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Real Estate Loans Receivable
3 Months Ended
Mar. 31, 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):

Three Months Ended
March 31, 2016March 31, 2015
OutpatientOutpatient
Triple-netMedicalTotalsTriple-netMedicalTotals
Advances on real estate loans receivable:
Investments in new loans$8,013$-$8,013$368,080$-$368,080
Draws on existing loans19,2063219,23814,3302,28516,615
Net cash advances on real estate loans27,2193227,251382,4102,285384,695
Receipts on real estate loans receivable:
Loan payoffs104,06812,290116,3588,568-8,568
Principal payments on loans3,107-3,1077,933-7,933
Sub-total107,17512,290119,46516,501-16,501
Less: Non-cash activity(25,691)-(25,691)---
Net cash receipts on real estate loans81,48412,29093,77416,501-16,501
Net cash advances (receipts) on real estate loans(54,265)(12,258)(66,523)365,9092,285368,194
Change in balance due to foreign currency translation(1,987)-(1,987)(3,096)-(3,096)
Net change in real estate loans receivable$(81,943)$(12,258)$(94,201)$362,813$2,285$365,098

We recorded no provision for loan losses during the three months ended March 31, 2016. At March 31, 2016, we had no real estate loans with outstanding balances on non-accrual status and no allowances for loan losses were recorded.