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Dispositions, Real Property Held for Sale and Impairment
12 Months Ended
Dec. 31, 2022
Discontinued Operations and Disposal Groups [Abstract]  
Dispositions, Real Property Held for Sale and Impairment Dispositions, Real Property Held for Sale and Impairment
We periodically sell properties for various reasons, including favorable market conditions, the exercise of tenant purchase options or reduction of concentrations (e.g. property type, relationship or geography). At December 31, 2022, three Seniors Housing Operating, seven Triple-net and one Outpatient Medical properties, with an aggregate net real estate balance of $133,058,000, were classified as held for sale. In addition to the real property balances, lease liabilities of $66,711,000 and net other assets and (liabilities) of $(4,136,000) were included in the Consolidated Balance Sheets related to the held for sale properties. Expected gross sales proceeds related to the held for sale properties are approximately $198,954,000.
During the year ended December 31, 2022, we recorded impairment charges of $13,146,000 related to one Seniors Housing Operating property which was classified as held for sale for which the carrying value exceeded the estimated fair values less costs to sell. Additionally, during 2022 we recorded impairment charges of $4,356,000 related to two Triple-net properties and one Outpatient Medical property, which were held for use for which the carrying value exceeded the fair values. During the year ended December 31, 2021, we recorded impairment charges of $19,567,000 related to four Triple-net properties and one Outpatient Medical property, which were disposed of or classified as held for sale. Additionally, we recorded $31,540,000 of impairment charges related to two Seniors Housing Operating properties and two Triple-net properties that were held for use. During the year ended December 31, 2020, we recorded impairment charges of $87,873,000 related to 15 Seniors Housing Operating and one Triple-net properties, which were disposed of or classified as held for sale. Additionally, during the year ended December 31, 2020, we recorded $47,735,000 of impairment charges related to six Seniors Housing Operating and four Triple-net properties that were held for use.
The following is a summary of our real property disposition activity for the periods presented (in thousands):
 Year Ended
 December 31, 2022December 31, 2021December 31, 2020
Real estate dispositions:
Seniors Housing Operating$85,413 $112,837 $1,289,769 
Triple-net89,827 486,369 51,666 
Outpatient Medical393 229,660 1,755,864 
Total net book value of dispositions175,633 828,866 3,097,299 
Gain (loss) on real estate dispositions, net16,043 235,375 1,088,455 
Net other assets (liabilities) disposed7,820 6,081 114,274 
Proceeds from real estate dispositions$199,496 $1,070,322 $4,300,028 
Operating results attributable to properties sold or classified as held for sale which do not meet the definition of discontinued operations, are not reclassified on our Consolidated Statements of Comprehensive Income. The following represents the activity related to these properties for the periods presented (in thousands):
Year Ended December 31,
 202220212020
Revenues:
Total revenues$19,892 $78,277 $302,719 
Expenses:
Interest expense3,409 3,595 11,061 
Property operating expenses12,713 17,740 148,702 
Provision for depreciation1,285 25,575 104,960 
Total expenses17,407 46,910 264,723 
Income (loss) from real estate dispositions, net$2,485 $31,367 $37,996