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Income Taxes - Schedule of Deferred Tax Assets and Liabilities (Details) - USD ($) $ in Millions | Dec. 31, 2024 | Dec. 31, 2023
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Deferred tax assets: |  |
Medical malpractice liability | $ 3.8 | $ 3.6
Accrued vacation and incentive compensation | 0.2 | 3.0
Net operating loss carryforwards | 142.9 | 143.6
Allowance for bad debts | 1.1 | 1.2
Capital loss carryforwards | 3.3 | 1.8
Deferred financing costs | 0.0 | 3.3
Section 163(j) interest | 191.6 | 162.3
Interest rate derivative liability | 2.5 | 4.7
Right of use liability | 46.2 | 47.2
Software development costs | 2.1 | 1.7
Other deferred assets | 9.9 | 9.6
Total gross deferred tax assets | 403.6 | 382.0
Less: Valuation allowance | (284.7) | (150.1)
Total deferred tax assets | 118.9 | 231.9
Deferred tax liabilities: |  |
Depreciation on property and equipment | (1.3) | (3.0)
Basis differences of partnerships and joint ventures | (106.7) | (84.2)
Right of use asset | (36.8) | (35.6)
Deferred financing costs | (5.3) | 0.0
Amortization of intangible assets | (3.1) | (3.0)
Interest rate derivative asset | (2.9) | (15.1)
Other deferred liabilities | (2.0) | (1.5)
Total deferred tax liabilities | (158.1) | (142.4)
Net deferred tax liabilities | $ (39.2) |
Net deferred tax (liabilities) assets |  | $ 89.5

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