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Income Taxes - Temporary Differences and Approximate Tax Effects of Deferred Tax Asset and Liability (Details) - USD ($) $ in Millions | Dec. 31, 2021 | Dec. 31, 2020
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Deferred tax assets: |  |
Medical malpractice liability | $ 3.6 | $ 4.0
Accrued vacation and incentive compensation | 3.0 | 3.2
Net operating loss carryforwards | 152.1 | 164.7
Allowance for bad debts | 3.0 | 2.5
Capital loss carryforwards | 0.0 | 1.7
Amortization of intangible assets | 1.2 | 2.2
Deferred financing costs | 8.3 | 7.9
Section 163(j) interest | 99.4 | 69.8
Interest rate swap liability | 15.0 | 15.8
TRA liability | 0.6 | 1.0
Right of use | 51.1 | 50.6
Other deferred assets | 11.1 | 16.4
Total gross deferred tax assets | 348.4 | 339.8
Less: Valuation allowance | (113.0) | (91.1)
Total deferred tax assets | 235.4 | 248.7
Deferred tax liabilities: |  |
Depreciation on property and equipment | (2.6) | (1.8)
Basis differences of partnerships and joint ventures | (73.0) | (73.6)
Right of use | (44.2) | (47.5)
Other deferred liabilities | (1.2) | (1.0)
Total deferred tax liabilities | (121.0) | (123.9)
Net deferred tax assets | $ 114.4 | $ 124.8

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