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Real Estate Loans Receivable (Tables)
6 Months Ended
Jun. 30, 2017
Real Estate Loans Receivable (Tables) [Abstract]  
Summary of real estate loan activity
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.

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-