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Acquisition Level 1 (Notes)
3 Months Ended
Mar. 31, 2021
Business Combinations [Abstract]  
Business Combination Disclosure [Text Block]
Acquisitions
We spent $1.2 million and $26.3 million, for several business acquisitions, and $5.6 million and $2.1 million, for several real estate acquisitions during the three months ended March 31, 2021 and 2020, 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 on divestitures and impairment charges, net, which comprised the following:

Three months ended March 31,
20212020
 (In thousands)
Gains on divestitures, net$1,326 $7,629 
Impairment losses(60)(3,084)
Gains on divestitures and impairment charges, net$1,266 $4,545