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Real Estate Loans Receivable (Tables)
12 Months Ended
Dec. 31, 2016
Real Estate Loans Receivable (Tables) [Abstract]  
Summary of real estate loans receivable

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

December 31,
20162015
Mortgage loans$485,735$635,492
Other real estate loans136,893184,000
Totals$622,628$819,492
Summary of real estate loan activity

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

Year Ended
December 31, 2016December 31, 2015December 31, 2014
OutpatientOutpatientOutpatient
Triple-netMedicalTotalsTriple-netMedicalTotalsTriple-netMedicalTotals
Advances on real estate loans receivable:
Investments in new loans$8,445$-$8,445$530,497$-$530,497$61,730$60,902$122,632
Draws on existing loans118,7882,651121,43965,6142,61168,22559,42020,15579,575
Net cash advances on real estate loans127,2332,651129,884596,1112,611598,722121,15081,057202,207
Receipts on real estate loans receivable:
Loan payoffs275,43927,303302,742121,778-121,77871,00448,258119,262
Principal payments on loans6,867-6,86733,340-33,34031,9987232,070
Sub-total282,30627,303309,609155,118-155,118103,00248,330151,332
Less: Non-cash activity(1)(45,044)(15,013)(60,057)(23,288)-(23,288)-(45,836)(45,836)
Net cash receipts on real estate loans237,26212,290249,552131,830-131,830103,0022,494105,496
Net cash advances (receipts) on real estate loans(110,029)(9,639)(119,668)464,2812,611466,89218,14878,56396,711
Change in balance due to foreign currency translation(14,086)-(14,086)(4,281)-(4,281)(2,852)-(2,852)
Loan impairments(2)-(3,053)(3,053)------
Net change in real estate loans receivable$(169,159)$(27,705)$(196,864)$436,712$2,611$439,323$15,296$32,727$48,023
(1) Represents an acquisition of assets previously financed as a real estate loan. Please see Note 3 for additional information.
(2) Represents a direct write down of an impaired loan receivable.
Summary of allowance for losses on loans receivable
Year Ended December 31,
201620152014
Balance at beginning of year$-$-$-
Provision for loan losses(1)6,935--
Change in present value (372) - -
Balance at end of year$6,563$-$-
(1) Excludes direct write down of an impaired loan receivable.
Summary of loan impairments

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

Year Ended December 31,
201620152014
Balance of impaired loans at end of year$377,549$-$21,000
Allowance for loan losses6,563--
Balance of impaired loans not reserved$370,986$-$21,000
Average impaired loans for the year$188,775$10,500$10,750
Interest recognized on impaired loans(1)8,707-757
(1) Represents interest recognized in period since loans were identified as impaired.