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Real Estate Loans Receivable (Tables)
3 Months Ended
Mar. 31, 2017
Real Estate Loans Receivable (Tables) [Abstract]  
Summary of real estate loan activity
Three Months Ended
March 31, 2017March 31, 2016
OutpatientOutpatient
Triple-netMedicalTotalsTriple-netMedicalTotals
Advances on real estate loans receivable:
Investments in new loans$7,828$-$7,828$8,013$-$8,013
Draws on existing loans17,547-17,54719,2063219,238
Net cash advances on real estate loans25,375-25,37527,2193227,251
Receipts on real estate loans receivable:
Loan payoffs14,47460,50074,974104,06812,290116,358
Principal payments on loans667-6673,107-3,107
Sub-total15,14160,50075,641107,17512,290119,465
Less: Non-cash activity(1)(2)(6,349)(60,500)(66,849)(25,691)-(25,691)
Net cash receipts on real estate loans8,792-8,79281,48412,29093,774
Net cash advances (receipts) on real estate loans16,583-16,583(54,265)(12,258)(66,523)
Change in balance due to foreign currency translation1,718-1,718(1,987)-(1,987)
Net change in real estate loans receivable$11,952$(60,500)$(48,548)$(81,943)$(12,258)$(94,201)
(1) Triple-net represents acquisitions of assets previously financed as real estate loans. Please see Note 3 for additional information.
(2) Outpatient medical represents a deed in lieu of foreclosure on a previously financed first mortgage property.

Three Months Ended
March 31, 2017March 31, 2016
Balance of impaired loans at end of period$317,049$-
Allowance for loan losses6,196-
Balance of impaired loans not reserved$310,853$-
Average impaired loans for the period$340,920$-
Interest recognized on impaired loans(1)8,243-
(1) Represents interest recognized in period since loans were identified as impaired.