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Dispositions and Real Property Held for Sale
12 Months Ended
Dec. 31, 2020
Discontinued Operations and Disposal Groups [Abstract]  
Dispositions and Real Property Held for Sale 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, 2020, four Seniors Housing Operating, one Triple-net and ten Outpatient Medical properties with an aggregate net real estate balance of $216,613,000 were classified as held for sale for which we expect gross sales proceeds of approximately $276,363,000. In addition to the real property balances held for sale, net other assets and (liabilities) of $35,811,000 are included in the Consolidated Balance Sheets related to held for sale properties.
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 for which the carrying value exceeded the fair values, less estimated costs to sell. 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 in which the carrying value exceed the fair value. The following is a summary of our real property disposition activity for the periods presented (in thousands):
 Year Ended
 December 31, 2020December 31, 2019December 31, 2018
Real estate dispositions:
Seniors Housing Operating$1,289,769 $1,232,816 $36,627 
Triple-net51,666 667,632 835,093 
Outpatient Medical1,755,864 482 253,397 
Total dispositions3,097,299 1,900,930 1,125,117 
Gain (loss) on real estate dispositions, net1,088,455 748,041 415,575 
Net other assets (liabilities) disposed114,274 1,679 1,178 
Proceeds from real estate dispositions$4,300,028 $2,650,650 $1,541,870 

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,
 202020192018
Revenues:
Total revenues$257,089 $712,529 $916,896 
Expenses:
Interest expense6,665 18,506 18,801 
Property operating expenses134,119 375,327 495,770 
Provision for depreciation55,114 138,041 189,909 
Total expenses195,898 531,874 704,480 
Income (loss) from real estate dispositions, net$61,191 $180,655 $212,416