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Income Taxes - Temporary Differences and Approximate Tax Effects of Deferred Tax Asset and Liability (Details) - USD ($) $ in Millions | Dec. 31, 2023 | Dec. 31, 2022
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Deferred tax assets: |  |
Medical malpractice liability | $ 3.6 | $ 4.1
Accrued vacation and incentive compensation | 3.0 | 3.1
Net operating loss carryforwards | 143.6 | 146.0
Allowance for bad debts | 1.2 | 2.9
Capital loss carryforwards | 1.8 | 0.0
Deferred financing costs | 3.3 | 5.1
Section 163(j) interest | 162.3 | 137.7
Interest rate derivative liability | 4.7 | 10.5
TRA liability | 0.0 | 0.1
Right of use | 47.2 | 52.5
Software development costs | 1.7 | 1.0
Other deferred assets | 9.6 | 9.2
Total gross deferred tax assets | 382.0 | 372.2
Less: Valuation allowance | (150.1) | (114.7)
Total deferred tax assets | 231.9 | 257.5
Deferred tax liabilities: |  |
Depreciation on property and equipment | (3.0) | (2.0)
Basis differences of partnerships and joint ventures | (84.2) | (87.4)
Right of use | (35.6) | (44.4)
Amortization of intangible assets | (3.0) | (1.3)
Interest rate derivative asset | (15.1) | (29.5)
Other deferred liabilities | (1.5) | (1.4)
Total deferred tax liabilities | (142.4) | (166.0)
Net deferred tax assets | $ 89.5 | $ 91.5

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