So you changed the goal posts.
1.) I already mentioned that according to doximity (and thus most physicians), it's consider a top tier program. It's 15 out of more than 130 so in the top 10-15% of residencies. So again, "solidly mid-tier" is as subjectively biased a statement as they come.
2.) You asked about caseload and I delivered. 62 K anesthetics/year + Quaternary referral center + Top hospital = Very complex, very extensive caseload, which addresses that concern.
3.) I am aware top hospital=/= top residency. However, it really helps. How many top residencies are not at top hospitals (especially surgically related ones)? Top residencies are at least partially about resources. You'll be hard pressed to find places with more resources. Being involved in Academics is just not an issue.
I think at that level, it's mainly about name and little else.
In any case, you clearly aren't a fan, and that's fine. It's not at the top of my rank list because of location. However, it's still a pretty great program.