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Dispositions, Real Property Held for Sale and Impairment (Tables)
 12 Months Ended
Dec. 31, 2022
Discontinued Operations and Disposal Groups [Abstract]  
Summary of Real Property Disposition Activity
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 
Summary of Activity Related to Dispositions and Assets Held for Sale 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