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Note 11 - Segment Information - Revenues for Reportable Segments (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2019	Jun. 30, 2018	Jun. 30, 2019	Jun. 30, 2018
Total Revenues	$ 846,132	$ 616,793	$ 1,673,420	$ 1,222,911
Casino [Member]
Total Revenues	633,659	447,788	1,253,912	888,251
Food and Beverage [Member]
Total Revenues	112,047	87,601	223,137	173,000
Occupancy [Member]
Total Revenues	61,097	49,434	118,341	97,346
Product and Service, Other [Member]
Total Revenues	39,329	31,970	78,030	64,314
Las Vegas Locals [Member]
Total Revenues	220,946	219,974	443,796	442,149
Las Vegas Locals [Member] \| Casino [Member]
Total Revenues	142,754	142,488	286,397	285,636
Las Vegas Locals [Member] \| Food and Beverage [Member]
Total Revenues	38,970	38,948	78,026	77,818
Las Vegas Locals [Member] \| Occupancy [Member]
Total Revenues	26,445	25,659	52,649	51,815
Las Vegas Locals [Member] \| Product and Service, Other [Member]
Total Revenues	12,777	12,879	26,724	26,880
Downtown Las Vegas [Member]
Total Revenues	64,468	61,202	127,494	121,670
Downtown Las Vegas [Member] \| Casino [Member]
Total Revenues	34,816	32,822	68,755	65,261
Downtown Las Vegas [Member] \| Food and Beverage [Member]
Total Revenues	14,435	13,741	28,538	27,328
Downtown Las Vegas [Member] \| Occupancy [Member]
Total Revenues	7,103	6,606	14,301	13,417
Downtown Las Vegas [Member] \| Product and Service, Other [Member]
Total Revenues	8,114	8,033	15,900	15,664
Midwest and South [Member]
Total Revenues	560,718	335,617	1,102,130	659,092
Midwest and South [Member] \| Casino [Member]
Total Revenues	456,089	272,478	898,760	537,354
Midwest and South [Member] \| Food and Beverage [Member]
Total Revenues	58,642	34,912	116,573	67,854
Midwest and South [Member] \| Occupancy [Member]
Total Revenues	27,549	17,169	51,391	32,114
Midwest and South [Member] \| Product and Service, Other [Member]
Total Revenues	$ 18,438	$ 11,058	$ 35,406	$ 21,770