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Real Estate Loans Receivable
6 Months Ended
Jun. 30, 2017
Real Estate Loans Receivable [Abstract]  
Real Estate Loans Receivable

6. Real Estate Loans Receivable

     Please see Note 2 to the financial statements included in our Annual Report on Form 10-K for the year ended December 31, 2016 for discussion of our accounting policies for real estate loans receivable and related interest income.

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

Six Months Ended
June 30, 2017June 30, 2016
OutpatientOutpatient
Triple-netMedicalTotalsTriple-netMedicalTotals
Advances on real estate loans receivable:
Investments in new loans$10,037$-$10,037$8,223$-$8,223
Draws on existing loans40,680-40,68042,8033342,836
Net cash advances on real estate loans50,717-50,71751,0263351,059
Receipts on real estate loans receivable:
Loan payoffs97,03960,500157,539182,61327,303209,916
Principal payments on loans798-7984,454-4,454
Sub-total97,83760,500158,337187,06727,303214,370
Less: Non-cash activity(1)(2)(61,337)(60,500)(121,837)(31,014)(15,013)(46,027)
Net cash receipts on real estate loans36,500-36,500156,05312,290168,343
Net cash advances (receipts) on real estate loans14,217-14,217(105,027)(12,257)(117,284)
Change in balance due to foreign currency translation5,471-5,471(8,504)-(8,504)
Net change in real estate loans receivable$(41,649)$(60,500)$(102,149)$(144,545)$(27,270)$(171,815)
(1) Triple-net and prior year outpatient medical represents acquisitions of assets previously financed as real estate loans. Please see Note 3 for additional information.
(2) Current year outpatient medical represents a deed in lieu of foreclosure on a previously financed first mortgage property.

In 2016, we restructured two existing real estate loans in the triple-net segment with Genesis Healthcare. The two existing loans, with a combined principal balance of $317,000,000, were scheduled to mature in 2017 and 2018. These loans were restructured into four separate loans effective October 1, 2016. Each loan has a five-year term, a 10% interest rate and 25 basis point annual escalator. In 2016, we recorded a loan loss charge in the amount of $6,935,000 on one of the loans as the present value of expected future cash flows was less than the carrying value of the loan. We expect to collect all principal amounts due under the loans and, due to the passage of time, at June 30, 2017, the allowance for loan losses related to these loans is $5,811,000. At June 30, 2017, we had no real estate loans with outstanding balances on non-accrual status and recorded no provision for loan losses during the three months ended June 30, 2017.

Six Months Ended
June 30, 2017June 30, 2016
Balance of impaired loans at end of period$289,473$-
Allowance for loan losses5,811-
Balance of impaired loans not reserved$283,662$-
Average impaired loans for the period$327,324$-
Interest recognized on impaired loans16,464-