no assurances can be given that the implementation of these new laws will not have a material adverse effect on the business , financial condition or results of operations of our operators ; the potential indirect impact of the tax cuts and jobs act of 2017 ( the “ 2017 tax act ” ) , signed into law on december 22 , 2017 , which makes significant changes to corporate and individual tax rates and calculation of taxes , which could potentially impact our tenants and jurisdictions , both positively and negatively , in which we do business , as well as the overall investment thesis for reits ; a subsidiary of uhs is our advisor and our officers are all employees of a wholly-owned subsidiary of uhs , which may create the potential for conflicts of interest ; lost revenues resulting from the exercise of purchase options , lease expirations and renewals , loan repayments and other restructuring ; our ability to continue to obtain capital on acceptable terms , including borrowed funds , to fund future growth of our business ; 31 the outcome of known and unknown litigation , government investigations , and liabilities and other claims asserted against us , uhs or the other operators of our facilities . uhs and its subsidiaries are subject to pending legal actions , purported shareholder class actions and shareholder derivative cases , governmental investigations and regulatory actions . since uhs comprised approximately 32 % and 33 % of our consolidated revenues for the years ended dece mber 31 , 2017 and december 31 , 2016 , respectively , and since a subsidiary of uhs is our advisor , you are encouraged to obtain and review the disclosures contained in the legal proceedings section of universal health services , inc. 's forms 10-q and 10-k , a s publicly filed with the securities and exchange commission . those filings are the sole responsibility of uhs and are not incorporated by reference herein ; failure of uhs or the other operators of our hospital facilities to comply with governmental regulations related to the medicare and medicaid licensing and certification requirements could have a material adverse impact on our future revenues and the underlying value of the property ; the potential unfavorable impact on our business of deterioration in national , regional and local economic and business conditions , including a worsening of credit and or capital market conditions , which may adversely affect our ability to obtain capital which may be required to fund the future growth of our business and refinance existing debt with near term maturities ; a deterioration in general economic conditions which could result in increases in the number of people unemployed and or insured and likely increase the number of individuals without health insurance ; as a result , the operators of our facilities may experience decreases in patient volumes which could result in decreased occupancy rates at our medical office buildings ; a worsening of the economic and employment conditions in the united states could materially affect the business of our operators , including uhs , which may unfavorably impact our future bonus rentals ( on the uhs hospital facilities ) and may potentially have a negative impact on the future lease renewal terms and the underlying value of the hospital properties ; real estate market factors , including without limitation , the supply and demand of office space and market rental rates , changes in interest rates as well as an increase in the development of medical office condominiums in certain markets ; the impact of property values and results of operations of severe weather conditions , including the effects of hurricane harvey on several of our properties in texas ; government regulations , including changes in the reimbursement levels under the medicare and medicaid programs ; the issues facing the health care industry that affect the operators of our facilities , including uhs , such as : changes in , or the ability to comply with , existing laws and government regulations ; unfavorable changes in the levels and terms of reimbursement by third party payors or government programs , including medicare ( including , but not limited to , the potential unfavorable impact of future reductions to medicare reimbursements resulting from the budget control act of 2011 , as discussed below ) and medicaid ( most states have reported significant budget deficits that have , in the past , resulted in the reduction of medicaid funding to the operators of our facilities , including uhs ) ; demographic changes ; the ability to enter into managed care provider agreements on acceptable terms ; an increase in uninsured and self-pay patients which unfavorably impacts the collectability of patient accounts ; decreasing in-patient admission trends ; technological and pharmaceutical improvements that may increase the cost of providing , or reduce the demand for , health care , and ; the ability to attract and retain qualified medical personnel , including physicians ; in august , 2011 , the budget control act of 2011 ( the “ 2011 act ” ) was enacted into law . the 2011 act imposed annual spending limits for most federal agencies and programs aimed at reducing budget deficits by $ 917 billion between 2012 and 2021 , according to a report released by the congressional budget office . the 2011 act provides for new spending on program integrity initiatives intended to reduce fraud and abuse under the medicare program . among its other provisions , the law established a bipartisan congressional committee , known as the joint select committee on deficit reduction ( the “ joint committee ” ) , which was tasked with making recommendations aimed at reducing future federal budget deficits by an additional $ 1.5 trillion over 10 years . story_separator_special_tag we generally estimate the fair value of rental properties utilizing a discounted cash flow analysis that includes projections of future revenues , expenses and capital improvement costs that a market participant would use based on the highest and best use of the asset , which is similar to the income approach that is commonly utilized by appraisers . in certain cases , we may supplement this analysis by obtaining outside broker opinions of value or third party appraisals . in considering whether to classify a property as held for sale , we consider factors such as whether management has committed to a plan to sell the property , the property is available for immediate sale in its present condition for a price that is reasonable in relation to its current value , the sale of the property is probable , and actions required for management to complete the plan indicate that it is unlikely that any significant changes will made to the plan . if all the criteria are met , we classify the property as held for sale . upon being classified as held for sale , depreciation and amortization related to the property ceases and it is recorded at the lower of its carrying amount or fair value less cost to sell . the assets and related liabilities of the property are classified separately on the consolidated balance sheets for the most recent reporting period . only those assets held for sale that constitute a strategic shift or that will have a major effect on our operations are classified as discontinued operations . an other than temporary impairment of an investment in an llc is recognized when the carrying value of the investment is not considered recoverable based on evaluation of the severity and duration of the decline in value , including projected declines in cash flow . to the extent impairment has occurred , the excess carrying value of the asset over its estimated fair value is charged to income . federal income taxes : no provision has been made for federal income tax purposes since we qualify as a reit under sections 856 to 860 of the internal revenue code of 1986 , and intend to continue to remain so qualified . to qualify as a reit , we must meet certain organizational and operational requirements , including a requirement to distribute at least 90 % of our annual reit 35 taxable income to shareholders . as a reit , we generally will not be subject to federal , state or local income tax on income that we distribute as dividends to our shareholders . we have historically distributed , and intend to continue to distribute , 100 % of our an nual reit taxable income to our shareholders . we are subject to a federal excise tax computed on a calendar year basis . the excise tax equals 4 % of the amount by which 85 % of our ordinary income plus 95 % of any capital gain income for the calendar year exceeds cash distributions during the calendar year , as defined . no provision for excise tax has been reflected in the financial statements as no tax was due . earnings and profits , which determine the taxability of dividends to shareholders , will differ from net income reported for financial reporting purposes due to the differences for federal tax purposes in the cost basis of assets and in the estimated useful lives used to compute depreciation and the recording of provision for investment losses . results of operations year ended december 31 , 2017 as compared to the year ended december 31 , 2016 : for the year ended december 31 , 2017 , net income was $ 45.6 million as compared to $ 17.2 million during 2016. the $ 28.4 million increase was primarily attributable to : a $ 27.2 million increase due to the gain recorded during the first quarter of 2017 in connection with the arlington medical properties , llc transaction , as discussed herein ; a $ 2.0 million increase resulting from the hurricane recovery proceeds in excess of damaged property write-downs ; a $ 708,000 decrease due to increased interest expense resulting primarily from an increase in our average cost of funds under our revolving credit agreement , offset by the repayment of four third-party mortgages ( during the second , third and fourth quarters of 2017 ) utilizing funds borrowed under our revolving credit agreement which bear interest at a comparatively lower interest rate ; a $ 421,000 increase due to a decrease in transaction cost expense , and ; $ 538,000 of other combined net decreases primarily attributable to the unfavorable impact resulting from the temporary closure of the properties damaged by hurricane harvey , as discussed below . total revenue increased $ 5.3 million , or 7.9 % , during the year ended december 31 , 2017 , as compared to 2016 , due primarily to the revenues generated at mobs acquired during 2017 and 2016 , as well as net increases at various other properties . included in our other operating expenses are expenses related to the consolidated medical office buildings , which totaled $ 17.4 million and $ 16.4 million for the years ended december 31 , 2017 and 2016 , respectively . the increase in operating expenses during 2017 , as compared to 2016 , is partially due to new acquisitions during 2017 and 2016. a large portion of the expenses associated with our consolidated medical office buildings is passed on directly to the tenants either directly as tenant reimbursements of common area maintenance expenses or included in base rental amounts . tenant reimbursements for operating expenses are accrued as revenue in the same period the related expenses are incurred and are included as tenant reimbursement revenue in our consolidated statements of income . during 2017 , we had a total of 38 new or renewed leases related to the medical

net cash provided by operating activities net cash provided by operating activities was $ 40.7 million during 2016 as compared to $ 38.2 million during 2015. the $ 2.6 million increase was attributable to : a favorable change of approximately $ 3.1 million due to an increase in net income plus the adjustments to reconcile net income to net cash provided by operating activities ( depreciation and amortization , amortization of debt premium , stock-based compensation and gain on property exchange ) ; an unfavorable change of $ 914,000 in rent receivable due , in part , to increased receivables at properties acquired during 2016 , and ; other combined net favorable changes of approximately $ 410,000 net cash used in investing activities net cash used in investing activities was $ 74.8 million during 2016 as compared to $ 44.3 million during 2015. the factors contributing to the $ 74.8 million of net cash used in investing activities during 2016 are detailed above . 2015 : during 2015 , we used $ 44.3 million of net cash in investing activities as follows : spent $ 667,000 to fund equity investments in unconsolidated llcs ; spent $ 22.8 million in advances in the form of a member loan to an unconsolidated llc ; spent $ 5.3 million in additions to real estate investments primarily for tenant improvements at various mobs ; spent $ 150,000 consisting of a deposit on real estate assets ; spent $ 16.8 million to acquire the real estate assets of a medical office building and two free-standing emergency departments ; spent $ 2.3 million for payment of a note payable related to the purchase of third-party minority interests in six majority-owned llcs during the third quarter of 2014 ; received $ 306,000 of cash as repayment for a member loan to an unconsolidated llc ; received $ 224,000 of cash in excess of income related to our unconsolidated llcs ( $ 2.8 million of cash distributions received less $ 2.5 million of equity in income of unconsolidated llcs ) ; received $ 1.1 million of cash proceeds in connection with the refinancing of third-party debt by a


 Write a concise suspicious activity report of the following text delimited by triple backquotes. Return your response as a formal report which covers the key points highlighting the location,dates,entity names and account holder information in chronological order of the text.
     ```net cash provided by operating activities net cash provided by operating activities was $ 40.7 million during 2016 as compared to $ 38.2 million during 2015. the $ 2.6 million increase was attributable to : a favorable change of approximately $ 3.1 million due to an increase in net income plus the adjustments to reconcile net income to net cash provided by operating activities ( depreciation and amortization , amortization of debt premium , stock-based compensation and gain on property exchange ) ; an unfavorable change of $ 914,000 in rent receivable due , in part , to increased receivables at properties acquired during 2016 , and ; other combined net favorable changes of approximately $ 410,000 net cash used in investing activities net cash used in investing activities was $ 74.8 million during 2016 as compared to $ 44.3 million during 2015. the factors contributing to the $ 74.8 million of net cash used in investing activities during 2016 are detailed above . 2015 : during 2015 , we used $ 44.3 million of net cash in investing activities as follows : spent $ 667,000 to fund equity investments in unconsolidated llcs ; spent $ 22.8 million in advances in the form of a member loan to an unconsolidated llc ; spent $ 5.3 million in additions to real estate investments primarily for tenant improvements at various mobs ; spent $ 150,000 consisting of a deposit on real estate assets ; spent $ 16.8 million to acquire the real estate assets of a medical office building and two free-standing emergency departments ; spent $ 2.3 million for payment of a note payable related to the purchase of third-party minority interests in six majority-owned llcs during the third quarter of 2014 ; received $ 306,000 of cash as repayment for a member loan to an unconsolidated llc ; received $ 224,000 of cash in excess of income related to our unconsolidated llcs ( $ 2.8 million of cash distributions received less $ 2.5 million of equity in income of unconsolidated llcs ) ; received $ 1.1 million of cash proceeds in connection with the refinancing of third-party debt by a
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 Suspicious Activity Report : no assurances can be given that the implementation of these new laws will not have a material adverse effect on the business , financial condition or results of operations of our operators ; the potential indirect impact of the tax cuts and jobs act of 2017 ( the “ 2017 tax act ” ) , signed into law on december 22 , 2017 , which makes significant changes to corporate and individual tax rates and calculation of taxes , which could potentially impact our tenants and jurisdictions , both positively and negatively , in which we do business , as well as the overall investment thesis for reits ; a subsidiary of uhs is our advisor and our officers are all employees of a wholly-owned subsidiary of uhs , which may create the potential for conflicts of interest ; lost revenues resulting from the exercise of purchase options , lease expirations and renewals , loan repayments and other restructuring ; our ability to continue to obtain capital on acceptable terms , including borrowed funds , to fund future growth of our business ; 31 the outcome of known and unknown litigation , government investigations , and liabilities and other claims asserted against us , uhs or the other operators of our facilities . uhs and its subsidiaries are subject to pending legal actions , purported shareholder class actions and shareholder derivative cases , governmental investigations and regulatory actions . since uhs comprised approximately 32 % and 33 % of our consolidated revenues for the years ended dece mber 31 , 2017 and december 31 , 2016 , respectively , and since a subsidiary of uhs is our advisor , you are encouraged to obtain and review the disclosures contained in the legal proceedings section of universal health services , inc. 's forms 10-q and 10-k , a s publicly filed with the securities and exchange commission . those filings are the sole responsibility of uhs and are not incorporated by reference herein ; failure of uhs or the other operators of our hospital facilities to comply with governmental regulations related to the medicare and medicaid licensing and certification requirements could have a material adverse impact on our future revenues and the underlying value of the property ; the potential unfavorable impact on our business of deterioration in national , regional and local economic and business conditions , including a worsening of credit and or capital market conditions , which may adversely affect our ability to obtain capital which may be required to fund the future growth of our business and refinance existing debt with near term maturities ; a deterioration in general economic conditions which could result in increases in the number of people unemployed and or insured and likely increase the number of individuals without health insurance ; as a result , the operators of our facilities may experience decreases in patient volumes which could result in decreased occupancy rates at our medical office buildings ; a worsening of the economic and employment conditions in the united states could materially affect the business of our operators , including uhs , which may unfavorably impact our future bonus rentals ( on the uhs hospital facilities ) and may potentially have a negative impact on the future lease renewal terms and the underlying value of the hospital properties ; real estate market factors , including without limitation , the supply and demand of office space and market rental rates , changes in interest rates as well as an increase in the development of medical office condominiums in certain markets ; the impact of property values and results of operations of severe weather conditions , including the effects of hurricane harvey on several of our properties in texas ; government regulations , including changes in the reimbursement levels under the medicare and medicaid programs ; the issues facing the health care industry that affect the operators of our facilities , including uhs , such as : changes in , or the ability to comply with , existing laws and government regulations ; unfavorable changes in the levels and terms of reimbursement by third party payors or government programs , including medicare ( including , but not limited to , the potential unfavorable impact of future reductions to medicare reimbursements resulting from the budget control act of 2011 , as discussed below ) and medicaid ( most states have reported significant budget deficits that have , in the past , resulted in the reduction of medicaid funding to the operators of our facilities , including uhs ) ; demographic changes ; the ability to enter into managed care provider agreements on acceptable terms ; an increase in uninsured and self-pay patients which unfavorably impacts the collectability of patient accounts ; decreasing in-patient admission trends ; technological and pharmaceutical improvements that may increase the cost of providing , or reduce the demand for , health care , and ; the ability to attract and retain qualified medical personnel , including physicians ; in august , 2011 , the budget control act of 2011 ( the “ 2011 act ” ) was enacted into law . the 2011 act imposed annual spending limits for most federal agencies and programs aimed at reducing budget deficits by $ 917 billion between 2012 and 2021 , according to a report released by the congressional budget office . the 2011 act provides for new spending on program integrity initiatives intended to reduce fraud and abuse under the medicare program . among its other provisions , the law established a bipartisan congressional committee , known as the joint select committee on deficit reduction ( the “ joint committee ” ) , which was tasked with making recommendations aimed at reducing future federal budget deficits by an additional $ 1.5 trillion over 10 years . story_separator_special_tag we generally estimate the fair value of rental properties utilizing a discounted cash flow analysis that includes projections of future revenues , expenses and capital improvement costs that a market participant would use based on the highest and best use of the asset , which is similar to the income approach that is commonly utilized by appraisers . in certain cases , we may supplement this analysis by obtaining outside broker opinions of value or third party appraisals . in considering whether to classify a property as held for sale , we consider factors such as whether management has committed to a plan to sell the property , the property is available for immediate sale in its present condition for a price that is reasonable in relation to its current value , the sale of the property is probable , and actions required for management to complete the plan indicate that it is unlikely that any significant changes will made to the plan . if all the criteria are met , we classify the property as held for sale . upon being classified as held for sale , depreciation and amortization related to the property ceases and it is recorded at the lower of its carrying amount or fair value less cost to sell . the assets and related liabilities of the property are classified separately on the consolidated balance sheets for the most recent reporting period . only those assets held for sale that constitute a strategic shift or that will have a major effect on our operations are classified as discontinued operations . an other than temporary impairment of an investment in an llc is recognized when the carrying value of the investment is not considered recoverable based on evaluation of the severity and duration of the decline in value , including projected declines in cash flow . to the extent impairment has occurred , the excess carrying value of the asset over its estimated fair value is charged to income . federal income taxes : no provision has been made for federal income tax purposes since we qualify as a reit under sections 856 to 860 of the internal revenue code of 1986 , and intend to continue to remain so qualified . to qualify as a reit , we must meet certain organizational and operational requirements , including a requirement to distribute at least 90 % of our annual reit 35 taxable income to shareholders . as a reit , we generally will not be subject to federal , state or local income tax on income that we distribute as dividends to our shareholders . we have historically distributed , and intend to continue to distribute , 100 % of our an nual reit taxable income to our shareholders . we are subject to a federal excise tax computed on a calendar year basis . the excise tax equals 4 % of the amount by which 85 % of our ordinary income plus 95 % of any capital gain income for the calendar year exceeds cash distributions during the calendar year , as defined . no provision for excise tax has been reflected in the financial statements as no tax was due . earnings and profits , which determine the taxability of dividends to shareholders , will differ from net income reported for financial reporting purposes due to the differences for federal tax purposes in the cost basis of assets and in the estimated useful lives used to compute depreciation and the recording of provision for investment losses . results of operations year ended december 31 , 2017 as compared to the year ended december 31 , 2016 : for the year ended december 31 , 2017 , net income was $ 45.6 million as compared to $ 17.2 million during 2016. the $ 28.4 million increase was primarily attributable to : a $ 27.2 million increase due to the gain recorded during the first quarter of 2017 in connection with the arlington medical properties , llc transaction , as discussed herein ; a $ 2.0 million increase resulting from the hurricane recovery proceeds in excess of damaged property write-downs ; a $ 708,000 decrease due to increased interest expense resulting primarily from an increase in our average cost of funds under our revolving credit agreement , offset by the repayment of four third-party mortgages ( during the second , third and fourth quarters of 2017 ) utilizing funds borrowed under our revolving credit agreement which bear interest at a comparatively lower interest rate ; a $ 421,000 increase due to a decrease in transaction cost expense , and ; $ 538,000 of other combined net decreases primarily attributable to the unfavorable impact resulting from the temporary closure of the properties damaged by hurricane harvey , as discussed below . total revenue increased $ 5.3 million , or 7.9 % , during the year ended december 31 , 2017 , as compared to 2016 , due primarily to the revenues generated at mobs acquired during 2017 and 2016 , as well as net increases at various other properties . included in our other operating expenses are expenses related to the consolidated medical office buildings , which totaled $ 17.4 million and $ 16.4 million for the years ended december 31 , 2017 and 2016 , respectively . the increase in operating expenses during 2017 , as compared to 2016 , is partially due to new acquisitions during 2017 and 2016. a large portion of the expenses associated with our consolidated medical office buildings is passed on directly to the tenants either directly as tenant reimbursements of common area maintenance expenses or included in base rental amounts . tenant reimbursements for operating expenses are accrued as revenue in the same period the related expenses are incurred and are included as tenant reimbursement revenue in our consolidated statements of income . during 2017 , we had a total of 38 new or renewed leases related to the medical

