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Leases
 9 Months Ended
Sep. 30, 2022
Leases [Abstract]  
Leases Leases
The Company's operating leases are primarily for real estate, including medical office buildings, and corporate and other administrative offices. The Company's finance leases are primarily for medical equipment and information technology and telecommunications assets.
The following table presents the components of the Company's right-of-use assets and liabilities related to leases and their classification in the consolidated balance sheets (in millions):
Classification in Consolidated Balance SheetsSeptember 30, 2022December 31, 2021
Assets:
Operating lease assetsRight-of-use operating lease assets$277.0 $324.1 
Finance lease assetsProperty and equipment, net of accumulated depreciation531.5 329.6 
Total leased assets$808.5 $653.7 
Liabilities:
Operating lease liabilities:
CurrentOther current liabilities$36.8 $40.1 
Long-termRight-of-use operating lease liabilities269.8 315.6 
Total operating lease liabilities306.6 355.7 
Finance lease liabilities:
CurrentCurrent maturities of long-term debt20.5 19.0 
Long-termLong-term debt, less current maturities563.5 345.6 
Total finance lease liabilities584.0 364.6 
Total lease liabilities$890.6 $720.3 
During the nine months ended September 30, 2022, the Company extended certain existing facility real estate leases, resulting in the reclassification of the leases from operating to finance. The modifications resulted in an increase to finance lease liabilities and assets of $170.6 million and $169.1 million, respectively, including the reclassification of existing operating lease liabilities and assets of $65.7 million and $64.2 million, respectively.
The following table presents the components of the Company's lease expense and their classification in the condensed consolidated statement of operations (in millions):
Nine Months Ended September 30,
20222021
Operating lease costs$49.5 $56.6 
Finance lease costs:
Amortization of leased assets28.2 20.4 
Interest on lease liabilities30.6 18.9 
Total finance lease costs58.8 39.3 
Variable and short-term lease costs13.7 15.0 
Total lease costs$122.0 $110.9 
The following table presents supplemental cash flow information (dollars in millions):
Nine Months Ended September 30,
20222021
Cash paid for amounts included in the measurement of lease liabilities:
Operating cash outflows from operating leases $47.9 $55.2 
Operating cash outflows from finance leases$30.2 $18.0 
Financing cash outflows from finance leases$18.1 $15.8 
Right-of-use assets obtained in exchange for lease obligations:
Operating leases$45.3 $44.9 
Finance leases$172.5 $10.1 
Leases Leases
The Company's operating leases are primarily for real estate, including medical office buildings, and corporate and other administrative offices. The Company's finance leases are primarily for medical equipment and information technology and telecommunications assets.
The following table presents the components of the Company's right-of-use assets and liabilities related to leases and their classification in the consolidated balance sheets (in millions):
Classification in Consolidated Balance SheetsSeptember 30, 2022December 31, 2021
Assets:
Operating lease assetsRight-of-use operating lease assets$277.0 $324.1 
Finance lease assetsProperty and equipment, net of accumulated depreciation531.5 329.6 
Total leased assets$808.5 $653.7 
Liabilities:
Operating lease liabilities:
CurrentOther current liabilities$36.8 $40.1 
Long-termRight-of-use operating lease liabilities269.8 315.6 
Total operating lease liabilities306.6 355.7 
Finance lease liabilities:
CurrentCurrent maturities of long-term debt20.5 19.0 
Long-termLong-term debt, less current maturities563.5 345.6 
Total finance lease liabilities584.0 364.6 
Total lease liabilities$890.6 $720.3 
During the nine months ended September 30, 2022, the Company extended certain existing facility real estate leases, resulting in the reclassification of the leases from operating to finance. The modifications resulted in an increase to finance lease liabilities and assets of $170.6 million and $169.1 million, respectively, including the reclassification of existing operating lease liabilities and assets of $65.7 million and $64.2 million, respectively.
The following table presents the components of the Company's lease expense and their classification in the condensed consolidated statement of operations (in millions):
Nine Months Ended September 30,
20222021
Operating lease costs$49.5 $56.6 
Finance lease costs:
Amortization of leased assets28.2 20.4 
Interest on lease liabilities30.6 18.9 
Total finance lease costs58.8 39.3 
Variable and short-term lease costs13.7 15.0 
Total lease costs$122.0 $110.9 
The following table presents supplemental cash flow information (dollars in millions):
Nine Months Ended September 30,
20222021
Cash paid for amounts included in the measurement of lease liabilities:
Operating cash outflows from operating leases $47.9 $55.2 
Operating cash outflows from finance leases$30.2 $18.0 
Financing cash outflows from finance leases$18.1 $15.8 
Right-of-use assets obtained in exchange for lease obligations:
Operating leases$45.3 $44.9 
Finance leases$172.5 $10.1