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Note 14 - Segment Information - Revenues for Reportable Segments (Details) - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Revenue from Contract with Customer, Including Assessed Tax $ 3,555,377 $ 3,369,810 $ 2,178,490
Casino [Member]      
Revenue from Contract with Customer, Including Assessed Tax 2,674,730 2,705,523 1,775,358
Food and Beverage [Member]      
Revenue from Contract with Customer, Including Assessed Tax 275,979 230,045 178,878
Occupancy [Member]      
Revenue from Contract with Customer, Including Assessed Tax 189,071 154,180 104,968
Product and Service, Other [Member]      
Revenue from Contract with Customer, Including Assessed Tax 415,597 280,062 119,286
Las Vegas Locals [Member]      
Revenue from Contract with Customer, Including Assessed Tax 930,730 886,054 561,989
Las Vegas Locals [Member] | Casino [Member]      
Revenue from Contract with Customer, Including Assessed Tax 700,230 695,635 430,303
Las Vegas Locals [Member] | Food and Beverage [Member]      
Revenue from Contract with Customer, Including Assessed Tax 88,219 74,771 59,564
Las Vegas Locals [Member] | Occupancy [Member]      
Revenue from Contract with Customer, Including Assessed Tax 87,726 71,586 45,446
Las Vegas Locals [Member] | Product and Service, Other [Member]      
Revenue from Contract with Customer, Including Assessed Tax 54,555 44,062 26,676
Downtown Las Vegas [Member]      
Revenue from Contract with Customer, Including Assessed Tax 215,332 155,806 94,503
Downtown Las Vegas [Member] | Casino [Member]      
Revenue from Contract with Customer, Including Assessed Tax 139,115 105,539 58,468
Downtown Las Vegas [Member] | Food and Beverage [Member]      
Revenue from Contract with Customer, Including Assessed Tax 41,578 28,149 18,647
Downtown Las Vegas [Member] | Occupancy [Member]      
Revenue from Contract with Customer, Including Assessed Tax 24,950 15,042 9,369
Downtown Las Vegas [Member] | Product and Service, Other [Member]      
Revenue from Contract with Customer, Including Assessed Tax 9,689 7,076 8,019
Midwest and South [Member]      
Revenue from Contract with Customer, Including Assessed Tax 2,409,315 2,327,950 1,521,998
Midwest and South [Member] | Casino [Member]      
Revenue from Contract with Customer, Including Assessed Tax 1,835,385 1,904,349 1,286,587
Midwest and South [Member] | Food and Beverage [Member]      
Revenue from Contract with Customer, Including Assessed Tax 146,182 127,125 100,667
Midwest and South [Member] | Occupancy [Member]      
Revenue from Contract with Customer, Including Assessed Tax 76,395 67,552 50,153
Midwest and South [Member] | Product and Service, Other [Member]      
Revenue from Contract with Customer, Including Assessed Tax $ 351,353 $ 228,924 $ 84,591