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v3.22.4

Income Taxes - Temporary Differences and Approximate Tax Effects of Deferred Tax Asset and Liability (Details) - USD ($) $ in Millions | Dec. 31, 2022 | Dec. 31, 2021
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Deferred tax assets: |  |
Medical malpractice liability | $ 4.1 | $ 3.6
Accrued vacation and incentive compensation | 3.1 | 3.0
Net operating loss carryforwards | 146.0 | 152.1
Allowance for bad debts | 2.9 | 3.0
Amortization of intangible assets | 0.0 | 1.2
Deferred financing costs | 5.1 | 8.3
Section 163(j) interest | 137.7 | 99.4
Interest rate derivative liability | 10.5 | 15.0
TRA liability | 0.1 | 0.6
Right of use | 52.5 | 51.1
Software development costs | 1.0 | 0.0
Other deferred assets | 9.2 | 11.1
Total gross deferred tax assets | 372.2 | 348.4
Less: Valuation allowance | (114.7) | (113.0)
Total deferred tax assets | 257.5 | 235.4
Deferred tax liabilities: |  |
Depreciation on property and equipment | (2.0) | (2.6)
Basis differences of partnerships and joint ventures | (87.4) | (73.0)
Right of use | (44.4) | (44.2)
Amortization of intangible assets | (1.3) | 0.0
Interest rate derivative asset | (29.5) | 0.0
Other deferred liabilities | (1.4) | (1.2)
Total deferred tax liabilities | (166.0) | (121.0)
Net deferred tax assets | $ 91.5 | $ 114.4

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