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Note 11 - Segment Information - Revenues for Reportable Segments (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2019	Sep. 30, 2018	Sep. 30, 2019	Sep. 30, 2018
Total Revenues	$ 819,568	$ 612,196	$ 2,492,988	$ 1,835,107
Casino [Member]
Total Revenues	613,487	446,760	1,867,399	1,335,011
Food and Beverage [Member]
Total Revenues	108,069	86,006	331,206	259,006
Occupancy [Member]
Total Revenues	60,705	47,984	179,046	145,330
Product and Service, Other [Member]
Total Revenues	37,307	31,446	115,337	95,760
Las Vegas Locals [Member]
Total Revenues	213,286	208,781	657,084	650,930
Las Vegas Locals [Member] \| Casino [Member]
Total Revenues	137,839	135,350	424,238	420,986
Las Vegas Locals [Member] \| Food and Beverage [Member]
Total Revenues	37,415	37,469	115,441	115,287
Las Vegas Locals [Member] \| Occupancy [Member]
Total Revenues	25,809	23,421	78,458	75,236
Las Vegas Locals [Member] \| Product and Service, Other [Member]
Total Revenues	12,223	12,541	38,947	39,421
Downtown Las Vegas [Member]
Total Revenues	60,624	59,163	188,116	180,833
Downtown Las Vegas [Member] \| Casino [Member]
Total Revenues	32,054	30,952	100,807	96,213
Downtown Las Vegas [Member] \| Food and Beverage [Member]
Total Revenues	13,925	13,713	42,463	41,041
Downtown Las Vegas [Member] \| Occupancy [Member]
Total Revenues	7,240	6,673	21,541	20,090
Downtown Las Vegas [Member] \| Product and Service, Other [Member]
Total Revenues	7,405	7,825	23,305	23,489
Midwest and South [Member]
Total Revenues	545,658	344,252	1,647,788	1,003,344
Midwest and South [Member] \| Casino [Member]
Total Revenues	443,594	280,458	1,342,354	817,812
Midwest and South [Member] \| Food and Beverage [Member]
Total Revenues	56,729	34,824	173,302	102,678
Midwest and South [Member] \| Occupancy [Member]
Total Revenues	27,656	17,890	79,047	50,004
Midwest and South [Member] \| Product and Service, Other [Member]
Total Revenues	$ 17,679	$ 11,080	$ 53,085	$ 32,850