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Real Estate Loans Receivable
12 Months Ended
Dec. 31, 2015
Real Estate Loans Receivable [Abstract]  
Real Estate Loans Receivable

6. Real Estate Loans Receivable

     The following is a summary of our real estate loans receivable (in thousands):

December 31,
20152014
Mortgage loans$635,492$188,651
Other real estate loans184,000191,518
Totals$819,492$380,169

     The following is a summary of our real estate loan activity for the periods presented (in thousands):

Year Ended
December 31, 2015December 31, 2014December 31, 2013
OutpatientOutpatientOutpatient
Triple-netMedicalTotalsTriple-netMedicalTotalsTriple-netMedicalTotals
Advances on real estate loans receivable:
Investments in new loans$530,497$-$530,497$61,730$60,902$122,632$41,180$4,095$45,275
Draws on existing loans65,6142,61168,22559,42020,15579,57571,3154,31975,634
Sub-total596,1112,611598,722121,15081,057202,207112,4958,414120,909
Less: Seller financing on property sales------(3,850)-(3,850)
Net cash advances on real estate loans596,1112,611598,722121,15081,057202,207108,6458,414117,059
Receipts on real estate loans receivable:
Loan payoffs121,778-121,77871,00448,258119,26269,596-69,596
Principal payments on loans33,340-33,34031,9987232,07033,2167433,290
Sub-total155,118-155,118103,00248,330151,332102,81274102,886
Less: Non-cash activity(1)(23,288)-(23,288)-(45,836)(45,836)---
Net cash receipts on real estate loans131,830-131,830103,0022,494105,496102,81274102,886
Net cash advances (receipts) on real estate loans464,2812,611466,89218,14878,56396,7115,8338,34014,173
Change in balance due to foreign currency translation(4,281)-(4,281)(2,852)-(2,852)1,402-1,402
Net change in real estate loans receivable$436,712$2,611$439,323$15,296$32,727$48,023$7,235$8,340$15,575
(1) Represents an acquisition of assets previously financed as a real estate loan. Please see Note 3 for additional information.

     The following is a summary of the allowance for losses on loans receivable for the periods presented (in thousands):

Year Ended December 31,
201520142013
Balance at beginning of year$-$-$-
Provision for loan losses--2,110
Charge-offs - - (2,110)
Balance at end of year$-$-$-

The following is a summary of our loan impairments (in thousands):

Year Ended December 31,
201520142013
Balance of impaired loans at end of year$-$21,000$500
Allowance for loan losses---
Balance of impaired loans not reserved$-$21,000$500
Average impaired loans for the year$10,500$10,750$2,365
Interest recognized on impaired loans(1)-757206
(1) Represents interest recognized prior to placement on non-accrual status.