OMEGA HEALTHCARE INVESTORS INC
ADVISORY LETTER FROM THE HAMPSTEAD GROUP, L.L.C.
<DOCUMENT>
<TYPE>EX-10
<SEQUENCE>6
<FILENAME>hampstead.txt
<DESCRIPTION>ADVISORY LETTER FROM THE HAMPSTEAD GROUP, L.L.C.
<TEXT>
                           The Hampstead Group, L.L.C.
                        2200 Ross Avenue, Suite 4200 West
                            Dallas, Texas 75201-6799

                                February 21, 2002

Omega Healthcare Investors, Inc.
900 Victors Way, Suite 350
Ann Arbor, Michigan 48108

Ladies and Gentlemen:

         Reference is made to (i) the Amended and Restated Advisory Agreement,
dated as of October 4, 2000 (as amended, the "Advisory Agreement"), between
Omega Healthcare Investors, Inc. (the "Company") and The Hampstead Group, L.L.C.
("Hampstead") and (ii) the Letter Agreement, dated June 2, 2001 (the "Letter
Agreement"), between the Company and Hampstead. Capitalized terms used herein
but not defined have the meanings given to those terms in the Advisory
Agreement.

         By signing in the space provided below, Hampstead and the Company
agree, in accordance with the Advisory Agreement, as follows:

         1. Completion of Services. Upon the closing of the Rights Offering (as
defined in the Investment Agreement) and the investment to be made by Explorer
Holdings, L.P. pursuant to the Investment Agreement, dated as of October 29,
2001 (the "Investment Agreement"), (i) Hampstead shall have, as of the date of
the Investment Agreement, fulfilled all of its obligations to provide the
Services (as defined in the Letter Agreement) referred to in Paragraph 4 of
Section B of the Letter Agreement and (ii) the Y2000/2001 Advisory Fee shall be
due and payable on the date all of the conditions for payment of the Y2000/2001
Advisory Fee set forth in Section 2(c)(i) through (iii) of the Advisory
Agreement have been satisfied.

         2. Additional Services. If Hampstead performs (i) any Services (as
defined in the Letter Agreement) for the Company after December 31, 2001, (ii)
any Services of a type referred to in Paragraph 4 of Section B of the Letter
Agreement after the date of the Investment Agreement (other than in connection
with the Investment Agreement), or (iii) other services that are not within the
scope of the Services set forth in the Letter Agreement, including, without
limitation, advising the Company with respect to further financings (debt or
equity) or other strategic initiatives, including, without limitation, mergers,
material acquisitions, dispositions and capital-raising activities (such
services, "Additional Services"), the Company will pay Hampstead customary
advisory fees as contemplated by the Advisory Agreement consistent with the
compensation generally paid to private equity firms by portfolio companies in
connection with the provision of services. Nothing in this letter agreement
shall require Hampstead to provide Additional Services to the Company.

         Each of the Company and Hampstead represents and warrants to the other
that (i) it has the requisite power and authority to execute and deliver this
letter agreement, (ii) the execution and delivery of this letter agreement has
been duly authorized by all necessary corporate or limited partnership action,
as applicable, and (iii) this letter agreement has been duly and validly
executed and delivered by it and constitutes its valid and binding obligation,
enforceable against it in accordance with the terms hereof.

         This letter agreement will be governed by and construed in accordance
with the laws of the State of Delaware, without regard to its conflict of laws
principles, and may not be amended except by an instrument in writing signed on
behalf of each of the parties hereto. This letter agreement may be executed by
the parties hereto in separate counterparts, each of which when so executed and
delivered will be an original, but all such counterparts will together
constitute one and the same instrument. A facsimile copy of a signature page
will be deemed to be an original signature page.

         The provisions hereof will be binding upon and inure to the benefit of
the parties hereto and their respective successors and assigns but are otherwise
not intended to confer upon any person other than the parties hereto any rights
or remedies. Except as otherwise expressly amended hereby, the terms and
provisions of the Advisory Agreement and Letter Agreement will remain in full
force and effect.

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<PAGE>


         By signing below, each of the parties agrees to be bound hereby.

                                            THE HAMPSTEAD GROUP, L.L.C.


                                            By:   /s/ KYMBERLYN J. IRVIN
                                               ---------------------------------
                                                 Kymberlyn J. Irvin
                                                 Vice President


Agreed and accepted as of the date first written above, which agreement has been
approved by a majority of the Company's independent directors.

OMEGA HEALTHCARE INVESTORS, INC.


By:   /s/ C. TAYLOR PICKETT
   -----------------------------
     C. Taylor Pickett
     Chief Executive Officer

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