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Acquisition Level 1 (Notes)
9 Months Ended
Sep. 30, 2020
Business Combinations [Abstract]  
Business Combination Disclosure [Text Block]
Acquisitions
We spent $29.8 million and $21.5 million, for several business acquisitions, and $51.4 million and $46.0 million, for several real estate acquisitions during the nine months ended September 30, 2020 and 2019, respectively.
Divestiture-Related Activities
As divestitures occur in the normal course of business, gains or losses on the sale of such locations are recognized in the unaudited Condensed Consolidated Statement of Operations line item Gains (losses) on divestitures and impairment charges, net, which comprised the following:

Three months ended September 30,Nine months ended September 30,
2020201920202019
 (In thousands)
Gains (losses) on divestitures, net$614 $(587)$8,980 $(9,683)
Impairment losses(71)(892)(3,155)(5,497)
Gains (losses) on divestitures and impairment charges, net$543 $(1,479)$5,825 $(15,180)