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Dispositions and Assets Held for Sale
9 Months Ended
Sep. 30, 2020
Discontinued Operations and Disposal Groups [Abstract]  
Dispositions and Assets Held for Sale Dispositions and Assets Held for Sale
We periodically sell properties for various reasons, including favorable market conditions, the exercise of tenant purchase options or reduction of concentrations (i.e., property type, relationship or geography). At September 30, 2020, eight Seniors Housing Operating, two Triple-net, and 11 Outpatient Medical properties with an aggregate real estate balance of $362,886,000 were classified as held for sale. In addition to the real property balances held for sale, secured debt of $12,737,000 and net other assets and (liabilities) of $21,063,000 are included in the Consolidated Balance Sheet related to the held for sale properties. Expected gross sales proceeds related to the held for sale properties is approximately $437,116,000.
During the nine months ended September 30, 2020, we recorded $79,905,000 of impairment charges related to 13 Seniors Housing Operating and one Triple-net properties which were disposed of or classified as held for sale for which the carrying value exceeded the estimated fair value less cost to sell. Additionally, during the nine months ended September 30, 2020, we recorded $46,386,000 of impairment charges related to four Seniors Housing Operating and four Triple-net properties that were held for use in which the carrying value exceeded the estimated fair value.
The following is a summary of our real property disposition activity for the periods presented (in thousands):
 Nine Months Ended September 30,
 20202019
Real estate dispositions:
Seniors Housing Operating
$1,093,477 $1,204,084 
Triple-net
33,445 660,885 
Outpatient Medical
1,394,971 482 
Total dispositions
2,521,893 1,865,451 
Gain (loss) on real estate dispositions, net902,991 735,977 
Net other assets/liabilities disposed
98,065 (357)
Proceeds from real estate dispositions$3,522,949 $2,601,071 
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):
Three Months Ended September 30,Nine Months Ended September 30,
 2020201920202019
Revenues:
Total revenues
$36,820 $133,661 $207,918 $554,744 
Expenses:
Interest expense
584 4,593 6,579 14,801 
Property operating expenses
22,485 68,848 117,069 305,598 
Provision for depreciation
5,907 23,627 37,254 94,694 
Total expenses
28,976 97,068 160,902 415,093 
Income (loss) from real estate dispositions, net$7,844 $36,593 $47,016 $139,651