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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Millions
 3 Months Ended
Mar. 31, 2023
Mar. 31, 2022
Cash flows from operating activities:    
Net income $ 1.2 $ 42.8
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 33.7 27.4
Non-cash lease expense 9.0 8.6
Non-cash interest expense, net 6.5 6.1
Equity-based compensation expense 4.2 3.7
Net loss (gain) on disposals, consolidations and deconsolidations 10.5 (0.1)
Deferred income taxes (1.8) 1.0
Equity in earnings of unconsolidated affiliates, net of distributions received (0.2) (0.9)
Changes in operating assets and liabilities, net of acquisitions and divestitures:    
Accounts receivable 8.8 2.0
Medicare accelerated payments and deferred governmental grants (1.2) (18.0)
Other operating assets and liabilities 3.8 7.2
Net cash provided by operating activities 74.5 79.8
Cash flows from investing activities:    
Purchases of property and equipment (24.3) (18.2)
Payments for acquisitions, net of cash acquired (40.7) (31.1)
Proceeds from disposals of facilities and other assets 8.0 0.0
Purchases of equity investments (9.6) 0.0
Proceeds from sales of equity investments 0.0 11.5
Other investing activities (4.1) (9.3)
Net cash used in investing activities (70.7) (47.1)
Cash flows from financing activities:    
Principal payments on long-term debt (15.9) (17.0)
Borrowings of long-term debt 15.9 11.9
Payments of debt issuance costs (1.3) 0.0
Distributions to non-controlling interest holders (41.9) (36.2)
Receipts (payments) related to ownership transactions with non-controlling interest holders 5.1 (3.1)
Other financing activities (3.1) 0.7
Net cash used in financing activities (41.2) (43.7)
Net decrease in cash and cash equivalents (37.4) (11.0)
Cash and cash equivalents at beginning of period 282.9 389.9
Cash and cash equivalents at end of period $ 245.5 $ 378.9