Leases - Pinnacle Master Lease (Details) $ in Millions	May 01, 2023 USD ($)	Feb. 21, 2023 USD ($) extension_period facility	Apr. 28, 2016 facility extension_period	Nov. 01, 2013 facility extension_period	Sep. 30, 2023 USD ($)	Dec. 31, 2022 USD ($)	Jan. 14, 2022 USD ($)
Lessee, Lease, Cost [Line Items]
Long-term portion of financing obligations					$ 2,396.5	$ 3,970.7
PENN Master Lease
Lessee, Lease, Cost [Line Items]
Operating lease, annual escalator, additional ROU asset recognized	$ 33.3
Pinnacle Master Lease
Lessee, Lease, Cost [Line Items]
Number of facilities with leased real estate | facility			12
Remaining lease term			7 years 6 months
Initial lease term			10 years
Lease - expected term with renewal options			32 years 6 months
Adjusted annual escalator percentage			2.00%
Adjusted revenue to rent ratio, as defined			1.8
Percentage rent escalation interval			2 years
Percentage of average net revenues during preceding two years			4.00%
Percentage rent baseline period			2 years
Long-term portion of financing obligations							$ 937.6
Pinnacle Master Lease | Lease Renewal Option One
Lessee, Lease, Cost [Line Items]
Number of options to extend lease | extension_period			5
Lease renewal term			5 years
PENN Master Lease
Lessee, Lease, Cost [Line Items]
Number of facilities with leased real estate | facility		14		19
Number of options to extend lease | extension_period		3		4
Lease renewal term		5 years		5 years
Adjusted annual escalator percentage		2.00%
Percentage rent baseline period		5 years
Increase of fixed component of rent	$ 4.7
Long-term portion of financing obligations		$ 1,600.0					$ 455.4