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Note 9 - Segment Information - Revenues for Reportable Segments (Details) - USD ($)
$ in Thousands
 3 Months Ended 9 Months Ended
Sep. 30, 2022
Sep. 30, 2021
Sep. 30, 2022
Sep. 30, 2021
Total Revenues $ 877,263 $ 843,060 $ 2,632,456 $ 2,489,969
Casino [Member]        
Total Revenues 667,975 674,227 2,020,854 2,019,615
Food and Beverage [Member]        
Total Revenues 67,792 61,101 201,834 162,641
Occupancy [Member]        
Total Revenues 46,672 44,317 138,985 109,384
Product and Service, Other [Member]        
Total Revenues 94,824 63,415 270,783 198,329
Las Vegas Locals [Member]        
Total Revenues 225,791 231,264 689,814 649,782
Las Vegas Locals [Member] | Casino [Member]        
Total Revenues 172,263 179,441 522,728 516,174
Las Vegas Locals [Member] | Food and Beverage [Member]        
Total Revenues 21,120 20,412 64,257 52,959
Las Vegas Locals [Member] | Occupancy [Member]        
Total Revenues 19,982 20,176 62,528 49,344
Las Vegas Locals [Member] | Product and Service, Other [Member]        
Total Revenues 12,426 11,235 40,301 31,305
Downtown Las Vegas [Member]        
Total Revenues 49,507 42,137 152,890 102,350
Downtown Las Vegas [Member] | Casino [Member]        
Total Revenues 31,872 28,132 99,249 70,168
Downtown Las Vegas [Member] | Food and Beverage [Member]        
Total Revenues 9,583 7,343 29,865 17,657
Downtown Las Vegas [Member] | Occupancy [Member]        
Total Revenues 5,552 4,000 17,152 9,269
Downtown Las Vegas [Member] | Product and Service, Other [Member]        
Total Revenues 2,500 2,662 6,624 5,256
Midwest and South [Member]        
Total Revenues 601,965 569,659 1,789,752 1,737,837
Midwest and South [Member] | Casino [Member]        
Total Revenues 463,840 466,654 1,398,877 1,433,273
Midwest and South [Member] | Food and Beverage [Member]        
Total Revenues 37,089 33,346 107,712 92,025
Midwest and South [Member] | Occupancy [Member]        
Total Revenues 21,138 20,141 59,305 50,771
Midwest and South [Member] | Product and Service, Other [Member]        
Total Revenues $ 79,898 $ 49,518 $ 223,858 $ 161,768