Exhibit 10.1
                                                                    ------------

                           The Hampstead Group, L.L.C.
                        2200 Ross Avenue, Suite 4200 West
                            Dallas, Texas 75201-6799

                                  June 1, 2001


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

Ladies and Gentlemen:

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

     By signing in the space provided below, Hampstead and the Company
agree, in accordance with Section 1 of the Agreement, as follows:

     A.  Past Services.

     The parties agree that Hampstead has previously provided services under the
Agreement ("Past Services"), including without limitation the following:

         1. Chief Financial Officer.   Richard FitzPatrick  has served full-time
in the capacity as Chief Financial Officer of the Company for the period July 1,
2000 through April 30, 2001.

         2. Chairman / Executive  Chairman.    Daniel   Decker  has  served   as
Chairman/Executive  Chairman  of the Company since July 16, 2000 and has devoted
substantially all his efforts during working hours to the Company's business.

         3. Executive  Search   and   Strategic  Matters.   Donald  McNamara has
assisted  the Company in  its search for a new Chief Executive Officer and other
senior management and with respect to various strategic matters.

         4. Company  Indebtedness.    Kurt  Read,  Steven  Sheetz  and/or  other
individuals  at  Hampstead  have advised and assisted the Company in its efforts
(i) to refinance, repay or extend the respective maturity dates of the Company's
indebtedness that may be incurred pursuant to (A)  the Loan Agreement, dated  as
of August 16, 2000,  by and among the Company, Sterling Acquisition Corp., Delta
Investors I, LLC,  The Provident Bank,  as Agent,  and the various lenders named
therein, as amended (the "Provident Debt"),  (B) the Loan Agreement, dated as of
June 15, 2000,  by and among  the Company and certain  of its subsidiaries,  the
Banks  signatory  thereto  and  Fleet  Bank, N.A.,  as  Agent for such Banks, as
amended (the "Fleet Debt"),  (C) the Indenture,  dated  as  of  August 27, 1997,
between  the  Company  and  NBD Bank,  as Trustee, as amended  (the "2002 Public
Debt"), and (D) the Indenture, dated as of January 24, 1997, between the Company
and NBD Bank,  as Trustee,  as  amended  (together with the Provident Debt,  the
Fleet Debt and the 2002 Public Debt,  collectively, the "Company Indebtedness"),
and (ii) to manage the Company's capitalization and liquidity.

         5. Other Past Services.   Various other  individuals at  Hampstead have
devoted significant amounts of time with respect to financial, strategic growth,
asset disposition and other matters.

B.       Anticipated Services.

     The parties agree that Hampstead shall provide the following services under
the Agreement  through December 31, 2001  ("Anticipated  Services," and together
with the Past Services, the "Services"):

         1. Chief Financial Officer.     Hampstead  shall  make  Mr. FitzPatrick
available to  continue to serve as Chief Financial Officer of the Company at the
sole  cost and expense of  the Company in accordance with the terms set forth on
Annex A hereto.

         2. Chairman/Executive  Chairman.    Hampstead  shall  make  Mr.  Decker
available  to  continue  to  serve  as the Company's Executive Chairman and will
devote  substantially  all  of his efforts during working hours to the Company's
business  until  the  date  on  which  a Chief Executive Officer is hired by the
Company.  Thereafter,  Mr. Decker will remain Chairman of the Company's Board of
Directors  with  a significantly  reduced time commitment as is consistent for a
non-executive Chairman.

         3. Executive Search and Strategic Matters.  Hampstead shall make Donald
McNamara available  to  continue  to  assist the Company in its search for a new
Chief Executive Officer and other senior management.

         4. Company Indebtedness. Hampstead shall make Kurt Read, Steven Scheetz
and/or other individuals designated by Hampstead available to continue to advise
and  assist  the  Company  in  its efforts (i) to refinance, repay or extend the
respective  maturity dates of the Company's Indebtedness, and (ii) to manage the
Company's capitalization and liquidity.

         5. Other Anticipated Services.   Hampstead shall make William Cavanaugh
available  to  continue to assist  the  Company  in  resolving  its  "re-leasing
program"  and  "transition liability" issues.  Mr. Cavanaugh and Michael Wallace
(or another analyst designated by Hampstead) may, if the Company so requests and
Hampstead so agrees, assist the Company on other specified matters.

         6. Substitution of Personnel.  In the event that any of the individuals
above are not available to Hampstead and  therefore  cannot be made available to
the Company,  Hampstead  will  use  its  commercially reasonable best efforts to
provide substitute personnel with similar expertise and training to the Company.

     C.  Agreement As To Compensation.

     By signing in the space provided below, Hampstead and the Company agree, in
accordance with Sections 2 and 3 of the Agreement, as follows:

         1. Reimbursement of Out-of-Pocket Expenses. The Company will promptly
reimburse Hampstead an amount in cash equal to $221,033 in respect of
Out-of-Pocket Expenses incurred prior to January 1, 2001. The Company further
agrees to promptly reimburse Hampstead for all Out-of-Pocket Expenses
(including, without limitation, reasonable attorneys' fees and expenses)
incurred by Hampstead under the Agreement or this letter agreement in accordance
with Section 3 of the Agreement.

         2. Reimbursement of Services of Chief Financial Officer. In addition to
any  Y2000/2001  Advisory Fee (as defined below), Fees that may be payable under
the Agreement or reimbursements payable  pursuant  to  Section 1  of this letter
agreement  (but without duplication),  the Company  will  reimburse Hampstead an
amount in cash  equal  to  $295,833  in  respect  of  services  provided  by Mr.
FitzPatrick  to  the  Company  prior  to  May 1, 2001.   As  of May 1, 2001, Mr.
FitzPatrick became an employee of the Company in accordance with the terms set
forth in Annex A hereto. Hampstead will continue to provide health insurance and
other  benefits  to  Mr. FitzPatrick as described on Annex A hereto. Hampstead's
costs in providing such benefits will be deemed to be Out-of-Pocket Expenses for
purposes of Section 3 of the Agreement.

         3. Financial Advisory Fee.  (a)  Section 2 of the Agreement will become
Section 2(a).   The  following  will  be  added  to  the end of Section 2 of the
Agreement:

               "; provided,  however,  that, in  consideration  for the Services
               provided or to be provided by the Advisor under this Agreement as
               defined in that certain letter agreement  between the Company and
               the Advisor  dated as of June 1, 2001 (the  "Letter  Agreement"),
               the Company will pay to the Advisor the  advisory  fees set forth
               in  paragraph  (b) of this  Section 2 (the  "Y2000/2001  Advisory
               Fee").

                    (b) With respect to any Company  Indebtedness (as defined in
               the Letter  Agreement)  that, on or before December 31, 2002, (i)
               is refinanced,  whether such  refinancing is provided by the same
               lender as the original indebtedness or otherwise, with a maturity
               date at least 12 months after the  maturity  date of such Company
               Indebtedness  in  effect  on the  date  hereof,  (ii) is  repaid,
               whether such  repayments  are made from the Company's cash flows,
               assets sales or otherwise, or (iii) the maturity date is extended
               to a date that is at least 12 months after the  maturity  date of
               such Company  Indebtedness in effect on the date hereof (any such
               Company  Indebtedness so refinanced,  repaid or the maturity date
               so extended, "Refinanced Debt"), the Company will pay the Advisor
               a fee equal to 1% of the aggregate amount of Refinanced Debt. For
               the avoidance of doubt,  Refinanced Debt will include the maximum
               amount of Company  Indebtedness  that could have been outstanding
               had all  amounts  available  thereunder  been fully drawn and not
               subsequently  repaid  (regardless  of whether  the full amount of
               such Company  Indebtedness is then  outstanding at the time it is
               refinanced,  repaid or extended). In no event will the Y2000/2001
               Advisory Fee payable under this Section 2 exceed $3.1 million.

                    (c) Payment of any  Y2000/2001  Advisory Fee will be made by
               the Company to the Advisor  within five  business  days after the
               date on which any Company  Indebtedness  becomes Refinanced Debt,
               provided, however, that:

                         (i)  unless the  entire  balance  of the $10.0  million
                    Revolving  Loan B under the Provident Debt maturing on March
                    31, 2002 has been refinanced, repaid or extended, the amount
                    of  the  Y2000/2001   Advisory  Fee  relating  to  any  such
                    Refinanced Debt will not be paid until March 31, 2002;

                         (ii) unless the entire balance of the $125.0 million in
                    2002  Public  Debt  maturing  on  June  15,  2002  has  been
                    refinanced, repaid or extended, the amount of the Y2000/2001
                    Advisory Fee relating to any such  Refinanced  Debt will not
                    be paid until June 15, 2002;

                         (iii)  unless  the  entire  balance  of the Fleet  Debt
                    maturing on December 31, 2002 has been refinanced, repaid or
                    extended, the amount of the Y2000/2001 Advisory Fee relating
                    to any such  Refinanced Debt will not be paid until December
                    31, 2002; and

                         (iv) no  portion  of the  Advisory  Fee will be payable
                    prior to December 31, 2001 in any event.

                    (d)  Notwithstanding  the  foregoing,  nothing  herein  will
               prevent the Company from engaging one or more investment bankers,
               mortgage  bankers or other  third  party  advisors to assist with
               refinancing,  repayment  and/or the  extension of the maturity of
               any Company  Indebtedness;  provided,  however,  that in no event
               will any such  engagement  reduce the  Y2000/2001  Advisory  Fees
               payable hereunder to the Advisor."

         4. Term.   The  phrase "July 1, 2001" in Section 6(ii) of the Agreement
is hereby deleted and replaced with "December 31, 2001."

         5. Limitation  on  Fees  and  Services.   Except as described herein or
otherwise  subsequently  agreed,  (i) the  Company  will  have  no obligation to
reimburse Hampstead for Mr. Decker's  past services,  any other past services or
any Anticipated Services through December 31, 2001 (except for compensation paid
or payable to Hampstead personnel in their capacity as directors of the Company)
and (ii) Hampstead will have no obligation to provide services to the Company.

     The  parties  acknowledge  that  the  compensation   payable  to  Hampstead
hereunder is based on the Past Services, the Anticipated Services to be provided
hereunder  and the  parties'  current  assessment  of the time to be spent until
December  31,  2001  to  achieve  the  parties'  objectives.  The  parties  also
acknowledge  that, in the event that other challenges or opportunities  develop,
the  parties'  estimates  of  future  services  required  could be  dramatically
understated and the achievement of these  objectives may require services beyond
December 31, 2001.  In either case,  each of Hampstead  and the Company agree to
negotiate  in  good  faith  to  increase  Hampstead's   compensation  to  fairly
compensate Hampstead for such expanded services.

     Each of the Company and  Hampstead  represent and warrant 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  liability  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 Agreement will remain in full force and effect.

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

                                              THE HAMPSTEAD GROUP, L.L.C.


                                              By:  /s/ WILLIAM T. CAVANAUGH
                                                   --------------------------
                                                       William T. Cavanaugh, Jr.
                                                       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/ THOMAS W. ERICKSON
     ------------------------
         Thomas W. Erickson
         Chief Executive Officer