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Real Estate Loans Receivable
9 Months Ended
Sep. 30, 2019
Receivables [Abstract]  
Real Estate Loans Receivable 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, 2018 for discussion of our accounting policies for real estate loans receivable and related interest income. 
The following is a summary of our net real estate loans receivable (in thousands):
 
 
September 30, 2019
 
December 31, 2018
Mortgage loans
 
$
320,989

 
$
317,443

Other real estate loans
 
108,913

 
81,268

Less allowance for losses on loans receivable
 
(68,372
)
 
(68,372
)
Totals
 
$
361,530

 
$
330,339


The following is a summary of our real estate loan activity for the periods presented (in thousands):
 
Nine Months Ended
 
September 30, 2019
 
September 30, 2018
 
 
Triple-net
 
Outpatient
Medical
 
Totals
 
Seniors Housing Operating
 
Triple-net
 
Outpatient
Medical
 
Totals
Advances on real estate loans receivable:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Investments in new loans
 
$
25,000

 
$
5,000

 
$
30,000

 
$
11,806

 
$
10,628

 
$
14,993

 
$
37,427

Draws on existing loans
 
33,955

 
18,390

 
52,345

 

 
29,709

 

 
29,709

Net cash advances on real estate loans
 
58,955

 
23,390

 
82,345

 
11,806

 
40,337

 
14,993

 
67,136

Receipts on real estate loans receivable:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Loan payoffs
 
29,020

 

 
29,020

 

 
116,161

 

 
116,161

Principal payments on loans
 
3,110

 

 
3,110

 

 
33,431

 

 
33,431

Net cash receipts on real estate loans
 
32,130

 

 
32,130

 

 
149,592

 

 
149,592

Net cash advances (receipts) on real estate loans
 
$
26,825

 
$
23,390

 
$
50,215

 
$
11,806

 
$
(109,255
)
 
$
14,993

 
$
(82,456
)
 
In 2016, we restructured real estate loans with Genesis HealthCare and 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. In 2017, we recorded an additional loan loss charge of $62,966,000 relating to real estate loans with Genesis HealthCare based on an estimation of expected future cash flows discounted at the effective interest rate of the loans. In March 2019, we recognized a provision for loan losses of $18,690,000 to fully reserve for certain Triple-net real estate loans receivable that were no longer deemed collectible. During the quarter ended June 30, 2019, these loans were written off. As of September 30, 2019, the allowance for loan loss balance of $68,372,000 is deemed to be sufficient to absorb expected losses. At September 30, 2019, we had one real estate loan with an outstanding balance of $2,534,000 on non-accrual status.
The following is a summary of our impaired loans (in thousands):
 
 
Nine Months Ended
 
 
September 30, 2019
 
September 30, 2018
Balance of impaired loans at end of period
 
$
188,043

 
$
201,971

Allowance for loan losses
 
68,372

 
68,372

Balance of impaired loans not reserved
 
$
119,671

 
$
133,599

Average impaired loans for the period
 
$
194,298

 
$
230,645

Interest recognized on impaired loans(1)
 
12,082

 
13,361

 
(1) Represents cash interest recognized in the period since loans were identified as impaired.