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Real Estate Loans Receivable
6 Months Ended
Jun. 30, 2016
Real Estate Loans Receivable [Abstract]  
Real Estate Loans Receivable

6. Real Estate Loans Receivable

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

Six Months Ended
June 30, 2016June 30, 2015
OutpatientOutpatient
Triple-netMedicalTotalsTriple-netMedicalTotals
Advances on real estate loans receivable:
Investments in new loans$8,223$-$8,223$379,604$-$379,604
Draws on existing loans42,8033342,83634,6992,28536,984
Net cash advances on real estate loans51,0263351,059414,3032,285416,588
Receipts on real estate loans receivable:
Loan payoffs182,61327,303209,91625,656-25,656
Principal payments on loans4,454-4,45411,686-11,686
Sub-total187,06727,303214,37037,342-37,342
Less: Non-cash activity(31,014)(15,013)(46,027)---
Net cash receipts on real estate loans156,05312,290168,34337,342-37,342
Net cash advances (receipts) on real estate loans(105,027)(12,257)(117,284)376,9612,285379,246
Change in balance due to foreign currency translation(8,504)-(8,504)1,127-1,127
Net change in real estate loans receivable$(144,545)$(27,270)$(171,815)$378,088$2,285$380,373

We recorded no provision for loan losses during the six months ended June 30, 2016. At June 30, 2016, we had no real estate loans with outstanding balances on non-accrual status and no allowances for loan losses were recorded.