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Acquisition Level 1 (Notes)
 3 Months Ended
Mar. 31, 2024
Business Combinations [Abstract]  
Business Combination Disclosure [Text Block]
Acquisitions
We spent $15.8 million and $8.7 million net of cash acquired, for several business acquisitions during the three months ended March 31, 2024 and 2023, respectively, and $6.9 million and $16.7 million, net of cash acquired, for several real estate acquisitions during the three months ended March 31, 2024 and 2023, 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,
20242023
 (In thousands)
Gains on divestitures, net$395 $691 
Impairment losses(1,079)— 
Gains on divestitures and impairment charges, net$(684)$691