Leases - Lessee, Pinnacle Master Lease Narrative (Details) $ in Millions	May 01, 2022 USD ($)	Jan. 14, 2022 USD ($) extension_period	May 01, 2021 USD ($)	May 01, 2020 USD ($)	Apr. 28, 2016 facility extension_period	Dec. 31, 2022 USD ($)	Dec. 31, 2021 USD ($)
Lessee, Lease, Description [Line Items]
Operating lease liability						$ 1,047.1
Lease right-of-use assets						6,103.3	$ 4,853.0
Long-term portion of financing obligations						$ 3,970.7	$ 4,057.8
Pinnacle Master Lease
Lessee, Lease, Description [Line Items]
Initial lease term					10 years
Lessee, Increase In Annual Rental Expense For Rent Reset Test	$ 1.9			$ 5.0
Operating lease liability	26.1			14.9
Lease right-of-use assets	26.1			$ 14.9
Long-term portion of financing obligations		$ 937.6
Pinnacle Master Lease | Lease renewal option one
Lessee, Lease, Description [Line Items]
Lease renewal term					5 years
Pinnacle Master Lease
Lessee, Lease, Description [Line Items]
Number of facilities with leased real estate | facility					12
Remaining lease term					7 years 6 months
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
Increase in fixed component of rent resulting from annual escalator	4.6		$ 4.5
Operating lease, annual escalator, additional ROU asset recognized	$ 33.2		$ 17.2
Pinnacle Master Lease | Lease renewal option one
Lessee, Lease, Description [Line Items]
Number of lease renewal terms | extension_period					5
Pinnacle Master Lease | Lease renewal option two
Lessee, Lease, Description [Line Items]
Number of lease renewal terms | extension_period		5
Lease renewal term		5 years