Leases - AR PENN Master Lease (Details) $ in Millions	Feb. 21, 2023 USD ($) extension_period facility	Nov. 01, 2013 facility extension_period	Mar. 31, 2023 USD ($)	Dec. 31, 2022 USD ($)	Jan. 14, 2022 USD ($)
Lessee, Lease, Cost [Line Items]
Long-term portion of financing obligations			$ 2,417.0	$ 3,970.7
Property and equipment, net			3,443.3	$ 4,515.5
Derecognition of operating lease liabilities			$ 4,322.6
PENN Master Lease
Lessee, Lease, Cost [Line Items]
Number of facilities with leased real estate | facility	14	19
Lease term		15 years
Number of options to extend lease | extension_period	3	4
Lease renewal term	5 years	5 years
Initial rent	$ 284.1
Adjusted annual escalator percentage	2.00%
Adjusted revenue to rent ratio	1.8
Period over which fixed component is adjusted	5 years
Adjustment to fixed component as percentage of the average change to net revenues during the preceding five years	4.00%
Percentage rent baseline period	5 years
Long-term portion of financing obligations	$ 1,600.0				$ 455.4
Property and equipment, net	1,100.0
Derecognition of operating lease liabilities	1,200.0
PENN Master Lease | Building Base Rent
Lessee, Lease, Cost [Line Items]
Initial rent	208.2
PENN Master Lease | Land Base Rent
Lessee, Lease, Cost [Line Items]
Initial rent	43.0
PENN Master Lease | Percentage Rent
Lessee, Lease, Cost [Line Items]
Initial rent	$ 32.9