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Note 9 - Segment Information - Revenues for Reportable Segments (Details) - USD ($)
$ in Thousands
 3 Months Ended 9 Months Ended
Sep. 30, 2021
Sep. 30, 2020
Sep. 30, 2021
Sep. 30, 2020
Total Revenues $ 843,060 $ 652,238 $ 2,489,969 $ 1,542,622
Casino [Member]        
Total Revenues 674,227 565,965 2,019,615 1,260,841
Food and Beverage [Member]        
Total Revenues 61,101 38,778 162,641 139,323
Occupancy [Member]        
Total Revenues 44,317 26,925 109,384 80,570
Product and Service, Other [Member]        
Total Revenues 63,415 20,570 198,329 61,888
Las Vegas Locals [Member]        
Total Revenues 231,264 171,076 649,782 400,531
Las Vegas Locals [Member] | Casino [Member]        
Total Revenues 179,441 141,143 516,174 298,307
Las Vegas Locals [Member] | Food and Beverage [Member]        
Total Revenues 20,412 12,501 52,959 47,039
Las Vegas Locals [Member] | Occupancy [Member]        
Total Revenues 20,176 10,914 49,344 35,278
Las Vegas Locals [Member] | Product and Service, Other [Member]        
Total Revenues 11,235 6,518 31,305 19,907
Downtown Las Vegas [Member]        
Total Revenues 42,137 17,539 102,350 76,316
Downtown Las Vegas [Member] | Casino [Member]        
Total Revenues 28,132 12,678 70,168 45,663
Downtown Las Vegas [Member] | Food and Beverage [Member]        
Total Revenues 7,343 2,992 17,657 15,599
Downtown Las Vegas [Member] | Occupancy [Member]        
Total Revenues 4,000 1,350 9,269 7,825
Downtown Las Vegas [Member] | Product and Service, Other [Member]        
Total Revenues 2,662 519 5,256 7,229
Midwest and South [Member]        
Total Revenues 569,659 463,623 1,737,837 1,065,775
Midwest and South [Member] | Casino [Member]        
Total Revenues 466,654 412,144 1,433,273 916,871
Midwest and South [Member] | Food and Beverage [Member]        
Total Revenues 33,346 23,285 92,025 76,685
Midwest and South [Member] | Occupancy [Member]        
Total Revenues 20,141 14,661 50,771 37,467
Midwest and South [Member] | Product and Service, Other [Member]        
Total Revenues $ 49,518 $ 13,533 $ 161,768 $ 34,752