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Note 14 - Segment Information - Revenues for Reportable Segments (Details) - USD ($)
$ in Thousands
 3 Months Ended 12 Months Ended
Dec. 31, 2020
Sep. 30, 2020
Jun. 30, 2020
Mar. 31, 2020
Dec. 31, 2019
Sep. 30, 2019
Jun. 30, 2019
Mar. 31, 2019
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Total Revenues $ 635,868 $ 652,238 $ 209,859 $ 680,525 $ 833,131 $ 819,568 $ 846,132 $ 827,288 $ 2,178,490 $ 3,326,119 $ 2,626,730
Casino [Member]                      
Total Revenues                 1,775,358 2,483,293 1,925,424
Food and Beverage [Member]                      
Total Revenues                 178,878 447,853 367,888
Occupancy [Member]                      
Total Revenues                 104,968 237,187 199,500
Product and Service, Other [Member]                      
Total Revenues                 119,286 157,786 133,918
Las Vegas Locals [Member]                      
Total Revenues                 561,989 880,935 873,504
Las Vegas Locals [Member] | Casino [Member]                      
Total Revenues                 430,303 566,443 565,579
Las Vegas Locals [Member] | Food and Beverage [Member]                      
Total Revenues                 59,564 156,932 155,107
Las Vegas Locals [Member] | Occupancy [Member]                      
Total Revenues                 45,446 105,619 100,110
Las Vegas Locals [Member] | Product and Service, Other [Member]                      
Total Revenues                 26,676 51,941 52,708
Downtown Las Vegas [Member]                      
Total Revenues                 94,503 257,667 248,110
Downtown Las Vegas [Member] | Casino [Member]                      
Total Revenues                 58,468 138,623 132,870
Downtown Las Vegas [Member] | Food and Beverage [Member]                      
Total Revenues                 18,647 57,732 55,767
Downtown Las Vegas [Member] | Occupancy [Member]                      
Total Revenues                 9,369 28,784 26,943
Downtown Las Vegas [Member] | Product and Service, Other [Member]                      
Total Revenues                 8,019 32,528 32,530
Midwest and South [Member]                      
Total Revenues                 1,521,998 2,187,517 1,505,116
Midwest and South [Member] | Casino [Member]                      
Total Revenues                 1,286,587 1,778,227 1,226,975
Midwest and South [Member] | Food and Beverage [Member]                      
Total Revenues                 100,667 233,189 157,014
Midwest and South [Member] | Occupancy [Member]                      
Total Revenues                 50,153 102,784 72,447
Midwest and South [Member] | Product and Service, Other [Member]                      
Total Revenues                 $ 84,591 $ 73,317 $ 48,680