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Acquisition Level 1 (Notes)
 9 Months Ended
Sep. 30, 2022
Business Combinations [Abstract]  
Business Combination Disclosure [Text Block]
Acquisitions
We spent $13.5 million and $9.2 million, net of cash acquired, for several business acquisitions during the nine months ended September 30, 2022 and 2021, respectively, and $8.9 million and $15.6 million, net of cash acquired, for several real estate acquisitions during the nine months ended September 30, 2022 and 2021, respectively.
Subsequent to September 30, 2022, we spent $38.8 million, net of cash acquired, for a business acquisition on the West Coast and $1.1 million, net of cash acquired, for real estate acquisitions.
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 September 30,Nine months ended September 30,
2022202120222021
 (In thousands)
Gains on divestitures, net$14,403 $9,245 $15,492 $16,838 
Impairment losses— (1,441)(306)(1,606)
Gains on divestitures and impairment charges, net$14,403 $7,804 $15,186 $15,232