Missouri                            Population Estimate 
            
            
                    
                    
                    
                    
                    
                    
                    
                    
                    
                        
                    
                    
                    
                
                    
                        
                            
                                
                                    | 
                                        Year
                                     | 
                                    
                                        Value
                                     | 
                                    
                                        Type
                                     | 
                                
                                
                                    | 
                                        2023
                                     | 
                                    
                                        6,196,156
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2022
                                     | 
                                    
                                        6,177,168
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2021
                                     | 
                                    
                                        6,170,393
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2020
                                     | 
                                    
                                        6,154,426
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2019
                                     | 
                                    
                                        6,140,475
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2018
                                     | 
                                    
                                        6,125,986
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2017
                                     | 
                                    
                                        6,111,382
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2016
                                     | 
                                    
                                        6,091,384
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2015
                                     | 
                                    
                                        6,075,411
                                     | 
                                    
                                        Population
                                     | 
                                
                                
                                    | 
                                        2014
                                     | 
                                    
                                        6,059,130
                                     | 
                                    
                                        Population
                                     | 
                                
                            
                        
                     
                 
             
            
            
            
            
            
            
            
            
            
            
                
Missouri                            Total Operating Revenue 
            
            
                    
                    
                    
                    
                    
                    
                    
                    
                    
                        
                    
                    
                    
                
                    
                        
                            
                                
                                    | 
                                        Year
                                     | 
                                    
                                        Value
                                     | 
                                    
                                        Type
                                     | 
                                
                                
                                    | 
                                        2023
                                     | 
                                    
                                        29,407,429,284
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2022
                                     | 
                                    
                                        30,601,244,639
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2021
                                     | 
                                    
                                        26,174,790,082
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2020
                                     | 
                                    
                                        24,264,076,833
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2019
                                     | 
                                    
                                        24,470,143,497
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2018
                                     | 
                                    
                                        23,374,047,147
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2017
                                     | 
                                    
                                        22,458,880,531
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2016
                                     | 
                                    
                                        21,501,873,777
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2015
                                     | 
                                    
                                        20,778,519,301
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2014
                                     | 
                                    
                                        19,267,609,895
                                     | 
                                    
                                        Amount
                                     | 
                                
                            
                        
                     
                 
             
            
            
            
            
            
            
            
            
            
            
                
Missouri                            Total Operating Margin 
            
            
                    
                    
                    
                    
                    
                    
                    
                    
                    
                        
                    
                    
                    
                
                    
                        
                            
                                
                                    | 
                                        Year
                                     | 
                                    
                                        Value
                                     | 
                                    
                                        Type
                                     | 
                                
                                
                                    | 
                                        2023
                                     | 
                                    
                                        -241,355,760
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2022
                                     | 
                                    
                                        3,164,279,456
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2021
                                     | 
                                    
                                        -333,359,533
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2020
                                     | 
                                    
                                        -883,935,165
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2019
                                     | 
                                    
                                        341,215,216
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2018
                                     | 
                                    
                                        -111,185,766
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2017
                                     | 
                                    
                                        -189,063,279
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2016
                                     | 
                                    
                                        17,177,786
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2015
                                     | 
                                    
                                        25,205,093
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2014
                                     | 
                                    
                                        -240,377,358
                                     | 
                                    
                                        Amount
                                     | 
                                
                            
                        
                     
                 
             
            
            
            
            
            
            
            
            
            
            
                
Missouri                            Net Profit 
            
            
                    
                    
                    
                    
                    
                    
                    
                    
                    
                        
                    
                    
                    
                
                    
                        
                            
                                
                                    | 
                                        Year
                                     | 
                                    
                                        Value
                                     | 
                                    
                                        Type
                                     | 
                                
                                
                                    | 
                                        2023
                                     | 
                                    
                                        1,541,334,111
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2022
                                     | 
                                    
                                        4,213,260,210
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2021
                                     | 
                                    
                                        2,871,961,564
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2020
                                     | 
                                    
                                        1,155,140,618
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2019
                                     | 
                                    
                                        1,594,849,291
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2018
                                     | 
                                    
                                        1,107,329,611
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2017
                                     | 
                                    
                                        1,184,008,482
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2016
                                     | 
                                    
                                        975,804,865
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2015
                                     | 
                                    
                                        998,223,742
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2014
                                     | 
                                    
                                        731,464,856
                                     | 
                                    
                                        Amount
                                     | 
                                
                            
                        
                     
                 
             
            
            
            
            
            
            
            
            
            
            
                
Missouri                            Total Patient Discharges 
            
            
                    
                    
                    
                    
                    
                    
                    
                    
                    
                        
                    
                    
                    
                
                    
                        
                            
                                
                                    | 
                                        Year
                                     | 
                                    
                                        Value
                                     | 
                                    
                                        Type
                                     | 
                                
                                
                                    | 
                                        2023
                                     | 
                                    
                                        739,691
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2022
                                     | 
                                    
                                        709,622
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2021
                                     | 
                                    
                                        709,075
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2020
                                     | 
                                    
                                        698,541
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2019
                                     | 
                                    
                                        761,279
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2018
                                     | 
                                    
                                        766,106
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2017
                                     | 
                                    
                                        738,537
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2016
                                     | 
                                    
                                        739,733
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2015
                                     | 
                                    
                                        771,442
                                     | 
                                    
                                        Discharges
                                     | 
                                
                                
                                    | 
                                        2014
                                     | 
                                    
                                        740,839
                                     | 
                                    
                                        Discharges
                                     | 
                                
                            
                        
                     
                 
             
            
            
            
            
            
            
            
            
            
            
                
Missouri                            Net Fixed Assets 
            
            
                    
                    
                    
                    
                    
                    
                    
                    
                    
                        
                    
                    
                
                    
                        
                            
                                
                                    | 
                                        Year
                                     | 
                                    
                                        Value
                                     | 
                                    
                                        Type
                                     | 
                                
                                
                                    | 
                                        2023
                                     | 
                                    
                                        10,852,311,681
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2022
                                     | 
                                    
                                        10,803,102,759
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2021
                                     | 
                                    
                                        10,472,699,842
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2020
                                     | 
                                    
                                        10,459,571,401
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2019
                                     | 
                                    
                                        10,998,266,272
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2018
                                     | 
                                    
                                        9,988,663,918
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2017
                                     | 
                                    
                                        9,949,293,831
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2016
                                     | 
                                    
                                        9,711,111,133
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2015
                                     | 
                                    
                                        9,588,853,414
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2014
                                     | 
                                    
                                        9,349,300,583
                                     | 
                                    
                                        Amount
                                     | 
                                
                            
                        
                     
                 
             
            
            
            
            
            
            
            
            
            
            
                
Missouri                            Long Term Liabilities 
            
            
                    
                    
                    
                    
                    
                    
                    
                    
                    
                        
                    
                    
                    
                
                    
                        
                            
                                
                                    | 
                                        Year
                                     | 
                                    
                                        Value
                                     | 
                                    
                                        Type
                                     | 
                                
                                
                                    | 
                                        2023
                                     | 
                                    
                                        755,317,711
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2022
                                     | 
                                    
                                        3,684,476,880
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2021
                                     | 
                                    
                                        5,004,806,078
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2020
                                     | 
                                    
                                        4,588,557,188
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2019
                                     | 
                                    
                                        5,255,930,236
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2018
                                     | 
                                    
                                        4,844,559,938
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2017
                                     | 
                                    
                                        4,544,698,582
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2016
                                     | 
                                    
                                        4,921,098,393
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2015
                                     | 
                                    
                                        5,432,831,957
                                     | 
                                    
                                        Amount
                                     | 
                                
                                
                                    | 
                                        2014
                                     | 
                                    
                                        5,334,087,745
                                     | 
                                    
                                        Amount
                                     | 
                                
                            
                        
                     
                 
             
            
            
            
            
            
            
            
            
            
            
                
Missouri                            Total Beds 
            
            
                    
                    
                    
                    
                    
                    
                    
                    
                    
                        
                    
                    
                    
                
                    
                        
                            
                                
                                    | 
                                        Year
                                     | 
                                    
                                        Value
                                     | 
                                    
                                        Type
                                     | 
                                
                                
                                    | 
                                        2023
                                     | 
                                    
                                        15,195
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2022
                                     | 
                                    
                                        15,443
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2021
                                     | 
                                    
                                        15,676
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2020
                                     | 
                                    
                                        15,283
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2019
                                     | 
                                    
                                        15,310
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2018
                                     | 
                                    
                                        14,856
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2017
                                     | 
                                    
                                        15,225
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2016
                                     | 
                                    
                                        15,202
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2015
                                     | 
                                    
                                        15,338
                                     | 
                                    
                                        Beds
                                     | 
                                
                                
                                    | 
                                        2014
                                     | 
                                    
                                        15,608
                                     | 
                                    
                                        Beds
                                     |