval by state regulators of the operating license transfer and as of such date, TC healthcare no longer operates these facilities.

NOTE 2 – SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

Accounting Estimates

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

F-8

OMEGA HEALTHCARE INVESTORS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

Real Estate Investments and Depreciation

We record the purchase price of properties to net tangible and identified intangible assets acquired at their fair values.  In making estimates of fair values for purposes of recording purchase price, we utilize a number of sources, including independent appraisals that may be obtained in connection with the acquisition or financing of the respective property and other market data.  We also consider information obtained about each property as a result of its pre-acquisition due diligence, marketing and leasing activities in estimating the fair value of the tangible and intangible assets acquired.  All costs of significant improvements, renovations and replacements are capitalized.  In addition, we capitalize leasehold improvements when certain criteria are met, including when we supervise construction and will own the improvement.  Expenditures for maintenance and repairs are charged to operations as they are incurred.

Depreciation is computed on a straight-line basis over the estimated useful lives ranging from 20 to 40 years for buildings and improvements and three to 10 years for furniture, fixtures and equipment.  Leasehold interests are amortized over the shorter of useful life or term of the lease, with lives ranging from five to 15 years.

As of December 31, 2012 and 2011, we had identified conditional asset retirement obligations primarily related to the future removal and disposal of asbestos that is contained within certain of our real estate investment properties. The asbestos is appropriately contained, and we believe we are compliant with current environmental regulations. If these properties undergo major renovations or are demolished, certain environmental regulations are in place, which specify the manner in which asbestos must be handled and disposed.  We are required to record the fair value of these conditional liabilities if they can be reasonably estimated. As of December 31, 2012 and 2011, sufficient information was not available to estimate our liability for conditional asset retirement obligations as the obligations to remove the asbestos from these properties have indeterminable settlement dates. As such, no liability for conditional asset retirement obligations was recorded on our accompanying consolidated balance sheets as of December 31, 2012 and 2011.

In-Place Leases

In-place lease assets and liabilities result when we assume a lease as part of a facility purchase.  The fair value of in-place leases consists of the following components as applicable (1) the estimated cost to replace the leases, and (2) the above/below market cash flow of the leases, determined by comparing the projected cash flows of the leases in place to projected cash flows of comparable market-rate leases (referred to as Lease Intangibles).  Lease Intangible assets and liabilities are classified as lease contracts above and below market value, respectively, and amortized on a straight-line basis as decreases and increases, respectively, to rental revenue over the remaining term of the underlying leases. Should a tenant terminate its lease, the unamortized portions of these costs are written off.

Owned and Operated Assets

Real estate properties that are operated pursuant to a foreclosure proceeding are included within “real estate properties” and are reported at the time of foreclosure at the lower of carrying cost or fair value.

Asset Impairment

Management periodically, but not less than annually,evaluates our real estate investments for impairment indicators, including the evaluation of our assets’ useful lives.  The judgment regarding the existence of impairment indicators is based on factors such as, but not limited to, market conditions, operator performance and legal structure.  If indicators of impairment are present, management evaluates the carrying value of the related real estate investments in relation to the future undiscounted cash flows of the underlying facilities.  Provisions for impairment losses related to long-lived assets are recognized when expected future undiscounted cash flows are determined to be less than the carrying values of the assets.  An adjustment is made to the net carrying value of the real estate investments for the excess of carrying value over fair value.  The fair value of the real estate investment is determined by market research, which includes valuing the property as a nursing home as well as other alternative uses.All impairments are taken as a period cost at that time, and depreciation is adjusted going forward to reflect the new value assigned to the asset.

If we decide to sell real estate properties or land holdings, we evaluate the recoverability of the carrying amounts of the assets.  If the evaluation indicates that the carrying value is not recoverable from estimated net sales proceeds, the property is written down to estimated fair value less costs to sell.  Our estimates of cash flows and fair values of the properties are based on current market conditions and consider matters such as rental rates and occupancies for comparable properties, recent sales data for comparable properties, and, where applicable, contracts or the results of negotiations with purchasers or prospective purchasers.

F-9

OMEGA HEALTHCARE INVESTORS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

For the years ended December 31, 2012, 2011 and 2010 we recognized impairment losses of $0.3 million, $26.3 million and $0.2 million, respectively.  The impairments are primarily the result of closing facilities or updating the estimated proceeds we expect to receive for the sale of closed facilities.  For additional information, see Note 3 – Properties.

Loan Impairment

Management evaluates our outstanding mortgage notes and other notes receivable.  When management identifies potential loan impairment indicators, such as non-payment under the loan documents, impairment of the underlying collateral, financial difficulty of the operator or other circumstances that may impair full execution of the loan documents, and management believes it is probable that all amounts will not be collected under the contractual terms of the loan, the loan is written down to the present value of the expected future cash flows.  In cases where expected future cash flows are not readily determinable, the loan is written down to the fair value of the collateral.  The fair value of the loan is determined by market research, which includes valuing the property as a nursing home as well as other alternative uses.

We currently account for impaired loans using (a) the cost-recovery method, and/or (b) the cash basis method.  We generally utilize the cost recovery method for impaired loans for which impairment reserves were recorded.  We utilize the cash basis method for impairment loans for which no impairment reserves were recorded because the net present value of the discounted cash flows expected under the loan and/or the underlying collateral supporting the loan were equal to or exceeded the book value of the loans.  Under the cost recovery method, we apply cash received against the outstanding loan balance prior to recording interest income.  Under the cash basis method, we apply cash received to interest income.  As of December 31, 2012 and 2011, we had loan loss reserves totaling $2.0 million.  In 2011, we recorded provisions for loan losses of $2.3 million related to a working capital note.  In 2010 and 2012, we did not record provisions for loan losses or charges-offs related to our mortgage or note receivable portfolios.  For additional information, see Note 5 – Mortgage Notes Receivable and Note 6 – Other Investments.

Cash and Cash Equivalents

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

Restricted Cash

Restricted cash consists primarily of funds escrowed for tenants’ security deposits required by us pursuant to certain contractual terms (see Note 8 – Lease and Mortgage Deposits).

Accounts Receivable

Accounts receivable includes: contractual receivables, straight-line rent receivables and lease inducements, net of an estimated provision for losses related to uncollectible and disputed accounts.  Contractual receivables relate to the amounts currently owed to us under the terms of the lease agreement.  Straight-line receivables relate to the difference between the rental revenue recognized on a straight-line basis and the amounts due to us contractually.  Lease inducements result from value provided by us to the lessee at the inception or renewal of the lease and will be amortized as a reduction of rental revenue over the non cancellable lease term.  On a quarterly basis, we review the collection of our contractual payments and determine the appropriateness of our allowance for uncollectible contractual rents.  In the case of a lease recognized on a straight-line basis or existence of lease inducements, we generally provide an allowance for straight-line accounts receivable or the lease inducements when certain conditions or indicators of adverse collectability are present.

F-10

OMEGA HEALTHCARE INVESTORS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

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

	December 31,
	2012			2011
	(in thousands)
Contractual receivables	$	3,963		$	4,683
Effective yield interest receivables		3,576			1,341
Straight-line receivables		98,973			73,604
Lease inducements		19,307			22,677
Allowance		(639	)		(1,641	)
Accounts receivable – net	$	125,180		$	100,664

We continuously evaluate the payment history and financial strength of our operators and have historically established allowance reserves for straight-line rent adjustments for operators that do not meet our requirements.  We consider factors such as payment history, the operator’s financial condition as well as current and future anticipated operating trends when evaluating whether to establish allowance reserves.

Comprehensive Income

Comprehensive income includes net income and all other non-owner changes in stockholders’ equity during a period including unrealized gains and losses on equity securities classified as available-for-sale and unrealized fair value adjustments on certain derivative instruments.

Deferred Financing Costs

External costs incurred from placement of our debt are capitalized and amortized on a straight-line basis over the terms of the related borrowings which approximates the effective interest method. Amortization of financing costs totaling $2.6 million, $2.7 million and $3.8 million in 2012, 2011 and 2010, respectively, is classified as “interest - amortization of deferred financing costs” in our consolidated statements of operations.  When financings are terminated, unamortized deferred financing costs, as well as charges incurred for the termination, are expensed at the time the termination is made.  Gains and losses from the extinguishment of debt are presented within income from continuing operations in the accompanying consolidated financial statements.

Revenue Recognition

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

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

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OMEGA HEALTHCARE INVESTORS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

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

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

Nursing home revenues of owned and operated assets consist of long-term care revenues, rehabilitation therapy services revenues, temporary medical staffing services revenues and other ancillary services revenues. The revenues are recognized as services are provided.  Revenues are recorded net of provisions for discount arrangements with commercial payors and contractual allowances with third-party payors, primarily Medicare and Medicaid.  Revenues realizable under third-party payor agreements are subject to change due to examination and retroactive adjustment.  Estimated third-party payor settlements are recorded in the period the related services are rendered. The methods of making such estimates are reviewed periodically, and differences between the net amounts accrued and subsequent settlements or estimates of expected settlements are reflected in the current period results of operations. Laws and regulations governing the Medicare and Medicaid programs are extremely complex and subject to interpretation.  For additional information, see Note 4 – Owned and OperatedAssets.

Assets Held for Sale and Discontinued Operations

The operating results of specified real estate assets that have been sold, or otherwise qualify as held for disposition, are reflected as assets held for sale-net in our consolidated balance sheets.  Assets that qualify as held for sale may also be considered as a discontinued operation if, (a) the operation and cash flows of the asset have been or will be eliminated from future operations and (b) we will not have significant involvement with the asset after its disposition. For assets that qualify as discontinued operations, we have reclassified the operations of those assets to discontinued operations in the consolidated statements of operations for all periods presented and assets held for sale in the consolidated balance sheets for all periods presented.  We had two facilities and one parcel of land classified as held for sale as of December 31, 2012 with a net book value of $1.0 million.  The assets were not classified as discontinued operations.

Earnings Per Share

Basic earnings per common share (“EPS”) is computed by dividing net income available to common stockholders by the weighted-average number of shares of common stock outstanding during the year.  All outstanding unvested share-based payment awards that contain rights to non-forfeitable dividends or dividend equivalents that participate in undistributed earnings with common stockholders are considered participating securities that shall be included in the two-class method of computing basic EPS. The guidance does not address awards that contain rights to forfeitable dividends.  Diluted EPS reflects the potential dilution that could occur from shares issuable through stock-based compensation, including stock options and restricted stock.  For additional information, see Note 18 – Earnings Per Share.

Income Taxes

We were organized to qualify for taxation as a REIT under Section 856 through 860 of the Code.  As long as we qualify as a REIT; we will not be subject to Federal income taxes on the REIT taxable income that we distributed to stockholders, subject to certain exceptions.  In 2012, we paid common dividend payments of $182.2 million which satisfies the 2012 REIT requirements relating to qualifying income.  We are permitted to own up to 100% of a taxable REIT subsidiary (“TRS”).  Currently, we have one TRS that is taxable as a corporation and that pays federal, state and local income tax on its net income at the applicable corporate rates.  The loss carry forward of $1.1 million was fully reserved with a valuation allowance due to uncertainties regarding realization.  We record interest and penalty charges associated with tax matters as income tax.  For additional information on income taxes, see Note 11 – Taxes.  As of December 31, 2012, we did not have any unrecognized tax benefits.  We do not believe that there will be any material changes in our unrecognized tax positions over the next 12 months.  We are subject to examination by the respective taxing authorities for the tax years 2007 through 2012.

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OMEGA HEALTHCARE INVESTORS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

Stock-Based Compensation

Stock-based compensation expense is adjusted for estimated forfeitures and is recognized on a straight-line basis over the requisite service period of the awards, see Note 14 – Stock-Based Compensation for additional details.

Risks and Uncertainties

Our company is subject to certain risks and uncertainties affecting the healthcare industry as a result of healthcare legislation and growing regulation by federal, state and local governments. Additionally, we are subject to risks and uncertainties as a result of changes affecting operators of nursing home facilities due to the actions of governmental agencies and insurers to limit the growth in cost of healthcare services (see Note 7 – Concentration of Risk).

NOTE 3 - PROPERTIES

Leased Property

Our leased real estate properties, represented by 418 SNFs, 16 ALFs and 11 specialty facilities at December 31, 2012, are leased under provisions of single leases and master leases with initial terms typically ranging from 5 to 15 years, plus renewal options.  Substantially all of the leases and master leases provide for minimum annual rentals that are typically subject to annual increases based upon fixed escalators or the lesser of a fixed amount or increases derived from changes in CPI.  Under the terms of the leases, the lessee is responsible for all maintenance, repairs, taxes and insurance on the leased properties.

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

	December 31,
	2012			2011
	(in thousands)
Buildings	$	2,580,400		$	2,157,015
Site improvement and equipment		213,471			184,503
Land		244,682			195,521
		3,038,553			2,537,039
Less accumulated depreciation		(580,373	)		(470,420	)
Total	$	2,458,180		$	2,066,619

The future minimum estimated contractual rents due for the remainder of the initial terms of the leases are as follows at December 31, 2012:

	(in thousands)
2013	$	338,520
2014		350,265
2015		355,798
2016		338,398
2017		342,487
Thereafter		1,793,621
Total	$	3,519,089

Below is a summary of the significant transactions that occurred from 2010 to 2012.

Genesis Healthcare

On December 1, 2012, Genesis Healthcare (“Genesis”), an existing operator to Omega, completed the purchase of Sun Healthcare Group (“Sun”), also an existing operator to Omega.  Prior to the purchase, Sun was our second largest tenant with $235 million in leased assets representing 40 facilities located in 10 states.  We leased the 40 facilities to Sun under a master lease with expiration dates in 2013 and 2017.  Prior to the purchase, we also had a master lease with Genesis covering approximately $122 million in leased assets representing 13 facilities located in 5 states.

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

In connection with the acquisition, on December 1, 2012, we entered into a new 53 facility master lease with Genesis expiring on December 31, 2025.  At December 31, 2012, Genesis was our largest tenant with $357 million in leased assets (approximately 11% of our total gross investments) located in 13 states.

2012 Acquisitions

Arizona and California Acquisitions

During the three-month period ended December 31, 2012, we completed the acquisition of approximately $203.4 million of new investments and leased them back to a new operator.  The investments involved two separate transactions to purchase 14 facilities (12 SNFs, one assisted living facility (“ALF”) and 1 combined SNF/ALF).  The combined transactions consisted of the assumption of approximately $71.9 million of HUD indebtedness and payment of $131.5 million in cash. The $71.9 million of assumed HUD debt is comprised of 8 HUD mortgage loans with a blended interest rate of 5.50% and maturities between April 2031 and February 2045. The 14 facilities, representing 1,830 operating beds, are located in California (10) and Arizona (4). The transaction involved several separate master lease agreements covering all 14 facilities.

Transaction 1 (First Closing):  On November 30, 2012, we purchased four Arizona facilities (2 SNFs, 1 ALF and 1 combined SNF/ALF) for an aggregate purchase price of $60.0 million.  The transaction consisted of the assumption of $27.6 million of indebtedness guaranteed by HUD and $32.4 million in cash.  The blended interest rate on the HUD indebtedness assumed for the Arizona facilities was 4.73%.  The four facilities were simultaneously leased back to a new operator under a new 12 year master lease.

We are in the process of finalizing our fair value allocation and we expect the allocation process to be completed during the first half of 2013.  As of December 31, 2012, we allocated approximately $64.6 million consisting of land ($5.5 million), building and site improvements ($55.9 million), and furniture and fixture ($3.2 million).  We recorded approximately $4.6 million of fair value adjustment related to above market debt assumed based on the terms of comparable debt and other market factors.  We estimate amortization of the fair value adjustment related to the above market debt will average approximately $0.2 million per year for the next five years.  We have not recorded goodwill in connection with this transaction.

Transaction 2 (Second Closing):  In November 2012, we entered into a Purchase and Sales Agreement to purchase and then leaseback 10 California SNFs.  On November 30, 2012, we purchased five SNFs for approximately $70.2 million.  The five SNFs were simultaneously leased back under a new 12 year master lease.

We are in the process of finalizing our fair value allocation and we expect the allocation process to be completed during the first half of 2013.  As of December 31, 2012, we allocated approximately $70.2 million consisting of land ($11.5 million), building and site improvements ($55.5 million), and furniture and fixture ($3.2 million).  We have not recorded goodwill in connection with this transaction.

Transaction 2 (Third Closing):  On December 31, 2012, we purchased the remaining five California SNFs for an aggregate purchase price of $72.2 million (net of purchase price reduction of approximately $1.0 million related to funds escrowed by the seller to reimburse us for costs associated with refinancing some of the assumed HUD debt).  The transaction consisted of the assumption of $44.3 million of HUD indebtedness and $28.9 million in cash.  The blended interest rate on the HUD indebtedness assumed for the five California facilities was 5.97%.  The five SNFs were then leased back to the new operator under new 12 year master leases.

We are in the process of finalizing our fair value allocation and we expect the allocation process to be completed during the first half of 2013.  As of December 31, 2012, we allocated approximately $77.6 million consisting of land ($13.0 million), building and site improvements ($60.9 million), and furniture and fixture ($3.7 million).  We recorded approximately $5.4 million of fair value adjustment related to the above market debt assumed based on the terms of comparable debt and other market factors.  We estimate amortization of the fair value adjustment related to the above market debt will be approximately $0.3 million in 2013 and will average approximately $0.2 million per year from 2014 through 2017.  We have not recorded goodwill in connection with this transaction.

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

Indiana Acquisitions

In 2012 we completed four transactions in Indiana involving two existing operators and 34 facilities.  The following is a summary of the transactions:

Transaction 1:  On June 29, 2012, we purchased one SNF encompassing 80 operating beds in Indiana for approximately $3.4 million and leased the facility back to an existing operator under an existing master lease.   As of December 31, 2012, we allocated approximately $3.4 million consisting of land ($0.2 million), building and site improvements ($2.9 million), and furniture and fixture ($0.3 million).  We have not recorded goodwill in connection with this transaction.

Transaction 2:  On June 29, 2012, we purchased four facilities encompassing 383 operating beds in Indiana for approximately $21.7 million and leased the facilities to Health and Hospital Corporation.  As of December 31, 2012, we allocated approximately $21.7 million consisting of land ($1.9 million), buildings and site improvements ($18.4 million) and furniture and fixtures ($1.4 million). We have not recorded goodwill in connection with this transaction.

Transaction 3:  On August 31, 2012, we purchased 27 facilities (17 SNFs, four ALFs and six independent living facilities) totaling 2,892 operating beds in Indiana from an unrelated third party for approximately $203 million in cash and assumed a liability associated with the lease of approximately $13.9 million.  Simultaneous with the transaction, we also purchased one parcel of land for $2.8 million.  The purchase price of both (i) 27 facilities and (ii) the parcel of land were funded from cash on hand and borrowings from our credit facility.  The 27 facilities and land parcel were added to an existing master lease.  We are in the process of finalizing our fair value allocation and we expect the allocation process to be completed during the first half of 2013.  As of December 31, 2012, we allocated approximately $219.7 million consisting of land ($16.1 million), building and site improvements ($189.2 million) and furniture and fixture ($14.4 million).  We have not recorded goodwill in connection with this transaction.

Transaction 4:  On December 31, 2012, we purchased two SNFs encompassing 167 operating beds in Indiana for approximately $9.5 million and leased these facilities back to an existing operator under a new consolidated master lease.  We are in the process of finalizing our fair value allocation and we expect the allocation process to be completed during the first half of 2013.  As of December 31, 2012, we allocated approximately $9.5 million consisting of land ($0.6 million), building and site improvements ($8.0 million), and furniture and fixture ($0.9 million).  We have not recorded goodwill in connection with this transaction.

Michigan Acquisition

On November 30, 2012, we purchased one ALF for $20 million from an unrelated third party and added it to an existing master lease with an existing operator.  The 171 operating bed ALF is located in Michigan.  We are in the process of finalizing our fair value allocation and we expect the allocation process to be completed during the first half of 2013.  As of December 31, 2012, we allocated approximately $20.0 million consisting of land ($0.4 million), building and site improvements ($18.9 million), and furniture and fixture ($0.7 million).  We have not recorded goodwill in connection with this transaction.

Texas Acquisition

On October 31, 2012, we purchased one SNF from an unrelated third party encompassing 90 operating beds in Texas for approximately $2.7 million and leased the facility to an existing operator.  We are in the process of finalizing our fair value allocation and we expect the allocation process to be completed during the first half of 2013.  As of December 31, 2012, we allocated approximately $2.7 million consisting of land ($0.2 million), building and site improvements ($2.2 million), and furniture and fixture ($0.3 million).  We have not recorded goodwill in connection with this transaction.

Acquisition costs related to the above transactions were expensed as period costs.  For the year ended December 31, 2012, we expensed $0.9 million of acquisition related expenses.

2011 Acquisitions

During the fourth quarter of 2011, we completed two acquisitions. The first acquisition was comprised of the purchase of four SNFs in Maryland and West Virginia; the second acquisition was comprised of the purchase/leaseback of 17 SNFs in five states, including Arkansas, Colorado, Florida, Michigan and Wisconsin.  Acquisition costs related to the two acquisitions was approximately $1.2 million in 2011 and was expensed.  The following is summary of the transactions and other investments:

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

2011 First Acquisition (Maryland and West Virginia)

During the fourth quarter of 2011, we purchased and leaseback four SNFs located in Maryland (3) and West Virginia (1), totaling 586 beds for a total investment of $61 million, including approximately $1 million to complete renovations at one facility.  The consideration consisted of $31 million in cash and the assumption of $30 million in HUD – guaranteed indebtedness, which bears an interest rate of 4.87% (weighted-average) and matures between March 2036 and September 2040.

We completed our fair value allocation in 2012.  We allocated approximately $62.7 million consisting of land ($4.4 million), buildings and site improvements ($55.0 million) and furniture and fixtures ($3.3 million).  We funded approximately $1.3 million in renovation costs for one of the facilities acquired in connection with this transaction and completed the renovation during the third quarter of 2012.  We recorded approximately $3.0 million of fair value adjustment related to the above market debt assumed based on the terms of comparable debt.  We estimate amortization will be approximately $0.2 million per year over the next five years. We have not recorded goodwill in connection with this transaction.

2011 Second Acquisition (Arkansas, Colorado, Florida, Michigan and Wisconsin)

On December 23, 2011, we purchased 17 SNFs and leased them back to a new operator, for an aggregate purchase price of $128 million.  The acquisition consisted of the assumption of $71.3 million of indebtedness guaranteed by the Department of Housing and Urban Development (“HUD”) and $56.7 million in cash.

The $71.3 million of assumed HUD debt was comprised of 15 HUD mortgage loans with a blended interest rate of 5.70% and maturities between October 2029 and July 2044.

The 17 SNFs, representing 1,820 operating beds, are located in Arkansas (12), Colorado (1), Florida (1), Michigan (2) and Wisconsin (1). The purchase/leaseback transaction involved two separate master lease agreements covering all 17 SNFs.

We completed our fair value allocation in 2012.  We allocated approximately $129.9 million consisting of land ($9.0 million), buildings and site improvements ($111.5 million) and furniture and fixtures ($9.4 million).  We recorded approximately $1.9 million of fair value adjustment related to the above market debt assumed based on the terms of comparable debt.  We have not recorded goodwill in connection with this transaction.

143 Facility CapitalSource Acquisitions (2009 – 2010)

In November 2009, we entered into a securities purchase agreement (the “CapitalSource Purchase Agreement”) with CapitalSource Inc. (NYSE: CSE) (“CapitalSource”) and several of its affiliates, pursuant to which we agreed to purchase CapitalSource subsidiaries owning 80 long term care facilities, plus an option to purchase CapitalSource subsidiaries owning an additional 63 facilities (the “Option”), for approximately $858 million.  Our acquisition of the CapitalSource subsidiaries pursuant to the terms of the purchase agreement was conducted in three separate closings: (i) on December 22, 2009, we acquired CapitalSource subsidiaries owning 40 long-term care facilities and an option to acquire an additional 63 facilities; (ii) on June 9, 2010, we exercised our option to acquire CapitalSource subsidiaries owning 63 long-term care facilities; and (iii) on June 29, 2010, we acquired CapitalSource subsidiaries owning 40 long-term care facilities.  We accounted for these acquisitions as business combinations.  We incurred approximately $3.1 million in transaction costs for the transactions, of which $1.6 million was expensed during 2009 and $1.5 million was expensed in 2010.

First Closing

On December 22, 2009, we purchased CapitalSource entities owning 40 facilities for approximately $271.4 million and an option to purchase CapitalSource entities owning 63 additional facilities for $25.0 million.  The consideration consisted of: (i) approximately $184.2 million in cash; (ii) 2,714,959 shares of Omega common stock and (iii) the assumption of approximately $59.4 million of 6.8% mortgage debt maturing on December 31, 2011.  We valued the 2,714,959 shares of our common stock at approximately $52.8 million on December 22, 2009.

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

The 40 facilities represent 5,264 operating beds located in 12 states, and are part of 15 in-place triple net leases among 12 operators.   The 12 leases generate approximately $31 million of annualized revenue.

We allocated approximately $282.0 million consisting of land ($22.5 million), building and site improvements ($241.9 million) and furniture and fixtures ($17.6 million).  We allocated approximately $9.5 million to in-place above market leases assumed at the first closing and approximately $19.8 million to in-place below market leases assumed at the first closing.  In 2010, 2011 and 2012, net amortization associated with net in-place below market leases assumed at the first closing was approximately $1.4 million, $1.3 million and $1.2 million, respectively.

As of December 31, 2012, we estimate the net impact to revenue of amortizing the assumed net in-place below market leases associated with the December 22, 2009 acquisition as follows (in millions):

1 year	1-3 years	3-5 years	Thereafter
$1.2	$2.1	$1.7	$1.8

The fair value of the debt assumed approximated face value.  We did not record goodwill in connection with this transaction.

HUD Portfolio Closing

On June 29, 2010, we purchased CapitalSource entities owning 40 facilities for approximately$271 million.   We also paid approximately $15 million for escrow accounts transferred to us at closing.  The 40 facilities are encumbered by approximately $182 million in long-term mortgage financing guaranteed by the U.S. Department of Housing and Urban Development (“HUD”) and $20 million in subordinated notes.  The following summarizes the consideration paid at closing:

● $65 million in cash;

● $202 million face value of assumed debt, which includes $20 million of 9.0% unsecured debt maturing in December 2021, $53million of HUD debt at a 6.61% weighted average annual interest rate maturing between January 2036 and May 2040, and $129 million of new HUD Debt at a 4.85% annual interest rate maturing between January 2040 and January 2045; and

● 995 thousand shares of our common stock valued at approximately $19 million on June 29, 2010.

The 40 facilities represent 4,882 operating beds located in two states, and are part of 13 in-place triple net leases among two operators.  The 13 leases generate approximately $30 million of annualized revenue.

We allocated approximately $313.3 million consisting of land ($32.3 million), building and site improvements ($264.1 million) and furniture and fixtures ($16.9 million).  We allocated approximately $4.9 million to in-place above market leases assumed and approximately $24.1 million to in-place below market leases assumed at the HUD portfolio closing.  In 2010, 2011 and 2012, net amortization associated with net in-place below market leases assumed at the HUD portfolio closing was approximately$1.9 million, $3.5 million and $3.2 million, respectively.

As of December 31, 2012, we estimate the net impact to revenue of amortizing the assumed net in-place below market leases associated with the June 29, 2010 acquisition as follows (in millions):

1 year	1-3 years	3-5 years	Thereafter
$2.9	$5.1	$0.9	$1.7

In addition, we recorded approximately $22.5 million of fair value adjustment related to the above market debt assumed based on the terms of comparable debt.  In 2010, 2011 and 2012, we amortized approximately $0.7 million, $1.4 million and $1.3 million for the fair value adjustment, respectively.  We estimate amortization will average approximately $1.2 million per year for the next five years.  We did not record goodwill in connection with this transaction.

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

Option Exercise and Closing

On April 20, 2010, we provided notice of our intent to exercise our Option to acquire CapitalSource entities owning 63 facilities.  On June 9, 2010, we completed our purchase of the 63 CapitalSource facilities for an aggregate purchase price of approximately $293 million in cash.  The total purchase price including the purchase option deposit was $318 million.

The 63 facilities represent 6,607 operating beds located in 19 states, and are part of 30 in-place triple net leases among 18 operators. The 30 leases generate approximately $34 million of annualized revenue.

We allocated approximately $328.9 million consisting of land ($35.8 million), building and site improvements ($276.0 million) and furniture and fixtures ($17.1 million).  We allocated approximately $8.2 million to in-place above market leases assumed and approximately $18.8 million to in-place below market leases assumed at the Option portfolio closing.  In 2010, 2011 and 2012, net amortization associated with net in-place below market leases assumed at the Option portfolio closing was approximately $0.7 million, $1.3 million and $0.9 million, respectively.

As of December 31, 2012, we estimate the net impact to revenue of amortizing the assumed net in-place below market leases associated with the June 9, 2010 acquisition as follows:

1 year	1-3 years	3-5 years	Thereafter
$1.0	$2.4	$1.9	$2.5

We did not record goodwill in connection with this transaction.

The facilities acquired in 2011 and 2012 are included in our results of operations from the date of acquisition.  The following unaudited pro forma results of operation reflect the impact of the transactions as if they occurred on January 1, 2011.  In the opinion of management, all significant necessary adjustments to reflect the effect of the acquisition have been made.  The following pro forma information is not indicative of future operations.

	Pro Forma
	Year Ended December 31,
	2012		2011
	(in thousands, except per share amount, unaudited)
Revenues	$	393,484	$	366,344
Net income available to common stockholders		138,644		74,975
Earnings per share – diluted:
Net income available to common stockholders – as reported	$	1.12	$	0.46
Net income available to common stockholders – pro forma	$	1.28	$	0.73

Connecticut Properties

In January 2011, at our request, a complaint was filed by the State of Connecticut, Commissioner of Social Services (the “State”) against the licensees/operators of four Connecticut SNFs, seeking the appointment of a receiver.  The facilities were leased and operated by affiliates of FC/SCH Capital, LLC (“FC/SCH”) and were managed by Genesis Healthcare (“Genesis”), and had approximately 472 licensed beds as of March 31, 2011.  The Superior Court, Judicial District of Hartford, Connecticut (the “Court”) appointed a receiver.

The receiver was responsible for (i) operating the facilities and funding all operational expenses incurred after the appointment of the receiver and (ii) for providing the Court with recommendations regarding the facilities.  In March 2011, the receiver moved to close all four SNFs and we objected.  At the hearing held on April 21, 2011, we stated our position that the receiver failed to comply with the statutory requirements prior to recommending the facilities’ closure.  In addition, alternative operators expressed interest in operating several of the facilities.  On April 27, 2011, the Court granted the receiver’s motion and ordered the facilities closed.

We timely filed our notice of appeal, taking the position that the Court’s Order was final and appealable, and erroneous.  Following our notice of appeal, we negotiated a stipulation with the State and the receiver which afforded us significant concessions.  Those concessions included: (a) an agreed recognition of us as a secured lienholder with a priority claim, (b) an accelerated timeframe for the (i) allocation by the receiver of collected funds between pre- and post- receivership periods, and (ii) disbursement to us of pre-receivership funds collected, and (c) an agreement by the State that it would forego its right to seek recoupment of pre-receivership funds as reimbursement for post-receivership advances.  In exchange for these concessions (among others), we withdrew our appeal.

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

As a result of these developments, during the three month period ended March 31, 2011, we recorded an impairment charge of $24.4 million to reduce the carrying values of the Connecticut SNFs to their estimated fair values.  We estimated the fair value of these facilities based on the facilities’ potential sales value assuming that the facilities would not be used as SNFs.  As of November 1, 2011, all of the residents of the four facilities had been relocated and the receiver surrendered possession of all of the facilities to us.  In 2011, we classified these facilities as held-for-sale.  We are actively marketing the last of the four facilities for sale (for purposes other than the provision of skilled nursing care).

FC/SCH Facilities

During the second quarter of 2011, we entered into a master transition agreement (“2011 MTA”) with one of our current lessee/operators and a third party lessee/operator to transition the facilities from the current operator to the new operator.  The 2011 MTA closing was subject to receipt of healthcare regulatory approvals from several states for the operating license transfer from the current operator to the new operator.  On January 1, 2012, regulatory approval was provided and the former lease was terminated and a new operator entered into a new twelve-year master lease for the facilities.  As a result of the 2011 MTA, during the second quarter of 2011, we evaluated the recoverability of the straight-line rent and lease inducements associated with the current lease and recorded a $4.1 million provision for uncollectible accounts associated with straight-line receivables and lease inducements.

Assets Sold or Held for Sale

For the year ended December 31, 2012, we sold nine facilities for total cash proceeds of $29.0 million, generating approximately an $11.8 million accounting gain.  Three of the facilities sold were part of the Connecticut properties discussed above.  Two of the facilities sold were the result of lessees exercising their purchase option.  The sale of the other four facilities was the result of portfolio reconfiguration.

At December 31, 2012, we had two SNFs and one parcel of land classified as held-for-sale with an aggregate net book value of approximately $1.0 million.

NOTE 4 – OWNED AND OPERATED ASSETS

In November 2007, affiliates of Haven, one of our former operators/lessees/mortgagors, operated under Chapter 11 bankruptcy protection.  Commencing in February 2008, the assets of the Haven facilities were marketed for sale via an auction process to be conducted through proceedings established by the bankruptcy court.  The auction process failed to produce a qualified buyer.  As a result, and pursuant to our rights as ordered by the bankruptcy court, Haven moved the bankruptcy court to authorize us to credit bid certain of the indebtedness that it owed to us in exchange for taking ownership of and transitioning certain of its assets to a new entity in which we have a substantial ownership interest, all of which was approved by the bankruptcy court on July 4, 2008.  Effective July 7, 2008, we took ownership and/or possession of 15 facilities previously operated by Haven.  TC Healthcare, a new entity and an interim operator, in which we have a substantial economic interest, began operating these facilities on our behalf through an independent contractor.

On August 6, 2008, we entered into a Master Transaction Agreement (“2008 MTA”) with affiliates of FC/SCH whereby FC/SCH agreed (subject to certain closing conditions, including the receipt of licensure) to lease 14 SNFs and one ALF facility under a master lease.  These facilities were formerly leased to Haven.

Effective September 1, 2008, we completed the operational transfer of 12 SNFs and one ALF to affiliates of FC/SCH, in accordance with the terms of the 2008 MTA.  These 13 facilities are located in Connecticut (5), Rhode Island (4), New Hampshire (3) and Massachusetts (1).  As part of the transaction, Genesis entered into a long-term management agreement with FC/SCH to oversee the day-to-day operations of each of these facilities. The two remaining facilities in Vermont, which were operated by TC Healthcare until May 31, 2010, were then transferred to FC/SCH upon licensure from the state of Vermont.  As a result of the transition of the operations to FC/SCH, we no longer operate any owned and operated facilities, effective June 1, 2010.  Our consolidated financial statements include the results of operations of the Vermont facilities from July 7, 2008 to May 31, 2010.

F-19

OMEGA HEALTHCARE INVESTORS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

Nursing home revenues and expenses, included in our consolidated financial statements that relate to such owned and operated assets are set forth in the tables below.

	For Year Ended December 31,
	2012		2011 (2)			2010 (1)
	(in thousands)
Nursing home revenues	$	—	$	—		$	7,336
Nursing home expenses		—		653			7,998
Loss from nursing home operations	$	—	$	(653	)	$	(662	)

(1) 2010 includes revenues and expenses for two facilities from January 1, 2010 through May 31, 2010.

(2) 2011 expense relates to run-off expense associated with shutting down the operations.

NOTE 5 - MORTGAGE NOTES RECEIVABLE

As of December 31, 2012, mortgage notes receivable relate to 12 fixed-rate mortgages on 31 long-term care facilities and two construction mortgages on two facilities currently under construction.  The mortgage notes are secured by first mortgage liens on the borrowers’ underlying real estate and personal property.  The mortgage notes receivable relate to facilities located in five (5) states, operated by five (5) independent healthcare operating companies.  We monitor compliance with mortgages and when necessary have initiated collection, foreclosure and other proceedings with respect to certain outstanding loans.

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

	December 31,
	2012		2011
	(in thousands)
Two Construction Mortgage notes; interest at 12.50%	$	11,751	$	2,234
Mortgage note due 2013; interest at 11.00%		5,000		5,000
Mortgage note due 2016; interest at 11.50%		-		11,545
Mortgage note due 2021; interest at 12.50%		5,574		5,574
Mortgage note due 2021; monthly payment of $34,500, including interest at 11.00%		91,585		92,000
Mortgage note due 2022; interest at 12.50%		5,310		4,990
Mortgage notes due 2022; interest at 12.00%		7,076		6,504
Mortgage note due 2023; interest at 11.00%		69,928		69,928
Mortgage note due 2030; interest at 10.40%		15,897		15,900
Four Mortgage notes due 2046; interest at 12.00%		26,500		25,000
Total mortgages — net (1)	$	238,621	$	238,675

(1) As of December 31, 2011 and 2012 we have no allowance for loan loss for any of our mortgages.

2012 Mortgage Note Activity

2012 Mortgage Payoff

In October 2012, we received cash from the mortgagee for the payoff of a first mortgage loan on two Florida SNFs.  As a result of the payoff, during the fourth quarter of 2012, we accelerated recognition of mortgage fees we had previously deferred.  We recorded the accelerated deferred mortgage fees as Mortgage interest income.

F-20

OMEGA HEALTHCARE INVESTORS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

Two Construction Mortgage Notes

In October 2011 we entered into a $7.8 million construction mortgage to construct a new 120 bed SNF in Michigan.  The construction mortgage converts into a 10 year interest only mortgage upon completion of construction.  The 120 bed SNF is still under construction with total funding of approximately $7.4 million as of December 31, 2012.

In July 2012, we entered into a $6.2 million construction mortgage to construct a new 138 bed SNF in Michigan.  The construction mortgage converts into a 10 year interest only mortgage upon completion of construction.  The 138 bed SNF is still under construction with total funding of approximately $4.3 million as of December 31, 2012.

Mortgage Note due 2021

In September 2011, the construction loan that we entered into in 2010 to construct a new SNF in Michigan was completed.  The $5.6 million loan is an interest only loan and bears interest at an annual rate of 12.5% and matures on the 10th anniversary of the completion of construction of the facility.

Mortgage Note due 2022

In March 2012, the second construction loan that we entered into in 2010 to construct a new SNF in Michigan was completed.  The $5.3 million loan is an interest only loan and bears interest at an annual rate of 12.5% and matures on the 10th anniversary of the completion of construction of the facility.

Mortgage Notes due 2022

On August 1, 2012, we entered into an additional $0.8 million mortgage loan with an existing operator.  The loan was added to an existing mortgage for one property to fund renovations.  As of December 31, 2012, the balance of the loan related to the property was approximately $7.1 million.  The mortgage loans mature on July 31, 2022 and carry an annual interest rate of 12%.

Four Mortgage Notes due 2046

On November 30, 2012, we entered into a $1.5 million first mortgage loan secured by a lien on a 60 bed SNF located in Michigan.  The mortgage currently bears interest at 12% and increases to 13.5% in year 7.  The mortgage matures in 2046.

2011 Mortgage Note Activity

$92.0 Million Mortgage Note due 2021

On November 14, 2011, we entered into a $92.0 million first mortgage loan to finance a new operator’s purchase of 13 SNFs in Michigan, totaling 1,421 beds.  The term of the mortgage is 10 years.  The interest rate during the first 3 years will accrue at a fixed annual rate of 11%.  During loan years 4, 5 and 6, interest will accrue at a fixed annual rate of 11.75% and during the remaining term of the note, interest will accrue at a fixed annual rate of 12.5%.

Four Mortgage Notes due 2046

On October 31, 2011, we entered into a $25.0 million first mortgage loan secured by a lien on three SNFs, totaling 352 beds, all located in Maryland.  The mortgage currently bears interest at 12% and increases to 13.5% in year 7.  The mortgages mature in 2046.

Mortgage Note due 2013

On July 18, 2011, we entered into a $5.0 million first mortgage loan with an existing operator to finance the purchase of one SNF in Texas.  The mortgage loan matures in July 2013 and carries an annual interest rate of 10%.

F-21

OMEGA HEALTHCARE INVESTORS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

NOTE 6 - OTHER INVESTMENTS

A summary of our other investments is as follows:

	December 31,
	2012			2011
	(in thousands)
Infinia on demand	$	-		$	225
Other Investment note due 2015		2,518			2,718
Other Investment notes due 2021 - 2023		9,775			4,996
Other Investment note due 2013(1)		1,018			12,938
Other Investment note due 2014		812			1,500
$28.0 million Other Investment note due 2017		26,500			28,000
$4.0 Million Other Investment note due 2013		3,450			-
Other Investment note due 2013		261			-
$1.3 million Other Investment note due 2017		425			-
Notes receivable, gross(2)		44,759			50,377
Allowance for loss on notes receivable		(1,977	)		(1,977	)
Notes receivable, net		42,782			48,400
Marketable securities and other		4,557			4,557
Total other investments	$	47,339		$	52,957

(1) The Formation note was assumed by Genesis on January 1, 2012.

(2) The majority of these notes bear interest at approximately 10% annually.

For the years ended December 31, 2012 and 2011, apart from the normal scheduled monthly loan payments, we had the following transactions that impacted our other investments:

Other Investment note due 2013

In 2012, we received principal payments of approximately $11.9 million towards the working capital loan.

$1.3 million Other Investment note due 2017

In March 2012, we entered into a working capital loan with an existing operator for $1.3 million.  The loan bears interest at 10% per year and matures in March 2017.

$4.0 Million Other Investment note due 2013

In November 2012, we entered into a short-term working capital note with a new operator for $4.0 million.  The loan bears interest at 10% per year and matures in May 2013.

Other Investment note due 2013

In 2012, we entered into a working capital loan with an existing operator for $750,000.  The loan bears interest at 10% per year and matures in March 2013.

$28.0 million Other Investment note due 2017

In December 2011, we entered into a five year $28.0 million loan agreement with an existing operator.  The loan bears interest at 10% per annum.  In 2012, we received $1.5 million in principal payments related to the loan.

Other Investment notes due 2021 - 2023

In 2011, we entered into six capital renovation loans with an existing operator to provide funds to renovate six facilities.  The loans mature between 2021 and 2023 and bear interest at an initial rate of 10% with escalators of 2.5% per year.  The maximum draw of all six of the loans is approximately $11.0 million.

F-22

OMEGA HEALTHCARE INVESTORS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

NOTE 7 - CONCENTRATION OF RISK

As of December 31, 2012, our portfolio of real estate investments consisted of 478 healthcare facilities, located in 34 states and operated by 46 third-party operators.  Our gross investment in these facilities, net of impairments and before reserve for uncollectible loans, totaled approximately $3.3 billion at December 31, 2012, with approximately 99% of our real estate investments related to long-term care facilities.  This portfolio is made up of 418 SNFs, 16 ALFs, 11 specialty facilities, fixed rate mortgages on 31 SNFs, and two SNFs that are held-for-sale.  At December 31, 2012, we also held miscellaneous investments of approximately $47.3 million, consisting primarily of secured loans to third-party operators of our facilities.

At December 31, 2012, we had two investments with operators and/or managers that exceeded 10% of our total investments: (i) Genesis (11%), and (ii) CommuniCare (10%).  The three states in which we had our highest concentration of investments were Florida (18%), Ohio (11%) and Indiana (10%) at December 31, 2012.

For the year ended December 31, 2012, our revenues from operations totaled $350.5 million, of which approximately $44.5 million were from Genesis (on a pro forma basis including Sun Healthcare, which Genesis acquired in December 2012) (13%) and $44.2 million from CommuniCare (13%).  No other operator generated more than 9% of our revenues from operations for the year ended December 31, 2012.

NOTE 8 - LEASE AND MORTGAGE DEPOSITS

We obtain liquidity deposits and letters of credit from most operators pursuant to our lease and mortgage contracts with the operators.  These generally represent the rental and mortgage interest for periods ranging from three to six months with respect to certain of our investments.  At December 31, 2012, we held $5.9 million in such liquidity deposits and $46.9 million in letters of credit.  The liquidity deposits may be applied in the event of lease and loan defaults, subject to applicable limitations under bankruptcy law with respect to operators filing under Chapter 11 of the United States Bankruptcy Code.  Liquidity deposits are recorded as restricted cash on our consolidated balance sheets with the offset recorded as a liability.  Additional security for rental and mortgage interest revenue from operators is provided by covenants regarding minimum working capital and net worth, liens on accounts receivable and other operating assets of the operators, provisions for cross default, provisions for cross-collateralization and by corporate/personal guarantees.

F-23

OMEGA HEALTHCARE INVESTORS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

NOTE 9 - BORROWING ARRANGEMENTS

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

		Current		December 31,
	Maturity	Rate		2012		2011
				(in thousands)
Secured borrowings:
HUD Berkadia mortgages assumed June 2010 (1)	2036 - 2040	6.61	%	$	62,921	$	64,533
HUD Capital Funding mortgages assumed June 2010 (1)	2040 - 2045	4.85	%		130,887		133,061
HUD mortgages assumed October 2011 (1)	2036 - 2040	4.87	%		31,991		32,813
HUD mortgages assumed December 2011(1)	2044	5.55	%		58,884		73,203
HUD mortgages assumed December 2012(1)	2031 - 2045	5.50	%		81,855		—
Total secured borrowings					366,538		303,610
Unsecured borrowings:
Revolving line of credit	2016 - 2017	1.81	%	$	258,000	$	272,500
2016 Notes	2016	7.00	%		—		175,000
2020 Notes	2020	7.50	%		200,000		200,000
2022 Notes	2022	6.75	%		575,000		575,000
2024 Notes	2024	5.875	%		400,000		—
Subordinated debt	2021	9.00	%		21,049		21,219
					1,196,049		971,219
Premium - net					4,345		4,071
Total unsecured borrowings					1,458,394		1,247,790
Totals – net				$	1,824,932	$	1,551,400

(1) Reflects the weighted average interest rate on the mortgages.

Secured Borrowings

HUD Berkadia Mortgages assumed June 2010

In connection with the June 29, 2010 Capital Source HUD Portfolio Closing, we assumed HUD indebtedness with maturity dates ranging from January 2036 and May 2040.  On the date of the assumption, we estimated the fair value of the assumed debt to be approximately $13.7 million more than the face value of the debt assumed.  We amortized the fair value adjustment utilizing the effective interest method from the date of assumption.  As of December 31, 2012 and 2011, the fair value adjustment represents approximately $11.6 million and $12.4 million, respectively, of the above balances.

HUD Capital Funding Mortgages assumed June 2010

In connection with the June 29, 2010 Capital Source HUD Portfolio Closing, we assumed HUD indebtedness with maturity dates range from January 2040 and January 2045.  On the date of the assumption, we estimated the fair value of the assumed debt to be approximately $7.4 million more than the face value of the debt assumed.  We amortized the fair value adjustment utilizing the effective interest method from the date of assumption.  As of December 31, 2012 and 2011, the fair value adjustment represents approximately $6.4 million and $6.8 million, respectively, of the above balances.

HUD Mortgages assumed October 2011

In connection with the October 31, 2011 acquisition, we assumed HUD indebtedness with maturity dates range from April 2036 and September 2040.  On the date of the assumption, we estimated the fair value of the assumed debt to be approximately $3.0 million more than the face value of the debt assumed.  We amortized the fair value adjustment utilizing the effective interest method from the date of assumption.  As of December 31, 2012 and 2011, the fair value adjustment represents approximately $2.8 million and $3.0 million, respectively, of the above balances.

F-24

OMEGA HEALTHCARE INVESTORS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

HUD Mortgages assumed December 2011

In connection with the December 23, 2011 acquisition, we assumed HUD indebtedness with maturity dates ranging from October 2029 to July 2044.  On the date of the assumption, we estimated the fair value of the assumed debt to be approximately $1.9 million more than the face value of the debt assumed.  We amortized the fair value adjustment utilizing the effective interest method from the date of assumption.

On June 29, 2012, we paid approximately $11.8 million to retire four HUD mortgages that were assumed as part of the acquisition.  The retirement of the four HUD mortgages resulted in a net gain of approximately $1.7 million.  The net gain included the write-off of approximately $1.8 million of the unamortized fair value adjustment of the assumed debt as well as a prepayment fee of approximately $0.1 million.  As of December 31, 2012, no fair value adjustment remains.

HUD Mortgages assumed December 2012

In connection with the fourth quarter 2012 acquisitions, we assumed $71.9 million of HUD indebtedness with maturity dates ranging from April 2031 to February 2045.  On the date of the assumption, we estimated the fair value of the assumed debt to be approximately $10.1 million more than the face value of the debt assumed.  We will amortize the fair value adjustment utilizing the effective interest method from the date of assumption.  As of December 31, 2012, the assumed debt balance including the fair value adjustment was $81.9 million.

Unsecured Borrowings

$700 Million Unsecured Credit Facility

On December 6, 2012, we entered into a new $700 million unsecured credit facility, comprised of a $500 million unsecured revolving credit facility  (the “2012 Revolving Credit Facility”) and a $200 million unsecured, deferred draw term loan facility (the “2012 Term Loan Facility” and, together with the 2012 Revolving Credit Facility, collectively, the “2012 Credit Facilities”).

The 2012 Credit Facilities replaced our previous $475 million senior unsecured revolving credit facility (the “2011 Credit Facility”).  The 2012 Credit Facilities include an “accordion feature” that permits us to expand its borrowing capacity by a combined $300 million, to a total of $1 billion.

The 2012 Revolving Credit Facility is priced at LIBOR plus an applicable percentage (beginning at 150 basis points, with a range of 100 to 190 basis points) based on our ratings from Standard & Poor’s, Moody’s and/or Fitch Ratings, plus a facility fee based on the same ratings (initially 30 basis points, with a range of 15 to 45 basis points).  At December 31, 2012, we had $158 million in borrowings outstanding under the 2012 Revolving Credit Facility. The 2012 Revolving Credit Facility matures in four years, on December 6, 2016, with an option by us to extend the maturity one additional year.

The 2012 Term Loan Facility is also priced at LIBOR plus an applicable percentage (beginning at 175 basis points, with a range of 110 to 230 basis points) based our ratings from Standard & Poor’s, Moody’s and/or Fitch Ratings.  At December 31, 2012, we had $100 million in borrowings outstanding under the 2012 Term Loan Facility.  We have until April 5, 2013 to borrow the full $200 million under the 2012 Term Loan Facility.  The 2012 Term Loan Facility matures in five years, on December 6, 2017.

At December 31, 2012, we had a total of $258.0 million outstanding under the 2012 Credit Facilities, and no letters of credit outstanding, leaving availability of $442.0 million.  For the year ended December 31, 2012, the weighted average interest rate was 1.81% for borrowings under our 2012 Credit Facilities.

Termination of $475 Million Unsecured Revolving Credit Facility

On August 16, 2011, we entered into our new $475 million 2011 Credit Facility and concurrently terminated our 2010 Credit Facility.  The 2011 Credit Facility was unsecured and was scheduled to mature in four years, on August 17, 2015.

F-25

OMEGA HEALTHCARE INVESTORS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

At December 31, 2011, we had $272.5 million outstanding under the 2011 Credit Facility, and no letters of credit outstanding, leaving availability of $202.5 million.  For the year ended December 31, 2011, the weighted average interest rate was 2.85%.

On December 6, 2012, we terminated our 2011 Credit Facility and for the three month period ended December 31, 2012, we recorded a non-cash charge of approximately $2.5 million relating to the write-off of unamortized deferred financing costs associated with the termination of the 2011 Credit Facility.

Termination of $320 Million Secured Revolving Credit Facility

On August 16, 2011, we terminated our previous $320 million senior secured revolving credit facility (the “2010 Credit Facility”) and recorded a non-cash charge of approximately $3.1 million relating to the write-off of unamortized deferred financing costs associated with the termination of the 2010 Credit Facility.

$175 Million 7% Senior Notes due 2016 Tender Offer and Redemption

On March 5, 2012, we commenced a tender offer to purchase for cash any and all of our outstanding $175 million aggregate principal amount of 7% Senior Notes due 2016, or the 2016 Notes.  Pursuant to the terms of the tender offer, on March 19, 2012, we purchased $168.9 million aggregate principal amount of the 2016 Notes.

On March 27, 2012, pursuant to the terms of the indenture governing the 2016 Notes, we redeemed the remaining $6.1 million aggregate principal amount of the 2016 Notes at a redemption price of 102.333% of their principal amount, plus accrued and unpaid interest up to the redemption date. Following redemption, the 2016 Notes, the indenture governing the 2016 Notes and the related guarantees were terminated.

The redemption resulted in approximately $7.1 million of redemption related costs and write-offs, including $4.5 million in payments made to bondholders for early redemption, $2.2 million of write-offs associated with unamortized deferred financing costs and $0.4 million of expenses associated with the tender and redemption.

$200 Million 7.5% Senior Notes due 2020 and Exchange Offer

On February 9, 2010, we issued and sold $200 million aggregate principal amount of 7.5% Senior Notes due 2020 (the “2020 Notes”).  The 2020 Notes mature on February 15, 2020 and pay interest semi-annually on August 15th and February 15th.

We may redeem the 2020 Notes, in whole at any time or in part from time to time, at redemption prices of 103.75%, 102.5% and 101.25% of the principal amount thereof if the redemption occurs during the 12-month periods beginning on February 15 of the years 2015, 2016 and 2017, respectively, and at a redemption price of 100% of the principal amount thereof on and after February 15, 2018, in each case, plus any accrued and unpaid interest to the redemption date.  In addition, until February 15, 2013 we may redeem up to 35% of the 2020 Notes with the net proceeds of one or more public equity offerings at a redemption price of 107.5% of the principal amount of the 2020 Notes to be so redeemed, plus any accrued and unpaid interest to the redemption date.  If we undergo a change of control, we may be required to offer to purchase the notes from holders at a purchase price equal to 101% of the principal amount plus accrued interest.

The 2020 Notes were sold at an issue price of 98.278% of the principal amount, resulting in gross proceeds of approximately $197million.  We used the net proceeds from the sale of the 2020 Notes, after discounts and expenses, to (i) repay outstanding borrowings of approximately $59 million of debt assumed in connection with our December 22, 2009 CapitalSource acquisition, (ii) repay outstanding borrowings under our 2009 Credit Facility, and (iii) for working capital and general corporate purposes, including the acquisition of healthcare-related properties such as the CapitalSource acquisitions.  The 2020 Notes are guaranteed by substantially all of our subsidiaries as of the date of issuance.  The entities we acquired on June 29, 2010 from CapitalSource which own 40 facilities (see “HUD Portfolio Closing” in Note 3) and the entities created to effect the acquisition and the 18 HUD facilities and entities that we are acquired on October 31, 2011 and on December 23, 2011 are not guarantors of our 2020 Notes, or our outstanding 2022 or 2016 Notes.  As of December 31, 2012, our subsidiaries that are not guarantors of the 2020 Notes accounted for approximately $597.9 million of our total assets.

F-26

OMEGA HEALTHCARE INVESTORS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

On October 20, 2010, we commenced an offer to exchange $200 million of our registered 7.5% Senior Notes due 2020 for all of the initial 2020 Notes. All $200 million outstanding aggregate principal amount of the initial notes were validity tendered and not withdrawn prior to the expiration of the exchange offer, and were exchanged for exchange notes as of November 22, 2010.  The terms of the exchange notes are substantially identical to the terms of the initial notes, except that provisions of the initial notes relating to transfer restrictions, registration rights and additional interest do not apply to exchange notes.

$575 Million 6.75% Senior Notes due 2022 and Exchange Offer

On October 4, 2010, we issued and sold $225 million aggregate principal amount of our 6.75% Senior Notes due 2022 (the “Initial 2022 Notes”).  The Initial 2022 Notes mature on October 15, 2022 and pay interest semi-annually on April 15th and October 15th.  On November 23, 2010, we issued and sold $350 million aggregate principal amount of our 6.75% Senior Notes due 2022 (the “Additional 2022 Notes”). The Additional 2022 Notes are of the same series as, and thus have the same terms, as our Initial 2022 Notes.  The Initial 2022 Notes  together with the Additional 2022 Notes, are collectively the (“2022 Notes”).

The Initial 2022 Notes were sold at an issue price of 98.984% of the principal amount, resulting in gross proceeds of approximately $223million.  We used the net proceeds from the sale of the Initial 2022 Notes, after discounts and expenses, to (i) pay off borrowings under the 2010 Credit Facility and (ii) for general corporate purposes.  The Additional 2022 Notes were sold at an issue price of 103% of their face value, before initial purchasers’ discount, plus accrued interest from October 4, 2010, resulting in gross proceeds to us of approximately $364 million. We used the net proceeds from the sale of the Additional 2020 Notes (i) to fund our tender offer for our outstanding $310 million aggregate principal amount of 7% Senior Notes due 2014, and (ii) for working capital and general corporate purposes.

We may redeem the 2022 Notes, in whole at any time or in part from time to time, at redemption prices of 103.375%, 102.25% and 101.125% of the principal amount thereof if the redemption occurs during the 12-month periods beginning on October 15 of the years 2015, 2016 and 2017, respectively, and at a redemption price of 100% of the principal amount thereof on and after October 15, 2018, in each case, plus any accrued and unpaid interest to the redemption date.  In addition, until October 15, 2013 we may redeem up to 35% of the 2022 Notes with the net proceeds of one or more public equity offerings at a redemption price of 106.75% of the principal amount of the 2022 Notes to be so redeemed, plus any accrued and unpaid interest to the redemption date.  If we undergo a change of control, we may be required to offer to purchase the notes from holders at a purchase price equal to 101% of the principal amount plus accrued interest.

On June 2, 2011, we commenced an offer to exchange $575 million of our 6.75% Senior Notes due 2022 for all of the 2022 Notes.  All $575 million outstanding aggregate principal amount of the notes were validly tendered and not withdrawn prior to the expiration of the exchange offer, and were exchanged for exchange notes as of July 14, 2011, pursuant to the terms of the exchange offer.  The exchange notes are identical in all material respects to the notes, except that the issuance of the exchange notes was registered under the Securities Act of 1933 and the provisions of the notes relating to transfer restrictions, registration rights and additional interest relating to registrations delays do not apply to the exchange notes.

As of December 31, 2012, our subsidiaries that are not guarantors of the 2022 Notes accounted for approximately $597.9 million of our total assets.

Issuance of $400 Million 5.875% Senior Notes due 2024 and Exchange Offer

On March 19, 2012, we issued $400 million aggregate principal amount of our 5.875% Senior Notes due 2024, or the 2024 Notes.  The 2024 Notes mature on March 15, 2024 and pay interest semi-annually on March 15 and September 15 of each year, commencing on September 15, 2012.

We may redeem the 2024 Notes, in whole at any time or in part from time to time, at redemption prices of 102.938%, 101.958% and 100.979% of the principal amount thereof if the redemption occurs during the 12-month periods beginning on March 15 of the years 2017, 2018 and 2019, respectively, and at a redemption price of 100% of the principal amount thereof on and after March 15, 2020, in each case, plus any accrued and unpaid interest to the redemption date.  In addition, until March 15, 2015 we may redeem up to 35% of the 2024 Notes with the net cash proceeds of one or more public equity offerings at a redemption price of 105.875% of the principal amount of the 2024 Notes to be so redeemed, plus any accrued and unpaid interest to the redemption date.  If we undergo a change of control, we may be required to offer to purchase the notes from holders at a purchase price equal to 101% of the principal amount plus accrued interest.

F-27

OMEGA HEALTHCARE INVESTORS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

The 2024 Notes were sold at an issue price of 100% of the principal amount. We used the net proceeds of the offering to fund the tender offer and consent solicitation for the 2016 Notes (described below), to fund the redemption of the untendered 2016 Notes (described below) and to repay a portion of our indebtedness outstanding under our 2011 Credit Facility.  As of December 31, 2012, our subsidiaries that are not guarantors of the 2024 Notes accounted for approximately $597.9 million of our total assets.

On August 15, 2012, we commenced an offer to exchange $400 million of our 5.875% Senior Notes due 2024 for all of the 2024 Notes.  All $400 million outstanding aggregate principal amount of the initial notes were validly tendered and not withdrawn prior to the expiration of the exchange offer, and were exchanged for exchange notes as of September 20, 2012, pursuant to the terms of the exchange offer.  The Exchange Notes are identical in all material respects to the Initial Notes, except that the Exchange Notes were registered under the Securities Act of 1933 and the provisions of the Initial Notes relating to transfer restrictions, registration rights and additional interest will not apply to the Exchange Notes.

Certain of our other secured and unsecured borrowings are subject to customary affirmative and negative covenants, including financial covenants.  As of December 31, 2011 and 2012, we were in compliance with all affirmative and negative covenants, including financial covenants, for our secured and unsecured borrowings.

The required principal payments, excluding the premium/discount on the 2024, 2022 and 2020 Notes, for each of the five years following December 31, 2012 and the aggregate due thereafter are set forth below:

	(in thousands)
2013	$	5,251
2014		5,540
2015		5,845
2016		164,168
2017		106,509
Thereafter		1,501,398
Totals	$	1,788,711

The following summarizes the refinancing related costs:

	Year Ended December 31,
	2012		2011		2010
	(in thousands)
Write off of deferred finance cost due to refinancing (1) (2)(3)	$	3,024	$	3,055	$	8,231
Prepayment and other costs associated with refinancing (4)		4,896		16		11,251
Total debt extinguishment costs	$	7,920	$	3,071	$	19,482

(1) In 2012, we wrote-off: (a) $2.2 million deferred financing costs associated with the tender offer and redemption of our $175 million 7% 2016 Notes; and (b) $2.5 million deferred financing costs associated with the termination of our $475 million 2011 Credit Facility.  These costs were offset by a $1.7 million gain resulting from the write-off of unamortized premium on the four HUD loans that were paid off in the second quarter of 2012.

(2) In 2011, we terminated our $320 million 2010 Credit Facility and wrote-off deferred financing costs of $3.1 million.

(3) In 2010, we wrote-off: (a) $3.5 million associated with the termination of our $200 million 2009 Credit Facility, (b) $2.2 million associated with the termination of a $100 million GECC term loan and (c) $2.6 million associated with the tender offer and retirement of our outstanding $310 million 7% Senior Notes due 2014.

(4) In 2012, we incurred $4.9 million prepayment penalties and other costs associated with the tender offer and redemption of our $175 million 7% 2016 Notes.  In 2010, we made prepayment penalties of: (a) $3.0 million for the early termination of a $100 million GECC term loan and (b) $8.3 million for the tender offer and retirement of our outstanding $310 million 7% Senior Notes due 2014.

F-28

OMEGA HEALTHCARE INVESTORS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

NOTE 10 - FINANCIAL INSTRUMENTS

At December 31, 2012 and 2011, the carrying amounts and fair values of our financial instruments were as follows:

	2012				2011
	Carrying Amount		Fair Value		Carrying Amount		Fair Value
	(in thousands)
Assets:
Cash and cash equivalents	$	1,711	$	1,711	$	351	$	351
Restricted cash		36,660		36,660		34,112		34,112
Mortgage notes receivable – net		238,621		235,705		238,675		241,494
Other investments – net		47,339		44,077		52,957		48,903
Totals	$	324,331	$	318,153	$	326,095	$	324,860
Liabilities:
Revolving line of credit	$	258,000	$	258,000	$	272,500	$	272,500
7.00% Notes due 2016 – net		—		—		174,376		186,398
7.50% Notes due 2020 – net		197,546		252,363		197,202		216,114
6.75% Notes due 2022 – net		581,799		724,240		582,493		582,684
5.875% Notes due 2024 – net		400,000		441,761		—		—
HUD debt		366,538		433,803		303,610		321,949
Subordinated debt		21,049		27,896		21,219		23,198
Totals	$	1,824,932	$	2,138,063	$	1,551,400	$	1,602,843

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

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

● Cash and cash equivalents and restricted cash:  The carrying amount of cash and cash equivalents and restricted cash reported in the balance sheet approximates fair value because of the short maturity of these instruments (i.e., less than 90 days).

● Mortgage notes receivable:  The fair values of the mortgage notes receivables are estimated using a discounted cash flow analysis, using interest rates being offered for similar loans to borrowers with similar credit ratings (Level 3).

● Other investments:  Other investments are primarily comprised of: (i) notes receivable and (ii) an investment in redeemable non-convertible preferred security of an unconsolidated business accounted for using the cost method of accounting.  The fair values of notes receivable are estimated using a discounted cash flow analysis, using interest rates being offered for similar loans to borrowers with similar credit ratings (Level 3).  The fair value of the investment in the unconsolidated business is estimated using quoted market value and considers the terms of the underlying arrangement (Level 3).

● Revolving lines of credit:  The fair value of our borrowings under variable rate agreements are estimated using an expected present value technique based on expected cash flows discounted using the current market rates (Level 2).

● Senior notes and other long-term borrowings:  The fair value of our borrowings under fixed rate agreements are estimated based on open market trading activity provided by a third party (Level 2).

F-29

OMEGA HEALTHCARE INVESTORS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

NOTE 11 – TAXES

We were organized, have operated, and intend to continue to operate in a manner that enables us to qualify for taxation as a REIT under Sections 856 through 860 of the Internal Revenue Code.  On a quarterly and annual basis we perform several analyses to test our compliance within the REIT taxation rules.  In order to qualify as a REIT, in addition to other requirements, we must: (i) distribute dividends (other than capital gain dividends) to our stockholders in an amount at least equal to (A) the sum of (a) 90% of our “REIT taxable income” (computed without regard to the dividends paid deduction and our net capital gain), and (b) 90% of the net income (after tax), if any, from foreclosure property, minus (B) the sum of certain items of non-cash income on an annual basis, (ii) ensure that at least 75% and 95%, respectively of our gross income is generated from qualifying sources that are described in the REIT tax law, (iii) ensure that at least 75% of our assets consist of qualifying assets, such as real property, mortgages, and other qualifying assets described in the REIT tax law, (iv) ensure that we do not own greater than 10% of the voting or value of any one security, (v) ensure that we do not own either debt or equity securities of another company that are in excess of 5% of our total assets and (vi) ensure that no more that 25% of our assets are invested in one or more taxable REIT subsidiaries. In addition to the above requirements, the REIT rules require that no less than 100 stockholders own shares or an interest in the REIT and that five or fewer individuals do not own (directly or indirectly) more than 50% of the shares or proportionate interest in the REIT.  If we fail to meet the above or any other requirements for qualification as a REIT in any tax year, we will be subject to federal income tax on our taxable income at regular corporate rates and may not be able to qualify as a REIT for the four subsequent years, unless we qualify for certain relief provisions that are available in the event we fail to satisfy any of these requirements.

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

So long as we qualify as a REIT, we generally will not be subject to Federal income taxes on the REIT taxable income that we distribute to stockholders, subject to certain exceptions.  In 2012, we paid common dividend payments of $182.2 million which satisfies the 2012 REIT requirements relating to the distribution of our REIT taxable income.  On a quarterly and annual basis we tested our compliance within the REIT taxation rules described above to ensure that we were in compliance with the rules.

In July 2008, we assumed operating responsibilities for the 15 Haven facilities due to the bankruptcy of one of our operators/tenants.  In September 2008, we entered into an agreement to lease these facilities to a new operator/tenant.  Effective September 1, 2008, the new operator/tenant assumed operating responsibility for 13 of the 15 facilities, and, as a result, we retained operating responsibility for two properties as of December 31, 2008.  We also were in the process at that time of addressing state regulatory requirements necessary to transfer the final two properties to the new operator/tenant.  We made an election on our 2008 federal income tax return to treat the Haven facilities as foreclosure properties.  Because we acquired possession in connection with a foreclosure, the Haven facilities were eligible to be treated as foreclosure property until the end of 2011. On June 1, 2010, the two remaining facilities were transitioned to the new tenant/operator upon approval by state regulators of the operating license transfer and as of such date, TC Healthcare no longer operates these facilities.  So long as the Haven facilities qualify as foreclosure property, our gross income from the properties will be qualifying income for the 75% and 95% gross income tests, but we will generally be subject to corporate income tax at the highest rate on the net income from the properties.  If one or more of the Haven facilities were to inadvertently fail to qualify as foreclosure property, we would likely recognize nonqualifying income from such property for purposes of the 75% and 95% gross income tests, which could cause us to fail to qualify as a REIT.  In addition, any gain from a sale of such property could be subject to the 100% prohibited transactions tax.  Since the year 2000, the definition of foreclosure property has included any “qualified health care property,” as defined in Code Section 856(e)(6) acquired by us as the result of the termination or expiration of a lease of such property.  We have from time to time operated qualified healthcare facilities acquired in this manner for up to two years (or longer if an extension was granted), including the Haven properties mentioned in the previous paragraph.  Properties that we had taken back in a foreclosure or bankruptcy and operated for our own account were treated as foreclosure properties for income tax purposes, pursuant to Internal Revenue Code Section 856(e).  Gross income from foreclosure properties was classified as “good income” for purposes of the annual REIT income tests upon making the election on the tax return.  Once made, the income was classified as “good” for a period of three years, or until the properties were no longer operated for our own account.  In all cases of foreclosure property, we utilized an independent contractor to conduct day-to-day operations to maintain REIT status.  In certain cases we operated these facilities through a taxable REIT subsidiary.  For those properties operated through the taxable REIT subsidiary, we formed a new entity (TC Healthcare) on our behalf through the use of an eligible independent contractor to conduct day-to-day operations to maintain REIT status.  As a result of the foregoing, we do not believe that our participation in the operation of nursing homes increased the risk that we would fail to qualify as a REIT.  Through our 2012 taxable year, we had not paid any tax on our foreclosure property because those properties had been producing losses.

F-30

OMEGA HEALTHCARE INVESTORS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

Subject to the limitation described above under the REIT asset test rules, we are permitted to own up to 100% of the stock of one or more TRSs.  Currently, we have one TRS that is taxable as a corporation and that pays federal, state and local income tax on its net income at the applicable corporate rates.  The TRS had a net operating loss carry-forward as of December 31, 2012 and 2011 of $1.1 million. The loss carry-forward was fully reserved at December 31, 2012 and 2011 with a valuation allowance due to uncertainties regarding realization.  There is currently no activity in the TRS.

NOTE 12 - RETIREMENT ARRANGEMENTS

Our company has a 401(k) Profit Sharing Plan covering all eligible employees.  Under this plan, employees are eligible to make contributions, and we, at our discretion, may match contributions and make a profit sharing contribution.

We have a deferred compensation plan which is an unfunded plan under which we can award units that result in participation in the dividends and future growth in the value of our common stock.  As of December 31, 2012 we had approximately $0.4 million in liabilities associated with the deferred compensation plan.

Amounts charged to operations with respect to these retirement arrangements totaled approximately $233,500, $222,500 and $168,700 in 2012, 2011 and 2010, respectively.

NOTE 13 – STOCKHOLDERS’ EQUITY

Stockholders’ Equity

$245 Million Equity Shelf Program

On June 19, 2012, we entered into separate Equity Distribution Agreements (collectively, the “2012 Agreements”) to sell shares of our common stock having an aggregate gross sales price of up to $245 million (the “2012 ESP”) with several financial institutions, each as a sales agent and/or principal (collectively, the “Managers”).  Under the terms of the 2012 Agreements, we may sell shares of our common stock, from time to time, through or to the Managers having an aggregate gross sales price of up to $245 million.  Sales of the shares will be made by means of ordinary brokers’ transactions on the New York Stock Exchange at market prices, or as otherwise agreed with the applicable Manager.  We will pay each Manager compensation for sales of the shares equal to 2% of the gross sales price per share of shares sold through such Manager.  We are not obligated to sell and the Managers are not obligated to buy or sell any shares under the 2012 Agreements.  No assurance can be given that we will sell any shares under the 2012 Agreements, or, if we do, as to the price or amount of shares that we sell, or the dates when such sales will take place.

For the year ended December 31, 2012, we issued 2.6 million shares under the 2012 ESP, at an average price of $24.10 per share, generating gross proceeds of approximately $63.6 million, before $1.3 million of commissions.

Termination of $140 Million Equity Shelf Program

On June 25, 2010, we entered into separate equity distribution agreements (the “2010 ESP Agreements”) to sell shares of our common stock having an aggregate gross sales price of up to $140 million (the “2010 ESP”) with several financial intuitions, each as sales agents and/or principal (collectively, the “2010 ESP Managers”).  On June 19, 2012, we terminated our $140 million 2010 ESP agreement.

For the year ended December 31, 2012, we issued approximately 759,000 shares of our common stock under the 2010 ESP at an average price per share of $21.27, generating gross proceeds of approximately $16.1 million, before $0.3 million of commissions.

F-31

OMEGA HEALTHCARE INVESTORS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

For the year ended December 31, 2011, 1.4 million shares of our common stock were issued through the 2010 ESP for net proceeds of approximately $31.4 million, net of $0.6 million of commissions.  For the year ended December 31, 2010, 3.1 million shares of our common stock were issued through the 2010 ESP for approximately $65.4 million, net of $1.3 million of commissions.

Since inception of the 2010 ESP, we have sold a total of 5.3 million shares of common stock generating total gross proceeds of $114.9 million under the program, before $2.3 million of commissions.  As a result of the termination of the 2010 ESP, no additional shares were issued under the 2010 ESP.  The proceeds of the sale of our common stock were used for working capital and for general corporate purposes.

$100 Million Stock Repurchase Program

On August 30, 2011, the Board of Directors authorized the repurchase of up to $100 million of our outstanding common stock from time to time over a period of 12 months following such authorization.  On September 30, 2011, we entered into open market transactions to repurchase 183,310 shares of our common stock at an average price of $15.96 per share.  This repurchase of these common shares settled in the ordinary course on October 5, 2011.  No other shares have been repurchased.

Redemption of Series D Preferred Stock

On March 7, 2011, pursuant to authorization from our Board of Directors, we redeemed all of the outstanding shares of our 8.375% Series D Cumulative Redeemable Preferred Stock at a redemption price of $25 per share plus $0.21519 per share in accrued and unpaid dividends up to and including the redemption date, for an aggregate redemption price of $25.21519 per share.  Dividends on the shares of Series D Preferred Stock ceased to accrue on and after the redemption date, after which the Series D Preferred Stock ceased to be outstanding.

We borrowed approximately $103 million under our previous 2010 Credit Facility to fund the redemption price.  In connection with the redemption of the Series D Preferred Stock, we wrote-off $3.5 million of preferred stock issuance costs that reduced 2011 net income available to common stockholders by approximately $0.03 per common share.

1.0 Million Share Common Stock Issuance

In connection with the June 29, 2010 CapitalSource acquisition, we issued approximately 1.0 million shares of our common stock to the selling stockholder.  The issue price of the common stock was $19.80 per share.

Dividend Reinvestment and Common Stock Purchase Plan

We have a Dividend Reinvestment and Common Stock Purchase Plan (the “DRSPP”) that allows for the reinvestment of dividends and the optional purchase of our common stock.  For the year ended December 31, 2012, we issued 5.1 million shares of common stock for approximately $111.9 million.  For the year ended December 31, 2011, we issued 2.9 million shares of common stock for approximately $59.1 million in net proceeds.

NOTE 14 –STOCK-BASED COMPENSATION

As of December 31, 2012, 1,670,244 shares of common stock were reserved for issuance to our employees, directors and consultants under our stock incentive plans, including 372,735 shares subject to outstanding awards.  Awards under our stock incentive plans may be in the form of stock, stock options, restricted stock, and performance restricted stock units.

Stock Options and Tax Withholding

At December 31, 2012, there were no options outstanding.

Cash received from the exercise under all stock-based payment arrangements for the years ended December 31, 2012, 2011 and 2010 was $0, $0 and $89,000, respectively.  Cash used to pay minimum tax withholdings for equity instruments granted under stock-based payment arrangements for the years ended December 31, 2012, 2011 and 2010, was $1.2 million, $1.3 million and $2.1 million, respectively.

F-32

OMEGA HEALTHCARE INVESTORS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

Restricted Stock Awards

Restricted stock awards are subject to forfeiture if the holder’s service to us terminates prior to vesting, subject to certain exceptions for certain qualifying terminations of employment or a change in control of the Company.  Prior to vesting, ownership of the shares cannot be transferred.  The restricted stock has the same dividend and voting rights as the common stock.  We expense the cost of these awards ratably over their vesting period.

In May 2007, we granted 286,908 shares of restricted stock to five executive officers under the 2004 Plan.  The restricted stock award vested one-seventh on December 31, 2007 and two-sevenths on December 31, 2008, December 31, 2009, and December 31, 2010.  As of December 31, 2010, all shares were vested.

Effective January 2011, we granted 428,503 shares of restricted stock and 496,979 performance restricted stock units (“PRSUs”) to six employees. The restricted stock awards vest 100% on December 31, 2013, subject to continued employment on the vesting date and subject to certain exceptions for certain qualifying terminations of employment or a change in control of the Company.  As of December 31, 2012, no shares of restricted stock have vested under these restricted stock awards.

In addition, we grant restricted stock to directors each year as part of the director compensation.  These shares vest ratably over a three year period, subject to exceptions for death, disability, mandatory retirement or a change in control of the Company.

The following table summarizes the activity in restricted stock for the years ended December 31, 2010, 2011 and 2012:

	Number of Shares			Weighted Average Grant-Date Fair Value per Share		Compensation Cost (1) (in millions)
Non-vested at December 31, 2009		102,374		$	16.81
Granted during 2010		15,500			20.00	$	0.3
Vested during 2010		(91,607	)		16.96
Non-vested at December 31, 2010		26,267		$	18.19
Granted during 2011		444,003			22.42	$	10.0
Vested during 2011		(11,968	)		17.42
Non-vested at December 31, 2011		458,302		$	22.31
Granted during 2012		15,500			20.29	$	0.3
Vested during 2012		(14,300	)		19.56
Non-vested at December 31, 2012		459,502		$	22.33
(1)  Total compensation cost to be recognized on the awards based on grant date fair value.

Performance Restricted Stock Units

Performance Restricted Stock Units (“PRSU”) are subject to forfeiture if the employee terminates service prior to vesting, subject to certain exceptions for certain qualifying terminations of employment or a change in control of the Company.  Prior to vesting and distribution of shares, ownership of the shares cannot be transferred.  The dividends on the PRSUs accumulate and if vested are paid.  We expense the cost of these awards ratably over the employee’s service period.

In May 2007, we awarded two types of PRSU (annual and cliff vesting awards) to five employees totaling 247,992 shares.  One half of the PRSU awards were eligible for annual vesting based on performance in equal increments on December 31, 2008, December 31, 2009, and December 31, 2010, respectively.  The other half of the PRSU awards were eligible for cliff vesting on December 31, 2010.  Vesting on both types of awards requires achievement of total shareholder return (“TSR”) as defined in the agreements filed with the SEC on May 8, 2007.  On March 29, 2010, the Compensation Committee of Omega’s Board of Directors (the “Committee”) determined that, based on the 26% TSR actually achieved for the twelve month period ended December 31, 2009 and in light of the challenging economic and capital market conditions that prevailed generally during 2009, it was appropriate to waive the vesting requirement solely with respect to the PRSUs that would have vested on December 31, 2009 had a cumulative, annualized TSR of 11% been achieved.  As a result of the modification to the 2009 PRSUs, we recorded approximately $0.4 million of additional expense which was recorded during the first quarter of 2010 and accrued dividends of approximately $0.1 million related to this vesting.  As of December 31, 2010, the performance targets for all of the awards were achieved and all shares became vested in respect of these PRSUs.  All vested shares have been delivered to the executives.

F-33

OMEGA HEALTHCARE INVESTORS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

Effective January 1, 2011, we awarded three types of PRSUs to the six employees: (i) 124,244 annual total shareholder return (“TSR”) PRSUs for the year ended December 31, 2011 (“2011 Annual TSR PRSUs”); (ii) 279,552 multi-year absolute TSR PRSUs and (iii) 93,183 multi-year relative TSR PRSUs.  On January 1, 2012, we awarded to the six employees 124,244 annual TSR PRSUs for the year ended December 31, 2012 (“2012 Annual TSR PRSUs”).  On January 1, 2013, we awarded to the six employees 124,244 annual TSR PRSUs for the year ended December 31, 2013 (“2013 Annual TSR PRSUs”).

Annual TSR PRSUs

The number of shares earned under the annual TSR PRSUs depends generally on the level of achievement of TSR for the year.  The annual TSR PRSUs vest on December 31 of the year, subject to continued employment on the vesting date and subject to certain exceptions for certain qualifying terminations of employment or a change in control of the Company.

The 2011 Annual TSR PRSUs were forfeited because the required TSR for 2011 was not achieved.  At December 31, 2012, the performance requirement for the 2012 Annual TSR PRSUs was achieved and the 124,244 shares vested and were distributed to the employees.

Multi-year TSR PRSUs

The number of shares earned under the multi-year TSR PRSUs depends generally on the level of achievement of TSR for the three-years ending December 31, 2013.  The multi-year TSR PRSUs vest 25% on the last day of each calendar quarter in 2014, subject to continued employment on the vesting date and subject to certain exceptions for certain qualifying terminations of employment or a change in control of the Company.

Multi-year Relative TSR PRSUs

The number of shares earned under the multi-year relative TSR PRSUs depends generally on  the level of achievement of TSR relative to other real estate investment trusts in the MSCI U.S. REIT Index for the three-years ending December 31, 2013.  The multi-year relative TSR PRSUs vest 25% on the last day of each calendar quarter in 2014, subject to continued employment on the vesting date and subject to certain exceptions for certain qualifying terminations of employment or a change in control of the Company.

The PRSU awards have varying degrees of performance requirements to achieve vesting, and each PRSU award represents the right to a variable number of shares of common stock and related dividend equivalents based on dividends paid to stockholders during the applicable performance period.

As of December 31, 2012, none of these PRSUs are vested or earned.

We used a Monte Carlo model to estimate the fair value and derived service periods for PRSUs granted to the employees in January 2011 and in January 2012.

F-34

OMEGA HEALTHCARE INVESTORS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

The following table summarizes the activity in PRSU for the years ended December 31, 2010, 2011 and 2012:

	Number of Shares			Weighted- Average Grant- Date Fair Value per Share		Compensation Cost (1) (in millions)
Non-vested at December 31, 2009		247,992		$	7.28
Granted during 2010		-			-
Modification during 2010		-			1.48	$	0.4
Vested during 2010		(247,992	)		8.76
Non-vested at December 31, 2010		-		$	-
Granted during 2011		496,979			11.28	$	5.6
Vested during 2011		-			-
Forfeited during 2011		(124,244	)		11.04
Non-vested at December 31, 2011		372,735		$	11.36
Granted during 2012		124,244			9.61	$	1.2
Vested during 2012		(124,244	)		9.61
Non-vested at December 31, 2012		372,735		$	11.36

(1) Total compensation cost to be recognized on the awards was based on grant date fair value or the modification date fair value.

NOTE 15 - DIVIDENDS

Common Dividends

On January 16, 2013, the Board of Directors declared a common stock dividend of $0.45 per share, increasing the quarterly common dividend by $0.01 per share over the prior quarter, which was paid February 15, 2013 to common stockholders of record on January 31, 2013.

On October 17, 2012, the Board of Directors declared a common stock dividend of $0.44 per share, increasing the quarterly common dividend by $0.02 per share, or 4.8% over the previous quarter, which was paid November 15, 2012 to common stockholders of record on October 31, 2012.

On July 17, 2012, the Board of Directors declared a common stock dividend of $0.42 per share, which was paid August 15, 2012 to common stockholders of record on July 31, 2012.

On April 17, 2012, the Board of Directors declared a common stock dividend of $0.42 per share, increasing the quarterly common dividend by $0.01 per share over the prior quarter, which was paid May 15, 2012 to common stockholders of record on April 30, 2012.

On January 13, 2012, the Board of Directors declared a common stock dividend of $0.41 per share, increasing the quarterly common dividend by $0.01 per share over the prior quarter, which was paid February 15, 2012 to common stockholders of record on January 31, 2012.

F-35

OMEGA HEALTHCARE INVESTORS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

Per Share Distributions

Per share distributions by our company were characterized in the following manner for income tax purposes (unaudited):

	Year Ended December 31,
	2012		2011		2010
Common
Ordinary income	$	0.884	$	0.989	$	0.777
Return of capital		0.806		0.561		0.593
Long-term capital gain		—		—		—
Total dividends paid	$	1.690	$	1.550	$	1.370
Series D Preferred
Ordinary income	$	—	$	0.739	$	2.094
Return of capital		—		—		—
Long-term capital gain		—		—		—
Total dividends paid	$	—	$	0.739	$	2.094

For additional information regarding dividends, see Note 9 – Borrowing Arrangements and Note 11 – Taxes.

NOTE 16 - LITIGATION

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

On January 7, 2010, LCT SE Texas Holdings, L.L.C., an affiliate of Mariner Health Care and the lessee of four facilities located in the Houston area, filed a petition in the District Court of Harris County, Texas (No. 2010-01120) against four landlord entities, the member interests of which we purchased as part of the December 2009 acquisition from CapitalSource. On April 19, 2011, the Court dismissed with prejudice Plaintiff’s claims against the Defendants, all pursuant to a joint motion to dismiss filed by the parties.

During the first quarter of 2010, we agreed to settle a lawsuit for approximately $3.7 million in cash with a prior tenant for breach of contract related to failure to pay rent owed to us.  We recorded the settlement as miscellaneous income in the accompanying consolidated statements of operations.

F-36

OMEGA HEALTHCARE INVESTORS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

NOTE 17 - SUMMARY OF QUARTERLY RESULTS (UNAUDITED)

The following summarizes quarterly results of operations for the years ended December 31, 2012 and 2011.

	March 31			June 30		September 30		December 31
	(in thousands, except per share amounts)
2012
Revenues	$	84,515		$	83,825	$	87,108	$	95,012
Net income		26,084			30,572		30,119		33,923
Net income available to common stockholders		26,084			30,572		30,119		33,923
Net income available to common per share:
Basic net income	$	0.25		$	0.29	$	0.28	$	0.30
Diluted net income	$	0.25		$	0.29	$	0.27	$	0.30
Cash dividends paid on common stock	$	0.41		$	0.42	$	0.42	$	0.44
2011
Revenues	$	70,476		$	72,606	$	72,818	$	76,304
Net (loss) income		(5,913	)		17,790		21,436		19,293
Net (loss) income available to common stockholders		(11,076	)		17,806		21,436		19,293
Net income available to common per share:
Basic net (loss) income	$	(0.11	)	$	0.17	$	0.21	$	0.19
Diluted net (loss) income	$	(0.11	)	$	0.17	$	0.21	$	0.19
Cash dividends paid on common stock	$	0.37		$	0.38	$	0.40	$	0.40

F-37

OMEGA HEALTHCARE INVESTORS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

NOTE 18 - EARNINGS PER SHARE

The computation of basic EPS is computed by dividing net income available to common stockholders by the weighted-average number of shares of common stock outstanding during the relevant period.  Diluted EPS is computed using the treasury stock method, which is net income available to common stockholders divided by the total weighted-average number of common outstanding shares plus the effect of dilutive common equivalent shares during the respective period.  Dilutive common shares reflect the assumed issuance of additional common shares pursuant to certain of our share-based compensation plans, including stock options, restricted stock and performance restricted stock units.

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

	Year Ended December 31,
	2012		2011			2010
	(in thousands, except per share amounts)
Numerator:
Net income	$	120,698	$	52,606		$	58,436
Preferred stock dividends		-		(1,691	)		(9,086	)
Preferred stock redemption		-		(3,456	)		-
Numerator for net income available to common per share - basic and diluted	$	120,698	$	47,459		$	49,350
Denominator:
Denominator for basic earnings per share		107,591		102,119			94,056
Effect of dilutive securities:
Restricted stock		401		45			171
Stock option incremental shares		-		-			3
Deferred stock		19		13			7
Denominator for diluted earnings per share		108,011		102,177			94,237

Earnings per share - basic:
Net income - basic	$	1.12	$	0.46	$	0.52
Earnings per share - diluted:
Net income - diluted	$	1.12	$	0.46	$	0.52

NOTE 19– CONSOLIDATING FINANCIAL STATEMENTS

As of December 31, 2012, we had outstanding (i) $200 million 7.5% Senior Notes due 2020, (ii) $575 million 6.75% Senior Notes due 2022 and (iii) $400 million 5.875% Senior Notes due 2024, which we collectively refer to as the Senior Notes.  The Senior Notes are fully and unconditionally guaranteed, jointly and severally, by each of our subsidiaries that guarantee other indebtedness of Omega or any of the subsidiary guarantors.  Any subsidiary that we properly designate as an “unrestricted subsidiary” under the indentures governing the Senior Notes will not provide guarantees of the Senior Notes.  As of and prior to March 31, 2010, the non-subsidiary guarantors were minor and insignificant.  On June 29, 2010, we designated as “unrestricted subsidiaries” the 39 subsidiaries we acquired from CapitalSource subject to HUD indebtedness.  During the fourth quarter of 2011, we designated as “unrestricted subsidiaries” 20 subsidiaries we acquired subject to HUD indebtedness.  During the fourth quarter of 2012, we designated as “unrestricted subsidiaries” eight subsidiaries we acquired subject to HUD indebtedness.

On July 17, 2012, our Board of Directors approved removing the unrestricted subsidiary designation from five subsidiaries due to the retirement of the HUD related mortgages.  The total assets related to these five “unrestricted subsidiaries” at June 30, 2012 was approximately $47.9 million.  As a result, the December 31, 2011 consolidating balance sheet reflects the removal of the restriction from these five subsidiaries.

F-38

OMEGA HEALTHCARE INVESTORS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

For the years ended December 31, 2012 and 2011, the operating cash flow of the non-guarantor subsidiaries approximated net income of the non-guarantor subsidiaries, adjusted for depreciation and amortization expense.  For the years ended December 31, 2012 and 2011, the non-guarantor subsidiaries have not engaged in investing or financing activities other than routine principal payments on its HUD mortgage debt of $4.0 million and $2.6 million, respectively.  All of the subsidiary and non-subsidiary guarantors of our outstanding senior notes are 100 percent owned by Omega.

The following summarized condensed consolidating financial information segregates the financial information of the non-guarantor subsidiaries from the financial information of Omega Healthcare Investors, Inc. and the subsidiary guarantors under the Senior Notes.  The results and financial position of acquired entities are included from the dates of their respective acquisitions.

F-39

OMEGA HEALTHCARE INVESTORS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

OMEGA HEALTHCARE INVESTORS, INC.

CONSOLIDATING BALANCE SHEET

(in thousands, except per share amounts)

	December 31, 2012
	Issuer & Subsidiary Guarantors			Non – Guarantor Subsidiaries			Elimination Company			Consolidated
ASSETS
Real estate properties
Land and buildings	$	2,466,866		$	571,687		$	—		$	3,038,553
Less accumulated depreciation		(535,223	)		(45,150	)		—			(580,373	)
Real estate properties – net		1,931,643			526,537			—			2,458,180
Mortgage notes receivable – net		238,621			—			—			238,621
		2,170,264			526,537			—			2,696,801
Other investments – net		47,339			—			—			47,339
		2,217,603			526,537			—			2,744,140
Assets held for sale – net		1,020			—			—			1,020
Total investments		2,218,623			526,537			—			2,745,160
Cash and cash equivalents		1,711			—			—			1,711
Restricted cash		7,078			29,582			—			36,660
Accounts receivable – net		118,473			6,707			—			125,180
Investment in affiliates		163,610			—			(163,610	)		—
Other assets		38,224			35,070			—			73,294
Total assets	$	2,547,719		$	597,896			(163,610	)	$	2,982,005
LIABILITIES AND STOCKHOLDERS’ EQUITY
Revolving line of credit	$	258,000		$	—		$	—		$	258,000
Secured borrowings		—			366,538			—			366,538
Unsecured borrowings – net		1,179,345			21,049			—			1,200,394
Accrued expenses and other liabilities		99,045			46,699			—			145,744
Intercompany payable		—			143,158			(143,158	)		—
Total liabilities		1,536,390			577,444			(143,158	)		1,970,676
Stockholders’ equity:
Common stock		11,239			—			—			11,239
Common stock – additional paid-in-capital		1,664,855			—			—			1,664,855
Cumulative net earnings		754,128			20,452			(20,452	)		754,128
Cumulative dividends paid		(1,418,893	)		—			—			(1,418,893	)
Total stockholders’ equity		1,011,329			20,452			(20,452	)		1,011,329
Total liabilities and stockholders’ equity	$	2,547,719		$	597,896		$	(163,610	)	$	2,982,005

F-40

OMEGA HEALTHCARE INVESTORS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

OMEGA HEALTHCARE INVESTORS, INC.

CONSOLIDATING BALANCE SHEET

(in thousands, except per share amounts)

	December 31, 2011
	Issuer & Subsidiary Guarantors			Non – Guarantor Subsidiaries			Elimination Company			Consolidated
ASSETS
Real estate properties
Land and buildings	$	2,095,441		$	441,598		$	—		$	2,537,039
Less accumulated depreciation		(446,581	)		(23,839	)		—			(470,420	)
Real estate properties – net		1,648,860			417,759			—			2,066,619
Mortgage notes receivable – net		238,675			—			—			238,675
		1,887,535			417,759			—			2,305,294
Other investments – net		52,957			—			—			52,957
		1,940,492			417,759			—			2,358,251
Assets held for sale – net		2,461			—			—			2,461
Total investments		1,942,953			417,759			—			2,360,712
Cash and cash equivalents		351			—			—			351
Restricted cash		6,511			27,601			—			34,112
Accounts receivable – net		97,407			3,257			—			100,664
Investment in affiliates		119,564			—			(119,564	)		—
Other assets		32,798			28,675			—			61,473
Total assets	$	2,199,584		$	477,292			(119,564	)	$	2,557,312
LIABILITIES AND STOCKHOLDERS’ EQUITY
Revolving line of credit	$	272,500		$	—		$	—		$	272,500
Secured borrowings		13,652			289,958			—			303,610
Unsecured borrowings – net		954,071			21,219			—			975,290
Accrued expenses and other liabilities		80,877			46,551			—			127,428
Intercompany payable		—			109,907			(109,907	)		—
Total liabilities		1,321,100			467,635			(109,907	)		1,678,828
Stockholders’ equity:
Common stock		10,341			—			—			10,341
Common stock – additional paid-in-capital		1,471,381			—			—			1,471,381
Cumulative net earnings		633,430			9,657			(9,657	)		633,430
Cumulative dividends paid		(1,236,668	)		—			—			(1,236,668	)
Total stockholders’ equity		878,484			9,657			(9,657	)		878,484
Total liabilities and stockholders’ equity	$	2,199,584		$	477,292		$	(119,564	)	$	2,557,312

F-41

OMEGA HEALTHCARE INVESTORS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

OMEGA HEALTHCARE INVESTORS, INC.

CONSOLIDATING STATEMENT OF OPERATIONS

(in thousands, except per share amounts)

	Year Ended December 31, 2012
	Issuer & Subsidiary Guarantors			Non – Guarantor Subsidiaries			Elimination Company			Consolidated
Revenue
Rental income	$	266,213		$	48,379		$	-		$	314,592
Mortgage interest income		30,446			-			-			30,446
Other investment income – net		4,760			-			-			4,760
Miscellaneous		662			-			-			662
Total operating revenues		302,081			48,379			-			350,460
Expenses
Depreciation and amortization		91,672			21,311			-			112,983
General and administrative		20,913			417			-			21,330
Acquisition costs		909			-			-			909
Impairment loss on real estate properties		272			-			-			272
Total operating expenses		113,766			21,728			-			135,494
Income before other income and expense		188,315			26,651			-			214,966
Other income (expense):
Interest income		2			27			-			29
Interest expense		(79,644	)		(15,883	)		-			(95,527	)
Interest – amortization of deferred financing costs		(2,649	)		-			-			(2,649	)
Interest – refinancing costs		(7,920	)		-			-			(7,920	)
Equity in earnings		10,795			-			(10,795	)		-
Total other expense		(79,416	)		(15,856	)		(10,795	)		(106,067	)
Income before gain on assets sold		108,899			10,795			(10,795	)		108,899
Gain on assets sold - net		11,799			-			-			11,799
Net income available to common stockholders	$	120,698		$	10,795		$	(10,795	)	$	120,698

F-42

OMEGA HEALTHCARE INVESTORS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

OMEGA HEALTHCARE INVESTORS, INC.

CONSOLIDATING STATEMENT OF OPERATIONS

(in thousands, except per share amounts)

	Year Ended December 31, 2011
	Issuer & Subsidiary Guarantors			Non – Guarantor Subsidiaries			Elimination Company			Consolidated
Revenue
Rental income	$	239,077		$	34,440		$	-		$	273,517
Mortgage interest income		16,274			-			-			16,274
Other investment income – net		2,070			-			-			2,070
Miscellaneous		343			-			-			343
Total operating revenues		257,764			34,440			-			292,204
Expenses
Depreciation and amortization		84,568			15,769			-			100,337
General and administrative		19,138			294			-			19,432
Acquisition costs		1,204			-			-			1,204
Impairment loss on real estate properties		26,344			-			-			26,344
Provisions for uncollectible accounts receivable		6,439			-			-			6,439
Nursing home expenses of owned and operated assets		653			-			-			653
Total operating expenses		138,346			16,063			-			154,409
Income before other income and expense		119,418			18,377			-			137,795
Other income (expense):
Interest income		15			25			-			40
Interest expense		(69,881	)		(11,273	)		-			(81,154	)
Interest – amortization of deferred financing costs		(2,674	)		-			-			(2,674	)
Interest – refinancing costs		(3,071	)		-			-			(3,071	)
Equity in earnings		7,129			-			(7,129	)		-
Total other expense		(68,482	)		(11,248	)		(7,129	)		(86,859	)
Income before gain on assets sold		50,936			7,129			(7,129	)		50,936
Gain on assets sold - net		1,670			-			-			1,670
Net income		52,606			7,129			(7,129	)		52,606
Preferred stock dividends		(1,691	)		-			-			(1,691	)
Preferred stock redemption		(3,456	)		-			-			(3,456	)
Net income available to common stockholders	$	47,459		$	7,129		$	(7,129	)	$	47,459

F-43

OMEGA HEALTHCARE INVESTORS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

OMEGA HEALTHCARE INVESTORS, INC.

CONSOLIDATING STATEMENT OF OPERATIONS

(in thousands, except per share amounts)

	Year Ended December 31, 2010
	Issuer & Subsidiary Guarantors			Non – Guarantor Subsidiaries			Elimination			Consolidated
Revenue
Rental income	$	215,992		$	16,780		$	-		$	232,772
Mortgage interest income		10,391			-			-			10,391
Other investment income – net		3,936			-			-			3,936
Miscellaneous		3,886			-			-			3,886
Nursing home revenues of owned and operated assets		7,336			-			-			7,336
Total operating revenues		241,541			16,780			-			258,321
Expenses
Depreciation and amortization		76,553			8,070			-			84,623
General and administrative		14,744			310			-			15,054
Acquisition costs		1,554			-			-			1,554
Impairment loss on real estate properties		155			-			-			155
Nursing home expenses of owned and operated assets		7,998			-			-			7,998
Total operating expenses		101,004			8,380			-			109,384
Income before other income and expense		140,537			8,400			-			148,937
Other income (expense):
Interest income		86			19			-			105
Interest expense		(61,449	)		(5,891	)		-			(67,340	)
Interest – amortization of deferred financing costs		(3,780	)		-			-			(3,780	)
Interest – refinancing costs		(19,482	)		-			-			(19,482	)
Equity in earnings		2,528			-			(2,528	)		-
Total other expense		(82,097	)		(5,872	)		(2,528	)		(90,497	)
Income before gain (loss) on assets sold		58,440			2,528			(2,528	)		58,440
Loss on assets sold – net		(4	)		-			-			(4	)
Net income		58,436			2,528			(2,528	)		58,436
Preferred stock dividends		(9,086	)		-			-			(9,086	)
Net income available to common	$	49,350		$	2,528		$	(2,528	)	$	49,350

F-44

OMEGA HEALTHCARE INVESTORS, INC.

SCHEDULE III REAL ESTATE AND ACCUMULATED DEPRECIATION

OMEGA HEALTHCARE INVESTORS, INC.

December 31, 2012

								(3)
								Gross Amount at
								Which Carried at
		Initial Cost to	Cost Capitalized					Close of Period					Life on Which
		Company	Subsequent to					Buildings					Depreciation
		Buildings	Acquisition					and Land		(4)			in Latest
		and Land						Improvements		Accumulated	Date of	Date	Income Statements
Description (1)	Encumbrances	Improvements	Improvements		Impairment		Other	Total		Depreciation	Construction	Acquired	is Computed
Genesis HealthCare:
Alabama (LTC)		23,584,956		6,523,220	-		-		30,108,176	12,154,902	1964-1974	1997	33 years
California (LTC)		15,618,263		26,652	-		-		15,644,915	6,826,680	1927-1972	1997	33 years
Colorado (LTC, ILF)		38,341,877		5,444,311	-		-		43,786,188	8,010,895	1963-1975	2006	39 years
Idaho (LTC)		21,705,267		974,011	-		-		22,679,278	6,515,794	1920-1988	1997-2006	33 years to 39 years
Massachusetts (LTC)		57,139,658		2,660,093	(8,257,521	)	-		51,542,230	15,979,337	1964-1993	1997-2010	20 years to 39 years
New Hampshire (LTC, AL)		21,619,503		1,462,797	-		-		23,082,300	5,872,469	1963-1999	1998-2006	33 years to 39 years
North Carolina (LTC)		22,652,488		3,550,986	-		-		26,203,474	13,121,012	1964-1986	1994-1997	30 years to 33 years
Ohio (LTC)		11,653,451		20,246	-		-		11,673,697	5,188,500	1968-1983	1997	33 years
Rhode Island (LTC)		38,740,812		4,792,882	-		-		43,533,694	9,633,437	1965-1981	2006	25 years to 39 years
Tennessee (LTC)		7,905,139		2,537,508	-		-		10,442,647	4,771,828	1984-1985	1994	30 years
Vermont (LTC)		14,145,776		1,235,807	-		-		15,381,583	3,593,567	1970-1971	2004	39 years
Washington (LTC)		10,000,000		1,798,844	-		-		11,798,844	9,288,616	1965	1995	20 years
West Virginia (LTC)		44,277,206		6,528,560	-		-		50,805,766	16,387,893	1961-1986	1997-2008	25 years to 33 years
Total Genesis HealthCare		327,384,396		37,555,917	(8,257,521	)	-		356,682,792	117,344,930
Health and Hospital Corporation:
Indiana (LTC, AL, ILF)		280,915,346		380,317	(1,820,624	)	-		279,475,039	10,753,507	1942-2001	1992-2012	20 years to 35 years
Total Health and Hospital Corporation		280,915,346		380,317	(1,820,624	)	-		279,475,039	10,753,507
Airamid Health Management
Florida (LTC, AL)	(2)	248,788,474		-	-		-		248,788,474	34,964,800	1951-1999	2009-2010	20 years to 37 years
Pennsylvania  (LTC)		14,771,868		-	-		-		14,771,868	2,118,806	1969	2009	26 years
Total Airamid Health Management		263,560,342		-	-		-		263,560,342	37,083,606
CommuniCare Health Services, Inc:
Ohio (LTC, AL, SH)		218,726,757		14,817,410	-		-		233,544,167	52,809,680	1927-2008	1998-2008	20 years to 39 years
Pennsylvania  (LTC)		20,286,067		1,788,193	-		-		22,074,260	4,503,956	1950-1964	2005	39 years
Total CommuniCare Health Services, Inc		239,012,824		16,605,603	-		-		255,618,427	57,313,636
Signature Holdings II, LLC.:
Florida (LTC)		110,896,405		6,800,763	-		-		117,697,168	26,438,052	1940-1991	1996-2010	28 years to 39 years
Georgia (LTC)		14,679,314		3,721,982	-		-		18,401,296	5,093,500	1964-1970	2007	20 years
Kentucky (LTC)		44,737,440		3,221,326	-		-		47,958,766	10,325,937	1964-1978	1999-2010	20 years to 33 years
Maryland (LTC)		28,629,686		1,786,688	-		-		30,416,374	3,917,672	1959-1985	2010	26 years to 30 years
Tennessee (LTC)		11,230,702		357,255	-		-		11,587,957	3,096,707	1982	2007	20 years
Total Signature Holdings II, LLC		210,173,547		15,888,014	-		-		226,061,561	48,871,868
S&F Management Company, LLC:
Arizona (LTC, AL)	(2)	64,642,862		-	-		-		64,642,862	165,825	1949-1999	2012	35 years to 40 years
California (LTC)	(2)	147,805,458		-	-		-		147,805,458	208,111	1939-1970	2012	20 years to 35 years
Total S&F Management Company, LLC		212,448,320		-	-		-		212,448,320	373,936
Other:
Alabama (LTC)		17,939,710		6,392,567	-		-		24,332,277	11,064,587	1960-1986	1992-2010	20 years to 31.5 years
Arizona (LTC)		34,318,094		5,657,143	(6,603,745	)	-		33,371,492	10,162,017	1983-1985	1998-2010	29 years to 33 years
Arkansas (LTC)	(2)	117,091,565		8,856,328	(36,350	)	-		125,911,543	29,886,387	1960-2000	1992-2011	20 years to 38 years
California (LTC)		21,879,146		1,778,353	-		-		23,657,499	8,112,641	1950-1990	1997-2010	20 years to 33 years
Colorado (LTC)		33,527,071		2,346,167	-		-		35,873,238	8,486,637	1958-1973	1998-2011	20 years to 33 years
Florida (LTC, AL)	(2)	219,369,045		4,068,109	(970,000	)	-		222,467,154	41,019,855	1933-1999	1992-2011	20 years to 40 years
Georgia (LTC)		10,000,000		-	-		-		10,000,000	2,361,711	1967-1971	1998	37.5 years
Illinois (LTC)		13,961,501		444,484	-		-		14,405,985	6,453,570	1926-1990	1996-1999	30 years to 33 years
Indiana (LTC, AL)		37,220,697		1,897,203	(22,776	)	-		39,095,124	7,779,317	1923-1996	1992-2012	20 years to 38 years
Iowa (LTC)		19,116,936		2,084,807	-		-		21,201,743	6,077,152	1965-1983	1997-2010	23 years to 33 years
Kansas (LTC)		3,210,020		-	-		-		3,210,020	494,751	1985	2010	20 years
Kentucky (LTC)		15,151,027		4,141,902	-		-		19,292,929	9,380,804	1948-1995	1994-1995	33 years
Louisiana (LTC)		55,343,066		170,509	-		-		55,513,575	11,993,677	1957-1983	1997-2006	33 years to 39 years
Maryland (LTC)	(2)	48,731,498		-	-		-		48,731,498	2,350,791	1921-1969	2011	25 years to 30 years
Massachusetts (LTC)		5,804,554		-	-		-		5,804,554	1,079,037	1964	2009	20 years
Michigan (LTC, AL)		36,500,317		-	-		-		36,500,317	823,445	1964-1974	2011-2012	25 years to 30 years
Mississippi (LTC)	(2)	52,416,905		566,614	-		-		52,983,519	6,268,230	1962-1988	2009-2010	20 years to 40 years
Missouri (LTC)		12,301,560		-	(149,386	)	-		12,152,174	4,887,321	1965-1989	1999	33 years
Nevada (LTC, SH)		20,926,778		-	-		-		20,926,778	3,100,074	1972-1978	2009	26 years to 27 years
New Mexico (LTC)		7,097,600		130,323	-		-		7,227,923	1,795,385	1972-1989	2008-2010	20 years
North Carolina (LTC)		33,092,980		-	-		-		33,092,980	4,039,800	1969-1987	2010	25 years to 36 years
Ohio (LTC)		106,991,529		6,250,513	-		-		113,242,042	26,213,261	1962-1998	1994-2010	20 years to 39 years
Oklahoma (LTC)		22,642,639		-	-		-		22,642,639	2,418,725	1965-1993	2010-2012	20 years
Pennsylvania (LTC, AL, ILF)		138,881,687		-	-		-		138,881,687	32,566,452	1942-2001	1998-2009	20 years to 39 years
Tennessee (LTC)		94,531,371		2,350,869	-		-		96,882,240	21,261,645	1958-1983	1992-2010	20 years to 31.5 years
Texas (LTC)		159,153,913		6,926,311	-		-		166,080,224	38,157,629	1952-2010	1997-2012	20 years to 39 years
Washington (AL)		5,673,693		-	-		-		5,673,693	2,212,971	1999	1999	33 years
West Virginia (LTC)	(2)	24,641,423		348,641	-		-		24,990,064	4,410,764	1961-1996	1994-2011	33 years to 39 years
Wisconsin (LTC)		30,561,506		-	-		-		30,561,506	3,773,092	1964-1972	2009-2011	20 years
Total Other		1,398,077,831		54,410,843	(7,782,257	)	-		1,444,706,417	308,631,728
Total		2,931,572,606		124,840,694	(17,860,402	)	-		3,038,552,898	580,373,211

(1)	The real estate included in this schedule is being used in either the operation of long-term care facilities (LTC), assisted living facilities (AL), independent living facilities (ILF) or specialty hospitals (SH) located in the states indicated.
(2)	Certain of the real estate indicated are security for the HUD loan borrowings totaling $366,537,510, including FMV of $30,826,565, at December 31, 2012.

	Year Ended December 31,
(3)	2010			2011			2012
Balance at beginning of period	$	1,669,842,724		$	2,366,856,229		$	2,537,038,892
Acquisitions		661,148,185			192,612,147			491,207,838
Impairment					(26,344,298	)
Improvements		35,905,544			19,865,623			29,436,456
Disposals/other		(40,224	)		(15,950,809	)		(19,130,288	)
Balance at close of period	$	2,366,856,229		$	2,537,038,892		$	3,038,552,898
(4)		2010			2011			2012
Balance at beginning of period	$	296,441,131		$	380,995,243		$	470,420,023
Provisions for depreciation		84,554,112			100,237,951			112,871,408
Dispositions/other					(10,813,171	)		(2,918,220	)
Balance at close of period	$	380,995,243		$	470,420,023		$	580,373,211

(5)    The reported amount of our real estate at December 31, 2012 is greater than the tax basis of the real estate by approximately $17.1 million.

F-45

OMEGA HEALTHCARE INVESTORS, INC.

SCHEDULE IV MORTGAGE LOANS ON REAL ESTATE

OMEGA HEALTHCARE INVESTORS, INC.

December 31, 2012

Description (1)	Interest Rate	Final Maturity Date	Periodic Payment Terms	Prior Liens	Face Amount of Mortgages		Carrying Amount of Mortgages (3) (4)		Principal Amount of Loans Subject to Delinquent Principal or Interest
Florida (3 LTC facilities)	10.40%	2030	Interest payable monthly	None		15,900,000		15,896,641
Maryland (7 LTC facilities)	11.00%	2023	Interest payable monthly	None		74,927,751		69,927,759
Maryland (1 LTC facilities)	12.00%	2046	Interest payable monthly	None		10,000,000		10,000,000
Maryland (1 LTC facilities)	12.00%	2046	Interest payable monthly	None		9,500,000		9,500,000
Maryland (1 LTC facilities)	12.00%	2046	Interest payable monthly	None		5,500,000		5,500,000
Michigan (1 LTC facility)	12.50%	2022	Interest payable monthly	None		5,310,000		5,310,000
Michigan (1 LTC facility)	12.50%	2021	Interest payable monthly	None		5,573,500		5,573,500
Michigan (1 LTC facility)	12.50%	* See (2)	Interest payable monthly	None		7,411,231		7,411,231
Michigan (1 LTC facility)	12.50%	* See (2)	Interest payable monthly	None		4,340,209		4,340,209
Michigan (13 LTC facilities)	11.00%	2021	Interest plus $34,500 of principal payable monthly	None		92,000,000		91,585,884
Michigan (1 LTC facility)	12.00%	2046	Interest payable monthly	None		1,500,000		1,500,000
Ohio (1 LTC facility)	12.00%	2022	Interest plus $1,600 of principal payable monthly	None		6,112,406		6,100,330
	12.00%	2022	Interest payable monthly	None		345,011		345,011
	12.00%	2022	Interest payable monthly			630,596		630,596
Texas (1 LTC facility)	11.00%	2013	Interest payable monthly	None		5,000,000		5,000,000
					$	244,050,704		238,621,161

(1)  Mortgage loans included in this schedule represent first mortgages on facilities used in the delivery of long-term healthcare of which such facilities are located in the states indicated.

(2)  This loan is a construction loan and matures 10 years after construction is completed.

(3)  The aggregate cost for federal income tax purposes is equal to the carrying amount.

	Year Ended December 31,
(4)	2010			2011			2012
Balance at beginning of period	$	100,222,734		$	108,556,518		$	238,674,601
Additions during period - Placements		20,656,391			130,191,254			11,967,892
Deductions during period - collection of principal/other		(12,322,607	)		(73,171	)		(12,021,332	)
Balance at close of period	$	108,556,518		$	238,674,601		$	238,621,161

F-46

INDEX TO EXHIBITS TO 2012 FORM 10-K

EXHIBIT NUMBER	DESCRIPTION
2.1	Securities Purchase Agreement dated November 17, 2009 between CapitalSource Inc., CHR HUD Borrower LLC, CSE Mortgage LLC, CSE SLB LLC, CSE SNF Holding LLC and Omega Healthcare Investors, Inc. (Incorporated by reference to Exhibit 2.1 to the Company’s Current Report on Form 8-K, filed November 23, 2009).
3.1	Amended and Restated Bylaws. (Incorporated by reference to Exhibit 3.1 to the Company’s Current Report on Form 8-K, filed on April 20, 2011).
3.2	Articles of Amendment and Restatement of Omega Healthcare Investors, Inc. (Incorporated by reference to Exhibit 3.1 to the Company’s Current Report on Form 8-K, filed on June 14, 2010).
4.0	See Exhibits 3.1 to 3.2.
4.1	Indenture, dated as of March 19, 2012, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, relating to the 5.875% Senior Notes due 2024. (Incorporated by reference to Exhibit 4.1 to the Company’s Current Report on Form 8-K, filed on March 19, 2012).
4.1A	Form of 5.875% Senior Notes due 2024. (Incorporated by reference to Exhibit A of Exhibit 4.2 to the Company’s Current Report on Form 8-K, filed on March 19, 2012).
4.1B	Form of Subsidiary Guarantee relating to the 5.875% Senior Notes due 2024. (Incorporated by reference to Exhibit E of Exhibit 4.2 to the Company’s Current Report on Form 8-K, filed on March 19, 2012).
4.1C	First Supplemental Indenture, dated as of July 2, 2012, among Omega Healthcare Investors, Inc., each of the Subsidiary Guarantors listed on Schedule I thereto, OHI Asset HUD SF, LLC, OHI Asset (IN) Greensburg, LLC, OHI Asset (IN) Indianapolis, LLC, OHI Asset (IN) Wabash, LLC and OHI Asset (IN) Westfield, LLC and U.S. Bank National Association, as trustee, together with Second Supplemental Indenture, dated as of August 9, 2012, among Omega Healthcare Investors, Inc., each of the Subsidiary Guarantors listed on Schedule I thereto, each of the New Subsidiaries listed on Schedule II thereto and U.S. Bank National Association, as trustee, that Third Supplemental Indenture, dated as of September 24, 2012, among Omega Healthcare Investors, Inc., each of the Subsidiary Guarantors listed on Schedule I thereto, each of the New Subsidiaries listed on Schedule II thereto and U.S. Bank National Association, as trustee, and that Fourth Supplemental Indenture, effective as of December 31, 2012, among Omega Healthcare Investors, Inc., each of the Subsidiary Guarantors listed on Schedule I thereto, each of the New Subsidiaries listed on Schedule II thereto and U.S. Bank National Association, as trustee.*
4.2	Indenture, dated as of February 9, 2010, among Omega Healthcare Investors, Inc., each of the subsidiary guarantors listed therein and U.S. Bank National Association, as trustee, related to the 7.5% Senior Notes due 2020, including the Form of 7.5% Senior Notes and Form of Subsidiary Guarantee related thereto. (Incorporated by reference to Exhibit 4.1 to the Company’s Current Report on Form 8-K, filed on February 10, 2010).
4.2A	First Supplemental Indenture, dated as of June 23, 2010, among Omega Healthcare Investors, Inc., each of the Subsidiary Guarantors listed on Schedule I thereto, each of the New Subsidiaries listed on Schedule II thereto and U.S. Bank National Association, as trustee, together with Second Supplemental Indenture, dated as of September 2, 2010, among Omega Healthcare Investors, Inc., each of the Subsidiary Guarantors listed on Schedule I thereto, OHI Asset (MI), LLC and U.S. Bank National Association, as trustee, and Third Supplemental Indenture, dated as of January 13, 2011, among Omega Healthcare Investors, Inc., each of the Subsidiary Guarantors listed on Schedule I thereto, OHI Asset II (FL) Lender, LLC and U.S. Bank National Association, as trustee. (Incorporated by reference to Exhibit 4.2A to the Company’s Annual Report on Form 10-K, filed on February 28, 2011).
4.2B	Fourth Supplemental Indenture, dated as of June 10, 2011, among Omega Healthcare investors, Inc., each of the Subsidiary Guarantors listed on Schedule I thereto, OHI Asset HUD WO, LLC, OHI Asset (MD), LLC and U.S. Bank National Association, as trustee. (Incorporated by reference to Exhibit 4.2A to the Company’s Annual Report on Form 10-K, filed on February 27, 2012).
4.2C	Fifth Supplemental Indenture, dated as of July 2, 2012, among Omega Healthcare investors, Inc., each of the Subsidiary Guarantors listed on Schedule I thereto, OHI Asset HUD SF, LLC, OHI Asset (IN) Greensburg, LLC, OHI Asset (IN) Indianapolis, LLC, OHI Asset (IN) Wabash, LLC and OHI Asset (IN) Westfield, LLC and U.S. Bank National Association, as trustee, together with that Sixth Supplemental Indenture, dated as of August 9, 2012, among Omega Healthcare investors, Inc., each of the Subsidiary Guarantors listed on Schedule I thereto, each of the New Subsidiaries listed on Schedule II thereto and U.S. Bank National Association, as trustee, that certain Seventh Supplemental Indenture, dated as of September 24, 2012, among Omega Healthcare investors, Inc., each of the Subsidiary Guarantors listed on Schedule I thereto, each of the New Subsidiaries listed on Schedule II thereto and U.S. Bank National Association, as trustee, and that Eighth Supplemental Indenture, effective as of December 31, 2012, among Omega Healthcare Investors, Inc., each of the Subsidiary Guarantors listed on Schedule I thereto, each of the New Subsidiaries listed on Schedule II thereto and U.S. Bank National Association, as trustee.*

I-1

4.3	Indenture, dated as of October 4, 2010, by and among Omega Healthcare Investors, Inc., each of the Subsidiary Guarantors listed on Schedule I thereto and U.S. Bank National Association, as trustee, related to the 6.75% Senior Notes due 2022, including the Form of 6.75% Senior Notes and Form of Subsidiary Guarantee related thereto. (Incorporated by reference to Exhibit 4.1 to the Company’s Current Report on Form 8-K, filed on October 5, 2010).
4.3A	First Supplemental Indenture, dated as of January 13, 2011, among Omega Healthcare Investors, Inc., each of the Subsidiary Guarantors listed on Schedule I thereto, OHI Asset II (FL) Lender, LLC and U.S. Bank National Association, as trustee. (Incorporated by reference to Exhibit 4.3A to the Company’s Annual Report on Form 10-K, filed on February 28, 2011).
4.3B	Second Supplemental Indenture, dated as of June 10, 2011, among Omega Healthcare investors, Inc., each of the Subsidiary Guarantors listed on Schedule I thereto, OHI Asset HUD WO, LLC, OHI Asset (MD), LLC and U.S. Bank National Association, as trustee. (Incorporated by reference to Exhibit 4.2A to the Company’s Annual Report on Form 10-K, filed on February 27, 2012).
4.3C	Third Supplemental Indenture, dated as of July 2, 2012, among Omega Healthcare investors, Inc., each of the Subsidiary Guarantors listed on Schedule I thereto, OHI Asset HUD SF, LLC, OHI Asset (IN) Greensburg, LLC, OHI Asset (IN) Indianapolis, LLC, OHI Asset (IN) Wabash, LLC and OHI Asset (IN) Westfield, LLC and U.S. Bank National Association, as trustee, together with that Fourth Supplemental Indenture, dated as of August 9, 2012, among Omega Healthcare investors, Inc., each of the Subsidiary Guarantors listed on Schedule I thereto, each of the New Subsidiaries listed on Schedule II thereto and U.S. Bank National Association, as trustee, that certain Fifth Supplemental Indenture, dated as of September 24, 2012, among Omega Healthcare investors, Inc., each of the Subsidiary Guarantors listed on Schedule I thereto, each of the New Subsidiaries listed on Schedule II thereto and U.S. Bank National Association, as trustee, and that Sixth Supplemental Indenture, effective as of December 31, 2012, among Omega Healthcare Investors, Inc., each of the Subsidiary Guarantors listed on Schedule I thereto, each of the New Subsidiaries listed on Schedule II thereto and U.S. Bank National Association, as trustee.*
10.1	Form of Directors and Officers Indemnification Agreement. (Incorporated by reference to Exhibit 10.11 to the Company’s Quarterly Report on Form 10-Q, filed on August 14, 2000).
10.2	Employment Agreement, dated October 22, 2010, between Omega Healthcare Investors, Inc. and C. Taylor Pickett, including forms of equity awards.  (Incorporated by reference to Exhibit 10.2 of the Company’s Quarterly Report on Form 10-Q, filed on November 8, 2010).+
10.3	Employment Agreement, dated October 22, 2010, between Omega Healthcare Investors, Inc. and Daniel Booth, including forms of equity awards.  (Incorporated by reference to Exhibit 10.3 of the Company’s Quarterly Report on Form 10-Q, filed on November 8, 2010).+
10.4	Employment Agreement, dated October 22, 2010, between Omega Healthcare Investors, Inc. and R. Lee Crabill, including forms of equity awards.  (Incorporated by reference to Exhibit 10.5 of the Company’s Quarterly Report on Form 10-Q, filed on November 8, 2010).+
10.5	Employment Agreement, dated October 22, 2010, between Omega Healthcare Investors, Inc. and Robert O. Stephenson, including forms of equity awards.  (Incorporated by reference to Exhibit 10.4 of the Company’s Quarterly Report on Form 10-Q, filed on November 8, 2010).+
10.6	Employment Agreement, dated October 22, 2010, between Omega Healthcare Investors, Inc. and Michael Ritz, including forms of equity awards.  (Incorporated by reference to Exhibit 10.6 of the Company’s Quarterly Report on Form 10-Q, filed on November 8, 2010).+
10.7	Form of Restricted Stock Unit Award for 2007 to 2010 officer grants. (Incorporated by reference to Exhibit 10.6 of the Company’s Quarterly Report on Form 10-Q, filed on May 8, 2007).+
10.8	Omega Healthcare Investors, Inc. 2004 Stock Incentive Plan. (Incorporated by reference to Exhibit 10.1 of the Company’s Quarterly Report on Form 10-Q, filed on November 2, 2004).+
10.8A	First Amendment to the Omega Healthcare Investors, Inc. 2004 Stock Incentive Plan, dated as of May 22, 2008 (Incorporated by reference to Exhibit 10.1 of the Company’s Current Report on Form 8-K, filed May 29, 2008).+
10.8B	2000 Stock Incentive Plan (as amended January 1, 2001). (Incorporated by reference to Exhibit 10.1 of the Company’s Quarterly Report on Form 10-Q, filed on November 10, 2003).+
10.8C	Amendment to 2000 Stock Incentive Plan. (Incorporated by reference to Exhibit 10.6 of the Company’s Quarterly Report on Form 10-Q, filed on August 14, 2000).+
10.9	Form of Officers’ Multi-Year Performance Restricted Stock Unit Award for 2011 to 2014 (Incorporated by reference to Exhibit 10.12 of the Company’s Annual Report on Form 10-K, filed on February 27, 2012).+
10.9A	Form of Officers’ Annual Performance Restricted Stock Unit Award for 2011 to 2014.*
10.10	Form of Incentive Stock Option Award for the Omega Healthcare Investors, Inc. 2004 Stock Incentive Plan. (Incorporated by reference to Exhibit 10.30 of the Company’s Annual Report Form 10-K, filed on February 18, 2005).+
10.11	Form of Non-Qualified Stock Option Award for the Omega Healthcare Investors, Inc. 2004 Stock Incentive Plan. (Incorporated by reference to Exhibit 10.31 of the Company’s Annual Report on Form 10-K, filed on February 18, 2005).+
10.12	Form of Directors’ Restricted Stock Award (Incorporated by reference to Exhibit 10.1 of the Company’s Quarterly Report on Form 10-Q, filed on August 7, 2012).+
10.12A	Form of Officers’ Restricted Stock Award for 2011 to 2014 (Incorporated by reference to Exhibit 10.15A of the Company’s Annual Report on Form 10-K, filed on February 27, 2012).+

I-2

10.12B	Form of Amendment to Restricted Stock Award or Deferred Restricted Stock Agreement Pursuant to the Omega Healthcare Investors, Inc. 2004 Stock Incentive Plan (Incorporated by reference to Exhibit 10.2 of the Company’s Quarterly Report on Form 10-Q, filed on August 7, 2012).+
10.13	Amended and Restated Deferred Stock Plan, dated October 16, 2012, and forms of related agreements (Incorporated by reference to Exhibit 10.1 to the Company’s Quarterly Report on Form 10-Q, filed November 7, 2012).
10.14	Form of 2012 Bonus Payout and True-Up Agreement.+*
10.15	Form of Equity Distribution Agreement, dated June 19, 2012, entered into by and between Omega Healthcare Investors, Inc. and each of BB&T Capital Markets, a division of Scott & Stringfellow, LLC, Credit Agricole Securities (USA) Inc., Deutsche Bank Securities Inc., Jefferies & Company, Inc., Merrill Lynch, Pierce, Fenner & Smith Incorporated, RBC Capital Markets, LLC, RBS Securities Inc., Stifel, Nicolaus & Company, Incorporated, SunTrust Robinson Humphrey, Inc. and UBS Securities LLC. (Incorporated by reference to Exhibit 1.1 of the Company’s Current Report on Form 8-K, filed June 20, 2012).
10.16	Credit Agreement, dated as of December 6, 2012, among Omega Healthcare Investors, Inc., certain subsidiaries of Omega Healthcare Investors, Inc. identified therein as guarantors, the lenders named therein and Bank of America, N.A. (Incorporated by reference to Exhibit 10.1 to the Company’s Current Report on Form 8-K, filed December 12, 2012).
10.17	Casablanca Option Agreement dated December 22, 2009 between CapitalSource Inc., CSE SLB LLC and Omega Healthcare Investors, Inc. (Incorporated by reference to Exhibit 10.1 to the Company’s Current Report on Form 8-K, filed December 29, 2009).
10.17A	First Amendment to Casablanca Option Agreement, dated as of June 9, 2010, among Omega Healthcare Investors, Inc. CapitalSource Inc. and CSB SLB LLC.  (Incorporated by reference to Exhibit 10.3 to the Company’s Quarterly Report on Form 10-Q, filed August 6, 2010).
12.1	Ratio of Earnings to Fixed Charges.*
12.2	Ratio of Earnings to Combined Fixed Charges and Preferred Stock Dividends.*
21	Subsidiaries of the Registrant.*
23	Consent of Independent Registered Public Accounting Firm.
31.1	Certification of the Chief Executive Officer under Section 302 of the Sarbanes-Oxley Act of 2002.*
31.2	Certification of the Chief Financial Officer under Section 302 of the Sarbanes-Oxley Act of 2002.*
32.1	Certification of the Chief Executive Officer under Section 906 of the Sarbanes- Oxley Act of 2002.*
32.2	Certification of the Chief Financial Officer under Section 906 of the Sarbanes- Oxley Act of 2002.*
101.INS	XBRL Instance Document.**
101.SCH	XBRL Taxonomy Extension Schema Document.**
101.CAL	XBRL Taxonomy Extension Calculation Linkbase Document.**
101.DEF	XBRL Taxonomy Extension Definition Linkbase Document.**
101.LAB	XBRL Taxonomy Extension Label Linkbase Document.**
101.PRE	XBRL Taxonomy Extension Presentation Linkbase Document.**

* Exhibits that are filed herewith.

+  Management contract or compensatory plan, contract or arrangement.

** In accordance with Rule 406T of Regulation S-T, this XBRL-related information shall be deemed to be “furnished” and not “filed.”

I-3

 SIGNATURES

Pursuant to the requirements of Sections 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

OMEGA HEALTHCARE INVESTORS, INC.
By:	/s/C. Taylor Pickett
	C. Taylor Pickett
	Chief Executive Officer

Date:  February 28, 2013

Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed by the following persons on behalf of the Registrant and in the capacities on the date indicated.

Signatures	Title	Date
PRINCIPAL EXECUTIVE OFFICER
/s/ C. Taylor Pickett	Chief Executive Officer	February 28, 2013
C. Taylor Pickett
PRINCIPAL FINANCIAL OFFICER
/s/ Robert O. Stephenson	Chief Financial Officer	February 28, 2013
Robert O. Stephenson
/s/ Michael D. Ritz	Chief Accounting Officer	February 28, 2013
Michael D. Ritz
DIRECTORS
/s/ Bernard J. Korman	Chairman of the Board	February 28, 2013
Bernard J. Korman
/s/ Thomas F. Franke	Director	February 28, 2013
Thomas F. Franke
/s/ Harold J. Kloosterman	Director	February 28, 2013
Harold J. Kloosterman
/s/ Edward Lowenthal	Director	February 28, 2013
Edward Lowenthal
/s/ C. Taylor Pickett	Director	February 28, 2013
C. Taylor Pickett
/s/ Stephen D. Plavin	Director	February 28, 2013
Stephen D. Plavin

I-4

EX-4.1C

Exhibit 4.1C

FIRST SUPPLEMENTAL INDENTURE

(Senior Notes due 2024)

THIS FIRST SUPPLEMENTAL INDENTURE (this “First Supplemental Indenture”) is dated as of July 2, 2012, among OMEGA HEALTHCARE INVESTORS, INC., a Maryland corporation (the “Issuer”), each of the SUBSIDIARY GUARANTORS listed on Schedule I hereto (collectively, the “Subsidiary Guarantors”), OHI Asset HUD SF, LLC, OHI Asset (IN) Greensburg, LLC, OHI Asset (IN) Indianapolis, LLC, OHI Asset (IN) Wabash, LLC and OHI Asset (IN) Westfield, LLC, each a Delaware limited liability company (the “New Subsidiaries”), and U.S. BANK NATIONAL ASSOCIATION, a national banking association organized and existing under the laws of the United States of America, as trustee (the “Trustee”).

W I T N E S S E T H :

WHEREAS, the Issuer and the Subsidiary Guarantors have heretofore executed and delivered to the Trustee an Indenture, dated as of March 19, 2012 (the “Indenture”), providing for the issuance of the Issuer’s 5-7/8% Senior Notes due 2024 (the “Notes”);

WHEREAS, Section 9.01 of the Indenture authorizes the Issuer, the Subsidiary Guarantors and the Trustee, together, to amend or supplement the Indenture, without notice to or consent of any Holder of the Notes, for the purpose of making any change that would not materially adversely affect the rights of any Holder of the Notes;

WHEREAS, the Issuer has recently created the New Subsidiaries, which are required to become Subsidiary Guarantors pursuant to Section 4.14 of the Indenture;

WHEREAS, in Section 1.01 of the Indenture, the term “Subsidiary Guarantors” is defined to include all Persons that become a Subsidiary Guarantor by the terms of the Indenture after the Closing Date; and

WHEREAS, Section 10.01 of the Indenture provides that each Subsidiary Guarantor shall be a guarantor of the Issuer’s obligations under the Notes, subject to the terms and conditions described in the Indenture.

NOW, THEREFORE, in consideration of the foregoing and for other good and valuable consideration, the receipt of which is hereby acknowledged, the Issuer, the Subsidiary Guarantors, the New Subsidiaries and the Trustee mutually covenant and agree for the equal and ratable benefit of the Holders of the Notes as follows:

1. CAPITALIZED TERMS.  Capitalized terms used herein without definition shall have the meanings assigned to them in the Indenture.

2. AMENDMENT TO GUARANTEE.  The New Subsidiaries hereby agree, jointly and severally with all other Subsidiary Guarantors, to guarantee the Issuer’s obligations under the Notes on the terms and subject to the conditions set forth in the Indenture, and to be bound by, and to receive the benefit of, all other applicable provisions of the Indenture as Subsidiary Guarantors.  Such guarantee shall be evidenced by the New Subsidiaries’ execution of Subsidiary Guarantees, the form of which is attached as Exhibit E to the Indenture, and shall be effective as of the date hereof.

3. NO RECOURSE AGAINST OTHERS.  No past, present or future director, officer, employee, partner, affiliate, beneficiary or stockholder of the New Subsidiaries, as such, shall have any liability for any obligations of the Issuer or any Subsidiary Guarantor under the Notes, any Guarantees, the Indenture or this First Supplemental Indenture or for any claim based on, in respect of, or by reason of, such obligations or their creation.  Each Holder of the Notes, by accepting and holding a Note, waives and releases all such liability.  Such waiver and release are part of the consideration for the issuance of the Notes.

4. NEW YORK LAW TO GOVERN.  The laws of the State of New York shall govern and be used to construe this First Supplemental Indenture.

5. COUNTERPARTS.  The parties may sign any number of copies of this First Supplemental Indenture.  Each signed copy shall be an original, but all of them together shall represent the same agreement.

6. EFFECT OF HEADINGS.  The Section headings herein are for convenience only and shall not affect the construction hereof.

7. THE TRUSTEE.  The Trustee shall not be responsible in any manner whatsoever for or in respect of the validity or sufficiency of this First Supplemental Indenture or for or in respect of the recitals contained herein, all of which recitals are made solely by the Issuer, the Subsidiary Guarantors and the New Subsidiaries.

[Remainder of Page Intentionally Left Blank]

IN WITNESS WHEREOF, the parties hereto have caused this First Supplemental Indenture to be duly executed and attested, all as of the date first above written.

OMEGA HEALTHCARE INVESTORS, INC.
By:	/s/ Robert O. Stephenson
Name: Robert O. Stephenson
Title: Chief Financial Officer and Treasurer

On behalf of each Subsidiary Guarantor, its sole member, general partner or trustee, named on the attached Schedule I
By:	/s/ Robert O. Stephenson
Name: Robert O. Stephenson
Title: Chief Financial Officer and Treasurer

On behalf of each of the New Subsidiaries, its sole member
By:	/s/ Robert O. Stephenson
Name: Robert O. Stephenson
Title: Chief Financial Officer and Treasurer

U.S. BANK NATIONAL ASSOCIATION, as Trustee
By:	/s/ Paul L. Henderson
Name: Paul L. Henderson
Title: Assistant Vice President

Schedule I

SUBSIDIARY GUARANTORS

Arizona Lessor - Infinia, Inc.

Baldwin Health Center, Inc.

Bayside Alabama Healthcare Second, Inc.

Bayside Arizona Healthcare Associates, Inc.

Bayside Arizona Healthcare Second, Inc.

Bayside Colorado Healthcare Associates, Inc.

Bayside Colorado Healthcare Second, Inc.

Bayside Indiana Healthcare Associates, Inc.

Bayside Street II, Inc.

Bayside Street, Inc.

Canton Health Care Land, Inc.

Carnegie Gardens LLC

Center Healthcare Associates, Inc.

Cherry Street - Skilled Nursing, Inc.

Colonial Gardens, LLC

Colorado Lessor - Conifer, Inc.

Copley Health Center, Inc.

CSE Anchorage LLC

CSE Blountville LLC

CSE Bolivar LLC

CSE Camden LLC

CSE Centennial Village

CSE Corpus North LLC

CSE Crane LLC

CSE Denver Iliff LLC

CSE Fairhaven LLC

CSE Huntingdon LLC

CSE Jacinto City LLC

CSE Jefferson City LLC

CSE Kerrville LLC

CSE Marianna Holdings LLC

CSE Memphis LLC

CSE Pennsylvania Holdings

CSE Ripley LLC

CSE Ripon LLC

CSE Spring Branch LLC

CSE Texarkana LLC

CSE The Village LLC

CSE West Point LLC

CSE Whitehouse LLC

CSE Williamsport LLC

Dallas - Skilled Nursing, Inc.

Delta Investors I, LLC

Delta Investors II, LLC

Desert Lane, LLC

Dixon Health Care Center, Inc.

Florida Lessor - Crystal Springs, Inc.

Florida Lessor - Emerald, Inc.

Florida Lessor - Lakeland, Inc.

Florida Lessor - Meadowview, Inc.

Florida Real Estate Company, LLC

Georgia Lessor - Bonterra/Parkview, Inc.

Greenbough, LLC

Hanover House, Inc.

Heritage Texarkana Healthcare Associates, Inc.

House of Hanover, Ltd.

Hutton I Land, Inc.

Hutton II Land, Inc.

Hutton III Land, Inc.

Indiana Lessor - Jeffersonville, Inc.

Indiana Lessor - Wellington Manor, Inc.

Jefferson Clark, Inc.

LAD I Real Estate Company, LLC

Lake Park - Skilled Nursing, Inc.

Leatherman 90-1, Inc.

Leatherman Partnership 89-1, Inc.

Leatherman Partnership 89-2, Inc.

Long Term Care - Michigan, Inc.

Long Term Care - North Carolina, Inc.

Long Term Care Associates - Illinois, Inc.

Long Term Care Associates - Indiana, Inc.

Long Term Care Associates - Texas, Inc.

Meridian Arms Land, Inc.

North Las Vegas LLC

NRS Ventures, L.L.C.

OHI (Connecticut), Inc.

OHI (Florida), Inc.

OHI (Illinois), Inc.

OHI (Indiana), Inc.

OHI (Iowa), Inc.

OHI (Kansas), Inc.

OHI Asset (CA), LLC

OHI Asset (CT) Lender, LLC

OHI Asset (FL), LLC

OHI Asset (ID), LLC

OHI Asset (IN), LLC

OHI Asset (LA), LLC

OHI Asset (MI), LLC

OHI Asset (MI/NC), LLC

OHI Asset (MO), LLC

OHI Asset (OH) Lender, LLC

OHI Asset (OH) New Philadelphia, LLC

OHI Asset (OH), LLC

OHI Asset (PA) Trust

OHI Asset (PA), LLC

OHI Asset (SMS) Lender, Inc.

OHI Asset (TX), LLC

OHI Asset CSE-E, LLC

OHI Asset CSE-U, LLC

OHI Asset Essex (OH), LLC

OHI Asset II (CA), LLC

OHI Asset II (PA) Trust

OHI Asset III (PA) Trust

OHI Asset, LLC

OHI of Kentucky, Inc.

OHI of Texas, Inc.

OHI Sunshine, Inc.

OHIMA, Inc.

Omega (Kansas), Inc.

Omega TRS I, Inc.

Orange Village Care Center, Inc.

OS Leasing Company

Panama City Nursing Center LLC

Parkview - Skilled Nursing, Inc.

Pavillion North Partners, Inc.

Pavillion North, LLP

Pavillion Nursing Center North, Inc.

Pine Texarkana Healthcare Associates, Inc.

Reunion Texarkana Healthcare Associates, Inc.

San Augustine Healthcare Associates, Inc.

Skilled Nursing - Gaston, Inc.

Skilled Nursing - Herrin, Inc.

Skilled Nursing - Hicksville, Inc.

Skilled Nursing - Paris, Inc.

Skyler Maitland LLC

South Athens Healthcare Associates, Inc.

St. Mary’s Properties, Inc.

Sterling Acquisition Corp.

Sterling Acquisition Corp. II

Suwanee, LLC

Texas Lessor - Stonegate GP, Inc.

Texas Lessor - Stonegate Limited, Inc.

Texas Lessor - Stonegate, L.P.

Texas Lessor - Treemont, Inc.

The Suburban Pavilion, Inc.

Washington Lessor - Silverdale, Inc.

Waxahachie Healthcare Associates, Inc.

West Athens Healthcare Associates, Inc.

Wilcare, LLC

OHI Asset (CO), LLC

OHI Asset (IL), LLC

OHI Asset IV (PA) Silver Lake Trust

OHI Asset II (FL), LLC

CSE Albany LLC

CSE Amarillo LLC

CSE Arden L.P.

CSE Augusta LLC

CSE Bedford LLC

CSE Cambridge LLC

CSE Cambridge Realty LLC

CSE Canton LLC

CSE Cedar Rapids LLC

CSE Chelmsford LLC

CSE Chesterton LLC

CSE Claremont LLC

CSE Denver LLC

CSE Douglas LLC

CSE Dumas LLC

CSE Elkton LLC

CSE Elkton Realty LLC

CSE Fort Wayne LLC

CSE Frankston LLC

CSE Georgetown LLC

CSE Green Bay LLC

CSE Hilliard LLC

CSE Huntsville LLC

CSE Indianapolis-Continental LLC

CSE Indianapolis-Greenbriar LLC

CSE Jefferson-Hillcrest Center LLC

CSE Jefferson-Jennings House LLC

CSE King L.P.

CSE Kingsport LLC

CSE Knightdale L.P.

CSE Lake City LLC

CSE Lake Worth LLC

CSE Lakewood LLC

CSE Las Vegas LLC

CSE Lawrenceburg LLC

CSE Lenoir L.P.

CSE Lexington Park LLC

CSE Lexington Park Realty LLC

CSE Ligonier LLC

CSE Live Oak LLC

CSE Logansport LLC

CSE Lowell LLC

CSE Mobile LLC

CSE Moore LLC

CSE North Carolina Holdings I LLC

CSE North Carolina Holdings II LLC

CSE Omro LLC

CSE Orange Park LLC

CSE Orlando-Pinar Terrace Manor LLC

CSE Orlando-Terra Vista Rehab LLC

CSE Piggott LLC

CSE Pilot Point LLC

CSE Ponca City LLC

CSE Port St. Lucie LLC

CSE Richmond LLC

CSE Safford LLC

CSE Salina LLC

CSE Seminole LLC

CSE Shawnee LLC

CSE Stillwater LLC

CSE Taylorsville LLC

CSE Texas City LLC

CSE Upland LLC

CSE Walnut Cove L.P.

CSE Winter Haven LLC

CSE Woodfin L.P.

CSE Yorktown LLC

CSE Casablanca Holdings LLC

CSE Casablanca Holdings II LLC

OHI Asset CSB LLC

OHI Asset (FL) Lender, LLC

OHI Asset (MD), LLC

OHI Asset HUD WO, LLC

SECOND SUPPLEMENTAL INDENTURE

(Senior Notes due 2024)

THIS SECOND SUPPLEMENTAL INDENTURE (this “Second Supplemental Indenture”) is dated as of August 9, 2012, among OMEGA HEALTHCARE INVESTORS, INC., a Maryland corporation (the “Issuer”), each of the SUBSIDIARY GUARANTORS listed on Schedule I hereto (collectively, the “Subsidiary Guarantors”), each of the companies listed on Schedule II hereto (collectively, the “New Subsidiaries”), and U.S. BANK NATIONAL ASSOCIATION, a national banking association organized and existing under the laws of the United States of America, as trustee (the “Trustee”).

W I T N E S S E T H :

WHEREAS, the Issuer and the Subsidiary Guarantors have heretofore executed and delivered to the Trustee an Indenture, dated as of March 19, 2012 (as amended by the First Supplemental Indenture, dated as of July 2, 2012, the “Indenture”), providing for the issuance of the Issuer’s 5-7/8% Senior Notes due 2024 (the “Notes”);

WHEREAS, Section 9.01 of the Indenture authorizes the Issuer, the Subsidiary Guarantors and the Trustee, together, to amend or supplement the Indenture, without notice to or consent of any Holder of the Notes, for the purpose of making any change that would not materially adversely affect the rights of any Holder of the Notes;

WHEREAS, the Issuer has re-designated the New Subsidiaries (formerly Unrestricted Subsidiaries) as Restricted Subsidiaries under the Indenture and now wishes to cause the New Subsidiaries to become Subsidiary Guarantors pursuant to Section 4.14 of the Indenture;

WHEREAS, in Section 1.01 of the Indenture, the term “Subsidiary Guarantors” is defined to include all Persons that become a Subsidiary Guarantor by the terms of the Indenture after the Closing Date; and

WHEREAS, Section 10.01 of the Indenture provides that each Subsidiary Guarantor shall be a guarantor of the Issuer’s obligations under the Notes, subject to the terms and conditions described in the Indenture.

NOW, THEREFORE, in consideration of the foregoing and for other good and valuable consideration, the receipt of which is hereby acknowledged, the Issuer, the Subsidiary Guarantors, the New Subsidiaries and the Trustee mutually covenant and agree for the equal and ratable benefit of the Holders of the Notes as follows:

8. CAPITALIZED TERMS.  Capitalized terms used herein without definition shall have the meanings assigned to them in the Indenture.

9. AMENDMENT TO GUARANTEE.  The New Subsidiaries hereby agree, jointly and severally with all other Subsidiary Guarantors, to guarantee the Issuer’s obligations under the Notes on the terms and subject to the conditions set forth in the Indenture, and to be bound by, and to receive the benefit of, all other applicable provisions of the Indenture as Subsidiary Guarantors.  Such guarantee shall be evidenced by the New Subsidiaries’ execution of Subsidiary Guarantees, the form of which is attached as Exhibit E to the Indenture, and shall be effective as of the date hereof.

10. NO RECOURSE AGAINST OTHERS.  No past, present or future director, officer, employee, partner, affiliate, beneficiary or stockholder of the New Subsidiaries, as such, shall have any liability for any obligations of the Issuer or any Subsidiary Guarantor under the Notes, any Guarantees, the Indenture or this Second Supplemental Indenture or for any claim based on, in respect of, or by reason of, such obligations or their creation.  Each Holder of the Notes, by accepting and holding a Note, waives and releases all such liability.  Such waiver and release are part of the consideration for the issuance of the Notes.

11. NEW YORK LAW TO GOVERN.  The laws of the State of New York shall govern and be used to construe this Second Supplemental Indenture.

12. COUNTERPARTS.  The parties may sign any number of copies of this Second Supplemental Indenture.  Each signed copy shall be an original, but all of them together shall represent the same agreement.

13. EFFECT OF HEADINGS.  The Section headings herein are for convenience only and shall not affect the construction hereof.

14. THE TRUSTEE.  The Trustee shall not be responsible in any manner whatsoever for or in respect of the validity or sufficiency of this Second Supplemental Indenture or for or in respect of the recitals contained herein, all of which recitals are made solely by the Issuer, the Subsidiary Guarantors and the New Subsidiaries.

[Remainder of Page Intentionally Left Blank]

IN WITNESS WHEREOF, the parties hereto have caused this Second Supplemental Indenture to be duly executed and attested, all as of the date first above written.

OMEGA HEALTHCARE INVESTORS, INC.
By:	/s/ C. Taylor Pickett
Name: C. Taylor Pickett
Title: Chief Executive Officer and President
On behalf of each Subsidiary Guarantor, its sole member, general partner or trustee, named on the attached Schedule I

By:	/s/ C. Taylor Pickett
Name: C. Taylor Pickett
Title: Chief Executive Officer and President
On behalf of each of the New Subsidiaries, its sole member, named on the attached Schedule II

By:	/s/ C. Taylor Pickett
Name: C. Taylor Pickett
Title: Chief Executive Officer and President
U.S. BANK NATIONAL ASSOCIATION, as Trustee

By:	/s/ Paul L. Henderson
Name: Paul L. Henderson
Title: Assistant Vice President

Schedule I

SUBSIDIARY GUARANTORS

Arizona Lessor - Infinia, Inc.

Baldwin Health Center, Inc.

Bayside Alabama Healthcare Second, Inc.

Bayside Arizona Healthcare Associates, Inc.

Bayside Arizona Healthcare Second, Inc.

Bayside Colorado Healthcare Associates, Inc.

Bayside Colorado Healthcare Second, Inc.

Bayside Indiana Healthcare Associates, Inc.

Bayside Street II, Inc.

Bayside Street, Inc.

Canton Health Care Land, Inc.

Carnegie Gardens LLC

Center Healthcare Associates, Inc.

Cherry Street - Skilled Nursing, Inc.

Colonial Gardens, LLC

Colorado Lessor - Conifer, Inc.

Copley Health Center, Inc.

CSE Anchorage LLC

CSE Blountville LLC

CSE Bolivar LLC

CSE Camden LLC

CSE Centennial Village

CSE Corpus North LLC

CSE Crane LLC

CSE Denver Iliff LLC

CSE Fairhaven LLC

CSE Huntingdon LLC

CSE Jacinto City LLC

CSE Jefferson City LLC

CSE Kerrville LLC

CSE Marianna Holdings LLC

CSE Memphis LLC

CSE Pennsylvania Holdings

CSE Ripley LLC

CSE Ripon LLC

CSE Spring Branch LLC

CSE Texarkana LLC

CSE The Village LLC

CSE West Point LLC

CSE Whitehouse LLC

CSE Williamsport LLC

Dallas - Skilled Nursing, Inc.

Delta Investors I, LLC

Delta Investors II, LLC

Desert Lane, LLC

Dixon Health Care Center, Inc.

Florida Lessor - Crystal Springs, Inc.

Florida Lessor - Emerald, Inc.

Florida Lessor - Lakeland, Inc.

Florida Lessor - Meadowview, Inc.

Florida Real Estate Company, LLC

Georgia Lessor - Bonterra/Parkview, Inc.

Greenbough, LLC

Hanover House, Inc.

Heritage Texarkana Healthcare Associates, Inc.

House of Hanover, Ltd.

Hutton I Land, Inc.

Hutton II Land, Inc.

Hutton III Land, Inc.

Indiana Lessor - Jeffersonville, Inc.

Indiana Lessor - Wellington Manor, Inc.

Jefferson Clark, Inc.

LAD I Real Estate Company, LLC

Lake Park - Skilled Nursing, Inc.

Leatherman 90-1, Inc.

Leatherman Partnership 89-1, Inc.

Leatherman Partnership 89-2, Inc.

Long Term Care - Michigan, Inc.

Long Term Care - North Carolina, Inc.

Long Term Care Associates - Illinois, Inc.

Long Term Care Associates - Indiana, Inc.

Long Term Care Associates - Texas, Inc.

Meridian Arms Land, Inc.

North Las Vegas LLC

NRS Ventures, L.L.C.

OHI (Connecticut), Inc.

OHI (Florida), Inc.

OHI (Illinois), Inc.

OHI (Indiana), Inc.

OHI (Iowa), Inc.

OHI (Kansas), Inc.

OHI Asset (CA), LLC

OHI Asset (CT) Lender, LLC

OHI Asset (FL), LLC

OHI Asset (ID), LLC

OHI Asset (IN), LLC

OHI Asset (LA), LLC

OHI Asset (MI), LLC

OHI Asset (MI/NC), LLC

OHI Asset (MO), LLC

OHI Asset (OH) Lender, LLC

OHI Asset (OH) New Philadelphia, LLC

OHI Asset (OH), LLC

OHI Asset (PA) Trust

OHI Asset (PA), LLC

OHI Asset (SMS) Lender, Inc.

OHI Asset (TX), LLC

OHI Asset CSE-E, LLC

OHI Asset CSE-U, LLC

OHI Asset Essex (OH), LLC

OHI Asset II (CA), LLC

OHI Asset II (PA) Trust

OHI Asset III (PA) Trust

OHI Asset, LLC

OHI of Kentucky, Inc.

OHI of Texas, Inc.

OHI Sunshine, Inc.

OHIMA, Inc.

Omega (Kansas), Inc.

Omega TRS I, Inc.

Orange Village Care Center, Inc.

OS Leasing Company

Panama City Nursing Center LLC

Parkview - Skilled Nursing, Inc.

Pavillion North Partners, Inc.

Pavillion North, LLP

Pavillion Nursing Center North, Inc.

Pine Texarkana Healthcare Associates, Inc.

Reunion Texarkana Healthcare Associates, Inc.

San Augustine Healthcare Associates, Inc.

Skilled Nursing - Gaston, Inc.

Skilled Nursing - Herrin, Inc.

Skilled Nursing - Hicksville, Inc.

Skilled Nursing - Paris, Inc.

Skyler Maitland LLC

South Athens Healthcare Associates, Inc.

St. Mary’s Properties, Inc.

Sterling Acquisition Corp.

Sterling Acquisition Corp. II

Suwanee, LLC

Texas Lessor - Stonegate GP, Inc.

Texas Lessor - Stonegate Limited, Inc.

Texas Lessor - Stonegate, L.P.

Texas Lessor - Treemont, Inc.

The Suburban Pavilion, Inc.

Washington Lessor - Silverdale, Inc.

Waxahachie Healthcare Associates, Inc.

West Athens Healthcare Associates, Inc.

Wilcare, LLC

OHI Asset (CO), LLC

OHI Asset (IL), LLC

OHI Asset IV (PA) Silver Lake Trust

OHI Asset II (FL), LLC

CSE Albany LLC

CSE Amarillo LLC

CSE Arden L.P.

CSE Augusta LLC

CSE Bedford LLC

CSE Cambridge LLC

CSE Cambridge Realty LLC

CSE Canton LLC

CSE Cedar Rapids LLC

CSE Chelmsford LLC

CSE Chesterton LLC

CSE Claremont LLC

CSE Denver LLC

CSE Douglas LLC

CSE Dumas LLC

CSE Elkton LLC

CSE Elkton Realty LLC

CSE Fort Wayne LLC

CSE Frankston LLC

CSE Georgetown LLC

CSE Green Bay LLC

CSE Hilliard LLC

CSE Huntsville LLC

CSE Indianapolis-Continental LLC

CSE Indianapolis-Greenbriar LLC

CSE Jefferson-Hillcrest Center LLC

CSE Jefferson-Jennings House LLC

CSE King L.P.

CSE Kingsport LLC

CSE Knightdale L.P.

CSE Lake City LLC

CSE Lake Worth LLC

CSE Lakewood LLC

CSE Las Vegas LLC

CSE Lawrenceburg LLC

CSE Lenoir L.P.

CSE Lexington Park LLC

CSE Lexington Park Realty LLC

CSE Ligonier LLC

CSE Live Oak LLC

CSE Logansport LLC

CSE Lowell LLC

CSE Mobile LLC

CSE Moore LLC

CSE North Carolina Holdings I LLC

CSE North Carolina Holdings II LLC

CSE Omro LLC

CSE Orange Park LLC

CSE Orlando-Pinar Terrace Manor LLC

CSE Orlando-Terra Vista Rehab LLC

CSE Piggott LLC

CSE Pilot Point LLC

CSE Ponca City LLC

CSE Port St. Lucie LLC

CSE Richmond LLC

CSE Safford LLC

CSE Salina LLC

CSE Seminole LLC

CSE Shawnee LLC

CSE Stillwater LLC

CSE Taylorsville LLC

CSE Texas City LLC

CSE Upland LLC

CSE Walnut Cove L.P.

CSE Winter Haven LLC

CSE Woodfin L.P.

CSE Yorktown LLC

CSE Casablanca Holdings LLC

CSE Casablanca Holdings II LLC

OHI Asset CSB LLC

OHI Asset (FL) Lender, LLC

OHI Asset (MD), LLC

OHI Asset HUD WO, LLC

OHI Asset HUD SF, LLC

OHI Asset (IN) Greensburg, LLC

OHI Asset (IN) Indianapolis, LLC

OHI Asset (IN) Wabash, LLC

OHI Asset (IN) Westfield, LLC

Schedule II

NEW SUBSIDIARIES

OHI Asset HUD CFG, LLC

1200 Ely Street Holdings Co. LLC

42235 County Road Holdings Co. LLC

2425 Teller Avenue, LLC

CFG 2115 Woodstock Place LLC

48 High Point Road, LLC

THIRD SUPPLEMENTAL INDENTURE

(Senior Notes due 2024)

THIS THIRD SUPPLEMENTAL INDENTURE (this “Third Supplemental Indenture”) is dated as of September 24, 2012, among OMEGA HEALTHCARE INVESTORS, INC., a Maryland corporation (the “Issuer”), each of the SUBSIDIARY GUARANTORS listed on Schedule I hereto (collectively, the “Subsidiary Guarantors”), each of the companies listed on Schedule II hereto (collectively, the “New Subsidiaries”), and U.S. BANK NATIONAL ASSOCIATION, a national banking association organized and existing under the laws of the United States of America, as trustee (the “Trustee”).

W I T N E S S E T H :

WHEREAS, the Issuer and the Subsidiary Guarantors have heretofore executed and delivered to the Trustee an Indenture, dated as of March 19, 2012 (as supplemented by that First Supplemental Indenture, dated as of July 2, 2012, and that Second Supplemental Indenture, dated as of August 9, 2012, the “Indenture”), providing for the issuance of the Issuer’s 5-7/8% Senior Notes due 2024 (the “Notes”);

WHEREAS, Section 9.01 of the Indenture authorizes the Issuer, the Subsidiary Guarantors and the Trustee, together, to amend or supplement the Indenture, without notice to or consent of any Holder of the Notes, for the purpose of making any change that would not materially adversely affect the rights of any Holder of the Notes;

WHEREAS, the Issuer has recently created the New Subsidiaries, which are required to become Subsidiary Guarantors pursuant to Section 4.14 of the Indenture;

WHEREAS, in Section 1.01 of the Indenture, the term “Subsidiary Guarantors” is defined to include all Persons that become a Subsidiary Guarantor by the terms of the Indenture after the Closing Date; and

WHEREAS, Section 10.01 of the Indenture provides that each Subsidiary Guarantor shall be a guarantor of the Issuer’s obligations under the Notes, subject to the terms and conditions described in the Indenture.

NOW, THEREFORE, in consideration of the foregoing and for other good and valuable consideration, the receipt of which is hereby acknowledged, the Issuer, the Subsidiary Guarantors, the New Subsidiaries and the Trustee mutually covenant and agree for the equal and ratable benefit of the Holders of the Notes as follows:

15.   CAPITALIZED TERMS.  Capitalized terms used herein without definition shall have the meanings assigned to them in the Indenture.

16.   AMENDMENT TO GUARANTEE.  The New Subsidiaries hereby agree, jointly and severally with all other Subsidiary Guarantors, to guarantee the Issuer’s obligations under the Notes on the terms and subject to the conditions set forth in the Indenture, and to be bound by, and to receive the benefit of, all other applicable provisions of the Indenture as Subsidiary Guarantors.  Such guarantee shall be evidenced by the New Subsidiaries’ execution of Subsidiary Guarantees, the form of which is attached as Exhibit E to the Indenture, and shall be effective as of the date hereof.

17.   NO RECOURSE AGAINST OTHERS.  No past, present or future director, officer, employee, partner, affiliate, beneficiary or stockholder of the New Subsidiaries, as such, shall have any liability for any obligations of the Issuer or any Subsidiary Guarantor under the Notes, any Guarantees, the Indenture or this Third Supplemental Indenture or for any claim based on, in respect of, or by reason of, such obligations or their creation.  Each Holder of the Notes, by accepting and holding a Note, waives and releases all such liability.  Such waiver and release are part of the consideration for the issuance of the Notes.

18.   NEW YORK LAW TO GOVERN.  The laws of the State of New York shall govern and be used to construe this Third Supplemental Indenture.

19.   COUNTERPARTS.  The parties may sign any number of copies of this Third Supplemental Indenture.  Each signed copy shall be an original, but all of them together shall represent the same agreement.

20.   EFFECT OF HEADINGS.  The Section headings herein are for convenience only and shall not affect the construction hereof.

21.   THE TRUSTEE.  The Trustee shall not be responsible in any manner whatsoever for or in respect of the validity or sufficiency of this Third Supplemental Indenture or for or in respect of the recitals contained herein, all of which recitals are made solely by the Issuer, the Subsidiary Guarantors and the New Subsidiaries.

[Remainder of Page Intentionally Left Blank]

IN WITNESS WHEREOF, the parties hereto have caused this Third Supplemental Indenture to be duly executed and attested, all as of the date first above written.

OMEGA HEALTHCARE INVESTORS, INC.

By: /s/ Robert O. Stephenson

Name: Robert O. Stephenson

Title: Chief Financial Officer and Treasurer

On behalf of each Subsidiary Guarantor, its sole member, general partner or trustee, named on the attached Schedule I

By: /s/ Robert O. Stephenson

Name: Robert O. Stephenson

Title: Chief Financial Officer and Treasurer

On behalf of each of the New Subsidiaries, its sole member

By: /s/ Robert O. Stephenson

Name: Robert O. Stephenson

Title: Chief Financial Officer and Treasurer

U.S. BANK NATIONAL ASSOCIATION,

as Trustee

By: /s/ Paul L. Henderson

Name: Paul L. Henderson

Title: Assistant Vice President

Schedule I

SUBSIDIARY GUARANTORS

1200 Ely Street Holdings Co. LLC

42235 County Road Holdings Co. LLC

2425 Teller Avenue, LLC

48 High Point Road, LLC

Arizona Lessor - Infinia, Inc.

Baldwin Health Center, Inc.

Bayside Alabama Healthcare Second, Inc.

Bayside Arizona Healthcare Associates, Inc.

Bayside Arizona Healthcare Second, Inc.

Bayside Colorado Healthcare Associates, Inc.

Bayside Colorado Healthcare Second, Inc.

Bayside Indiana Healthcare Associates, Inc.

Bayside Street II, Inc.

Bayside Street, Inc.

Canton Health Care Land, Inc.

Carnegie Gardens LLC

Center Healthcare Associates, Inc.

CFG 2115 Woodstock Place LLC

Cherry Street - Skilled Nursing, Inc.

Colonial Gardens, LLC

Colorado Lessor - Conifer, Inc.

Copley Health Center, Inc.

CSE Anchorage LLC

CSE Blountville LLC

CSE Bolivar LLC

CSE Camden LLC

CSE Centennial Village

CSE Corpus North LLC

CSE Crane LLC

CSE Denver Iliff LLC

CSE Fairhaven LLC

CSE Huntingdon LLC

CSE Jacinto City LLC

CSE Jefferson City LLC

CSE Kerrville LLC

CSE Marianna Holdings LLC

CSE Memphis LLC

CSE Pennsylvania Holdings

CSE Ripley LLC

CSE Ripon LLC

CSE Spring Branch LLC

CSE Texarkana LLC

CSE The Village LLC

CSE West Point LLC

CSE Whitehouse LLC

CSE Williamsport LLC

Dallas - Skilled Nursing, Inc.

Delta Investors I, LLC

Delta Investors II, LLC

Desert Lane, LLC

Dixon Health Care Center, Inc.

Florida Lessor - Crystal Springs, Inc.

Florida Lessor - Emerald, Inc.

Florida Lessor - Lakeland, Inc.

Florida Lessor - Meadowview, Inc.

Florida Real Estate Company, LLC

Georgia Lessor - Bonterra/Parkview, Inc.

Greenbough, LLC

Hanover House, Inc.

Heritage Texarkana Healthcare Associates, Inc.

House of Hanover, Ltd.

Hutton I Land, Inc.

Hutton II Land, Inc.

Hutton III Land, Inc.

Indiana Lessor - Jeffersonville, Inc.

Indiana Lessor - Wellington Manor, Inc.

Jefferson Clark, Inc.

LAD I Real Estate Company, LLC

Lake Park - Skilled Nursing, Inc.

Leatherman 90-1, Inc.

Leatherman Partnership 89-1, Inc.

Leatherman Partnership 89-2, Inc.

Long Term Care - Michigan, Inc.

Long Term Care - North Carolina, Inc.

Long Term Care Associates - Illinois, Inc.

Long Term Care Associates - Indiana, Inc.

Long Term Care Associates - Texas, Inc.

Meridian Arms Land, Inc.

North Las Vegas LLC

NRS Ventures, L.L.C.

OHI (Connecticut), Inc.

OHI (Florida), Inc.

OHI (Illinois), Inc.

OHI (Indiana), Inc.

OHI (Iowa), Inc.

OHI (Kansas), Inc.

OHI Asset (CA), LLC

OHI Asset (CT) Lender, LLC

OHI Asset (FL), LLC

OHI Asset (ID), LLC

OHI Asset (IN), LLC

OHI Asset (LA), LLC

OHI Asset (MI), LLC

OHI Asset (MI/NC), LLC

OHI Asset (MO), LLC

OHI Asset (OH) Lender, LLC

OHI Asset (OH) New Philadelphia, LLC

OHI Asset (OH), LLC

OHI Asset (PA) Trust

OHI Asset (PA), LLC

OHI Asset (SMS) Lender, Inc.

OHI Asset (TX), LLC

OHI Asset CSE-E, LLC

OHI Asset CSE-U, LLC

OHI Asset Essex (OH), LLC

OHI Asset II (CA), LLC

OHI Asset II (PA) Trust

OHI Asset III (PA) Trust

OHI Asset, LLC

OHI of Kentucky, Inc.

OHI of Texas, Inc.

OHI Sunshine, Inc.

OHIMA, Inc.

Omega (Kansas), Inc.

Omega TRS I, Inc.

Orange Village Care Center, Inc.

OS Leasing Company

Panama City Nursing Center LLC

Parkview - Skilled Nursing, Inc.

Pavillion North Partners, Inc.

Pavillion North, LLP

Pavillion Nursing Center North, Inc.

Pine Texarkana Healthcare Associates, Inc.

Reunion Texarkana Healthcare Associates, Inc.

San Augustine Healthcare Associates, Inc.

Skilled Nursing - Gaston, Inc.

Skilled Nursing - Herrin, Inc.

Skilled Nursing - Hicksville, Inc.

Skilled Nursing - Paris, Inc.

Skyler Maitland LLC

South Athens Healthcare Associates, Inc.

St. Mary’s Properties, Inc.

Sterling Acquisition Corp.

Sterling Acquisition Corp. II

Suwanee, LLC

Texas Lessor - Stonegate GP, Inc.

Texas Lessor - Stonegate Limited, Inc.

Texas Lessor - Stonegate, L.P.

Texas Lessor - Treemont, Inc.

The Suburban Pavilion, Inc.

Washington Lessor - Silverdale, Inc.

Waxahachie Healthcare Associates, Inc.

West Athens Healthcare Associates, Inc.

Wilcare, LLC

OHI Asset (CO), LLC

OHI Asset (IL), LLC

OHI Asset IV (PA) Silver Lake Trust

OHI Asset II (FL), LLC

CSE Albany LLC

CSE Amarillo LLC

CSE Arden L.P.

CSE Augusta LLC

CSE Bedford LLC

CSE Cambridge LLC

CSE Cambridge Realty LLC

CSE Canton LLC

CSE Cedar Rapids LLC

CSE Chelmsford LLC

CSE Chesterton LLC

CSE Claremont LLC

CSE Denver LLC

CSE Douglas LLC

CSE Dumas LLC

CSE Elkton LLC

CSE Elkton Realty LLC

CSE Fort Wayne LLC

CSE Frankston LLC

CSE Georgetown LLC

CSE Green Bay LLC

CSE Hilliard LLC

CSE Huntsville LLC

CSE Indianapolis-Continental LLC

CSE Indianapolis-Greenbriar LLC

CSE Jefferson-Hillcrest Center LLC

CSE Jefferson-Jennings House LLC

CSE King L.P.

CSE Kingsport LLC

CSE Knightdale L.P.

CSE Lake City LLC

CSE Lake Worth LLC

CSE Lakewood LLC

CSE Las Vegas LLC

CSE Lawrenceburg LLC

CSE Lenoir L.P.

CSE Lexington Park LLC

CSE Lexington Park Realty LLC

CSE Ligonier LLC

CSE Live Oak LLC

CSE Logansport LLC

CSE Lowell LLC

CSE Mobile LLC

CSE Moore LLC

CSE North Carolina Holdings I LLC

CSE North Carolina Holdings II LLC

CSE Omro LLC

CSE Orange Park LLC

CSE Orlando-Pinar Terrace Manor LLC

CSE Orlando-Terra Vista Rehab LLC

CSE Piggott LLC

CSE Pilot Point LLC

CSE Ponca City LLC

CSE Port St. Lucie LLC

CSE Richmond LLC

CSE Safford LLC

CSE Salina LLC

CSE Seminole LLC

CSE Shawnee LLC

CSE Stillwater LLC

CSE Taylorsville LLC

CSE Texas City LLC

CSE Upland LLC

CSE Walnut Cove L.P.

CSE Winter Haven LLC

CSE Woodfin L.P.

CSE Yorktown LLC

CSE Casablanca Holdings LLC

CSE Casablanca Holdings II LLC

OHI Asset CSB LLC

OHI Asset (FL) Lender, LLC

OHI Asset (MD), LLC

OHI Asset HUD CFG, LLC

OHI Asset HUD WO, LLC

OHI Asset HUD SF, LLC

OHI Asset (IN) Greensburg, LLC

OHI Asset (IN) Indianapolis, LLC

OHI Asset (IN) Wabash, LLC

OHI Asset (IN) Westfield, LLC

Schedule II

NEW SUBSIDIARIES

OHI Asset (IN) American Village, LLC

OHI Asset (IN) Beech Grove, LLC

OHI Asset (IN) Eagle Valley, LLC

OHI Asset (IN) Anderson, LLC

OHI Asset (IN) Forest Creek, LLC

OHI Asset (IN) Franklin, LLC

OHI Asset (IN) Fort Wayne, LLC

OHI Asset (IN) Monticello, LLC

OHI Asset (IN) Kokomo, LLC

OHI Asset (IN) Elkhart, LLC

OHI Asset (IN) Clarksville, LLC

OHI Asset (IN) Noblesville, LLC

OHI Asset (IN) Rosewalk, LLC

OHI Asset (IN) Lafayette, LLC

OHI Asset (IN) Spring Mill, LLC

OHI Asset (IN) Terre Haute, LLC

OHI Asset (IN) Zionsville, LLC

FOURTH SUPPLEMENTAL INDENTURE

(Senior Notes due 2024)

THIS FOURTH SUPPLEMENTAL INDENTURE (this “Fourth Supplemental Indenture”) is effective as of December 31, 2012, among OMEGA HEALTHCARE INVESTORS, INC., a Maryland corporation (the “Issuer”), each of the SUBSIDIARY GUARANTORS listed on Schedule I hereto (collectively, the “Subsidiary Guarantors”), each of the companies listed on Schedule II hereto (collectively, the “New Subsidiaries”), and U.S. BANK NATIONAL ASSOCIATION, a national banking association organized and existing under the laws of the United States of America, as trustee (the “Trustee”).

W I T N E S S E T H :

WHEREAS, the Issuer and the Subsidiary Guarantors have heretofore executed and delivered to the Trustee an Indenture, dated as of March 19, 2012 (as supplemented by that First Supplemental Indenture, dated as of July 2, 2012, that Second Supplemental Indenture, dated as of August 9, 2012, and that Third Supplemental Indenture, dated as of September 24, 2012 the “Indenture”), providing for the issuance of the Issuer’s 5-7/8% Senior Notes due 2024 (the “Notes”);

WHEREAS, Section 9.01 of the Indenture authorizes the Issuer, the Subsidiary Guarantors and the Trustee, together, to amend or supplement the Indenture, without notice to or consent of any Holder of the Notes, for the purpose of making any change that would not materially adversely affect the rights of any Holder of the Notes;

WHEREAS, the Issuer has recently created the New Subsidiaries, which are required to become Subsidiary Guarantors pursuant to Section 4.14 of the Indenture;

WHEREAS, in Section 1.01 of the Indenture, the term “Subsidiary Guarantors” is defined to include all Persons that become a Subsidiary Guarantor by the terms of the Indenture after the Closing Date; and

WHEREAS, Section 10.01 of the Indenture provides that each Subsidiary Guarantor shall be a guarantor of the Issuer’s obligations under the Notes, subject to the terms and conditions described in the Indenture.

NOW, THEREFORE, in consideration of the foregoing and for other good and valuable consideration, the receipt of which is hereby acknowledged, the Issuer, the Subsidiary Guarantors, the New Subsidiaries and the Trustee mutually covenant and agree for the equal and ratable benefit of the Holders of the Notes as follows:

22. CAPITALIZED TERMS.  Capitalized terms used herein without definition shall have the meanings assigned to them in the Indenture.

23. AMENDMENT TO GUARANTEE.  The New Subsidiaries hereby agree, jointly and severally with all other Subsidiary Guarantors, to guarantee the Issuer’s obligations under the Notes on the terms and subject to the conditions set forth in the Indenture, and to be bound by, and to receive the benefit of, all other applicable provisions of the Indenture as Subsidiary Guarantors.  Such guarantee shall be evidenced by the New Subsidiaries’ execution of Subsidiary Guarantees, the form of which is attached as Exhibit E to the Indenture, and shall be effective as of the date hereof.

24. NO RECOURSE AGAINST OTHERS.  No past, present or future director, officer, employee, partner, affiliate, beneficiary or stockholder of the New Subsidiaries, as such, shall have any liability for any obligations of the Issuer or any Subsidiary Guarantor under the Notes, any Guarantees, the Indenture or this Fourth Supplemental Indenture or for any claim based on, in respect of, or by reason of, such obligations or their creation.  Each Holder of the Notes, by accepting and holding a Note, waives and releases all such liability.  Such waiver and release are part of the consideration for the issuance of the Notes.

25. NEW YORK LAW TO GOVERN.  The laws of the State of New York shall govern and be used to construe this Fourth Supplemental Indenture.

26. COUNTERPARTS.  The parties may sign any number of copies of this Fourth Supplemental Indenture.  Each signed copy shall be an original, but all of them together shall represent the same agreement.

27. EFFECT OF HEADINGS.  The Section headings herein are for convenience only and shall not affect the construction hereof.

28. THE TRUSTEE.  The Trustee shall not be responsible in any manner whatsoever for or in respect of the validity or sufficiency of this Fourth Supplemental Indenture or for or in respect of the recitals contained herein, all of which recitals are made solely by the Issuer, the Subsidiary Guarantors and the New Subsidiaries.

[Remainder of Page Intentionally Left Blank]

IN WITNESS WHEREOF, the parties hereto have caused this Fourth Supplemental Indenture to be duly executed and attested, all as of the date first above written.

OMEGA HEALTHCARE INVESTORS, INC.
By:	/s/ Robert O. Stephenson
Name: Robert O. Stephenson
Title: Chief Financial Officer and Treasurer
Executed on: February 15, 2013

On behalf of each Subsidiary Guarantor, its sole member, general partner or trustee, named on the attached Schedule I
By:	/s/ Daniel J. Booth
Name: Daniel J. Booth
Title: Chief Operating Officer and Treasurer
Executed on: February 15, 2013

On behalf of each of the New Subsidiaries, its sole member
By:	/s/ Daniel J. Booth
Name: Daniel J. Booth
Title: Chief Operating Officer and Secretary
Executed on: February 15, 2013

U.S. BANK NATIONAL ASSOCIATION, as Trustee
By:	/s/ Dave Ferrell
Name: Dave Ferrell
Title: Vice President
Executed on: February 15, 2013

Schedule I

SUBSIDIARY GUARANTORS

1200 Ely Street Holdings Co. LLC

42235 County Road Holdings Co. LLC

2425 Teller Avenue, LLC

48 High Point Road, LLC

Arizona Lessor - Infinia, Inc.

Baldwin Health Center, Inc.

Bayside Alabama Healthcare Second, Inc.

Bayside Arizona Healthcare Associates, Inc.

Bayside Arizona Healthcare Second, Inc.

Bayside Colorado Healthcare Associates, Inc.

Bayside Colorado Healthcare Second, Inc.

Bayside Indiana Healthcare Associates, Inc.

Bayside Street II, Inc.

Bayside Street, Inc.

Canton Health Care Land, Inc.

Carnegie Gardens LLC

Center Healthcare Associates, Inc.

CFG 2115 Woodstock Place LLC

Cherry Street - Skilled Nursing, Inc.

Colonial Gardens, LLC

Colorado Lessor - Conifer, Inc.

Copley Health Center, Inc.

CSE Anchorage LLC

CSE Blountville LLC

CSE Bolivar LLC

CSE Camden LLC

CSE Centennial Village

CSE Corpus North LLC

CSE Crane LLC

CSE Denver Iliff LLC

CSE Fairhaven LLC

CSE Huntingdon LLC

CSE Jacinto City LLC

CSE Jefferson City LLC

CSE Kerrville LLC

CSE Marianna Holdings LLC

CSE Memphis LLC

CSE Pennsylvania Holdings

CSE Ripley LLC

CSE Ripon LLC

CSE Spring Branch LLC

CSE Texarkana LLC

CSE The Village LLC

CSE West Point LLC

CSE Whitehouse LLC

CSE Williamsport LLC

Dallas - Skilled Nursing, Inc.

Delta Investors I, LLC

Delta Investors II, LLC

Desert Lane, LLC

Dixon Health Care Center, Inc.

Florida Lessor - Crystal Springs, Inc.

Florida Lessor - Emerald, Inc.

Florida Lessor - Lakeland, Inc.

Florida Lessor - Meadowview, Inc.

Florida Real Estate Company, LLC

Georgia Lessor - Bonterra/Parkview, Inc.

Greenbough, LLC

Hanover House, Inc.

Heritage Texarkana Healthcare Associates, Inc.

House of Hanover, Ltd.

Hutton I Land, Inc.

Hutton II Land, Inc.

Hutton III Land, Inc.

Indiana Lessor - Jeffersonville, Inc.

Indiana Lessor - Wellington Manor, Inc.

Jefferson Clark, Inc.

LAD I Real Estate Company, LLC

Lake Park - Skilled Nursing, Inc.

Leatherman 90-1, Inc.

Leatherman Partnership 89-1, Inc.

Leatherman Partnership 89-2, Inc.

Long Term Care - Michigan, Inc.

Long Term Care - North Carolina, Inc.

Long Term Care Associates - Illinois, Inc.

Long Term Care Associates - Indiana, Inc.

Long Term Care Associates - Texas, Inc.

Meridian Arms Land, Inc.

North Las Vegas LLC

NRS Ventures, L.L.C.

OHI (Connecticut), Inc.

OHI (Florida), Inc.

OHI (Illinois), Inc.

OHI (Indiana), Inc.

OHI (Iowa), Inc.

OHI (Kansas), Inc.

OHI Asset (CA), LLC

OHI Asset (CT) Lender, LLC

OHI Asset (FL), LLC

OHI Asset (ID), LLC

OHI Asset (IN), LLC

OHI Asset (LA), LLC

OHI Asset (MI), LLC

OHI Asset (MI/NC), LLC

OHI Asset (MO), LLC

OHI Asset (OH) Lender, LLC

OHI Asset (OH) New Philadelphia, LLC

OHI Asset (OH), LLC

OHI Asset (PA) Trust

OHI Asset (PA), LLC

OHI Asset (SMS) Lender, Inc.

OHI Asset (TX), LLC

OHI Asset CSE-E, LLC

OHI Asset CSE-U, LLC

OHI Asset Essex (OH), LLC

OHI Asset II (CA), LLC

OHI Asset II (PA) Trust

OHI Asset III (PA) Trust

OHI Asset, LLC

OHI of Kentucky, Inc.

OHI of Texas, Inc.

OHI Sunshine, Inc.

OHIMA, Inc.

Omega (Kansas), Inc.

Omega TRS I, Inc.

Orange Village Care Center, Inc.

OS Leasing Company

Panama City Nursing Center LLC

Parkview - Skilled Nursing, Inc.

Pavillion North Partners, Inc.

Pavillion North, LLP

Pavillion Nursing Center North, Inc.

Pine Texarkana Healthcare Associates, Inc.

Reunion Texarkana Healthcare Associates, Inc.

San Augustine Healthcare Associates, Inc.

Skilled Nursing - Gaston, Inc.

Skilled Nursing - Herrin, Inc.

Skilled Nursing - Hicksville, Inc.

Skilled Nursing - Paris, Inc.

Skyler Maitland LLC

South Athens Healthcare Associates, Inc.

St. Mary’s Properties, Inc.

Sterling Acquisition Corp.

Sterling Acquisition Corp. II

Suwanee, LLC

Texas Lessor - Stonegate GP, Inc.

Texas Lessor - Stonegate Limited, Inc.

Texas Lessor - Stonegate, L.P.

Texas Lessor - Treemont, Inc.

The Suburban Pavilion, Inc.

Washington Lessor - Silverdale, Inc.

Waxahachie Healthcare Associates, Inc.

West Athens Healthcare Associates, Inc.

Wilcare, LLC

OHI Asset (CO), LLC

OHI Asset (IL), LLC

OHI Asset IV (PA) Silver Lake Trust

OHI Asset II (FL), LLC

CSE Albany LLC

CSE Amarillo LLC

CSE Arden L.P.

CSE Augusta LLC

CSE Bedford LLC

CSE Cambridge LLC

CSE Cambridge Realty LLC

CSE Canton LLC

CSE Cedar Rapids LLC

CSE Chelmsford LLC

CSE Chesterton LLC

CSE Claremont LLC

CSE Denver LLC

CSE Douglas LLC

CSE Dumas LLC

CSE Elkton LLC

CSE Elkton Realty LLC

CSE Fort Wayne LLC

CSE Frankston LLC

CSE Georgetown LLC

CSE Green Bay LLC

CSE Hilliard LLC

CSE Huntsville LLC

CSE Indianapolis-Continental LLC

CSE Indianapolis-Greenbriar LLC

CSE Jefferson-Hillcrest Center LLC

CSE Jefferson-Jennings House LLC

CSE King L.P.

CSE Kingsport LLC

CSE Knightdale L.P.

CSE Lake City LLC

CSE Lake Worth LLC

CSE Lakewood LLC

CSE Las Vegas LLC

CSE Lawrenceburg LLC

CSE Lenoir L.P.

CSE Lexington Park LLC

CSE Lexington Park Realty LLC

CSE Ligonier LLC

CSE Live Oak LLC

CSE Logansport LLC

CSE Lowell LLC

CSE Mobile LLC

CSE Moore LLC

CSE North Carolina Holdings I LLC

CSE North Carolina Holdings II LLC

CSE Omro LLC

CSE Orange Park LLC

CSE Orlando-Pinar Terrace Manor LLC

CSE Orlando-Terra Vista Rehab LLC

CSE Piggott LLC

CSE Pilot Point LLC

CSE Ponca City LLC

CSE Port St. Lucie LLC

CSE Richmond LLC

CSE Safford LLC

CSE Salina LLC

CSE Seminole LLC

CSE Shawnee LLC

CSE Stillwater LLC

CSE Taylorsville LLC

CSE Texas City LLC

CSE Upland LLC

CSE Walnut Cove L.P.

CSE Winter Haven LLC

CSE Woodfin L.P.

CSE Yorktown LLC

CSE Casablanca Holdings LLC

CSE Casablanca Holdings II LLC

OHI Asset CSB LLC

OHI Asset (FL) Lender, LLC

OHI Asset (MD), LLC

OHI Asset HUD CFG, LLC

OHI Asset HUD WO, LLC

OHI Asset HUD SF, LLC

OHI Asset (IN) Greensburg, LLC

OHI Asset (IN) Indianapolis, LLC

OHI Asset (IN) Wabash, LLC

OHI Asset (IN) Westfield, LLC

OHI Asset (IN) American Village, LLC

OHI Asset (IN) Beech Grove, LLC

OHI Asset (IN) Eagle Valley, LLC

OHI Asset (IN) Anderson, LLC

OHI Asset (IN) Forest Creek, LLC

OHI Asset (IN) Franklin, LLC

OHI Asset (IN) Fort Wayne, LLC

OHI Asset (IN) Monticello, LLC

OHI Asset (IN) Kokomo, LLC

OHI Asset (IN) Elkhart, LLC

OHI Asset (IN) Clarksville, LLC

OHI Asset (IN) Noblesville, LLC

OHI Asset (IN) Rosewalk, LLC

OHI Asset (IN) Lafayette, LLC

OHI Asset (IN) Spring Mill, LLC

OHI Asset (IN) Terre Haute, LLC

OHI Asset (IN) Zionsville, LLC

Schedule II

NEW SUBSIDIARIES

OHI Asset (TX) Hondo, LLC

OHI Asset HUD SF CA, LLC

13922 Cerise Avenue, LLC

245 East Wilshire Avenue, LLC

3806 Clayton Road, LLC

637 East Romie Lane, LLC

523 Hayes Lane, LLC

OHI Asset (MI) Heather Hills, LLC

Encanto Senior Care, LLC

OHI Asset (IN) Crown Point, LLC

OHI Asset (IN) Madison, LLC

EX-4.2C

Exhibit 4.2C

FIFTH SUPPLEMENTAL INDENTURE

(Senior Notes due 2020)

THIS FIFTH SUPPLEMENTAL INDENTURE (this “Fifth Supplemental Indenture”) is dated as of July 2, 2012, among OMEGA HEALTHCARE INVESTORS, INC., a Maryland corporation (the “Issuer”), each of the SUBSIDIARY GUARANTORS listed on Schedule I hereto (collectively, the “Subsidiary Guarantors”), OHI Asset HUD SF, LLC, OHI Asset (IN) Greensburg, LLC, OHI Asset (IN) Indianapolis, LLC, OHI Asset (IN) Wabash, LLC and OHI Asset (IN) Westfield, LLC, each a Delaware limited liability company (the “New Subsidiaries”), and U.S. BANK NATIONAL ASSOCIATION, a national banking association organized and existing under the laws of the United States of America, as trustee (the “Trustee”).

W I T N E S S E T H :

WHEREAS, the Issuer and the Subsidiary Guarantors have heretofore executed and delivered to the Trustee an Indenture, dated as of February 9, 2010 (as supplemented by that First Supplemental Indenture, dated June 23, 2010, that Second Supplemental Indenture, dated as of September 2, 2010, that Third Supplemental Indenture, dated as of January 13, 2011, and that Fourth Supplemental Indenture, dated as of June 10, 2011, the “Indenture”), providing for the issuance of the Issuer’s 7-1/2% Senior Notes due 2020 (the “Notes”);

WHEREAS, Section 9.01 of the Indenture authorizes the Issuer, the Subsidiary Guarantors and the Trustee, together, to amend or supplement the Indenture, without notice to or consent of any Holder of the Notes, for the purpose of making any change that would not materially adversely affect the rights of any Holder of the Notes;

WHEREAS, the Issuer has recently created the New Subsidiaries, which are required to become Subsidiary Guarantors pursuant to Section 4.14 of the Indenture;

WHEREAS, in Section 1.01 of the Indenture, the term “Subsidiary Guarantors” is defined to include all Persons that become a Subsidiary Guarantor by the terms of the Indenture after the Closing Date; and

WHEREAS, Section 10.01 of the Indenture provides that each Subsidiary Guarantor shall be a guarantor of the Issuer’s obligations under the Notes, subject to the terms and conditions described in the Indenture.

NOW, THEREFORE, in consideration of the foregoing and for other good and valuable consideration, the receipt of which is hereby acknowledged, the Issuer, the Subsidiary Guarantors, the New Subsidiaries and the Trustee mutually covenant and agree for the equal and ratable benefit of the Holders of the Notes as follows:

1. CAPITALIZED TERMS.  Capitalized terms used herein without definition shall have the meanings assigned to them in the Indenture.

2. AMENDMENT TO GUARANTEE.  The New Subsidiaries hereby agree, jointly and severally with all other Subsidiary Guarantors, to guarantee the Issuer’s obligations under the Notes on the terms and subject to the conditions set forth in the Indenture, and to be bound by, and to receive the benefit of, all other applicable provisions of the Indenture as Subsidiary Guarantors.  Such guarantee shall be evidenced by the New Subsidiaries’ execution of Subsidiary Guarantees, the form of which is attached as Exhibit E to the Indenture, and shall be effective as of the date hereof.

3. NO RECOURSE AGAINST OTHERS.  No past, present or future director, officer, employee, partner, affiliate, beneficiary or stockholder of the New Subsidiaries, as such, shall have any liability for any obligations of the Issuer or any Subsidiary Guarantor under the Notes, any Guarantees, the Indenture or this Fifth Supplemental Indenture or for any claim based on, in respect of, or by reason of, such obligations or their creation.  Each Holder of the Notes, by accepting and holding a Note, waives and releases all such liability.  Such waiver and release are part of the consideration for the issuance of the Notes.

4. NEW YORK LAW TO GOVERN.  The laws of the State of New York shall govern and be used to construe this Fifth Supplemental Indenture.

5. COUNTERPARTS.  The parties may sign any number of copies of this Fifth Supplemental Indenture.  Each signed copy shall be an original, but all of them together shall represent the same agreement.

6. EFFECT OF HEADINGS.  The Section headings herein are for convenience only and shall not affect the construction hereof.

7. THE TRUSTEE.  The Trustee shall not be responsible in any manner whatsoever for or in respect of the validity or sufficiency of this Fifth Supplemental Indenture or for or in respect of the recitals contained herein, all of which recitals are made solely by the Issuer, the Subsidiary Guarantors and the New Subsidiaries.

[Remainder of Page Intentionally Left Blank]

IN WITNESS WHEREOF, the parties hereto have caused this Fifth Supplemental Indenture to be duly executed and attested, all as of the date first above written.

OMEGA HEALTHCARE INVESTORS, INC.
By:	/s/ Robert O. Stephenson
Name: Robert O. Stephenson
Title: Chief Financial Officer and Treasurer
On behalf of each Subsidiary Guarantor, its sole member, general partner or trustee, named on the attached Schedule I
By:	/s/ Robert O. Stephenson
Name: Robert O. Stephenson
Title: Chief Financial Officer and Treasurer
On behalf of each of the New Subsidiaries, its sole member
By:	/s/ Robert O. Stephenson
Name: Robert O. Stephenson
Title: Chief Financial Officer and Treasurer
U.S. BANK NATIONAL ASSOCIATION, as Trustee
By:	/s/ Paul L. Henderson
Name: Paul L. Henderson Title: Assistant Vice President

Schedule I

SUBSIDIARY GUARANTORS

Arizona Lessor - Infinia, Inc.

Baldwin Health Center, Inc.

Bayside Alabama Healthcare Second, Inc.

Bayside Arizona Healthcare Associates, Inc.

Bayside Arizona Healthcare Second, Inc.

Bayside Colorado Healthcare Associates, Inc.

Bayside Colorado Healthcare Second, Inc.

Bayside Indiana Healthcare Associates, Inc.

Bayside Street II, Inc.

Bayside Street, Inc.

Canton Health Care Land, Inc.

Carnegie Gardens LLC

Center Healthcare Associates, Inc.

Cherry Street - Skilled Nursing, Inc.

Colonial Gardens, LLC

Colorado Lessor - Conifer, Inc.

Copley Health Center, Inc.

CSE Anchorage LLC

CSE Blountville LLC

CSE Bolivar LLC

CSE Camden LLC

CSE Centennial Village

CSE Corpus North LLC

CSE Crane LLC

CSE Denver Iliff LLC

CSE Fairhaven LLC

CSE Huntingdon LLC

CSE Jacinto City LLC

CSE Jefferson City LLC

CSE Kerrville LLC

CSE Marianna Holdings LLC

CSE Memphis LLC

CSE Pennsylvania Holdings

CSE Ripley LLC

CSE Ripon LLC

CSE Spring Branch LLC

CSE Texarkana LLC

CSE The Village LLC

CSE West Point LLC

CSE Whitehouse LLC

CSE Williamsport LLC

Dallas - Skilled Nursing, Inc.

Delta Investors I, LLC

Delta Investors II, LLC

Desert Lane, LLC

Dixon Health Care Center, Inc.

Florida Lessor - Crystal Springs, Inc.

Florida Lessor - Emerald, Inc.

Florida Lessor - Lakeland, Inc.

Florida Lessor - Meadowview, Inc.

Florida Real Estate Company, LLC

Georgia Lessor - Bonterra/Parkview, Inc.

Greenbough, LLC

Hanover House, Inc.

Heritage Texarkana Healthcare Associates, Inc.

House of Hanover, Ltd.

Hutton I Land, Inc.

Hutton II Land, Inc.

Hutton III Land, Inc.

Indiana Lessor - Jeffersonville, Inc.

Indiana Lessor - Wellington Manor, Inc.

Jefferson Clark, Inc.

LAD I Real Estate Company, LLC

Lake Park - Skilled Nursing, Inc.

Leatherman 90-1, Inc.

Leatherman Partnership 89-1, Inc.

Leatherman Partnership 89-2, Inc.

Long Term Care - Michigan, Inc.

Long Term Care - North Carolina, Inc.

Long Term Care Associates - Illinois, Inc.

Long Term Care Associates - Indiana, Inc.

Long Term Care Associates - Texas, Inc.

Meridian Arms Land, Inc.

North Las Vegas LLC

NRS Ventures, L.L.C.

OHI (Connecticut), Inc.

OHI (Florida), Inc.

OHI (Illinois), Inc.

OHI (Indiana), Inc.

OHI (Iowa), Inc.

OHI (Kansas), Inc.

OHI Asset (CA), LLC

OHI Asset (CT) Lender, LLC

OHI Asset (FL), LLC

OHI Asset (ID), LLC

OHI Asset (IN), LLC

OHI Asset (LA), LLC

OHI Asset (MI), LLC

OHI Asset (MI/NC), LLC

OHI Asset (MO), LLC

OHI Asset (OH) Lender, LLC

OHI Asset (OH) New Philadelphia, LLC

OHI Asset (OH), LLC

OHI Asset (PA) Trust

OHI Asset (PA), LLC

OHI Asset (SMS) Lender, Inc.

OHI Asset (TX), LLC

OHI Asset CSE-E, LLC

OHI Asset CSE-U, LLC

OHI Asset Essex (OH), LLC

OHI Asset II (CA), LLC

OHI Asset II (PA) Trust

OHI Asset III (PA) Trust

OHI Asset, LLC

OHI of Kentucky, Inc.

OHI of Texas, Inc.

OHI Sunshine, Inc.

OHIMA, Inc.

Omega (Kansas), Inc.

Omega TRS I, Inc.

Orange Village Care Center, Inc.

OS Leasing Company

Panama City Nursing Center LLC

Parkview - Skilled Nursing, Inc.

Pavillion North Partners, Inc.

Pavillion North, LLP

Pavillion Nursing Center North, Inc.

Pine Texarkana Healthcare Associates, Inc.

Reunion Texarkana Healthcare Associates, Inc.

San Augustine Healthcare Associates, Inc.

Skilled Nursing - Gaston, Inc.

Skilled Nursing - Herrin, Inc.

Skilled Nursing - Hicksville, Inc.

Skilled Nursing - Paris, Inc.

Skyler Maitland LLC

South Athens Healthcare Associates, Inc.

St. Mary’s Properties, Inc.

Sterling Acquisition Corp.

Sterling Acquisition Corp. II

Suwanee, LLC

Texas Lessor - Stonegate GP, Inc.

Texas Lessor - Stonegate Limited, Inc.

Texas Lessor - Stonegate, L.P.

Texas Lessor - Treemont, Inc.

The Suburban Pavilion, Inc.

Washington Lessor - Silverdale, Inc.

Waxahachie Healthcare Associates, Inc.

West Athens Healthcare Associates, Inc.

Wilcare, LLC

OHI Asset (CO), LLC

OHI Asset (IL), LLC

OHI Asset IV (PA) Silver Lake Trust

OHI Asset II (FL), LLC

CSE Albany LLC

CSE Amarillo LLC

CSE Arden L.P.

CSE Augusta LLC

CSE Bedford LLC

CSE Cambridge LLC

CSE Cambridge Realty LLC

CSE Canton LLC

CSE Cedar Rapids LLC

CSE Chelmsford LLC

CSE Chesterton LLC

CSE Claremont LLC

CSE Denver LLC

CSE Douglas LLC

CSE Dumas LLC

CSE Elkton LLC

CSE Elkton Realty LLC

CSE Fort Wayne LLC

CSE Frankston LLC

CSE Georgetown LLC

CSE Green Bay LLC

CSE Hilliard LLC

CSE Huntsville LLC

CSE Indianapolis-Continental LLC

CSE Indianapolis-Greenbriar LLC

CSE Jefferson-Hillcrest Center LLC

CSE Jefferson-Jennings House LLC

CSE King L.P.

CSE Kingsport LLC

CSE Knightdale L.P.

CSE Lake City LLC

CSE Lake Worth LLC

CSE Lakewood LLC

CSE Las Vegas LLC

CSE Lawrenceburg LLC

CSE Lenoir L.P.

CSE Lexington Park LLC

CSE Lexington Park Realty LLC

CSE Ligonier LLC

CSE Live Oak LLC

CSE Logansport LLC

CSE Lowell LLC

CSE Mobile LLC

CSE Moore LLC

CSE North Carolina Holdings I LLC

CSE North Carolina Holdings II LLC

CSE Omro LLC

CSE Orange Park LLC

CSE Orlando-Pinar Terrace Manor LLC

CSE Orlando-Terra Vista Rehab LLC

CSE Piggott LLC

CSE Pilot Point LLC

CSE Ponca City LLC

CSE Port St. Lucie LLC

CSE Richmond LLC

CSE Safford LLC

CSE Salina LLC

CSE Seminole LLC

CSE Shawnee LLC

CSE Stillwater LLC

CSE Taylorsville LLC

CSE Texas City LLC

CSE Upland LLC

CSE Walnut Cove L.P.

CSE Winter Haven LLC

CSE Woodfin L.P.

CSE Yorktown LLC

CSE Casablanca Holdings LLC

CSE Casablanca Holdings II LLC

OHI Asset CSB LLC

OHI Asset (FL) Lender, LLC

OHI Asset HUD WO, LLC

OHI Asset (MD), LLC

SIXTH SUPPLEMENTAL INDENTURE

(Senior Notes due 2020)

THIS SIXTH SUPPLEMENTAL INDENTURE (this “Sixth Supplemental Indenture”) is dated as of August 9, 2012, among OMEGA HEALTHCARE INVESTORS, INC., a Maryland corporation (the “Issuer”), each of the SUBSIDIARY GUARANTORS listed on Schedule I hereto (collectively, the “Subsidiary Guarantors”), each of the companies listed on Schedule II hereto (collectively, the “New Subsidiaries”), and U.S. BANK NATIONAL ASSOCIATION, a national banking association organized and existing under the laws of the United States of America, as trustee (the “Trustee”).

W I T N E S S E T H :

WHEREAS, the Issuer and the Subsidiary Guarantors have heretofore executed and delivered to the Trustee an Indenture, dated as of February 9, 2010 (as supplemented by that First Supplemental Indenture, dated June 23, 2010, that Second Supplemental Indenture, dated as of September 2, 2010, that Third Supplemental Indenture, dated as of January 13, 2011, that Fourth Supplemental Indenture, dated as of June 10, 2011, and that Fifth Supplemental Indenture, dated as of July 2, 2012, the “Indenture”), providing for the issuance of the Issuer’s 7-1/2% Senior Notes due 2020 (the “Notes”);

WHEREAS, Section 9.01 of the Indenture authorizes the Issuer, the Subsidiary Guarantors and the Trustee, together, to amend or supplement the Indenture, without notice to or consent of any Holder of the Notes, for the purpose of making any change that would not materially adversely affect the rights of any Holder of the Notes;

WHEREAS, the Issuer has re-designated the New Subsidiaries (formerly Unrestricted Subsidiaries) as Restricted Subsidiaries under the Indenture and now wishes to cause the New Subsidiaries to become Subsidiary Guarantors pursuant to Section 4.14 of the Indenture;

WHEREAS, in Section 1.01 of the Indenture, the term “Subsidiary Guarantors” is defined to include all Persons that become a Subsidiary Guarantor by the terms of the Indenture after the Closing Date; and

WHEREAS, Section 10.01 of the Indenture provides that each Subsidiary Guarantor shall be a guarantor of the Issuer’s obligations under the Notes, subject to the terms and conditions described in the Indenture.

NOW, THEREFORE, in consideration of the foregoing and for other good and valuable consideration, the receipt of which is hereby acknowledged, the Issuer, the Subsidiary Guarantors, the New Subsidiaries and the Trustee mutually covenant and agree for the equal and ratable benefit of the Holders of the Notes as follows:

8. CAPITALIZED TERMS.  Capitalized terms used herein without definition shall have the meanings assigned to them in the Indenture.

9. AMENDMENT TO GUARANTEE.  The New Subsidiaries hereby agree, jointly and severally with all other Subsidiary Guarantors, to guarantee the Issuer’s obligations under the Notes on the terms and subject to the conditions set forth in the Indenture, and to be bound by, and to receive the benefit of, all other applicable provisions of the Indenture as Subsidiary Guarantors.  Such guarantee shall be evidenced by the New Subsidiaries’ execution of Subsidiary Guarantees, the form of which is attached as Exhibit E to the Indenture, and shall be effective as of the date hereof.

10. NO RECOURSE AGAINST OTHERS.  No past, present or future director, officer, employee, partner, affiliate, beneficiary or stockholder of the New Subsidiaries, as such, shall have any liability for any obligations of the Issuer or any Subsidiary Guarantor under the Notes, any Guarantees, the Indenture or this Sixth Supplemental Indenture or for any claim based on, in respect of, or by reason of, such obligations or their creation.  Each Holder of the Notes, by accepting and holding a Note, waives and releases all such liability.  Such waiver and release are part of the consideration for the issuance of the Notes.

11. NEW YORK LAW TO GOVERN.  The laws of the State of New York shall govern and be used to construe this Sixth Supplemental Indenture.

12. COUNTERPARTS.  The parties may sign any number of copies of this Sixth Supplemental Indenture.  Each signed copy shall be an original, but all of them together shall represent the same agreement.

13. EFFECT OF HEADINGS.  The Section headings herein are for convenience only and shall not affect the construction hereof.

14. THE TRUSTEE.  The Trustee shall not be responsible in any manner whatsoever for or in respect of the validity or sufficiency of this Sixth Supplemental Indenture or for or in respect of the recitals contained herein, all of which recitals are made solely by the Issuer, the Subsidiary Guarantors and the New Subsidiaries.

[Remainder of Page Intentionally Left Blank]

IN WITNESS WHEREOF, the parties hereto have caused this Sixth Supplemental Indenture to be duly executed and attested, all as of the date first above written.

OMEGA HEALTHCARE INVESTORS, INC.
By:	/s/ C. Taylor Pickett
Name: C. Taylor Pickett
Title: Chief Executive Officer and President
On behalf of each Subsidiary Guarantor, its sole member, general partner or trustee, named on the attached Schedule I
By:	/s/ C. Taylor Pickett
Name: C. Taylor Pickett
Title: Chief Executive Officer and President
On behalf of each of the New Subsidiaries, its sole member, named on the attached Schedule II
By:	/s/ C. Taylor Pickett
Name: C. Taylor Pickett
Title: Chief Executive Officer and President
U.S. BANK NATIONAL ASSOCIATION, as Trustee
By:	/s/ Paul L. Henderson
Name: Paul L. Henderson Title: Assistant Vice President

Schedule I

SUBSIDIARY GUARANTORS

Arizona Lessor - Infinia, Inc.

Baldwin Health Center, Inc.

Bayside Alabama Healthcare Second, Inc.

Bayside Arizona Healthcare Associates, Inc.

Bayside Arizona Healthcare Second, Inc.

Bayside Colorado Healthcare Associates, Inc.

Bayside Colorado Healthcare Second, Inc.

Bayside Indiana Healthcare Associates, Inc.

Bayside Street II, Inc.

Bayside Street, Inc.

Canton Health Care Land, Inc.

Carnegie Gardens LLC

Center Healthcare Associates, Inc.

Cherry Street - Skilled Nursing, Inc.

Colonial Gardens, LLC

Colorado Lessor - Conifer, Inc.

Copley Health Center, Inc.

CSE Anchorage LLC

CSE Blountville LLC

CSE Bolivar LLC

CSE Camden LLC

CSE Centennial Village

CSE Corpus North LLC

CSE Crane LLC

CSE Denver Iliff LLC

CSE Fairhaven LLC

CSE Huntingdon LLC

CSE Jacinto City LLC

CSE Jefferson City LLC

CSE Kerrville LLC

CSE Marianna Holdings LLC

CSE Memphis LLC

CSE Pennsylvania Holdings

CSE Ripley LLC

CSE Ripon LLC

CSE Spring Branch LLC

CSE Texarkana LLC

CSE The Village LLC

CSE West Point LLC

CSE Whitehouse LLC

CSE Williamsport LLC

Dallas - Skilled Nursing, Inc.

Delta Investors I, LLC

Delta Investors II, LLC

Desert Lane, LLC

Dixon Health Care Center, Inc.

Florida Lessor - Crystal Springs, Inc.

Florida Lessor - Emerald, Inc.

Florida Lessor - Lakeland, Inc.

Florida Lessor - Meadowview, Inc.

Florida Real Estate Company, LLC

Georgia Lessor - Bonterra/Parkview, Inc.

Greenbough, LLC

Hanover House, Inc.

Heritage Texarkana Healthcare Associates, Inc.

House of Hanover, Ltd.

Hutton I Land, Inc.

Hutton II Land, Inc.

Hutton III Land, Inc.

Indiana Lessor - Jeffersonville, Inc.

Indiana Lessor - Wellington Manor, Inc.

Jefferson Clark, Inc.

LAD I Real Estate Company, LLC

Lake Park - Skilled Nursing, Inc.

Leatherman 90-1, Inc.

Leatherman Partnership 89-1, Inc.

Leatherman Partnership 89-2, Inc.

Long Term Care - Michigan, Inc.

Long Term Care - North Carolina, Inc.

Long Term Care Associates - Illinois, Inc.

Long Term Care Associates - Indiana, Inc.

Long Term Care Associates - Texas, Inc.

Meridian Arms Land, Inc.

North Las Vegas LLC

NRS Ventures, L.L.C.

OHI (Connecticut), Inc.

OHI (Florida), Inc.

OHI (Illinois), Inc.

OHI (Indiana), Inc.

OHI (Iowa), Inc.

OHI (Kansas), Inc.

OHI Asset (CA), LLC

OHI Asset (CT) Lender, LLC

OHI Asset (FL), LLC

OHI Asset (ID), LLC

OHI Asset (IN), LLC

OHI Asset (LA), LLC

OHI Asset (MI), LLC

OHI Asset (MI/NC), LLC

OHI Asset (MO), LLC

OHI Asset (OH) Lender, LLC

OHI Asset (OH) New Philadelphia, LLC

OHI Asset (OH), LLC

OHI Asset (PA) Trust

OHI Asset (PA), LLC

OHI Asset (SMS) Lender, Inc.

OHI Asset (TX), LLC

OHI Asset CSE-E, LLC

OHI Asset CSE-U, LLC

OHI Asset Essex (OH), LLC

OHI Asset II (CA), LLC

OHI Asset II (PA) Trust

OHI Asset III (PA) Trust

OHI Asset, LLC

OHI of Kentucky, Inc.

OHI of Texas, Inc.

OHI Sunshine, Inc.

OHIMA, Inc.

Omega (Kansas), Inc.

Omega TRS I, Inc.

Orange Village Care Center, Inc.

OS Leasing Company

Panama City Nursing Center LLC

Parkview - Skilled Nursing, Inc.

Pavillion North Partners, Inc.

Pavillion North, LLP

Pavillion Nursing Center North, Inc.

Pine Texarkana Healthcare Associates, Inc.

Reunion Texarkana Healthcare Associates, Inc.

San Augustine Healthcare Associates, Inc.

Skilled Nursing - Gaston, Inc.

Skilled Nursing - Herrin, Inc.

Skilled Nursing - Hicksville, Inc.

Skilled Nursing - Paris, Inc.

Skyler Maitland LLC

South Athens Healthcare Associates, Inc.

St. Mary’s Properties, Inc.

Sterling Acquisition Corp.

Sterling Acquisition Corp. II

Suwanee, LLC

Texas Lessor - Stonegate GP, Inc.

Texas Lessor - Stonegate Limited, Inc.

Texas Lessor - Stonegate, L.P.

Texas Lessor - Treemont, Inc.

The Suburban Pavilion, Inc.

Washington Lessor - Silverdale, Inc.

Waxahachie Healthcare Associates, Inc.

West Athens Healthcare Associates, Inc.

Wilcare, LLC

OHI Asset (CO), LLC

OHI Asset (IL), LLC

OHI Asset IV (PA) Silver Lake Trust

OHI Asset II (FL), LLC

CSE Albany LLC

CSE Amarillo LLC

CSE Arden L.P.

CSE Augusta LLC

CSE Bedford LLC

CSE Cambridge LLC

CSE Cambridge Realty LLC

CSE Canton LLC

CSE Cedar Rapids LLC

CSE Chelmsford LLC

CSE Chesterton LLC

CSE Claremont LLC

CSE Denver LLC

CSE Douglas LLC

CSE Dumas LLC

CSE Elkton LLC

CSE Elkton Realty LLC

CSE Fort Wayne LLC

CSE Frankston LLC

CSE Georgetown LLC

CSE Green Bay LLC

CSE Hilliard LLC

CSE Huntsville LLC

CSE Indianapolis-Continental LLC

CSE Indianapolis-Greenbriar LLC

CSE Jefferson-Hillcrest Center LLC

CSE Jefferson-Jennings House LLC

CSE King L.P.

CSE Kingsport LLC

CSE Knightdale L.P.

CSE Lake City LLC

CSE Lake Worth LLC

CSE Lakewood LLC

CSE Las Vegas LLC

CSE Lawrenceburg LLC

CSE Lenoir L.P.

CSE Lexington Park LLC

CSE Lexington Park Realty LLC

CSE Ligonier LLC

CSE Live Oak LLC

CSE Logansport LLC

CSE Lowell LLC

CSE Mobile LLC

CSE Moore LLC

CSE North Carolina Holdings I LLC

CSE North Carolina Holdings II LLC

CSE Omro LLC

CSE Orange Park LLC

CSE Orlando-Pinar Terrace Manor LLC

CSE Orlando-Terra Vista Rehab LLC

CSE Piggott LLC

CSE Pilot Point LLC

CSE Ponca City LLC

CSE Port St. Lucie LLC

CSE Richmond LLC

CSE Safford LLC

CSE Salina LLC

CSE Seminole LLC

CSE Shawnee LLC

CSE Stillwater LLC

CSE Taylorsville LLC

CSE Texas City LLC

CSE Upland LLC

CSE Walnut Cove L.P.

CSE Winter Haven LLC

CSE Woodfin L.P.

CSE Yorktown LLC

CSE Casablanca Holdings LLC

CSE Casablanca Holdings II LLC

OHI Asset CSB LLC

OHI Asset (FL) Lender, LLC

OHI Asset (MD), LLC

OHI Asset HUD WO, LLC

OHI Asset HUD SF, LLC

OHI Asset (IN) Greensburg, LLC

OHI Asset (IN) Indianapolis, LLC

OHI Asset (IN) Wabash, LLC

OHI Asset (IN) Westfield, LLC

Schedule II

NEW SUBSIDIARIES

OHI Asset HUD CFG, LLC

1200 Ely Street Holdings Co. LLC

42235 County Road Holdings Co. LLC

2425 Teller Avenue, LLC

CFG 2115 Woodstock Place LLC

48 High Point Road, LLC

SEVENTH SUPPLEMENTAL INDENTURE

(Senior Notes due 2020)

THIS SEVENTH SUPPLEMENTAL INDENTURE (this “Seventh Supplemental Indenture”) is dated as of September 24, 2012, among OMEGA HEALTHCARE INVESTORS, INC., a Maryland corporation (the “Issuer”), each of the SUBSIDIARY GUARANTORS listed on Schedule I hereto (collectively, the “Subsidiary Guarantors”), each of the companies listed on Schedule II hereto (collectively, the “New Subsidiaries”), and U.S. BANK NATIONAL ASSOCIATION, a national banking association organized and existing under the laws of the United States of America, as trustee (the “Trustee”).

W I T N E S S E T H :

WHEREAS, the Issuer and the Subsidiary Guarantors have heretofore executed and delivered to the Trustee an Indenture, dated as of February 9, 2010 (as supplemented by that First Supplemental Indenture, dated June 23, 2010, that Second Supplemental Indenture, dated as of September 2, 2010, that Third Supplemental Indenture, dated as of January 13, 2011, that Fourth Supplemental Indenture, dated as of June 10, 2011, that Fifth Supplemental Indenture, dated as of July 2, 2012, and that Sixth Supplemental Indenture, dated as of August 9, 2012, the “Indenture”), providing for the issuance of the Issuer’s 7-1/2% Senior Notes due 2020 (the “Notes”);

WHEREAS, Section 9.01 of the Indenture authorizes the Issuer, the Subsidiary Guarantors and the Trustee, together, to amend or supplement the Indenture, without notice to or consent of any Holder of the Notes, for the purpose of making any change that would not materially adversely affect the rights of any Holder of the Notes;

WHEREAS, the Issuer has recently created the New Subsidiaries, which are required to become Subsidiary Guarantors pursuant to Section 4.14 of the Indenture;

WHEREAS, in Section 1.01 of the Indenture, the term “Subsidiary Guarantors” is defined to include all Persons that become a Subsidiary Guarantor by the terms of the Indenture after the Closing Date; and

WHEREAS, Section 10.01 of the Indenture provides that each Subsidiary Guarantor shall be a guarantor of the Issuer’s obligations under the Notes, subject to the terms and conditions described in the Indenture.

NOW, THEREFORE, in consideration of the foregoing and for other good and valuable consideration, the receipt of which is hereby acknowledged, the Issuer, the Subsidiary Guarantors, the New Subsidiaries and the Trustee mutually covenant and agree for the equal and ratable benefit of the Holders of the Notes as follows:

15.   CAPITALIZED TERMS.  Capitalized terms used herein without definition shall have the meanings assigned to them in the Indenture.

16.   AMENDMENT TO GUARANTEE.  The New Subsidiaries hereby agree, jointly and severally with all other Subsidiary Guarantors, to guarantee the Issuer’s obligations under the Notes on the terms and subject to the conditions set forth in the Indenture, and to be bound by, and to receive the benefit of, all other applicable provisions of the Indenture as Subsidiary Guarantors.  Such guarantee shall be evidenced by the New Subsidiaries’ execution of Subsidiary Guarantees, the form of which is attached as Exhibit E to the Indenture, and shall be effective as of the date hereof.

17.   NO RECOURSE AGAINST OTHERS.  No past, present or future director, officer, employee, partner, affiliate, beneficiary or stockholder of the New Subsidiaries, as such, shall have any liability for any obligations of the Issuer or any Subsidiary Guarantor under the Notes, any Guarantees, the Indenture or this Seventh Supplemental Indenture or for any claim based on, in respect of, or by reason of, such obligations or their creation.  Each Holder of the Notes, by accepting and holding a Note, waives and releases all such liability.  Such waiver and release are part of the consideration for the issuance of the Notes.

18.   NEW YORK LAW TO GOVERN.  The laws of the State of New York shall govern and be used to construe this Seventh Supplemental Indenture.

19.   COUNTERPARTS.  The parties may sign any number of copies of this Seventh Supplemental Indenture.  Each signed copy shall be an original, but all of them together shall represent the same agreement.

20.   EFFECT OF HEADINGS.  The Section headings herein are for convenience only and shall not affect the construction hereof.

21.   THE TRUSTEE.  The Trustee shall not be responsible in any manner whatsoever for or in respect of the validity or sufficiency of this Seventh Supplemental Indenture or for or in respect of the recitals contained herein, all of which recitals are made solely by the Issuer, the Subsidiary Guarantors and the New Subsidiaries.

[Remainder of Page Intentionally Left Blank]

IN WITNESS WHEREOF, the parties hereto have caused this Seventh Supplemental Indenture to be duly executed and attested, all as of the date first above written.

OMEGA HEALTHCARE INVESTORS, INC.
By:	/s/ Robert O. Stephenson
Name: Robert O. Stephenson
Title: Chief Financial Officer and Treasurer
On behalf of each Subsidiary Guarantor, its sole member, general partner or trustee, named on the attached Schedule I
By:	/s/ Robert O. Stephenson
Name: Robert O. Stephenson
Title: Chief Financial Officer and Treasurer
On behalf of each of the New Subsidiaries, its sole member
By:	/s/ Robert O. Stephenson
Name: Robert O. Stephenson
Title: Chief Financial Officer and Treasurer
U.S. BANK NATIONAL ASSOCIATION, as Trustee
By:	/s/ Paul L. Henderson
Name: Paul L. Henderson
Title: Assistant Vice President

Schedule I

SUBSIDIARY GUARANTORS

1200 Ely Street Holdings Co. LLC

42235 County Road Holdings Co. LLC

2425 Teller Avenue, LLC

48 High Point Road, LLC

Arizona Lessor - Infinia, Inc.

Baldwin Health Center, Inc.

Bayside Alabama Healthcare Second, Inc.

Bayside Arizona Healthcare Associates, Inc.

Bayside Arizona Healthcare Second, Inc.

Bayside Colorado Healthcare Associates, Inc.

Bayside Colorado Healthcare Second, Inc.

Bayside Indiana Healthcare Associates, Inc.

Bayside Street II, Inc.

Bayside Street, Inc.

Canton Health Care Land, Inc.

Carnegie Gardens LLC

Center Healthcare Associates, Inc.

CFG 2115 Woodstock Place LLC

Cherry Street - Skilled Nursing, Inc.

Colonial Gardens, LLC

Colorado Lessor - Conifer, Inc.

Copley Health Center, Inc.

CSE Anchorage LLC

CSE Blountville LLC

CSE Bolivar LLC

CSE Camden LLC

CSE Centennial Village

CSE Corpus North LLC

CSE Crane LLC

CSE Denver Iliff LLC

CSE Fairhaven LLC

CSE Huntingdon LLC

CSE Jacinto City LLC

CSE Jefferson City LLC

CSE Kerrville LLC

CSE Marianna Holdings LLC

CSE Memphis LLC

CSE Pennsylvania Holdings

CSE Ripley LLC

CSE Ripon LLC

CSE Spring Branch LLC

CSE Texarkana LLC

CSE The Village LLC

CSE West Point LLC

CSE Whitehouse LLC

CSE Williamsport LLC

Dallas - Skilled Nursing, Inc.

Delta Investors I, LLC

Delta Investors II, LLC

Desert Lane, LLC

Dixon Health Care Center, Inc.

Florida Lessor - Crystal Springs, Inc.

Florida Lessor - Emerald, Inc.

Florida Lessor - Lakeland, Inc.

Florida Lessor - Meadowview, Inc.

Florida Real Estate Company, LLC

Georgia Lessor - Bonterra/Parkview, Inc.

Greenbough, LLC

Hanover House, Inc.

Heritage Texarkana Healthcare Associates, Inc.

House of Hanover, Ltd.

Hutton I Land, Inc.

Hutton II Land, Inc.

Hutton III Land, Inc.

Indiana Lessor - Jeffersonville, Inc.

Indiana Lessor - Wellington Manor, Inc.

Jefferson Clark, Inc.

LAD I Real Estate Company, LLC

Lake Park - Skilled Nursing, Inc.

Leatherman 90-1, Inc.

Leatherman Partnership 89-1, Inc.

Leatherman Partnership 89-2, Inc.

Long Term Care - Michigan, Inc.

Long Term Care - North Carolina, Inc.

Long Term Care Associates - Illinois, Inc.

Long Term Care Associates - Indiana, Inc.

Long Term Care Associates - Texas, Inc.

Meridian Arms Land, Inc.

North Las Vegas LLC

NRS Ventures, L.L.C.

OHI (Connecticut), Inc.

OHI (Florida), Inc.

OHI (Illinois), Inc.

OHI (Indiana), Inc.

OHI (Iowa), Inc.

OHI (Kansas), Inc.

OHI Asset (CA), LLC

OHI Asset (CT) Lender, LLC

OHI Asset (FL), LLC

OHI Asset (ID), LLC

OHI Asset (IN), LLC

OHI Asset (LA), LLC

OHI Asset (MI), LLC

OHI Asset (MI/NC), LLC

OHI Asset (MO), LLC

OHI Asset (OH) Lender, LLC

OHI Asset (OH) New Philadelphia, LLC

OHI Asset (OH), LLC

OHI Asset (PA) Trust

OHI Asset (PA), LLC

OHI Asset (SMS) Lender, Inc.

OHI Asset (TX), LLC

OHI Asset CSE-E, LLC

OHI Asset CSE-U, LLC

OHI Asset Essex (OH), LLC

OHI Asset II (CA), LLC

OHI Asset II (PA) Trust

OHI Asset III (PA) Trust

OHI Asset, LLC

OHI of Kentucky, Inc.

OHI of Texas, Inc.

OHI Sunshine, Inc.

OHIMA, Inc.

Omega (Kansas), Inc.

Omega TRS I, Inc.

Orange Village Care Center, Inc.

OS Leasing Company

Panama City Nursing Center LLC

Parkview - Skilled Nursing, Inc.

Pavillion North Partners, Inc.

Pavillion North, LLP

Pavillion Nursing Center North, Inc.

Pine Texarkana Healthcare Associates, Inc.

Reunion Texarkana Healthcare Associates, Inc.

San Augustine Healthcare Associates, Inc.

Skilled Nursing - Gaston, Inc.

Skilled Nursing - Herrin, Inc.

Skilled Nursing - Hicksville, Inc.

Skilled Nursing - Paris, Inc.

Skyler Maitland LLC

South Athens Healthcare Associates, Inc.

St. Mary’s Properties, Inc.

Sterling Acquisition Corp.

Sterling Acquisition Corp. II

Suwanee, LLC

Texas Lessor - Stonegate GP, Inc.

Texas Lessor - Stonegate Limited, Inc.

Texas Lessor - Stonegate, L.P.

Texas Lessor - Treemont, Inc.

The Suburban Pavilion, Inc.

Washington Lessor - Silverdale, Inc.

Waxahachie Healthcare Associates, Inc.

West Athens Healthcare Associates, Inc.

Wilcare, LLC

OHI Asset (CO), LLC

OHI Asset (IL), LLC

OHI Asset IV (PA) Silver Lake Trust

OHI Asset II (FL), LLC

CSE Albany LLC

CSE Amarillo LLC

CSE Arden L.P.

CSE Augusta LLC

CSE Bedford LLC

CSE Cambridge LLC

CSE Cambridge Realty LLC

CSE Canton LLC

CSE Cedar Rapids LLC

CSE Chelmsford LLC

CSE Chesterton LLC

CSE Claremont LLC

CSE Denver LLC

CSE Douglas LLC

CSE Dumas LLC

CSE Elkton LLC

CSE Elkton Realty LLC

CSE Fort Wayne LLC

CSE Frankston LLC

CSE Georgetown LLC

CSE Green Bay LLC

CSE Hilliard LLC

CSE Huntsville LLC

CSE Indianapolis-Continental LLC

CSE Indianapolis-Greenbriar LLC

CSE Jefferson-Hillcrest Center LLC

CSE Jefferson-Jennings House LLC

CSE King L.P.

CSE Kingsport LLC

CSE Knightdale L.P.

CSE Lake City LLC

CSE Lake Worth LLC

CSE Lakewood LLC

CSE Las Vegas LLC

CSE Lawrenceburg LLC

CSE Lenoir L.P.

CSE Lexington Park LLC

CSE Lexington Park Realty LLC

CSE Ligonier LLC

CSE Live Oak LLC

CSE Logansport LLC

CSE Lowell LLC

CSE Mobile LLC

CSE Moore LLC

CSE North Carolina Holdings I LLC

CSE North Carolina Holdings II LLC

CSE Omro LLC

CSE Orange Park LLC

CSE Orlando-Pinar Terrace Manor LLC

CSE Orlando-Terra Vista Rehab LLC

CSE Piggott LLC

CSE Pilot Point LLC

CSE Ponca City LLC

CSE Port St. Lucie LLC

CSE Richmond LLC

CSE Safford LLC

CSE Salina LLC

CSE Seminole LLC

CSE Shawnee LLC

CSE Stillwater LLC

CSE Taylorsville LLC

CSE Texas City LLC

CSE Upland LLC

CSE Walnut Cove L.P.

CSE Winter Haven LLC

CSE Woodfin L.P.

CSE Yorktown LLC

CSE Casablanca Holdings LLC

CSE Casablanca Holdings II LLC

OHI Asset CSB LLC

OHI Asset (FL) Lender, LLC

OHI Asset (MD), LLC

OHI Asset HUD CFG, LLC

OHI Asset HUD WO, LLC

OHI Asset HUD SF, LLC

OHI Asset (IN) Greensburg, LLC

OHI Asset (IN) Indianapolis, LLC

OHI Asset (IN) Wabash, LLC

OHI Asset (IN) Westfield, LLC

Schedule II

NEW SUBSIDIARIES

OHI Asset (IN) American Village, LLC

OHI Asset (IN) Beech Grove, LLC

OHI Asset (IN) Eagle Valley, LLC

OHI Asset (IN) Anderson, LLC

OHI Asset (IN) Forest Creek, LLC

OHI Asset (IN) Franklin, LLC

OHI Asset (IN) Fort Wayne, LLC

OHI Asset (IN) Monticello, LLC

OHI Asset (IN) Kokomo, LLC

OHI Asset (IN) Elkhart, LLC

OHI Asset (IN) Clarksville, LLC

OHI Asset (IN) Noblesville, LLC

OHI Asset (IN) Rosewalk, LLC

OHI Asset (IN) Lafayette, LLC

OHI Asset (IN) Spring Mill, LLC

OHI Asset (IN) Terre Haute, LLC

OHI Asset (IN) Zionsville, LLC

EIGHTH SUPPLEMENTAL INDENTURE

(Senior Notes due 2020)

THIS EIGHTH SUPPLEMENTAL INDENTURE (this “Eighth Supplemental Indenture”) is effective as of December 31, 2012, among OMEGA HEALTHCARE INVESTORS, INC., a Maryland corporation (the “Issuer”), each of the SUBSIDIARY GUARANTORS listed on Schedule I hereto (collectively, the “Subsidiary Guarantors”), each of the companies listed on Schedule II hereto (collectively, the “New Subsidiaries”), and U.S. BANK NATIONAL ASSOCIATION, a national banking association organized and existing under the laws of the United States of America, as trustee (the “Trustee”).

W I T N E S S E T H :

WHEREAS, the Issuer and the Subsidiary Guarantors have heretofore executed and delivered to the Trustee an Indenture, dated as of February 9, 2010 (as supplemented by that First Supplemental Indenture, dated June 23, 2010, that Second Supplemental Indenture, dated as of September 2, 2010, that Third Supplemental Indenture, dated as of January 13, 2011, that Fourth Supplemental Indenture, dated as of June 10, 2011, that Fifth Supplemental Indenture, dated as of July 2, 2012, that Sixth Supplemental Indenture, dated as of August 9, 2012, and that Seventh Supplemental Indenture, dated as of September 24, 2012, the “Indenture”), providing for the issuance of the Issuer’s 7-1/2% Senior Notes due 2020 (the “Notes”);

WHEREAS, Section 9.01 of the Indenture authorizes the Issuer, the Subsidiary Guarantors and the Trustee, together, to amend or supplement the Indenture, without notice to or consent of any Holder of the Notes, for the purpose of making any change that would not materially adversely affect the rights of any Holder of the Notes;

WHEREAS, the Issuer has recently created the New Subsidiaries, which are required to become Subsidiary Guarantors pursuant to Section 4.14 of the Indenture;

WHEREAS, in Section 1.01 of the Indenture, the term “Subsidiary Guarantors” is defined to include all Persons that become a Subsidiary Guarantor by the terms of the Indenture after the Closing Date; and

WHEREAS, Section 10.01 of the Indenture provides that each Subsidiary Guarantor shall be a guarantor of the Issuer’s obligations under the Notes, subject to the terms and conditions described in the Indenture.

NOW, THEREFORE, in consideration of the foregoing and for other good and valuable consideration, the receipt of which is hereby acknowledged, the Issuer, the Subsidiary Guarantors, the New Subsidiaries and the Trustee mutually covenant and agree for the equal and ratable benefit of the Holders of the Notes as follows:

22.   CAPITALIZED TERMS.  Capitalized terms used herein without definition shall have the meanings assigned to them in the Indenture.

23.   AMENDMENT TO GUARANTEE.  The New Subsidiaries hereby agree, jointly and severally with all other Subsidiary Guarantors, to guarantee the Issuer’s obligations under the Notes on the terms and subject to the conditions set forth in the Indenture, and to be bound by, and to receive the benefit of, all other applicable provisions of the Indenture as Subsidiary Guarantors.  Such guarantee shall be evidenced by the New Subsidiaries’ execution of Subsidiary Guarantees, the form of which is attached as Exhibit E to the Indenture, and shall be effective as of the date hereof.

24.   NO RECOURSE AGAINST OTHERS.  No past, present or future director, officer, employee, partner, affiliate, beneficiary or stockholder of the New Subsidiaries, as such, shall have any liability for any obligations of the Issuer or any Subsidiary Guarantor under the Notes, any Guarantees, the Indenture or this Eighth Supplemental Indenture or for any claim based on, in respect of, or by reason of, such obligations or their creation.  Each Holder of the Notes, by accepting and holding a Note, waives and releases all such liability.  Such waiver and release are part of the consideration for the issuance of the Notes.

25.   NEW YORK LAW TO GOVERN.  The laws of the State of New York shall govern and be used to construe this Eighth Supplemental Indenture.

26.   COUNTERPARTS.  The parties may sign any number of copies of this Eighth Supplemental Indenture.  Each signed copy shall be an original, but all of them together shall represent the same agreement.

27.   EFFECT OF HEADINGS.  The Section headings herein are for convenience only and shall not affect the construction hereof.

28.   THE TRUSTEE.  The Trustee shall not be responsible in any manner whatsoever for or in respect of the validity or sufficiency of this Eighth Supplemental Indenture or for or in respect of the recitals contained herein, all of which recitals are made solely by the Issuer, the Subsidiary Guarantors and the New Subsidiaries.

[Remainder of Page Intentionally Left Blank]

IN WITNESS WHEREOF, the parties hereto have caused this Eighth Supplemental Indenture to be duly executed and attested, all as of the date first above written.

OMEGA HEALTHCARE INVESTORS, INC.
By:	/s/ Robert O. Stephenson
Name: Robert O. Stephenson
Title: Chief Financial Officer and Treasurer
Executed on: February 15, 2013
On behalf of each Subsidiary Guarantor, its sole member, general partner or trustee, named on the attached Schedule I
By:	/s/ Daniel J. Booth
Name: Daniel J. Booth
Title: Chief Operating Officer and Secretary
Executed on: February 15, 2013
On behalf of each of the New Subsidiaries, its sole member
By:	/s/ Daniel J. Booth
Name: Daniel J. Booth
Title: Chief Operating Officer and Secretary
Executed on: February 15, 2013
U.S. BANK NATIONAL ASSOCIATION, as Trustee
By:	/s/ Dave Ferrell
Name: Dave Ferrell
Title: Vice President
Executed on: February 15, 2013

Schedule I

SUBSIDIARY GUARANTORS

1200 Ely Street Holdings Co. LLC

42235 County Road Holdings Co. LLC

2425 Teller Avenue, LLC

48 High Point Road, LLC

Arizona Lessor - Infinia, Inc.

Baldwin Health Center, Inc.

Bayside Alabama Healthcare Second, Inc.

Bayside Arizona Healthcare Associates, Inc.

Bayside Arizona Healthcare Second, Inc.

Bayside Colorado Healthcare Associates, Inc.

Bayside Colorado Healthcare Second, Inc.

Bayside Indiana Healthcare Associates, Inc.

Bayside Street II, Inc.

Bayside Street, Inc.

Canton Health Care Land, Inc.

Carnegie Gardens LLC

Center Healthcare Associates, Inc.

CFG 2115 Woodstock Place LLC

Cherry Street - Skilled Nursing, Inc.

Colonial Gardens, LLC

Colorado Lessor - Conifer, Inc.

Copley Health Center, Inc.

CSE Anchorage LLC

CSE Blountville LLC

CSE Bolivar LLC

CSE Camden LLC

CSE Centennial Village

CSE Corpus North LLC

CSE Crane LLC

CSE Denver Iliff LLC

CSE Fairhaven LLC

CSE Huntingdon LLC

CSE Jacinto City LLC

CSE Jefferson City LLC

CSE Kerrville LLC

CSE Marianna Holdings LLC

CSE Memphis LLC

CSE Pennsylvania Holdings

CSE Ripley LLC

CSE Ripon LLC

CSE Spring Branch LLC

CSE Texarkana LLC

CSE The Village LLC

CSE West Point LLC

CSE Whitehouse LLC

CSE Williamsport LLC

Dallas - Skilled Nursing, Inc.

Delta Investors I, LLC

Delta Investors II, LLC

Desert Lane, LLC

Dixon Health Care Center, Inc.

Florida Lessor - Crystal Springs, Inc.

Florida Lessor - Emerald, Inc.

Florida Lessor - Lakeland, Inc.

Florida Lessor - Meadowview, Inc.

Florida Real Estate Company, LLC

Georgia Lessor - Bonterra/Parkview, Inc.

Greenbough, LLC

Hanover House, Inc.

Heritage Texarkana Healthcare Associates, Inc.

House of Hanover, Ltd.

Hutton I Land, Inc.

Hutton II Land, Inc.

Hutton III Land, Inc.

Indiana Lessor - Jeffersonville, Inc.

Indiana Lessor - Wellington Manor, Inc.

Jefferson Clark, Inc.

LAD I Real Estate Company, LLC

Lake Park - Skilled Nursing, Inc.

Leatherman 90-1, Inc.

Leatherman Partnership 89-1, Inc.

Leatherman Partnership 89-2, Inc.

Long Term Care - Michigan, Inc.

Long Term Care - North Carolina, Inc.

Long Term Care Associates - Illinois, Inc.

Long Term Care Associates - Indiana, Inc.

Long Term Care Associates - Texas, Inc.

Meridian Arms Land, Inc.

North Las Vegas LLC

NRS Ventures, L.L.C.

OHI (Connecticut), Inc.

OHI (Florida), Inc.

OHI (Illinois), Inc.

OHI (Indiana), Inc.

OHI (Iowa), Inc.

OHI (Kansas), Inc.

OHI Asset (CA), LLC

OHI Asset (CT) Lender, LLC

OHI Asset (FL), LLC

OHI Asset (ID), LLC

OHI Asset (IN), LLC

OHI Asset (LA), LLC

OHI Asset (MI), LLC

OHI Asset (MI/NC), LLC

OHI Asset (MO), LLC

OHI Asset (OH) Lender, LLC

OHI Asset (OH) New Philadelphia, LLC

OHI Asset (OH), LLC

OHI Asset (PA) Trust

OHI Asset (PA), LLC

OHI Asset (SMS) Lender, Inc.

OHI Asset (TX), LLC

OHI Asset CSE-E, LLC

OHI Asset CSE-U, LLC

OHI Asset Essex (OH), LLC

OHI Asset II (CA), LLC

OHI Asset II (PA) Trust

OHI Asset III (PA) Trust

OHI Asset, LLC

OHI of Kentucky, Inc.

OHI of Texas, Inc.

OHI Sunshine, Inc.

OHIMA, Inc.

Omega (Kansas), Inc.

Omega TRS I, Inc.

Orange Village Care Center, Inc.

OS Leasing Company

Panama City Nursing Center LLC

Parkview - Skilled Nursing, Inc.

Pavillion North Partners, Inc.

Pavillion North, LLP

Pavillion Nursing Center North, Inc.

Pine Texarkana Healthcare Associates, Inc.

Reunion Texarkana Healthcare Associates, Inc.

San Augustine Healthcare Associates, Inc.

Skilled Nursing - Gaston, Inc.

Skilled Nursing - Herrin, Inc.

Skilled Nursing - Hicksville, Inc.

Skilled Nursing - Paris, Inc.

Skyler Maitland LLC

South Athens Healthcare Associates, Inc.

St. Mary’s Properties, Inc.

Sterling Acquisition Corp.

Sterling Acquisition Corp. II

Suwanee, LLC

Texas Lessor - Stonegate GP, Inc.

Texas Lessor - Stonegate Limited, Inc.

Texas Lessor - Stonegate, L.P.

Texas Lessor - Treemont, Inc.

The Suburban Pavilion, Inc.

Washington Lessor - Silverdale, Inc.

Waxahachie Healthcare Associates, Inc.

West Athens Healthcare Associates, Inc.

Wilcare, LLC

OHI Asset (CO), LLC

OHI Asset (IL), LLC

OHI Asset IV (PA) Silver Lake Trust

OHI Asset II (FL), LLC

CSE Albany LLC

CSE Amarillo LLC

CSE Arden L.P.

CSE Augusta LLC

CSE Bedford LLC

CSE Cambridge LLC

CSE Cambridge Realty LLC

CSE Canton LLC

CSE Cedar Rapids LLC

CSE Chelmsford LLC

CSE Chesterton LLC

CSE Claremont LLC

CSE Denver LLC

CSE Douglas LLC

CSE Dumas LLC

CSE Elkton LLC

CSE Elkton Realty LLC

CSE Fort Wayne LLC

CSE Frankston LLC

CSE Georgetown LLC

CSE Green Bay LLC

CSE Hilliard LLC

CSE Huntsville LLC

CSE Indianapolis-Continental LLC

CSE Indianapolis-Greenbriar LLC

CSE Jefferson-Hillcrest Center LLC

CSE Jefferson-Jennings House LLC

CSE King L.P.

CSE Kingsport LLC

CSE Knightdale L.P.

CSE Lake City LLC

CSE Lake Worth LLC

CSE Lakewood LLC

CSE Las Vegas LLC

CSE Lawrenceburg LLC

CSE Lenoir L.P.

CSE Lexington Park LLC

CSE Lexington Park Realty LLC

CSE Ligonier LLC

CSE Live Oak LLC

CSE Logansport LLC

CSE Lowell LLC

CSE Mobile LLC

CSE Moore LLC

CSE North Carolina Holdings I LLC

CSE North Carolina Holdings II LLC

CSE Omro LLC

CSE Orange Park LLC

CSE Orlando-Pinar Terrace Manor LLC

CSE Orlando-Terra Vista Rehab LLC

CSE Piggott LLC

CSE Pilot Point LLC

CSE Ponca City LLC

CSE Port St. Lucie LLC

CSE Richmond LLC

CSE Safford LLC

CSE Salina LLC

CSE Seminole LLC

CSE Shawnee LLC

CSE Stillwater LLC

CSE Taylorsville LLC

CSE Texas City LLC

CSE Upland LLC

CSE Walnut Cove L.P.

CSE Winter Haven LLC

CSE Woodfin L.P.

CSE Yorktown LLC

CSE Casablanca Holdings LLC

CSE Casablanca Holdings II LLC

OHI Asset CSB LLC

OHI Asset (FL) Lender, LLC

OHI Asset (MD), LLC

OHI Asset HUD CFG, LLC

OHI Asset HUD WO, LLC

OHI Asset HUD SF, LLC

OHI Asset (IN) Greensburg, LLC

OHI Asset (IN) Indianapolis, LLC

OHI Asset (IN) Wabash, LLC

OHI Asset (IN) Westfield, LLC

OHI Asset (IN) American Village, LLC

OHI Asset (IN) Beech Grove, LLC

OHI Asset (IN) Eagle Valley, LLC

OHI Asset (IN) Anderson, LLC

OHI Asset (IN) Forest Creek, LLC

OHI Asset (IN) Franklin, LLC

OHI Asset (IN) Fort Wayne, LLC

OHI Asset (IN) Monticello, LLC

OHI Asset (IN) Kokomo, LLC

OHI Asset (IN) Elkhart, LLC

OHI Asset (IN) Clarksville, LLC

OHI Asset (IN) Noblesville, LLC

OHI Asset (IN) Rosewalk, LLC

OHI Asset (IN) Lafayette, LLC

OHI Asset (IN) Spring Mill, LLC

OHI Asset (IN) Terre Haute, LLC

OHI Asset (IN) Zionsville, LLC

Schedule II

NEW SUBSIDIARIES

OHI Asset (TX) Hondo, LLC

OHI Asset HUD SF CA, LLC

13922 Cerise Avenue, LLC

245 East Wilshire Avenue, LLC

3806 Clayton Road, LLC

637 East Romie Lane, LLC

523 Hayes Lane, LLC

OHI Asset (MI) Heather Hills, LLC

Encanto Senior Care, LLC

OHI Asset (IN) Crown Point, LLC

OHI Asset (IN) Madison, LLC

EX-4.3C

Exhibit 4.3C

THIRD SUPPLEMENTAL INDENTURE

(Senior Notes due 2022)

THIS THIRD SUPPLEMENTAL INDENTURE (this “Third Supplemental Indenture”) is dated as of July 2, 2012, among OMEGA HEALTHCARE INVESTORS, INC., a   Maryland corporation (the “Issuer”), each of the SUBSIDIARY GUARANTORS listed on Schedule I hereto (collectively, the “Subsidiary Guarantors”), OHI Asset HUD SF, LLC, OHI Asset (IN) Greensburg, LLC, OHI Asset (IN) Indianapolis, LLC, OHI Asset (IN) Wabash, LLC and OHI Asset (IN) Westfield, LLC, each a Delaware limited liability company (the “New Subsidiaries”), and U.S. BANK NATIONAL ASSOCIATION, a national banking association organized and existing under the laws of the United States of America, as trustee (the “Trustee”).

W I T N E S S E T H :

WHEREAS, the Issuer and the Subsidiary Guarantors have heretofore executed and delivered to the Trustee an Indenture, dated as of October 4, 2010 (as amended by the First Supplemental Indenture dated as of January 13, 2011 and the Second Supplemental Indenture dated as of June 10, 2011, the “Indenture”), providing for the issuance of the Issuer’s 6-3/4% Senior Notes due 2022 (the “Notes”);

WHEREAS, Section 9.01 of the Indenture authorizes the Issuer, the Subsidiary Guarantors and the Trustee, together, to amend or supplement the Indenture, without notice to or consent of any Holder of the Notes, for the purpose of making any change that would not materially adversely affect the rights of any Holder of the Notes;

WHEREAS, the Issuer has recently created the New Subsidiaries, which are required to become Subsidiary Guarantors pursuant to Section 4.14 of the Indenture;

WHEREAS, in Section 1.01 of the Indenture, the term “Subsidiary Guarantors” is defined to include all Persons that become a Subsidiary Guarantor by the terms of the Indenture after the Closing Date; and

WHEREAS, Section 10.01 of the Indenture provides that each Subsidiary Guarantor shall be a guarantor of the Issuer’s obligations under the Notes, subject to the terms and conditions described in the Indenture.

NOW, THEREFORE, in consideration of the foregoing and for other good and valuable consideration, the receipt of which is hereby acknowledged, the Issuer, the Subsidiary Guarantors, the New Subsidiaries and the Trustee mutually covenant and agree for the equal and ratable benefit of the Holders of the Notes as follows:

1. CAPITALIZED TERMS.  Capitalized terms used herein without definition shall have the meanings assigned to them in the Indenture.

2. AMENDMENT TO GUARANTEE.  The New Subsidiaries hereby agree, jointly and severally with all other Subsidiary Guarantors, to guarantee the Issuer’s obligations under the Notes on the terms and subject to the conditions set forth in the Indenture, and to be bound by, and to receive the benefit of, all other applicable provisions of the Indenture as Subsidiary Guarantors.  Such guarantee shall be evidenced by the New Subsidiaries’ execution of Subsidiary Guarantees, the form of which is attached as Exhibit E to the Indenture, and shall be effective as of the date hereof.

3. NO RECOURSE AGAINST OTHERS.  No past, present or future director, officer, employee, partner, affiliate, beneficiary or stockholder of the New Subsidiaries, as such, shall have any liability for any obligations of the Issuer or any Subsidiary Guarantor under the Notes, any Guarantees, the Indenture or this Third Supplemental Indenture or for any claim based on, in respect of, or by reason of, such obligations or their creation.  Each Holder of the Notes, by accepting and holding a Note, waives and releases all such liability.  Such waiver and release are part of the consideration for the issuance of the Notes.

4. NEW YORK LAW TO GOVERN.  The laws of the State of New York shall govern and be used to construe this Third Supplemental Indenture.

5. COUNTERPARTS.  The parties may sign any number of copies of this Third Supplemental Indenture.  Each signed copy shall be an original, but all of them together shall represent the same agreement.

6. EFFECT OF HEADINGS.  The Section headings herein are for convenience only and shall not affect the construction hereof.

7. THE TRUSTEE.  The Trustee shall not be responsible in any manner whatsoever for or in respect of the validity or sufficiency of this Third Supplemental Indenture or for or in respect of the recitals contained herein, all of which recitals are made solely by the Issuer, the Subsidiary Guarantors and the New Subsidiaries.

[Remainder of Page Intentionally Left Blank]

IN WITNESS WHEREOF, the parties hereto have caused this Third Supplemental Indenture to be duly executed and attested, all as of the date first above written.

OMEGA HEALTHCARE INVESTORS, INC.
By:	/s/ Robert O. Stephenson
Name: Robert O. Stephenson
Title: Chief Financial Officer and Treasurer
On behalf of each Subsidiary Guarantor, its sole member, general partner or trustee, named on the attached Schedule I
By:	/s/ Robert O. Stephenson
Name: Robert O. Stephenson
Title: Chief Financial Officer and Treasurer
On behalf of each of the New Subsidiaries, its sole member
By:	/s/ Robert O. Stephenson
Name: Robert O. Stephenson
Title: Chief Financial Officer and Treasurer
U.S. BANK NATIONAL ASSOCIATION, as Trustee
By:	/s/ Paul L. Henderson
Name: Paul L. Henderson
Title: Assistant Vice President

Schedule I

SUBSIDIARY GUARANTORS

Arizona Lessor - Infinia, Inc.

Baldwin Health Center, Inc.

Bayside Alabama Healthcare Second, Inc.

Bayside Arizona Healthcare Associates, Inc.

Bayside Arizona Healthcare Second, Inc.

Bayside Colorado Healthcare Associates, Inc.

Bayside Colorado Healthcare Second, Inc.

Bayside Indiana Healthcare Associates, Inc.

Bayside Street II, Inc.

Bayside Street, Inc.

Canton Health Care Land, Inc.

Carnegie Gardens LLC

Center Healthcare Associates, Inc.

Cherry Street - Skilled Nursing, Inc.

Colonial Gardens, LLC

Colorado Lessor - Conifer, Inc.

Copley Health Center, Inc.

CSE Anchorage LLC

CSE Blountville LLC

CSE Bolivar LLC

CSE Camden LLC

CSE Centennial Village

CSE Corpus North LLC

CSE Crane LLC

CSE Denver Iliff LLC

CSE Fairhaven LLC

CSE Huntingdon LLC

CSE Jacinto City LLC

CSE Jefferson City LLC

CSE Kerrville LLC

CSE Marianna Holdings LLC

CSE Memphis LLC

CSE Pennsylvania Holdings

CSE Ripley LLC

CSE Ripon LLC

CSE Spring Branch LLC

CSE Texarkana LLC

CSE The Village LLC

CSE West Point LLC

CSE Whitehouse LLC

CSE Williamsport LLC

Dallas - Skilled Nursing, Inc.

Delta Investors I, LLC

Delta Investors II, LLC

Desert Lane, LLC

Dixon Health Care Center, Inc.

Florida Lessor - Crystal Springs, Inc.

Florida Lessor - Emerald, Inc.

Florida Lessor - Lakeland, Inc.

Florida Lessor - Meadowview, Inc.

Florida Real Estate Company, LLC

Georgia Lessor - Bonterra/Parkview, Inc.

Greenbough, LLC

Hanover House, Inc.

Heritage Texarkana Healthcare Associates, Inc.

House of Hanover, Ltd.

Hutton I Land, Inc.

Hutton II Land, Inc.

Hutton III Land, Inc.

Indiana Lessor - Jeffersonville, Inc.

Indiana Lessor - Wellington Manor, Inc.

Jefferson Clark, Inc.

LAD I Real Estate Company, LLC

Lake Park - Skilled Nursing, Inc.

Leatherman 90-1, Inc.

Leatherman Partnership 89-1, Inc.

Leatherman Partnership 89-2, Inc.

Long Term Care - Michigan, Inc.

Long Term Care - North Carolina, Inc.

Long Term Care Associates - Illinois, Inc.

Long Term Care Associates - Indiana, Inc.

Long Term Care Associates - Texas, Inc.

Meridian Arms Land, Inc.

North Las Vegas LLC

NRS Ventures, L.L.C.

OHI (Connecticut), Inc.

OHI (Florida), Inc.

OHI (Illinois), Inc.

OHI (Indiana), Inc.

OHI (Iowa), Inc.

OHI (Kansas), Inc.

OHI Asset (CA), LLC

OHI Asset (CT) Lender, LLC

OHI Asset (FL), LLC

OHI Asset (ID), LLC

OHI Asset (IN), LLC

OHI Asset (LA), LLC

OHI Asset (MI), LLC

OHI Asset (MI/NC), LLC

OHI Asset (MO), LLC

OHI Asset (OH) Lender, LLC

OHI Asset (OH) New Philadelphia, LLC

OHI Asset (OH), LLC

OHI Asset (PA) Trust

OHI Asset (PA), LLC

OHI Asset (SMS) Lender, Inc.

OHI Asset (TX), LLC

OHI Asset CSE-E, LLC

OHI Asset CSE-U, LLC

OHI Asset Essex (OH), LLC

OHI Asset II (CA), LLC

OHI Asset II (PA) Trust

OHI Asset III (PA) Trust

OHI Asset, LLC

OHI of Kentucky, Inc.

OHI of Texas, Inc.

OHI Sunshine, Inc.

OHIMA, Inc.

Omega (Kansas), Inc.

Omega TRS I, Inc.

Orange Village Care Center, Inc.

OS Leasing Company

Panama City Nursing Center LLC

Parkview - Skilled Nursing, Inc.

Pavillion North Partners, Inc.

Pavillion North, LLP

Pavillion Nursing Center North, Inc.

Pine Texarkana Healthcare Associates, Inc.

Reunion Texarkana Healthcare Associates, Inc.

San Augustine Healthcare Associates, Inc.

Skilled Nursing - Gaston, Inc.

Skilled Nursing - Herrin, Inc.

Skilled Nursing - Hicksville, Inc.

Skilled Nursing - Paris, Inc.

Skyler Maitland LLC

South Athens Healthcare Associates, Inc.

St. Mary’s Properties, Inc.

Sterling Acquisition Corp.

Sterling Acquisition Corp. II

Suwanee, LLC

Texas Lessor - Stonegate GP, Inc.

Texas Lessor - Stonegate Limited, Inc.

Texas Lessor - Stonegate, L.P.

Texas Lessor - Treemont, Inc.

The Suburban Pavilion, Inc.

Washington Lessor - Silverdale, Inc.

Waxahachie Healthcare Associates, Inc.

West Athens Healthcare Associates, Inc.

Wilcare, LLC

OHI Asset (CO), LLC

OHI Asset (IL), LLC

OHI Asset IV (PA) Silver Lake Trust

OHI Asset II (FL), LLC

CSE Albany LLC

CSE Amarillo LLC

CSE Arden L.P.

CSE Augusta LLC

CSE Bedford LLC

CSE Cambridge LLC

CSE Cambridge Realty LLC

CSE Canton LLC

CSE Cedar Rapids LLC

CSE Chelmsford LLC

CSE Chesterton LLC

CSE Claremont LLC

CSE Denver LLC

CSE Douglas LLC

CSE Dumas LLC

CSE Elkton LLC

CSE Elkton Realty LLC

CSE Fort Wayne LLC

CSE Frankston LLC

CSE Georgetown LLC

CSE Green Bay LLC

CSE Hilliard LLC

CSE Huntsville LLC

CSE Indianapolis-Continental LLC

CSE Indianapolis-Greenbriar LLC

CSE Jefferson-Hillcrest Center LLC

CSE Jefferson-Jennings House LLC

CSE King L.P.

CSE Kingsport LLC

CSE Knightdale L.P.

CSE Lake City LLC

CSE Lake Worth LLC

CSE Lakewood LLC

CSE Las Vegas LLC

CSE Lawrenceburg LLC

CSE Lenoir L.P.

CSE Lexington Park LLC

CSE Lexington Park Realty LLC

CSE Ligonier LLC

CSE Live Oak LLC

CSE Logansport LLC

CSE Lowell LLC

CSE Mobile LLC

CSE Moore LLC

CSE North Carolina Holdings I LLC

CSE North Carolina Holdings II LLC

CSE Omro LLC

CSE Orange Park LLC

CSE Orlando-Pinar Terrace Manor LLC

CSE Orlando-Terra Vista Rehab LLC

CSE Piggott LLC

CSE Pilot Point LLC

CSE Ponca City LLC

CSE Port St. Lucie LLC

CSE Richmond LLC

CSE Safford LLC

CSE Salina LLC

CSE Seminole LLC

CSE Shawnee LLC

CSE Stillwater LLC

CSE Taylorsville LLC

CSE Texas City LLC

CSE Upland LLC

CSE Walnut Cove L.P.

CSE Winter Haven LLC

CSE Woodfin L.P.

CSE Yorktown LLC

CSE Casablanca Holdings LLC

CSE Casablanca Holdings II LLC

OHI Asset CSB LLC

OHI Asset (FL) Lender, LLC

OHI Asset (MD), LLC

OHI Asset HUD WO, LLC

FOURTH SUPPLEMENTAL INDENTURE

(Senior Notes due 2022)

THIS FOURTH SUPPLEMENTAL INDENTURE (this “Fourth Supplemental Indenture”) is dated as of August 9, 2012, among OMEGA HEALTHCARE INVESTORS, INC., a Maryland corporation (the “Issuer”), each of the SUBSIDIARY GUARANTORS listed on Schedule I hereto (collectively, the “Subsidiary Guarantors”), each of the companies listed on Schedule II hereto (collectively, the “New Subsidiaries”), and U.S. BANK NATIONAL ASSOCIATION, a national banking association organized and existing under the laws of the United States of America, as trustee (the “Trustee”).

W I T N E S S E T H :

WHEREAS, the Issuer and the Subsidiary Guarantors have heretofore executed and delivered to the Trustee an Indenture, dated as of October 4, 2010 (as amended by the First Supplemental Indenture dated as of January 13, 2011, the Second Supplemental Indenture dated as of June 10, 2011, and the Third Supplemental Indenture dated as of July 2, 2012, the “Indenture”), providing for the issuance of the Issuer’s 6-3/4% Senior Notes due 2022 (the “Notes”);

WHEREAS, Section 9.01 of the Indenture authorizes the Issuer, the Subsidiary Guarantors and the Trustee, together, to amend or supplement the Indenture, without notice to or consent of any Holder of the Notes, for the purpose of making any change that would not materially adversely affect the rights of any Holder of the Notes;

WHEREAS, the Issuer has re-designated the New Subsidiaries (formerly Unrestricted Subsidiaries) as Restricted Subsidiaries under the Indenture and now wishes to cause the New Subsidiaries to become Subsidiary Guarantors pursuant to Section 4.14 of the Indenture;

WHEREAS, in Section 1.01 of the Indenture, the term “Subsidiary Guarantors” is defined to include all Persons that become a Subsidiary Guarantor by the terms of the Indenture after the Closing Date; and

WHEREAS, Section 10.01 of the Indenture provides that each Subsidiary Guarantor shall be a guarantor of the Issuer’s obligations under the Notes, subject to the terms and conditions described in the Indenture.

NOW, THEREFORE, in consideration of the foregoing and for other good and valuable consideration, the receipt of which is hereby acknowledged, the Issuer, the Subsidiary Guarantors, the New Subsidiaries and the Trustee mutually covenant and agree for the equal and ratable benefit of the Holders of the Notes as follows:

8. CAPITALIZED TERMS.  Capitalized terms used herein without definition shall have the meanings assigned to them in the Indenture.

9. AMENDMENT TO GUARANTEE.  The New Subsidiaries hereby agree, jointly and severally with all other Subsidiary Guarantors, to guarantee the Issuer’s obligations under the Notes on the terms and subject to the conditions set forth in the Indenture, and to be bound by, and to receive the benefit of, all other applicable provisions of the Indenture as Subsidiary Guarantors.  Such guarantee shall be evidenced by the New Subsidiaries’ execution of Subsidiary Guarantees, the form of which is attached as Exhibit E to the Indenture, and shall be effective as of the date hereof.

10. NO RECOURSE AGAINST OTHERS.  No past, present or future director, officer, employee, partner, affiliate, beneficiary or stockholder of the New Subsidiaries, as such, shall have any liability for any obligations of the Issuer or any Subsidiary Guarantor under the Notes, any Guarantees, the Indenture or this Fourth Supplemental Indenture or for any claim based on, in respect of, or by reason of, such obligations or their creation.  Each Holder of the Notes, by accepting and holding a Note, waives and releases all such liability.  Such waiver and release are part of the consideration for the issuance of the Notes.

11. NEW YORK LAW TO GOVERN.  The laws of the State of New York shall govern and be used to construe this Fourth Supplemental Indenture.

12. COUNTERPARTS.  The parties may sign any number of copies of this Fourth Supplemental Indenture.  Each signed copy shall be an original, but all of them together shall represent the same agreement.

13. EFFECT OF HEADINGS.  The Section headings herein are for convenience only and shall not affect the construction hereof.

14. THE TRUSTEE.  The Trustee shall not be responsible in any manner whatsoever for or in respect of the validity or sufficiency of this Fourth Supplemental Indenture or for or in respect of the recitals contained herein, all of which recitals are made solely by the Issuer, the Subsidiary Guarantors and the New Subsidiaries.

[Remainder of Page Intentionally Left Blank]

IN WITNESS WHEREOF, the parties hereto have caused this Fourth Supplemental Indenture to be duly executed and attested, all as of the date first above written.

OMEGA HEALTHCARE INVESTORS, INC.
By:	/s/ C. Taylor Pickett
Name: C. Taylor Pickett
Title: Chief Executive Officer and President
On behalf of each Subsidiary Guarantor, its sole member, general partner or trustee, named on the attached Schedule I
By:	/s/ C. Taylor Pickett
Name: C. Taylor Pickett
Title: Chief Executive Officer and President
On behalf of each of the New Subsidiaries, its sole member, named on the attached Schedule II
By:	/s/ C. Taylor Pickett
Name: C. Taylor Pickett
Title: Chief Executive Officer and President
U.S. BANK NATIONAL ASSOCIATION, as Trustee
By:	/s/ Paul L. Henderson
Name: Paul L. Henderson
Title: Assistant Vice President

Schedule I

SUBSIDIARY GUARANTORS

Arizona Lessor - Infinia, Inc.

Baldwin Health Center, Inc.

Bayside Alabama Healthcare Second, Inc.

Bayside Arizona Healthcare Associates, Inc.

Bayside Arizona Healthcare Second, Inc.

Bayside Colorado Healthcare Associates, Inc.

Bayside Colorado Healthcare Second, Inc.

Bayside Indiana Healthcare Associates, Inc.

Bayside Street II, Inc.

Bayside Street, Inc.

Canton Health Care Land, Inc.

Carnegie Gardens LLC

Center Healthcare Associates, Inc.

Cherry Street - Skilled Nursing, Inc.

Colonial Gardens, LLC

Colorado Lessor - Conifer, Inc.

Copley Health Center, Inc.

CSE Anchorage LLC

CSE Blountville LLC

CSE Bolivar LLC

CSE Camden LLC

CSE Centennial Village

CSE Corpus North LLC

CSE Crane LLC

CSE Denver Iliff LLC

CSE Fairhaven LLC

CSE Huntingdon LLC

CSE Jacinto City LLC

CSE Jefferson City LLC

CSE Kerrville LLC

CSE Marianna Holdings LLC

CSE Memphis LLC

CSE Pennsylvania Holdings

CSE Ripley LLC

CSE Ripon LLC

CSE Spring Branch LLC

CSE Texarkana LLC

CSE The Village LLC

CSE West Point LLC

CSE Whitehouse LLC

CSE Williamsport LLC

Dallas - Skilled Nursing, Inc.

Delta Investors I, LLC

Delta Investors II, LLC

Desert Lane, LLC

Dixon Health Care Center, Inc.

Florida Lessor - Crystal Springs, Inc.

Florida Lessor - Emerald, Inc.

Florida Lessor - Lakeland, Inc.

Florida Lessor - Meadowview, Inc.

Florida Real Estate Company, LLC

Georgia Lessor - Bonterra/Parkview, Inc.

Greenbough, LLC

Hanover House, Inc.

Heritage Texarkana Healthcare Associates, Inc.

House of Hanover, Ltd.

Hutton I Land, Inc.

Hutton II Land, Inc.

Hutton III Land, Inc.

Indiana Lessor - Jeffersonville, Inc.

Indiana Lessor - Wellington Manor, Inc.

Jefferson Clark, Inc.

LAD I Real Estate Company, LLC

Lake Park - Skilled Nursing, Inc.

Leatherman 90-1, Inc.

Leatherman Partnership 89-1, Inc.

Leatherman Partnership 89-2, Inc.

Long Term Care - Michigan, Inc.

Long Term Care - North Carolina, Inc.

Long Term Care Associates - Illinois, Inc.

Long Term Care Associates - Indiana, Inc.

Long Term Care Associates - Texas, Inc.

Meridian Arms Land, Inc.

North Las Vegas LLC

NRS Ventures, L.L.C.

OHI (Connecticut), Inc.

OHI (Florida), Inc.

OHI (Illinois), Inc.

OHI (Indiana), Inc.

OHI (Iowa), Inc.

OHI (Kansas), Inc.

OHI Asset (CA), LLC

OHI Asset (CT) Lender, LLC

OHI Asset (FL), LLC

OHI Asset (ID), LLC

OHI Asset (IN), LLC

OHI Asset (LA), LLC

OHI Asset (MI), LLC

OHI Asset (MI/NC), LLC

OHI Asset (MO), LLC

OHI Asset (OH) Lender, LLC

OHI Asset (OH) New Philadelphia, LLC

OHI Asset (OH), LLC

OHI Asset (PA) Trust

OHI Asset (PA), LLC

OHI Asset (SMS) Lender, Inc.

OHI Asset (TX), LLC

OHI Asset CSE-E, LLC

OHI Asset CSE-U, LLC

OHI Asset Essex (OH), LLC

OHI Asset II (CA), LLC

OHI Asset II (PA) Trust

OHI Asset III (PA) Trust

OHI Asset, LLC

OHI of Kentucky, Inc.

OHI of Texas, Inc.

OHI Sunshine, Inc.

OHIMA, Inc.

Omega (Kansas), Inc.

Omega TRS I, Inc.

Orange Village Care Center, Inc.

OS Leasing Company

Panama City Nursing Center LLC

Parkview - Skilled Nursing, Inc.

Pavillion North Partners, Inc.

Pavillion North, LLP

Pavillion Nursing Center North, Inc.

Pine Texarkana Healthcare Associates, Inc.

Reunion Texarkana Healthcare Associates, Inc.

San Augustine Healthcare Associates, Inc.

Skilled Nursing - Gaston, Inc.

Skilled Nursing - Herrin, Inc.

Skilled Nursing - Hicksville, Inc.

Skilled Nursing - Paris, Inc.

Skyler Maitland LLC

South Athens Healthcare Associates, Inc.

St. Mary’s Properties, Inc.

Sterling Acquisition Corp.

Sterling Acquisition Corp. II

Suwanee, LLC

Texas Lessor - Stonegate GP, Inc.

Texas Lessor - Stonegate Limited, Inc.

Texas Lessor - Stonegate, L.P.

Texas Lessor - Treemont, Inc.

The Suburban Pavilion, Inc.

Washington Lessor - Silverdale, Inc.

Waxahachie Healthcare Associates, Inc.

West Athens Healthcare Associates, Inc.

Wilcare, LLC

OHI Asset (CO), LLC

OHI Asset (IL), LLC

OHI Asset IV (PA) Silver Lake Trust

OHI Asset II (FL), LLC

CSE Albany LLC

CSE Amarillo LLC

CSE Arden L.P.

CSE Augusta LLC

CSE Bedford LLC

CSE Cambridge LLC

CSE Cambridge Realty LLC

CSE Canton LLC

CSE Cedar Rapids LLC

CSE Chelmsford LLC

CSE Chesterton LLC

CSE Claremont LLC

CSE Denver LLC

CSE Douglas LLC

CSE Dumas LLC

CSE Elkton LLC

CSE Elkton Realty LLC

CSE Fort Wayne LLC

CSE Frankston LLC

CSE Georgetown LLC

CSE Green Bay LLC

CSE Hilliard LLC

CSE Huntsville LLC

CSE Indianapolis-Continental LLC

CSE Indianapolis-Greenbriar LLC

CSE Jefferson-Hillcrest Center LLC

CSE Jefferson-Jennings House LLC

CSE King L.P.

CSE Kingsport LLC

CSE Knightdale L.P.

CSE Lake City LLC

CSE Lake Worth LLC

CSE Lakewood LLC

CSE Las Vegas LLC

CSE Lawrenceburg LLC

CSE Lenoir L.P.

CSE Lexington Park LLC

CSE Lexington Park Realty LLC

CSE Ligonier LLC

CSE Live Oak LLC

CSE Logansport LLC

CSE Lowell LLC

CSE Mobile LLC

CSE Moore LLC

CSE North Carolina Holdings I LLC

CSE North Carolina Holdings II LLC

CSE Omro LLC

CSE Orange Park LLC

CSE Orlando-Pinar Terrace Manor LLC

CSE Orlando-Terra Vista Rehab LLC

CSE Piggott LLC

CSE Pilot Point LLC

CSE Ponca City LLC

CSE Port St. Lucie LLC

CSE Richmond LLC

CSE Safford LLC

CSE Salina LLC

CSE Seminole LLC

CSE Shawnee LLC

CSE Stillwater LLC

CSE Taylorsville LLC

CSE Texas City LLC

CSE Upland LLC

CSE Walnut Cove L.P.

CSE Winter Haven LLC

CSE Woodfin L.P.

CSE Yorktown LLC

CSE Casablanca Holdings LLC

CSE Casablanca Holdings II LLC

OHI Asset CSB LLC

OHI Asset (FL) Lender, LLC

OHI Asset (MD), LLC

OHI Asset HUD WO, LLC

OHI Asset HUD SF, LLC

OHI Asset (IN) Greensburg, LLC

OHI Asset (IN) Indianapolis, LLC

OHI Asset (IN) Wabash, LLC

OHI Asset (IN) Westfield, LLC

Schedule II

NEW SUBSIDIARIES

OHI Asset HUD CFG, LLC

1200 Ely Street Holdings Co. LLC

42235 County Road Holdings Co. LLC

2425 Teller Avenue, LLC

CFG 2115 Woodstock Place LLC

48 High Point Road, LLC

FIFTH SUPPLEMENTAL INDENTURE

(Senior Notes due 2022)

THIS FIFTH SUPPLEMENTAL INDENTURE (this “Fifth Supplemental Indenture”) is dated as of September 24, 2012, among OMEGA HEALTHCARE INVESTORS, INC., a Maryland corporation (the “Issuer”), each of the SUBSIDIARY GUARANTORS listed on Schedule I hereto (collectively, the “Subsidiary Guarantors”), each of the companies listed on Schedule II hereto (collectively, the “New Subsidiaries”), and U.S. BANK NATIONAL ASSOCIATION, a national banking association organized and existing under the laws of the United States of America, as trustee (the “Trustee”).

W I T N E S S E T H :

WHEREAS, the Issuer and the Subsidiary Guarantors have heretofore executed and delivered to the Trustee an Indenture, dated as of October 4, 2010 (as supplemented by that First Supplemental Indenture dated as of January 13, 2011, that Second Supplemental Indenture dated as of June 10, 2011, that Third Supplemental Indenture dated as of July 2, 2012, and that Fourth Supplemental Indenture dated as of August 9, 2012, the “Indenture”), providing for the issuance of the Issuer’s 6-3/4% Senior Notes due 2022 (the “Notes”);

WHEREAS, Section 9.01 of the Indenture authorizes the Issuer, the Subsidiary Guarantors and the Trustee, together, to amend or supplement the Indenture, without notice to or consent of any Holder of the Notes, for the purpose of making any change that would not materially adversely affect the rights of any Holder of the Notes;

WHEREAS, the Issuer has recently created the New Subsidiaries, which are required to become Subsidiary Guarantors pursuant to Section 4.14 of the Indenture;

WHEREAS, in Section 1.01 of the Indenture, the term “Subsidiary Guarantors” is defined to include all Persons that become a Subsidiary Guarantor by the terms of the Indenture after the Closing Date; and

WHEREAS, Section 10.01 of the Indenture provides that each Subsidiary Guarantor shall be a guarantor of the Issuer’s obligations under the Notes, subject to the terms and conditions described in the Indenture.

NOW, THEREFORE, in consideration of the foregoing and for other good and valuable consideration, the receipt of which is hereby acknowledged, the Issuer, the Subsidiary Guarantors, the New Subsidiaries and the Trustee mutually covenant and agree for the equal and ratable benefit of the Holders of the Notes as follows:

15. CAPITALIZED TERMS.  Capitalized terms used herein without definition shall have the meanings assigned to them in the Indenture.

16. AMENDMENT TO GUARANTEE.  The New Subsidiaries hereby agree, jointly and severally with all other Subsidiary Guarantors, to guarantee the Issuer’s obligations under the Notes on the terms and subject to the conditions set forth in the Indenture, and to be bound by, and to receive the benefit of, all other applicable provisions of the Indenture as Subsidiary Guarantors.  Such guarantee shall be evidenced by the New Subsidiaries’ execution of Subsidiary Guarantees, the form of which is attached as Exhibit E to the Indenture, and shall be effective as of the date hereof.

17. NO RECOURSE AGAINST OTHERS.  No past, present or future director, officer, employee, partner, affiliate, beneficiary or stockholder of the New Subsidiaries, as such, shall have any liability for any obligations of the Issuer or any Subsidiary Guarantor under the Notes, any Guarantees, the Indenture or this Fifth Supplemental Indenture or for any claim based on, in respect of, or by reason of, such obligations or their creation.  Each Holder of the Notes, by accepting and holding a Note, waives and releases all such liability.  Such waiver and release are part of the consideration for the issuance of the Notes.

18. NEW YORK LAW TO GOVERN.  The laws of the State of New York shall govern and be used to construe this Fifth Supplemental Indenture.

19. COUNTERPARTS.  The parties may sign any number of copies of this Fifth Supplemental Indenture.  Each signed copy shall be an original, but all of them together shall represent the same agreement.

20. EFFECT OF HEADINGS.  The Section headings herein are for convenience only and shall not affect the construction hereof.

21. THE TRUSTEE.  The Trustee shall not be responsible in any manner whatsoever for or in respect of the validity or sufficiency of this Fifth Supplemental Indenture or for or in respect of the recitals contained herein, all of which recitals are made solely by the Issuer, the Subsidiary Guarantors and the New Subsidiaries.

[Remainder of Page Intentionally Left Blank]

IN WITNESS WHEREOF, the parties hereto have caused this Fifth Supplemental Indenture to be duly executed and attested, all as of the date first above written.

OMEGA HEALTHCARE INVESTORS, INC.
By:	/s/ Robert O. Stephenson
Name: Robert O. Stephenson
Title: Chief Financial Officer and Treasurer
On behalf of each Subsidiary Guarantor, its sole member, general partner or trustee, named on the attached Schedule I
By:	/s/ Robert O. Stephenson
Name: Robert O. Stephenson
Title: Chief Financial Officer and Treasurer
On behalf of each of the New Subsidiaries, its sole member
By:	/s/ Robert O. Stephenson
Name: Robert O. Stephenson
Title: Chief Financial Officer and Treasurer
U.S. BANK NATIONAL ASSOCIATION, as Trustee
By:	/s/ Paul L. Henderson
Name: Paul L. Henderson
Title: Assistant Vice President

Schedule I

SUBSIDIARY GUARANTORS

1200 Ely Street Holdings Co. LLC

42235 County Road Holdings Co. LLC

2425 Teller Avenue, LLC

48 High Point Road, LLC

Arizona Lessor - Infinia, Inc.

Baldwin Health Center, Inc.

Bayside Alabama Healthcare Second, Inc.

Bayside Arizona Healthcare Associates, Inc.

Bayside Arizona Healthcare Second, Inc.

Bayside Colorado Healthcare Associates, Inc.

Bayside Colorado Healthcare Second, Inc.

Bayside Indiana Healthcare Associates, Inc.

Bayside Street II, Inc.

Bayside Street, Inc.

Canton Health Care Land, Inc.

Carnegie Gardens LLC

Center Healthcare Associates, Inc.

CFG 2115 Woodstock Place LLC

Cherry Street - Skilled Nursing, Inc.

Colonial Gardens, LLC

Colorado Lessor - Conifer, Inc.

Copley Health Center, Inc.

CSE Anchorage LLC

CSE Blountville LLC

CSE Bolivar LLC

CSE Camden LLC

CSE Centennial Village

CSE Corpus North LLC

CSE Crane LLC

CSE Denver Iliff LLC

CSE Fairhaven LLC

CSE Huntingdon LLC

CSE Jacinto City LLC

CSE Jefferson City LLC

CSE Kerrville LLC

CSE Marianna Holdings LLC

CSE Memphis LLC

CSE Pennsylvania Holdings

CSE Ripley LLC

CSE Ripon LLC

CSE Spring Branch LLC

CSE Texarkana LLC

CSE The Village LLC

CSE West Point LLC

CSE Whitehouse LLC

CSE Williamsport LLC

Dallas - Skilled Nursing, Inc.

Delta Investors I, LLC

Delta Investors II, LLC

Desert Lane, LLC

Dixon Health Care Center, Inc.

Florida Lessor - Crystal Springs, Inc.

Florida Lessor - Emerald, Inc.

Florida Lessor - Lakeland, Inc.

Florida Lessor - Meadowview, Inc.

Florida Real Estate Company, LLC

Georgia Lessor - Bonterra/Parkview, Inc.

Greenbough, LLC

Hanover House, Inc.

Heritage Texarkana Healthcare Associates, Inc.

House of Hanover, Ltd.

Hutton I Land, Inc.

Hutton II Land, Inc.

Hutton III Land, Inc.

Indiana Lessor - Jeffersonville, Inc.

Indiana Lessor - Wellington Manor, Inc.

Jefferson Clark, Inc.

LAD I Real Estate Company, LLC

Lake Park - Skilled Nursing, Inc.

Leatherman 90-1, Inc.

Leatherman Partnership 89-1, Inc.

Leatherman Partnership 89-2, Inc.

Long Term Care - Michigan, Inc.

Long Term Care - North Carolina, Inc.

Long Term Care Associates - Illinois, Inc.

Long Term Care Associates - Indiana, Inc.

Long Term Care Associates - Texas, Inc.

Meridian Arms Land, Inc.

North Las Vegas LLC

NRS Ventures, L.L.C.

OHI (Connecticut), Inc.

OHI (Florida), Inc.

OHI (Illinois), Inc.

OHI (Indiana), Inc.

OHI (Iowa), Inc.

OHI (Kansas), Inc.

OHI Asset (CA), LLC

OHI Asset (CT) Lender, LLC

OHI Asset (FL), LLC

OHI Asset (ID), LLC

OHI Asset (IN), LLC

OHI Asset (LA), LLC

OHI Asset (MI), LLC

OHI Asset (MI/NC), LLC

OHI Asset (MO), LLC

OHI Asset (OH) Lender, LLC

OHI Asset (OH) New Philadelphia, LLC

OHI Asset (OH), LLC

OHI Asset (PA) Trust

OHI Asset (PA), LLC

OHI Asset (SMS) Lender, Inc.

OHI Asset (TX), LLC

OHI Asset CSE-E, LLC

OHI Asset CSE-U, LLC

OHI Asset Essex (OH), LLC

OHI Asset II (CA), LLC

OHI Asset II (PA) Trust

OHI Asset III (PA) Trust

OHI Asset, LLC

OHI of Kentucky, Inc.

OHI of Texas, Inc.

OHI Sunshine, Inc.

OHIMA, Inc.

Omega (Kansas), Inc.

Omega TRS I, Inc.

Orange Village Care Center, Inc.

OS Leasing Company

Panama City Nursing Center LLC

Parkview - Skilled Nursing, Inc.

Pavillion North Partners, Inc.

Pavillion North, LLP

Pavillion Nursing Center North, Inc.

Pine Texarkana Healthcare Associates, Inc.

Reunion Texarkana Healthcare Associates, Inc.

San Augustine Healthcare Associates, Inc.

Skilled Nursing - Gaston, Inc.

Skilled Nursing - Herrin, Inc.

Skilled Nursing - Hicksville, Inc.

Skilled Nursing - Paris, Inc.

Skyler Maitland LLC

South Athens Healthcare Associates, Inc.

St. Mary’s Properties, Inc.

Sterling Acquisition Corp.

Sterling Acquisition Corp. II

Suwanee, LLC

Texas Lessor - Stonegate GP, Inc.

Texas Lessor - Stonegate Limited, Inc.

Texas Lessor - Stonegate, L.P.

Texas Lessor - Treemont, Inc.

The Suburban Pavilion, Inc.

Washington Lessor - Silverdale, Inc.

Waxahachie Healthcare Associates, Inc.

West Athens Healthcare Associates, Inc.

Wilcare, LLC

OHI Asset (CO), LLC

OHI Asset (IL), LLC

OHI Asset IV (PA) Silver Lake Trust

OHI Asset II (FL), LLC

CSE Albany LLC

CSE Amarillo LLC

CSE Arden L.P.

CSE Augusta LLC

CSE Bedford LLC

CSE Cambridge LLC

CSE Cambridge Realty LLC

CSE Canton LLC

CSE Cedar Rapids LLC

CSE Chelmsford LLC

CSE Chesterton LLC

CSE Claremont LLC

CSE Denver LLC

CSE Douglas LLC

CSE Dumas LLC

CSE Elkton LLC

CSE Elkton Realty LLC

CSE Fort Wayne LLC

CSE Frankston LLC

CSE Georgetown LLC

CSE Green Bay LLC

CSE Hilliard LLC

CSE Huntsville LLC

CSE Indianapolis-Continental LLC

CSE Indianapolis-Greenbriar LLC

CSE Jefferson-Hillcrest Center LLC

CSE Jefferson-Jennings House LLC

CSE King L.P.

CSE Kingsport LLC

CSE Knightdale L.P.

CSE Lake City LLC

CSE Lake Worth LLC

CSE Lakewood LLC

CSE Las Vegas LLC

CSE Lawrenceburg LLC

CSE Lenoir L.P.

CSE Lexington Park LLC

CSE Lexington Park Realty LLC

CSE Ligonier LLC

CSE Live Oak LLC

CSE Logansport LLC

CSE Lowell LLC

CSE Mobile LLC

CSE Moore LLC

CSE North Carolina Holdings I LLC

CSE North Carolina Holdings II LLC

CSE Omro LLC

CSE Orange Park LLC

CSE Orlando-Pinar Terrace Manor LLC

CSE Orlando-Terra Vista Rehab LLC

CSE Piggott LLC

CSE Pilot Point LLC

CSE Ponca City LLC

CSE Port St. Lucie LLC

CSE Richmond LLC

CSE Safford LLC

CSE Salina LLC

CSE Seminole LLC

CSE Shawnee LLC

CSE Stillwater LLC

CSE Taylorsville LLC

CSE Texas City LLC

CSE Upland LLC

CSE Walnut Cove L.P.

CSE Winter Haven LLC

CSE Woodfin L.P.

CSE Yorktown LLC

CSE Casablanca Holdings LLC

CSE Casablanca Holdings II LLC

OHI Asset CSB LLC

OHI Asset (FL) Lender, LLC

OHI Asset (MD), LLC

OHI Asset HUD CFG, LLC

OHI Asset HUD WO, LLC

OHI Asset HUD SF, LLC

OHI Asset (IN) Greensburg, LLC

OHI Asset (IN) Indianapolis, LLC

OHI Asset (IN) Wabash, LLC

OHI Asset (IN) Westfield, LLC

Schedule II

NEW SUBSIDIARIES

OHI Asset (IN) American Village, LLC

OHI Asset (IN) Beech Grove, LLC

OHI Asset (IN) Eagle Valley, LLC

OHI Asset (IN) Anderson, LLC

OHI Asset (IN) Forest Creek, LLC

OHI Asset (IN) Franklin, LLC

OHI Asset (IN) Fort Wayne, LLC

OHI Asset (IN) Monticello, LLC

OHI Asset (IN) Kokomo, LLC

OHI Asset (IN) Elkhart, LLC

OHI Asset (IN) Clarksville, LLC

OHI Asset (IN) Noblesville, LLC

OHI Asset (IN) Rosewalk, LLC

OHI Asset (IN) Lafayette, LLC

OHI Asset (IN) Spring Mill, LLC

OHI Asset (IN) Terre Haute, LLC

OHI Asset (IN) Zionsville, LLC

SIXTH SUPPLEMENTAL INDENTURE

(Senior Notes due 2022)

THIS SIXTH SUPPLEMENTAL INDENTURE (this “Sixth Supplemental Indenture”) is effective as of December 31, 2012 among OMEGA HEALTHCARE INVESTORS, INC., a Maryland corporation (the “Issuer”), each of the SUBSIDIARY GUARANTORS listed on Schedule I hereto (collectively, the “Subsidiary Guarantors”), each of the companies listed on Schedule II hereto (collectively, the “New Subsidiaries”), and U.S. BANK NATIONAL ASSOCIATION, a national banking association organized and existing under the laws of the United States of America, as trustee (the “Trustee”).

W I T N E S S E T H :

WHEREAS, the Issuer and the Subsidiary Guarantors have heretofore executed and delivered to the Trustee an Indenture, dated as of October 4, 2010 (as supplemented by that First Supplemental Indenture dated as of January 13, 2011, that Second Supplemental Indenture dated as of June 10, 2011, that Third Supplemental Indenture dated as of July 2, 2012, that Fourth Supplemental Indenture dated as of August 9, 2012, and that Fifth Supplemental Indenture dated as of September 24, 2012 the “Indenture”), providing for the issuance of the Issuer’s 6-3/4% Senior Notes due 2022 (the “Notes”);

WHEREAS, Section 9.01 of the Indenture authorizes the Issuer, the Subsidiary Guarantors and the Trustee, together, to amend or supplement the Indenture, without notice to or consent of any Holder of the Notes, for the purpose of making any change that would not materially adversely affect the rights of any Holder of the Notes;

WHEREAS, the Issuer has recently created the New Subsidiaries, which are required to become Subsidiary Guarantors pursuant to Section 4.14 of the Indenture;

WHEREAS, in Section 1.01 of the Indenture, the term “Subsidiary Guarantors” is defined to include all Persons that become a Subsidiary Guarantor by the terms of the Indenture after the Closing Date; and

WHEREAS, Section 10.01 of the Indenture provides that each Subsidiary Guarantor shall be a guarantor of the Issuer’s obligations under the Notes, subject to the terms and conditions described in the Indenture.

NOW, THEREFORE, in consideration of the foregoing and for other good and valuable consideration, the receipt of which is hereby acknowledged, the Issuer, the Subsidiary Guarantors, the New Subsidiaries and the Trustee mutually covenant and agree for the equal and ratable benefit of the Holders of the Notes as follows:

22. CAPITALIZED TERMS.  Capitalized terms used herein without definition shall have the meanings assigned to them in the Indenture.

23. AMENDMENT TO GUARANTEE.  The New Subsidiaries hereby agree, jointly and severally with all other Subsidiary Guarantors, to guarantee the Issuer’s obligations under the Notes on the terms and subject to the conditions set forth in the Indenture, and to be bound by, and to receive the benefit of, all other applicable provisions of the Indenture as Subsidiary Guarantors.  Such guarantee shall be evidenced by the New Subsidiaries’ execution of Subsidiary Guarantees, the form of which is attached as Exhibit E to the Indenture, and shall be effective as of the date hereof.

24. NO RECOURSE AGAINST OTHERS.  No past, present or future director, officer, employee, partner, affiliate, beneficiary or stockholder of the New Subsidiaries, as such, shall have any liability for any obligations of the Issuer or any Subsidiary Guarantor under the Notes, any Guarantees, the Indenture or this Sixth Supplemental Indenture or for any claim based on, in respect of, or by reason of, such obligations or their creation.  Each Holder of the Notes, by accepting and holding a Note, waives and releases all such liability.  Such waiver and release are part of the consideration for the issuance of the Notes.

25. NEW YORK LAW TO GOVERN.  The laws of the State of New York shall govern and be used to construe this Sixth Supplemental Indenture.

26. COUNTERPARTS.  The parties may sign any number of copies of this Sixth Supplemental Indenture.  Each signed copy shall be an original, but all of them together shall represent the same agreement.

27. EFFECT OF HEADINGS.  The Section headings herein are for convenience only and shall not affect the construction hereof.

28. THE TRUSTEE.  The Trustee shall not be responsible in any manner whatsoever for or in respect of the validity or sufficiency of this Sixth Supplemental Indenture or for or in respect of the recitals contained herein, all of which recitals are made solely by the Issuer, the Subsidiary Guarantors and the New Subsidiaries.

[Remainder of Page Intentionally Left Blank]

IN WITNESS WHEREOF, the parties hereto have caused this Sixth Supplemental Indenture to be duly executed and attested, all as of the date first above written.

OMEGA HEALTHCARE INVESTORS, INC.
By:	/s/ Robert O. Stephenson
Name: Robert O. Stephenson
Title: Chief Financial Officer and Treasurer Executed on: February 15, 2013
On behalf of each Subsidiary Guarantor, its sole member, general partner or trustee, named on the attached Schedule I
By:	/s/ Daniel J. Booth
Name: Daniel J. Booth
Title: Chief Operating Officer and Secretary Executed on: February 15, 2013
On behalf of each of the New Subsidiaries, its sole member
By:	/s/ Daniel J. Booth
Name: Daniel J. Booth
Title: Chief Operating Officer and Secretary Executed on: February 15, 2013
U.S. BANK NATIONAL ASSOCIATION, as Trustee
By:	/s/ Dave Ferrell
Name: Dave Ferrell
Title: Vice President Executed on: February 15, 2013

Schedule I

SUBSIDIARY GUARANTORS

1200 Ely Street Holdings Co. LLC

42235 County Road Holdings Co. LLC

2425 Teller Avenue, LLC

48 High Point Road, LLC

Arizona Lessor - Infinia, Inc.

Baldwin Health Center, Inc.

Bayside Alabama Healthcare Second, Inc.

Bayside Arizona Healthcare Associates, Inc.

Bayside Arizona Healthcare Second, Inc.

Bayside Colorado Healthcare Associates, Inc.

Bayside Colorado Healthcare Second, Inc.

Bayside Indiana Healthcare Associates, Inc.

Bayside Street II, Inc.

Bayside Street, Inc.

Canton Health Care Land, Inc.

Carnegie Gardens LLC

Center Healthcare Associates, Inc.

CFG 2115 Woodstock Place LLC

Cherry Street - Skilled Nursing, Inc.

Colonial Gardens, LLC

Colorado Lessor - Conifer, Inc.

Copley Health Center, Inc.

CSE Anchorage LLC

CSE Blountville LLC

CSE Bolivar LLC

CSE Camden LLC

CSE Centennial Village

CSE Corpus North LLC

CSE Crane LLC

CSE Denver Iliff LLC

CSE Fairhaven LLC

CSE Huntingdon LLC

CSE Jacinto City LLC

CSE Jefferson City LLC

CSE Kerrville LLC

CSE Marianna Holdings LLC

CSE Memphis LLC

CSE Pennsylvania Holdings

CSE Ripley LLC

CSE Ripon LLC

CSE Spring Branch LLC

CSE Texarkana LLC

CSE The Village LLC

CSE West Point LLC

CSE Whitehouse LLC

CSE Williamsport LLC

Dallas - Skilled Nursing, Inc.

Delta Investors I, LLC

Delta Investors II, LLC

Desert Lane, LLC

Dixon Health Care Center, Inc.

Florida Lessor - Crystal Springs, Inc.

Florida Lessor - Emerald, Inc.

Florida Lessor - Lakeland, Inc.

Florida Lessor - Meadowview, Inc.

Florida Real Estate Company, LLC

Georgia Lessor - Bonterra/Parkview, Inc.

Greenbough, LLC

Hanover House, Inc.

Heritage Texarkana Healthcare Associates, Inc.

House of Hanover, Ltd.

Hutton I Land, Inc.

Hutton II Land, Inc.

Hutton III Land, Inc.

Indiana Lessor - Jeffersonville, Inc.

Indiana Lessor - Wellington Manor, Inc.

Jefferson Clark, Inc.

LAD I Real Estate Company, LLC

Lake Park - Skilled Nursing, Inc.

Leatherman 90-1, Inc.

Leatherman Partnership 89-1, Inc.

Leatherman Partnership 89-2, Inc.

Long Term Care - Michigan, Inc.

Long Term Care - North Carolina, Inc.

Long Term Care Associates - Illinois, Inc.

Long Term Care Associates - Indiana, Inc.

Long Term Care Associates - Texas, Inc.

Meridian Arms Land, Inc.

North Las Vegas LLC

NRS Ventures, L.L.C.

OHI (Connecticut), Inc.

OHI (Florida), Inc.

OHI (Illinois), Inc.

OHI (Indiana), Inc.

OHI (Iowa), Inc.

OHI (Kansas), Inc.

OHI Asset (CA), LLC

OHI Asset (CT) Lender, LLC

OHI Asset (FL), LLC

OHI Asset (ID), LLC

OHI Asset (IN), LLC

OHI Asset (LA), LLC

OHI Asset (MI), LLC

OHI Asset (MI/NC), LLC

OHI Asset (MO), LLC

OHI Asset (OH) Lender, LLC

OHI Asset (OH) New Philadelphia, LLC

OHI Asset (OH), LLC

OHI Asset (PA) Trust

OHI Asset (PA), LLC

OHI Asset (SMS) Lender, Inc.

OHI Asset (TX), LLC

OHI Asset CSE-E, LLC

OHI Asset CSE-U, LLC

OHI Asset Essex (OH), LLC

OHI Asset II (CA), LLC

OHI Asset II (PA) Trust

OHI Asset III (PA) Trust

OHI Asset, LLC

OHI of Kentucky, Inc.

OHI of Texas, Inc.

OHI Sunshine, Inc.

OHIMA, Inc.

Omega (Kansas), Inc.

Omega TRS I, Inc.

Orange Village Care Center, Inc.

OS Leasing Company

Panama City Nursing Center LLC

Parkview - Skilled Nursing, Inc.

Pavillion North Partners, Inc.

Pavillion North, LLP

Pavillion Nursing Center North, Inc.

Pine Texarkana Healthcare Associates, Inc.

Reunion Texarkana Healthcare Associates, Inc.

San Augustine Healthcare Associates, Inc.

Skilled Nursing - Gaston, Inc.

Skilled Nursing - Herrin, Inc.

Skilled Nursing - Hicksville, Inc.

Skilled Nursing - Paris, Inc.

Skyler Maitland LLC

South Athens Healthcare Associates, Inc.

St. Mary’s Properties, Inc.

Sterling Acquisition Corp.

Sterling Acquisition Corp. II

Suwanee, LLC

Texas Lessor - Stonegate GP, Inc.

Texas Lessor - Stonegate Limited, Inc.

Texas Lessor - Stonegate, L.P.

Texas Lessor - Treemont, Inc.

The Suburban Pavilion, Inc.

Washington Lessor - Silverdale, Inc.

Waxahachie Healthcare Associates, Inc.

West Athens Healthcare Associates, Inc.

Wilcare, LLC

OHI Asset (CO), LLC

OHI Asset (IL), LLC

OHI Asset IV (PA) Silver Lake Trust

OHI Asset II (FL), LLC

CSE Albany LLC

CSE Amarillo LLC

CSE Arden L.P.

CSE Augusta LLC

CSE Bedford LLC

CSE Cambridge LLC

CSE Cambridge Realty LLC

CSE Canton LLC

CSE Cedar Rapids LLC

CSE Chelmsford LLC

CSE Chesterton LLC

CSE Claremont LLC

CSE Denver LLC

CSE Douglas LLC

CSE Dumas LLC

CSE Elkton LLC

CSE Elkton Realty LLC

CSE Fort Wayne LLC

CSE Frankston LLC

CSE Georgetown LLC

CSE Green Bay LLC

CSE Hilliard LLC

CSE Huntsville LLC

CSE Indianapolis-Continental LLC

CSE Indianapolis-Greenbriar LLC

CSE Jefferson-Hillcrest Center LLC

CSE Jefferson-Jennings House LLC

CSE King L.P.

CSE Kingsport LLC

CSE Knightdale L.P.

CSE Lake City LLC

CSE Lake Worth LLC

CSE Lakewood LLC

CSE Las Vegas LLC

CSE Lawrenceburg LLC

CSE Lenoir L.P.

CSE Lexington Park LLC

CSE Lexington Park Realty LLC

CSE Ligonier LLC

CSE Live Oak LLC

CSE Logansport LLC

CSE Lowell LLC

CSE Mobile LLC

CSE Moore LLC

CSE North Carolina Holdings I LLC

CSE North Carolina Holdings II LLC

CSE Omro LLC

CSE Orange Park LLC

CSE Orlando-Pinar Terrace Manor LLC

CSE Orlando-Terra Vista Rehab LLC

CSE Piggott LLC

CSE Pilot Point LLC

CSE Ponca City LLC

CSE Port St. Lucie LLC

CSE Richmond LLC

CSE Safford LLC

CSE Salina LLC

CSE Seminole LLC

CSE Shawnee LLC

CSE Stillwater LLC

CSE Taylorsville LLC

CSE Texas City LLC

CSE Upland LLC

CSE Walnut Cove L.P.

CSE Winter Haven LLC

CSE Woodfin L.P.

CSE Yorktown LLC

CSE Casablanca Holdings LLC

CSE Casablanca Holdings II LLC

OHI Asset CSB LLC

OHI Asset (FL) Lender, LLC

OHI Asset (MD), LLC

OHI Asset HUD CFG, LLC

OHI Asset HUD WO, LLC

OHI Asset HUD SF, LLC

OHI Asset (IN) Greensburg, LLC

OHI Asset (IN) Indianapolis, LLC

OHI Asset (IN) Wabash, LLC

OHI Asset (IN) Westfield, LLC

OHI Asset (IN) American Village, LLC

OHI Asset (IN) Beech Grove, LLC

OHI Asset (IN) Eagle Valley, LLC

OHI Asset (IN) Anderson, LLC

OHI Asset (IN) Forest Creek, LLC

OHI Asset (IN) Franklin, LLC

OHI Asset (IN) Fort Wayne, LLC

OHI Asset (IN) Monticello, LLC

OHI Asset (IN) Kokomo, LLC

OHI Asset (IN) Elkhart, LLC

OHI Asset (IN) Clarksville, LLC

OHI Asset (IN) Noblesville, LLC

OHI Asset (IN) Rosewalk, LLC

OHI Asset (IN) Lafayette, LLC

OHI Asset (IN) Spring Mill, LLC

OHI Asset (IN) Terre Haute, LLC

OHI Asset (IN) Zionsville, LLC

Schedule II

NEW SUBSIDIARIES

OHI Asset (TX) Hondo, LLC

OHI Asset HUD SF CA, LLC

13922 Cerise Avenue, LLC

245 East Wilshire Avenue, LLC

3806 Clayton Road, LLC

637 East Romie Lane, LLC

523 Hayes Lane, LLC

OHI Asset (MI) Heather Hills, LLC

Encanto Senior Care, LLC

OHI Asset (IN) Crown Point, LLC

OHI Asset (IN) Madison, LLC

EX-10.9A

Exhibit 10.9A

PERFORMANCE RESTRICTED STOCK UNIT AGREEMENT

PURSUANT TO THE OMEGA HEALTHCARE INVESTORS, INC.

2004 STOCK INCENTIVE PLAN

The grant pursuant to this agreement (this “Agreement”) is made as of the Grant Date, by Omega Healthcare Investors, Inc. (the “Company”) to ______________ (the “Recipient”).

Upon and subject to this Agreement (which shall include the Terms and Conditions and Exhibits appended to the execution page), the Company hereby awards as of the Grant Date to the Recipient, the opportunity to earn Vested Restricted Units (the “Restricted Unit Grant” or the “Award”).  Underlined and capitalized terms in Items A through F below shall have the meanings there ascribed to them.

A. Grant Date:  January 1, 201__.

B. Plan (under which Restricted Unit Grant is granted): Omega Healthcare Investors, Inc. 2004 Stock Incentive Plan.

C. Vested Restricted Units: The Recipient shall earn a number of Vested Restricted Units determined pursuant to Exhibit 1.  Each Vested Restricted Unit represents the Company’s unsecured obligation to issue one share of the Company’s common stock (“Common Stock”) and related Dividend Equivalents (as defined below) in accordance with this Agreement.

D. Dividends Equivalents.  Each Vested Restricted Unit shall accrue Dividend Equivalents, an amount equal to the dividends per share paid on one share of Common Stock to a shareholder of record on or after the Grant Date and until the date that the Vested Shares (as defined below) are issued.

E. Distribution Date of Vested Shares.  Shares of Common Stock attributable to Vested Restricted Units (“Vested Shares”) shall be issued and distributed upon the earlier of the dates listed below, subject to receipt from the Recipient of the required tax withholding:

1. within ten (10) business days following December 31, 201__; or

2. the date of a Change in Control.

Notwithstanding the foregoing, distribution shall be delayed to the extent provided in any deferral agreement between the Recipient and the Company, whether executed before or after this Agreement.

F. Distribution Date of Dividend Equivalents.  Dividend Equivalents attributable to Vested Restricted Units shall be distributed to the Recipient on the same date as Vested Shares are distributable to the Recipient under Item E above, subject to the provisions of any deferral agreement between the Recipient and the Company, whether executed before or after this Agreement.

IN WITNESS WHEREOF, the Company has executed this Agreement to be effective as of the Grant Date set forth above.

OMEGA HEALTHCARE INVESTORS, INC.

By: 

Title: 

ii

TERMS AND CONDITIONS TO THE

PERFORMANCE RESTRICTED STOCK UNIT AGREEMENT

PURSUANT TO THE OMEGA HEALTHCARE INVESTORS, INC.

2004 STOCK INCENTIVE PLAN

1.             Payment for Vested Restricted Units.  The Company shall issue in book entry form in the name of the Recipient, or issue and deliver to the Recipient a share certificate representing, the Vested Shares on the Distribution Date of Vested Shares.

2.             Dividends Equivalents.  The Company shall pay Dividend Equivalents attributable to Vested Restricted Units on the Distribution Date of Dividend Equivalents, subject to required tax withholding.

3.             Tax Withholding.

(a)           The Recipient must deliver to the Company, within ten (10) days after written notification from the Company as to the amount of the tax withholding that is due, either (i) cash, or (ii) a check payable to the Company, in the amount of all tax withholding obligations imposed on the Company as a result of the issuance of the Vested Shares, except as provided in Section 3(b).  If the Recipient does not timely satisfy payment of the tax withholding obligation, the Recipient will be deemed to have made an election to satisfy tax withholding in the manner provided in Section 3(b).

(b)           In lieu of paying the tax withholding obligation described in Section 3(a), the Recipient may elect to have the number of Vested Shares reduced by the number of whole shares of Common Stock which, when multiplied by the Fair Market Value of the Common Stock on the Distribution Date of the Vested Shares, together with cash or a check in lieu of any fractional Vested Share, is sufficient to satisfy the minimum amount of the required tax obligations imposed on the Company as a result of the issuance of the Vested Shares (the “Withholding Election”).  The Recipient may make a Withholding Election only if all of the following conditions are met:

(i)            The Withholding Election must be made within ten (10) days after the Recipient receives written notification from the Company as to the amount of the tax withholding that is due (the “Tax Notice Date”), by executing and delivering to the Company a properly completed Notice of Withholding Election, in substantially the form of Exhibit 2 attached hereto; and

(ii)           Any Withholding Election made will be irrevocable; however, the Committee may, in its sole discretion, disapprove and give no effect to any Withholding Election, by giving written notice to the Recipient no later than ten (10) days after the Company’s receipt of the Notice of Withholding Election, in which event the Recipient must deliver to the Company, within ten (10) days after receiving such notice, the amount of the tax withholding pursuant to Section 3(a).  If the Recipient does not timely deliver the amount of the tax withholding, the Recipient will forfeit the Vested Shares.

4.             Restrictions on Transfer.  Except for the transfer by bequest or inheritance, the Recipient shall not have the right to make or permit to exist any transfer or hypothecation, whether outright or as security, with or without consideration, voluntary or involuntary, of all or any part of any right, title or interest in or to this Award.  Any such disposition not made in accordance with this Agreement shall be deemed null and void.  Any permitted transferee under this Section shall be bound by the terms of this Agreement.

5.             Change in Capitalization.

(a)           The number and kind of shares issuable under this Agreement shall be proportionately adjusted for any non-reciprocal transaction between the Company and the holders of capital stock of the Company that causes the per share value of the shares of Common Stock subject to the Award to change, such as a stock dividend, stock split, spinoff, rights offering, or recapitalization through a large, non-recurring cash dividend (each, an “Equity Restructuring”).  No fractional shares shall be issued in making such adjustment.

(b)           In the event of a merger, consolidation, reorganization, extraordinary dividend, sale of substantially all of the Company’s assets, other material change in the capital structure of the Company, or a tender offer for shares of Common Stock, in each case that does not constitute an Equity Restructuring, the Committee shall take such action to make such adjustments with respect to the shares of Common Stock issuable hereunder or the terms of this Agreement as the Committee, in its sole discretion, determines in good faith is necessary or appropriate, including, without limitation, adjusting the number and class of securities subject to the Award, substituting cash, other securities, or other property to replace the Award, or removing of restrictions.

(c)           All determinations and adjustments made by the Committee pursuant to this Section will be final and binding on the Recipient. Any action taken by the Committee need not treat all recipients of awards under the Plan equally.

(d)           The existence of the Plan and the Restricted Unit Grant shall not affect the right or power of the Company to make or authorize any adjustment, reclassification, reorganization or other change in its capital or business structure, any merger or consolidation of the Company, any issue of debt or equity securities having preferences or priorities as to the Common Stock or the rights thereof, the dissolution or liquidation of the Company, any sale or transfer of all or part of its business or assets, or any other corporate act or proceeding.

6.             Governing Laws.  This Award shall be construed, administered and enforced according to the laws of the State of Maryland; provided, however, no Vested Shares shall be issued except, in the reasonable judgment of the Committee, in compliance with exemptions under applicable state securities laws of the state in which Recipient resides, and/or any other applicable securities laws.

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7.             Successors.  This Agreement shall be binding upon and inure to the benefit of the heirs, legal representatives, successors, and permitted assigns of the parties.

8.             Notice.  Except as otherwise specified herein, all notices and other communications under this Agreement shall be in writing and shall be deemed to have been given if personally delivered or if sent by registered or certified United States mail, return receipt requested, postage prepaid, addressed to the proposed recipient at the last known address of the recipient.  Any party may designate any other address to which notices shall be sent by giving notice of the address to the other parties in the same manner as provided herein.

9.             Severability.  In the event that any one or more of the provisions or portion thereof contained in this Agreement shall for any reason be held to be invalid, illegal, or unenforceable in any respect, the same shall not invalidate or otherwise affect any other provisions of this Agreement, and this Agreement shall be construed as if the invalid, illegal or unenforceable provision or portion thereof had never been contained herein.

10.           Entire Agreement.  Subject to the terms and conditions of the Plan, this Agreement expresses the entire understanding and agreement of the parties with respect to the subject matter; provided, however, that certain provisions of this Agreement may be subject to a deferral agreement between the Recipient and the Company, whether executed before or after this Agreement.

11.           Specific Performance.  In the event of any actual or threatened default in, or breach of, any of the terms, conditions and provisions of this Agreement, the party or parties who are thereby aggrieved shall have the right to specific performance and injunction in addition to any and all other rights and remedies at law or in equity, and all such rights and remedies shall be cumulative.

12.           No Right to Continued Retention.  Neither the establishment of the Plan nor the Award hereunder shall be construed as giving Recipient the right to continued service with the Company or an Affiliate.

13.           Headings and Capitalized Terms.  Paragraph headings used herein are for convenience of reference only and shall not be considered in construing this Agreement.  Capitalized terms used, but not defined, in this Agreement shall be given the meaning ascribed to them in the Plan.

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14.           Definitions.  As used in this Agreement:

“Beginning Stock Price” means the volume-weighted average price per share of Common Stock for the month of December 201__ on the exchange on which Common Stock is traded.

“Below Threshold Performance” means the Company has achieved Total Shareholder Return of less than eight percent (8%).

“Cause” shall have the meaning set forth in the employment agreement then in effect between the Recipient and the Company, or, if there is none, then Cause shall mean the occurrence of any of the following events:

(a)           willful refusal by the Recipient to follow a lawful direction of the person to whom the Recipient reports or the Board of Directors of the Company (the “Board”), provided the direction is not materially inconsistent with the duties or responsibilities of the Recipient’s position with the Company, which refusal continues after the Board has again given the direction in writing;

(b)           willful misconduct or reckless disregard by the Recipient of his duties or with respect to the interest or material property of the Company;

(c)           intentional disclosure by the Recipient to an unauthorized person of Confidential Information or Trade Secrets, which causes material harm to the Company;

(d)           any act by the Recipient of fraud against, material misappropriation from or significant dishonesty to either the Company or an Affiliate, or any other party, but in the latter case only if in the reasonable opinion of at least two-thirds of the members of the Board (excluding the Recipient), such fraud, material misappropriation, or significant dishonesty could reasonably be expected to have a material adverse impact on the Company or its Affiliates; or

(e)           commission by the Recipient of a felony as reasonably determined by at least two-thirds of the members of the Board (excluding the Recipient).

“Change in Control” means any one of the following events which occurs following the Grant Date:

(a)           the acquisition within a twelve (12) month period, directly or indirectly, by any “person” or “persons” (as such terms are used in Sections 13(d) and 14(d) of the Securities Exchange Act of 1934, as amended), other than the Company or any employee benefit plan of the Company or an Affiliate, or any corporation pursuant to a reorganization, merger or consolidation, of equity securities of the Company that in the aggregate represent thirty percent (30%) or more of the total voting power of the Company’s then outstanding equity securities;

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(b)           the acquisition, directly or indirectly, by any “person” or “persons” (as such terms are used in Sections 13(d) and 14(d) of the Securities Exchange Act of 1934, as amended), other than the Company or any employee benefit plan of the Company or an Affiliate, or any corporation pursuant to a reorganization, merger or consolidation of equity securities of the Company, resulting in such person or persons holding equity securities of the Company that, together with equity securities already held by such person or persons, in the aggregate represent more than fifty percent (50%) of the total fair market value or total voting power of the Company’s then outstanding equity securities;

(c)           individuals who as of the date hereof, constitute the Board (the “Incumbent Board”) cease for any reason to constitute at least a majority of the Board; provided, however, that any individual becoming a director subsequent to the date hereof whose election, or nomination for election by the Company’s shareholders, was approved by a vote of at least two-thirds of the directors then comprising the Incumbent Board shall be considered as though such individual were a member of the Incumbent Board, but excluding, for this purpose, any such individual whose initial assumption of office occurs as a result of an actual or threatened election contest with respect to the election or removal of directors or other actual or threatened solicitation of proxies or consents by or on behalf of a person other than the Board;

(d)           a reorganization, merger or consolidation, with respect to which persons who were the holders of equity securities of the Company immediately prior to such reorganization, merger or consolidation, immediately thereafter, own equity securities of the surviving entity representing less than fifty percent (50%) of the combined ordinary voting power of the then outstanding voting securities of the surviving entity; or

(e)           the acquisition within a twelve (12) month period, directly or indirectly, by any “person” or “persons” (as such terms are used in Sections 13(d) and 14(d) of the Securities Exchange Act of 1934, as amended), other than any corporation pursuant to a reorganization, merger or consolidation, of assets of the Company that have a total gross fair market value equal to or more than eighty-five percent (85%) of the total gross fair market value of all of the assets of the Company immediately before such acquisition.

Notwithstanding the foregoing, no Change in Control shall be deemed to have occurred for purposes of this Award (a) unless the event also constitutes a “change in the ownership or effective control of the corporation or in the ownership of a substantial portion of the assets of the corporation” within the meaning of Code Section 409A(a)(2)(v), or (b) by reason of any actions or events in which the Recipient participates in a capacity other than in his capacity as an officer, employee, or director of the Company or an Affiliate.

5

“Confidential Information” means data and information relating to the business of the Company or an Affiliate (which does not rise to the status of a Trade Secret) which is or has been disclosed to the Recipient or of which the Recipient became aware as a consequence of or through his relationship to the Company or an Affiliate and which has value to the Company or an Affiliate and is not generally known to its competitors.  Confidential Information shall not include any data or information that has been voluntarily disclosed to the public by the Company or an Affiliate (except where such public disclosure has been made by the Recipient without authorization) or that has been independently developed and disclosed by others, or that otherwise enters the public domain through lawful means without breach of any obligations of confidentiality owed to the Company or any of its Affiliates.

“Ending Stock Price” means the volume-weighted average price per share of Common Stock for the month of December 201__ on the exchange on which Common Stock is traded, unless a Change in Control occurs before December 31, 201__, in which case the term means the value per share determined as of the date of the Change in Control, such value to be determined by the Compensation Committee in its reasonable discretion based on the actual or implied price per share paid in the Change in Control transaction.

“Good Reason” shall have the meaning set forth in the employment agreement then in effect between the Recipient and the Company, or, if there is none, then Good Reason shall mean the occurrence of all of the events listed in either (a) or (b) below:

(a)           (i)           the Recipient experiences a material diminution of the Recipient’s responsibilities of his position, as reasonably modified by the person to whom the Recipient reports or the Board from time to time, such that the Recipient would no longer have responsibilities substantially equivalent to those of other executives holding equivalent positions at companies with similar revenues and market capitalization;

(ii)          the Recipient gives written notice to the Company of the facts and circumstances constituting the material diminution in responsibilities within ten (10) days following the occurrence of such material diminution;

(iii)         the Company fails to remedy the material diminution in responsibilities within ten (10) days following the Recipient’s written notice of the material diminution in responsibilities; and

(iv)         the Recipient terminates his employment and this Agreement within thirty (30) days following the Company’s failure to remedy the material diminution in responsibilities.

(b)           (i)           the Company requires the Recipient to relocate the Recipient’s primary place of employment to a new location that is more than fifty (50) miles from its current location (determined using the most direct driving route), without the Recipient’s consent;

(ii)          the Recipient gives written notice to the Company within ten (10) days following receipt of notice of relocation of his objection to the relocation;

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(iii)         the Company fails to rescind the notice of relocation within ten (10) days following the Recipient’s written notice; and

(iv)         the Recipient terminates his employment within thirty (30) days following the Company’s failure to rescind the notice.

“High Performance” means the Company has achieved Total Shareholder Return of at least twelve percent (12%).

“Performance Period” means the period from and including January 1, 201__ through the earlier of December 31, 201__ or the date of a Change in Control.

“Target Performance” means the Company has achieved Total Shareholder Return of ten percent (10%).

“Threshold Performance” means that the Company has achieved Total Shareholder Return of eight percent (8%).

“Total Shareholder Return” means the sum of the total change in the Ending Stock Price as compared to the Beginning Stock Price, plus any dividends paid to a shareholder of record with respect to one share of Common Stock during the Performance Period.

“Trade Secrets” means information including, but not limited to, technical or nontechnical data, formulae, patterns, compilations, programs, devices, methods, techniques, drawings, processes, financial data, financial plans, product plans or lists of actual or potential customers or suppliers which (i) derives economic value, actual or potential, from not being generally known to, and not being readily ascertainable by proper means by, other persons who can obtain economic value from its disclosure or use, and (ii) is the subject of efforts that are reasonable under the circumstances to maintain its secrecy.

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EXHIBIT 1

A. The number of Vested Restricted Units earned is determined as of the last day of the Performance Period pursuant to the following chart; provided that the Recipient must remain an employee, director or consultant of the Company or an Affiliate during the entire Performance Period to earn the number of Vested Restricted Units determined in the chart below.

Below Threshold Performance	*Threshold Performance	*Target Performance	*High Performance
Zero Vested Units

* If Total Shareholder Return falls between Threshold Performance and Target Performance or between Target Performance and High Performance, the number of Vested Restricted Units shall be determined by rounding actual Total Shareholder Return to the closest 0.5% percentage points and then applying linear interpolation based on the percentage points by which Threshold Performance or Target Performance, respectively, as so adjusted, is exceeded.

B. Notwithstanding the foregoing, if during the Performance Period and more than sixty (60) days before a Change in Control, the Recipient dies or becomes subject to a Disability while an employee, director or consultant of the Company or an Affiliate, the Recipient resigns from the Company for Good Reason, or the Company terminates the Recipient’s employment without Cause (each such event referred to as a “Qualifying Termination”), the Recipient shall earn a number of Vested Restricted Units equal to the number of Vested Restricted Units determined in the chart above as of the completion of the Performance Period, multiplied by a fraction, the numerator of which is the number of days elapsed in the Performance Period through the date of such event and the denominator of which is 365.

C. Notwithstanding the foregoing, if a Change in Control occurs on or after the Grant Date and before December 31, 201__ and (i) while the Recipient remains an employee, director or consultant of the Company or an Affiliate, or (ii) within sixty (60) days before the Change in Control, the Recipient incurs a Qualifying Termination, the Recipient shall earn a number of Vested Restricted Units determined in the chart above based on the level of Total Shareholder Return through the date of the Change in Control relative to the level required for the full Performance Period (determined without regard to the shortening of the period as a result of the Change in Control), and shall not thereafter earn any additional Vested Restricted Units.

D. The portion of the Restricted Unit Grant that has not become earned Vested Restricted Units as of the earlier of the last day of the Performance Period, or, except as provided in Item C above, as of the date the Recipient ceases to be an employee, director, or consultant of the Company or an Affiliate shall be forfeited.

EXHIBIT 2

NOTICE OF WITHHOLDING ELECTION

PURSUANT TO OMEGA HEALTHCARE INVESTORS, INC.

2004 STOCK INCENTIVE PLAN

TO: Omega Healthcare Investors, Inc.

Attention: Chief Financial Officer

FROM:

RE:                          Withholding Election

This election relates to the Restricted Unit Grant identified in Paragraph 3 below.  I hereby certify that:

(1)           My correct name and social security number and my current address are set forth at the end of this document.

(2)           I am (check one, whichever is applicable).

[ ]           the original recipient of the Restricted Unit Grant.

[ ] the legal representative of the estate of the original recipient of the Restricted Unit Grant.

[ ] a legatee of the original recipient of the Restricted Unit Grant.

[ ] the legal guardian of the original recipient of the Restricted Unit Grant.

(3)          The Restricted Unit Grant pursuant to which this election relates was issued with a Grant Date of __________________ under the Omega Healthcare Investors, Inc. 2004 Stock Incentive Plan (the “Plan”) in the name of ___________________.  This election relates to ______ shares of Common Stock issuable pursuant to the Restricted Unit Grant.

(4)          I hereby elect to have certain of the shares of Common Stock withheld by the Company for the purpose of having the value of the shares applied to pay federal, state and local, if any, taxes arising from the exercise.

The fair market value of the shares of Common Stock to be withheld in addition to $_________ in cash to be tendered to the Company by the recipient of the Restricted Unit Grant shall be equal to the minimum statutory tax withholding requirement under federal, state and local law in connection with the exercise.

(5)          This Withholding Election is made no later than ten (10) days after the Tax Notice Date and is otherwise timely made pursuant to the Plan.

(6)           I further understand that, if this Withholding Election is not disapproved by the Committee, the Company shall withhold from the Common Stock issuable to me a whole number of shares of Common Stock having the value specified in Paragraph 4 above.

(7)           The Plan has been made available to me by the Company, I have read and understand the Plan and I have no reason to believe that any of the conditions therein to the making of this Withholding Election have not been met.  Capitalized terms used in this Notice of Withholding Election without definition shall have the meanings given to them in the Plan.

Dated: 

Signature: 

Name (Printed)

Street Address

City, State, Zip Code

EX-10.14

Exhibit 10.14

2012 BONUS PAYOUT AND TRUE-UP AGREEMENT

THIS 2012 BONUS PAYOUT AND TRUE-UPAGREEMENT (this “Agreement”) is made as of ___________, 2012, by and between Omega Healthcare Investors, Inc. (the “Company”) and ___________ (the “Officer”).

WHEREAS, the Officer is entitled to an annual cash bonus based on the Company’s 2012 performance (the “Bonus”);

WHEREAS, the amount of the Bonus is based (i) 40% on Adjusted Funds from Operations (“AFFO”) per share, (ii) 20% on tenant quality, (iii) 20% on leverage being achieved at pre-determined levels for the Company for 2012 and (iv) 20% on subjective factors (collectively, the “Bonus Metrics”) with the amount of bonus eligible to be earned being based on the level of achievement of each of the Bonus Metrics as previously established by the Compensation Committee for each of the participants in the Company’s bonus program, all pursuant to the formula shown on Exhibit A to this Agreement;

WHEREAS, the Compensation Committee of the Board of Directors of the Company has determined the amount of the Officer’s Bonus based on the data shown on Exhibit B to this Agreement;

WHEREAS, the Compensation Committee has approved payment in 2012 of the amount of the Bonus as determined pursuant to Exhibit B on or about December 31, 2012 and prior to the completion of the Company’s audited financial statements for 2012 (the “2012 Audited Financial Statements”), subject to (i) certification by the Compensation Committee on December 31, 2012 that the AFFO per share performance goal has been achieved and (ii) the Officer entering into this Agreement;

WHEREAS, it is possible that the Company’s 2012 Audited Financial Statements, when completed, will indicate that the Company’s 2012 AFFO per share, tenant quality or leverage are different than the amount shown on Exhibit B, and therefore the portion of the Bonus that was calculated based on such factor will have been overpaid or underpaid; and

WHEREAS, it is the Company’s and the Officer’s desire that (i) the Officer repay the excess, if any, of the gross amount of the Bonus determined and paid pursuant to Exhibit B over the gross amount of the Bonus determined by the Compensation Committee to have been payable pursuant to the formula in Exhibit A after completion of the 2012 Audited Financial Statements (the “Excess Bonus Amount”), or (ii) the Company pay the Officer the shortfall, if any, of the Bonus determined and paid pursuant to Exhibit B as compared to the Bonus determined by the Compensation Committee to be payable pursuant to the formula in Exhibit A after completion of the 2012 Audited Financial Statements (the “Shortfall Bonus Amount”).

NOW, THEREFORE, in consideration of the above premises and for other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the Company and the Officer agree as follows:

1.             Bonus.  On or about December 31, 2012, the Company shall pay to the Officer a Bonus equal to the amount shown on Exhibit B, subject to tax and payroll withholdings, determined based on data set forth on Exhibit B, subject to certification by the Compensation Committee on December 31, 2012 that the AFFO per share performance goal has been achieved at a specified level.

2.             Recovery of Excess Bonus Amount.  If the Compensation Committee determines that the amount of the Bonus calculated pursuant to the formula in Exhibit A after completion of the 2012 Audited Financial Statements is lower than the amount determined pursuant to Exhibit B, the Officer will return such Excess Bonus Amount to the Company in 2013 within five (5) business days of the Company’s request or the Company may deduct the Excess Bonus Amount from any and all other compensation then or subsequently owed to the Officer.

3.             Payment of Shortfall Bonus Amount.  If the Compensation Committee determines that the amount of the Bonus calculated pursuant to the formula in Exhibit A after completion of the 2012 Audited Financial Statements is higher than the amount determined pursuant to Exhibit B, The Company will pay such Shortfall Bonus Amount to the Officer in 2013 within five (5) business days of the date of the Compensation Committee’s determination.

4.             Governing Laws.  This Agreement shall be construed, administered and enforced according to the laws of the State of Maryland.

5.             Notice.  Except as otherwise specified herein, all notices and other communications under this Agreement shall be in writing and shall be deemed to have been given if personally delivered or if sent by registered or certified United States mail, return receipt requested, postage prepaid, addressed to the proposed party at the last known address of the party.  Any party may designate any other address to which notices shall be sent by giving notice of the address to the other parties in the same manner as provided herein.

PLEASE READ THIS CAREFULLY:  I, the Officer, acknowledge that I have read this Agreement and that I understand the requirements of this Agreement.  I have had the opportunity to consult with counsel of my choosing and I agree to be bound by the terms of the Agreement, including, without limitation, allowing the Company to withhold the amount of the Excess Bonus Amount from any other compensation owed to me if I fail to timely return such Excess Bonus Amount.

The parties have executed this 2012 Bonus Payout and True-upAgreement as of the date first set forth above.

OMEGA HEALTHCARE INVESTORS:	OFFICER:
By:	By:
Title:	Title:

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EXHIBIT A

2012 Cash Bonus Formula

% of Bonus Opportunity		Threshold(5)	Target(5)	High(5)
40%	AFFO per share(1)	$2.08	$2.12	$2.16
20%	Tenant quality(2)	Less than 3%	Less than 2%	Less than 1%
20%	Leverage(3)	Less than 55%	Less than 52.5%	Less than 50%
20%	Subjective(4)

(1) The AFFO metric will be subject to adjustment to reflect the pro forma impact of changes to the Company’s capital structure that were not contemplated in the annual budget approved by the Board of Directors.  In addition, the AFFO levels are performance goals established for 2012 pursuant to the 2004 Stock Incentive Plan in order to qualify the AFFO portion of the bonus for 2012 as performance-based compensation pursuant to the 2004 Stock Incentive Plan and Section 162(m) of the Internal Revenue Code.

(2) 2012 uncollected rents as a percentage of 2012 gross revenues.

(3) Funded Debt/ Total Asset Value as calculated pursuant to the covenants under the Company’s senior credit facility.

(4) Subjective category includes factors such as subjective evaluation of individual performance and/or credit rating upgrade from a rating agency.

(5) As to any bonus metric except the subjective metric, if the payment is between threshold and target or between target and high, the portion of the bonus earned with respect to that metric will be based on linear interpolation.

The Officer’s total cash bonus is determined by multiplying the percentage of bonus opportunity in the chart above by the percentage of the Officer’s annual base salary for 2012 as shown below that corresponds to the level of achievement (threshold, target or high) for each of the four bonus metrics in the chart above.

Threshold = 100% of annual base salary

Target = 125% of annual base salary

High = 150% of annual base salary

3

EXHIBIT B

2012 Cash Bonus Determination

AFFO per share = $2.16 or greater

Tenant quality = less than 1%

Leverage = less than 50%

Subjective = high

Based on the above levels of achievement, the Officer’s cash bonus for 2012 is determined as follows:

AFFO per share component: 40% x 150% annual base salary =	$
Tenant quality component: 20% x 150% annual base salary  =	$
Leverage component: 20% x 150% annual base salary =	$
Subjective component: 20% x 150% annual base salary =	$
Total cash bonus	$

4

EX-12.1

Exhibit 12.1

RATIO OF EARNINGS TO FIXED CHARGES

The following table sets forth our ratio of earnings to fixed charges on a reported basis for the periods indicated.  Earnings consist of income from continuing operations plus fixed charges.  Fixed charges consist of interest expense, amortization of deferred financing costs and costs related to retiring certain debt early.  We have calculated the ratio of earnings to fixed charges by adding net income from continuing operations to fixed charges and dividing that sum by such fixed charges.

	Year Ended December 31,
	2008			2009			2010			2011			2012
	(in thousands)
Income from continuing operations before income taxes	$	77,619		$	82,111		$	58,436		$	52,606		$	120,698
Interest expense		39,746			39,075			90,602			86,899			106,096
Income before fixed charges	$	117,365		$	121,186		$	149,038		$	139,505		$	226,794
Capitalized interest	$	160		$	141		$	22		$	139		$	240
Interest expense		39,746			39,075			90,602			86,899			106,096
Total fixed charges	$	39,906		$	39,216		$	90,624		$	87,038		$	106,336
Earnings / fixed charge coverage ratio		2.9	x		3.1	x		1.6	x		1.6	x		2.1	x

EX-12.2

Exhibit 12.2

RATIO OF EARNINGS TO

COMBINED FIXED CHARGES AND PREFERRED STOCK DIVIDENDS

The following table sets forth our ratio of earnings to combined fixed charges and preferred stock dividends on a reported basis for the periods indicated.  Earnings consist of income from continuing operations plus fixed charges.  Fixed charges consist of interest expense, amortization of deferred financing costs and costs related to retiring certain debt early.  We have calculated the ratio of earnings to combined fixed charges and preferred stock dividends by adding net income from continuing operations to fixed charges and dividing that sum by such fixed charges plus preferred dividends, irrespective of whether or not such dividends were actually paid.

	Year Ended December 31,
	2008			2009			2010			2011			2012
	(in thousands)
Income from continuing operations before income taxes	$	77,619		$	82,111		$	58,436		$	52,606		$	120,698
Interest expense		39,746			39,075			90,602			86,899			106,096
Income before fixed charges	$	117,365		$	121,186		$	149,038		$	139,505		$	226,794
Capitalized interest	$	160		$	141		$	22		$	139		$	240
Interest expense		39,746			39,075			90,602			86,899			106,096
Preferred stock dividends		9,714			9,086			9,086			1,691			—
Total fixed charges and preferred dividends	$	49,620		$	48,302		$	99,710		$	88,729		$	106,336
Earnings / combined fixed charges and preferred dividends coverage ratio		2.4	x		2.5	x		1.5	x		1.6	x		2.1	x

EX-21

Exhibit 21

Omega Healthcare Investors, Inc.

Subsidiary List

As of December 31, 2012

Subsidiary Name	Jurisdiction of Incorporation
1040 Wedding Ford Road, LLC	Arkansas
1101 Waterwell Road, LLC	Arkansas
1149 & 1151 West New Hope Road, LLC	Arkansas
115 Orendorff Avenue, LLC	Arkansas
11900 East Artesia Boulevard, LLC	California
1194 North Chester Street, LLC	Arkansas
1200 Ely Street Holdings Co. LLC	Michigan
13922 Cerise Avenue, LLC	California
1401 Park Avenue, LLC	Arkansas
1628 B Street, LLC	California
202 Tims Avenue, LLC	Arkansas
228 Pointer Trail West, LLC	Arkansas
2400 Parkside Drive, LLC	California
2425 Teller Avenue, LLC	Colorado
245 East Wilshire Avenue, LLC	California
2701 Twin Rivers Drive, LLC	Arkansas
3232 Artesia Real Estate, LLC	California
3600 Richards Road, LLC	Arkansas
3806 Clayton Road, LLC	California
42235 County Road Holdings Co. LLC	Michigan
48 High Point Road, LLC	Maryland
523 Hayes Lane, LLC	California
637 East Romie Lane, LLC	California
700 Mark Drive, LLC	Arkansas
900 Magnolia Road SW, LLC	Arkansas
Arizona Lessor - Infinia, Inc.	Maryland

  Subsidiary Name   Jurisdiction of Incorporation

Baldwin Health Center, Inc.	Pennsylvania
Bayside Alabama Healthcare Second, Inc.	Alabama
Bayside Arizona Healthcare Associates, Inc.	Arizona
Bayside Arizona Healthcare Second, Inc.	Arizona
Bayside Colorado Healthcare Associates, Inc.	Colorado
Bayside Colorado Healthcare Second, Inc.	Colorado
Bayside Indiana Healthcare Associates, Inc.	Indiana
Bayside Street II, Inc.	Delaware
Bayside Street, Inc.	Maryland
Canton Health Care Land, Inc.	Ohio
Carnegie Gardens LLC	Delaware
Center Healthcare Associates, Inc.	Texas
CFG 2115 Woodstock Place LLC	Delaware
Cherry Street – Skilled Nursing, Inc.	Texas
CHR Bartow LLC	Delaware
CHR Boca Raton LLC	Delaware
CHR Bradenton LLC	Delaware
CHR Cape Coral LLC	Delaware
CHR Clearwater Highland LLC	Delaware
CHR Clearwater LLC	Delaware
CHR Deland East LLC	Delaware
CHR Deland West LLC	Delaware
CHR Fort Myers LLC	Delaware
CHR Fort Walton Beach LLC	Delaware
CHR Gulfport LLC	Delaware
CHR Hudson LLC	Delaware
CHR Lake Wales LLC	Delaware
CHR Lakeland LLC	Delaware
CHR Panama City LLC	Delaware
CHR Pompano Beach Broward LLC	Delaware
CHR Pompano Beach LLC	Delaware

2

  Subsidiary Name   Jurisdiction of Incorporation

CHR Sanford LLC	Delaware
CHR Sarasota LLC	Delaware
CHR Spring Hill LLC	Delaware
CHR St. Pete Abbey LLC	Delaware
CHR St. Pete Bay LLC	Delaware
CHR St. Pete Egret LLC	Delaware
CHR Tampa Carrollwood LLC	Delaware
CHR Tampa LLC	Delaware
CHR Tarpon Springs LLC	Delaware
CHR Titusville LLC	Delaware
CHR West Palm Beach LLC	Delaware
Colonial Gardens, LLC	Ohio
Colorado Lessor - Conifer, Inc.	Maryland
Copley Health Center, Inc.	Ohio
CSE Albany LLC	Delaware
CSE Amarillo LLC	Delaware
CSE Anchorage LLC	Delaware
CSE Arden L.P.	Delaware
CSE Augusta LLC	Delaware
CSE Bedford LLC	Delaware
CSE Blountville LLC	Delaware
CSE Bolivar LLC	Delaware
CSE Cambridge LLC	Delaware
CSE Cambridge Realty LLC	Delaware
CSE Camden LLC	Delaware
CSE Canton LLC	Delaware
CSE Casablanca Holdings II LLC	Delaware
CSE Casablanca Holdings LLC	Delaware
CSE Cedar Rapids LLC	Delaware
CSE Centennial Village	Delaware
CSE Chelmsford LLC	Delaware

3

  Subsidiary Name   Jurisdiction of Incorporation

CSE Chesterton LLC	Delaware
CSE Claremont LLC	Delaware
CSE Corpus North LLC	Delaware
CSE Crane LLC	Delaware
CSE Denver Iliff LLC	Delaware
CSE Denver LLC	Delaware
CSE Douglas LLC	Delaware
CSE Dumas LLC	Delaware
CSE Elkton LLC	Delaware
CSE Elkton Realty LLC	Delaware
CSE Fairhaven LLC	Delaware
CSE Fort Wayne LLC	Delaware
CSE Frankston LLC	Delaware
CSE Georgetown LLC	Delaware
CSE Green Bay LLC	Delaware
CSE Hilliard LLC	Delaware
CSE Huntingdon LLC	Delaware
CSE Huntsville LLC	Delaware
CSE Indianapolis-Continental LLC	Delaware
CSE Indianapolis-Greenbriar LLC	Delaware
CSE Jacinto City LLC	Delaware
CSE Jefferson City LLC	Delaware
CSE Jeffersonville-Hillcrest Center LLC	Delaware
CSE Jeffersonville-Jennings House LLC	Delaware
CSE Kerrville LLC	Delaware
CSE King L.P.	Delaware
CSE Kingsport LLC	Delaware
CSE Knightdale L.P.	Delaware
CSE Lake City LLC	Delaware
CSE Lake Worth LLC	Delaware
CSE Lakewood LLC	Delaware

4

  Subsidiary Name   Jurisdiction of Incorporation

CSE Las Vegas LLC	Delaware
CSE Lawrenceburg LLC	Delaware
CSE Lenoir L.P.	Delaware
CSE Lexington Park LLC	Delaware
CSE Lexington Park Realty LLC	Delaware
CSE Ligonier LLC	Delaware
CSE Live Oak LLC	Delaware
CSE Logansport LLC	Delaware
CSE Lowell LLC	Delaware
CSE Marianna Holdings LLC	Delaware
CSE Memphis LLC	Delaware
CSE Mobile LLC	Delaware
CSE Moore LLC	Delaware
CSE North Carolina Holdings I LLC	Delaware
CSE North Carolina Holdings II LLC	Delaware
CSE Omro LLC	Delaware
CSE Orange Park LLC	Delaware
CSE Orlando-Pinar Terrace Manor LLC	Delaware
CSE Orlando-Terra Vista Rehab LLC	Delaware
CSE Pennsylvania Holdings	Delaware
CSE Piggott LLC	Delaware
CSE Pilot Point LLC	Delaware
CSE Pine View LLC	Delaware
CSE Ponca City LLC	Delaware
CSE Port St. Lucie LLC	Delaware
CSE Richmond LLC	Delaware
CSE Ripley LLC	Delaware
CSE Ripon LLC	Delaware
CSE Safford LLC	Delaware
CSE Salina LLC	Delaware
CSE Seminole LLC	Delaware

5

  Subsidiary Name   Jurisdiction of Incorporation

CSE Shawnee LLC	Delaware
CSE Spring Branch LLC	Delaware
CSE Stillwater LLC	Delaware
CSE Taylorsville LLC	Delaware
CSE Texarkana LLC	Delaware
CSE Texas City LLC	Delaware
CSE The Village LLC	Delaware
CSE Upland LLC	Delaware
CSE Walnut Cove L.P.	Delaware
CSE West Point LLC	Delaware
CSE Whitehouse LLC	Delaware
CSE Williamsport LLC	Delaware
CSE Winter Haven LLC	Delaware
CSE Woodfin L.P.	Delaware
CSE Yorktown LLC	Delaware
Dallas – Skilled Nursing, Inc.	Texas
Delta Investors I, LLC	Maryland
Delta Investors II, LLC	Maryland
Desert Lane LLC	Delaware
Dixie White House Nursing Home, Inc.	Mississippi
Dixon Health Care Center, Inc.	Ohio
Encanto Senior Care, LLC	Arizona
Florida Lessor – Crystal Springs, Inc.	Maryland
Florida Lessor – Emerald, Inc.	Maryland
Florida Lessor – Lakeland, Inc.	Maryland
Florida Lessor – Meadowview, Inc.	Maryland
Florida Real Estate Company, LLC	Florida
G&L Gardens, LLC	Arizona
Georgia Lessor - Bonterra/Parkview, Inc.	Maryland
Golden Hill Real Estate Company, LLC	California
Greenbough, LLC	Delaware

6

  Subsidiary Name   Jurisdiction of Incorporation

Hanover House, Inc.	Ohio
Heritage Texarkana Healthcare Associates, Inc.	Texas
House of Hanover, Ltd	Ohio
Hutton I Land, Inc.	Ohio
Hutton II Land, Inc.	Ohio
Hutton III Land, Inc.	Ohio
Indiana Lessor – Jeffersonville, Inc.	Maryland
Indiana Lessor – Wellington Manor, Inc.	Maryland
Jefferson Clark, Inc.	Maryland
LAD I Real Estate Company, LLC	Delaware
Lake Park – Skilled Nursing, Inc.	Texas
Leatherman 90-1, Inc.	Ohio
Leatherman Partnership 89-1, Inc.	Ohio
Leatherman Partnership 89-2, Inc.	Ohio
Long Term Care – Michigan, Inc.	Michigan
Long Term Care – North Carolina, Inc.	North Carolina
Long Term Care Associates – Illinois, Inc.	Illinois
Long Term Care Associates – Indiana, Inc.	Indiana
Long Term Care Associates – Texas, Inc.	Texas
Meridian Arms Land, Inc.	Ohio
North Las Vegas LLC	Delaware
NRS Ventures, L.L.C.	Delaware
Ocean Springs Nursing Home, Inc.	Mississippi
OHI (Connecticut), Inc.	Connecticut
OHI (Florida), Inc.	Florida
OHI (Illinois), Inc.	Illinois
OHI (Indiana), Inc.	Indiana
OHI (Iowa), Inc.	Iowa
OHI (Kansas), Inc.	Kansas
OHI Acquisition Co I, LLC	Delaware
OHI Asset (CA), LLC	Delaware

7

  Subsidiary Name   Jurisdiction of Incorporation

OHI Asset (CO), LLC	Delaware
OHI Asset (CT) DIP, LLC	Delaware
OHI Asset (CT) Lender, LLC	Delaware
OHI Asset (FL) Lender, LLC	Delaware
OHI Asset (FL), LLC	Delaware
OHI Asset (ID), LLC	Delaware
OHI Asset (IL), LLC	Delaware
OHI Asset (IN) American Village, LLC	Delaware
OHI Asset (IN) Anderson, LLC	Delaware
OHI Asset (IN) Beech Grove, LLC	Delaware
OHI Asset (IN) Clarksville, LLC	Delaware
OHI Asset (IN) Crown Point, LLC	Delaware
OHI Asset (IN) Eagle Valley, LLC	Delaware
OHI Asset (IN) Elkhart, LLC	Delaware
OHI Asset (IN) Forest Creek, LLC	Delaware
OHI Asset (IN) Fort Wayne, LLC	Delaware
OHI Asset (IN) Franklin, LLC	Delaware
OHI Asset (IN) Greensburg, LLC	Delaware
OHI Asset (IN) Indianapolis, LLC	Delaware
OHI Asset (IN) Kokomo, LLC	Delaware
OHI Asset (IN) Lafayette, LLC	Delaware
OHI Asset (IN) Madison, LLC	Delaware
OHI Asset (IN) Monticello, LLC	Delaware
OHI Asset (IN) Noblesville, LLC	Delaware
OHI Asset (IN) Rosewalk, LLC	Delaware
OHI Asset (IN) Spring Mill, LLC	Delaware
OHI Asset (IN) Terre Haute, LLC	Delaware
OHI Asset (IN) Wabash, LLC	Delaware
OHI Asset (IN) Westfield, LLC	Delaware
OHI Asset (IN) Zionsville, LLC	Delaware
OHI Asset (IN), LLC	Delaware

8

  Subsidiary Name   Jurisdiction of Incorporation

OHI Asset (LA), LLC	Delaware
OHI Asset (MD), LLC	Delaware
OHI Asset (MI) Heather Hills, LLC	Delaware
OHI Asset (MI), LLC	Delaware
OHI Asset (MI/NC), LLC	Delaware
OHI Asset (MO), LLC	Delaware
OHI Asset (OH) Lender, LLC	Delaware
OHI Asset (OH) New Philadelphia, LLC	Delaware
OHI Asset (OH), LLC	Delaware
OHI Asset (PA) Trust	Maryland
OHI Asset (PA), LLC	Delaware
OHI Asset (SMS) Lender, Inc.	Maryland
OHI Asset (TX) Hondo, LLC	Delaware
OHI Asset (TX) Paris, LLC	Delaware
OHI Asset (TX), LLC	Delaware
OHI Asset CSB LLC	Delaware
OHI Asset CSE – E, LLC	Delaware
OHI Asset CSE – U, LLC	Delaware
OHI Asset Essex (OH), LLC	Delaware
OHI Asset HUD CFG, LLC	Delaware
OHI Asset HUD Delta, LLC	Delaware
OHI Asset HUD H-F, LLC	Delaware
OHI Asset HUD SF CA, LLC	Delaware
OHI Asset HUD SF, LLC	Delaware
OHI Asset HUD WO, LLC	Delaware
OHI Asset II (CA), LLC	Delaware
OHI Asset II (FL), LLC	Delaware
OHI Asset II (PA) Trust	Maryland
OHI Asset III (PA) Trust	Maryland
OHI Asset IV (PA) Silver Lake Trust	Maryland
OHI Asset, LLC	Delaware

9

  Subsidiary Name   Jurisdiction of Incorporation

OHI of Texas, Inc.	Maryland
OHI Sunshine, Inc.	Florida
OHI Tennessee, Inc.	Maryland
OHIMA, Inc.	Massachusetts
Omega (Kansas), Inc.	Kansas
Omega TRS I, Inc.	Maryland
Orange Village Care Center, Inc.	Ohio
OS Leasing Company	Kentucky
Palm Valley Senior Care, LLC	Arizona
Panama City Nursing Center LLC	Delaware
Parkview – Skilled Nursing, Inc.	Texas
Pavillion North Partners, Inc.	Pennsylvania
Pavillion North, LLP	Pennsylvania
Pavillion Nursing Center North, Inc.	Pennsylvania
Pensacola Real-Estate Holdings I, Inc.	Florida
Pensacola Real-Estate Holdings II, Inc.	Florida
Pensacola Real-Estate Holdings III, Inc.	Florida
Pensacola Real-Estate Holdings IV, Inc.	Florida
Pensacola Real-Estate Holdings V, Inc.	Florida
Pine Texarkana Healthcare Associates, Inc.	Texas
PV Realty-Clinton, LLC	Maryland
PV Realty-Holly Hill, LLC	Maryland
PV Realty-Kensington, LLC	Maryland
PV Realty-Willow Tree, LLC	Maryland
Reunion Texarkana Healthcare Associates, Inc.	Texas
Ridgecrest Senior Care, LLC	Arizona
San Augustine Healthcare Associates, Inc.	Texas
Skilled Nursing – Gaston, Inc.	Indiana
Skilled Nursing – Herrin, Inc.	Illinois
Skilled Nursing – Hicksville, Inc.	Ohio
Skilled Nursing – Paris, Inc.	Illinois

10

  Subsidiary Name   Jurisdiction of Incorporation

Skyler Boyington, Inc.	Mississippi
Skyler Florida, Inc.	Mississippi
Skyler Maitland LLC	Delaware
Skyler Pensacola, Inc.	Florida
SLC Property Investors, LLC	Delaware
South Athens Healthcare Associates, Inc.	Texas
St. Mary’s Properties, Inc.	Ohio
Sterling Acquisition Corp.	Kentucky
Sterling Acquisition Corp. II	Kentucky
Suwanee, LLC	Delaware
Texas Lessor – Stonegate GP, Inc.	Maryland
Texas Lessor – Stonegate, Limited, Inc.	Maryland
Texas Lessor – Stonegate, LP	Maryland
Texas Lessor – Treemont, Inc.	Maryland
The Suburban Pavilion, Inc.	Ohio
Washington Lessor – Silverdale, Inc.	Maryland
Waxahachie Healthcare Associates, Inc.	Texas
West Athens Healthcare Associates, Inc.	Texas
Wilcare, LLC	Ohio

*     *     *

11
 

EX-23

EXHIBIT 23

Consent of Independent Registered Public Accounting Firm

We consent to the incorporation by reference in the following Registration Statements:

(1) Registration Statement (Form S-8 No. 333-61354) related to the 2000 Stock Incentive Plan of Omega Healthcare Investors, Inc.;

(2) Registration Statement (Form S-8 No. 333-117656) related to the 2004 Stock Incentive Plan of Omega Healthcare Investors, Inc.;

(3) Registration Statement (Form S-3 No. 333-175164) related to the Dividend Reinvestment and Common Stock Purchase Plan of Omega Healthcare Investors, Inc.; and

(4) Registration Statement (Form S-3 No. 333-179795), an unallocated universal registration statement.

of our reports dated February 28, 2013, with respect to the consolidated financial statements and schedules of Omega Healthcare Investors, Inc. and the effectiveness of internal control over financial reporting of Omega Healthcare Investors, Inc., included in this Annual Report (Form 10-K) of Omega Healthcare Investors, Inc. for the year ended December 31, 2012.

/s/ Ernst & Young LLP

Baltimore, Maryland

February 28, 2013

EX-31.1

Exhibit 31.1

RULE 13a-14(a)/15d-14(a) CERTIFICATION OF CHIEF EXECUTIVE OFFICER

I, C. Taylor Pickett, certify that:

1. I have reviewed this Annual Report on Form 10-K of Omega Healthcare Investors, Inc.;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

a. Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

b. Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

c. Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

d. Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5. The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

a. All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

b. Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

Date:      February 28, 2013

/S/ C. TAYLOR PICKETT

C. Taylor Pickett

Chief Executive Officer

EX-31.2

Exhibit 31.2

RULE 13a-14(a)/15d-14(a) CERTIFICATION OF CHIEF FINANCIAL OFFICER

I, Robert O. Stephenson, certify that:

1. I have reviewed this Annual Report on Form 10-K of Omega Healthcare Investors, Inc.;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

a. Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

b. Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

c. Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

d. Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5. The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

a. All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

b. Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

Date:      February 28, 2013

/S/ ROBERT O. STEPHENSON

Robert O. Stephenson

Chief Financial Officer

EX-32.1

Exhibit 32.1

SECTION 1350 CERTIFICATION

OF THE CHIEF EXECUTIVE OFFICER

I, C. Taylor Pickett, hereby certify, pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, 18 U.S.C. Section 1350, that, to the best of my knowledge:

(1)	the Annual Report on Form 10-K of the Company for the year ended December 31, 2012 (the “Report”) fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended; and
(2)	the information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

Date:           February 28, 2013

/S/	C. TAYLOR PICKETT
	C. Taylor Pickett
	Chief Executive Officer

EX-32.2

Exhibit 32.2

SECTION 1350 CERTIFICATION

OF THE CHIEF FINANCIAL OFFICER

I, Robert O. Stephenson, hereby certify, pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, 18 U.S.C. Section 1350, that, to the best of my knowledge:

(1)	the Annual Report on Form 10-K of the Company for the year ended December 31, 2012 (the “Report”) fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended, and
(2)	the information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

Date:           February 28, 2013

/S/	ROBERT O. STEPHENSON
	Robert O. Stephenson
	Chief Financial Officer

XML

SUMMARY OF QUARTERLY RESULTS (UNAUDITED) (Tables)

12 Months Ended

Dec. 31, 2012

Quarterly Financial Information Disclosure [Abstract]

Schedule of quarterly financial information

The following summarizes quarterly results of operations for the years ended December 31, 2012 and 2011.

	March 31			June 30		September 30		December 31
	(in thousands, except per share amounts)
2012
Revenues	$	84,515		$	83,825	$	87,108	$	95,012
Net income		26,084			30,572		30,119		33,923
Net income available to common stockholders		26,084			30,572		30,119		33,923
Net income available to common per share:
Basic net income	$	0.25		$	0.29	$	0.28	$	0.30
Diluted net income	$	0.25		$	0.29	$	0.27	$	0.30
Cash dividends paid on common stock	$	0.41		$	0.42	$	0.42	$	0.44
2011
Revenues	$	70,476		$	72,606	$	72,818	$	76,304
Net (loss) income		(5,913	)		17,790		21,436		19,293
Net (loss) income available to common stockholders		(11,076	)		17,806		21,436		19,293
Net income available to common per share:
Basic net (loss) income	$	(0.11	)	$	0.17	$	0.21	$	0.19
Diluted net (loss) income	$	(0.11	)	$	0.17	$	0.21	$	0.19
Cash dividends paid on common stock	$	0.37		$	0.38	$	0.40	$	0.40

XML

PROPERTIES - 2012 Acquisitions - Michigan Acquisition (Narrative) (Detail 4) (USD $) In Millions, unless otherwise specified	Dec. 31, 2012	Nov. 30, 2012
Real Estate Properties [Line Items]
Number of facilities owned	478
ALFs
Real Estate Properties [Line Items]
Number of facilities owned	16
Michigan Acquisition
Real Estate Properties [Line Items]
Business acquisition, purchase price		$ 20.0
Business acquisition purchase price allocation	20.0
Michigan Acquisition | Michigan
Real Estate Properties [Line Items]
Number of operating beds		171
Michigan Acquisition | ALFs | Michigan
Real Estate Properties [Line Items]
Number of facilities owned		1
Michigan Acquisition | Land
Real Estate Properties [Line Items]
Business acquisition purchase price allocation	0.4
Michigan Acquisition | Buildings and site improvements
Real Estate Properties [Line Items]
Business acquisition purchase price allocation	18.9
Michigan Acquisition | Furniture and fixtures
Real Estate Properties [Line Items]
Business acquisition purchase price allocation	$ 0.7

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PROPERTIES (Detail 2) (USD $) In Millions, unless otherwise specified	12 Months Ended
	Dec. 31, 2012
First Closing
Summary of Investment Holdings [Line Items]
1 year	$ 1.2
1-3 years	2.1
3-5 years	1.7
Thereafter	1.8
HUD Portfolio Closing
Summary of Investment Holdings [Line Items]
1 year	2.9
1-3 years	5.1
3-5 years	0.9
Thereafter	1.7
Option Exercise and Closing
Summary of Investment Holdings [Line Items]
1 year	1.0
1-3 years	2.4
3-5 years	1.9
Thereafter	$ 2.5

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OTHER INVESTMENTS (Detail) (USD $) In Thousands, unless otherwise specified	Dec. 31, 2012		Dec. 31, 2011
Schedule of Investments [Line Items]
Interest rate	10.00%
Notes receivable, gross	$ 44,759	[1]	$ 50,377	[1]
Allowance for loss on notes receivable	(1,977)		(1,977)
Notes receivable, net	42,782		48,400
Marketable securities and other	4,557		4,557
Other investments - net	47,339		52,957
Infinia on demand
Schedule of Investments [Line Items]
Notes receivable, gross			225
Other Investment note due 2015
Schedule of Investments [Line Items]
Notes receivable, gross	2,518		2,718
Other Investment notes due 2021 - 2023
Schedule of Investments [Line Items]
Notes receivable, gross	9,775		4,996
Other Investment note due 2013
Schedule of Investments [Line Items]
Notes receivable, gross	1,018	[2]	12,938	[2]
Other Investment note due 2014
Schedule of Investments [Line Items]
Notes receivable, gross	812		1,500
$28.0 million Other Investment note due 2017
Schedule of Investments [Line Items]
Notes receivable, gross	26,500		28,000
$4.0 Million Other Investment note due 2013
Schedule of Investments [Line Items]
Notes receivable, gross	3,450
Other Investment note due 2013
Schedule of Investments [Line Items]
Notes receivable, gross	261
$1.3 million Other Investment note due 2017
Schedule of Investments [Line Items]
Notes receivable, gross	$ 425

[1] The majority of these notes bear interest at approximately 10% annually.

[2] The Formation note was assumed by Genesis on January 1, 2012.

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PROPERTIES - 2012 Acquisitions - Texas Acquisition (Narrative) (Detail 5) (USD $) In Millions, unless otherwise specified	Dec. 31, 2012	Oct. 31, 2012 Bed
Real Estate Properties [Line Items]
Number of facilities owned	478
Acquisition 2012
Real Estate Properties [Line Items]
Number of facilities owned	478
Business combinations, total transaction costs	$ 0.9
SNF's
Real Estate Properties [Line Items]
Number of facilities owned	418
Texas Acquisition
Real Estate Properties [Line Items]
Number of operating beds		90
Business acquisition, purchase price		2.7
Business acquisition purchase price allocation	2.7
Texas Acquisition | SNF's
Real Estate Properties [Line Items]
Number of facilities owned		1
Texas Acquisition | Land
Real Estate Properties [Line Items]
Business acquisition purchase price allocation	0.2
Texas Acquisition | Buildings and site improvements
Real Estate Properties [Line Items]
Business acquisition purchase price allocation	2.2
Texas Acquisition | Furniture and fixtures
Real Estate Properties [Line Items]
Business acquisition purchase price allocation	$ 0.3

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BORROWING ARRANGEMENTS - Unsecured Borrowings (Narrative) (Detail 1) (USD $)				12 Months Ended				12 Months Ended							0 Months Ended
	Dec. 31, 2012	Dec. 31, 2011	Dec. 06, 2012 Unsecured Borrowings	Dec. 31, 2012 Unsecured Borrowings 2012 Revolving Credit Facility	Dec. 06, 2012 Unsecured Borrowings 2012 Revolving Credit Facility	Dec. 31, 2012 Unsecured Borrowings 2012 Revolving Credit Facility Minimum	Dec. 31, 2012 Unsecured Borrowings 2012 Revolving Credit Facility Maximum	Dec. 31, 2012 Unsecured Borrowings 2012 Term Loan Facility	Dec. 06, 2012 Unsecured Borrowings 2012 Term Loan Facility	Dec. 31, 2012 Unsecured Borrowings 2012 Term Loan Facility Minimum	Dec. 31, 2012 Unsecured Borrowings 2012 Term Loan Facility Maximum	Dec. 31, 2012 Unsecured Borrowings 2012 Credit Facilities	Dec. 06, 2012 Unsecured Borrowings 2012 Credit Facilities	Dec. 06, 2012 Unsecured Borrowings 2012 Credit Facilities Maximum	Aug. 16, 2011 Unsecured Borrowings 2011 Credit Facility	Dec. 31, 2011 Unsecured Borrowings 2011 Credit Facility
Borrowing Arrangements [Line Items]
Credit facility, borrowing capacity			$ 700,000,000		$ 500,000,000				$ 200,000,000						$ 475,000,000
Credit facility, potential borrowing capacity													300,000,000	1,000,000,000
Revolving line of credit	258,000,000	272,500,000		158,000,000				100,000,000				258,000,000				272,500,000
Credit facility available for future borrowing								$ 200,000,000				$ 442,000,000				$ 202,500,000
Weighted average annual interest rate												1.81%				2.85%
Pricing of credit facility at LIBOR plus an applicable percentage				1.50%		1.00%	1.90%	1.75%		1.10%	2.30%
Credit facilty, description of variable rate basis				The Revolving Credit Facility is priced at LIBOR plus an applicable percentage (beginning at 150 basis points, with a range of 100 to 190 basis points) based on our ratings from Standard & Poor's, Moody's and/or Fitch Ratings				The Term Loan Facility is also priced at LIBOR plus an applicable percentage (beginning at 175 basis points, with a range of 110 to 230 basis points) based our ratings from Standard & Poor's, Moody's and/or Fitch Ratings.
Facility fee, basis spread on variable rate				0.30%		0.15%	0.45%
Facility fee, description of variable rate basis				Facility fee based on the Standard & Poor's, Moody's and/or Fitch Ratings (initially 30 basis points, with a range of 15 to 45 basis points).
Credit facility, maturity period (in years)				4 years				5 years							4 years

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SCHEDULE III REAL ESTATE AND ACCUMULATED DEPRECIATION (Detail 3) (USD $) In Millions, unless otherwise specified	Dec. 31, 2012
Real Estate and Accumulated Depreciation Disclosure [Abstract]
Reported amount of real estate in excess of the tax basis	$ 17.1

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PROPERTIES (Detail) (USD $) In Thousands, unless otherwise specified	Dec. 31, 2012	Dec. 31, 2011
Real Estate [Abstract]
Buildings	$ 2,580,400	$ 2,157,015
Site improvement and equipment	213,471	184,503
Land	244,682	195,521
Property, plant and equipment, gross	3,038,553	2,537,039
Less accumulated depreciation	(580,373)	(470,420)
Total	$ 2,458,180	$ 2,066,619

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MORTGAGE NOTES RECEIVABLE (Tables)

12 Months Ended

Dec. 31, 2012

Debt Disclosure [Abstract]

Schedule of mortgage notes receivable

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

	December 31,
	2012		2011
	(in thousands)
Two Construction Mortgage notes; interest at 12.50%	$	11,751	$	2,234
Mortgage note due 2013; interest at 11.00%		5,000		5,000
Mortgage note due 2016; interest at 11.50%		-		11,545
Mortgage note due 2021; interest at 12.50%		5,574		5,574
Mortgage note due 2021; monthly payment of $34,500, including interest at 11.00%		91,585		92,000
Mortgage note due 2022; interest at 12.50%		5,310		4,990
Mortgage notes due 2022; interest at 12.00%		7,076		6,504
Mortgage note due 2023; interest at 11.00%		69,928		69,928
Mortgage note due 2030; interest at 10.40%		15,897		15,900
Four Mortgage notes due 2046; interest at 12.00%		26,500		25,000
Total mortgages — net (1)	$	238,621	$	238,675

(1) As of December 31, 2011 and 2012 we have no allowance for loan loss for any of our mortgages.

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BORROWING ARRANGEMENTS - Unsecured Borrowings - $700 Million Unsecured Credit Facility (Narrative) (Detail 2) (USD $)	12 Months Ended										0 Months Ended	12 Months Ended
	Dec. 31, 2012		Dec. 31, 2011		Dec. 31, 2010		Dec. 31, 2011 2010 Credit Facility	Dec. 31, 2012 2011 Credit Facility	Dec. 06, 2012 Unsecured Borrowings	Aug. 16, 2011 Unsecured Borrowings 2010 Credit Facility	Aug. 16, 2011 Unsecured Borrowings 2011 Credit Facility	Dec. 31, 2011 Unsecured Borrowings 2011 Credit Facility	Dec. 06, 2012 Unsecured Borrowings 2011 Credit Facility	Dec. 31, 2012 Unsecured Borrowings Credit Facility 2012
Borrowing Arrangements [Line Items]
Credit facility, borrowing capacity									$ 700,000,000		$ 475,000,000
Line of credit facility terminated							320,000,000	475,000,000		320,000,000			475,000,000
Credit facility, maturity period (in years)											4 years
Revolving line of credit	258,000,000		272,500,000									272,500,000		258,000,000
Credit facility available for future borrowing												202,500,000		442,000,000
Weighted average annual interest rate												2.85%		1.81%
Write-offs associated with deferred costs	$ 3,024,000	[1],[2],[3]	$ 3,055,000	[1],[2],[3]	$ 8,231,000	[1],[2],[3]	$ 3,100,000	$ 2,500,000				$ 2,500,000

[1] In 2010, we wrote-off: (a) $3.5 million associated with the termination of our $200 million 2009 Credit Facility, (b) $2.2 million associated with the termination of a $100 million GECC term loan and (c) $2.6 million associated with the tender offer and retirement of our outstanding $310 million 7% Senior Notes due 2014.

[2] In 2012, we wrote-off: (a) $2.2 million deferred financing costs associated with the tender offer and redemption of our $175 million 7% 2016 Notes; and (b) $2.5 million deferred financing costs associated with the termination of our $475 million 2011 Credit Facility. These costs were offset by a $1.7 million gain resulting from the write-off of unamortized premium on the four HUD loans that were paid off in the second quarter of 2012.

[3] In 2011, we terminated our $320 million 2010 Credit Facility and wrote-off deferred financing costs of $3.1 million.

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LEASE AND MORTGAGE DEPOSITS (Narrative) (Detail) (USD $) In Millions, unless otherwise specified	Dec. 31, 2012
Security Deposits and Letters Of Credit [Abstract]
Liquidity deposits	$ 5.9
Letters of credit outstanding	$ 46.9

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STOCK-BASED COMPENSATION (Detail) (Restricted stock, USD $) In Millions, except Share data, unless otherwise specified	12 Months Ended
	Dec. 31, 2012		Dec. 31, 2011		Dec. 31, 2010		Jan. 31, 2011
Restricted stock
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Number of Shares [Roll Forward]
Non-vested	458,302		26,267		102,374		428,503
Granted	15,500		444,003		15,500
Vested	(14,300)		(11,968)		(91,607)
Non-vested	459,502		458,302		26,267		428,503
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Weighted Average Grant Date Fair Value [Roll Forward]
Non-vested	$ 22.31		$ 18.19		$ 16.81
Granted	$ 20.29		$ 22.42		$ 20.00
Vested	$ 19.56		$ 17.42		$ 16.96
Non-vested	$ 22.33		$ 22.31		$ 18.19
Compensation Cost	$ 0.3	[1]	$ 10.0	[1]	$ 0.3	[1]

[1] Total compensation cost to be recognized on the awards based on grant date fair value.

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PROPERTIES - 2011 First Acquisition & Second Acquisition (Narrative) (Detail 7) (USD $) In Millions, unless otherwise specified			3 Months Ended	12 Months Ended				12 Months Ended								1 Months Ended
	Dec. 31, 2012 Property	Dec. 31, 2012 SNF's Property	Dec. 31, 2011 Maryland & West Virginia Acquisition Bed	Dec. 31, 2012 Maryland & West Virginia Acquisition	Dec. 31, 2012 Maryland & West Virginia Acquisition Land	Dec. 31, 2012 Maryland & West Virginia Acquisition Buildings and site improvements	Dec. 31, 2012 Maryland & West Virginia Acquisition Furniture and fixtures	Dec. 31, 2011 Maryland & West Virginia Acquisition Housing and Urban Development	Dec. 31, 2011 Maryland & West Virginia Acquisition SNF's Property	Dec. 31, 2011 Maryland & West Virginia Acquisition SNF's Maryland Property	Dec. 31, 2011 Maryland & West Virginia Acquisition SNF's West Virginia Property	Dec. 31, 2012 Arkansas, Colorado, Florida, Michigan and Wisconsin Agreement Bed	Dec. 31, 2012 Arkansas, Colorado, Florida, Michigan and Wisconsin Land	Dec. 31, 2012 Arkansas, Colorado, Florida, Michigan and Wisconsin Buildings and site improvements	Dec. 31, 2012 Arkansas, Colorado, Florida, Michigan and Wisconsin Furniture and fixtures	Dec. 23, 2011 Arkansas, Colorado, Florida, Michigan and Wisconsin Housing and Urban Development Loan	Dec. 31, 2011 Arkansas, Colorado, Florida, Michigan and Wisconsin SNF's Property	Dec. 23, 2011 Arkansas, Colorado, Florida, Michigan and Wisconsin SNF's Property	Dec. 23, 2011 Arkansas, Colorado, Florida, Michigan and Wisconsin SNF's Arkansas Property	Dec. 23, 2011 Arkansas, Colorado, Florida, Michigan and Wisconsin SNF's Colorado Property	Dec. 23, 2011 Arkansas, Colorado, Florida, Michigan and Wisconsin SNF's Florida Property	Dec. 23, 2011 Arkansas, Colorado, Florida, Michigan and Wisconsin SNF's Michigan Property	Dec. 23, 2011 Arkansas, Colorado, Florida, Michigan and Wisconsin SNF's Wisconsin Property
Real Estate Properties [Line Items]
Number of facilities owned	478	418							4	3	1						17	17	12	1	1	2	1
Number of operating beds			586									1,820
Business acquisition, purchase price			$ 61.0									$ 128.0
Renovations at one facility			1.0	1.3
Cash paid for acquisition			31.0									56.7
Assumption of debt indebtedness for acquisition								30.0								71.3
Interest rate of assumed debt								4.87%								5.70%
Lease expiration period								March 2036 and September 2040								October 2029 and July 2044
Total cost allocated to assets				62.7	4.4	55.0	3.3					129.9	9.0	111.5	9.4
Fair value adjustment related to debt assumed			3.0									1.9
Amortization of debt recognized in acquisition				0.2
Future amortization of debt fair value adjustment, year one			0.2
Future amortization of debt fair value adjustment, year two			0.2
Future amortization of debt fair value adjustment, year three			0.2
Future amortization of debt fair value adjustment, year four			0.2
Future amortization of debt fair value adjustment, year five			$ 0.2
Amortization period of above market leases			5 years
Number of master lease involved in purchase and leaseback transaction												2
Number of mortgage loans																15

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BORROWING ARRANGEMENTS - Refinancing related costs (Detail 2) (USD $)	12 Months Ended												3 Months Ended	12 Months Ended
	Dec. 31, 2012		Dec. 31, 2011		Dec. 31, 2010		Dec. 31, 2011 2010 Credit Facility	Dec. 31, 2010 Credit facility 2009	Dec. 31, 2010 Gecc term loan	Dec. 31, 2010 Senior notes due, 2014	Dec. 31, 2012 7% 2016 Notes	Dec. 31, 2011 7% 2016 Notes	Jun. 30, 2012 2011 Credit Facility HUD	Dec. 31, 2012 2011 Credit Facility
Financing Activities and Borrowing Arrangements [Line Items]
Write off of deferred finance cost due to refinancing	$ 3,024,000	[1],[2],[3]	$ 3,055,000	[1],[2],[3]	$ 8,231,000	[1],[2],[3]	$ 3,100,000	$ 3,500,000	$ 2,200,000	$ 2,600,000	$ 2,200,000			$ 2,500,000
Prepayment and other costs associated with refinancing	4,896,000	[4]	16,000	[4]	11,251,000	[4]			3,000,000	8,300,000	4,900,000
Total debt extinguishment costs	7,920,000		3,071,000		19,482,000
Notes issued, interest rate										7.00%	7.00%	7.00%
Line of credit facility terminated							320,000,000	200,000,000	100,000,000	310,000,000				475,000,000
Redemption of 7% 2016 notes											175,000,000
Gain from write-off of unamortized premium on the HUD loans													$ 1,700,000
Number of HUD loans paid off													4

[1] In 2010, we wrote-off: (a) $3.5 million associated with the termination of our $200 million 2009 Credit Facility, (b) $2.2 million associated with the termination of a $100 million GECC term loan and (c) $2.6 million associated with the tender offer and retirement of our outstanding $310 million 7% Senior Notes due 2014.

[2] In 2012, we wrote-off: (a) $2.2 million deferred financing costs associated with the tender offer and redemption of our $175 million 7% 2016 Notes; and (b) $2.5 million deferred financing costs associated with the termination of our $475 million 2011 Credit Facility. These costs were offset by a $1.7 million gain resulting from the write-off of unamortized premium on the four HUD loans that were paid off in the second quarter of 2012.

[3] In 2011, we terminated our $320 million 2010 Credit Facility and wrote-off deferred financing costs of $3.1 million.

[4] In 2012, we incurred $4.9 million prepayment penalties and other costs associated with the tender offer and redemption of our $175 million 7% 2016 Notes. In 2010, we made prepayment penalties of: (a) $3.0 million for the early termination of a $100 million GECC term loan and (b) $8.3 million for the tender offer and retirement of our outstanding $310 million 7% Senior Notes due 2014.

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TAXES (Narrative) (Detail) (USD $)	12 Months Ended
	Dec. 31, 2012 Entity Shareholder	Dec. 31, 2011	Dec. 31, 2010	Jun. 01, 2010 Haven Eldercare Facility	Dec. 31, 2008 Haven Eldercare Facility	Sep. 01, 2008 Haven Eldercare Facility	Jul. 31, 2008 Haven Eldercare Facility
Investments, Owned, Federal Income Tax Note [Line Items]
Required dividend distribution as a percent of REIT taxable income	90.00%
Required dividend distribution by a REIT as a percent of net income from foreclosure property	90.00%
Required pecentage of gross income generated from qualifying sources	75.00%
Required pecentage of REIT income generated from real estate	95.00%
Required pecentage of REIT qualifying assets	75.00%
Maximum ownership percentage of voting or value of any one security by REIT	10.00%
Maximum ownership percentage by REIT of either debt or equity securities of another company	5.00%
Maximum percentage of assets invested in one or more taxable REIT subsidiaries	25.00%
Minimum number of stockholders who own shares or interest in the REIT	100
Maximum percentage of interest in REIT that five or fewer individuals own directly or indirectly	50.00%
Minimum number of subsequent years the company may not be able to qualify as a REIT	4 years
Percentage of income subject to federal taxation	100.00%
Dividends paid	$ 182,190,000	$ 161,893,000	$ 138,883,000
Number of facilities under the company's operating responsibilities					2		15
Number of facilities transitioned to new tenant/operator				2		13
Permitted ownership of a taxable REIT subsidiary ("TRS"), maximum percentage	100.00%
Number of taxable REIT subsidiaries	1
Net operating loss carry-forward	$ 1,100,000	$ 1,100,000

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BORROWING ARRANGEMENTS - Unsecured Borrowings - $175 Million 7% Senior Notes due 2016 Tender Offer and Redemption (Narrative) (Detail 4) (USD $)	12 Months Ended
	Dec. 31, 2012		Dec. 31, 2011		Dec. 31, 2010		Dec. 31, 2012 Unsecured Borrowings 7% Senior Notes due 2016	Mar. 27, 2012 Unsecured Borrowings 7% Senior Notes due 2016	Mar. 19, 2012 Unsecured Borrowings 7% Senior Notes due 2016	Mar. 05, 2012 Unsecured Borrowings 7% Senior Notes due 2016
Borrowing Arrangements [Line Items]
Senior notes, principal amount									$ 168,900,000	$ 175,000,000
Interest rate	10.00%								7.00%	7.00%
Redemption of remaining aggregate principal amount								6,100,000
Redemption price percentage								102.333%
Redemption related costs and write-offs							7,100,000
Payments made to bondholders							4,500,000
Write-offs associated with deferred costs	3,024,000	[1],[2],[3]	3,055,000	[1],[2],[3]	8,231,000	[1],[2],[3]	2,200,000
Expenses associated with the tender and redemption							$ 400,000

[1] In 2010, we wrote-off: (a) $3.5 million associated with the termination of our $200 million 2009 Credit Facility, (b) $2.2 million associated with the termination of a $100 million GECC term loan and (c) $2.6 million associated with the tender offer and retirement of our outstanding $310 million 7% Senior Notes due 2014.

[2] In 2012, we wrote-off: (a) $2.2 million deferred financing costs associated with the tender offer and redemption of our $175 million 7% 2016 Notes; and (b) $2.5 million deferred financing costs associated with the termination of our $475 million 2011 Credit Facility. These costs were offset by a $1.7 million gain resulting from the write-off of unamortized premium on the four HUD loans that were paid off in the second quarter of 2012.

[3] In 2011, we terminated our $320 million 2010 Credit Facility and wrote-off deferred financing costs of $3.1 million.

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RETIREMENT ARRANGEMENTS (Narrative) (Detail) (USD $)	12 Months Ended
	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010
Compensation Related Costs [Abstract]
Liabilities associated with deferred compensation plan	$ 400,000
Amounts charged to operations with respect to retirement arrangements	$ 233,500	$ 222,500	$ 168,700

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BORROWING ARRANGEMENTS - Secured Borrowings (Narrative) (Detail) (USD $)	12 Months Ended						3 Months Ended	12 Months Ended	1 Months Ended	12 Months Ended		1 Months Ended	12 Months Ended		1 Months Ended	12 Months Ended		1 Months Ended		3 Months Ended
	Dec. 31, 2012		Dec. 31, 2011		Dec. 31, 2010		Jun. 30, 2012 2011 Credit Facility	Dec. 31, 2010 Senior notes due, 2014	Jun. 29, 2010 Secured borrowings HUD Berkadia mortgages assumed June 2010	Dec. 31, 2012 Secured borrowings HUD Berkadia mortgages assumed June 2010	Dec. 31, 2011 Secured borrowings HUD Berkadia mortgages assumed June 2010	Jun. 29, 2010 Secured borrowings HUD Capital Funding mortgages assumed June 2010	Dec. 31, 2012 Secured borrowings HUD Capital Funding mortgages assumed June 2010	Dec. 31, 2011 Secured borrowings HUD Capital Funding mortgages assumed June 2010	Oct. 31, 2011 Secured borrowings HUD mortgages assumed October 2011	Dec. 31, 2012 Secured borrowings HUD mortgages assumed October 2011	Dec. 31, 2011 Secured borrowings HUD mortgages assumed October 2011	Jun. 29, 2012 Secured borrowings HUD mortgages assumed December 2011	Dec. 23, 2011 Secured borrowings HUD mortgages assumed December 2011	Dec. 31, 2012 Secured borrowings HUD mortgages assumed December 2012
Borrowing Arrangements [Line Items]
Assumed indebtedness, maturity date									January 2036 and May 2040			January 2040 and January 2045			April 2036 and September 2040				October 2029 to July 2044	April 2031 and February 2045
Fair value adjustment of HUD debt assumed									$ 13,700,000	$ 11,600,000	$ 12,400,000	$ 7,400,000	$ 6,400,000	$ 6,800,000	$ 3,000,000	$ 2,800,000	$ 3,000,000		$ 1,900,000	$ 10,100,000
Assumption of debt for the acquisition																				71,900,000
Gain on retirement of HUD mortgages																		1,700,000
Gain from write-off of unamortized fair value adjustment of the HUD loans							1,700,000											1,800,000
Prepayment fee	4,896,000	[1]	16,000	[1]	11,251,000	[1]		8,300,000										100,000
Total Hud debt assumed																				81,900,000
Repayment for mortgage retirement																		$ 11,800,000

[1] In 2012, we incurred $4.9 million prepayment penalties and other costs associated with the tender offer and redemption of our $175 million 7% 2016 Notes. In 2010, we made prepayment penalties of: (a) $3.0 million for the early termination of a $100 million GECC term loan and (b) $8.3 million for the tender offer and retirement of our outstanding $310 million 7% Senior Notes due 2014.

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OTHER INVESTMENTS (Narrative) (Detail) (USD $)							12 Months Ended			1 Months Ended			1 Months Ended		12 Months Ended
	Dec. 31, 2012		Dec. 31, 2011		Dec. 31, 2012 Other Investment note due 2013	Dec. 31, 2011 Other Investment note due 2013	Dec. 31, 2012 Other Investment note due 2013 Working Capital Loan	Dec. 31, 2012 $1.3 million Other Investment note due 2017	Dec. 31, 2011 $1.3 million Other Investment note due 2017	Mar. 30, 2012 $1.3 million Other Investment note due 2017 Working Capital Loan	Dec. 31, 2012 $4.0 Million Other Investment note due 2013	Dec. 31, 2011 $4.0 Million Other Investment note due 2013	Nov. 30, 2012 $4.0 Million Other Investment note due 2013 Short Term Working Capital Note	Dec. 31, 2011 $28.0 million Other Investment note due 2017	Dec. 31, 2012 $28.0 million Other Investment note due 2017	Dec. 31, 2011 Other Investment notes due 2021 - 2023 Capital Renovation Loans Loan
Schedule of Investments [Line Items]
Number of loans																6
Percentage of interest rate received							10.00%			10.00%			10.00%	10.00%		10.00%
Escalators rate of interest per year																2.50%
Maximum drawing capacity of loan																$ 11,000,000
Loan amount							750,000			1,300,000			4,000,000
Proceeds from principal payment of loans							11,900,000								1,500,000
Notes receivable, gross	$ 44,759,000	[1]	$ 50,377,000	[1]	$ 1,018,000	$ 12,938,000		$ 425,000			$ 3,450,000			$ 28,000,000	$ 26,500,000
Notes receivable term														5 years

[1] The majority of these notes bear interest at approximately 10% annually.

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EARNINGS PER SHARE

12 Months Ended

Dec. 31, 2012

Net Income Available To Common Per Share

EARNINGS PER SHARE

NOTE 18 - EARNINGS PER SHARE

The computation of basic EPS is computed by dividing net income available to common stockholders by the weighted-average number of shares of common stock outstanding during the relevant period.  Diluted EPS is computed using the treasury stock method, which is net income available to common stockholders divided by the total weighted-average number of common outstanding shares plus the effect of dilutive common equivalent shares during the respective period.  Dilutive common shares reflect the assumed issuance of additional common shares pursuant to certain of our share-based compensation plans, including stock options, restricted stock and performance restricted stock units.

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

	Year Ended December 31,
	2012		2011			2010
	(in thousands, except per share amounts)
Numerator:
Net income	$	120,698	$	52,606		$	58,436
Preferred stock dividends		-		(1,691	)		(9,086	)
Preferred stock redemption		-		(3,456	)		-
Numerator for net income available to common per share - basic and diluted	$	120,698	$	47,459		$	49,350
Denominator:
Denominator for basic earnings per share		107,591		102,119			94,056
Effect of dilutive securities:
Restricted stock		401		45			171
Stock option incremental shares		-		-			3
Deferred stock		19		13			7
Denominator for diluted earnings per share		108,011		102,177			94,237

Earnings per share - basic:
Net income - basic	$	1.12	$	0.46	$	0.52
Earnings per share - diluted:
Net income - diluted	$	1.12	$	0.46	$	0.52

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PROPERTIES - Leased Property (Narrative) (Detail)	12 Months Ended
	Dec. 31, 2012
Leased Properties [Line Items]
Number of leased real estate properties	478
Property available for operating lease | Minimum
Leased Properties [Line Items]
Lease term	5 years
Property available for operating lease | Maximum
Leased Properties [Line Items]
Lease term	15 years
SNF's
Leased Properties [Line Items]
Number of leased real estate properties	418
ALFs
Leased Properties [Line Items]
Number of leased real estate properties	16
Specialty facilities
Leased Properties [Line Items]
Number of leased real estate properties	11

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ORGANIZATION AND BASIS OF PRESENTATION (Narrative) (Detail)	12 Months Ended			0 Months Ended
	Dec. 31, 2012 Segment Facility Property	Jun. 01, 2010 TC Healthcare Facility	Sep. 01, 2008 TC Healthcare Facility	Jul. 06, 2008 Haven Eldercare Property Facility	Jul. 07, 2008 Haven Eldercare Property
Real Estate Properties [Line Items]
Number of reportable segments	1
Number of facilities owned	478				15
Number of held-for-sale facilities	2
Number of facilities transitioned to new tenant/operator		2	13
Number of facilities leased				8
Number of facilities under fixed rate mortgage loan	10			7

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BORROWING ARRANGEMENTS - Principal payments (Detail 1) (Senior notes, USD $) In Thousands, unless otherwise specified	Dec. 31, 2012
Senior notes
Borrowing Arrangements [Line Items]
2013	$ 5,251
2014	5,540
2015	5,845
2016	164,168
2017	106,509
Thereafter	1,501,398
Totals	$ 1,788,711

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EARNINGS PER SHARE (Detail) (USD $) In Thousands, except Per Share data, unless otherwise specified	3 Months Ended								12 Months Ended
	Dec. 31, 2012	Sep. 30, 2012	Jun. 30, 2012	Mar. 31, 2012	Dec. 31, 2011	Sep. 30, 2011	Jun. 30, 2011	Mar. 31, 2011	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010
Numerator:
Net income	$ 33,923	$ 30,119	$ 30,572	$ 26,084	$ 19,293	$ 21,436	$ 17,790	$ (5,913)	$ 120,698	$ 52,606	$ 58,436
Preferred stock dividends										(1,691)	(9,086)
Preferred stock redemption										(3,456)
Numerator for net income available to common per share - basic and diluted	$ 33,923	$ 30,119	$ 30,572	$ 26,084	$ 19,293	$ 21,436	$ 17,806	$ (11,076)	$ 120,698	$ 47,459	$ 49,350
Denominator:
Denominator for basic earnings per share									107,591	102,119	94,056
Effect of dilutive securities:
Restricted stock									401	45	171
Stock option incremental shares											3
Deferred stock									19	13	7
Denominator for diluted earnings per share									108,011	102,177	94,237
Earnings per share - basic:
Net income	$ 0.30	$ 0.28	$ 0.29	$ 0.25	$ 0.19	$ 0.21	$ 0.17	$ (0.11)	$ 1.12	$ 0.46	$ 0.52
Earnings per share - diluted:
Net income	$ 0.30	$ 0.27	$ 0.29	$ 0.25	$ 0.19	$ 0.21	$ 0.17	$ (0.11)	$ 1.12	$ 0.46	$ 0.52

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STOCK-BASED COMPENSATION (Tables)

12 Months Ended

Dec. 31, 2012

Disclosure Of Compensation Related Costs, Share-Based Payments [Abstract]

Schedule of activity in restricted stock

The following table summarizes the activity in restricted stock for the years ended December 31, 2010, 2011 and 2012:

	Number of Shares			Weighted Average Grant-Date Fair Value per Share		Compensation Cost (1) (in millions)
Non-vested at December 31, 2009		102,374		$	16.81
Granted during 2010		15,500			20.00	$	0.3
Vested during 2010		(91,607	)		16.96
Non-vested at December 31, 2010		26,267		$	18.19
Granted during 2011		444,003			22.42	$	10.0
Vested during 2011		(11,968	)		17.42
Non-vested at December 31, 2011		458,302		$	22.31
Granted during 2012		15,500			20.29	$	0.3
Vested during 2012		(14,300	)		19.56
Non-vested at December 31, 2012		459,502		$	22.33
(1)  Total compensation cost to be recognized on the awards based on grant date fair value.

Schedule of activity in PRSU

The following table summarizes the activity in PRSU for the years ended December 31, 2010, 2011 and 2012:

	Number of Shares			Weighted- Average Grant- Date Fair Value per Share		Compensation Cost (1) (in millions)
Non-vested at December 31, 2009		247,992		$	7.28
Granted during 2010		-			-
Modification during 2010		-			1.48	$	0.4
Vested during 2010		(247,992	)		8.76
Non-vested at December 31, 2010		-		$	-
Granted during 2011		496,979			11.28	$	5.6
Vested during 2011		-			-
Forfeited during 2011		(124,244	)		11.04
Non-vested at December 31, 2011		372,735		$	11.36
Granted during 2012		124,244			9.61	$	1.2
Vested during 2012		(124,244	)		9.61
Non-vested at December 31, 2012		372,735		$	11.36

(1) Total compensation cost to be recognized on the awards was based on grant date fair value or the modification date fair value.

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PROPERTIES - 2012 Acquisitions (Narrative) (Detail 2) (USD $) In Millions, unless otherwise specified							3 Months Ended				1 Months Ended	3 Months Ended									1 Months Ended									12 Months Ended
	Dec. 31, 2012 Property	Dec. 31, 2012 SNF's Property	Dec. 31, 2012 ALFs Property	Dec. 31, 2012 Arizona and California Acquisitions Property Bed	Dec. 31, 2012 Arizona and California Acquisitions California Property	Dec. 31, 2012 Arizona and California Acquisitions Arizona Property	Dec. 31, 2012 Arizona and California Acquisitions Housing and Urban Development Loan	Dec. 31, 2012 Arizona and California Acquisitions SNF's Property	Dec. 31, 2012 Arizona and California Acquisitions ALFs Property	Dec. 31, 2012 Arizona and California Acquisitions SNF's and ALF's Property	Nov. 30, 2012 Arizona and California Acquisitions First Closing Facility Property	Dec. 31, 2012 Arizona and California Acquisitions First Closing	Dec. 31, 2012 Arizona and California Acquisitions First Closing Land	Dec. 31, 2012 Arizona and California Acquisitions First Closing Buildings and site improvements	Dec. 31, 2012 Arizona and California Acquisitions First Closing Furniture and fixtures	Nov. 30, 2012 Arizona and California Acquisitions First Closing Housing and Urban Development	Nov. 30, 2012 Arizona and California Acquisitions First Closing SNF's Property	Nov. 30, 2012 Arizona and California Acquisitions First Closing ALFs Property	Nov. 30, 2012 Arizona and California Acquisitions First Closing SNF's and ALF's Property	Dec. 31, 2012 Arizona and California Acquisitions Second Closing	Nov. 30, 2012 Arizona and California Acquisitions Second Closing SNF's Facility	Dec. 31, 2012 Arizona and California Acquisitions Second Closing SNF's Land	Dec. 31, 2012 Arizona and California Acquisitions Second Closing SNF's Buildings and site improvements	Dec. 31, 2012 Arizona and California Acquisitions Second Closing SNF's Furniture and fixtures	Nov. 30, 2012 Arizona and California Acquisitions Second Closing SNF's California Property	Dec. 31, 2012 Arizona and California Acquisitions Third Closing	Dec. 31, 2012 Arizona and California Acquisitions Third Closing Land	Dec. 31, 2012 Arizona and California Acquisitions Third Closing Buildings and site improvements	Dec. 31, 2012 Arizona and California Acquisitions Third Closing Furniture and fixtures	Dec. 31, 2012 Arizona and California Acquisitions Third Closing Housing and Urban Development	Dec. 31, 2012 Arizona and California Acquisitions Third Closing SNF's Facility	Dec. 31, 2012 Arizona and California Acquisitions Third Closing SNF's California	Dec. 31, 2012 Arizona and California Acquisitions Third Closing SNF's Housing and Urban Development California
Real Estate Properties [Line Items]
Amount of leased assets				$ 203.4							$ 60.0														$ 70.2							$ 72.2
Number of facilities owned	478	418	16	14	10	4		12	1	1	4						2	1	1						10
Assumption of debt indebtedness for acquisition							71.9									27.6														44.3
Cash paid for acquisition				131.5							32.4															28.9
Number of mortgage loans							8
Interest rate of assumed debt							5.50%									4.73%																	5.97%
Lease expiration period							April 2031 and February 2045
Number of operating beds				1,830
Number of facilities leased											4										5										5
Period of master lease agreement											12 years										12 years										12 years
Total cost allocated to assets												64.6	5.5	55.9	3.2					70.2		11.5	55.5	3.2		77.6	13.0	60.9	3.7
Fair value adjustment related to debt assumed												4.6														5.4
Amortization of debt fair value adjustment, per year												0.2
Future amortization of debt fair value adjustment, year one												0.2														0.3
Future amortization of debt fair value adjustment, year two												0.2														0.2
Future amortization of debt fair value adjustment, year three												0.2														0.2
Future amortization of debt fair value adjustment, year four												0.2														0.2
Future amortization of debt fair value adjustment, year five												0.2														0.2
Amortization period of above market leases												5 years
Reduction price related to funds escrowed by the seller																														$ 1.0

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MORTGAGE NOTES RECEIVABLE (Detail) (USD $)	12 Months Ended
	Dec. 31, 2012 Loan		Dec. 31, 2011
Mortgage Loans on Real Estate [Line Items]
Mortgage notes receivable	$ 238,621,000	[1]	$ 238,675,000	[1]
Two Construction Mortgage notes; interest at 12.50%
Mortgage Loans on Real Estate [Line Items]
Mortgage notes receivable	11,751,000		2,234,000
Mortgage loans on real estate, interest rate	12.50%
Number of fixed-rate mortgages	2
Mortgage note due 2013; interest at 11.00%
Mortgage Loans on Real Estate [Line Items]
Mortgage notes receivable	5,000,000		5,000,000
Mortgage loans on real estate, interest rate	11.00%
Mortgage note due 2016; interest at 11.50%
Mortgage Loans on Real Estate [Line Items]
Mortgage notes receivable			11,545,000
Mortgage loans on real estate, interest rate	11.50%
Mortgage note due 2021; interest at 12.50%
Mortgage Loans on Real Estate [Line Items]
Mortgage notes receivable	5,574,000		5,574,000
Mortgage loans on real estate, interest rate	12.50%
Mortgage note due 2021 interest at 11.00%
Mortgage Loans on Real Estate [Line Items]
Mortgage notes receivable	91,585,000		92,000,000
Mortgage loans on real estate, interest rate	11.00%
Mortgage loans on real estate, monthly payment	34,500
Mortgage note due 2022 interest at 12.50%
Mortgage Loans on Real Estate [Line Items]
Mortgage notes receivable	5,310,000		4,990,000
Mortgage loans on real estate, interest rate	12.50%
Mortgage notes due 2022; interest at 12.00%
Mortgage Loans on Real Estate [Line Items]
Mortgage notes receivable	7,076,000		6,504,000
Mortgage loans on real estate, interest rate	12.00%
Mortgage note due 2023; interest at 11.00%
Mortgage Loans on Real Estate [Line Items]
Mortgage notes receivable	69,928,000		69,928,000
Mortgage loans on real estate, interest rate	11.00%
Mortgage note due 2030; interest at 10.40%
Mortgage Loans on Real Estate [Line Items]
Mortgage notes receivable	15,897,000		15,900,000
Mortgage loans on real estate, interest rate	10.40%
Four Mortgage notes due 2046; interest at 12.00%
Mortgage Loans on Real Estate [Line Items]
Mortgage notes receivable	$ 26,500,000		$ 25,000,000
Mortgage loans on real estate, interest rate	12.00%

[1] As of December 31, 2011 and 2012 we have no allowance for loan loss for any of our mortgages.

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PROPERTIES - 2009 - 2010 Acquisitions - 143 Facility CapitalSource Acquisitions - Option Exercise and Closing (Narrative) (Detail 11) (USD $) In Millions, unless otherwise specified	0 Months Ended	12 Months Ended
	Jun. 09, 2010 Operator Bed Property Contract State	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010	Apr. 20, 2010 Property
Real Estate Properties [Line Items]
Number of facilities owned		478
Number of states		34
Number of operators		46
143 Facility CapitalSource Acquisitions | Option Exercise and Closing
Real Estate Properties [Line Items]
Number of facilities owned	63				63
Number of operating beds	6,607
Cash paid for acquisition	$ 293.0
Purchase price of subsidiaries, including option price	318
Number of states	19
Number of in-place triple net leases	30
Number of operators	18
Number of master lease involved in purchase and leaseback transaction	30
Annualized lease revenue	34
Business acquisition total purchase price allocated				328.9
Business acquisition purchase price allocation to in-place above market leases assumed				8.2
Business acquisition purchase price allocation to in-place below market leases assumed				18.8
Net amortization of below market leases		0.9	1.3	0.7
143 Facility CapitalSource Acquisitions | Option Exercise and Closing | Land
Real Estate Properties [Line Items]
Business acquisition purchase price allocation				35.8
143 Facility CapitalSource Acquisitions | Option Exercise and Closing | Buildings and Site Improvements
Real Estate Properties [Line Items]
Business acquisition purchase price allocation				276.0
143 Facility CapitalSource Acquisitions | Option Exercise and Closing | Furniture and fixtures
Real Estate Properties [Line Items]
Business acquisition purchase price allocation				$ 17.1

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PROPERTIES (Detail 1) (USD $) In Thousands, unless otherwise specified	Dec. 31, 2012
Real Estate [Abstract]
2013	$ 338,520
2014	350,265
2015	355,798
2016	338,398
2017	342,487
Thereafter	1,793,621
Total	$ 3,519,089

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SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

12 Months Ended

Dec. 31, 2012

Accounting Policies [Abstract]

SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

NOTE 2 – SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

Accounting Estimates

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

Real Estate Investments and Depreciation

We record the purchase price of properties to net tangible and identified intangible assets acquired at their fair values.  In making estimates of fair values for purposes of recording purchase price, we utilize a number of sources, including independent appraisals that may be obtained in connection with the acquisition or financing of the respective property and other market data.  We also consider information obtained about each property as a result of its pre-acquisition due diligence, marketing and leasing activities in estimating the fair value of the tangible and intangible assets acquired.  All costs of significant improvements, renovations and replacements are capitalized.  In addition, we capitalize leasehold improvements when certain criteria are met, including when we supervise construction and will own the improvement.  Expenditures for maintenance and repairs are charged to operations as they are incurred.

Depreciation is computed on a straight-line basis over the estimated useful lives ranging from 20 to 40 years for buildings and improvements and three to 10 years for furniture, fixtures and equipment.  Leasehold interests are amortized over the shorter of useful life or term of the lease, with lives ranging from five to 15 years.

As of December 31, 2012 and 2011, we had identified conditional asset retirement obligations primarily related to the future removal and disposal of asbestos that is contained within certain of our real estate investment properties. The asbestos is appropriately contained, and we believe we are compliant with current environmental regulations. If these properties undergo major renovations or are demolished, certain environmental regulations are in place, which specify the manner in which asbestos must be handled and disposed.  We are required to record the fair value of these conditional liabilities if they can be reasonably estimated. As of December 31, 2012 and 2011, sufficient information was not available to estimate our liability for conditional asset retirement obligations as the obligations to remove the asbestos from these properties have indeterminable settlement dates. As such, no liability for conditional asset retirement obligations was recorded on our accompanying consolidated balance sheets as of December 31, 2012 and 2011.

In-Place Leases

In-place lease assets and liabilities result when we assume a lease as part of a facility purchase.  The fair value of in-place leases consists of the following components as applicable (1) the estimated cost to replace the leases, and (2) the above/below market cash flow of the leases, determined by comparing the projected cash flows of the leases in place to projected cash flows of comparable market-rate leases (referred to as Lease Intangibles).  Lease Intangible assets and liabilities are classified as lease contracts above and below market value, respectively, and amortized on a straight-line basis as decreases and increases, respectively, to rental revenue over the remaining term of the underlying leases. Should a tenant terminate its lease, the unamortized portions of these costs are written off.

Owned and Operated Assets

Real estate properties that are operated pursuant to a foreclosure proceeding are included within “real estate properties” and are reported at the time of foreclosure at the lower of carrying cost or fair value.

Asset Impairment

Management periodically, but not less than annually,evaluates our real estate investments for impairment indicators, including the evaluation of our assets’ useful lives.  The judgment regarding the existence of impairment indicators is based on factors such as, but not limited to, market conditions, operator performance and legal structure.  If indicators of impairment are present, management evaluates the carrying value of the related real estate investments in relation to the future undiscounted cash flows of the underlying facilities.  Provisions for impairment losses related to long-lived assets are recognized when expected future undiscounted cash flows are determined to be less than the carrying values of the assets.  An adjustment is made to the net carrying value of the real estate investments for the excess of carrying value over fair value.  The fair value of the real estate investment is determined by market research, which includes valuing the property as a nursing home as well as other alternative uses.All impairments are taken as a period cost at that time, and depreciation is adjusted going forward to reflect the new value assigned to the asset.

If we decide to sell real estate properties or land holdings, we evaluate the recoverability of the carrying amounts of the assets.  If the evaluation indicates that the carrying value is not recoverable from estimated net sales proceeds, the property is written down to estimated fair value less costs to sell.  Our estimates of cash flows and fair values of the properties are based on current market conditions and consider matters such as rental rates and occupancies for comparable properties, recent sales data for comparable properties, and, where applicable, contracts or the results of negotiations with purchasers or prospective purchasers.

For the years ended December 31, 2012, 2011 and 2010 we recognized impairment losses of $0.3 million, $26.3 million and $0.2 million, respectively.  The impairments are primarily the result of closing facilities or updating the estimated proceeds we expect to receive for the sale of closed facilities.  For additional information, see Note 3 – Properties.

Loan Impairment

Management evaluates our outstanding mortgage notes and other notes receivable.  When management identifies potential loan impairment indicators, such as non-payment under the loan documents, impairment of the underlying collateral, financial difficulty of the operator or other circumstances that may impair full execution of the loan documents, and management believes it is probable that all amounts will not be collected under the contractual terms of the loan, the loan is written down to the present value of the expected future cash flows.  In cases where expected future cash flows are not readily determinable, the loan is written down to the fair value of the collateral.  The fair value of the loan is determined by market research, which includes valuing the property as a nursing home as well as other alternative uses.

We currently account for impaired loans using (a) the cost-recovery method, and/or (b) the cash basis method.  We generally utilize the cost recovery method for impaired loans for which impairment reserves were recorded.  We utilize the cash basis method for impairment loans for which no impairment reserves were recorded because the net present value of the discounted cash flows expected under the loan and/or the underlying collateral supporting the loan were equal to or exceeded the book value of the loans.  Under the cost recovery method, we apply cash received against the outstanding loan balance prior to recording interest income.  Under the cash basis method, we apply cash received to interest income.  As of December 31, 2012 and 2011, we had loan loss reserves totaling $2.0 million.  In 2011, we recorded provisions for loan losses of $2.3 million related to a working capital note.  In 2010 and 2012, we did not record provisions for loan losses or charges-offs related to our mortgage or note receivable portfolios.  For additional information, see Note 5 – Mortgage Notes Receivable and Note 6 – Other Investments.

Cash and Cash Equivalents

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

Restricted Cash

Restricted cash consists primarily of funds escrowed for tenants’ security deposits required by us pursuant to certain contractual terms (see Note 8 – Lease and Mortgage Deposits).

Accounts Receivable

Accounts receivable includes: contractual receivables, straight-line rent receivables and lease inducements, net of an estimated provision for losses related to uncollectible and disputed accounts.  Contractual receivables relate to the amounts currently owed to us under the terms of the lease agreement.  Straight-line receivables relate to the difference between the rental revenue recognized on a straight-line basis and the amounts due to us contractually.  Lease inducements result from value provided by us to the lessee at the inception or renewal of the lease and will be amortized as a reduction of rental revenue over the non cancellable lease term.  On a quarterly basis, we review the collection of our contractual payments and determine the appropriateness of our allowance for uncollectible contractual rents.  In the case of a lease recognized on a straight-line basis or existence of lease inducements, we generally provide an allowance for straight-line accounts receivable or the lease inducements when certain conditions or indicators of adverse collectability are present.

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

	December 31,
	2012			2011
	(in thousands)
Contractual receivables	$	3,963		$	4,683
Effective yield interest receivables		3,576			1,341
Straight-line receivables		98,973			73,604
Lease inducements		19,307			22,677
Allowance		(639	)		(1,641	)
Accounts receivable – net	$	125,180		$	100,664

We continuously evaluate the payment history and financial strength of our operators and have historically established allowance reserves for straight-line rent adjustments for operators that do not meet our requirements.  We consider factors such as payment history, the operator’s financial condition as well as current and future anticipated operating trends when evaluating whether to establish allowance reserves.

Comprehensive Income

Comprehensive income includes net income and all other non-owner changes in stockholders’ equity during a period including unrealized gains and losses on equity securities classified as available-for-sale and unrealized fair value adjustments on certain derivative instruments.

Deferred Financing Costs

External costs incurred from placement of our debt are capitalized and amortized on a straight-line basis over the terms of the related borrowings which approximates the effective interest method. Amortization of financing costs totaling $2.6 million, $2.7 million and $3.8 million in 2012, 2011 and 2010, respectively, is classified as “interest - amortization of deferred financing costs” in our consolidated statements of operations.  When financings are terminated, unamortized deferred financing costs, as well as charges incurred for the termination, are expensed at the time the termination is made.  Gains and losses from the extinguishment of debt are presented within income from continuing operations in the accompanying consolidated financial statements.

Revenue Recognition

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

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

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

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

Nursing home revenues of owned and operated assets consist of long-term care revenues, rehabilitation therapy services revenues, temporary medical staffing services revenues and other ancillary services revenues. The revenues are recognized as services are provided.  Revenues are recorded net of provisions for discount arrangements with commercial payors and contractual allowances with third-party payors, primarily Medicare and Medicaid.  Revenues realizable under third-party payor agreements are subject to change due to examination and retroactive adjustment.  Estimated third-party payor settlements are recorded in the period the related services are rendered. The methods of making such estimates are reviewed periodically, and differences between the net amounts accrued and subsequent settlements or estimates of expected settlements are reflected in the current period results of operations. Laws and regulations governing the Medicare and Medicaid programs are extremely complex and subject to interpretation.  For additional information, see Note 4 – Owned and OperatedAssets.

Assets Held for Sale and Discontinued Operations

The operating results of specified real estate assets that have been sold, or otherwise qualify as held for disposition, are reflected as assets held for sale-net in our consolidated balance sheets.  Assets that qualify as held for sale may also be considered as a discontinued operation if, (a) the operation and cash flows of the asset have been or will be eliminated from future operations and (b) we will not have significant involvement with the asset after its disposition. For assets that qualify as discontinued operations, we have reclassified the operations of those assets to discontinued operations in the consolidated statements of operations for all periods presented and assets held for sale in the consolidated balance sheets for all periods presented.  We had two facilities and one parcel of land classified as held for sale as of December 31, 2012 with a net book value of $1.0 million.  The assets were not classified as discontinued operations.

Earnings Per Share

Basic earnings per common share (“EPS”) is computed by dividing net income available to common stockholders by the weighted-average number of shares of common stock outstanding during the year.  All outstanding unvested share-based payment awards that contain rights to non-forfeitable dividends or dividend equivalents that participate in undistributed earnings with common stockholders are considered participating securities that shall be included in the two-class method of computing basic EPS. The guidance does not address awards that contain rights to forfeitable dividends.  Diluted EPS reflects the potential dilution that could occur from shares issuable through stock-based compensation, including stock options and restricted stock.  For additional information, see Note 18 – Earnings Per Share.

Income Taxes

We were organized to qualify for taxation as a REIT under Section 856 through 860 of the Code.  As long as we qualify as a REIT; we will not be subject to Federal income taxes on the REIT taxable income that we distributed to stockholders, subject to certain exceptions.  In 2012, we paid common dividend payments of $182.2 million which satisfies the 2012 REIT requirements relating to qualifying income.  We are permitted to own up to 100% of a taxable REIT subsidiary (“TRS”).  Currently, we have one TRS that is taxable as a corporation and that pays federal, state and local income tax on its net income at the applicable corporate rates.  The loss carry forward of $1.1 million was fully reserved with a valuation allowance due to uncertainties regarding realization.  We record interest and penalty charges associated with tax matters as income tax.  For additional information on income taxes, see Note 11 – Taxes.  As of December 31, 2012, we did not have any unrecognized tax benefits.  We do not believe that there will be any material changes in our unrecognized tax positions over the next 12 months.  We are subject to examination by the respective taxing authorities for the tax years 2007 through 2012.

Stock-Based Compensation

Stock-based compensation expense is adjusted for estimated forfeitures and is recognized on a straight-line basis over the requisite service period of the awards, see Note 14 – Stock-Based Compensation for additional details.

Risks and Uncertainties

Our company is subject to certain risks and uncertainties affecting the healthcare industry as a result of healthcare legislation and growing regulation by federal, state and local governments. Additionally, we are subject to risks and uncertainties as a result of changes affecting operators of nursing home facilities due to the actions of governmental agencies and insurers to limit the growth in cost of healthcare services (see Note 7 – Concentration of Risk).

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PROPERTIES - Connecticut Properties (Narrative) (Detail 12) (USD $) In Millions, unless otherwise specified	12 Months Ended			3 Months Ended
	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010	Mar. 31, 2011 Connecticut Properties SNF's Bed	Apr. 27, 2011 Connecticut Properties SNF's Facility
Real Estate Properties [Line Items]
Number of licensed beds				472
Number of facilities closed					4
Asset impairment charges	$ 0.3	$ 26.3	$ 0.2	$ 24.4

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SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Detail) (USD $) In Thousands, unless otherwise specified	Dec. 31, 2012	Dec. 31, 2011
Organization, Consolidation and Presentation Of Financial Statements [Abstract]
Contractual receivables	$ 3,963	$ 4,683
Effective yield interest receivables	3,576	1,341
Straight-line receivables	98,973	73,604
Lease inducements	19,307	22,677
Allowance	(639)	(1,641)
Accounts receivable - net	$ 125,180	$ 100,664

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SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Policies)

12 Months Ended

Dec. 31, 2012

Organization, Consolidation and Presentation Of Financial Statements [Abstract]

Accounting Estimates

Accounting Estimates

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

Real Estate Investments and Depreciation

Real Estate Investments and Depreciation

We record the purchase price of properties to net tangible and identified intangible assets acquired at their fair values.  In making estimates of fair values for purposes of recording purchase price, we utilize a number of sources, including independent appraisals that may be obtained in connection with the acquisition or financing of the respective property and other market data.  We also consider information obtained about each property as a result of its pre-acquisition due diligence, marketing and leasing activities in estimating the fair value of the tangible and intangible assets acquired.  All costs of significant improvements, renovations and replacements are capitalized.  In addition, we capitalize leasehold improvements when certain criteria are met, including when we supervise construction and will own the improvement.  Expenditures for maintenance and repairs are charged to operations as they are incurred.

Depreciation is computed on a straight-line basis over the estimated useful lives ranging from 20 to 40 years for buildings and improvements and three to 10 years for furniture, fixtures and equipment.  Leasehold interests are amortized over the shorter of useful life or term of the lease, with lives ranging from five to 15 years.

As of December 31, 2012 and 2011, we had identified conditional asset retirement obligations primarily related to the future removal and disposal of asbestos that is contained within certain of our real estate investment properties. The asbestos is appropriately contained, and we believe we are compliant with current environmental regulations. If these properties undergo major renovations or are demolished, certain environmental regulations are in place, which specify the manner in which asbestos must be handled and disposed.  We are required to record the fair value of these conditional liabilities if they can be reasonably estimated. As of December 31, 2012 and 2011, sufficient information was not available to estimate our liability for conditional asset retirement obligations as the obligations to remove the asbestos from these properties have indeterminable settlement dates. As such, no liability for conditional asset retirement obligations was recorded on our accompanying consolidated balance sheets as of December 31, 2012 and 2011.

In-Place Leases

In-Place Leases

In-place lease assets and liabilities result when we assume a lease as part of a facility purchase.  The fair value of in-place leases consists of the following components as applicable (1) the estimated cost to replace the leases, and (2) the above/below market cash flow of the leases, determined by comparing the projected cash flows of the leases in place to projected cash flows of comparable market-rate leases (referred to as Lease Intangibles).  Lease Intangible assets and liabilities are classified as lease contracts above and below market value, respectively, and amortized on a straight-line basis as decreases and increases, respectively, to rental revenue over the remaining term of the underlying leases. Should a tenant terminate its lease, the unamortized portions of these costs are written off.

Owned and Operated Assets

Owned and Operated Assets

Real estate properties that are operated pursuant to a foreclosure proceeding are included within “real estate properties” and are reported at the time of foreclosure at the lower of carrying cost or fair value.

Asset Impairment

Asset Impairment

Management periodically, but not less than annually,evaluates our real estate investments for impairment indicators, including the evaluation of our assets’ useful lives.  The judgment regarding the existence of impairment indicators is based on factors such as, but not limited to, market conditions, operator performance and legal structure.  If indicators of impairment are present, management evaluates the carrying value of the related real estate investments in relation to the future undiscounted cash flows of the underlying facilities.  Provisions for impairment losses related to long-lived assets are recognized when expected future undiscounted cash flows are determined to be less than the carrying values of the assets.  An adjustment is made to the net carrying value of the real estate investments for the excess of carrying value over fair value.  The fair value of the real estate investment is determined by market research, which includes valuing the property as a nursing home as well as other alternative uses.All impairments are taken as a period cost at that time, and depreciation is adjusted going forward to reflect the new value assigned to the asset.

If we decide to sell real estate properties or land holdings, we evaluate the recoverability of the carrying amounts of the assets.  If the evaluation indicates that the carrying value is not recoverable from estimated net sales proceeds, the property is written down to estimated fair value less costs to sell.  Our estimates of cash flows and fair values of the properties are based on current market conditions and consider matters such as rental rates and occupancies for comparable properties, recent sales data for comparable properties, and, where applicable, contracts or the results of negotiations with purchasers or prospective purchasers.

For the years ended December 31, 2012, 2011 and 2010 we recognized impairment losses of $0.3 million, $26.3 million and $0.2 million, respectively.  The impairments are primarily the result of closing facilities or updating the estimated proceeds we expect to receive for the sale of closed facilities.  For additional information, see Note 3 – Properties.

Loan Impairment

Loan Impairment

Management evaluates our outstanding mortgage notes and other notes receivable. When management identifies potential loan impairment indicators, such as non-payment under the loan documents, impairment of the underlying collateral, financial difficulty of the operator or other circumstances that may impair full execution of the loan documents, and management believes it is probable that all amounts will not be collected under the contractual terms of the loan, the loan is written down to the present value of the expected future cash flows. In cases where expected future cash flows are not readily determinable, the loan is written down to the fair value of the collateral. The fair value of the loan is determined by market research, which includes valuing the property as a nursing home as well as other alternative uses.

We currently account for impaired loans using (a) the cost-recovery method, and/or (b) the cash basis method. We generally utilize the cost recovery method for impaired loans for which impairment reserves were recorded. We utilize the cash basis method for impairment loans for which no impairment reserves were recorded because the net present value of the discounted cash flows expected under the loan and/or the underlying collateral supporting the loan were equal to or exceeded the book value of the loans. Under the cost recovery method, we apply cash received against the outstanding loan balance prior to recording interest income. Under the cash basis method, we apply cash received to interest income. As of December 31, 2012 and 2011, we had loan loss reserves totaling $2.0 million. In 2011, we recorded provisions for loan losses of $2.3 million related to a working capital note. In 2010 and 2012, we did not record provisions for loan losses or charges-offs related to our mortgage or note receivable portfolios. For additional information, see Note 5 – Mortgage Notes Receivable and Note 6 – Other Investments.

Cash and cash equivalents

Cash and Cash Equivalents

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

Restricted cash

Restricted Cash

Restricted cash consists primarily of funds escrowed for tenants’ security deposits required by us pursuant to certain contractual terms (see Note 8 – Lease and Mortgage Deposits).

Accounts Receivable

Accounts Receivable

Accounts receivable includes: contractual receivables, straight-line rent receivables and lease inducements, net of an estimated provision for losses related to uncollectible and disputed accounts.  Contractual receivables relate to the amounts currently owed to us under the terms of the lease agreement.  Straight-line receivables relate to the difference between the rental revenue recognized on a straight-line basis and the amounts due to us contractually.  Lease inducements result from value provided by us to the lessee at the inception or renewal of the lease and will be amortized as a reduction of rental revenue over the non cancellable lease term.  On a quarterly basis, we review the collection of our contractual payments and determine the appropriateness of our allowance for uncollectible contractual rents.  In the case of a lease recognized on a straight-line basis or existence of lease inducements, we generally provide an allowance for straight-line accounts receivable or the lease inducements when certain conditions or indicators of adverse collectability are present.

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

	December 31,
	2012			2011
	(in thousands)
Contractual receivables	$	3,963		$	4,683
Effective yield interest receivables		3,576			1,341
Straight-line receivables		98,973			73,604
Lease inducements		19,307			22,677
Allowance		(639	)		(1,641	)
Accounts receivable – net	$	125,180		$	100,664

We continuously evaluate the payment history and financial strength of our operators and have historically established allowance reserves for straight-line rent adjustments for operators that do not meet our requirements.  We consider factors such as payment history, the operator’s financial condition as well as current and future anticipated operating trends when evaluating whether to establish allowance reserves.

Comprehensive Income

Comprehensive Income

Comprehensive income includes net income and all other non-owner changes in stockholders’ equity during a period including unrealized gains and losses on equity securities classified as available-for-sale and unrealized fair value adjustments on certain derivative instruments.

Deferred Financing Costs

Deferred Financing Costs

External costs incurred from placement of our debt are capitalized and amortized on a straight-line basis over the terms of the related borrowings which approximates the effective interest method. Amortization of financing costs totaling $2.6 million, $2.7 million and $3.8 million in 2012, 2011 and 2010, respectively, is classified as “interest - amortization of deferred financing costs” in our consolidated statements of operations.  When financings are terminated, unamortized deferred financing costs, as well as charges incurred for the termination, are expensed at the time the termination is made.  Gains and losses from the extinguishment of debt are presented within income from continuing operations in the accompanying consolidated financial statements.

Revenue Recognition

Revenue Recognition

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

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

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

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

Nursing home revenues of owned and operated assets consist of long-term care revenues, rehabilitation therapy services revenues, temporary medical staffing services revenues and other ancillary services revenues. The revenues are recognized as services are provided.  Revenues are recorded net of provisions for discount arrangements with commercial payors and contractual allowances with third-party payors, primarily Medicare and Medicaid.  Revenues realizable under third-party payor agreements are subject to change due to examination and retroactive adjustment.  Estimated third-party payor settlements are recorded in the period the related services are rendered. The methods of making such estimates are reviewed periodically, and differences between the net amounts accrued and subsequent settlements or estimates of expected settlements are reflected in the current period results of operations. Laws and regulations governing the Medicare and Medicaid programs are extremely complex and subject to interpretation.  For additional information, see Note 4 – Owned and OperatedAssets.

Assets Held for Sale and Discontinued Operations

Assets Held for Sale and Discontinued Operations

The operating results of specified real estate assets that have been sold, or otherwise qualify as held for disposition, are reflected as assets held for sale-net in our consolidated balance sheets.  Assets that qualify as held for sale may also be considered as a discontinued operation if, (a) the operation and cash flows of the asset have been or will be eliminated from future operations and (b) we will not have significant involvement with the asset after its disposition. For assets that qualify as discontinued operations, we have reclassified the operations of those assets to discontinued operations in the consolidated statements of operations for all periods presented and assets held for sale in the consolidated balance sheets for all periods presented.  We had two facilities and one parcel of land classified as held for sale as of December 31, 2012 with a net book value of $1.0 million.  The assets were not classified as discontinued operations.

Earnings Per Share

Earnings Per Share

Basic earnings per common share (“EPS”) is computed by dividing net income available to common stockholders by the weighted-average number of shares of common stock outstanding during the year.  All outstanding unvested share-based payment awards that contain rights to non-forfeitable dividends or dividend equivalents that participate in undistributed earnings with common stockholders are considered participating securities that shall be included in the two-class method of computing basic EPS. The guidance does not address awards that contain rights to forfeitable dividends.  Diluted EPS reflects the potential dilution that could occur from shares issuable through stock-based compensation, including stock options and restricted stock.  For additional information, see Note 18 – Earnings Per Share.

Income Taxes

Income Taxes

We were organized to qualify for taxation as a REIT under Section 856 through 860 of the Code.  As long as we qualify as a REIT; we will not be subject to Federal income taxes on the REIT taxable income that we distributed to stockholders, subject to certain exceptions.  In 2012, we paid common dividend payments of $182.2 million which satisfies the 2012 REIT requirements relating to qualifying income.  We are permitted to own up to 100% of a taxable REIT subsidiary (“TRS”).  Currently, we have one TRS that is taxable as a corporation and that pays federal, state and local income tax on its net income at the applicable corporate rates.  The loss carry forward of $1.1 million was fully reserved with a valuation allowance due to uncertainties regarding realization.  We record interest and penalty charges associated with tax matters as income tax.  For additional information on income taxes, see Note 11 – Taxes.  As of December 31, 2012, we did not have any unrecognized tax benefits.  We do not believe that there will be any material changes in our unrecognized tax positions over the next 12 months.  We are subject to examination by the respective taxing authorities for the tax years 2007 through 2012.

Stock-Based Compensation

Stock-Based Compensation

Stock-based compensation expense is adjusted for estimated forfeitures and is recognized on a straight-line basis over the requisite service period of the awards, see Note 14 – Stock-Based Compensation for additional details.

Risks and Uncertainties

Risks and Uncertainties

Our company is subject to certain risks and uncertainties affecting the healthcare industry as a result of healthcare legislation and growing regulation by federal, state and local governments. Additionally, we are subject to risks and uncertainties as a result of changes affecting operators of nursing home facilities due to the actions of governmental agencies and insurers to limit the growth in cost of healthcare services (see Note 7 – Concentration of Risk).

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SCHEDULE IV MORTGAGE LOANS ON REAL ESTATE

12 Months Ended

Dec. 31, 2012

Mortgage Loans On Real Estate [Abstract]

MORTGAGE LOANS ON REAL ESTATE

SCHEDULE IV MORTGAGE LOANS ON REAL ESTATE

OMEGA HEALTHCARE INVESTORS, INC.

December 31, 2012

Description (1)	Interest Rate	Final Maturity Date	Periodic Payment Terms	Prior Liens	Face Amount of Mortgages		Carrying Amount of Mortgages (3) (4)		Principal Amount of Loans Subject to Delinquent Principal or Interest
Florida (3 LTC facilities)	10.40%	2030	Interest payable monthly	None		15,900,000		15,896,641
Maryland (7 LTC facilities)	11.00%	2023	Interest payable monthly	None		74,927,751		69,927,759
Maryland (1 LTC facilities)	12.00%	2046	Interest payable monthly	None		10,000,000		10,000,000
Maryland (1 LTC facilities)	12.00%	2046	Interest payable monthly	None		9,500,000		9,500,000
Maryland (1 LTC facilities)	12.00%	2046	Interest payable monthly	None		5,500,000		5,500,000
Michigan (1 LTC facility)	12.50%	2022	Interest payable monthly	None		5,310,000		5,310,000
Michigan (1 LTC facility)	12.50%	2021	Interest payable monthly	None		5,573,500		5,573,500
Michigan (1 LTC facility)	12.50%	* See (2)	Interest payable monthly	None		7,411,231		7,411,231
Michigan (1 LTC facility)	12.50%	* See (2)	Interest payable monthly	None		4,340,209		4,340,209
Michigan (13 LTC facilities)	11.00%	2021	Interest plus $34,500 of principal payable monthly	None		92,000,000		91,585,884
Michigan (1 LTC facility)	12.00%	2046	Interest payable monthly	None		1,500,000		1,500,000
Ohio (1 LTC facility)	12.00%	2022	Interest plus $1,600 of principal payable monthly	None		6,112,406		6,100,330
	12.00%	2022	Interest payable monthly	None		345,011		345,011
	12.00%	2022	Interest payable monthly			630,596		630,596
Texas (1 LTC facility)	11.00%	2013	Interest payable monthly	None		5,000,000		5,000,000
					$	244,050,704		238,621,161

(1)  Mortgage loans included in this schedule represent first mortgages on facilities used in the delivery of long-term healthcare of which such facilities are located in the states indicated.

(2)  This loan is a construction loan and matures 10 years after construction is completed.

(3)  The aggregate cost for federal income tax purposes is equal to the carrying amount.

	Year Ended December 31,
(4)	2010			2011			2012
Balance at beginning of period	$	100,222,734		$	108,556,518		$	238,674,601
Additions during period - Placements		20,656,391			130,191,254			11,967,892
Deductions during period - collection of principal/other		(12,322,607	)		(73,171	)		(12,021,332	)
Balance at close of period	$	108,556,518		$	238,674,601		$	238,621,161

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CONSOLIDATING FINANCIAL STATEMENTS (Narrative) (Detail) (USD $)																12 Months Ended
	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2012 Non-guarantor subsidiaries	Dec. 31, 2011 Non-guarantor subsidiaries	Dec. 31, 2012 Guarantor subsidiaries	Dec. 31, 2011 Guarantor subsidiaries	Jun. 30, 2012 Unrestricted Subsidiaries Subsidiary	Jun. 29, 2010 CapitalSource Non-guarantor subsidiaries Subsidiary	Dec. 31, 2012 7% 2016 Notes	Dec. 31, 2011 7% 2016 Notes	Dec. 31, 2012 7.50% Notes due 2020	Dec. 31, 2011 7.50% Notes due 2020	Dec. 31, 2012 6.75% Notes due 2022	Dec. 31, 2011 6.75% Notes due 2022	Dec. 31, 2012 5.875% Notes due 2024	Dec. 31, 2012 HUD debt Non-guarantor subsidiaries Subsidiary	Dec. 31, 2011 HUD debt Non-guarantor subsidiaries Subsidiary
Condensed Financial Statements, Captions [Line Items]
Senior notes, principal amount										$ 175,000,000	$ 200,000,000		$ 575,000,000		$ 400,000,000
Rate on senior notes									7.00%	7.00%	7.50%	7.50%	6.75%	6.75%	5.875%
Number of subsidiaries acquired and designated as unrestricted								39								8	20
Principal payment for mortgage																4,000,000	2,600,000
Ownership percent of the subsidiary guarantors (in percent)																100.00%	100.00%
Total assets	2,982,005,000	2,557,312,000	597,896,000	477,292,000	2,547,719,000	2,199,584,000
Total asset for subsidiaries removed							$ 47,900,000
Number of subsidiaries removed							5

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PROPERTIES - 2011 Acquisitions (Narrative) (Detail 6) (USD $) In Millions, unless otherwise specified			3 Months Ended
	Dec. 31, 2012 State Property	Dec. 31, 2012 SNF's Property	Dec. 31, 2011 2011 Acquisitions Acquisition	Dec. 31, 2011 First Acquisition SNF's Property	Dec. 31, 2011 Second Acquisition State	Dec. 31, 2011 Second Acquisition SNF's Property	Dec. 23, 2011 Second Acquisition SNF's Property
Real Estate Properties [Line Items]
Number of acquisitions			2
Number of facilities owned	478	418		4		17	17
Number of states	34				5
Business combinations, total transaction costs			$ 1.2

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SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Narrative) (Detail)	12 Months Ended
	Dec. 31, 2012
Buildings and site improvements | Minimum
Property, Plant and Equipment [Line Items]
Estimated useful lives	20 years
Buildings and site improvements | Maximum
Property, Plant and Equipment [Line Items]
Estimated useful lives	40 years
Furniture, fixtures and equipment | Minimum
Property, Plant and Equipment [Line Items]
Estimated useful lives	3 years
Furniture, fixtures and equipment | Maximum
Property, Plant and Equipment [Line Items]
Estimated useful lives	10 years
Leasehold | Minimum
Property, Plant and Equipment [Line Items]
Estimated useful lives	5 years
Leasehold | Maximum
Property, Plant and Equipment [Line Items]
Estimated useful lives	15 years

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SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Tables)

12 Months Ended

Dec. 31, 2012

Accounting Policies [Abstract]

Schedule of summary of net receivables

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

	December 31,
	2012			2011
	(in thousands)
Contractual receivables	$	3,963		$	4,683
Effective yield interest receivables		3,576			1,341
Straight-line receivables		98,973			73,604
Lease inducements		19,307			22,677
Allowance		(639	)		(1,641	)
Accounts receivable – net	$	125,180		$	100,664

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PROPERTIES (Tables)

12 Months Ended

Dec. 31, 2012

Real Estate [Abstract]

Schedule of investment in leased real estate properties

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

	December 31,
	2012			2011
	(in thousands)
Buildings	$	2,580,400		$	2,157,015
Site improvement and equipment		213,471			184,503
Land		244,682			195,521
		3,038,553			2,537,039
Less accumulated depreciation		(580,373	)		(470,420	)
Total	$	2,458,180		$	2,066,619

Schedule of future minimum estimated contractual rents due for the remainder of the initial terms of the leases

The future minimum estimated contractual rents due for the remainder of the initial terms of the leases are as follows at December 31, 2012:

	(in thousands)
2013	$	338,520
2014		350,265
2015		355,798
2016		338,398
2017		342,487
Thereafter		1,793,621
Total	$	3,519,089

Schedule of amortization expense

As of December 31, 2012, we estimate the net impact to revenue of amortizing the assumed net in-place below market leases associated with the December 22, 2009 acquisition as follows (in millions):

1 year	1-3 years	3-5 years	Thereafter
$1.2	$2.1	$1.7	$1.8

As of December 31, 2012, we estimate the net impact to revenue of amortizing the assumed net in-place below market leases associated with the June 29, 2010 acquisition as follows (in millions):

1 year	1-3 years	3-5 years	Thereafter
$2.9	$5.1	$0.9	$1.7

As of December 31, 2012, we estimate the net impact to revenue of amortizing the assumed net in-place below market leases associated with the June 9, 2010 acquisition as follows:

1 year	1-3 years	3-5 years	Thereafter
$1.0	$2.4	$1.9	$2.5

Schedule of unaudited pro forma results of business acquisition

 The following pro forma information is not indicative of future operations.

	Pro Forma
	Year Ended December 31,
	2012		2011
	(in thousands, except per share amount, unaudited)
Revenues	$	393,484	$	366,344
Net income available to common stockholders		138,644		74,975
Earnings per share – diluted:
Net income available to common stockholders – as reported	$	1.12	$	0.46
Net income available to common stockholders – pro forma	$	1.28	$	0.73

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ORGANIZATION AND BASIS OF PRESENTATION

12 Months Ended

Dec. 31, 2012

Organization, Consolidation and Presentation Of Financial Statements [Abstract]

ORGANIZATION AND BASIS OF PRESENTATION

NOTE 1 - ORGANIZATION AND BASIS OF PRESENTATION

Organization

Omega Healthcare Investors, Inc. (“Omega” or the “Company”), a Maryland corporation, is a self-administered real estate investment trust (“REIT”).  From the date that we commenced operations in 1992, we have invested primarily in income-producing healthcare facilities, which include long-term care nursing homes, assisted living facilities, independent living facilities and rehabilitation hospitals.

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

Substantially all depreciation expenses reflected in the consolidated statements of operations relate to the ownership of our investment in real estate.  At December 31, 2012, we have investments in 478 healthcare facilities located throughout the United States, including two facilities that are currently held for sale.

Consolidation

Our consolidated financial statements include the accounts of (i) Omega, (ii) all direct and indirect wholly owned subsidiaries of Omega, and (iii) TC Healthcare, a variable interest entity (“VIE”) that we consolidate as the primary beneficiary.  All inter-company accounts and transactions have been eliminated in consolidation of the financial statements.

On July 7, 2008, through bankruptcy court proceedings, we took ownership and/or possession of 15 facilities which were previously operated by Haven Eldercare (“Haven”).  Prior to July 7, 2008, we had (i) leased eight facilities to Haven under a master lease agreement and (ii) provided mortgage financing to a Haven entity for seven facilities that we had previously consolidated according to accounting rules regarding variable interest entities then in place.  As a result of the bankruptcy court judgment, the mortgage on the seven facilities was retired in exchange for ownership of the facilities, and we were also awarded certain other operational assets of Haven.  In addition to receiving title to the seven facilities and certain other operational assets, on July 7, 2008, we assumed operating responsibility for the 15 Haven facilities.  In July 2008, a new entity (TC Healthcare) was formed to operate these properties on our behalf through the use of an independent contractor.  TC Healthcare’s managing member and sole voting member, an individual with experience in operating these types of facilities, has no equity investment at risk and is unrelated to Omega.  Omega and TC Healthcare entered into an agreement that required Omega to provide the working capital requirements for TC Healthcare and to absorb the operating losses of TC Healthcare.  The agreement also provided Omega with the right to receive the economic benefits of the entity.  TC Healthcare is a variable interest entity as the entity does not have sufficient equity investment at risk to support its operations without subordinated financial support.  Additionally, Omega has the power to direct the activities of TC Healthcare as Omega has the unilateral right to replace the shareholder.  Omega is deemed the primary beneficiary of TC Healthcare as Omega has the controlling economic interest in the entity and therefore, consolidated the operations of TC Healthcare.  On September 1, 2008, thirteen of these facilities were transitioned from TC Healthcare to a new tenant/operator.  The two remaining facilities were transitioned to the new tenant/operator on June 1, 2010 upon approval by state regulators of the operating license transfer and as of such date, TC healthcare no longer operates these facilities.

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OWNED AND OPERATED ASSETS (Tables)

12 Months Ended

Dec. 31, 2012

Real Estate Owned [Abstract]

Schedule of nursing home revenues and expenses

Nursing home revenues and expenses, included in our consolidated financial statements that relate to such owned and operated assets are set forth in the tables below.

	For Year Ended December 31,
	2012		2011 (2)			2010 (1)
	(in thousands)
Nursing home revenues	$	—	$	—		$	7,336
Nursing home expenses		—		653			7,998
Loss from nursing home operations	$	—	$	(653	)	$	(662	)

(1) 2010 includes revenues and expenses for two facilities from January 1, 2010 through May 31, 2010.

(2) 2011 expense relates to run-off expense associated with shutting down the operations.

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BORROWING ARRANGEMENTS - Unsecured Borrowings - $575 Million 6.75% Senior Notes due 2022 (Narrative) (Detail 6) (USD $)						12 Months Ended							12 Months Ended
	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2012 Non-Guarantor Subsidiaries	Dec. 31, 2011 Non-Guarantor Subsidiaries	Dec. 31, 2012 Initial 2022 Notes	Dec. 31, 2012 Unsecured Borrowings Initial 2022 Notes	Oct. 04, 2010 Unsecured Borrowings Initial 2022 Notes	Dec. 31, 2012 Unsecured Borrowings Initial 2022 Notes Non-Guarantor Subsidiaries	Dec. 31, 2012 Unsecured Borrowings Initial 2022 Notes Redemption during 12 month periods beginning on 15 th October 2015	Dec. 31, 2012 Unsecured Borrowings Initial 2022 Notes Redemption during 12 month periods beginning on 15 th october 2016	Dec. 31, 2012 Unsecured Borrowings Initial 2022 Notes Redemption during 12 month periods beginning on 15 th october 2017	Dec. 31, 2012 Unsecured Borrowings Initial 2022 Notes Redemption on or after 15 th october 2018	Dec. 31, 2012 Unsecured Borrowings Additional 2022 Notes	Nov. 23, 2010 Unsecured Borrowings Additional 2022 Notes	Dec. 31, 2012 Unsecured Borrowings Senior notes due, 2014	Jun. 02, 2011 Unsecured Borrowings Exchange notes	Oct. 20, 2010 Unsecured Borrowings Exchange notes
Borrowing Arrangements [Line Items]
Senior notes, principal amount					$ 575,000,000	$ 575,000,000	$ 225,000,000							$ 350,000,000	$ 310,000,000
Current Rate	10.00%					6.75%	6.75%							6.75%	7.00%
Redemption price percentage									103.375%	102.25%	101.125%	100.00%
Maximum percentage of redeemable notes						35.00%
Redemption price if redeemed in the first three years (in percent)						106.75%
Redemption price if the company undergoes change of control (in percent)						101.00%
Notes issued, issue price (in percent)						98.984%									103.00%
Proceeds of issuance of notes payable						223,000,000							364,000,000
Total assets	2,982,005,000	2,557,312,000	597,896,000	477,292,000				597,900,000
Notes issuable in exchange, face amount																$ 575,000,000	$ 200,000,000
Notes issuable in exchange, interest rate																6.75%	7.50%

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EARNINGS PER SHARE (Tables)

12 Months Ended

Dec. 31, 2012

Net Income Available To Common Per Share

Schedule of computation of basic and diluted earnings per share

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

	Year Ended December 31,
	2012		2011			2010
	(in thousands, except per share amounts)
Numerator:
Net income	$	120,698	$	52,606		$	58,436
Preferred stock dividends		-		(1,691	)		(9,086	)
Preferred stock redemption		-		(3,456	)		-
Numerator for net income available to common per share - basic and diluted	$	120,698	$	47,459		$	49,350
Denominator:
Denominator for basic earnings per share		107,591		102,119			94,056
Effect of dilutive securities:
Restricted stock		401		45			171
Stock option incremental shares		-		-			3
Deferred stock		19		13			7
Denominator for diluted earnings per share		108,011		102,177			94,237

Earnings per share - basic:
Net income - basic	$	1.12	$	0.46	$	0.52
Earnings per share - diluted:
Net income - diluted	$	1.12	$	0.46	$	0.52

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PROPERTIES - 2012 Acquisitions - Indiana Acquisitions (Narrative) (Detail 3) (USD $) In Millions, unless otherwise specified	Dec. 31, 2012 Property Operator	Dec. 31, 2012 SNF's Property	Dec. 31, 2012 ALFs Property	Dec. 31, 2012 Indiana Acquisitions Property Operator	Dec. 31, 2012 Indiana Acquisitions Transaction 1	Jun. 29, 2012 Indiana Acquisitions Transaction 1 Bed	Jun. 29, 2012 Indiana Acquisitions Transaction 1 SNF's Property	Dec. 31, 2012 Indiana Acquisitions Transaction 1 Land	Dec. 31, 2012 Indiana Acquisitions Transaction 1 Buildings and site improvements	Dec. 31, 2012 Indiana Acquisitions Transaction 1 Furniture and fixtures	Dec. 31, 2012 Indiana Acquisitions Transaction 2	Jun. 29, 2012 Indiana Acquisitions Transaction 2 Property Bed	Dec. 31, 2012 Indiana Acquisitions Transaction 2 Land	Dec. 31, 2012 Indiana Acquisitions Transaction 2 Buildings and site improvements	Dec. 31, 2012 Indiana Acquisitions Transaction 2 Furniture and fixtures	Dec. 31, 2012 Indiana Acquisitions Transaction 3	Aug. 31, 2012 Indiana Acquisitions Transaction 3 Property Bed	Aug. 31, 2012 Indiana Acquisitions Transaction 3 SNF's Property	Aug. 31, 2012 Indiana Acquisitions Transaction 3 ALFs Property	Aug. 31, 2012 Indiana Acquisitions Transaction 3 Independent Living Facilities Property	Dec. 31, 2012 Indiana Acquisitions Transaction 3 Land	Dec. 31, 2012 Indiana Acquisitions Transaction 3 Buildings and site improvements	Dec. 31, 2012 Indiana Acquisitions Transaction 3 Furniture and fixtures	Dec. 31, 2012 Indiana Acquisitions Transaction 4 Bed	Dec. 31, 2012 Indiana Acquisitions Transaction 4 SNF's Property	Dec. 31, 2012 Indiana Acquisitions Transaction 4 Land	Dec. 31, 2012 Indiana Acquisitions Transaction 4 Buildings and site improvements	Dec. 31, 2012 Indiana Acquisitions Transaction 4 Furniture and fixtures
Real Estate Properties [Line Items]
Number of facilities owned	478	418	16	34			1					4					27	17	4	6					2
Number of operators	46			2
Number of operating beds						80						383					2,892							167
Business acquisition, purchase price						$ 3.4						$ 21.7												$ 9.5
Business acquisition purchase price allocation					3.4			0.2	2.9	0.3	21.7		1.9	18.4	1.4	219.7					16.1	189.2	14.4	9.5		0.6	8.0	0.9
Cash paid for acquisition																	203.0
Business acquisition, purchase price allocation, liabilities assumed																	13.9
Business acquisition, purchase price allocation, land																	$ 2.8

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CONCENTRATION OF RISK (Narrative) (Detail) (USD $)	3 Months Ended								12 Months Ended
	Dec. 31, 2012 Property Operator Facility State	Sep. 30, 2012	Jun. 30, 2012	Mar. 31, 2012	Dec. 31, 2011	Sep. 30, 2011	Jun. 30, 2011	Mar. 31, 2011	Dec. 31, 2012 Property Operator Facility State	Dec. 31, 2011	Dec. 31, 2010
Concentration Risk [Line Items]
Number of facilities owned	478								478
Number of states	34								34
Number of operators	46								46
Gross investment in facilities, net of impairments and before reserve for uncollectible loans	$ 3,300,000,000								$ 3,300,000,000
Percentage share of real estate investments related to long-term care facilities	99.00%								99.00%
Number of held-for-sale facilities	2								2
Number of facilities under fixed rate mortgage loan	10								10
Miscellaneous investments, net	47,339,000				52,957,000				47,339,000	52,957,000
Operated, concentration percent for separate disclosure	10.00%								10.00%
Operated, concentration number	2								2
Operated, concentration percent	9.00%								9.00%
Revenues from operations	95,012,000	87,108,000	83,825,000	84,515,000	76,304,000	72,818,000	72,606,000	70,476,000	350,460,000	292,204,000	258,321,000
Florida
Concentration Risk [Line Items]
Concentration percent by state	18.00%								18.00%
Ohio
Concentration Risk [Line Items]
Concentration percent by state	11.00%								11.00%
Indiana
Concentration Risk [Line Items]
Concentration percent by state	10.00%								10.00%
CommuniCare
Concentration Risk [Line Items]
Operated, concentration percent	10.00%								10.00%
Revenues from operations									44,200,000
Revenues from operations, percentage									13.00%
Genesis Healthcare
Concentration Risk [Line Items]
Operated, concentration percent	11.00%								11.00%
Revenues from operations									$ 44,500,000
Revenues from operations, percentage									13.00%
SNF's
Concentration Risk [Line Items]
Number of facilities owned	418								418
Number of held-for-sale facilities	2								2
Number of facilities under fixed rate mortgage loan	31								31
ALFs
Concentration Risk [Line Items]
Number of facilities owned	16								16
Specialty facilities
Concentration Risk [Line Items]
Number of facilities owned	11								11

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CONSOLIDATED BALANCE SHEETS (USD $) In Thousands, unless otherwise specified	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010	Dec. 31, 2009
Real estate properties
Land and buildings	$ 3,038,553	$ 2,537,039
Less accumulated depreciation	(580,373)	(470,420)
Real estate properties - net	2,458,180	2,066,619
Mortgage notes receivable - net	238,621	238,675
Real estate properties, total	2,696,801	2,305,294
Other investments - net	47,339	52,957
Total investments held, continuing operations	2,744,140	2,358,251
Assets held for sale - net	1,020	2,461
Total investments	2,745,160	2,360,712
Cash and cash equivalents	1,711	351	6,921	2,170
Restricted cash	36,660	34,112
Accounts receivable - net	125,180	100,664
Other assets	73,294	61,473
Total assets	2,982,005	2,557,312
LIABILITIES AND STOCKHOLDERS' EQUITY
Revolving line of credit	258,000	272,500
Secured borrowings	366,538	303,610
Unsecured borrowings - net	1,200,394	975,290
Accrued expenses and other liabilities	145,744	127,428
Total liabilities	1,970,676	1,678,828
Stockholders' equity:
Common stock $.10 par value authorized - 200,000 shares issued and outstanding - 112,393 shares as of December 31, 2012 and 103,410 as of December 31, 2011	11,239	10,341
Common stock - additional paid-in-capital	1,664,855	1,471,381
Cumulative net earnings	754,128	633,430
Cumulative dividends paid	(1,418,893)	(1,236,668)
Total stockholders' equity	1,011,329	878,484	1,004,066	865,227
Total liabilities and stockholders' equity	$ 2,982,005	$ 2,557,312

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SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Narrative) (Detail 1) (USD $)	12 Months Ended
	Dec. 31, 2012 Parcel Property Entity	Dec. 31, 2011	Dec. 31, 2010
Accounting Policies [Abstract]
Recognized impairment losses	$ 300,000	$ 26,300,000	$ 200,000
Loan loss reserves	2,000,000	2,000,000
Provision for loan loss		2,300,000
Provisions for uncollectible accounts receivable		6,439,000
Amortization of financing costs	2,649,000	2,674,000	3,780,000
Annual percentage increases over the rents of the prior year, maximum	3.00%
Annual percentage increases over the rents of the prior year, minimum	2.00%
Number of held-for-sale facilities	2
Number of parcels of land held-for-sale	1
Assets held for sale - net	1,020,000	2,461,000
Preferred and common dividend payments	182,190,000	161,893,000	138,883,000
Permitted ownership of a taxable REIT subsidiary ("TRS"), maximum percentage	100.00%
Loss carried forward	$ 1,100,000	$ 1,100,000
Number of taxable REIT subsidiaries	1

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SUMMARY OF QUARTERLY RESULTS (UNAUDITED) (Detail) (USD $) In Thousands, except Per Share data, unless otherwise specified	3 Months Ended								12 Months Ended
	Dec. 31, 2012	Sep. 30, 2012	Jun. 30, 2012	Mar. 31, 2012	Dec. 31, 2011	Sep. 30, 2011	Jun. 30, 2011	Mar. 31, 2011	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010
Quarterly Financial Information Disclosure [Abstract]
Revenues	$ 95,012	$ 87,108	$ 83,825	$ 84,515	$ 76,304	$ 72,818	$ 72,606	$ 70,476	$ 350,460	$ 292,204	$ 258,321
Net (loss) income	33,923	30,119	30,572	26,084	19,293	21,436	17,790	(5,913)	120,698	52,606	58,436
Net (loss) income available to common stockholders	$ 33,923	$ 30,119	$ 30,572	$ 26,084	$ 19,293	$ 21,436	$ 17,806	$ (11,076)	$ 120,698	$ 47,459	$ 49,350
Net income available to common per share:
Basic net (loss) income	$ 0.30	$ 0.28	$ 0.29	$ 0.25	$ 0.19	$ 0.21	$ 0.17	$ (0.11)	$ 1.12	$ 0.46	$ 0.52
Diluted net (loss) income	$ 0.30	$ 0.27	$ 0.29	$ 0.25	$ 0.19	$ 0.21	$ 0.17	$ (0.11)	$ 1.12	$ 0.46	$ 0.52
Cash dividends paid on common stock	$ 0.44	$ 0.42	$ 0.42	$ 0.41	$ 0.40	$ 0.40	$ 0.38	$ 0.37	$ 1.69	$ 1.55	$ 1.37

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CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY (Parentheticals) (USD $)	12 Months Ended
	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010
Balance (in shares)	103,410,000	99,233,000	88,266,000
Grant of restricted stock (in shares)		13,000	13,000
Grant of restricted stock (in dollars per share)		$ 22.00	$ 20.00
Vesting of restricted stock, granted shares		68,000	112,000
Dividend reinvestment and stock purchase plan, shares	5,063,000	2,853,000	2,961,000
Dividend reinvestment plan (in dollars per share)	$ 22.11	$ 20.78	$ 20.45
Exercised options, shares			15,000
Exercised options per share			$ 6.12
Grant of stock as payment of directors fees (in shares)	9,000	8,000	7,000
Grant of stock as payment of directors fees (in dollars per share)	$ 22.17	$ 19.43	$ 20.07
Equity Shelf Program (in shares)	3,398,000	1,419,000	6,865,000
Equity Shelf Program, (in dollars per share)	$ 23.47	$ 22.61	$ 20.74
Issuance of common stock for acquisitions, shares			995,000
Issuance of common stock for acquisitions, (in dollars per share)			$ 19.80
Common stock repurchase, shares		183,000
Common stock repurchase, purchase price per share		$ 15.96
Common dividends, (in dollars per share)	$ 1.69	$ 1.55	$ 1.37
Preferred dividends paid (in dollars per share)		$ 0.74	$ 2.09
Balance (in shares)	112,393,000	103,410,000	99,233,000
Executives
Grant of restricted stock (in shares)	428,000
Vesting of restricted stock, granted shares	72,000
Directors
Grant of restricted stock (in shares)	13,000
Grant of restricted stock (in dollars per share)	$ 20.29

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DIVIDENDS (Narrative) (Detail) (USD $)	1 Months Ended			0 Months Ended
	Oct. 17, 2012	Jul. 17, 2012	Apr. 17, 2012	Jan. 13, 2012	Jan. 16, 2013 Subsequent Event
Dividends [Line Items]
Common stock dividend declared, per share	$ 0.44	$ 0.42	$ 0.42	$ 0.41	$ 0.45
Increase in quarterly common dividend, per share	$ 0.02		$ 0.01	$ 0.01	$ 0.01
Increase in quarterly common dividend, percent share	4.80%
Dividends declared, date of declaration	Oct. 17, 2012	Jul. 17, 2012	Apr. 17, 2012	Jan. 13, 2012	Jan. 16, 2013
Dividends declared, date of payment	Nov. 15, 2012	Aug. 15, 2012	May 15, 2012	Feb. 15, 2012	Feb. 15, 2013
Dividends declared, date of record	Oct. 31, 2012	Jul. 31, 2012	Apr. 30, 2012	Jan. 31, 2012	Jan. 31, 2013

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PROPERTIES - 2009 - 2010 Acquisitions - 143 Facility CapitalSource Acquisitions - First Closing (Narrative) (Detail 9) (USD $) In Millions, except Share data, unless otherwise specified	12 Months Ended							1 Months Ended	12 Months Ended						1 Months Ended
	Dec. 31, 2010	Dec. 31, 2012 Operator State	Jun. 29, 2010 143 Facility CapitalSource Acquisitions Property	Dec. 22, 2009 143 Facility CapitalSource Acquisitions Property	Jun. 09, 2010 143 Facility CapitalSource Acquisitions Long-term care facilities Property	Dec. 22, 2009 143 Facility CapitalSource Acquisitions Long-term care facilities Property	Nov. 30, 2009 143 Facility CapitalSource Acquisitions Long-term care facilities Property	Dec. 22, 2009 143 Facility CapitalSource Acquisitions First Closing Operator State Contract Property Bed	Dec. 31, 2012 143 Facility CapitalSource Acquisitions First Closing	Dec. 31, 2011 143 Facility CapitalSource Acquisitions First Closing	Dec. 31, 2010 143 Facility CapitalSource Acquisitions First Closing	Dec. 31, 2010 143 Facility CapitalSource Acquisitions First Closing Land	Dec. 31, 2010 143 Facility CapitalSource Acquisitions First Closing Buildings and Site Improvements	Dec. 31, 2010 143 Facility CapitalSource Acquisitions First Closing Furniture and fixtures	Dec. 22, 2009 143 Facility CapitalSource Acquisitions First Closing Long-term care facilities Property	Dec. 31, 2011 143 Facility CapitalSource Acquisitions First Closing Long-term care facilities
Real Estate Properties [Line Items]
Number of facilities under agreements to purchase			40	40			80	40							40
Number of facilities under option to purchase					63	63	63								63
Business acquisition, purchase price															$ 271.4
Option to purchase subsidiaries															25.0
Cash paid for acquisition															184.2
Issuance of common stock for acquisitions, shares	995,000														2,714,959
Common stock issued for acquisition, value															52.8
Assumption of debt indebtedness for acquisition																59.4
Interest rate of assumed debt																6.80%
Number of operating beds								5,264
Number of states		34						12
Number of in-place triple net leases								15
Number of operators		46						12
Annualized lease revenue								31
Business acquisition purchase price allocation											282.0	22.5	241.9	17.6
Business acquisition purchase price allocation to in-place below market leases assumed								19.8
Business acquisition purchase price allocation to in-place above market leases assumed								9.5
Net amortization of below market leases									$ 1.2	$ 1.3	$ 1.4

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CONSOLIDATING FINANCIAL STATEMENTS (Detail 1) (USD $) In Thousands, unless otherwise specified	3 Months Ended								12 Months Ended
	Dec. 31, 2012	Sep. 30, 2012	Jun. 30, 2012	Mar. 31, 2012	Dec. 31, 2011	Sep. 30, 2011	Jun. 30, 2011	Mar. 31, 2011	Dec. 31, 2012	Dec. 31, 2011		Dec. 31, 2010
Revenues
Rental income									$ 314,592	$ 273,517		$ 232,772
Mortgage interest income									30,446	16,274		10,391
Other investment income - net									4,760	2,070		3,936
Miscellaneous									662	343		3,886
Nursing home revenues												7,336	[1]
Total operating revenues	95,012	87,108	83,825	84,515	76,304	72,818	72,606	70,476	350,460	292,204		258,321
Expenses
Depreciation and amortization									112,983	100,337		84,623
General and administrative									21,330	19,432		15,054
Acquisition costs									909	1,204		1,554
Impairment on real estate properties									272	26,344		155
Provisions for uncollectible accounts receivable										6,439
Nursing home expenses of owned and operated assets										653	[2]	7,998	[1]
Total operating expenses									135,494	154,409		109,384
Income before other income and expense									214,966	137,795		148,937
Other income (expense)
Interest income									29	40		105
Interest expense									(95,527)	(81,154)		(67,340)
Interest - amortization of deferred financing costs									(2,649)	(2,674)		(3,780)
Interest - refinancing costs									(7,920)	(3,071)		(19,482)
Equity in earnings
Total other expense									(106,067)	(86,859)		(90,497)
Income before gain (loss) on assets sold									108,899	50,936		58,440
Gain (loss) on assets sold - net									11,799	1,670		(4)
Net income	33,923	30,119	30,572	26,084	19,293	21,436	17,790	(5,913)	120,698	52,606		58,436
Preferred stock dividends										(1,691)		(9,086)
Preferred stock redemption										(3,456)
Net income available to common	33,923	30,119	30,572	26,084	19,293	21,436	17,806	(11,076)	120,698	47,459		49,350
Issuer & Subsidiary Guarantors
Revenues
Rental income									266,213	239,077		215,992
Mortgage interest income									30,446	16,274		10,391
Other investment income - net									4,760	2,070		3,936
Miscellaneous									662	343		3,886
Nursing home revenues												7,336
Total operating revenues									302,081	257,764		241,541
Expenses
Depreciation and amortization									91,672	84,568		76,553
General and administrative									20,913	19,138		14,744
Acquisition costs									909	1,204		1,554
Impairment on real estate properties									272	26,344		155
Provisions for uncollectible accounts receivable										6,439
Nursing home expenses of owned and operated assets										653		7,998
Total operating expenses									113,766	138,346		101,004
Income before other income and expense									188,315	119,418		140,537
Other income (expense)
Interest income									2	15		86
Interest expense									(79,644)	(69,881)		(61,449)
Interest - amortization of deferred financing costs									(2,649)	(2,674)		(3,780)
Interest - refinancing costs									(7,920)	(3,071)		(19,482)
Equity in earnings									10,795	7,129		2,528
Total other expense									(79,416)	(68,482)		(82,097)
Income before gain (loss) on assets sold									108,899	50,936		58,440
Gain (loss) on assets sold - net									11,799	1,670		(4)
Net income										52,606		58,436
Preferred stock dividends										(1,691)		(9,086)
Preferred stock redemption										(3,456)
Net income available to common									120,698	47,459		49,350
Non-guarantor subsidiaries
Revenues
Rental income									48,379	34,440		16,780
Mortgage interest income
Other investment income - net
Miscellaneous
Nursing home revenues
Total operating revenues									48,379	34,440		16,780
Expenses
Depreciation and amortization									21,311	15,769		8,070
General and administrative									417	294		310
Acquisition costs
Impairment on real estate properties
Provisions for uncollectible accounts receivable
Nursing home expenses of owned and operated assets
Total operating expenses									21,728	16,063		8,380
Income before other income and expense									26,651	18,377		8,400
Other income (expense)
Interest income									27	25		19
Interest expense									(15,883)	(11,273)		(5,891)
Interest - amortization of deferred financing costs
Interest - refinancing costs
Equity in earnings
Total other expense									(15,856)	(11,248)		(5,872)
Income before gain (loss) on assets sold									10,795	7,129		2,528
Gain (loss) on assets sold - net
Net income										7,129		2,528
Preferred stock dividends
Preferred stock redemption
Net income available to common									10,795	7,129		2,528
Elimination Company
Revenues
Rental income
Mortgage interest income
Other investment income - net
Miscellaneous
Nursing home revenues
Total operating revenues
Expenses
Depreciation and amortization
General and administrative
Acquisition costs
Impairment on real estate properties
Provisions for uncollectible accounts receivable
Nursing home expenses of owned and operated assets
Total operating expenses
Income before other income and expense
Other income (expense)
Interest income
Interest expense
Interest - amortization of deferred financing costs
Interest - refinancing costs
Equity in earnings									(10,795)	(7,129)		(2,528)
Total other expense									(10,795)	(7,129)		(2,528)
Income before gain (loss) on assets sold									(10,795)	(7,129)		(2,528)
Gain (loss) on assets sold - net
Net income										(7,129)		(2,528)
Preferred stock dividends
Preferred stock redemption
Net income available to common									$ (10,795)	$ (7,129)		$ (2,528)

[1] 2010 includes revenues and expenses for two facilities from January 1, 2010 through May 31, 2010.

[2] 2011 expense relates to run-off expense associated with shutting down the operations.

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BORROWING ARRANGEMENTS (Tables)

12 Months Ended

Dec. 31, 2012

Debt Disclosure [Abstract]

Schedule of long-term borrowings

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

		Current		December 31,
	Maturity	Rate		2012		2011
				(in thousands)
Secured borrowings:
HUD Berkadia mortgages assumed June 2010 (1)	2036 - 2040	6.61	%	$	62,921	$	64,533
HUD Capital Funding mortgages assumed June 2010 (1)	2040 - 2045	4.85	%		130,887		133,061
HUD mortgages assumed October 2011 (1)	2036 - 2040	4.87	%		31,991		32,813
HUD mortgages assumed December 2011(1)	2044	5.55	%		58,884		73,203
HUD mortgages assumed December 2012(1)	2031 - 2045	5.50	%		81,855		—
Total secured borrowings					366,538		303,610
Unsecured borrowings:
Revolving line of credit	2016 - 2017	1.81	%	$	258,000	$	272,500
2016 Notes	2016	7.00	%		—		175,000
2020 Notes	2020	7.50	%		200,000		200,000
2022 Notes	2022	6.75	%		575,000		575,000
2024 Notes	2024	5.875	%		400,000		—
Subordinated debt	2021	9.00	%		21,049		21,219
					1,196,049		971,219
Premium - net					4,345		4,071
Total unsecured borrowings					1,458,394		1,247,790
Totals – net				$	1,824,932	$	1,551,400

(1) Reflects the weighted average interest rate on the mortgages.

Schedule of maturities of long-term debt

The required principal payments, excluding the premium/discount on the 2024, 2022 and 2020 Notes, for each of the five years following December 31, 2012 and the aggregate due thereafter are set forth below:

	(in thousands)
2013	$	5,251
2014		5,540
2015		5,845
2016		164,168
2017		106,509
Thereafter		1,501,398
Totals	$	1,788,711

Schedule of refinancing related costs

The following summarizes the refinancing related costs:

	Year Ended December 31,
	2012		2011		2010
	(in thousands)
Write off of deferred finance cost due to refinancing (1) (2)(3)	$	3,024	$	3,055	$	8,231
Prepayment and other costs associated with refinancing (4)		4,896		16		11,251
Total debt extinguishment costs	$	7,920	$	3,071	$	19,482

(1) In 2012, we wrote-off: (a) $2.2 million deferred financing costs associated with the tender offer and redemption of our $175 million 7% 2016 Notes; and (b) $2.5 million deferred financing costs associated with the termination of our $475 million 2011 Credit Facility.  These costs were offset by a $1.7 million gain resulting from the write-off of unamortized premium on the four HUD loans that were paid off in the second quarter of 2012.

(2) In 2011, we terminated our $320 million 2010 Credit Facility and wrote-off deferred financing costs of $3.1 million.

(3) In 2010, we wrote-off: (a) $3.5 million associated with the termination of our $200 million 2009 Credit Facility, (b) $2.2 million associated with the termination of a $100 million GECC term loan and (c) $2.6 million associated with the tender offer and retirement of our outstanding $310 million 7% Senior Notes due 2014.

(4) In 2012, we incurred $4.9 million prepayment penalties and other costs associated with the tender offer and redemption of our $175 million 7% 2016 Notes.  In 2010, we made prepayment penalties of: (a) $3.0 million for the early termination of a $100 million GECC term loan and (b) $8.3 million for the tender offer and retirement of our outstanding $310 million 7% Senior Notes due 2014.

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OWNED AND OPERATED ASSETS (Detail) (USD $) In Thousands, unless otherwise specified	12 Months Ended
	Dec. 31, 2012	Dec. 31, 2011		Dec. 31, 2010
Real Estate Owned [Abstract]
Nursing home revenues				$ 7,336	[1]
Nursing home expenses		653	[2]	7,998	[1]
Loss from nursing home operations		$ (653)	[2]	$ (662)	[1]

[1] 2010 includes revenues and expenses for two facilities from January 1, 2010 through May 31, 2010.

[2] 2011 expense relates to run-off expense associated with shutting down the operations.

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DIVIDENDS

12 Months Ended

Dec. 31, 2012

Dividends [Abstract]

DIVIDENDS

NOTE 15 - DIVIDENDS

Common Dividends

On January 16, 2013, the Board of Directors declared a common stock dividend of $0.45 per share, increasing the quarterly common dividend by $0.01 per share over the prior quarter, which was paid February 15, 2013 to common stockholders of record on January 31, 2013.

On October 17, 2012, the Board of Directors declared a common stock dividend of $0.44 per share, increasing the quarterly common dividend by $0.02 per share, or 4.8% over the previous quarter, which was paid November 15, 2012 to common stockholders of record on October 31, 2012.

On July 17, 2012, the Board of Directors declared a common stock dividend of $0.42 per share, which was paid August 15, 2012 to common stockholders of record on July 31, 2012.

On April 17, 2012, the Board of Directors declared a common stock dividend of $0.42 per share, increasing the quarterly common dividend by $0.01 per share over the prior quarter, which was paid May 15, 2012 to common stockholders of record on April 30, 2012.

On January 13, 2012, the Board of Directors declared a common stock dividend of $0.41 per share, increasing the quarterly common dividend by $0.01 per share over the prior quarter, which was paid February 15, 2012 to common stockholders of record on January 31, 2012.

Per Share Distributions

Per share distributions by our company were characterized in the following manner for income tax purposes (unaudited):

	Year Ended December 31,
	2012		2011		2010
Common
Ordinary income	$	0.884	$	0.989	$	0.777
Return of capital		0.806		0.561		0.593
Long-term capital gain		—		—		—
Total dividends paid	$	1.690	$	1.550	$	1.370
Series D Preferred
Ordinary income	$	—	$	0.739	$	2.094
Return of capital		—		—		—
Long-term capital gain		—		—		—
Total dividends paid	$	—	$	0.739	$	2.094

For additional information regarding dividends, see Note 9 – Borrowing Arrangements and Note 11 – Taxes.

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FINANCIAL INSTRUMENTS (Tables)

12 Months Ended

Dec. 31, 2012

Fair Value Disclosures [Abstract]

Schedule of the carrying amounts and fair values of financial instruments

At December 31, 2012 and 2011, the carrying amounts and fair values of our financial instruments were as follows:

	2012				2011
	Carrying Amount		Fair Value		Carrying Amount		Fair Value
	(in thousands)
Assets:
Cash and cash equivalents	$	1,711	$	1,711	$	351	$	351
Restricted cash		36,660		36,660		34,112		34,112
Mortgage notes receivable – net		238,621		235,705		238,675		241,494
Other investments – net		47,339		44,077		52,957		48,903
Totals	$	324,331	$	318,153	$	326,095	$	324,860
Liabilities:
Revolving line of credit	$	258,000	$	258,000	$	272,500	$	272,500
7.00% Notes due 2016 – net		—		—		174,376		186,398
7.50% Notes due 2020 – net		197,546		252,363		197,202		216,114
6.75% Notes due 2022 – net		581,799		724,240		582,493		582,684
5.875% Notes due 2024 – net		400,000		441,761		—		—
HUD debt		366,538		433,803		303,610		321,949
Subordinated debt		21,049		27,896		21,219		23,198
Totals	$	1,824,932	$	2,138,063	$	1,551,400	$	1,602,843

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CONSOLIDATING FINANCIAL STATEMENTS (Detail) (USD $) In Thousands, unless otherwise specified	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010	Dec. 31, 2009
Real estate properties
Land and buildings	$ 3,038,553	$ 2,537,039
Less accumulated depreciation	(580,373)	(470,420)
Real estate properties - net	2,458,180	2,066,619
Mortgage notes receivable - net	238,621	238,675
Real estate properties, total	2,696,801	2,305,294
Other investments - net	47,339	52,957
Total investments held, continuing operations	2,744,140	2,358,251
Assets held for sale - net	1,020	2,461
Total investments	2,745,160	2,360,712
Cash and cash equivalents	1,711	351	6,921	2,170
Restricted cash	36,660	34,112
Accounts receivable - net	125,180	100,664
Investment in affiliates
Other assets	73,294	61,473
Total assets	2,982,005	2,557,312
LIABILITIES AND STOCKHOLDERS' EQUITY
Revolving line of credit	258,000	272,500
Secured borrowings	366,538	303,610
Unsecured borrowings - net	1,200,394	975,290
Accrued expenses and other liabilities	145,744	127,428
Total liabilities	1,970,676	1,678,828
Stockholders' equity:
Common stock	11,239	10,341
Common stock - additional paid-in-capital	1,664,855	1,471,381
Cumulative net earnings	754,128	633,430
Cumulative dividends paid	(1,418,893)	(1,236,668)
Total stockholders' equity	1,011,329	878,484	1,004,066	865,227
Total liabilities and stockholders' equity	2,982,005	2,557,312
Issuer & Subsidiary Guarantors
Real estate properties
Land and buildings	2,466,866	2,095,441
Less accumulated depreciation	(535,223)	(446,581)
Real estate properties - net	1,931,643	1,648,860
Mortgage notes receivable - net	238,621	238,675
Real estate properties, total	2,170,264	1,887,535
Other investments - net	47,339	52,957
Total investments held, continuing operations	2,217,603	1,940,492
Assets held for sale - net	1,020	2,461
Total investments	2,218,623	1,942,953
Cash and cash equivalents	1,711	351
Restricted cash	7,078	6,511
Accounts receivable - net	118,473	97,407
Investment in affiliates	163,610	119,564
Other assets	38,224	32,798
Total assets	2,547,719	2,199,584
LIABILITIES AND STOCKHOLDERS' EQUITY
Revolving line of credit	258,000	272,500
Secured borrowings		13,652
Unsecured borrowings - net	1,179,345	954,071
Accrued expenses and other liabilities	99,045	80,877
Intercompany payable
Total liabilities	1,536,390	1,321,100
Stockholders' equity:
Common stock	11,239	10,341
Common stock - additional paid-in-capital	1,664,855	1,471,381
Cumulative net earnings	754,128	633,430
Cumulative dividends paid	(1,418,893)	(1,236,668)
Total stockholders' equity	1,011,329	878,484
Total liabilities and stockholders' equity	2,547,719	2,199,584
Non-guarantor subsidiaries
Real estate properties
Land and buildings	571,687	441,598
Less accumulated depreciation	(45,150)	(23,839)
Real estate properties - net	526,537	417,759
Mortgage notes receivable - net
Real estate properties, total	526,537	417,759
Other investments - net
Total investments held, continuing operations	526,537	417,759
Assets held for sale - net
Total investments	526,537	417,759
Cash and cash equivalents
Restricted cash	29,582	27,601
Accounts receivable - net	6,707	3,257
Investment in affiliates
Other assets	35,070	28,675
Total assets	597,896	477,292
LIABILITIES AND STOCKHOLDERS' EQUITY
Revolving line of credit
Secured borrowings	366,538	289,958
Unsecured borrowings - net	21,049	21,219
Accrued expenses and other liabilities	46,699	46,551
Intercompany payable	143,158	109,907
Total liabilities	577,444	467,635
Stockholders' equity:
Common stock
Common stock - additional paid-in-capital
Cumulative net earnings	20,452	9,657
Cumulative dividends paid
Total stockholders' equity	20,452	9,657
Total liabilities and stockholders' equity	597,896	477,292
Elimination Company
Real estate properties
Land and buildings
Less accumulated depreciation
Real estate properties - net
Mortgage notes receivable - net
Real estate properties, total
Other investments - net
Total investments held, continuing operations
Assets held for sale - net
Total investments
Cash and cash equivalents
Restricted cash
Accounts receivable - net
Investment in affiliates	(163,610)	(119,564)
Other assets
Total assets	(163,610)	(119,564)
LIABILITIES AND STOCKHOLDERS' EQUITY
Revolving line of credit
Secured borrowings
Unsecured borrowings - net
Accrued expenses and other liabilities
Intercompany payable	(143,158)	(109,907)
Total liabilities	(143,158)	(109,907)
Stockholders' equity:
Common stock
Common stock - additional paid-in-capital
Cumulative net earnings	(20,452)	(9,657)
Cumulative dividends paid
Total stockholders' equity	(20,452)	(9,657)
Total liabilities and stockholders' equity	$ (163,610)	$ (119,564)

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SUMMARY OF QUARTERLY RESULTS (UNAUDITED)

12 Months Ended

Dec. 31, 2012

Quarterly Financial Information Disclosure [Abstract]

SUMMARY OF QUARTERLY RESULTS (UNAUDITED)

NOTE 17 - SUMMARY OF QUARTERLY RESULTS (UNAUDITED)

The following summarizes quarterly results of operations for the years ended December 31, 2012 and 2011.

	March 31			June 30		September 30		December 31
	(in thousands, except per share amounts)
2012
Revenues	$	84,515		$	83,825	$	87,108	$	95,012
Net income		26,084			30,572		30,119		33,923
Net income available to common stockholders		26,084			30,572		30,119		33,923
Net income available to common per share:
Basic net income	$	0.25		$	0.29	$	0.28	$	0.30
Diluted net income	$	0.25		$	0.29	$	0.27	$	0.30
Cash dividends paid on common stock	$	0.41		$	0.42	$	0.42	$	0.44
2011
Revenues	$	70,476		$	72,606	$	72,818	$	76,304
Net (loss) income		(5,913	)		17,790		21,436		19,293
Net (loss) income available to common stockholders		(11,076	)		17,806		21,436		19,293
Net income available to common per share:
Basic net (loss) income	$	(0.11	)	$	0.17	$	0.21	$	0.19
Diluted net (loss) income	$	(0.11	)	$	0.17	$	0.21	$	0.19
Cash dividends paid on common stock	$	0.37		$	0.38	$	0.40	$	0.40

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MORTGAGE NOTES RECEIVABLE - 2012 Mortgage Note Activity (Narrative) (Detail) (USD $)					1 Months Ended					1 Months Ended		0 Months Ended		1 Months Ended
	Dec. 31, 2012		Dec. 31, 2011		Jul. 31, 2012 2012 Mortgage Note Activity Two Construction Mortgage Notes Construction mortgage on a facility currently under construction Michigan	Oct. 31, 2011 2012 Mortgage Note Activity Two Construction Mortgage Notes Construction mortgage on a facility currently under construction Michigan	Dec. 31, 2012 2012 Mortgage Note Activity Two Construction Mortgage Notes Construction mortgage on a facility currently under construction Michigan	Jul. 31, 2012 2012 Mortgage Note Activity Two Construction Mortgage Notes Construction mortgage on a facility currently under construction Michigan SNF's Bed	Oct. 31, 2011 2012 Mortgage Note Activity Two Construction Mortgage Notes Construction mortgage on a facility currently under construction Michigan SNF's Bed	Sep. 30, 2011 2012 Mortgage Note Activity Mortgage Note due 2021 Construction Loans Michigan	Mar. 31, 2012 2012 Mortgage Note Activity Mortgage note due 2022 interest at 12.50% Construction Loans Michigan	Aug. 01, 2012 2012 Mortgage Note Activity Mortgage note due 2022, interest rate 12%	Dec. 31, 2012 2012 Mortgage Note Activity Mortgage note due 2022, interest rate 12%	Nov. 30, 2012 2012 Mortgage Note Activity Four Mortgage Notes due 2046 First Mortgage Michigan	Nov. 30, 2012 2012 Mortgage Note Activity Four Mortgage Notes due 2046 First Mortgage Michigan SNF's Bed
Mortgage Loans on Real Estate [Line Items]
Mortgage notes receivable	$ 238,621,000	[1]	$ 238,675,000	[1]	$ 6,200,000	$ 7,800,000				$ 5,600,000	$ 5,300,000	$ 800,000	$ 7,100,000	$ 1,500,000
Number of operating beds								138	120						60
Mortgage loans on real estate, interest rate										12.50%	12.50%	12.00%		12.00%
Mortgage loans on real estate interest rate increased in year 7														13.50%
Total funding for loan							7,400,000
Total funding for second loan							$ 4,300,000
Mortgage loan term in years					10 years	10 years

[1] As of December 31, 2011 and 2012 we have no allowance for loan loss for any of our mortgages.

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CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $) In Thousands, unless otherwise specified	12 Months Ended
	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010
Cash flow from operating activities
Net income	$ 120,698	$ 52,606	$ 58,436
Adjustment to reconcile net income to cash provided by operating activities:
Depreciation and amortization	112,983	100,337	84,623
Impairment on real estate properties	272	26,344	155
Provisions for uncollectible mortgages, notes and accounts receivable		6,439
Amortization of deferred financing and refinancing costs	10,569	5,745	23,262
Restricted stock amortization expense	5,942	6,037	2,211
(Gain) loss on assets sold - net	(11,799)	(1,670)	4
Amortization of acquired in-place leases - net	(5,312)	(6,088)	(3,968)
Other	(663)	(150)	(93)
Gain on sale of securities			(789)
Change in operating assets and liabilities - net of amounts assumed/acquired:
Accounts receivable, net	(246)	(1,463)	(45)
Straight-line rent	(25,404)	(12,560)	(11,210)
Lease inducement	3,369	3,380	(6)
Effective yield receivable on mortgage notes	(2,235)	(1,341)
Other operating assets and liabilities	97	(7,601)	2,762
Operating assets and liabilities for owned and operated properties		(244)	2,221
Net cash provided by operating activities	208,271	169,771	157,563
Cash flow from investing activities
Acquisition of real estate - net of liabilities assumed and escrows acquired	(396,623)	(86,704)	(343,180)
Placement of mortgage loans	(11,969)	(130,042)	(20,657)
Proceeds from sale of real estate investments	29,023	5,150	81
Capital improvements and funding of other investments	(29,436)	(19,597)	(36,025)
Proceeds from other investments	15,355	6,983	21,324
Investments in other investments	(9,737)	(33,504)	(16,436)
Collection of mortgage principal - net	12,684	74	78
Net cash used in investing activities	(390,703)	(257,640)	(394,815)
Cash flow from financing activities
Proceeds from credit line borrowings	712,000	569,000	385,000
Payments of credit line borrowings	(726,500)	(296,500)	(479,100)
Receipts of other long-term borrowings	400,000		779,770
Payments of other long-term borrowings	(190,686)	(2,593)	(470,478)
Payments of financing related costs	(17,124)	(4,305)	(31,579)
Receipts from Dividend Reinvestment Plan - net	111,914	59,118	60,511
Payments for exercised options and restricted stock - net	(1,240)	(1,254)	(2,019)
Net proceeds from issuance of common stock	77,618	31,210	138,781
Dividends paid	(182,190)	(161,893)	(138,883)
Repurchase of common stock		(2,928)
Redemption of preferred stock		(108,556)
Net cash provided by financing activities	183,792	81,299	242,003
Increase (decrease) in cash and cash equivalents	1,360	(6,570)	4,751
Cash and cash equivalents at beginning of year	351	6,921	2,170
Cash and cash equivalents at end of year	1,711	351	6,921
Interest paid during the year, net of amounts capitalized	94,841	79,199	60,290
Non-cash investing activities:
Assumed debt obligations	80,946	101,259	202,015
Assumed other assets/liabilities	13,640
Non-cash settlement of mortgage obligations			(12,395)
Non-cash acquisition of real estate properties			12,395
Stock consideration issued for acquisition			19,693
Total non-cash real estate acquisition related items	$ 94,586	$ 101,259	$ 221,708

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CONSOLIDATED BALANCE SHEETS (Parentheticals) (USD $) In Thousands, except Per Share data, unless otherwise specified	Dec. 31, 2012	Dec. 31, 2011
Statement Of Financial Position [Abstract]
Common stock, par value (in dollars per share)	$ 0.10	$ 0.10
Common stock, shares authorized	200,000	200,000
Common stock, shares issued	112,393	103,410
Common stock, shares outstanding	112,393	103,410

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FINANCIAL INSTRUMENTS

12 Months Ended

Dec. 31, 2012

Fair Value Disclosures [Abstract]

FINANCIAL INSTRUMENTS

NOTE 10 - FINANCIAL INSTRUMENTS

At December 31, 2012 and 2011, the carrying amounts and fair values of our financial instruments were as follows:

	2012				2011
	Carrying Amount		Fair Value		Carrying Amount		Fair Value
	(in thousands)
Assets:
Cash and cash equivalents	$	1,711	$	1,711	$	351	$	351
Restricted cash		36,660		36,660		34,112		34,112
Mortgage notes receivable – net		238,621		235,705		238,675		241,494
Other investments – net		47,339		44,077		52,957		48,903
Totals	$	324,331	$	318,153	$	326,095	$	324,860
Liabilities:
Revolving line of credit	$	258,000	$	258,000	$	272,500	$	272,500
7.00% Notes due 2016 – net		—		—		174,376		186,398
7.50% Notes due 2020 – net		197,546		252,363		197,202		216,114
6.75% Notes due 2022 – net		581,799		724,240		582,493		582,684
5.875% Notes due 2024 – net		400,000		441,761		—		—
HUD debt		366,538		433,803		303,610		321,949
Subordinated debt		21,049		27,896		21,219		23,198
Totals	$	1,824,932	$	2,138,063	$	1,551,400	$	1,602,843

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

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

● Cash and cash equivalents and restricted cash: The carrying amount of cash and cash equivalents and restricted cash reported in the balance sheet approximates fair value because of the short maturity of these instruments (i.e., less than 90 days).

● Mortgage notes receivable: The fair values of the mortgage notes receivables are estimated using a discounted cash flow analysis, using interest rates being offered for similar loans to borrowers with similar credit ratings (Level 3).

● Other investments: Other investments are primarily comprised of: (i) notes receivable and (ii) an investment in redeemable non-convertible preferred security of an unconsolidated business accounted for using the cost method of accounting. The fair values of notes receivable are estimated using a discounted cash flow analysis, using interest rates being offered for similar loans to borrowers with similar credit ratings (Level 3). The fair value of the investment in the unconsolidated business is estimated using quoted market value and considers the terms of the underlying arrangement (Level 3).

● Revolving lines of credit: The fair value of our borrowings under variable rate agreements are estimated using an expected present value technique based on expected cash flows discounted using the current market rates (Level 2).

● Senior notes and other long-term borrowings: The fair value of our borrowings under fixed rate agreements are estimated based on open market trading activity provided by a third party (Level 2).

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SCHEDULE III REAL ESTATE AND ACCUMULATED DEPRECIATION (Detail 2) (USD $) In Thousands, unless otherwise specified	12 Months Ended
	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010
Real Estate And Accumulated Depreciation Carrying Amount Of Land And Buildings And Improvements [Roll Forward]
Balance at beginning of period	$ 2,537,038,892	$ 2,366,856,229	$ 1,669,842,724
Acquisitions	491,207,838	192,612,147	661,148,185
Impairment		(26,344,298)
Improvements	29,436,456	19,865,623	35,905,544
Disposals/other	(19,130,288)	(15,950,809)	(40,224)
Balance at close of period	3,038,552,898	2,537,038,892	2,366,856,229
Reconciliation of real estate accumulated depreciation
Balance at beginning of period	470,420,023	380,995,243	296,441,131
Provisions for depreciation	112,871,408	100,237,951	84,554,112
Dispositions/other	(2,918,220)	(10,813,171)
Balance at close of period	$ 580,373,211	$ 470,420,023	$ 380,995,243

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DIVIDENDS (Detail) (USD $)	3 Months Ended								12 Months Ended
	Dec. 31, 2012	Sep. 30, 2012	Jun. 30, 2012	Mar. 31, 2012	Dec. 31, 2011	Sep. 30, 2011	Jun. 30, 2011	Mar. 31, 2011	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010
Dividends [Line Items]
Common dividends, (in dollars per share)	$ 0.44	$ 0.42	$ 0.42	$ 0.41	$ 0.40	$ 0.40	$ 0.38	$ 0.37	$ 1.69	$ 1.55	$ 1.37
Series D Preferred dividends (in dollars per share)										$ 0.74	$ 2.09
Ordinary income
Dividends [Line Items]
Common dividends, (in dollars per share)									$ 0.884	$ 0.989	$ 0.777
Series D Preferred dividends (in dollars per share)										$ 0.739	$ 2.094
Return of capital
Dividends [Line Items]
Common dividends, (in dollars per share)									$ 0.806	$ 0.561	$ 0.593
Series D Preferred dividends (in dollars per share)
Long-term capital gain
Dividends [Line Items]
Common dividends, (in dollars per share)
Series D Preferred dividends (in dollars per share)

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STOCK-BASED COMPENSATION (Narrative) (Detail) (USD $)	12 Months Ended			1 Months Ended		3 Months Ended
	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010	May 31, 2007 Stock Incentive Plan 2004 Employee	May 31, 2007 Performance Restricted Stock Units Employee	Mar. 31, 2010 Performance Restricted Stock Units	Dec. 31, 2012 Performance Restricted Stock Units	Dec. 31, 2009 Performance Restricted Stock Units
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Shares of common stock reserved	1,670,244
Outstanding awards							372,735
Proceeds from exercise of stock-based payment arrangements	$ 0	$ 0	$ 89,000
Cash used to pay minimum tax withholdings for equity instruments granted under stock-based payment arrangements	1,200,000	1,300,000	2,100,000
May 2007 restricted stock award vested description	The restricted stock award vested one-seventh on December 31, 2007 and two-sevenths on December 31, 2008, December 31, 2009, and December 31, 2010. As of December 31, 2010, all shares were vested.
Stock granted				286,908	247,992
Restricted stock granted, number of employees				5	5
Actual total shareholder return								26.00%
Required cumulative annualized total shareholder return								11.00%
Stock-based compensation expense						400,000
Accrued dividends						$ 100,000

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Document and Entity Information (USD $)	12 Months Ended
	Dec. 31, 2012	Feb. 22, 2013	Jun. 30, 2012
Document and Entity Information [Abstract]
Entity Registrant Name	OMEGA HEALTHCARE INVESTORS INC
Entity Central Index Key	0000888491
Trading Symbol	ohi
Entity Current Reporting Status	Yes
Entity Voluntary Filers	No
Current Fiscal Year End Date	--12-31
Entity Filer Category	Large Accelerated Filer
Entity Well-Known Seasoned Issuer	Yes
Entity Common Stock Shares Outstanding		112,971,775
Entity Public Float			$ 2,425,939,178
Document Type	10-K
Document Period End Date	Dec. 31, 2012
Amendment Flag	false
Document Fiscal Year Focus	2012
Document Fiscal Period Focus	FY

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TAXES

12 Months Ended

Dec. 31, 2012

Income Tax Disclosure [Abstract]

TAXES

NOTE 11 – TAXES

We were organized, have operated, and intend to continue to operate in a manner that enables us to qualify for taxation as a REIT under Sections 856 through 860 of the Internal Revenue Code.  On a quarterly and annual basis we perform several analyses to test our compliance within the REIT taxation rules.  In order to qualify as a REIT, in addition to other requirements, we must: (i) distribute dividends (other than capital gain dividends) to our stockholders in an amount at least equal to (A) the sum of (a) 90% of our “REIT taxable income” (computed without regard to the dividends paid deduction and our net capital gain), and (b) 90% of the net income (after tax), if any, from foreclosure property, minus (B) the sum of certain items of non-cash income on an annual basis, (ii) ensure that at least 75% and 95%, respectively of our gross income is generated from qualifying sources that are described in the REIT tax law, (iii) ensure that at least 75% of our assets consist of qualifying assets, such as real property, mortgages, and other qualifying assets described in the REIT tax law, (iv) ensure that we do not own greater than 10% of the voting or value of any one security, (v) ensure that we do not own either debt or equity securities of another company that are in excess of 5% of our total assets and (vi) ensure that no more that 25% of our assets are invested in one or more taxable REIT subsidiaries. In addition to the above requirements, the REIT rules require that no less than 100 stockholders own shares or an interest in the REIT and that five or fewer individuals do not own (directly or indirectly) more than 50% of the shares or proportionate interest in the REIT.  If we fail to meet the above or any other requirements for qualification as a REIT in any tax year, we will be subject to federal income tax on our taxable income at regular corporate rates and may not be able to qualify as a REIT for the four subsequent years, unless we qualify for certain relief provisions that are available in the event we fail to satisfy any of these requirements.

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

So long as we qualify as a REIT, we generally will not be subject to Federal income taxes on the REIT taxable income that we distribute to stockholders, subject to certain exceptions.  In 2012, we paid common dividend payments of $182.2 million which satisfies the 2012 REIT requirements relating to the distribution of our REIT taxable income.  On a quarterly and annual basis we tested our compliance within the REIT taxation rules described above to ensure that we were in compliance with the rules.

In July 2008, we assumed operating responsibilities for the 15 Haven facilities due to the bankruptcy of one of our operators/tenants.  In September 2008, we entered into an agreement to lease these facilities to a new operator/tenant.  Effective September 1, 2008, the new operator/tenant assumed operating responsibility for 13 of the 15 facilities, and, as a result, we retained operating responsibility for two properties as of December 31, 2008.  We also were in the process at that time of addressing state regulatory requirements necessary to transfer the final two properties to the new operator/tenant.  We made an election on our 2008 federal income tax return to treat the Haven facilities as foreclosure properties.  Because we acquired possession in connection with a foreclosure, the Haven facilities were eligible to be treated as foreclosure property until the end of 2011. On June 1, 2010, the two remaining facilities were transitioned to the new tenant/operator upon approval by state regulators of the operating license transfer and as of such date, TC Healthcare no longer operates these facilities.  So long as the Haven facilities qualify as foreclosure property, our gross income from the properties will be qualifying income for the 75% and 95% gross income tests, but we will generally be subject to corporate income tax at the highest rate on the net income from the properties.  If one or more of the Haven facilities were to inadvertently fail to qualify as foreclosure property, we would likely recognize nonqualifying income from such property for purposes of the 75% and 95% gross income tests, which could cause us to fail to qualify as a REIT.  In addition, any gain from a sale of such property could be subject to the 100% prohibited transactions tax.  Since the year 2000, the definition of foreclosure property has included any “qualified health care property,” as defined in Code Section 856(e)(6) acquired by us as the result of the termination or expiration of a lease of such property.  We have from time to time operated qualified healthcare facilities acquired in this manner for up to two years (or longer if an extension was granted), including the Haven properties mentioned in the previous paragraph.  Properties that we had taken back in a foreclosure or bankruptcy and operated for our own account were treated as foreclosure properties for income tax purposes, pursuant to Internal Revenue Code Section 856(e).  Gross income from foreclosure properties was classified as “good income” for purposes of the annual REIT income tests upon making the election on the tax return.  Once made, the income was classified as “good” for a period of three years, or until the properties were no longer operated for our own account.  In all cases of foreclosure property, we utilized an independent contractor to conduct day-to-day operations to maintain REIT status.  In certain cases we operated these facilities through a taxable REIT subsidiary.  For those properties operated through the taxable REIT subsidiary, we formed a new entity (TC Healthcare) on our behalf through the use of an eligible independent contractor to conduct day-to-day operations to maintain REIT status.  As a result of the foregoing, we do not believe that our participation in the operation of nursing homes increased the risk that we would fail to qualify as a REIT.  Through our 2012 taxable year, we had not paid any tax on our foreclosure property because those properties had been producing losses.

Subject to the limitation described above under the REIT asset test rules, we are permitted to own up to 100% of the stock of one or more TRSs.  Currently, we have one TRS that is taxable as a corporation and that pays federal, state and local income tax on its net income at the applicable corporate rates.  The TRS had a net operating loss carry-forward as of December 31, 2012 and 2011 of $1.1 million. The loss carry-forward was fully reserved at December 31, 2012 and 2011 with a valuation allowance due to uncertainties regarding realization.  There is currently no activity in the TRS.

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BORROWING ARRANGEMENTS - Unsecured Borrowings - Termination of $320 Million Secured Revolving Credit Facility (Narrative) (Detail 3) (USD $)	12 Months Ended							0 Months Ended
	Dec. 31, 2012		Dec. 31, 2011		Dec. 31, 2010		Dec. 31, 2011 2010 Credit Facility	Aug. 16, 2011 Secured Borrowings 2010 Credit Facility
Financing Activities and Borrowing Arrangements [Line Items]
Line of credit facility terminated							$ 320,000,000	$ 320,000,000
Write-offs associated with deferred costs	$ 3,024,000	[1],[2],[3]	$ 3,055,000	[1],[2],[3]	$ 8,231,000	[1],[2],[3]	$ 3,100,000	$ 3,100,000

[1] In 2010, we wrote-off: (a) $3.5 million associated with the termination of our $200 million 2009 Credit Facility, (b) $2.2 million associated with the termination of a $100 million GECC term loan and (c) $2.6 million associated with the tender offer and retirement of our outstanding $310 million 7% Senior Notes due 2014.

[2] In 2012, we wrote-off: (a) $2.2 million deferred financing costs associated with the tender offer and redemption of our $175 million 7% 2016 Notes; and (b) $2.5 million deferred financing costs associated with the termination of our $475 million 2011 Credit Facility. These costs were offset by a $1.7 million gain resulting from the write-off of unamortized premium on the four HUD loans that were paid off in the second quarter of 2012.

[3] In 2011, we terminated our $320 million 2010 Credit Facility and wrote-off deferred financing costs of $3.1 million.

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STOCK-BASED COMPENSATION (Detail 1) (Performance Restricted Stock Units, USD $) In Millions, except Share data, unless otherwise specified	12 Months Ended
	Dec. 31, 2012		Dec. 31, 2011		Dec. 31, 2010		Jan. 31, 2011
Performance Restricted Stock Units
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Number of Shares [Roll Forward]
Non-vested	372,735				247,992		496,979
Granted	124,244		496,979
Modification
Vested	(124,244)				(247,992)
Forfeited			(124,244)
Non-vested	372,735		372,735				496,979
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Weighted Average Grant Date Fair Value [Roll Forward]
Non-vested	$ 11.36				$ 7.28
Granted	$ 9.61		$ 11.28
Modification					$ 1.48
Vested	$ 9.61				$ 8.76
Forfeited			$ 11.04
Non-vested	$ 11.36		$ 11.36
Compensation Cost	$ 1.2	[1]	$ 5.6	[1]	$ 0.4	[1]

[1] Total compensation cost to be recognized on the awards was based on grant date fair value or the modification date fair value.

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CONSOLIDATED STATEMENTS OF OPERATIONS (USD $) In Thousands, except Per Share data, unless otherwise specified	3 Months Ended								12 Months Ended
	Dec. 31, 2012	Sep. 30, 2012	Jun. 30, 2012	Mar. 31, 2012	Dec. 31, 2011	Sep. 30, 2011	Jun. 30, 2011	Mar. 31, 2011	Dec. 31, 2012	Dec. 31, 2011		Dec. 31, 2010
Revenues
Rental income									$ 314,592	$ 273,517		$ 232,772
Mortgage interest income									30,446	16,274		10,391
Other investment income - net									4,760	2,070		3,936
Miscellaneous									662	343		3,886
Nursing home revenues of owned and operated assets												7,336	[1]
Total operating revenues	95,012	87,108	83,825	84,515	76,304	72,818	72,606	70,476	350,460	292,204		258,321
Expenses
Depreciation and amortization									112,983	100,337		84,623
General and administrative									21,330	19,432		15,054
Acquisition costs									909	1,204		1,554
Impairment on real estate properties									272	26,344		155
Provisions for uncollectible mortgages, notes and accounts receivable										6,439
Nursing home expenses of owned and operated assets										653	[2]	7,998	[1]
Total operating expenses									135,494	154,409		109,384
Income before other income and expense									214,966	137,795		148,937
Other income (expense)
Interest income									29	40		105
Interest expense									(95,527)	(81,154)		(67,340)
Interest - amortization of deferred financing costs									(2,649)	(2,674)		(3,780)
Interest - refinancing costs									(7,920)	(3,071)		(19,482)
Total other expense									(106,067)	(86,859)		(90,497)
Income before gain (loss) on assets sold									108,899	50,936		58,440
Gain (loss) on assets sold - net									11,799	1,670		(4)
Net income	33,923	30,119	30,572	26,084	19,293	21,436	17,790	(5,913)	120,698	52,606		58,436
Preferred stock dividends										(1,691)		(9,086)
Preferred stock redemption										(3,456)
Net income available to common stockholders	$ 33,923	$ 30,119	$ 30,572	$ 26,084	$ 19,293	$ 21,436	$ 17,806	$ (11,076)	$ 120,698	$ 47,459		$ 49,350
Basic:
Net income (in dollars per share)	$ 0.30	$ 0.28	$ 0.29	$ 0.25	$ 0.19	$ 0.21	$ 0.17	$ (0.11)	$ 1.12	$ 0.46		$ 0.52
Diluted:
Net income (in dollars per share)	$ 0.30	$ 0.27	$ 0.29	$ 0.25	$ 0.19	$ 0.21	$ 0.17	$ (0.11)	$ 1.12	$ 0.46		$ 0.52
Weighted-average shares outstanding, basic (in shares)									107,591	102,119		94,056
Weighted-average shares outstanding, diluted (in shares)									108,011	102,177		94,237

[1] 2010 includes revenues and expenses for two facilities from January 1, 2010 through May 31, 2010.

[2] 2011 expense relates to run-off expense associated with shutting down the operations.

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MORTGAGE NOTES RECEIVABLE

12 Months Ended

Dec. 31, 2012

Mortgage Notes Receivable Investments [Abstract]

MORTGAGE NOTES RECEIVABLE

NOTE 5 - MORTGAGE NOTES RECEIVABLE

As of December 31, 2012, mortgage notes receivable relate to 12 fixed-rate mortgages on 31 long-term care facilities and two construction mortgages on two facilities currently under construction.  The mortgage notes are secured by first mortgage liens on the borrowers’ underlying real estate and personal property.  The mortgage notes receivable relate to facilities located in five (5) states, operated by five (5) independent healthcare operating companies.  We monitor compliance with mortgages and when necessary have initiated collection, foreclosure and other proceedings with respect to certain outstanding loans.

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

	December 31,
	2012		2011
	(in thousands)
Two Construction Mortgage notes; interest at 12.50%	$	11,751	$	2,234
Mortgage note due 2013; interest at 11.00%		5,000		5,000
Mortgage note due 2016; interest at 11.50%		-		11,545
Mortgage note due 2021; interest at 12.50%		5,574		5,574
Mortgage note due 2021; monthly payment of $34,500, including interest at 11.00%		91,585		92,000
Mortgage note due 2022; interest at 12.50%		5,310		4,990
Mortgage notes due 2022; interest at 12.00%		7,076		6,504
Mortgage note due 2023; interest at 11.00%		69,928		69,928
Mortgage note due 2030; interest at 10.40%		15,897		15,900
Four Mortgage notes due 2046; interest at 12.00%		26,500		25,000
Total mortgages — net (1)	$	238,621	$	238,675

(1) As of December 31, 2011 and 2012 we have no allowance for loan loss for any of our mortgages.

2012 Mortgage Note Activity

2012 Mortgage Payoff

In October 2012, we received cash from the mortgagee for the payoff of a first mortgage loan on two Florida SNFs.  As a result of the payoff, during the fourth quarter of 2012, we accelerated recognition of mortgage fees we had previously deferred.  We recorded the accelerated deferred mortgage fees as Mortgage interest income.

Two Construction Mortgage Notes

In October 2011 we entered into a $7.8 million construction mortgage to construct a new 120 bed SNF in Michigan.  The construction mortgage converts into a 10 year interest only mortgage upon completion of construction.  The 120 bed SNF is still under construction with total funding of approximately $7.4 million as of December 31, 2012.

In July 2012, we entered into a $6.2 million construction mortgage to construct a new 138 bed SNF in Michigan.  The construction mortgage converts into a 10 year interest only mortgage upon completion of construction.  The 138 bed SNF is still under construction with total funding of approximately $4.3 million as of December 31, 2012.

Mortgage Note due 2021

In September 2011, the construction loan that we entered into in 2010 to construct a new SNF in Michigan was completed.  The $5.6 million loan is an interest only loan and bears interest at an annual rate of 12.5% and matures on the 10th anniversary of the completion of construction of the facility.

Mortgage Note due 2022

In March 2012, the second construction loan that we entered into in 2010 to construct a new SNF in Michigan was completed.  The $5.3 million loan is an interest only loan and bears interest at an annual rate of 12.5% and matures on the 10th anniversary of the completion of construction of the facility.

Mortgage Notes due 2022

On August 1, 2012, we entered into an additional $0.8 million mortgage loan with an existing operator.  The loan was added to an existing mortgage for one property to fund renovations.  As of December 31, 2012, the balance of the loan related to the property was approximately $7.1 million.  The mortgage loans mature on July 31, 2022 and carry an annual interest rate of 12%.

Four Mortgage Notes due 2046

On November 30, 2012, we entered into a $1.5 million first mortgage loan secured by a lien on a 60 bed SNF located in Michigan.  The mortgage currently bears interest at 12% and increases to 13.5% in year 7.  The mortgage matures in 2046.

2011 Mortgage Note Activity

$92.0 Million Mortgage Note due 2021

On November 14, 2011, we entered into a $92.0 million first mortgage loan to finance a new operator’s purchase of 13 SNFs in Michigan, totaling 1,421 beds.  The term of the mortgage is 10 years.  The interest rate during the first 3 years will accrue at a fixed annual rate of 11%.  During loan years 4, 5 and 6, interest will accrue at a fixed annual rate of 11.75% and during the remaining term of the note, interest will accrue at a fixed annual rate of 12.5%.

Four Mortgage Notes due 2046

On October 31, 2011, we entered into a $25.0 million first mortgage loan secured by a lien on three SNFs, totaling 352 beds, all located in Maryland.  The mortgage currently bears interest at 12% and increases to 13.5% in year 7.  The mortgages mature in 2046.

Mortgage Note due 2013

On July 18, 2011, we entered into a $5.0 million first mortgage loan with an existing operator to finance the purchase of one SNF in Texas.  The mortgage loan matures in July 2013 and carries an annual interest rate of 10%.

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OWNED AND OPERATED ASSETS

12 Months Ended

Dec. 31, 2012

Real Estate Owned [Abstract]

OWNED AND OPERATED ASSETS

NOTE 4 – OWNED AND OPERATED ASSETS

In November 2007, affiliates of Haven, one of our former operators/lessees/mortgagors, operated under Chapter 11 bankruptcy protection.  Commencing in February 2008, the assets of the Haven facilities were marketed for sale via an auction process to be conducted through proceedings established by the bankruptcy court.  The auction process failed to produce a qualified buyer.  As a result, and pursuant to our rights as ordered by the bankruptcy court, Haven moved the bankruptcy court to authorize us to credit bid certain of the indebtedness that it owed to us in exchange for taking ownership of and transitioning certain of its assets to a new entity in which we have a substantial ownership interest, all of which was approved by the bankruptcy court on July 4, 2008.  Effective July 7, 2008, we took ownership and/or possession of 15 facilities previously operated by Haven.  TC Healthcare, a new entity and an interim operator, in which we have a substantial economic interest, began operating these facilities on our behalf through an independent contractor.

On August 6, 2008, we entered into a Master Transaction Agreement (“2008 MTA”) with affiliates of FC/SCH whereby FC/SCH agreed (subject to certain closing conditions, including the receipt of licensure) to lease 14 SNFs and one ALF facility under a master lease.  These facilities were formerly leased to Haven.

Effective September 1, 2008, we completed the operational transfer of 12 SNFs and one ALF to affiliates of FC/SCH, in accordance with the terms of the 2008 MTA.  These 13 facilities are located in Connecticut (5), Rhode Island (4), New Hampshire (3) and Massachusetts (1).  As part of the transaction, Genesis entered into a long-term management agreement with FC/SCH to oversee the day-to-day operations of each of these facilities. The two remaining facilities in Vermont, which were operated by TC Healthcare until May 31, 2010, were then transferred to FC/SCH upon licensure from the state of Vermont.  As a result of the transition of the operations to FC/SCH, we no longer operate any owned and operated facilities, effective June 1, 2010.  Our consolidated financial statements include the results of operations of the Vermont facilities from July 7, 2008 to May 31, 2010.

Nursing home revenues and expenses, included in our consolidated financial statements that relate to such owned and operated assets are set forth in the tables below.

	For Year Ended December 31,
	2012		2011 (2)			2010 (1)
	(in thousands)
Nursing home revenues	$	—	$	—		$	7,336
Nursing home expenses		—		653			7,998
Loss from nursing home operations	$	—	$	(653	)	$	(662	)

(1) 2010 includes revenues and expenses for two facilities from January 1, 2010 through May 31, 2010.

(2) 2011 expense relates to run-off expense associated with shutting down the operations.

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LITIGATION

12 Months Ended

Dec. 31, 2012

Commitments and Contingencies Disclosure [Abstract]

LITIGATION

NOTE 16 - LITIGATION

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

On January 7, 2010, LCT SE Texas Holdings, L.L.C., an affiliate of Mariner Health Care and the lessee of four facilities located in the Houston area, filed a petition in the District Court of Harris County, Texas (No. 2010-01120) against four landlord entities, the member interests of which we purchased as part of the December 2009 acquisition from CapitalSource. On April 19, 2011, the Court dismissed with prejudice Plaintiff’s claims against the Defendants, all pursuant to a joint motion to dismiss filed by the parties.

During the first quarter of 2010, we agreed to settle a lawsuit for approximately $3.7 million in cash with a prior tenant for breach of contract related to failure to pay rent owed to us.  We recorded the settlement as miscellaneous income in the accompanying consolidated statements of operations.

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RETIREMENT ARRANGEMENTS

12 Months Ended

Dec. 31, 2012

Compensation Related Costs [Abstract]

RETIREMENT ARRANGEMENTS

NOTE 12 - RETIREMENT ARRANGEMENTS

Our company has a 401(k) Profit Sharing Plan covering all eligible employees.  Under this plan, employees are eligible to make contributions, and we, at our discretion, may match contributions and make a profit sharing contribution.

We have a deferred compensation plan which is an unfunded plan under which we can award units that result in participation in the dividends and future growth in the value of our common stock.  As of December 31, 2012 we had approximately $0.4 million in liabilities associated with the deferred compensation plan.

Amounts charged to operations with respect to these retirement arrangements totaled approximately $233,500, $222,500 and $168,700 in 2012, 2011 and 2010, respectively.

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BORROWING ARRANGEMENTS - Unsecured Borrowings - Issuance of $400 Million 5.875% Senior Notes due 2024 and Exchange Offer (Narrative) (Detail 7) (USD $)	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2012 Non-Guarantor Subsidiaries	Dec. 31, 2011 Non-Guarantor Subsidiaries	Dec. 31, 2012 2024 Notes	Dec. 31, 2012 Unsecured Borrowings 2024 Notes	Mar. 19, 2012 Unsecured Borrowings 2024 Notes	Dec. 31, 2011 Unsecured Borrowings 2024 Notes	Dec. 31, 2012 Unsecured Borrowings 2024 Notes Non-Guarantor Subsidiaries	Aug. 15, 2012 Unsecured Borrowings 2024 Notes Non-Guarantor Subsidiaries	Dec. 31, 2012 Unsecured Borrowings 2024 Notes Redemption during 12 month periods beginning on March 15, 2017	Dec. 31, 2012 Unsecured Borrowings 2024 Notes Redemption during 12 month periods beginning on March 15, 2018	Dec. 31, 2012 Unsecured Borrowings 2024 Notes Redemption during 12 month periods beginning on March 15, 2019	Dec. 31, 2012 Unsecured Borrowings 2024 Notes Redemption on or after March 15, 2020	Jun. 02, 2011 Unsecured Borrowings Exchange notes	Oct. 20, 2010 Unsecured Borrowings Exchange notes
Borrowing Arrangements [Line Items]
Senior notes, principal amount					$ 400,000,000	$ 400,000,000	$ 400,000,000
Current Rate	10.00%					5.875%	5.875%
Redemption price percentage											102.938%	101.958%	100.979%	100.00%
Maximum percentage of redeemable notes						35.00%
Redemption price if redeemed in the first three years (in percent)						105.875%
Redemption price if the company undergoes change of control (in percent)						101.00%
Notes issued, issue price (in percent)						100.00%
Total assets	2,982,005,000	2,557,312,000	597,896,000	477,292,000					597,900,000
Notes issuable in exchange, face amount										$ 400,000,000					$ 575,000,000	$ 200,000,000
Notes issuable in exchange, interest rate										5.875%					6.75%	7.50%

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LEASE AND MORTGAGE DEPOSITS

12 Months Ended

Dec. 31, 2012

Security Deposits and Letters Of Credit [Abstract]

LEASE AND MORTGAGE DEPOSITS

NOTE 8 - LEASE AND MORTGAGE DEPOSITS

We obtain liquidity deposits and letters of credit from most operators pursuant to our lease and mortgage contracts with the operators.  These generally represent the rental and mortgage interest for periods ranging from three to six months with respect to certain of our investments.  At December 31, 2012, we held $5.9 million in such liquidity deposits and $46.9 million in letters of credit.  The liquidity deposits may be applied in the event of lease and loan defaults, subject to applicable limitations under bankruptcy law with respect to operators filing under Chapter 11 of the United States Bankruptcy Code.  Liquidity deposits are recorded as restricted cash on our consolidated balance sheets with the offset recorded as a liability.  Additional security for rental and mortgage interest revenue from operators is provided by covenants regarding minimum working capital and net worth, liens on accounts receivable and other operating assets of the operators, provisions for cross default, provisions for cross-collateralization and by corporate/personal guarantees.

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PROPERTIES - 2009 - 2010 Acquisitions - 143 Facility CapitalSource Acquisitions - HUD Portfolio Closing (Narrative) (Detail 10) (USD $) In Millions, except Share data, unless otherwise specified	12 Months Ended				1 Months Ended	12 Months Ended								1 Months Ended
	Dec. 31, 2010	Dec. 31, 2012 State Operator	Jun. 29, 2010 143 Facility CapitalSource Acquisitions Property	Dec. 22, 2009 143 Facility CapitalSource Acquisitions Property	Jun. 29, 2010 143 Facility CapitalSource Acquisitions HUD Portfolio Closing Bed Property State Operator Contract	Dec. 31, 2012 143 Facility CapitalSource Acquisitions HUD Portfolio Closing	Dec. 31, 2011 143 Facility CapitalSource Acquisitions HUD Portfolio Closing	Dec. 31, 2010 143 Facility CapitalSource Acquisitions HUD Portfolio Closing	Dec. 31, 2010 143 Facility CapitalSource Acquisitions HUD Portfolio Closing Land	Dec. 31, 2010 143 Facility CapitalSource Acquisitions HUD Portfolio Closing Buildings and Site Improvements	Dec. 31, 2010 143 Facility CapitalSource Acquisitions HUD Portfolio Closing Furniture and fixtures	Jun. 29, 2010 143 Facility CapitalSource Acquisitions HUD Portfolio Closing Guaranteed US HUD Notes	Jun. 29, 2010 143 Facility CapitalSource Acquisitions HUD Portfolio Closing Subordinated note	Jun. 29, 2010 143 Facility CapitalSource Acquisitions HUD Portfolio Closing Unsecured 9% Debt	Jun. 29, 2010 143 Facility CapitalSource Acquisitions HUD Portfolio Closing HUD 6.61% Debt	Jun. 29, 2010 143 Facility CapitalSource Acquisitions HUD Portfolio Closing HUD 4.85% Debt
Real Estate Properties [Line Items]
Number of facilities under agreements to purchase			40	40	40
Business acquisition, purchase price					$ 271.0
Paid consideration for escrow accounts transferred in at closing					15
Assumption of debt indebtedness for acquisition					202.0							182.0	20.0	20.0	53.0	129.0
Cash paid for acquisition					65.0
Interest rate of assumed debt														9.00%	6.61%	4.85%
Assumed indebtedness, maturity date														December 2021	January 2036 - May 2040	January 2040 -January 2045
Issuance of common stock for acquisitions, shares	995,000				995,000
Common stock issued for acquisition, value					19.0
Number of operating beds					4,882
Number of states		34			2
Number of in-place triple net leases					13
Number of operators		46			2
Annualized lease revenue					30
Business acquisition total purchase price allocated								313.3
Business acquisition purchase price allocation									32.3	264.1	16.9
Business acquisition purchase price allocation to in-place above market leases assumed								4.9
Business acquisition purchase price allocation to in-place below market leases assumed								24.1
Net amortization of below market leases						3.2	3.5	1.9
Fair value adjustment related to debt assumed								22.5
Amortization of debt fair value adjustment, per year						1.3	1.4	0.7
Future amortization of debt fair value adjustment, year one					1.2
Future amortization of debt fair value adjustment, year two					1.2
Future amortization of debt fair value adjustment, year three					1.2
Future amortization of debt fair value adjustment, year four					1.2
Future amortization of debt fair value adjustment, year five					$ 1.2
Amortization period of above market leases					5 years

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OTHER INVESTMENTS

12 Months Ended

Dec. 31, 2012

Receivables [Abstract]

OTHER INVESTMENTS

NOTE 6 - OTHER INVESTMENTS

A summary of our other investments is as follows:

	December 31,
	2012			2011
	(in thousands)
Infinia on demand	$	-		$	225
Other Investment note due 2015		2,518			2,718
Other Investment notes due 2021 - 2023		9,775			4,996
Other Investment note due 2013(1)		1,018			12,938
Other Investment note due 2014		812			1,500
$28.0 million Other Investment note due 2017		26,500			28,000
$4.0 Million Other Investment note due 2013		3,450			-
Other Investment note due 2013		261			-
$1.3 million Other Investment note due 2017		425			-
Notes receivable, gross(2)		44,759			50,377
Allowance for loss on notes receivable		(1,977	)		(1,977	)
Notes receivable, net		42,782			48,400
Marketable securities and other		4,557			4,557
Total other investments	$	47,339		$	52,957

(1) The Formation note was assumed by Genesis on January 1, 2012.

(2) The majority of these notes bear interest at approximately 10% annually.

For the years ended December 31, 2012 and 2011, apart from the normal scheduled monthly loan payments, we had the following transactions that impacted our other investments:

Other Investment note due 2013

In 2012, we received principal payments of approximately $11.9 million towards the working capital loan.

$1.3 million Other Investment note due 2017

In March 2012, we entered into a working capital loan with an existing operator for $1.3 million. The loan bears interest at 10% per year and matures in March 2017.

$4.0 Million Other Investment note due 2013

In November 2012, we entered into a short-term working capital note with a new operator for $4.0 million. The loan bears interest at 10% per year and matures in May 2013.

Other Investment note due 2013

In 2012, we entered into a working capital loan with an existing operator for $750,000. The loan bears interest at 10% per year and matures in March 2013.

$28.0 million Other Investment note due 2017

In December 2011, we entered into a five year $28.0 million loan agreement with an existing operator. The loan bears interest at 10% per annum. In 2012, we received $1.5 million in principal payments related to the loan.

Other Investment notes due 2021 - 2023

In 2011, we entered into six capital renovation loans with an existing operator to provide funds to renovate six facilities. The loans mature between 2021 and 2023 and bear interest at an initial rate of 10% with escalators of 2.5% per year. The maximum draw of all six of the loans is approximately $11.0 million.

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CONCENTRATION OF RISK

12 Months Ended

Dec. 31, 2012

Risks and Uncertainties [Abstract]

CONCENTRATION OF RISK

NOTE 7 - CONCENTRATION OF RISK

As of December 31, 2012, our portfolio of real estate investments consisted of 478 healthcare facilities, located in 34 states and operated by 46 third-party operators. Our gross investment in these facilities, net of impairments and before reserve for uncollectible loans, totaled approximately $3.3 billion at December 31, 2012, with approximately 99% of our real estate investments related to long-term care facilities. This portfolio is made up of 418 SNFs, 16 ALFs, 11 specialty facilities, fixed rate mortgages on 31 SNFs, and two SNFs that are held-for-sale. At December 31, 2012, we also held miscellaneous investments of approximately $47.3 million, consisting primarily of secured loans to third-party operators of our facilities.

At December 31, 2012, we had two investments with operators and/or managers that exceeded 10% of our total investments: (i) Genesis (11%), and (ii) CommuniCare (10%). The three states in which we had our highest concentration of investments were Florida (18%), Ohio (11%) and Indiana (10%) at December 31, 2012.

For the year ended December 31, 2012, our revenues from operations totaled $350.5 million, of which approximately $44.5 million were from Genesis (on a pro forma basis including Sun Healthcare, which Genesis acquired in December 2012) (13%) and $44.2 million from CommuniCare (13%). No other operator generated more than 9% of our revenues from operations for the year ended December 31, 2012.

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BORROWING ARRANGEMENTS

12 Months Ended

Dec. 31, 2012

Debt Disclosure [Abstract]

BORROWING ARRANGEMENTS

NOTE 9 - BORROWING ARRANGEMENTS

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

		Current		December 31,
	Maturity	Rate		2012		2011
				(in thousands)
Secured borrowings:
HUD Berkadia mortgages assumed June 2010 (1)	2036 - 2040	6.61	%	$	62,921	$	64,533
HUD Capital Funding mortgages assumed June 2010 (1)	2040 - 2045	4.85	%		130,887		133,061
HUD mortgages assumed October 2011 (1)	2036 - 2040	4.87	%		31,991		32,813
HUD mortgages assumed December 2011(1)	2044	5.55	%		58,884		73,203
HUD mortgages assumed December 2012(1)	2031 - 2045	5.50	%		81,855		—
Total secured borrowings					366,538		303,610
Unsecured borrowings:
Revolving line of credit	2016 - 2017	1.81	%	$	258,000	$	272,500
2016 Notes	2016	7.00	%		—		175,000
2020 Notes	2020	7.50	%		200,000		200,000
2022 Notes	2022	6.75	%		575,000		575,000
2024 Notes	2024	5.875	%		400,000		—
Subordinated debt	2021	9.00	%		21,049		21,219
					1,196,049		971,219
Premium - net					4,345		4,071
Total unsecured borrowings					1,458,394		1,247,790
Totals – net				$	1,824,932	$	1,551,400

(1) Reflects the weighted average interest rate on the mortgages.

Secured Borrowings

HUD Berkadia Mortgages assumed June 2010

In connection with the June 29, 2010 Capital Source HUD Portfolio Closing, we assumed HUD indebtedness with maturity dates ranging from January 2036 and May 2040. On the date of the assumption, we estimated the fair value of the assumed debt to be approximately $13.7 million more than the face value of the debt assumed. We amortized the fair value adjustment utilizing the effective interest method from the date of assumption. As of December 31, 2012 and 2011, the fair value adjustment represents approximately $11.6 million and $12.4 million, respectively, of the above balances.

HUD Capital Funding Mortgages assumed June 2010

In connection with the June 29, 2010 Capital Source HUD Portfolio Closing, we assumed HUD indebtedness with maturity dates range from January 2040 and January 2045. On the date of the assumption, we estimated the fair value of the assumed debt to be approximately $7.4 million more than the face value of the debt assumed. We amortized the fair value adjustment utilizing the effective interest method from the date of assumption. As of December 31, 2012 and 2011, the fair value adjustment represents approximately $6.4 million and $6.8 million, respectively, of the above balances.

HUD Mortgages assumed October 2011

In connection with the October 31, 2011 acquisition, we assumed HUD indebtedness with maturity dates range from April 2036 and September 2040. On the date of the assumption, we estimated the fair value of the assumed debt to be approximately $3.0 million more than the face value of the debt assumed. We amortized the fair value adjustment utilizing the effective interest method from the date of assumption. As of December 31, 2012 and 2011, the fair value adjustment represents approximately $2.8 million and $3.0 million, respectively, of the above balances.

HUD Mortgages assumed December 2011

In connection with the December 23, 2011 acquisition, we assumed HUD indebtedness with maturity dates ranging from October 2029 to July 2044. On the date of the assumption, we estimated the fair value of the assumed debt to be approximately $1.9 million more than the face value of the debt assumed. We amortized the fair value adjustment utilizing the effective interest method from the date of assumption.

On June 29, 2012, we paid approximately $11.8 million to retire four HUD mortgages that were assumed as part of the acquisition. The retirement of the four HUD mortgages resulted in a net gain of approximately $1.7 million. The net gain included the write-off of approximately $1.8 million of the unamortized fair value adjustment of the assumed debt as well as a prepayment fee of approximately $0.1 million. As of December 31, 2012, no fair value adjustment remains.

HUD Mortgages assumed December 2012

In connection with the fourth quarter 2012 acquisitions, we assumed $71.9 million of HUD indebtedness with maturity dates ranging from April 2031 to February 2045. On the date of the assumption, we estimated the fair value of the assumed debt to be approximately $10.1 million more than the face value of the debt assumed. We will amortize the fair value adjustment utilizing the effective interest method from the date of assumption. As of December 31, 2012, the assumed debt balance including the fair value adjustment was $81.9 million.

Unsecured Borrowings

$700 Million Unsecured Credit Facility

On December 6, 2012, we entered into a new $700 million unsecured credit facility, comprised of a $500 million unsecured revolving credit facility (the “2012 Revolving Credit Facility”) and a $200 million unsecured, deferred draw term loan facility (the “2012 Term Loan Facility” and, together with the 2012 Revolving Credit Facility, collectively, the “2012 Credit Facilities”).

The 2012 Credit Facilities replaced our previous $475 million senior unsecured revolving credit facility (the “2011 Credit Facility”). The 2012 Credit Facilities include an “accordion feature” that permits us to expand its borrowing capacity by a combined $300 million, to a total of $1 billion.

The 2012 Revolving Credit Facility is priced at LIBOR plus an applicable percentage (beginning at 150 basis points, with a range of 100 to 190 basis points) based on our ratings from Standard & Poor’s, Moody’s and/or Fitch Ratings, plus a facility fee based on the same ratings (initially 30 basis points, with a range of 15 to 45 basis points). At December 31, 2012, we had $158 million in borrowings outstanding under the 2012 Revolving Credit Facility. The 2012 Revolving Credit Facility matures in four years, on December 6, 2016, with an option by us to extend the maturity one additional year.

The 2012 Term Loan Facility is also priced at LIBOR plus an applicable percentage (beginning at 175 basis points, with a range of 110 to 230 basis points) based our ratings from Standard & Poor’s, Moody’s and/or Fitch Ratings. At December 31, 2012, we had $100 million in borrowings outstanding under the 2012 Term Loan Facility. We have until April 5, 2013 to borrow the full $200 million under the 2012 Term Loan Facility. The 2012 Term Loan Facility matures in five years, on December 6, 2017.

At December 31, 2012, we had a total of $258.0 million outstanding under the 2012 Credit Facilities, and no letters of credit outstanding, leaving availability of $442.0 million. For the year ended December 31, 2012, the weighted average interest rate was 1.81% for borrowings under our 2012 Credit Facilities.

Termination of $475 Million Unsecured Revolving Credit Facility

On August 16, 2011, we entered into our new $475 million 2011 Credit Facility and concurrently terminated our 2010 Credit Facility. The 2011 Credit Facility was unsecured and was scheduled to mature in four years, on August 17, 2015.

At December 31, 2011, we had $272.5 million outstanding under the 2011 Credit Facility, and no letters of credit outstanding, leaving availability of $202.5 million. For the year ended December 31, 2011, the weighted average interest rate was 2.85%.

On December 6, 2012, we terminated our 2011 Credit Facility and for the three month period ended December 31, 2012, we recorded a non-cash charge of approximately $2.5 million relating to the write-off of unamortized deferred financing costs associated with the termination of the 2011 Credit Facility.

Termination of $320 Million Secured Revolving Credit Facility

On August 16, 2011, we terminated our previous $320 million senior secured revolving credit facility (the “2010 Credit Facility”) and recorded a non-cash charge of approximately $3.1 million relating to the write-off of unamortized deferred financing costs associated with the termination of the 2010 Credit Facility.

$175 Million 7% Senior Notes due 2016 Tender Offer and Redemption

On March 5, 2012, we commenced a tender offer to purchase for cash any and all of our outstanding $175 million aggregate principal amount of 7% Senior Notes due 2016, or the 2016 Notes. Pursuant to the terms of the tender offer, on March 19, 2012, we purchased $168.9 million aggregate principal amount of the 2016 Notes.

On March 27, 2012, pursuant to the terms of the indenture governing the 2016 Notes, we redeemed the remaining $6.1 million aggregate principal amount of the 2016 Notes at a redemption price of 102.333% of their principal amount, plus accrued and unpaid interest up to the redemption date. Following redemption, the 2016 Notes, the indenture governing the 2016 Notes and the related guarantees were terminated.

The redemption resulted in approximately $7.1 million of redemption related costs and write-offs, including $4.5 million in payments made to bondholders for early redemption, $2.2 million of write-offs associated with unamortized deferred financing costs and $0.4 million of expenses associated with the tender and redemption.

$200 Million 7.5% Senior Notes due 2020 and Exchange Offer

On February 9, 2010, we issued and sold $200 million aggregate principal amount of 7.5% Senior Notes due 2020 (the “2020 Notes”). The 2020 Notes mature on February 15, 2020 and pay interest semi-annually on August 15th and February 15th.

We may redeem the 2020 Notes, in whole at any time or in part from time to time, at redemption prices of 103.75%, 102.5% and 101.25% of the principal amount thereof if the redemption occurs during the 12-month periods beginning on February 15 of the years 2015, 2016 and 2017, respectively, and at a redemption price of 100% of the principal amount thereof on and after February 15, 2018, in each case, plus any accrued and unpaid interest to the redemption date. In addition, until February 15, 2013 we may redeem up to 35% of the 2020 Notes with the net proceeds of one or more public equity offerings at a redemption price of 107.5% of the principal amount of the 2020 Notes to be so redeemed, plus any accrued and unpaid interest to the redemption date. If we undergo a change of control, we may be required to offer to purchase the notes from holders at a purchase price equal to 101% of the principal amount plus accrued interest.

The 2020 Notes were sold at an issue price of 98.278% of the principal amount, resulting in gross proceeds of approximately $197million. We used the net proceeds from the sale of the 2020 Notes, after discounts and expenses, to (i) repay outstanding borrowings of approximately $59 million of debt assumed in connection with our December 22, 2009 CapitalSource acquisition, (ii) repay outstanding borrowings under our 2009 Credit Facility, and (iii) for working capital and general corporate purposes, including the acquisition of healthcare-related properties such as the CapitalSource acquisitions. The 2020 Notes are guaranteed by substantially all of our subsidiaries as of the date of issuance. The entities we acquired on June 29, 2010 from CapitalSource which own 40 facilities (see “HUD Portfolio Closing” in Note 3) and the entities created to effect the acquisition and the 18 HUD facilities and entities that we are acquired on October 31, 2011 and on December 23, 2011 are not guarantors of our 2020 Notes, or our outstanding 2022 or 2016 Notes. As of December 31, 2012, our subsidiaries that are not guarantors of the 2020 Notes accounted for approximately $597.9 million of our total assets.

On October 20, 2010, we commenced an offer to exchange $200 million of our registered 7.5% Senior Notes due 2020 for all of the initial 2020 Notes. All $200 million outstanding aggregate principal amount of the initial notes were validity tendered and not withdrawn prior to the expiration of the exchange offer, and were exchanged for exchange notes as of November 22, 2010. The terms of the exchange notes are substantially identical to the terms of the initial notes, except that provisions of the initial notes relating to transfer restrictions, registration rights and additional interest do not apply to exchange notes.

$575 Million 6.75% Senior Notes due 2022 and Exchange Offer

On October 4, 2010, we issued and sold $225 million aggregate principal amount of our 6.75% Senior Notes due 2022 (the “Initial 2022 Notes”). The Initial 2022 Notes mature on October 15, 2022 and pay interest semi-annually on April 15th and October 15th. On November 23, 2010, we issued and sold $350 million aggregate principal amount of our 6.75% Senior Notes due 2022 (the “Additional 2022 Notes”). The Additional 2022 Notes are of the same series as, and thus have the same terms, as our Initial 2022 Notes. The Initial 2022 Notes together with the Additional 2022 Notes, are collectively the (“2022 Notes”).

The Initial 2022 Notes were sold at an issue price of 98.984% of the principal amount, resulting in gross proceeds of approximately $223million. We used the net proceeds from the sale of the Initial 2022 Notes, after discounts and expenses, to (i) pay off borrowings under the 2010 Credit Facility and (ii) for general corporate purposes. The Additional 2022 Notes were sold at an issue price of 103% of their face value, before initial purchasers’ discount, plus accrued interest from October 4, 2010, resulting in gross proceeds to us of approximately $364 million. We used the net proceeds from the sale of the Additional 2020 Notes (i) to fund our tender offer for our outstanding $310 million aggregate principal amount of 7% Senior Notes due 2014, and (ii) for working capital and general corporate purposes.

We may redeem the 2022 Notes, in whole at any time or in part from time to time, at redemption prices of 103.375%, 102.25% and 101.125% of the principal amount thereof if the redemption occurs during the 12-month periods beginning on October 15 of the years 2015, 2016 and 2017, respectively, and at a redemption price of 100% of the principal amount thereof on and after October 15, 2018, in each case, plus any accrued and unpaid interest to the redemption date. In addition, until October 15, 2013 we may redeem up to 35% of the 2022 Notes with the net proceeds of one or more public equity offerings at a redemption price of 106.75% of the principal amount of the 2022 Notes to be so redeemed, plus any accrued and unpaid interest to the redemption date. If we undergo a change of control, we may be required to offer to purchase the notes from holders at a purchase price equal to 101% of the principal amount plus accrued interest.

On June 2, 2011, we commenced an offer to exchange $575 million of our 6.75% Senior Notes due 2022 for all of the 2022 Notes. All $575 million outstanding aggregate principal amount of the notes were validly tendered and not withdrawn prior to the expiration of the exchange offer, and were exchanged for exchange notes as of July 14, 2011, pursuant to the terms of the exchange offer. The exchange notes are identical in all material respects to the notes, except that the issuance of the exchange notes was registered under the Securities Act of 1933 and the provisions of the notes relating to transfer restrictions, registration rights and additional interest relating to registrations delays do not apply to the exchange notes.

As of December 31, 2012, our subsidiaries that are not guarantors of the 2022 Notes accounted for approximately $597.9 million of our total assets.

Issuance of $400 Million 5.875% Senior Notes due 2024 and Exchange Offer

On March 19, 2012, we issued $400 million aggregate principal amount of our 5.875% Senior Notes due 2024, or the 2024 Notes. The 2024 Notes mature on March 15, 2024 and pay interest semi-annually on March 15 and September 15 of each year, commencing on September 15, 2012.

We may redeem the 2024 Notes, in whole at any time or in part from time to time, at redemption prices of 102.938%, 101.958% and 100.979% of the principal amount thereof if the redemption occurs during the 12-month periods beginning on March 15 of the years 2017, 2018 and 2019, respectively, and at a redemption price of 100% of the principal amount thereof on and after March 15, 2020, in each case, plus any accrued and unpaid interest to the redemption date. In addition, until March 15, 2015 we may redeem up to 35% of the 2024 Notes with the net cash proceeds of one or more public equity offerings at a redemption price of 105.875% of the principal amount of the 2024 Notes to be so redeemed, plus any accrued and unpaid interest to the redemption date. If we undergo a change of control, we may be required to offer to purchase the notes from holders at a purchase price equal to 101% of the principal amount plus accrued interest.

The 2024 Notes were sold at an issue price of 100% of the principal amount. We used the net proceeds of the offering to fund the tender offer and consent solicitation for the 2016 Notes (described below), to fund the redemption of the untendered 2016 Notes (described below) and to repay a portion of our indebtedness outstanding under our 2011 Credit Facility. As of December 31, 2012, our subsidiaries that are not guarantors of the 2024 Notes accounted for approximately $597.9 million of our total assets.

                On August 15, 2012, we commenced an offer to exchange $400 million of our 5.875% Senior Notes due 2024 for all of the 2024 Notes. All $400 million outstanding aggregate principal amount of the initial notes were validly tendered and not withdrawn prior to the expiration of the exchange offer, and were exchanged for exchange notes as of September 20, 2012, pursuant to the terms of the exchange offer. The Exchange Notes are identical in all material respects to the Initial Notes, except that the Exchange Notes were registered under the Securities Act of 1933 and the provisions of the Initial Notes relating to transfer restrictions, registration rights and additional interest will not apply to the Exchange Notes.

Certain of our other secured and unsecured borrowings are subject to customary affirmative and negative covenants, including financial covenants. As of December 31, 2011 and 2012, we were in compliance with all affirmative and negative covenants, including financial covenants, for our secured and unsecured borrowings.

The required principal payments, excluding the premium/discount on the 2024, 2022 and 2020 Notes, for each of the five years following December 31, 2012 and the aggregate due thereafter are set forth below:

	(in thousands)
2013	$	5,251
2014		5,540
2015		5,845
2016		164,168
2017		106,509
Thereafter		1,501,398
Totals	$	1,788,711

The following summarizes the refinancing related costs:

	Year Ended December 31,
	2012		2011		2010
	(in thousands)
Write off of deferred finance cost due to refinancing (1) (2)(3)	$	3,024	$	3,055	$	8,231
Prepayment and other costs associated with refinancing (4)		4,896		16		11,251
Total debt extinguishment costs	$	7,920	$	3,071	$	19,482

(1) In 2012, we wrote-off: (a) $2.2 million deferred financing costs associated with the tender offer and redemption of our $175 million 7% 2016 Notes; and (b) $2.5 million deferred financing costs associated with the termination of our $475 million 2011 Credit Facility. These costs were offset by a $1.7 million gain resulting from the write-off of unamortized premium on the four HUD loans that were paid off in the second quarter of 2012.

(2) In 2011, we terminated our $320 million 2010 Credit Facility and wrote-off deferred financing costs of $3.1 million.

(3) In 2010, we wrote-off: (a) $3.5 million associated with the termination of our $200 million 2009 Credit Facility, (b) $2.2 million associated with the termination of a $100 million GECC term loan and (c) $2.6 million associated with the tender offer and retirement of our outstanding $310 million 7% Senior Notes due 2014.

(4) In 2012, we incurred $4.9 million prepayment penalties and other costs associated with the tender offer and redemption of our $175 million 7% 2016 Notes. In 2010, we made prepayment penalties of: (a) $3.0 million for the early termination of a $100 million GECC term loan and (b) $8.3 million for the tender offer and retirement of our outstanding $310 million 7% Senior Notes due 2014.

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PROPERTIES - Assets Sold or Held for Sale (Narrative) (Detail 14) (USD $)	12 Months Ended
	Dec. 31, 2012 Property	Dec. 31, 2011	Dec. 31, 2010
Real Estate Properties [Line Items]
Proceeds from sale of real estate investments	$ 29,023,000	$ 5,150,000	$ 81,000
Asset impairment charges	300,000	26,300,000	200,000
Number of held-for-sale facilities	2
Number of properties sold	9
Number of properties sold as part of connecticut properties	3
Number of properties sold to lessees exercising purchase option	2
Number of properties sold as result of portfolio reconfiguration	4
SNF's
Real Estate Properties [Line Items]
Proceeds from sale of real estate investments	29,000,000
Gain from sale of facilities	11,800,000
Number of held-for-sale facilities	2
Number of parcels of land held-for-sale	1
Net book value of held-for-sale	$ 1,000,000

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FINANCIAL INSTRUMENTS (Detail) (USD $) In Thousands, unless otherwise specified	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010	Dec. 31, 2009
Assets:
Cash and cash equivalents	$ 1,711	$ 351	$ 6,921	$ 2,170
Restricted cash	36,660	34,112
Mortgage notes receivable - net	238,621	238,675
Other investments - net	47,339	52,957
Liabilities:
Revolving line of credit	258,000	272,500
HUD debt	366,538	303,610
Carrying Amount
Assets:
Cash and cash equivalents	1,711	351
Restricted cash	36,660	34,112
Mortgage notes receivable - net	238,621	238,675
Other investments - net	47,339	52,957
Totals	324,331	326,095
Liabilities:
Revolving line of credit	258,000	272,500
HUD debt	366,538	303,610
Subordinated debt	21,049	21,219
Totals	1,824,932	1,551,400
Carrying Amount | 7% 2016 Notes
Liabilities:
Notes Payable		174,376
Carrying Amount | 7.50% Notes due 2020
Liabilities:
Notes Payable	197,546	197,202
Carrying Amount | 6.75% Notes due 2022
Liabilities:
Notes Payable	581,799	582,493
Carrying Amount | 5.875% Notes due 2024
Liabilities:
Notes Payable	400,000
Fair Value
Assets:
Cash and cash equivalents	1,711	351
Restricted cash	36,660	34,112
Mortgage notes receivable - net	235,705	241,494
Other investments - net	44,077	48,903
Totals	318,153	324,860
Liabilities:
Revolving line of credit	258,000	272,500
HUD debt	433,803	321,949
Subordinated debt	27,896	23,198
Totals	2,138,063	1,602,843
Fair Value | 7% 2016 Notes
Liabilities:
Notes Payable		186,398
Fair Value | 7.50% Notes due 2020
Liabilities:
Notes Payable	252,363	216,114
Fair Value | 6.75% Notes due 2022
Liabilities:
Notes Payable	724,240	582,684
Fair Value | 5.875% Notes due 2024
Liabilities:
Notes Payable	$ 441,761

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OWNED AND OPERATED ASSETS (Narrative) (Detail)	Dec. 31, 2012 Property	Dec. 31, 2012 SNF's Property	Dec. 31, 2012 ALFs Property	Jun. 01, 2010 TC Healthcare Facility	Sep. 01, 2008 TC Healthcare Facility	Jul. 07, 2008 TC Healthcare Facility	May 31, 2010 TC Healthcare Vermont Property	Sep. 01, 2008 Affiliates of FC/SCH Connecticut Property	Sep. 01, 2008 Affiliates of FC/SCH Rhode Island Property	Sep. 01, 2008 Affiliates of FC/SCH New Hampshire Property	Sep. 01, 2008 Affiliates of FC/SCH Massachusetts Property	Sep. 01, 2008 Affiliates of FC/SCH SNF's Facility	Aug. 06, 2008 Affiliates of FC/SCH SNF's Property	Sep. 01, 2008 Affiliates of FC/SCH ALFs Facility	Aug. 06, 2008 Affiliates of FC/SCH ALFs Property
Owned and Operated Assets [Line Items]
Properties acquired through bankruptcy court proceedings						15
Number of facilities transitioned to new tenant/operator				2	13							12		1
Number of facilities owned	478	418	16				2	5	4	3	1		14		1

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SCHEDULE III REAL ESTATE AND ACCUMULATED DEPRECIATION (Detail 1) (Hud Subordinated Debt, USD $) In Thousands, unless otherwise specified	Dec. 31, 2012
Hud Subordinated Debt
Debt Instrument [Line Items]
Carrying value of real estate assets, security for borrowings	$ 366,537,510
Fair market value of real estate assets, security for borrowings	$ 30,826,565

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PROPERTIES - FC/SCH Facilities (Narrative) (Detail 13) (USD $) In Thousands, unless otherwise specified	6 Months Ended	12 Months Ended
	Jun. 30, 2011	Dec. 31, 2011
Real Estate [Abstract]
Provisions for uncollectible mortgages, notes and accounts receivable	$ 4,100	$ 6,439

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STOCK-BASED COMPENSATION (Narrative) (Detail 1)	1 Months Ended		12 Months Ended	1 Months Ended	12 Months Ended	1 Months Ended				12 Months Ended
	Jan. 31, 2011 Performance restricted stock units Employee	Jan. 31, 2011 Performance restricted stock units Multi-year Absolute TSR Employee	Dec. 31, 2012 Performance restricted stock units Multi-year Absolute TSR	Jan. 31, 2011 Performance restricted stock units Multi-year Relative TSR Employee	Dec. 31, 2012 Performance restricted stock units Multi-year Relative TSR	Jan. 31, 2012 Performance restricted stock units Annual TSR Employee	Jan. 31, 2011 Performance restricted stock units Annual TSR Employee	Jan. 31, 2013 Performance restricted stock units Annual TSR Subsequent Event Employee	Jan. 31, 2011 Restricted stock	Dec. 31, 2012 Restricted stock	Dec. 31, 2011 Restricted stock	Dec. 31, 2010 Restricted stock	Dec. 31, 2009 Restricted stock
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Performance based restricted stock granted, number of employees	6	6		6		6	6	6
Stock awards, vesting date									Dec. 31, 2013
Stock awards, vesting percent			25.00%		25.00%				100.00%
Stock granted		279,552		93,183		124,244	124,244	124,244		15,500	444,003	15,500
Shares/Units	496,979								428,503	459,502	458,302	26,267	102,374
Stock awards, vesting year		2014		2014			2011
Shares of stock vested										(14,300)	(11,968)	(91,607)
Vesting period, years											3 years

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OTHER INVESTMENTS (Tables)

12 Months Ended

Dec. 31, 2012

Receivables [Abstract]

Schedule of other investments

A summary of our other investments is as follows:

	December 31,
	2012			2011
	(in thousands)
Infinia on demand	$	-		$	225
Other Investment note due 2015		2,518			2,718
Other Investment notes due 2021 - 2023		9,775			4,996
Other Investment note due 2013(1)		1,018			12,938
Other Investment note due 2014		812			1,500
$28.0 million Other Investment note due 2017		26,500			28,000
$4.0 Million Other Investment note due 2013		3,450			-
Other Investment note due 2013		261			-
$1.3 million Other Investment note due 2017		425			-
Notes receivable, gross(2)		44,759			50,377
Allowance for loss on notes receivable		(1,977	)		(1,977	)
Notes receivable, net		42,782			48,400
Marketable securities and other		4,557			4,557
Total other investments	$	47,339		$	52,957

(1) The Formation note was assumed by Genesis on January 1, 2012.

(2) The majority of these notes bear interest at approximately 10% annually.

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PROPERTIES - Genesis Healthcare (Narrative) (Detail 1) (USD $) In Millions, unless otherwise specified						12 Months Ended
	Dec. 31, 2012 State Property	Dec. 31, 2012 Genesis Healthcare Master lease State	Dec. 01, 2012 Genesis Healthcare Master lease Property	Nov. 30, 2012 Genesis Healthcare Master lease State Property	Nov. 30, 2012 Sun Healthcare State Property	Nov. 30, 2012 Sun Healthcare Master lease Facility
Real Estate Properties [Line Items]
Amount of leased assets		$ 357		$ 122	$ 235
Number of facilities owned	478		53	13	40
Number of states	34	13		5	10
Number of facilities leased						40
Lease expiration period						2013 and 2017
Percentage of total gross investment		11.00%

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STOCK-BASED COMPENSATION

12 Months Ended

Dec. 31, 2012

Disclosure Of Compensation Related Costs, Share-Based Payments [Abstract]

STOCK-BASED COMPENSATION

NOTE 14 –STOCK-BASED COMPENSATION

As of December 31, 2012, 1,670,244 shares of common stock were reserved for issuance to our employees, directors and consultants under our stock incentive plans, including 372,735 shares subject to outstanding awards. Awards under our stock incentive plans may be in the form of stock, stock options, restricted stock, and performance restricted stock units.

Stock Options and Tax Withholding

At December 31, 2012, there were no options outstanding.

Cash received from the exercise under all stock-based payment arrangements for the years ended December 31, 2012, 2011 and 2010 was $0, $0 and $89,000, respectively. Cash used to pay minimum tax withholdings for equity instruments granted under stock-based payment arrangements for the years ended December 31, 2012, 2011 and 2010, was $1.2 million, $1.3 million and $2.1 million, respectively.

Restricted Stock Awards

Restricted stock awards are subject to forfeiture if the holder’s service to us terminates prior to vesting, subject to certain exceptions for certain qualifying terminations of employment or a change in control of the Company. Prior to vesting, ownership of the shares cannot be transferred. The restricted stock has the same dividend and voting rights as the common stock. We expense the cost of these awards ratably over their vesting period.

In May 2007, we granted 286,908 shares of restricted stock to five executive officers under the 2004 Plan. The restricted stock award vested one-seventh on December 31, 2007 and two-sevenths on December 31, 2008, December 31, 2009, and December 31, 2010. As of December 31, 2010, all shares were vested.

Effective January 2011, we granted 428,503 shares of restricted stock and 496,979 performance restricted stock units (“PRSUs”) to six employees. The restricted stock awards vest 100% on December 31, 2013, subject to continued employment on the vesting date and subject to certain exceptions for certain qualifying terminations of employment or a change in control of the Company. As of December 31, 2012, no shares of restricted stock have vested under these restricted stock awards.

In addition, we grant restricted stock to directors each year as part of the director compensation. These shares vest ratably over a three year period, subject to exceptions for death, disability, mandatory retirement or a change in control of the Company.

The following table summarizes the activity in restricted stock for the years ended December 31, 2010, 2011 and 2012:

	Number of Shares			Weighted Average Grant-Date Fair Value per Share		Compensation Cost (1) (in millions)
Non-vested at December 31, 2009		102,374		$	16.81
Granted during 2010		15,500			20.00	$	0.3
Vested during 2010		(91,607	)		16.96
Non-vested at December 31, 2010		26,267		$	18.19
Granted during 2011		444,003			22.42	$	10.0
Vested during 2011		(11,968	)		17.42
Non-vested at December 31, 2011		458,302		$	22.31
Granted during 2012		15,500			20.29	$	0.3
Vested during 2012		(14,300	)		19.56
Non-vested at December 31, 2012		459,502		$	22.33
(1) Total compensation cost to be recognized on the awards based on grant date fair value.

Performance Restricted Stock Units

Performance Restricted Stock Units (“PRSU”) are subject to forfeiture if the employee terminates service prior to vesting, subject to certain exceptions for certain qualifying terminations of employment or a change in control of the Company. Prior to vesting and distribution of shares, ownership of the shares cannot be transferred. The dividends on the PRSUs accumulate and if vested are paid. We expense the cost of these awards ratably over the employee’s service period.

In May 2007, we awarded two types of PRSU (annual and cliff vesting awards) to five employees totaling 247,992 shares. One half of the PRSU awards were eligible for annual vesting based on performance in equal increments on December 31, 2008, December 31, 2009, and December 31, 2010, respectively. The other half of the PRSU awards were eligible for cliff vesting on December 31, 2010. Vesting on both types of awards requires achievement of total shareholder return (“TSR”) as defined in the agreements filed with the SEC on May 8, 2007. On March 29, 2010, the Compensation Committee of Omega’s Board of Directors (the “Committee”) determined that, based on the 26% TSR actually achieved for the twelve month period ended December 31, 2009 and in light of the challenging economic and capital market conditions that prevailed generally during 2009, it was appropriate to waive the vesting requirement solely with respect to the PRSUs that would have vested on December 31, 2009 had a cumulative, annualized TSR of 11% been achieved. As a result of the modification to the 2009 PRSUs, we recorded approximately $0.4 million of additional expense which was recorded during the first quarter of 2010 and accrued dividends of approximately $0.1 million related to this vesting. As of December 31, 2010, the performance targets for all of the awards were achieved and all shares became vested in respect of these PRSUs. All vested shares have been delivered to the executives.

Effective January 1, 2011, we awarded three types of PRSUs to the six employees: (i) 124,244 annual total shareholder return (“TSR”) PRSUs for the year ended December 31, 2011 (“2011 Annual TSR PRSUs”); (ii) 279,552 multi-year absolute TSR PRSUs and (iii) 93,183 multi-year relative TSR PRSUs. On January 1, 2012, we awarded to the six employees 124,244 annual TSR PRSUs for the year ended December 31, 2012 (“2012 Annual TSR PRSUs”). On January 1, 2013, we awarded to the six employees 124,244 annual TSR PRSUs for the year ended December 31, 2013 (“2013 Annual TSR PRSUs”).

Annual TSR PRSUs

The number of shares earned under the annual TSR PRSUs depends generally on the level of achievement of TSR for the year. The annual TSR PRSUs vest on December 31 of the year, subject to continued employment on the vesting date and subject to certain exceptions for certain qualifying terminations of employment or a change in control of the Company.

The 2011 Annual TSR PRSUs were forfeited because the required TSR for 2011 was not achieved. At December 31, 2012, the performance requirement for the 2012 Annual TSR PRSUs was achieved and the 124,244 shares vested and were distributed to the employees.

Multi-year TSR PRSUs

The number of shares earned under the multi-year TSR PRSUs depends generally on the level of achievement of TSR for the three-years ending December 31, 2013. The multi-year TSR PRSUs vest 25% on the last day of each calendar quarter in 2014, subject to continued employment on the vesting date and subject to certain exceptions for certain qualifying terminations of employment or a change in control of the Company.

Multi-year Relative TSR PRSUs

The number of shares earned under the multi-year relative TSR PRSUs depends generally on the level of achievement of TSR relative to other real estate investment trusts in the MSCI U.S. REIT Index for the three-years ending December 31, 2013. The multi-year relative TSR PRSUs vest 25% on the last day of each calendar quarter in 2014, subject to continued employment on the vesting date and subject to certain exceptions for certain qualifying terminations of employment or a change in control of the Company.

The PRSU awards have varying degrees of performance requirements to achieve vesting, and each PRSU award represents the right to a variable number of shares of common stock and related dividend equivalents based on dividends paid to stockholders during the applicable performance period.

As of December 31, 2012, none of these PRSUs are vested or earned.

We used a Monte Carlo model to estimate the fair value and derived service periods for PRSUs granted to the employees in January 2011 and in January 2012.

The following table summarizes the activity in PRSU for the years ended December 31, 2010, 2011 and 2012:

	Number of Shares			Weighted- Average Grant- Date Fair Value per Share		Compensation Cost (1) (in millions)
Non-vested at December 31, 2009		247,992		$	7.28
Granted during 2010		-			-
Modification during 2010		-			1.48	$	0.4
Vested during 2010		(247,992	)		8.76
Non-vested at December 31, 2010		-		$	-
Granted during 2011		496,979			11.28	$	5.6
Vested during 2011		-			-
Forfeited during 2011		(124,244	)		11.04
Non-vested at December 31, 2011		372,735		$	11.36
Granted during 2012		124,244			9.61	$	1.2
Vested during 2012		(124,244	)		9.61
Non-vested at December 31, 2012		372,735		$	11.36

(1) Total compensation cost to be recognized on the awards was based on grant date fair value or the modification date fair value.

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CONSOLIDATING FINANCIAL STATEMENTS

12 Months Ended

Dec. 31, 2012

Condensed Financial Information Of Parent Company Only Disclosure [Abstract]

CONSOLIDATING FINANCIAL STATEMENTS

NOTE 19– CONSOLIDATING FINANCIAL STATEMENTS

As of December 31, 2012, we had outstanding (i) $200 million 7.5% Senior Notes due 2020, (ii) $575 million 6.75% Senior Notes due 2022 and (iii) $400 million 5.875% Senior Notes due 2024, which we collectively refer to as the Senior Notes.  The Senior Notes are fully and unconditionally guaranteed, jointly and severally, by each of our subsidiaries that guarantee other indebtedness of Omega or any of the subsidiary guarantors.  Any subsidiary that we properly designate as an “unrestricted subsidiary” under the indentures governing the Senior Notes will not provide guarantees of the Senior Notes.  As of and prior to March 31, 2010, the non-subsidiary guarantors were minor and insignificant.  On June 29, 2010, we designated as “unrestricted subsidiaries” the 39 subsidiaries we acquired from CapitalSource subject to HUD indebtedness.  During the fourth quarter of 2011, we designated as “unrestricted subsidiaries” 20 subsidiaries we acquired subject to HUD indebtedness.  During the fourth quarter of 2012, we designated as “unrestricted subsidiaries” eight subsidiaries we acquired subject to HUD indebtedness.

On July 17, 2012, our Board of Directors approved removing the unrestricted subsidiary designation from five subsidiaries due to the retirement of the HUD related mortgages.  The total assets related to these five “unrestricted subsidiaries” at June 30, 2012 was approximately $47.9 million.  As a result, the December 31, 2011 consolidating balance sheet reflects the removal of the restriction from these five subsidiaries.

For the years ended December 31, 2012 and 2011, the operating cash flow of the non-guarantor subsidiaries approximated net income of the non-guarantor subsidiaries, adjusted for depreciation and amortization expense.  For the years ended December 31, 2012 and 2011, the non-guarantor subsidiaries have not engaged in investing or financing activities other than routine principal payments on its HUD mortgage debt of $4.0 million and $2.6 million, respectively.  All of the subsidiary and non-subsidiary guarantors of our outstanding senior notes are 100 percent owned by Omega.

The following summarized condensed consolidating financial information segregates the financial information of the non-guarantor subsidiaries from the financial information of Omega Healthcare Investors, Inc. and the subsidiary guarantors under the Senior Notes.  The results and financial position of acquired entities are included from the dates of their respective acquisitions.

OMEGA HEALTHCARE INVESTORS, INC.

CONSOLIDATING BALANCE SHEET

(in thousands, except per share amounts)

	December 31, 2012
	Issuer & Subsidiary Guarantors			Non – Guarantor Subsidiaries			Elimination Company			Consolidated
ASSETS
Real estate properties
Land and buildings	$	2,466,866		$	571,687		$	—		$	3,038,553
Less accumulated depreciation		(535,223	)		(45,150	)		—			(580,373	)
Real estate properties – net		1,931,643			526,537			—			2,458,180
Mortgage notes receivable – net		238,621			—			—			238,621
		2,170,264			526,537			—			2,696,801
Other investments – net		47,339			—			—			47,339
		2,217,603			526,537			—			2,744,140
Assets held for sale – net		1,020			—			—			1,020
Total investments		2,218,623			526,537			—			2,745,160
Cash and cash equivalents		1,711			—			—			1,711
Restricted cash		7,078			29,582			—			36,660
Accounts receivable – net		118,473			6,707			—			125,180
Investment in affiliates		163,610			—			(163,610	)		—
Other assets		38,224			35,070			—			73,294
Total assets	$	2,547,719		$	597,896			(163,610	)	$	2,982,005
LIABILITIES AND STOCKHOLDERS’ EQUITY
Revolving line of credit	$	258,000		$	—		$	—		$	258,000
Secured borrowings		—			366,538			—			366,538
Unsecured borrowings – net		1,179,345			21,049			—			1,200,394
Accrued expenses and other liabilities		99,045			46,699			—			145,744
Intercompany payable		—			143,158			(143,158	)		—
Total liabilities		1,536,390			577,444			(143,158	)		1,970,676
Stockholders’ equity:
Common stock		11,239			—			—			11,239
Common stock – additional paid-in-capital		1,664,855			—			—			1,664,855
Cumulative net earnings		754,128			20,452			(20,452	)		754,128
Cumulative dividends paid		(1,418,893	)		—			—			(1,418,893	)
Total stockholders’ equity		1,011,329			20,452			(20,452	)		1,011,329
Total liabilities and stockholders’ equity	$	2,547,719		$	597,896		$	(163,610	)	$	2,982,005

OMEGA HEALTHCARE INVESTORS, INC.

CONSOLIDATING BALANCE SHEET

(in thousands, except per share amounts)

	December 31, 2011
	Issuer & Subsidiary Guarantors			Non – Guarantor Subsidiaries			Elimination Company			Consolidated
ASSETS
Real estate properties
Land and buildings	$	2,095,441		$	441,598		$	—		$	2,537,039
Less accumulated depreciation		(446,581	)		(23,839	)		—			(470,420	)
Real estate properties – net		1,648,860			417,759			—			2,066,619
Mortgage notes receivable – net		238,675			—			—			238,675
		1,887,535			417,759			—			2,305,294
Other investments – net		52,957			—			—			52,957
		1,940,492			417,759			—			2,358,251
Assets held for sale – net		2,461			—			—			2,461
Total investments		1,942,953			417,759			—			2,360,712
Cash and cash equivalents		351			—			—			351
Restricted cash		6,511			27,601			—			34,112
Accounts receivable – net		97,407			3,257			—			100,664
Investment in affiliates		119,564			—			(119,564	)		—
Other assets		32,798			28,675			—			61,473
Total assets	$	2,199,584		$	477,292			(119,564	)	$	2,557,312
LIABILITIES AND STOCKHOLDERS’ EQUITY
Revolving line of credit	$	272,500		$	—		$	—		$	272,500
Secured borrowings		13,652			289,958			—			303,610
Unsecured borrowings – net		954,071			21,219			—			975,290
Accrued expenses and other liabilities		80,877			46,551			—			127,428
Intercompany payable		—			109,907			(109,907	)		—
Total liabilities		1,321,100			467,635			(109,907	)		1,678,828
Stockholders’ equity:
Common stock		10,341			—			—			10,341
Common stock – additional paid-in-capital		1,471,381			—			—			1,471,381
Cumulative net earnings		633,430			9,657			(9,657	)		633,430
Cumulative dividends paid		(1,236,668	)		—			—			(1,236,668	)
Total stockholders’ equity		878,484			9,657			(9,657	)		878,484
Total liabilities and stockholders’ equity	$	2,199,584		$	477,292		$	(119,564	)	$	2,557,312

OMEGA HEALTHCARE INVESTORS, INC.

CONSOLIDATING STATEMENT OF OPERATIONS

(in thousands, except per share amounts)

	Year Ended December 31, 2012
	Issuer & Subsidiary Guarantors			Non – Guarantor Subsidiaries			Elimination Company			Consolidated
Revenue
Rental income	$	266,213		$	48,379		$	-		$	314,592
Mortgage interest income		30,446			-			-			30,446
Other investment income – net		4,760			-			-			4,760
Miscellaneous		662			-			-			662
Total operating revenues		302,081			48,379			-			350,460
Expenses
Depreciation and amortization		91,672			21,311			-			112,983
General and administrative		20,913			417			-			21,330
Acquisition costs		909			-			-			909
Impairment loss on real estate properties		272			-			-			272
Total operating expenses		113,766			21,728			-			135,494
Income before other income and expense		188,315			26,651			-			214,966
Other income (expense):
Interest income		2			27			-			29
Interest expense		(79,644	)		(15,883	)		-			(95,527	)
Interest – amortization of deferred financing costs		(2,649	)		-			-			(2,649	)
Interest – refinancing costs		(7,920	)		-			-			(7,920	)
Equity in earnings		10,795			-			(10,795	)		-
Total other expense		(79,416	)		(15,856	)		(10,795	)		(106,067	)
Income before gain on assets sold		108,899			10,795			(10,795	)		108,899
Gain on assets sold - net		11,799			-			-			11,799
Net income available to common stockholders	$	120,698		$	10,795		$	(10,795	)	$	120,698

OMEGA HEALTHCARE INVESTORS, INC.

CONSOLIDATING STATEMENT OF OPERATIONS

(in thousands, except per share amounts)

	Year Ended December 31, 2011
	Issuer & Subsidiary Guarantors			Non – Guarantor Subsidiaries			Elimination Company			Consolidated
Revenue
Rental income	$	239,077		$	34,440		$	-		$	273,517
Mortgage interest income		16,274			-			-			16,274
Other investment income – net		2,070			-			-			2,070
Miscellaneous		343			-			-			343
Total operating revenues		257,764			34,440			-			292,204
Expenses
Depreciation and amortization		84,568			15,769			-			100,337
General and administrative		19,138			294			-			19,432
Acquisition costs		1,204			-			-			1,204
Impairment loss on real estate properties		26,344			-			-			26,344
Provisions for uncollectible accounts receivable		6,439			-			-			6,439
Nursing home expenses of owned and operated assets		653			-			-			653
Total operating expenses		138,346			16,063			-			154,409
Income before other income and expense		119,418			18,377			-			137,795
Other income (expense):
Interest income		15			25			-			40
Interest expense		(69,881	)		(11,273	)		-			(81,154	)
Interest – amortization of deferred financing costs		(2,674	)		-			-			(2,674	)
Interest – refinancing costs		(3,071	)		-			-			(3,071	)
Equity in earnings		7,129			-			(7,129	)		-
Total other expense		(68,482	)		(11,248	)		(7,129	)		(86,859	)
Income before gain on assets sold		50,936			7,129			(7,129	)		50,936
Gain on assets sold - net		1,670			-			-			1,670
Net income		52,606			7,129			(7,129	)		52,606
Preferred stock dividends		(1,691	)		-			-			(1,691	)
Preferred stock redemption		(3,456	)		-			-			(3,456	)
Net income available to common stockholders	$	47,459		$	7,129		$	(7,129	)	$	47,459

OMEGA HEALTHCARE INVESTORS, INC.

CONSOLIDATING STATEMENT OF OPERATIONS

(in thousands, except per share amounts)

	Year Ended December 31, 2010
	Issuer & Subsidiary Guarantors			Non – Guarantor Subsidiaries			Elimination			Consolidated
Revenue
Rental income	$	215,992		$	16,780		$	-		$	232,772
Mortgage interest income		10,391			-			-			10,391
Other investment income – net		3,936			-			-			3,936
Miscellaneous		3,886			-			-			3,886
Nursing home revenues of owned and operated assets		7,336			-			-			7,336
Total operating revenues		241,541			16,780			-			258,321
Expenses
Depreciation and amortization		76,553			8,070			-			84,623
General and administrative		14,744			310			-			15,054
Acquisition costs		1,554			-			-			1,554
Impairment loss on real estate properties		155			-			-			155
Nursing home expenses of owned and operated assets		7,998			-			-			7,998
Total operating expenses		101,004			8,380			-			109,384
Income before other income and expense		140,537			8,400			-			148,937
Other income (expense):
Interest income		86			19			-			105
Interest expense		(61,449	)		(5,891	)		-			(67,340	)
Interest – amortization of deferred financing costs		(3,780	)		-			-			(3,780	)
Interest – refinancing costs		(19,482	)		-			-			(19,482	)
Equity in earnings		2,528			-			(2,528	)		-
Total other expense		(82,097	)		(5,872	)		(2,528	)		(90,497	)
Income before gain (loss) on assets sold		58,440			2,528			(2,528	)		58,440
Loss on assets sold – net		(4	)		-			-			(4	)
Net income		58,436			2,528			(2,528	)		58,436
Preferred stock dividends		(9,086	)		-			-			(9,086	)
Net income available to common	$	49,350		$	2,528		$	(2,528	)	$	49,350

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LITIGATION (Narrative) (Detail) (USD $) In Millions, unless otherwise specified	3 Months Ended	12 Months Ended
	Mar. 31, 2010	Dec. 31, 2012	Jan. 07, 2010 LCT SE Texas Holdings, L.L.C. Facility	Jan. 07, 2010 CapitalSource Entity
Loss Contingencies [Line Items]
Number of facilities leased			4
Number of landlord entities against whom a petition was filed				4
Date the court dismissed the petition		Apr. 19, 2011
Proceeds from settlement of a lawsuit	$ 3.7

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PROPERTIES (Detail 3) (USD $) In Thousands, except Per Share data, unless otherwise specified	3 Months Ended								12 Months Ended
	Dec. 31, 2012	Sep. 30, 2012	Jun. 30, 2012	Mar. 31, 2012	Dec. 31, 2011	Sep. 30, 2011	Jun. 30, 2011	Mar. 31, 2011	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010
Earnings per share - diluted:
Net income available to common stockholders - as reported	$ 0.30	$ 0.27	$ 0.29	$ 0.25	$ 0.19	$ 0.21	$ 0.17	$ (0.11)	$ 1.12	$ 0.46	$ 0.52
Pro forma
Proforma Information [Line Items]
Revenues									$ 393,484	$ 366,344
Net income available to common stockholders									$ 138,644	$ 74,975
Earnings per share - diluted:
Net income available to common stockholders - as reported									$ 1.12	$ 0.46
Net income available to common stockholders - pro forma									$ 1.28	$ 0.73

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SCHEDULE IV MORTGAGE LOANS ON REAL ESTATE (Detail) (USD $) In Thousands, unless otherwise specified	12 Months Ended
	Dec. 31, 2012
Mortgage Loans on Real Estate [Line Items]
Face Amount of Mortgages	$ 244,050,704
Carrying Amount of Mortgages	238,621,161
Maturity period of construction loan	10 years
Florida | Group 1
Mortgage Loans on Real Estate [Line Items]
Interest Rate	10.40%	[1]
Final Maturity Date	2030	[1]
Periodic Payment Terms	Interest payable monthly	[1]
Prior Liens	0	[1]
Face Amount of Mortgages	15,900,000	[1]
Carrying Amount of Mortgages	15,896,641	[1],[2],[3]
Principal Amount of Delinquent Loans Subject to Delinquent Principal or Interest		[1]
Maryland | Group 1
Mortgage Loans on Real Estate [Line Items]
Interest Rate	11.00%	[1]
Final Maturity Date	2023	[1]
Periodic Payment Terms	Interest payable monthly	[1]
Prior Liens	0	[1]
Face Amount of Mortgages	74,927,751	[1]
Carrying Amount of Mortgages	69,927,759	[1],[2],[3]
Principal Amount of Delinquent Loans Subject to Delinquent Principal or Interest		[1]
Maryland | Group 2
Mortgage Loans on Real Estate [Line Items]
Interest Rate	12.00%	[1]
Final Maturity Date	2046	[1]
Periodic Payment Terms	Interest payable monthly	[1]
Prior Liens	0	[1]
Face Amount of Mortgages	10,000,000	[1]
Carrying Amount of Mortgages	10,000,000	[1],[2],[3]
Principal Amount of Delinquent Loans Subject to Delinquent Principal or Interest		[1]
Maryland | Group 3
Mortgage Loans on Real Estate [Line Items]
Interest Rate	12.00%	[1]
Final Maturity Date	2046	[1]
Periodic Payment Terms	Interest payable monthly	[1]
Prior Liens	0	[1]
Face Amount of Mortgages	9,500,000	[1]
Carrying Amount of Mortgages	9,500,000	[1],[2],[3]
Principal Amount of Delinquent Loans Subject to Delinquent Principal or Interest		[1]
Maryland | Group 4
Mortgage Loans on Real Estate [Line Items]
Interest Rate	12.00%	[1]
Final Maturity Date	2046	[1]
Periodic Payment Terms	Interest payable monthly	[1]
Prior Liens	0	[1]
Face Amount of Mortgages	5,500,000	[1]
Carrying Amount of Mortgages	5,500,000	[1],[2],[3]
Principal Amount of Delinquent Loans Subject to Delinquent Principal or Interest		[1]
Michigan | Group 1
Mortgage Loans on Real Estate [Line Items]
Interest Rate	12.50%	[1]
Final Maturity Date	2022	[1]
Periodic Payment Terms	Interest payable monthly	[1]
Prior Liens	0	[1]
Face Amount of Mortgages	5,310,000	[1]
Carrying Amount of Mortgages	5,310,000	[1],[2],[3]
Principal Amount of Delinquent Loans Subject to Delinquent Principal or Interest		[1]
Michigan | Group 2
Mortgage Loans on Real Estate [Line Items]
Interest Rate	12.50%	[1]
Final Maturity Date	2021	[1]
Periodic Payment Terms	Interest payable monthly	[1]
Prior Liens	0	[1]
Face Amount of Mortgages	5,573,500	[1]
Carrying Amount of Mortgages	5,573,500	[1],[2],[3]
Principal Amount of Delinquent Loans Subject to Delinquent Principal or Interest		[1]
Michigan | Group 3
Mortgage Loans on Real Estate [Line Items]
Interest Rate	12.50%	[1]
Final Maturity Date		[1],[4]
Periodic Payment Terms	Interest payable monthly	[1]
Prior Liens	0	[1]
Face Amount of Mortgages	7,411,231	[1]
Carrying Amount of Mortgages	7,411,231	[1],[2],[3]
Principal Amount of Delinquent Loans Subject to Delinquent Principal or Interest		[1]
Michigan | Group 4
Mortgage Loans on Real Estate [Line Items]
Interest Rate	12.50%	[1]
Final Maturity Date		[1],[4]
Periodic Payment Terms	Interest payable monthly	[1]
Prior Liens	0	[1]
Face Amount of Mortgages	4,340,209	[1]
Carrying Amount of Mortgages	4,340,209	[1],[2],[3]
Principal Amount of Delinquent Loans Subject to Delinquent Principal or Interest		[1]
Michigan | Group 5
Mortgage Loans on Real Estate [Line Items]
Interest Rate	11.00%	[1]
Final Maturity Date	2021	[1]
Periodic Payment Terms	Interest plus $34,500 of principal payable monthly	[1]
Prior Liens	0	[1]
Face Amount of Mortgages	92,000,000	[1]
Carrying Amount of Mortgages	91,585,884	[1],[2],[3]
Principal Amount of Delinquent Loans Subject to Delinquent Principal or Interest		[1]
Michigan | Group 6
Mortgage Loans on Real Estate [Line Items]
Interest Rate	12.00%	[1]
Final Maturity Date	2046	[1]
Periodic Payment Terms	Interest payable monthly	[1]
Prior Liens	0	[1]
Face Amount of Mortgages	1,500,000	[1]
Carrying Amount of Mortgages	1,500,000	[1],[2],[3]
Principal Amount of Delinquent Loans Subject to Delinquent Principal or Interest		[1]
Ohio | Group 1
Mortgage Loans on Real Estate [Line Items]
Interest Rate	12.00%	[1]
Final Maturity Date	2022	[1]
Periodic Payment Terms	Interest plus $1,600 of principal payable monthly	[1]
Prior Liens	0	[1]
Face Amount of Mortgages	6,112,406	[1]
Carrying Amount of Mortgages	6,100,330	[1],[2],[3]
Principal Amount of Delinquent Loans Subject to Delinquent Principal or Interest		[1]
Ohio | Group 2
Mortgage Loans on Real Estate [Line Items]
Interest Rate	12.00%	[1]
Final Maturity Date	2022	[1]
Periodic Payment Terms	Interest payable monthly	[1]
Prior Liens	0	[1]
Face Amount of Mortgages	345,011	[1]
Carrying Amount of Mortgages	345,011	[1],[2],[3]
Principal Amount of Delinquent Loans Subject to Delinquent Principal or Interest		[1]
Ohio | Group 3
Mortgage Loans on Real Estate [Line Items]
Interest Rate	12.00%	[1]
Final Maturity Date	2022	[1]
Periodic Payment Terms	Interest payable monthly	[1]
Face Amount of Mortgages	630,596	[1]
Carrying Amount of Mortgages	630,596	[1],[2],[3]
Principal Amount of Delinquent Loans Subject to Delinquent Principal or Interest		[1]
Texas | Group 1
Mortgage Loans on Real Estate [Line Items]
Interest Rate	11.00%	[1]
Final Maturity Date	2013	[1]
Periodic Payment Terms	Interest payable monthly	[1]
Prior Liens	0	[1]
Face Amount of Mortgages	5,000,000	[1]
Carrying Amount of Mortgages	5,000,000	[1],[2],[3]
Principal Amount of Delinquent Loans Subject to Delinquent Principal or Interest		[1]

[1] Mortgage loans included in this schedule represent first mortgages on facilities used in the delivery of long-term healthcare of which such facilities are located in the states indicated.

[2] The aggregate cost for federal income tax purposes is equal to the carrying amount.

[3] Year Ended December 31, 2010 2011 2012 Balance at beginning of period $ 100,222,734 $ 108,556,518 $ 238,674,601 Additions during period - Placements 20,656,391 130,191,254 11,967,892 Deductions during period - collection of principal/other (12,322,607 ) (73,171 ) (12,021,332 ) Balance at close of period $ 108,556,518 $ 238,674,601 $ 238,621,161

[4] This loan is a construction loan and matures 10 years after construction is completed.

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CONSOLIDATING FINANCIAL STATEMENTS (Tables)

12 Months Ended

Dec. 31, 2012

Condensed Financial Information Of Parent Company Only Disclosure [Abstract]

Schedule of consolidating balance sheets

The following summarized condensed consolidating financial information segregates the financial information of the non-guarantor subsidiaries from the financial information of Omega Healthcare Investors, Inc. and the subsidiary guarantors under the Senior Notes.  The results and financial position of acquired entities are included from the dates of their respective acquisitions.

OMEGA HEALTHCARE INVESTORS, INC.

CONSOLIDATING BALANCE SHEET

(in thousands, except per share amounts)

	December 31, 2012
	Issuer & Subsidiary Guarantors			Non – Guarantor Subsidiaries			Elimination Company			Consolidated
ASSETS
Real estate properties
Land and buildings	$	2,466,866		$	571,687		$	—		$	3,038,553
Less accumulated depreciation		(535,223	)		(45,150	)		—			(580,373	)
Real estate properties – net		1,931,643			526,537			—			2,458,180
Mortgage notes receivable – net		238,621			—			—			238,621
		2,170,264			526,537			—			2,696,801
Other investments – net		47,339			—			—			47,339
		2,217,603			526,537			—			2,744,140
Assets held for sale – net		1,020			—			—			1,020
Total investments		2,218,623			526,537			—			2,745,160
Cash and cash equivalents		1,711			—			—			1,711
Restricted cash		7,078			29,582			—			36,660
Accounts receivable – net		118,473			6,707			—			125,180
Investment in affiliates		163,610			—			(163,610	)		—
Other assets		38,224			35,070			—			73,294
Total assets	$	2,547,719		$	597,896			(163,610	)	$	2,982,005
LIABILITIES AND STOCKHOLDERS’ EQUITY
Revolving line of credit	$	258,000		$	—		$	—		$	258,000
Secured borrowings		—			366,538			—			366,538
Unsecured borrowings – net		1,179,345			21,049			—			1,200,394
Accrued expenses and other liabilities		99,045			46,699			—			145,744
Intercompany payable		—			143,158			(143,158	)		—
Total liabilities		1,536,390			577,444			(143,158	)		1,970,676
Stockholders’ equity:
Common stock		11,239			—			—			11,239
Common stock – additional paid-in-capital		1,664,855			—			—			1,664,855
Cumulative net earnings		754,128			20,452			(20,452	)		754,128
Cumulative dividends paid		(1,418,893	)		—			—			(1,418,893	)
Total stockholders’ equity		1,011,329			20,452			(20,452	)		1,011,329
Total liabilities and stockholders’ equity	$	2,547,719		$	597,896		$	(163,610	)	$	2,982,005

OMEGA HEALTHCARE INVESTORS, INC.

CONSOLIDATING BALANCE SHEET

(in thousands, except per share amounts)

	December 31, 2011
	Issuer & Subsidiary Guarantors			Non – Guarantor Subsidiaries			Elimination Company			Consolidated
ASSETS
Real estate properties
Land and buildings	$	2,095,441		$	441,598		$	—		$	2,537,039
Less accumulated depreciation		(446,581	)		(23,839	)		—			(470,420	)
Real estate properties – net		1,648,860			417,759			—			2,066,619
Mortgage notes receivable – net		238,675			—			—			238,675
		1,887,535			417,759			—			2,305,294
Other investments – net		52,957			—			—			52,957
		1,940,492			417,759			—			2,358,251
Assets held for sale – net		2,461			—			—			2,461
Total investments		1,942,953			417,759			—			2,360,712
Cash and cash equivalents		351			—			—			351
Restricted cash		6,511			27,601			—			34,112
Accounts receivable – net		97,407			3,257			—			100,664
Investment in affiliates		119,564			—			(119,564	)		—
Other assets		32,798			28,675			—			61,473
Total assets	$	2,199,584		$	477,292			(119,564	)	$	2,557,312
LIABILITIES AND STOCKHOLDERS’ EQUITY
Revolving line of credit	$	272,500		$	—		$	—		$	272,500
Secured borrowings		13,652			289,958			—			303,610
Unsecured borrowings – net		954,071			21,219			—			975,290
Accrued expenses and other liabilities		80,877			46,551			—			127,428
Intercompany payable		—			109,907			(109,907	)		—
Total liabilities		1,321,100			467,635			(109,907	)		1,678,828
Stockholders’ equity:
Common stock		10,341			—			—			10,341
Common stock – additional paid-in-capital		1,471,381			—			—			1,471,381
Cumulative net earnings		633,430			9,657			(9,657	)		633,430
Cumulative dividends paid		(1,236,668	)		—			—			(1,236,668	)
Total stockholders’ equity		878,484			9,657			(9,657	)		878,484
Total liabilities and stockholders’ equity	$	2,199,584		$	477,292		$	(119,564	)	$	2,557,312

Schedule of consolidating statement of operations

OMEGA HEALTHCARE INVESTORS, INC.

CONSOLIDATING STATEMENT OF OPERATIONS

(in thousands, except per share amounts)

	Year Ended December 31, 2012
	Issuer & Subsidiary Guarantors			Non – Guarantor Subsidiaries			Elimination Company			Consolidated
Revenue
Rental income	$	266,213		$	48,379		$	-		$	314,592
Mortgage interest income		30,446			-			-			30,446
Other investment income – net		4,760			-			-			4,760
Miscellaneous		662			-			-			662
Total operating revenues		302,081			48,379			-			350,460
Expenses
Depreciation and amortization		91,672			21,311			-			112,983
General and administrative		20,913			417			-			21,330
Acquisition costs		909			-			-			909
Impairment loss on real estate properties		272			-			-			272
Total operating expenses		113,766			21,728			-			135,494
Income before other income and expense		188,315			26,651			-			214,966
Other income (expense):
Interest income		2			27			-			29
Interest expense		(79,644	)		(15,883	)		-			(95,527	)
Interest – amortization of deferred financing costs		(2,649	)		-			-			(2,649	)
Interest – refinancing costs		(7,920	)		-			-			(7,920	)
Equity in earnings		10,795			-			(10,795	)		-
Total other expense		(79,416	)		(15,856	)		(10,795	)		(106,067	)
Income before gain on assets sold		108,899			10,795			(10,795	)		108,899
Gain on assets sold - net		11,799			-			-			11,799
Net income available to common stockholders	$	120,698		$	10,795		$	(10,795	)	$	120,698

OMEGA HEALTHCARE INVESTORS, INC.

CONSOLIDATING STATEMENT OF OPERATIONS

(in thousands, except per share amounts)

	Year Ended December 31, 2011
	Issuer & Subsidiary Guarantors			Non – Guarantor Subsidiaries			Elimination Company			Consolidated
Revenue
Rental income	$	239,077		$	34,440		$	-		$	273,517
Mortgage interest income		16,274			-			-			16,274
Other investment income – net		2,070			-			-			2,070
Miscellaneous		343			-			-			343
Total operating revenues		257,764			34,440			-			292,204
Expenses
Depreciation and amortization		84,568			15,769			-			100,337
General and administrative		19,138			294			-			19,432
Acquisition costs		1,204			-			-			1,204
Impairment loss on real estate properties		26,344			-			-			26,344
Provisions for uncollectible accounts receivable		6,439			-			-			6,439
Nursing home expenses of owned and operated assets		653			-			-			653
Total operating expenses		138,346			16,063			-			154,409
Income before other income and expense		119,418			18,377			-			137,795
Other income (expense):
Interest income		15			25			-			40
Interest expense		(69,881	)		(11,273	)		-			(81,154	)
Interest – amortization of deferred financing costs		(2,674	)		-			-			(2,674	)
Interest – refinancing costs		(3,071	)		-			-			(3,071	)
Equity in earnings		7,129			-			(7,129	)		-
Total other expense		(68,482	)		(11,248	)		(7,129	)		(86,859	)
Income before gain on assets sold		50,936			7,129			(7,129	)		50,936
Gain on assets sold - net		1,670			-			-			1,670
Net income		52,606			7,129			(7,129	)		52,606
Preferred stock dividends		(1,691	)		-			-			(1,691	)
Preferred stock redemption		(3,456	)		-			-			(3,456	)
Net income available to common stockholders	$	47,459		$	7,129		$	(7,129	)	$	47,459

OMEGA HEALTHCARE INVESTORS, INC.

CONSOLIDATING STATEMENT OF OPERATIONS

(in thousands, except per share amounts)

	Year Ended December 31, 2010
	Issuer & Subsidiary Guarantors			Non – Guarantor Subsidiaries			Elimination			Consolidated
Revenue
Rental income	$	215,992		$	16,780		$	-		$	232,772
Mortgage interest income		10,391			-			-			10,391
Other investment income – net		3,936			-			-			3,936
Miscellaneous		3,886			-			-			3,886
Nursing home revenues of owned and operated assets		7,336			-			-			7,336
Total operating revenues		241,541			16,780			-			258,321
Expenses
Depreciation and amortization		76,553			8,070			-			84,623
General and administrative		14,744			310			-			15,054
Acquisition costs		1,554			-			-			1,554
Impairment loss on real estate properties		155			-			-			155
Nursing home expenses of owned and operated assets		7,998			-			-			7,998
Total operating expenses		101,004			8,380			-			109,384
Income before other income and expense		140,537			8,400			-			148,937
Other income (expense):
Interest income		86			19			-			105
Interest expense		(61,449	)		(5,891	)		-			(67,340	)
Interest – amortization of deferred financing costs		(3,780	)		-			-			(3,780	)
Interest – refinancing costs		(19,482	)		-			-			(19,482	)
Equity in earnings		2,528			-			(2,528	)		-
Total other expense		(82,097	)		(5,872	)		(2,528	)		(90,497	)
Income before gain (loss) on assets sold		58,440			2,528			(2,528	)		58,440
Loss on assets sold – net		(4	)		-			-			(4	)
Net income		58,436			2,528			(2,528	)		58,436
Preferred stock dividends		(9,086	)		-			-			(9,086	)
Net income available to common	$	49,350		$	2,528		$	(2,528	)	$	49,350

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CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY (USD $) In Thousands, unless otherwise specified	Preferred Stock	Common Stock Par Value	Common Stock Par Value Executives	Common Stock Par Value Directors	Common Stock Additional Paid-in Capital	Common Stock Additional Paid-in Capital Executives	Common Stock Additional Paid-in Capital Directors	Cumulative Net Earnings	Cumulative Dividends Paid	Total
Balance (88,266 common shares, 99,233 common shares, 103,410 common shares for 2009, 2010, 2011 respectively) at Dec. 31, 2009	$ 108,488	$ 8,827			$ 1,157,931			$ 522,388	$ (932,407)	$ 865,227
Issuance of common stock:
Grant of restricted stock (13 shares at $20.00 per share, 13 shares at $22.00 per share for 2010, 2011 respectively and 428 shares to executives, 13 shares at $20.29 per share to directors for 2012)		1			(1)
Amortization of restricted stock					2,180					2,180
Vesting of restricted stock (grants 112 shares, grants 68 shares for 2010, 2011 respectively and 72 shares to executives for 2012)		11			(2,119)					(2,108)
Dividend reinvestment and stock purchase plan (2,961 shares at $20.45 per share, 2,853 shares at $20.78 per share, 5,063 shares at $22.11 per share for 2010, 2011, 2012 respectively)		296			60,215					60,511
Exercised options (15 shares at an average exercise price of $6.12 per share)		1			88					89
Grant of stock as payment of directors fees (7 shares at an average of $20.07 per share, 8 shares at an average of $19.43 per share, 9 shares at an average of $22.17 per share for 2010, 2011, 2012 respectively)		1			149					150
Equity Shelf Program (6,865 shares at $20.74 per share, net of issuance costs, 1,419 shares at $22.61 per share, net of issuance costs, 3,398 shares at $23.47 per share, net of issuance costs for 2010, 2011, 2012 respectively)		687			138,094					138,781
Issuance of common stock for acquisition (995 shares at $19.80 per share)		99			19,594					19,693
Net income								58,436		58,436
Common dividends ($1.37 per share, $1.55 per share, $1.69 per share for 2010, 2011, 2012 respectively)									(129,807)	(129,807)
Preferred dividends (Series D of $2.09 per share, Series D of $0.74 per share, for 2010, 2011 respectively)									(9,086)	(9,086)
Balance (99,233 common shares, 103,410 common shares, 112,393 common shares for 2010, 2011, 2012 respectively) at Dec. 31, 2010	108,488	9,923			1,376,131			580,824	(1,071,300)	1,004,066
Issuance of common stock:
Grant of restricted stock (13 shares at $20.00 per share, 13 shares at $22.00 per share for 2010, 2011 respectively and 428 shares to executives, 13 shares at $20.29 per share to directors for 2012)		1			(1)
Amortization of restricted stock					5,984					5,984
Vesting of restricted stock (grants 112 shares, grants 68 shares for 2010, 2011 respectively and 72 shares to executives for 2012)		7			(1,261)					(1,254)
Dividend reinvestment and stock purchase plan (2,961 shares at $20.45 per share, 2,853 shares at $20.78 per share, 5,063 shares at $22.11 per share for 2010, 2011, 2012 respectively)		285			58,833					59,118
Grant of stock as payment of directors fees (7 shares at an average of $20.07 per share, 8 shares at an average of $19.43 per share, 9 shares at an average of $22.17 per share for 2010, 2011, 2012 respectively)		1			149					150
Equity Shelf Program (6,865 shares at $20.74 per share, net of issuance costs, 1,419 shares at $22.61 per share, net of issuance costs, 3,398 shares at $23.47 per share, net of issuance costs for 2010, 2011, 2012 respectively)		142			31,068					31,210
Common stock repurchase (183 shares at $15.96 per share)		(18)			(2,910)					(2,928)
Preferred stock redemption	(108,488)				3,388				(3,456)	(108,556)
Net income								52,606		52,606
Common dividends ($1.37 per share, $1.55 per share, $1.69 per share for 2010, 2011, 2012 respectively)									(158,707)	(158,707)
Preferred dividends (Series D of $2.09 per share, Series D of $0.74 per share, for 2010, 2011 respectively)									(3,205)	(3,205)
Balance (99,233 common shares, 103,410 common shares, 112,393 common shares for 2010, 2011, 2012 respectively) at Dec. 31, 2011		10,341			1,471,381			633,430	(1,236,668)	878,484
Issuance of common stock:
Grant of restricted stock (13 shares at $20.00 per share, 13 shares at $22.00 per share for 2010, 2011 respectively and 428 shares to executives, 13 shares at $20.29 per share to directors for 2012)			43	1		(43)	(1)
Amortization of restricted stock					5,880					5,880
Vesting of restricted stock (grants 112 shares, grants 68 shares for 2010, 2011 respectively and 72 shares to executives for 2012)			7			(1,247)				(1,240)
Dividend reinvestment and stock purchase plan (2,961 shares at $20.45 per share, 2,853 shares at $20.78 per share, 5,063 shares at $22.11 per share for 2010, 2011, 2012 respectively)		506			111,408					111,914
Grant of stock as payment of directors fees (7 shares at an average of $20.07 per share, 8 shares at an average of $19.43 per share, 9 shares at an average of $22.17 per share for 2010, 2011, 2012 respectively)		1			199					200
Equity Shelf Program (6,865 shares at $20.74 per share, net of issuance costs, 1,419 shares at $22.61 per share, net of issuance costs, 3,398 shares at $23.47 per share, net of issuance costs for 2010, 2011, 2012 respectively)		340			77,278					77,618
Net income								120,698		120,698
Common dividends ($1.37 per share, $1.55 per share, $1.69 per share for 2010, 2011, 2012 respectively)									(182,225)	(182,225)
Balance (99,233 common shares, 103,410 common shares, 112,393 common shares for 2010, 2011, 2012 respectively) at Dec. 31, 2012		$ 11,239			$ 1,664,855			$ 754,128	$ (1,418,893)	$ 1,011,329

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STOCKHOLDERS' EQUITY (Narrative) (Detail) (USD $)	12 Months Ended			0 Months Ended	3 Months Ended	12 Months Ended		12 Months Ended			30 Months Ended		1 Months Ended			12 Months Ended
	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010	Mar. 07, 2011 Series D Cumulative Redeemable Preferred Stock	Mar. 31, 2011 Series D Cumulative Redeemable Preferred Stock	Dec. 31, 2012 245 Million Equity Shelf Program	Jun. 19, 2012 245 Million Equity Shelf Program	Dec. 31, 2012 140 Million Equity Shelf Program	Dec. 31, 2011 140 Million Equity Shelf Program	Dec. 31, 2010 140 Million Equity Shelf Program	Dec. 31, 2012 140 Million Equity Shelf Program	Jun. 25, 2010 140 Million Equity Shelf Program	Jun. 29, 2010 1.0 Million Share Common Stock Issuance	Sep. 30, 2011 100 Million Stock Repurchase Program	Aug. 30, 2011 100 Million Stock Repurchase Program	Dec. 31, 2012 Dividend Reinvestment and Common Stock Purchase Plan	Dec. 31, 2011 Dividend Reinvestment and Common Stock Purchase Plan
Stockholders Equity Note [Line Items]
Stock repurchase program, authorized amount															$ 100,000,000
Stock repurchase program, period in force, years															12 months
Common stock repurchase, shares		183,000												183,310
Common stock for repurchase in open market transaction, average price														$ 15.96
Preferred stock, yield				8.375%
Preferred stock, redemption price per share				$ 25
Redemption price, accrued and unpaid dividends per share				$ 0.21519
Aggregate liquidation price per share				$ 25.21519
Preferred stock, redemption date				Mar. 07, 2011
Amount of borrowings					103,000,000
Write-off of preferred stock issuance costs					3,500,000
Effect of write-off of preferred stock issuance costs on net income per common share					$ 0.03
Issuance of common stock for acquisitions, shares			995,000										1,000,000
Issuance of common stock for acquisitions, price per share						$ 24.10		$ 21.27					$ 19.80
Sales price, equity distribution agreement							245,000,000					140,000,000
Managerial compensation from sales of shares, percent of gross sales price							2.00%
Stock issued	3,398,000	1,419,000	6,865,000			2,600,000		759,000	1,400,000	3,100,000	5,300,000
Net proceeds from issuance of common stock	77,618,000	31,210,000	138,781,000			63,600,000		16,100,000	31,400,000	65,400,000	114,900,000
Commissions on sale of common stock						1,300,000		300,000	600,000	1,300,000	2,300,000
Dividend reinvestment and stock purchase plan, shares	5,063,000	2,853,000	2,961,000													5,100,000	2,900,000
Dividend reinvestment plan																$ 111,900,000	$ 59,100,000

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PROPERTIES

12 Months Ended

Dec. 31, 2012

Real Estate [Abstract]

PROPERTIES

NOTE 3 - PROPERTIES

Leased Property

Our leased real estate properties, represented by 418 SNFs, 16 ALFs and 11 specialty facilities at December 31, 2012, are leased under provisions of single leases and master leases with initial terms typically ranging from 5 to 15 years, plus renewal options.  Substantially all of the leases and master leases provide for minimum annual rentals that are typically subject to annual increases based upon fixed escalators or the lesser of a fixed amount or increases derived from changes in CPI.  Under the terms of the leases, the lessee is responsible for all maintenance, repairs, taxes and insurance on the leased properties.

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

	December 31,
	2012			2011
	(in thousands)
Buildings	$	2,580,400		$	2,157,015
Site improvement and equipment		213,471			184,503
Land		244,682			195,521
		3,038,553			2,537,039
Less accumulated depreciation		(580,373	)		(470,420	)
Total	$	2,458,180		$	2,066,619

The future minimum estimated contractual rents due for the remainder of the initial terms of the leases are as follows at December 31, 2012:

	(in thousands)
2013	$	338,520
2014		350,265
2015		355,798
2016		338,398
2017		342,487
Thereafter		1,793,621
Total	$	3,519,089

Below is a summary of the significant transactions that occurred from 2010 to 2012.

Genesis Healthcare

On December 1, 2012, Genesis Healthcare (“Genesis”), an existing operator to Omega, completed the purchase of Sun Healthcare Group (“Sun”), also an existing operator to Omega.  Prior to the purchase, Sun was our second largest tenant with $235 million in leased assets representing 40 facilities located in 10 states.  We leased the 40 facilities to Sun under a master lease with expiration dates in 2013 and 2017.  Prior to the purchase, we also had a master lease with Genesis covering approximately $122 million in leased assets representing 13 facilities located in 5 states.

In connection with the acquisition, on December 1, 2012, we entered into a new 53 facility master lease with Genesis expiring on December 31, 2025.  At December 31, 2012, Genesis was our largest tenant with $357 million in leased assets (approximately 11% of our total gross investments) located in 13 states.

2012 Acquisitions

Arizona and California Acquisitions

During the three-month period ended December 31, 2012, we completed the acquisition of approximately $203.4 million of new investments and leased them back to a new operator.  The investments involved two separate transactions to purchase 14 facilities (12 SNFs, one assisted living facility (“ALF”) and 1 combined SNF/ALF).  The combined transactions consisted of the assumption of approximately $71.9 million of HUD indebtedness and payment of $131.5 million in cash. The $71.9 million of assumed HUD debt is comprised of 8 HUD mortgage loans with a blended interest rate of 5.50% and maturities between April 2031 and February 2045. The 14 facilities, representing 1,830 operating beds, are located in California (10) and Arizona (4). The transaction involved several separate master lease agreements covering all 14 facilities.

Transaction 1 (First Closing):  On November 30, 2012, we purchased four Arizona facilities (2 SNFs, 1 ALF and 1 combined SNF/ALF) for an aggregate purchase price of $60.0 million.  The transaction consisted of the assumption of $27.6 million of indebtedness guaranteed by HUD and $32.4 million in cash.  The blended interest rate on the HUD indebtedness assumed for the Arizona facilities was 4.73%.  The four facilities were simultaneously leased back to a new operator under a new 12 year master lease.

We are in the process of finalizing our fair value allocation and we expect the allocation process to be completed during the first half of 2013.  As of December 31, 2012, we allocated approximately $64.6 million consisting of land ($5.5 million), building and site improvements ($55.9 million), and furniture and fixture ($3.2 million).  We recorded approximately $4.6 million of fair value adjustment related to above market debt assumed based on the terms of comparable debt and other market factors.  We estimate amortization of the fair value adjustment related to the above market debt will average approximately $0.2 million per year for the next five years.  We have not recorded goodwill in connection with this transaction.

Transaction 2 (Second Closing):  In November 2012, we entered into a Purchase and Sales Agreement to purchase and then leaseback 10 California SNFs.  On November 30, 2012, we purchased five SNFs for approximately $70.2 million.  The five SNFs were simultaneously leased back under a new 12 year master lease.

We are in the process of finalizing our fair value allocation and we expect the allocation process to be completed during the first half of 2013.  As of December 31, 2012, we allocated approximately $70.2 million consisting of land ($11.5 million), building and site improvements ($55.5 million), and furniture and fixture ($3.2 million).  We have not recorded goodwill in connection with this transaction.

Transaction 2 (Third Closing):  On December 31, 2012, we purchased the remaining five California SNFs for an aggregate purchase price of $72.2 million (net of purchase price reduction of approximately $1.0 million related to funds escrowed by the seller to reimburse us for costs associated with refinancing some of the assumed HUD debt).  The transaction consisted of the assumption of $44.3 million of HUD indebtedness and $28.9 million in cash.  The blended interest rate on the HUD indebtedness assumed for the five California facilities was 5.97%.  The five SNFs were then leased back to the new operator under new 12 year master leases.

We are in the process of finalizing our fair value allocation and we expect the allocation process to be completed during the first half of 2013.  As of December 31, 2012, we allocated approximately $77.6 million consisting of land ($13.0 million), building and site improvements ($60.9 million), and furniture and fixture ($3.7 million).  We recorded approximately $5.4 million of fair value adjustment related to the above market debt assumed based on the terms of comparable debt and other market factors.  We estimate amortization of the fair value adjustment related to the above market debt will be approximately $0.3 million in 2013 and will average approximately $0.2 million per year from 2014 through 2017.  We have not recorded goodwill in connection with this transaction.

Indiana Acquisitions

In 2012 we completed four transactions in Indiana involving two existing operators and 34 facilities.  The following is a summary of the transactions:

Transaction 1:  On June 29, 2012, we purchased one SNF encompassing 80 operating beds in Indiana for approximately $3.4 million and leased the facility back to an existing operator under an existing master lease.   As of December 31, 2012, we allocated approximately $3.4 million consisting of land ($0.2 million), building and site improvements ($2.9 million), and furniture and fixture ($0.3 million).  We have not recorded goodwill in connection with this transaction.

Transaction 2:  On June 29, 2012, we purchased four facilities encompassing 383 operating beds in Indiana for approximately $21.7 million and leased the facilities to Health and Hospital Corporation.  As of December 31, 2012, we allocated approximately $21.7 million consisting of land ($1.9 million), buildings and site improvements ($18.4 million) and furniture and fixtures ($1.4 million). We have not recorded goodwill in connection with this transaction.

Transaction 3:  On August 31, 2012, we purchased 27 facilities (17 SNFs, four ALFs and six independent living facilities) totaling 2,892 operating beds in Indiana from an unrelated third party for approximately $203 million in cash and assumed a liability associated with the lease of approximately $13.9 million.  Simultaneous with the transaction, we also purchased one parcel of land for $2.8 million.  The purchase price of both (i) 27 facilities and (ii) the parcel of land were funded from cash on hand and borrowings from our credit facility.  The 27 facilities and land parcel were added to an existing master lease.  We are in the process of finalizing our fair value allocation and we expect the allocation process to be completed during the first half of 2013.  As of December 31, 2012, we allocated approximately $219.7 million consisting of land ($16.1 million), building and site improvements ($189.2 million) and furniture and fixture ($14.4 million).  We have not recorded goodwill in connection with this transaction.

Transaction 4:  On December 31, 2012, we purchased two SNFs encompassing 167 operating beds in Indiana for approximately $9.5 million and leased these facilities back to an existing operator under a new consolidated master lease.  We are in the process of finalizing our fair value allocation and we expect the allocation process to be completed during the first half of 2013.  As of December 31, 2012, we allocated approximately $9.5 million consisting of land ($0.6 million), building and site improvements ($8.0 million), and furniture and fixture ($0.9 million).  We have not recorded goodwill in connection with this transaction.

Michigan Acquisition

On November 30, 2012, we purchased one ALF for $20 million from an unrelated third party and added it to an existing master lease with an existing operator.  The 171 operating bed ALF is located in Michigan.  We are in the process of finalizing our fair value allocation and we expect the allocation process to be completed during the first half of 2013.  As of December 31, 2012, we allocated approximately $20.0 million consisting of land ($0.4 million), building and site improvements ($18.9 million), and furniture and fixture ($0.7 million).  We have not recorded goodwill in connection with this transaction.

Texas Acquisition

On October 31, 2012, we purchased one SNF from an unrelated third party encompassing 90 operating beds in Texas for approximately $2.7 million and leased the facility to an existing operator.  We are in the process of finalizing our fair value allocation and we expect the allocation process to be completed during the first half of 2013.  As of December 31, 2012, we allocated approximately $2.7 million consisting of land ($0.2 million), building and site improvements ($2.2 million), and furniture and fixture ($0.3 million).  We have not recorded goodwill in connection with this transaction.

Acquisition costs related to the above transactions were expensed as period costs.  For the year ended December 31, 2012, we expensed $0.9 million of acquisition related expenses.

2011 Acquisitions

During the fourth quarter of 2011, we completed two acquisitions. The first acquisition was comprised of the purchase of four SNFs in Maryland and West Virginia; the second acquisition was comprised of the purchase/leaseback of 17 SNFs in five states, including Arkansas, Colorado, Florida, Michigan and Wisconsin.  Acquisition costs related to the two acquisitions was approximately $1.2 million in 2011 and was expensed.  The following is summary of the transactions and other investments:

2011 First Acquisition (Maryland and West Virginia)

During the fourth quarter of 2011, we purchased and leaseback four SNFs located in Maryland (3) and West Virginia (1), totaling 586 beds for a total investment of $61 million, including approximately $1 million to complete renovations at one facility.  The consideration consisted of $31 million in cash and the assumption of $30 million in HUD – guaranteed indebtedness, which bears an interest rate of 4.87% (weighted-average) and matures between March 2036 and September 2040.

We completed our fair value allocation in 2012.  We allocated approximately $62.7 million consisting of land ($4.4 million), buildings and site improvements ($55.0 million) and furniture and fixtures ($3.3 million).  We funded approximately $1.3 million in renovation costs for one of the facilities acquired in connection with this transaction and completed the renovation during the third quarter of 2012.  We recorded approximately $3.0 million of fair value adjustment related to the above market debt assumed based on the terms of comparable debt.  We estimate amortization will be approximately $0.2 million per year over the next five years. We have not recorded goodwill in connection with this transaction.

2011 Second Acquisition (Arkansas, Colorado, Florida, Michigan and Wisconsin)

On December 23, 2011, we purchased 17 SNFs and leased them back to a new operator, for an aggregate purchase price of $128 million.  The acquisition consisted of the assumption of $71.3 million of indebtedness guaranteed by the Department of Housing and Urban Development (“HUD”) and $56.7 million in cash.

The $71.3 million of assumed HUD debt was comprised of 15 HUD mortgage loans with a blended interest rate of 5.70% and maturities between October 2029 and July 2044.

The 17 SNFs, representing 1,820 operating beds, are located in Arkansas (12), Colorado (1), Florida (1), Michigan (2) and Wisconsin (1). The purchase/leaseback transaction involved two separate master lease agreements covering all 17 SNFs.

We completed our fair value allocation in 2012.  We allocated approximately $129.9 million consisting of land ($9.0 million), buildings and site improvements ($111.5 million) and furniture and fixtures ($9.4 million).  We recorded approximately $1.9 million of fair value adjustment related to the above market debt assumed based on the terms of comparable debt.  We have not recorded goodwill in connection with this transaction.

143 Facility CapitalSource Acquisitions (2009 – 2010)

In November 2009, we entered into a securities purchase agreement (the “CapitalSource Purchase Agreement”) with CapitalSource Inc. (NYSE: CSE) (“CapitalSource”) and several of its affiliates, pursuant to which we agreed to purchase CapitalSource subsidiaries owning 80 long term care facilities, plus an option to purchase CapitalSource subsidiaries owning an additional 63 facilities (the “Option”), for approximately $858 million.  Our acquisition of the CapitalSource subsidiaries pursuant to the terms of the purchase agreement was conducted in three separate closings: (i) on December 22, 2009, we acquired CapitalSource subsidiaries owning 40 long-term care facilities and an option to acquire an additional 63 facilities; (ii) on June 9, 2010, we exercised our option to acquire CapitalSource subsidiaries owning 63 long-term care facilities; and (iii) on June 29, 2010, we acquired CapitalSource subsidiaries owning 40 long-term care facilities.  We accounted for these acquisitions as business combinations.  We incurred approximately $3.1 million in transaction costs for the transactions, of which $1.6 million was expensed during 2009 and $1.5 million was expensed in 2010.

First Closing

On December 22, 2009, we purchased CapitalSource entities owning 40 facilities for approximately $271.4 million and an option to purchase CapitalSource entities owning 63 additional facilities for $25.0 million.  The consideration consisted of: (i) approximately $184.2 million in cash; (ii) 2,714,959 shares of Omega common stock and (iii) the assumption of approximately $59.4 million of 6.8% mortgage debt maturing on December 31, 2011.  We valued the 2,714,959 shares of our common stock at approximately $52.8 million on December 22, 2009.

The 40 facilities represent 5,264 operating beds located in 12 states, and are part of 15 in-place triple net leases among 12 operators.   The 12 leases generate approximately $31 million of annualized revenue.

We allocated approximately $282.0 million consisting of land ($22.5 million), building and site improvements ($241.9 million) and furniture and fixtures ($17.6 million).  We allocated approximately $9.5 million to in-place above market leases assumed at the first closing and approximately $19.8 million to in-place below market leases assumed at the first closing.  In 2010, 2011 and 2012, net amortization associated with net in-place below market leases assumed at the first closing was approximately $1.4 million, $1.3 million and $1.2 million, respectively.

As of December 31, 2012, we estimate the net impact to revenue of amortizing the assumed net in-place below market leases associated with the December 22, 2009 acquisition as follows (in millions):

1 year	1-3 years	3-5 years	Thereafter
$1.2	$2.1	$1.7	$1.8

The fair value of the debt assumed approximated face value.  We did not record goodwill in connection with this transaction.

HUD Portfolio Closing

On June 29, 2010, we purchased CapitalSource entities owning 40 facilities for approximately$271 million.   We also paid approximately $15 million for escrow accounts transferred to us at closing.  The 40 facilities are encumbered by approximately $182 million in long-term mortgage financing guaranteed by the U.S. Department of Housing and Urban Development (“HUD”) and $20 million in subordinated notes.  The following summarizes the consideration paid at closing:

● $65 million in cash;

● $202 million face value of assumed debt, which includes $20 million of 9.0% unsecured debt maturing in December 2021, $53million of HUD debt at a 6.61% weighted average annual interest rate maturing between January 2036 and May 2040, and $129 million of new HUD Debt at a 4.85% annual interest rate maturing between January 2040 and January 2045; and

● 995 thousand shares of our common stock valued at approximately $19 million on June 29, 2010.

The 40 facilities represent 4,882 operating beds located in two states, and are part of 13 in-place triple net leases among two operators.  The 13 leases generate approximately $30 million of annualized revenue.

We allocated approximately $313.3 million consisting of land ($32.3 million), building and site improvements ($264.1 million) and furniture and fixtures ($16.9 million).  We allocated approximately $4.9 million to in-place above market leases assumed and approximately $24.1 million to in-place below market leases assumed at the HUD portfolio closing.  In 2010, 2011 and 2012, net amortization associated with net in-place below market leases assumed at the HUD portfolio closing was approximately$1.9 million, $3.5 million and $3.2 million, respectively.

As of December 31, 2012, we estimate the net impact to revenue of amortizing the assumed net in-place below market leases associated with the June 29, 2010 acquisition as follows (in millions):

1 year	1-3 years	3-5 years	Thereafter
$2.9	$5.1	$0.9	$1.7

In addition, we recorded approximately $22.5 million of fair value adjustment related to the above market debt assumed based on the terms of comparable debt.  In 2010, 2011 and 2012, we amortized approximately $0.7 million, $1.4 million and $1.3 million for the fair value adjustment, respectively.  We estimate amortization will average approximately $1.2 million per year for the next five years.  We did not record goodwill in connection with this transaction.

Option Exercise and Closing

On April 20, 2010, we provided notice of our intent to exercise our Option to acquire CapitalSource entities owning 63 facilities.  On June 9, 2010, we completed our purchase of the 63 CapitalSource facilities for an aggregate purchase price of approximately $293 million in cash.  The total purchase price including the purchase option deposit was $318 million.

The 63 facilities represent 6,607 operating beds located in 19 states, and are part of 30 in-place triple net leases among 18 operators. The 30 leases generate approximately $34 million of annualized revenue.

We allocated approximately $328.9 million consisting of land ($35.8 million), building and site improvements ($276.0 million) and furniture and fixtures ($17.1 million).  We allocated approximately $8.2 million to in-place above market leases assumed and approximately $18.8 million to in-place below market leases assumed at the Option portfolio closing.  In 2010, 2011 and 2012, net amortization associated with net in-place below market leases assumed at the Option portfolio closing was approximately $0.7 million, $1.3 million and $0.9 million, respectively.

As of December 31, 2012, we estimate the net impact to revenue of amortizing the assumed net in-place below market leases associated with the June 9, 2010 acquisition as follows:

1 year	1-3 years	3-5 years	Thereafter
$1.0	$2.4	$1.9	$2.5

We did not record goodwill in connection with this transaction.

The facilities acquired in 2011 and 2012 are included in our results of operations from the date of acquisition.  The following unaudited pro forma results of operation reflect the impact of the transactions as if they occurred on January 1, 2011.  In the opinion of management, all significant necessary adjustments to reflect the effect of the acquisition have been made.  The following pro forma information is not indicative of future operations.

	Pro Forma
	Year Ended December 31,
	2012		2011
	(in thousands, except per share amount, unaudited)
Revenues	$	393,484	$	366,344
Net income available to common stockholders		138,644		74,975
Earnings per share – diluted:
Net income available to common stockholders – as reported	$	1.12	$	0.46
Net income available to common stockholders – pro forma	$	1.28	$	0.73

Connecticut Properties

In January 2011, at our request, a complaint was filed by the State of Connecticut, Commissioner of Social Services (the “State”) against the licensees/operators of four Connecticut SNFs, seeking the appointment of a receiver.  The facilities were leased and operated by affiliates of FC/SCH Capital, LLC (“FC/SCH”) and were managed by Genesis Healthcare (“Genesis”), and had approximately 472 licensed beds as of March 31, 2011.  The Superior Court, Judicial District of Hartford, Connecticut (the “Court”) appointed a receiver.

The receiver was responsible for (i) operating the facilities and funding all operational expenses incurred after the appointment of the receiver and (ii) for providing the Court with recommendations regarding the facilities.  In March 2011, the receiver moved to close all four SNFs and we objected.  At the hearing held on April 21, 2011, we stated our position that the receiver failed to comply with the statutory requirements prior to recommending the facilities’ closure.  In addition, alternative operators expressed interest in operating several of the facilities.  On April 27, 2011, the Court granted the receiver’s motion and ordered the facilities closed.

We timely filed our notice of appeal, taking the position that the Court’s Order was final and appealable, and erroneous.  Following our notice of appeal, we negotiated a stipulation with the State and the receiver which afforded us significant concessions.  Those concessions included: (a) an agreed recognition of us as a secured lienholder with a priority claim, (b) an accelerated timeframe for the (i) allocation by the receiver of collected funds between pre- and post- receivership periods, and (ii) disbursement to us of pre-receivership funds collected, and (c) an agreement by the State that it would forego its right to seek recoupment of pre-receivership funds as reimbursement for post-receivership advances.  In exchange for these concessions (among others), we withdrew our appeal.

           As a result of these developments, during the three month period ended March 31, 2011, we recorded an impairment charge of $24.4 million to reduce the carrying values of the Connecticut SNFs to their estimated fair values.  We estimated the fair value of these facilities based on the facilities’ potential sales value assuming that the facilities would not be used as SNFs.  As of November 1, 2011, all of the residents of the four facilities had been relocated and the receiver surrendered possession of all of the facilities to us.  In 2011, we classified these facilities as held-for-sale.  We are actively marketing the last of the four facilities for sale (for purposes other than the provision of skilled nursing care).

FC/SCH Facilities

During the second quarter of 2011, we entered into a master transition agreement (“2011 MTA”) with one of our current lessee/operators and a third party lessee/operator to transition the facilities from the current operator to the new operator.  The 2011 MTA closing was subject to receipt of healthcare regulatory approvals from several states for the operating license transfer from the current operator to the new operator.  On January 1, 2012, regulatory approval was provided and the former lease was terminated and a new operator entered into a new twelve-year master lease for the facilities.  As a result of the 2011 MTA, during the second quarter of 2011, we evaluated the recoverability of the straight-line rent and lease inducements associated with the current lease and recorded a $4.1 million provision for uncollectible accounts associated with straight-line receivables and lease inducements.

Assets Sold or Held for Sale

For the year ended December 31, 2012, we sold nine facilities for total cash proceeds of $29.0 million, generating approximately an $11.8 million accounting gain.  Three of the facilities sold were part of the Connecticut properties discussed above.  Two of the facilities sold were the result of lessees exercising their purchase option.  The sale of the other four facilities was the result of portfolio reconfiguration.

At December 31, 2012, we had two SNFs and one parcel of land classified as held-for-sale with an aggregate net book value of approximately $1.0 million.

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PROPERTIES - 2009 - 2010 Acquisitions - 143 Facility CapitalSource Acquisitions (Narrative) (Detail 8) (143 Facility CapitalSource Acquisitions, USD $) In Millions, unless otherwise specified	12 Months Ended
	Dec. 31, 2010	Dec. 31, 2009	Jun. 29, 2010 Property	Dec. 22, 2009 Property	Nov. 30, 2009	Jun. 09, 2010 Long-term care facilities Property	Dec. 22, 2009 Long-term care facilities Property	Nov. 30, 2009 Long-term care facilities Property
Real Estate Properties [Line Items]
Number of facilities under agreements to purchase			40	40				80
Number of facilities under option to purchase						63	63	63
Purchase price of subsidiaries, including option price								$ 858
Business combinations, total transaction costs					3.1
Business combinations, transaction costs expensed	$ 1.5	$ 1.6

XML

BORROWING ARRANGEMENTS - Unsecured Borrowings - $200 Million 7.5% Senior Notes due 2020 (Narrative) (Detail 5) (USD $)							12 Months Ended		12 Months Ended									12 Months Ended
	Dec. 31, 2012 Property	Dec. 31, 2011	Dec. 31, 2012 Non-Guarantor Subsidiaries	Dec. 31, 2011 Non-Guarantor Subsidiaries	Dec. 31, 2012 7.50% Notes due 2020	Dec. 31, 2012 Initial 2022 Notes	Dec. 31, 2012 Unsecured Borrowings 7.50% Notes due 2020	Feb. 09, 2010 Unsecured Borrowings 7.50% Notes due 2020	Dec. 31, 2012 Unsecured Borrowings 7.50% Notes due 2020 December 22, 2009 CapitalSource acquisition	Dec. 31, 2012 Unsecured Borrowings 7.50% Notes due 2020 Non-Guarantor Subsidiaries Facility	Dec. 31, 2012 Unsecured Borrowings 7.50% Notes due 2020 Non-Guarantor Subsidiaries HUD Portfolio Closing Property	Dec. 31, 2012 Unsecured Borrowings 7.50% Notes due 2020 Redemption during 12 months period beginning on February 15, 2015	Dec. 31, 2012 Unsecured Borrowings 7.50% Notes due 2020 Redemption during 12 months period beginning on February 15, 2016	Dec. 31, 2012 Unsecured Borrowings 7.50% Notes due 2020 Redemption during 12 months period beginning on February 15, 2017	Dec. 31, 2012 Unsecured Borrowings 7.50% Notes due 2020 Redemption on or after February 15, 2018	Jun. 02, 2011 Unsecured Borrowings Exchange notes	Oct. 20, 2010 Unsecured Borrowings Exchange notes	Dec. 31, 2012 Unsecured Borrowings Initial 2022 Notes	Oct. 04, 2010 Unsecured Borrowings Initial 2022 Notes	Dec. 31, 2012 Unsecured Borrowings Initial 2022 Notes Non-Guarantor Subsidiaries Facility	Mar. 27, 2012 Unsecured Borrowings 7% Senior Notes due 2016	Mar. 19, 2012 Unsecured Borrowings 7% Senior Notes due 2016	Mar. 05, 2012 Unsecured Borrowings 7% Senior Notes due 2016	Dec. 31, 2012 Unsecured Borrowings 7% Senior Notes due 2016 Non-Guarantor Subsidiaries Facility
Borrowing Arrangements [Line Items]
Long-term borrowing amount					$ 200,000,000	$ 575,000,000	$ 200,000,000	$ 200,000,000										$ 575,000,000	$ 225,000,000			$ 168,900,000	$ 175,000,000
Current Rate	10.00%						7.50%	7.50%										6.75%	6.75%			7.00%	7.00%
Redemption price percentage												103.75%	102.50%	101.25%	100.00%						102.333%
Maximum percentage of redeemable notes							35.00%											35.00%
Redemption price if redeemed in the first three years (in percent)							107.50%											106.75%
Redemption price if the company undergoes change of control (in percent)							101.00%											101.00%
Notes issued, issue price (in percent)							98.278%											98.984%
Proceeds of issuance of notes payable							197,000,000											223,000,000
Repayments of debt									59,000,000
Number of facilities owned	478										40
Number of HUD facilities acquired on October 31, 2011 and on December 23, 2011										18										18				18
Total assets	2,982,005,000	2,557,312,000	597,896,000	477,292,000						597,900,000										597,900,000
Notes issuable in exchange, face amount																$ 575,000,000	$ 200,000,000
Notes issuable in exchange, interest rate																6.75%	7.50%

XML

SCHEDULE IV MORTGAGE LOANS ON REAL ESTATE (Detail 1) (USD $) In Thousands, unless otherwise specified	12 Months Ended
	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010
Movement in Mortgage Loans on Real Estate [Roll Forward]
Balance at beginning of period	$ 238,674,601	$ 108,556,518	$ 100,222,734
Additions during period - Placements	11,967,892	130,191,254	20,656,391
Deductions during period - collection of principal/other	(12,021,332)	(73,171)	(12,322,607)
Balance at close of period	$ 238,621,161	$ 238,674,601	$ 108,556,518

XML

MORTGAGE NOTES RECEIVABLE - 2011 Mortgage Note Activity (Narrative) (Detail 1) (USD $) In Thousands, unless otherwise specified						0 Months Ended		1 Months Ended		1 Months Ended
	Dec. 31, 2012 Property		Dec. 31, 2011		Dec. 31, 2012 SNF's Property	Nov. 14, 2011 2011 Mortgage Note Activity $92.0 Million Mortgage Note due 2021 First Mortgage Michigan	Nov. 14, 2011 2011 Mortgage Note Activity $92.0 Million Mortgage Note due 2021 First Mortgage SNF's Michigan Bed Property	Oct. 31, 2011 2011 Mortgage Note Activity Four Mortgage Notes due 2046 First Mortgage Maryland	Oct. 31, 2011 2011 Mortgage Note Activity Four Mortgage Notes due 2046 First Mortgage SNF's Maryland Property Bed	Jul. 18, 2011 2011 Mortgage Note Activity Mortgage Note due 2013 First Mortgage Texas	Jul. 18, 2011 2011 Mortgage Note Activity Mortgage Note due 2013 First Mortgage SNF's Texas Property
Mortgage Loans on Real Estate [Line Items]
Mortgage notes receivable	$ 238,621	[1]	$ 238,675	[1]		$ 92,000		$ 25,000		$ 5,000
Fixed annual interest rate						12.50%		12.00%		10.00%
Number of operating beds							1,421		352
Mortgage loan term in years						10 years
Mortgage loans on real estate for first three years interest rate						11.00%
Mortgage loans on real estate for four five and six year interest rate						11.75%
Mortgage loans on real estate for seven year interest rate								13.50%
Number of facilities owned	478				418		13		3		1

[1] As of December 31, 2011 and 2012 we have no allowance for loan loss for any of our mortgages.

XML

SCHEDULE III REAL ESTATE AND ACCUMULATED DEPRECIATION

12 Months Ended

Dec. 31, 2012

Real Estate and Accumulated Depreciation Disclosure [Abstract]

REAL ESTATE AND ACCUMULATED DEPRECIATION

SCHEDULE III REAL ESTATE AND ACCUMULATED DEPRECIATION

OMEGA HEALTHCARE INVESTORS, INC.

December 31, 2012

								(3)
								Gross Amount at
								Which Carried at
		Initial Cost to	Cost Capitalized					Close of Period					Life on Which
		Company	Subsequent to					Buildings					Depreciation
		Buildings	Acquisition					and Land		(4)			in Latest
		and Land						Improvements		Accumulated	Date of	Date	Income Statements
Description (1)	Encumbrances	Improvements	Improvements		Impairment		Other	Total		Depreciation	Construction	Acquired	is Computed
Genesis HealthCare:
Alabama (LTC)		23,584,956		6,523,220	-		-		30,108,176	12,154,902	1964-1974	1997	33 years
California (LTC)		15,618,263		26,652	-		-		15,644,915	6,826,680	1927-1972	1997	33 years
Colorado (LTC, ILF)		38,341,877		5,444,311	-		-		43,786,188	8,010,895	1963-1975	2006	39 years
Idaho (LTC)		21,705,267		974,011	-		-		22,679,278	6,515,794	1920-1988	1997-2006	33 years to 39 years
Massachusetts (LTC)		57,139,658		2,660,093	(8,257,521	)	-		51,542,230	15,979,337	1964-1993	1997-2010	20 years to 39 years
New Hampshire (LTC, AL)		21,619,503		1,462,797	-		-		23,082,300	5,872,469	1963-1999	1998-2006	33 years to 39 years
North Carolina (LTC)		22,652,488		3,550,986	-		-		26,203,474	13,121,012	1964-1986	1994-1997	30 years to 33 years
Ohio (LTC)		11,653,451		20,246	-		-		11,673,697	5,188,500	1968-1983	1997	33 years
Rhode Island (LTC)		38,740,812		4,792,882	-		-		43,533,694	9,633,437	1965-1981	2006	25 years to 39 years
Tennessee (LTC)		7,905,139		2,537,508	-		-		10,442,647	4,771,828	1984-1985	1994	30 years
Vermont (LTC)		14,145,776		1,235,807	-		-		15,381,583	3,593,567	1970-1971	2004	39 years
Washington (LTC)		10,000,000		1,798,844	-		-		11,798,844	9,288,616	1965	1995	20 years
West Virginia (LTC)		44,277,206		6,528,560	-		-		50,805,766	16,387,893	1961-1986	1997-2008	25 years to 33 years
Total Genesis HealthCare		327,384,396		37,555,917	(8,257,521	)	-		356,682,792	117,344,930
Health and Hospital Corporation:
Indiana (LTC, AL, ILF)		280,915,346		380,317	(1,820,624	)	-		279,475,039	10,753,507	1942-2001	1992-2012	20 years to 35 years
Total Health and Hospital Corporation		280,915,346		380,317	(1,820,624	)	-		279,475,039	10,753,507
Airamid Health Management
Florida (LTC, AL)	(2)	248,788,474		-	-		-		248,788,474	34,964,800	1951-1999	2009-2010	20 years to 37 years
Pennsylvania  (LTC)		14,771,868		-	-		-		14,771,868	2,118,806	1969	2009	26 years
Total Airamid Health Management		263,560,342		-	-		-		263,560,342	37,083,606
CommuniCare Health Services, Inc:
Ohio (LTC, AL, SH)		218,726,757		14,817,410	-		-		233,544,167	52,809,680	1927-2008	1998-2008	20 years to 39 years
Pennsylvania  (LTC)		20,286,067		1,788,193	-		-		22,074,260	4,503,956	1950-1964	2005	39 years
Total CommuniCare Health Services, Inc		239,012,824		16,605,603	-		-		255,618,427	57,313,636
Signature Holdings II, LLC.:
Florida (LTC)		110,896,405		6,800,763	-		-		117,697,168	26,438,052	1940-1991	1996-2010	28 years to 39 years
Georgia (LTC)		14,679,314		3,721,982	-		-		18,401,296	5,093,500	1964-1970	2007	20 years
Kentucky (LTC)		44,737,440		3,221,326	-		-		47,958,766	10,325,937	1964-1978	1999-2010	20 years to 33 years
Maryland (LTC)		28,629,686		1,786,688	-		-		30,416,374	3,917,672	1959-1985	2010	26 years to 30 years
Tennessee (LTC)		11,230,702		357,255	-		-		11,587,957	3,096,707	1982	2007	20 years
Total Signature Holdings II, LLC		210,173,547		15,888,014	-		-		226,061,561	48,871,868
S&F Management Company, LLC:
Arizona (LTC, AL)	(2)	64,642,862		-	-		-		64,642,862	165,825	1949-1999	2012	35 years to 40 years
California (LTC)	(2)	147,805,458		-	-		-		147,805,458	208,111	1939-1970	2012	20 years to 35 years
Total S&F Management Company, LLC		212,448,320		-	-		-		212,448,320	373,936
Other:
Alabama (LTC)		17,939,710		6,392,567	-		-		24,332,277	11,064,587	1960-1986	1992-2010	20 years to 31.5 years
Arizona (LTC)		34,318,094		5,657,143	(6,603,745	)	-		33,371,492	10,162,017	1983-1985	1998-2010	29 years to 33 years
Arkansas (LTC)	(2)	117,091,565		8,856,328	(36,350	)	-		125,911,543	29,886,387	1960-2000	1992-2011	20 years to 38 years
California (LTC)		21,879,146		1,778,353	-		-		23,657,499	8,112,641	1950-1990	1997-2010	20 years to 33 years
Colorado (LTC)		33,527,071		2,346,167	-		-		35,873,238	8,486,637	1958-1973	1998-2011	20 years to 33 years
Florida (LTC, AL)	(2)	219,369,045		4,068,109	(970,000	)	-		222,467,154	41,019,855	1933-1999	1992-2011	20 years to 40 years
Georgia (LTC)		10,000,000		-	-		-		10,000,000	2,361,711	1967-1971	1998	37.5 years
Illinois (LTC)		13,961,501		444,484	-		-		14,405,985	6,453,570	1926-1990	1996-1999	30 years to 33 years
Indiana (LTC, AL)		37,220,697		1,897,203	(22,776	)	-		39,095,124	7,779,317	1923-1996	1992-2012	20 years to 38 years
Iowa (LTC)		19,116,936		2,084,807	-		-		21,201,743	6,077,152	1965-1983	1997-2010	23 years to 33 years
Kansas (LTC)		3,210,020		-	-		-		3,210,020	494,751	1985	2010	20 years
Kentucky (LTC)		15,151,027		4,141,902	-		-		19,292,929	9,380,804	1948-1995	1994-1995	33 years
Louisiana (LTC)		55,343,066		170,509	-		-		55,513,575	11,993,677	1957-1983	1997-2006	33 years to 39 years
Maryland (LTC)	(2)	48,731,498		-	-		-		48,731,498	2,350,791	1921-1969	2011	25 years to 30 years
Massachusetts (LTC)		5,804,554		-	-		-		5,804,554	1,079,037	1964	2009	20 years
Michigan (LTC, AL)		36,500,317		-	-		-		36,500,317	823,445	1964-1974	2011-2012	25 years to 30 years
Mississippi (LTC)	(2)	52,416,905		566,614	-		-		52,983,519	6,268,230	1962-1988	2009-2010	20 years to 40 years
Missouri (LTC)		12,301,560		-	(149,386	)	-		12,152,174	4,887,321	1965-1989	1999	33 years
Nevada (LTC, SH)		20,926,778		-	-		-		20,926,778	3,100,074	1972-1978	2009	26 years to 27 years
New Mexico (LTC)		7,097,600		130,323	-		-		7,227,923	1,795,385	1972-1989	2008-2010	20 years
North Carolina (LTC)		33,092,980		-	-		-		33,092,980	4,039,800	1969-1987	2010	25 years to 36 years
Ohio (LTC)		106,991,529		6,250,513	-		-		113,242,042	26,213,261	1962-1998	1994-2010	20 years to 39 years
Oklahoma (LTC)		22,642,639		-	-		-		22,642,639	2,418,725	1965-1993	2010-2012	20 years
Pennsylvania (LTC, AL, ILF)		138,881,687		-	-		-		138,881,687	32,566,452	1942-2001	1998-2009	20 years to 39 years
Tennessee (LTC)		94,531,371		2,350,869	-		-		96,882,240	21,261,645	1958-1983	1992-2010	20 years to 31.5 years
Texas (LTC)		159,153,913		6,926,311	-		-		166,080,224	38,157,629	1952-2010	1997-2012	20 years to 39 years
Washington (AL)		5,673,693		-	-		-		5,673,693	2,212,971	1999	1999	33 years
West Virginia (LTC)	(2)	24,641,423		348,641	-		-		24,990,064	4,410,764	1961-1996	1994-2011	33 years to 39 years
Wisconsin (LTC)		30,561,506		-	-		-		30,561,506	3,773,092	1964-1972	2009-2011	20 years
Total Other		1,398,077,831		54,410,843	(7,782,257	)	-		1,444,706,417	308,631,728
Total		2,931,572,606		124,840,694	(17,860,402	)	-		3,038,552,898	580,373,211

(1)	The real estate included in this schedule is being used in either the operation of long-term care facilities (LTC), assisted living facilities (AL), independent living facilities (ILF) or specialty hospitals (SH) located in the states indicated.
(2)	Certain of the real estate indicated are security for the HUD loan borrowings totaling $366,537,510, including FMV of $30,826,565, at December 31, 2012.

	Year Ended December 31,
(3)	2010			2011			2012
Balance at beginning of period	$	1,669,842,724		$	2,366,856,229		$	2,537,038,892
Acquisitions		661,148,185			192,612,147			491,207,838
Impairment					(26,344,298	)
Improvements		35,905,544			19,865,623			29,436,456
Disposals/other		(40,224	)		(15,950,809	)		(19,130,288	)
Balance at close of period	$	2,366,856,229		$	2,537,038,892		$	3,038,552,898
(4)		2010			2011			2012
Balance at beginning of period	$	296,441,131		$	380,995,243		$	470,420,023
Provisions for depreciation		84,554,112			100,237,951			112,871,408
Dispositions/other					(10,813,171	)		(2,918,220	)
Balance at close of period	$	380,995,243		$	470,420,023		$	580,373,211

(5)    The reported amount of our real estate at December 31, 2012 is greater than the tax basis of the real estate by approximately $17.1 million.

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BORROWING ARRANGEMENTS - Long-term borrowings (Detail) (USD $) In Thousands, unless otherwise specified									12 Months Ended		12 Months Ended				12 Months Ended				12 Months Ended				12 Months Ended						12 Months Ended		12 Months Ended		12 Months Ended		12 Months Ended		12 Months Ended			12 Months Ended
	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2011 2016 Notes	Dec. 31, 2012 2020 Notes	Dec. 31, 2012 Initial 2022 Notes	Dec. 31, 2012 2024 Notes	Dec. 31, 2012 Secured borrowings	Dec. 31, 2011 Secured borrowings	Dec. 31, 2012 Secured borrowings HUD Berkadia mortgages assumed June 2010	Dec. 31, 2011 Secured borrowings HUD Berkadia mortgages assumed June 2010	Dec. 31, 2012 Secured borrowings HUD Capital Funding mortgages assumed June 2010		Dec. 31, 2011 Secured borrowings HUD Capital Funding mortgages assumed June 2010		Dec. 31, 2012 Secured borrowings HUD mortgages assumed October 2011		Dec. 31, 2011 Secured borrowings HUD mortgages assumed October 2011		Dec. 31, 2012 Secured borrowings HUD mortgages assumed December 2011		Dec. 31, 2011 Secured borrowings HUD mortgages assumed December 2011		Dec. 31, 2012 Secured borrowings HUD mortgages assumed December 2012		Dec. 31, 2011 Secured borrowings HUD mortgages assumed December 2012		Dec. 31, 2012 Unsecured borrowings	Dec. 31, 2011 Unsecured borrowings	Dec. 31, 2012 Unsecured borrowings Revolving line of credit	Dec. 31, 2011 Unsecured borrowings Revolving line of credit	Dec. 31, 2012 Unsecured borrowings 2016 Notes	Dec. 31, 2011 Unsecured borrowings 2016 Notes	Dec. 31, 2012 Unsecured borrowings 2020 Notes	Feb. 09, 2010 Unsecured borrowings 2020 Notes	Dec. 31, 2012 Unsecured borrowings Initial 2022 Notes	Oct. 04, 2010 Unsecured borrowings Initial 2022 Notes	Dec. 31, 2012 Unsecured borrowings 2024 Notes	Mar. 19, 2012 Unsecured borrowings 2024 Notes	Dec. 31, 2011 Unsecured borrowings 2024 Notes	Dec. 31, 2012 Unsecured borrowings Subordinated debt	Dec. 31, 2011 Unsecured borrowings Subordinated debt
Debt Instrument [Line Items]
Maturity									2036 - 2040		2040 - 2045	[1]			2036 - 2040	[1]			2044	[1]			2031 - 2045	[1]					2016 - 2017		2016		2020		2022		2024			2021
Current Rate	10.00%								6.61%	6.61%	4.85%		4.85%	[1]	4.87%	[1]			5.55%	[1]			5.50%	[1]					1.81%		7.00%	7.00%	7.50%	7.50%	6.75%	6.75%	5.875%	5.875%		9.00%	9.00%
Long-term borrowing amount									$ 62,921	$ 64,533	$ 130,887	[1]	$ 133,061	[1]	$ 31,991	[1]	$ 32,813	[1]	$ 58,884	[1]	$ 73,203	[1]	$ 81,855	[1]		[1]
HUD debt	366,538	303,610					366,538	303,610
Revolving line of credit	258,000	272,500																											258,000	272,500
Long-term borrowing amount			175,000	200,000	575,000	400,000																										175,000	200,000	200,000	575,000	225,000	400,000	400,000
Subordinated debt																																								21,049	21,219
Unsecured borrowing																											1,196,049	971,219
Premium - net																											4,345	4,071
Total unsecured borrowings																											1,458,394	1,247,790
Totals - net																											$ 1,824,932	$ 1,551,400

[1] Reflects the weighted average interest rate on the mortgages.

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DIVIDEND (Tables)

12 Months Ended

Dec. 31, 2012

Dividends [Abstract]

Schedule of per share distribution for income tax purpose

Per share distributions by our company were characterized in the following manner for income tax purposes (unaudited):

	Year Ended December 31,
	2012		2011		2010
Common
Ordinary income	$	0.884	$	0.989	$	0.777
Return of capital		0.806		0.561		0.593
Long-term capital gain		—		—		—
Total dividends paid	$	1.690	$	1.550	$	1.370
Series D Preferred
Ordinary income	$	—	$	0.739	$	2.094
Return of capital		—		—		—
Long-term capital gain		—		—		—
Total dividends paid	$	—	$	0.739	$	2.094

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STOCKHOLDERS' EQUITY

12 Months Ended

Dec. 31, 2012

Equity [Abstract]

STOCKHOLDERS' EQUITY

NOTE 13 – STOCKHOLDERS’ EQUITY

Stockholders’ Equity

$245 Million Equity Shelf Program

On June 19, 2012, we entered into separate Equity Distribution Agreements (collectively, the “2012 Agreements”) to sell shares of our common stock having an aggregate gross sales price of up to $245 million (the “2012 ESP”) with several financial institutions, each as a sales agent and/or principal (collectively, the “Managers”).  Under the terms of the 2012 Agreements, we may sell shares of our common stock, from time to time, through or to the Managers having an aggregate gross sales price of up to $245 million.  Sales of the shares will be made by means of ordinary brokers’ transactions on the New York Stock Exchange at market prices, or as otherwise agreed with the applicable Manager.  We will pay each Manager compensation for sales of the shares equal to 2% of the gross sales price per share of shares sold through such Manager.  We are not obligated to sell and the Managers are not obligated to buy or sell any shares under the 2012 Agreements.  No assurance can be given that we will sell any shares under the 2012 Agreements, or, if we do, as to the price or amount of shares that we sell, or the dates when such sales will take place.

For the year ended December 31, 2012, we issued 2.6 million shares under the 2012 ESP, at an average price of $24.10 per share, generating gross proceeds of approximately $63.6 million, before $1.3 million of commissions.

Termination of $140 Million Equity Shelf Program

On June 25, 2010, we entered into separate equity distribution agreements (the “2010 ESP Agreements”) to sell shares of our common stock having an aggregate gross sales price of up to $140 million (the “2010 ESP”) with several financial intuitions, each as sales agents and/or principal (collectively, the “2010 ESP Managers”).  On June 19, 2012, we terminated our $140 million 2010 ESP agreement.

For the year ended December 31, 2012, we issued approximately 759,000 shares of our common stock under the 2010 ESP at an average price per share of $21.27, generating gross proceeds of approximately $16.1 million, before $0.3 million of commissions.

For the year ended December 31, 2011, 1.4 million shares of our common stock were issued through the 2010 ESP for net proceeds of approximately $31.4 million, net of $0.6 million of commissions.  For the year ended December 31, 2010, 3.1 million shares of our common stock were issued through the 2010 ESP for approximately $65.4 million, net of $1.3 million of commissions.

Since inception of the 2010 ESP, we have sold a total of 5.3 million shares of common stock generating total gross proceeds of $114.9 million under the program, before $2.3 million of commissions.  As a result of the termination of the 2010 ESP, no additional shares were issued under the 2010 ESP.  The proceeds of the sale of our common stock were used for working capital and for general corporate purposes.

$100 Million Stock Repurchase Program

On August 30, 2011, the Board of Directors authorized the repurchase of up to $100 million of our outstanding common stock from time to time over a period of 12 months following such authorization.  On September 30, 2011, we entered into open market transactions to repurchase 183,310 shares of our common stock at an average price of $15.96 per share.  This repurchase of these common shares settled in the ordinary course on October 5, 2011.  No other shares have been repurchased.

Redemption of Series D Preferred Stock

On March 7, 2011, pursuant to authorization from our Board of Directors, we redeemed all of the outstanding shares of our 8.375% Series D Cumulative Redeemable Preferred Stock at a redemption price of $25 per share plus $0.21519 per share in accrued and unpaid dividends up to and including the redemption date, for an aggregate redemption price of $25.21519 per share.  Dividends on the shares of Series D Preferred Stock ceased to accrue on and after the redemption date, after which the Series D Preferred Stock ceased to be outstanding.

We borrowed approximately $103 million under our previous 2010 Credit Facility to fund the redemption price.  In connection with the redemption of the Series D Preferred Stock, we wrote-off $3.5 million of preferred stock issuance costs that reduced 2011 net income available to common stockholders by approximately $0.03 per common share.

1.0 Million Share Common Stock Issuance

In connection with the June 29, 2010 CapitalSource acquisition, we issued approximately 1.0 million shares of our common stock to the selling stockholder.  The issue price of the common stock was $19.80 per share.

Dividend Reinvestment and Common Stock Purchase Plan

We have a Dividend Reinvestment and Common Stock Purchase Plan (the “DRSPP”) that allows for the reinvestment of dividends and the optional purchase of our common stock.  For the year ended December 31, 2012, we issued 5.1 million shares of common stock for approximately $111.9 million.  For the year ended December 31, 2011, we issued 2.9 million shares of common stock for approximately $59.1 million in net proceeds.

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SCHEDULE III REAL ESTATE AND ACCUMULATED DEPRECIATION (Detail) (USD $) In Thousands, unless otherwise specified								12 Months Ended																																																				12 Months Ended								12 Months Ended										12 Months Ended										12 Months Ended																								12 Months Ended														12 Months Ended
	Dec. 31, 2012		Dec. 31, 2011	Dec. 31, 2010	Dec. 31, 2009	Dec. 31, 2012 Genesis Healthcare		Dec. 31, 2012 Genesis Healthcare Alabama		Dec. 31, 2012 Genesis Healthcare California		Dec. 31, 2012 Genesis Healthcare Colorado		Dec. 31, 2012 Genesis Healthcare Idaho		Dec. 31, 2012 Genesis Healthcare Idaho Minimum		Dec. 31, 2012 Genesis Healthcare Idaho Maximum		Dec. 31, 2012 Genesis Healthcare Massachusetts		Dec. 31, 2012 Genesis Healthcare Massachusetts Minimum		Dec. 31, 2012 Genesis Healthcare Massachusetts Maximum		Dec. 31, 2012 Genesis Healthcare New Hampshire		Dec. 31, 2012 Genesis Healthcare New Hampshire Minimum		Dec. 31, 2012 Genesis Healthcare New Hampshire Maximum		Dec. 31, 2012 Genesis Healthcare North Carolina		Dec. 31, 2012 Genesis Healthcare North Carolina Minimum		Dec. 31, 2012 Genesis Healthcare North Carolina Maximum		Dec. 31, 2012 Genesis Healthcare Ohio		Dec. 31, 2012 Genesis Healthcare Rhode Island		Dec. 31, 2012 Genesis Healthcare Rhode Island Minimum		Dec. 31, 2012 Genesis Healthcare Rhode Island Maximum		Dec. 31, 2012 Genesis Healthcare Tennessee		Dec. 31, 2012 Genesis Healthcare Vermont		Dec. 31, 2012 Genesis Healthcare Washington		Dec. 31, 2012 Genesis Healthcare West Virginia		Dec. 31, 2012 Genesis Healthcare West Virginia Minimum		Dec. 31, 2012 Genesis Healthcare West Virginia Maximum		Dec. 31, 2012 Health and Hospital Corporation		Dec. 31, 2012 Health and Hospital Corporation Indiana		Dec. 31, 2012 Health and Hospital Corporation Indiana Minimum		Dec. 31, 2012 Health and Hospital Corporation Indiana Maximum		Dec. 31, 2012 Airamid Health Management, LLC		Dec. 31, 2012 Airamid Health Management, LLC Florida		Dec. 31, 2012 Airamid Health Management, LLC Florida Minimum		Dec. 31, 2012 Airamid Health Management, LLC Florida Maximum		Dec. 31, 2012 Airamid Health Management, LLC Pennsylvania		Dec. 31, 2012 CommuniCare Health Services		Dec. 31, 2012 CommuniCare Health Services Ohio		Dec. 31, 2012 CommuniCare Health Services Ohio Minimum		Dec. 31, 2012 CommuniCare Health Services Ohio Maximum		Dec. 31, 2012 CommuniCare Health Services Pennsylvania		Dec. 31, 2012 Signature Healthcare		Dec. 31, 2012 Signature Healthcare Florida		Dec. 31, 2012 Signature Healthcare Florida Minimum		Dec. 31, 2012 Signature Healthcare Florida Maximum		Dec. 31, 2012 Signature Healthcare Georgia		Dec. 31, 2012 Signature Healthcare Kentucky		Dec. 31, 2012 Signature Healthcare Kentucky Minimum		Dec. 31, 2012 Signature Healthcare Kentucky Maximum		Dec. 31, 2012 Signature Healthcare Maryland		Dec. 31, 2012 Signature Healthcare Maryland Minimum		Dec. 31, 2012 Signature Healthcare Maryland Maximum		Dec. 31, 2012 Signature Healthcare Tennessee		Dec. 31, 2012 S&F Management Company, LLC		Dec. 31, 2012 S&F Management Company, LLC Arizona		Dec. 31, 2012 S&F Management Company, LLC Arizona Minimum		Dec. 31, 2012 S&F Management Company, LLC Arizona Maximum		Dec. 31, 2012 S&F Management Company, LLC California		Dec. 31, 2012 S&F Management Company, LLC California Minimum		Dec. 31, 2012 S&F Management Company, LLC California Maximum		Dec. 31, 2012 Other		Dec. 31, 2012 Other Alabama		Dec. 31, 2012 Other Alabama Minimum		Dec. 31, 2012 Other Alabama Maximum		Dec. 31, 2012 Other Arizona		Dec. 31, 2012 Other Arizona Minimum		Dec. 31, 2012 Other Arizona Maximum		Dec. 31, 2012 Other Arkansas		Dec. 31, 2012 Other Arkansas Minimum		Dec. 31, 2012 Other Arkansas Maximum		Dec. 31, 2012 Other California		Dec. 31, 2012 Other California Minimum		Dec. 31, 2012 Other California Maximum		Dec. 31, 2012 Other Colorado		Dec. 31, 2012 Other Colorado Minimum		Dec. 31, 2012 Other Colorado Maximum		Dec. 31, 2012 Other Florida		Dec. 31, 2012 Other Florida Minimum		Dec. 31, 2012 Other Florida Maximum		Dec. 31, 2012 Other Georgia		Dec. 31, 2012 Other Illinois		Dec. 31, 2012 Other Illinois Minimum		Dec. 31, 2012 Other Illinois Maximum		Dec. 31, 2012 Other Indiana		Dec. 31, 2012 Other Indiana Minimum		Dec. 31, 2012 Other Indiana Maximum		Dec. 31, 2012 Other Iowa		Dec. 31, 2012 Other Iowa Minimum		Dec. 31, 2012 Other Iowa Maximum		Dec. 31, 2012 Other Kansas		Dec. 31, 2012 Other Kentucky		Dec. 31, 2012 Other Louisiana		Dec. 31, 2012 Other Louisiana Minimum		Dec. 31, 2012 Other Louisiana Maximum		Dec. 31, 2012 Other Maryland		Dec. 31, 2012 Other Maryland Minimum		Dec. 31, 2012 Other Maryland Maximum		Dec. 31, 2012 Other Massachusetts		Dec. 31, 2012 Other Michigan		Dec. 31, 2012 Other Michigan Minimum		Dec. 31, 2012 Other Michigan Maximum		Dec. 31, 2012 Other Mississippi		Dec. 31, 2012 Other Mississippi Minimum		Dec. 31, 2012 Other Mississippi Maximum		Dec. 31, 2012 Other Missouri		Dec. 31, 2012 Other Nevada		Dec. 31, 2012 Other Nevada Minimum		Dec. 31, 2012 Other Nevada Maximum		Dec. 31, 2012 Other New Mexico		Dec. 31, 2012 Other North Carolina		Dec. 31, 2012 Other North Carolina Minimum		Dec. 31, 2012 Other North Carolina Maximum		Dec. 31, 2012 Other Ohio		Dec. 31, 2012 Other Ohio Minimum		Dec. 31, 2012 Other Ohio Maximum		Dec. 31, 2012 Other Oklahoma		Dec. 31, 2012 Other Pennsylvania		Dec. 31, 2012 Other Pennsylvania Minimum		Dec. 31, 2012 Other Pennsylvania Maximum		Dec. 31, 2012 Other Tennessee		Dec. 31, 2012 Other Tennessee Minimum		Dec. 31, 2012 Other Tennessee Maximum		Dec. 31, 2012 Other Texas		Dec. 31, 2012 Other Texas Minimum		Dec. 31, 2012 Other Texas Maximum		Dec. 31, 2012 Other Washington		Dec. 31, 2012 Other West Virginia		Dec. 31, 2012 Other West Virginia Minimum		Dec. 31, 2012 Other West Virginia Maximum		Dec. 31, 2012 Other Wisconsin
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost to Company Buildings and Land Improvements	$ 2,931,572,606	[1]				$ 327,384,396	[1]	$ 23,584,956	[1]	$ 15,618,263	[1]	$ 38,341,877	[1]	$ 21,705,267	[1]					$ 57,139,658	[1]					$ 21,619,503	[1]					$ 22,652,488	[1]					$ 11,653,451	[1]	$ 38,740,812	[1]					$ 7,905,139	[1]	$ 14,145,776	[1]	$ 10,000,000	[1]	$ 44,277,206	[1]					$ 280,915,346	[1]	$ 280,915,346	[1]					$ 263,560,342	[1]	$ 248,788,474	[1],[2]					$ 14,771,868	[1]	$ 239,012,824	[1]	$ 218,726,757	[1]					$ 20,286,067	[1]	$ 210,173,547	[1]	$ 110,896,405	[1]					$ 14,679,314	[1]	$ 44,737,440	[1]					$ 28,629,686	[1]					$ 11,230,702	[1]	$ 212,448,320	[1]	$ 64,642,862	[1],[2]					$ 147,805,458	[1]					$ 1,398,077,831	[1]	$ 17,939,710	[1]					$ 34,318,094	[1]					$ 117,091,565	[1],[2]					$ 21,879,146	[1]					$ 33,527,071	[1]					$ 219,369,045	[1],[2]					$ 10,000,000	[1]	$ 13,961,501	[1]					$ 37,220,697	[1]					$ 19,116,936	[1]					$ 3,210,020	[1]	$ 15,151,027	[1]	$ 55,343,066	[1]					$ 48,731,498	[1],[2]					$ 5,804,554	[1]	$ 36,500,317	[1]					$ 52,416,905	[1],[2]					$ 12,301,560	[1]	$ 20,926,778	[1]					$ 7,097,600	[1]	$ 33,092,980	[1]					$ 106,991,529	[1]					$ 22,642,639	[1]	$ 138,881,687	[1]					$ 94,531,371	[1]					$ 159,153,913	[1]					$ 5,673,693	[1]	$ 24,641,423	[1]					$ 30,561,506	[1]
Cost Capitalized Subsequent to Acquisition Improvements	124,840,694	[1]				37,555,917	[1]	6,523,220	[1]	26,652	[1]	5,444,311	[1]	974,011	[1]					2,660,093	[1]					1,462,797	[1]					3,550,986	[1]					20,246	[1]	4,792,882	[1]					2,537,508	[1]	1,235,807	[1]	1,798,844	[1]	6,528,560	[1]					380,317	[1]	380,317	[1]						[1]		[1],[2]						[1]	16,605,603	[1]	14,817,410	[1]					1,788,193	[1]	15,888,014	[1]	6,800,763	[1]					3,721,982	[1]	3,221,326	[1]					1,786,688	[1]					357,255	[1]		[1]		[1],[2]						[1]					54,410,843	[1]	6,392,567	[1]					5,657,143	[1]					8,856,328	[1],[2]					1,778,353	[1]					2,346,167	[1]					4,068,109	[1],[2]						[1]	444,484	[1]					1,897,203	[1]					2,084,807	[1]						[1]	4,141,902	[1]	170,509	[1]						[1],[2]						[1]		[1]					566,614	[1],[2]						[1]		[1]					130,323	[1]		[1]					6,250,513	[1]						[1]		[1]					2,350,869	[1]					6,926,311	[1]						[1]	348,641	[1]						[1]
Cost Capitalized Subsequent to Acquisition Impairment	(17,860,402)	[1]				(8,257,521)	[1]		[1]		[1]		[1]		[1]					(8,257,521)	[1]						[1]						[1]						[1]		[1]						[1]		[1]		[1]		[1]					(1,820,624)	[1]	(1,820,624)	[1]						[1]		[1],[2]						[1]		[1]		[1]						[1]		[1]		[1]						[1]		[1]						[1]						[1]		[1]		[1],[2]						[1]					(7,782,257)	[1]		[1]					(6,603,745)	[1]					(36,350)	[1],[2]						[1]						[1]					(970,000)	[1],[2]						[1]		[1]					(22,776)	[1]						[1]						[1]		[1]		[1]						[1],[2]						[1]		[1]						[1],[2]					(149,386)	[1]		[1]						[1]		[1]						[1]						[1]		[1]						[1]						[1]						[1]		[1]						[1]
Cost Capitalized Subsequent to Acquisition Other		[1]					[1]		[1]		[1]		[1]		[1]						[1]						[1]						[1]						[1]		[1]						[1]		[1]		[1]		[1]						[1]		[1]						[1]		[1],[2]						[1]		[1]		[1]						[1]		[1]		[1]						[1]		[1]						[1]						[1]		[1]		[1],[2]						[1]						[1]		[1]						[1]						[1],[2]						[1]						[1]						[1],[2]						[1]		[1]						[1]						[1]						[1]		[1]		[1]						[1],[2]						[1]		[1]						[1],[2]						[1]		[1]						[1]		[1]						[1]						[1]		[1]						[1]						[1]						[1]		[1]						[1]
Total Gross Amount at Which Carried at Close of Period Buildings and Land Improvements	3,038,552,898		2,537,038,892	2,366,856,229	1,669,842,724	356,682,792	[1],[3]	30,108,176	[1],[3]	15,644,915	[1],[3]	43,786,188	[1],[3]	22,679,278	[1],[3]					51,542,230	[1],[3]					23,082,300	[1],[3]					26,203,474	[1],[3]					11,673,697	[1],[3]	43,533,694	[1],[3]					10,442,647	[1],[3]	15,381,583	[1],[3]	11,798,844	[1],[3]	50,805,766	[1],[3]					279,475,039	[1],[3]	279,475,039	[1],[3]					263,560,342	[1],[3]	248,788,474	[1],[2],[3]					14,771,868	[1],[3]	255,618,427	[1],[3]	233,544,167	[1],[3]					22,074,260	[1],[3]	226,061,561	[1],[3]	117,697,168	[1],[3]					18,401,296	[1],[3]	47,958,766	[1],[3]					30,416,374	[1],[3]					11,587,957	[1],[3]	212,448,320	[1],[3]	64,642,862	[1],[2],[3]					147,805,458	[1],[3]					1,444,706,417	[1],[3]	24,332,277	[1],[3]					33,371,492	[1],[3]					125,911,543	[1],[2],[3]					23,657,499	[1],[3]					35,873,238	[1],[3]					222,467,154	[1],[2],[3]					10,000,000	[1],[3]	14,405,985	[1],[3]					39,095,124	[1],[3]					21,201,743	[1],[3]					3,210,020	[1],[3]	19,292,929	[1],[3]	55,513,575	[1],[3]					48,731,498	[1],[2],[3]					5,804,554	[1],[3]	36,500,317	[1],[3]					52,983,519	[1],[2],[3]					12,152,174	[1],[3]	20,926,778	[1],[3]					7,227,923	[1],[3]	33,092,980	[1],[3]					113,242,042	[1],[3]					22,642,639	[1],[3]	138,881,687	[1],[3]					96,882,240	[1],[3]					166,080,224	[1],[3]					5,673,693	[1],[3]	24,990,064	[1],[3]					30,561,506	[1],[3]
Accumulated Depreciation	$ 580,373,211		$ 470,420,023	$ 380,995,243	$ 296,441,131	$ 117,344,930	[1],[4]	$ 12,154,902	[1],[4]	$ 6,826,680	[1],[4]	$ 8,010,895	[1],[4]	$ 6,515,794	[1],[4]					$ 15,979,337	[1],[4]					$ 5,872,469	[1],[4]					$ 13,121,012	[1],[4]					$ 5,188,500	[1],[4]	$ 9,633,437	[1],[4]					$ 4,771,828	[1],[4]	$ 3,593,567	[1],[4]	$ 9,288,616	[1],[4]	$ 16,387,893	[1],[4]					$ 10,753,507	[1],[4]	$ 10,753,507	[1],[4]					$ 37,083,606	[1],[4]	$ 34,964,800	[1],[2],[4]					$ 2,118,806	[1],[4]	$ 57,313,636	[1],[4]	$ 52,809,680	[1],[4]					$ 4,503,956	[1],[4]	$ 48,871,868	[1],[4]	$ 26,438,052	[1],[4]					$ 5,093,500	[1],[4]	$ 10,325,937	[1],[4]					$ 3,917,672	[1],[4]					$ 3,096,707	[1],[4]	$ 373,936	[1],[4]	$ 165,825	[1],[2],[4]					$ 208,111	[1],[4]					$ 308,631,728	[1],[4]	$ 11,064,587	[1],[4]					$ 10,162,017	[1],[4]					$ 29,886,387	[1],[2],[4]					$ 8,112,641	[1],[4]					$ 8,486,637	[1],[4]					$ 41,019,855	[1],[2],[4]					$ 2,361,711	[1],[4]	$ 6,453,570	[1],[4]					$ 7,779,317	[1],[4]					$ 6,077,152	[1],[4]					$ 494,751	[1],[4]	$ 9,380,804	[1],[4]	$ 11,993,677	[1],[4]					$ 2,350,791	[1],[2],[4]					$ 1,079,037	[1],[4]	$ 823,445	[1],[4]					$ 6,268,230	[1],[2],[4]					$ 4,887,321	[1],[4]	$ 3,100,074	[1],[4]					$ 1,795,385	[1],[4]	$ 4,039,800	[1],[4]					$ 26,213,261	[1],[4]					$ 2,418,725	[1],[4]	$ 32,566,452	[1],[4]					$ 21,261,645	[1],[4]					$ 38,157,629	[1],[4]					$ 2,212,971	[1],[4]	$ 4,410,764	[1],[4]					$ 3,773,092	[1],[4]
Date Of Construction								1964-1974	[1]	1927-1972	[1]	1963-1975	[1]	1920-1988	[1]					1964-1993	[1]					1963-1999	[1]					1964-1986	[1]					1968-1983	[1]	1965-1981	[1]					1984-1985	[1]	1970-1971	[1]	1965	[1]	1961-1986	[1]							1942-2001	[1]							1951-1999	[1],[2]					1969	[1]			1927-2008	[1]					1950-1964	[1]			1940-1991	[1]					1964-1970	[1]	1964-1978	[1]					1959-1985	[1]					1982	[1]			1949-1999	[1],[2]					1939-1970	[1]							1960-1986	[1]					1983-1985	[1]					1960-2000	[1],[2]					1950-1990	[1]					1958-1973	[1]					1933-1999	[1],[2]					1967-1971	[1]	1926-1990	[1]					1923-1996	[1]					1965-1983	[1]					1985	[1]	1948-1995	[1]	1957-1983	[1]					1921-1969	[1],[2]					1964	[1]	1964-1974	[1]					1962-1988	[1],[2]					1965-1989	[1]	1972-1978	[1]					1972-1989	[1]	1969-1987	[1]					1962-1998	[1]					1965-1993	[1]	1942-2001	[1]					1958-1983	[1]					1952-2010	[1]					1999	[1]	1961-1996	[1],[2]					1964-1972	[1]
Date Acquired								1997	[1]	1997	[1]	2006	[1]	1997-2006	[1]					1997-2010	[1]					1998-2006	[1]					1994-1997	[1]					1997	[1]	2006	[1]					1994	[1]	2004	[1]	1995	[1]	1997-2008	[1]							1992-2012	[1]							2009-2010	[1],[2]					2009	[1]			1998-2008	[1]					2005	[1]			1996-2010	[1]					2007	[1]	1999-2010	[1]					2010	[1]					2007	[1]			2012	[1],[2]					2012	[1]							1992-2010	[1]					1998-2010	[1]					1992-2011	[1],[2]					1997-2010	[1]					1998-2011	[1]					1992-2011	[1],[2]					1998	[1]	1996-1999	[1]					1992-2012	[1]					1997-2010	[1]					2010	[1]	1994-1995	[1]	1997-2006	[1]					2011	[1],[2]					2009	[1]	2011-2012	[1]					2009-2010	[1],[2]					1999	[1]	2009	[1]					2008-2010	[1]	2010	[1]					1994-2010	[1]					2010-2012	[1]	1998-2009	[1]					1992-2010	[1]					1997-2012	[1]					1999	[1]	1994-2011	[1],[2]					2009-2011	[1]
Life on Which Depreciation in Latest Income Statements is Computed								33 years	[1]	33 years	[1]	39 years	[1]			33 years	[1]	39 years	[1]			20 years	[1]	39 years	[1]			33 years	[1]	39 years	[1]			30 years	[1]	33 years	[1]	33 years	[1]			25 years	[1]	39 years	[1]	30 years	[1]	39 years	[1]	20 years	[1]			25 years	[1]	33 years	[1]					20 years	[1]	35 years	[1]					20 years	[1],[2]	37 years	[1],[2]	26 years	[1]					20 years	[1]	39 years	[1]	39 years	[1]					28 years	[1]	39 years	[1]	20 years	[1]			20 years	[1]	33 years	[1]			26 years	[1]	30 years	[1]	20 years	[1]					35 years	[1],[2]	40 years	[1],[2]			20 years	[1]	35 years	[1]					20 years	[1]	31 years 6 months	[1]			29 years	[1]	33 years	[1]			20 years	[1],[2]	38 years	[1],[2]			20 years	[1]	33 years	[1]			20 years	[1]	33 years	[1]			20 years	[1],[2]	40 years	[1],[2]	37 years 6 months	[1]			30 years	[1]	33 years	[1]			20 years	[1]	38 years	[1]			23 years	[1]	33 years	[1]	20 years	[1]	33 years	[1]			33 years	[1]	39 years	[1]			25 years	[1],[2]	30 years	[1],[2]	20 years	[1]			25 years	[1]	30 years	[1]			20 years	[1],[2]	40 years	[1],[2]	33 years	[1]			26 years	[1]	27 years	[1]	20 years	[1]			25 years	[1]	36 years	[1]			20 years	[1]	39 years	[1]	20 years	[1]			20 years	[1]	39 years	[1]			20 years	[1]	31 years 6 months	[1]			20 years	[1]	39 years	[1]	33 years	[1]			33 years	[1],[2]	39 years	[1],[2]	20 years	[1]

[1] The real estate included in this schedule is being used in either the operation of long-term care facilities (LTC), assisted living facilities (AL), independent living facilities (ILF) or specialty hospitals (SH) located in the states indicated.

[2] Certain of the real estate indicated are security for the HUD loan borrowings totaling $366,537,510, including FMV of $30,826,565, at December 31, 2012.

[3] Year Ended December 31, (3) 2010 2011 2012 Balance at beginning of period $ 1,669,842,724 $ 2,366,856,229 $ 2,537,038,892 Acquisitions 661,148,185 192,612,147 491,207,838 Impairment (26,344,298) Improvements 35,905,544 19,865,623 29,436,456 Consolidation under FIN 46R (a) Disposals/other (40,224) (15,950,809) (19,130,288) Balance at close of period $ 2,366,856,229 $ 2,537,038,892 $ 3,038,552,898

[4] (4) 2010 2011 2012 Balance at beginning of period $ 296,441,131 $ 380,995,243 $ 470,420,023 Provisions for depreciation 84,554,112 100,237,951 112,871,408 Dispositions/other (10,813,171) (2,918,220) Balance at close of period $ 380,995,243 $ 470,420,023 $ 580,373,211