Middlesex                           Population Estimate 
            
            
                    
                    
                    
                    
                    
                    
                    
                    
                    
                        
                    
                    
                    
                
                    
                        
                            
                                
                                    | 
                                        Year
                                     | 
                                    
                                        Value
                                     | 
                                    
                                        Type
                                     | 
                                
                                
                                    | 
                                        2023
                                     | 
                                    
                                        863,623
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2022
                                     | 
                                    
                                        861,094
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2021
                                     | 
                                    
                                        862,364
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2020
                                     | 
                                    
                                        861,408
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2019
                                     | 
                                    
                                        0
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2018
                                     | 
                                    
                                        0
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2017
                                     | 
                                    
                                        0
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2016
                                     | 
                                    
                                        0
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2015
                                     | 
                                    
                                        0
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2014
                                     | 
                                    
                                        0
                                     | 
                                    
                                        Population
                                     | 
                                
                            
                        
                     
                 
             
            
            
            
            
            
            
            
            
            
            
                
Middlesex                           Total Operating Revenue 
            
            
                    
                    
                    
                    
                    
                    
                    
                    
                    
                        
                    
                    
                    
                
                    
                        
                            
                                
                                    | 
                                        Year
                                     | 
                                    
                                        Value
                                     | 
                                    
                                        Type
                                     | 
                                
                                
                                    | 
                                        2023
                                     | 
                                    
                                        3,945,467,614
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2022
                                     | 
                                    
                                        3,657,560,233
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2021
                                     | 
                                    
                                        3,378,180,184
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2020
                                     | 
                                    
                                        2,889,145,017
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2019
                                     | 
                                    
                                        3,057,473,133
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2018
                                     | 
                                    
                                        2,691,290,913
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2017
                                     | 
                                    
                                        2,672,395,052
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2016
                                     | 
                                    
                                        2,811,926,273
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2015
                                     | 
                                    
                                        2,438,589,474
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2014
                                     | 
                                    
                                        2,366,865,823
                                     | 
                                    
                                        Amount
                                     | 
                                
                            
                        
                     
                 
             
            
            
            
            
            
            
            
            
            
            
                
Middlesex                           Total Operating Margin 
            
            
                    
                    
                    
                    
                    
                    
                    
                    
                    
                        
                    
                    
                    
                
                    
                        
                            
                                
                                    | 
                                        Year
                                     | 
                                    
                                        Value
                                     | 
                                    
                                        Type
                                     | 
                                
                                
                                    | 
                                        2023
                                     | 
                                    
                                        -566,642,503
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2022
                                     | 
                                    
                                        -180,155,005
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2021
                                     | 
                                    
                                        -276,412,290
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2020
                                     | 
                                    
                                        -477,197,863
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2019
                                     | 
                                    
                                        -136,671,764
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2018
                                     | 
                                    
                                        -139,711,261
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2017
                                     | 
                                    
                                        -294,023,632
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2016
                                     | 
                                    
                                        -106,953,863
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2015
                                     | 
                                    
                                        -295,133,049
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2014
                                     | 
                                    
                                        -228,599,404
                                     | 
                                    
                                        Amount
                                     | 
                                
                            
                        
                     
                 
             
            
            
            
            
            
            
            
            
            
            
                
Middlesex                           Net Profit 
            
            
                    
                    
                    
                    
                    
                    
                    
                    
                    
                        
                    
                    
                    
                
                    
                        
                            
                                
                                    | 
                                        Year
                                     | 
                                    
                                        Value
                                     | 
                                    
                                        Type
                                     | 
                                
                                
                                    | 
                                        2023
                                     | 
                                    
                                        -74,448,982
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2022
                                     | 
                                    
                                        195,219,808
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2021
                                     | 
                                    
                                        365,019,181
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2020
                                     | 
                                    
                                        -17,104,055
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2019
                                     | 
                                    
                                        70,382,998
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2018
                                     | 
                                    
                                        38,556,652
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2017
                                     | 
                                    
                                        -149,428,540
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2016
                                     | 
                                    
                                        81,584,633
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2015
                                     | 
                                    
                                        -250,450,062
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2014
                                     | 
                                    
                                        -181,851,691
                                     | 
                                    
                                        Amount
                                     | 
                                
                            
                        
                     
                 
             
            
            
            
            
            
            
            
            
            
            
                
Middlesex                           Total Patient Discharges 
            
            
                    
                    
                    
                    
                    
                    
                    
                    
                    
                        
                    
                    
                    
                
                    
                        
                            
                                
                                    | 
                                        Year
                                     | 
                                    
                                        Value
                                     | 
                                    
                                        Type
                                     | 
                                
                                
                                    | 
                                        2023
                                     | 
                                    
                                        102,458
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2022
                                     | 
                                    
                                        98,841
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2021
                                     | 
                                    
                                        96,848
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2020
                                     | 
                                    
                                        91,399
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2019
                                     | 
                                    
                                        96,983
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2018
                                     | 
                                    
                                        91,214
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2017
                                     | 
                                    
                                        98,011
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2016
                                     | 
                                    
                                        99,684
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2015
                                     | 
                                    
                                        100,446
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2014
                                     | 
                                    
                                        100,173
                                     | 
                                    
                                        Discharges
                                     | 
                                
                            
                        
                     
                 
             
            
            
            
            
            
            
            
            
            
            
                
Middlesex                           Net Fixed Assets 
            
            
                    
                    
                    
                    
                    
                    
                    
                    
                    
                        
                    
                    
                
                    
                        
                            
                                
                                    | 
                                        Year
                                     | 
                                    
                                        Value
                                     | 
                                    
                                        Type
                                     | 
                                
                                
                                    | 
                                        2023
                                     | 
                                    
                                        5,160,891,339
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2022
                                     | 
                                    
                                        4,709,781,219
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2021
                                     | 
                                    
                                        2,703,148,227
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2020
                                     | 
                                    
                                        3,802,949,637
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2019
                                     | 
                                    
                                        3,633,258,809
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2018
                                     | 
                                    
                                        1,414,674,060
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2017
                                     | 
                                    
                                        1,223,462,321
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2016
                                     | 
                                    
                                        1,355,899,571
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2015
                                     | 
                                    
                                        1,287,416,977
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2014
                                     | 
                                    
                                        1,289,463,637
                                     | 
                                    
                                        Amount
                                     | 
                                
                            
                        
                     
                 
             
            
            
            
            
            
            
            
            
            
            
                
Middlesex                           Long Term Liabilities 
            
            
                    
                    
                    
                    
                    
                    
                    
                    
                    
                        
                    
                    
                    
                
                    
                        
                            
                                
                                    | 
                                        Year
                                     | 
                                    
                                        Value
                                     | 
                                    
                                        Type
                                     | 
                                
                                
                                    | 
                                        2023
                                     | 
                                    
                                        1,852,322,018
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2022
                                     | 
                                    
                                        1,725,369,733
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2021
                                     | 
                                    
                                        1,855,209,041
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2020
                                     | 
                                    
                                        2,555,515,194
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2019
                                     | 
                                    
                                        1,944,381,711
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2018
                                     | 
                                    
                                        1,090,315,373
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2017
                                     | 
                                    
                                        1,204,517,556
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2016
                                     | 
                                    
                                        1,356,462,401
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2015
                                     | 
                                    
                                        1,337,870,135
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2014
                                     | 
                                    
                                        1,310,740,714
                                     | 
                                    
                                        Amount
                                     | 
                                
                            
                        
                     
                 
             
            
            
            
            
            
            
            
            
            
            
                
Middlesex                           Total Beds 
            
            
                    
                    
                    
                    
                    
                    
                    
                    
                    
                        
                    
                    
                    
                
                    
                        
                            
                                
                                    | 
                                        Year
                                     | 
                                    
                                        Value
                                     | 
                                    
                                        Type
                                     | 
                                
                                
                                    | 
                                        2023
                                     | 
                                    
                                        1,638
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2022
                                     | 
                                    
                                        1,586
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2021
                                     | 
                                    
                                        1,621
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2020
                                     | 
                                    
                                        1,636
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2019
                                     | 
                                    
                                        1,708
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2018
                                     | 
                                    
                                        1,733
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2017
                                     | 
                                    
                                        1,739
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2016
                                     | 
                                    
                                        1,718
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2015
                                     | 
                                    
                                        1,711
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2014
                                     | 
                                    
                                        1,727
                                     | 
                                    
                                        Beds
                                     |