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Real Estate Loans Receivable
9 Months Ended
Sep. 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):

Nine Months Ended
September 30, 2016September 30, 2015
OutpatientOutpatient
Triple-netMedicalTotalsTriple-netMedicalTotals
Advances on real estate loans receivable:
Investments in new loans$8,223$-$8,223$392,278$-$392,278
Draws on existing loans94,6222,65197,27351,4222,28553,707
Net cash advances on real estate loans102,8452,651105,496443,7002,285445,985
Receipts on real estate loans receivable:
Loan payoffs251,29327,303278,59652,088-52,088
Principal payments on loans6,553-6,55319,023-19,023
Sub-total257,84627,303285,14971,111-71,111
Less: Non-cash activity(45,044)(15,013)(60,057)---
Net cash receipts on real estate loans212,80212,290225,09271,111-71,111
Net cash advances (receipts) on real estate loans(109,957)(9,639)(119,596)372,5892,285374,874
Change in balance due to foreign currency translation(9,819)-(9,819)(2,131)-(2,131)
Net change in real estate loans receivable$(164,820)$(24,652)$(189,472)$370,458$2,285$372,743

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