P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalMarshall Medical Centers Estimated FY2026 net: −$212K×

Hospital record · FY2026CCN 010005

1Hospital

Marshall Medical Centers

2Location

Boaz, AL (Alabama’s hospitals on the map and in the table) 35957

Marshall County

3Type

Not a teaching hospital · 240 beds · Government · Rural · Rural referral center

4Care Compare stars

3 of 5 stars

Overall rating, CMS Care Compare data of July 22, 2026
Open on Care Compare (opens in a new tab)

5Total HAC Score

0.6065

As CMS reports it

6Payment reduction

1% cut
CMS’s value: Yes

7Estimated cut

$148K estimate
Likely $112⁠–⁠186K; about $117 per traditional Medicare stay

Cut 1%

$148K

cut from its FY2026 Medicare inpatient payments, this site estimates estimate

For fiscal year 2026, CMS reports a Total HAC Score of 0.6065 for Marshall Medical Centers and a payment reduction decision of Yes.

That is 1% of about $14.8M, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year: about $117 per traditional Medicare stay.

Likely range $112–186K

Its score was above CMS’s line, so CMS cut its Medicare inpatient payments by 1% for the year. The score compares hospitals with each other; it is not a grade of the quality of care.

CMS cut scores of 0.3799 and above.

Each year CMS cuts the hospitals with the highest quarter of scores, those above the 75th percentile, so the line moves with other hospitals’ scores.

lowest −1.4728 highest 2.3133 1% cut Middle hospital: −0.0453 Middle hospital−0.0453 CMS’s line: 0.3799 and up CMS’s line0.3799 and up This hospital: 0.6065 This hospital 0.6065 lowest −1.4728 highest 2.3133 1% cut Middle hospital: −0.0453 Middle hospital−0.0453 CMS’s line: 0.3799 and up CMS’s line0.3799 and up This hospital: 0.6065 This hospital 0.6065

Higher than 84% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Cut in 6 of 11 years

  1. 15No
  2. 16No
  3. 17No
  4. 18No
  5. 19No
  6. 20Cut
  7. 21Cut
  8. 22Cut
  9. 23—
  10. 24Cut
  11. 25Cut
  12. 26Cut

Where the score came from

CMS scored this hospital on all 6 measures. On every measure a lower value is better. Each row puts the hospital among every hospital with a value: the gray columns are those hospitals, the tall tick is the national median, and the hatched ends score the same as CMS’s floor or cap.

Bringing MRSA down to the national median (0.641) would lower the score the most: by 0.3905, to 0.2160. That change alone would put the score under CMS’s line. Try it in the what-if

Figure 1. Of its 6 measures with a value, this hospital is above the national median on 5; MRSA added the most to its score.
  • This hospital
  • National median
  • Scores the same as CMS’s floor or cap
  1. PSI 90 (what it counts)

    Safety problems such as serious bedsores, falls that break a bone and blood clots after surgery, found by CMS in traditional Medicare claims. A value of 1 matches the national composite value.

    Patient safety and adverse events composite

    Worse than 56% of the other 2,808 hospitals

    estimate

    This site recomputes this measure’s z‑score from CMS’s published value. The recompute can differ from CMS’s z‑score by up to 0.0021. How this site estimates

    CMS value0.9745

    Z-score−0.0973

    Part of score−0.0162

  2. CLABSI (what it counts)

    Bloodstream infections tied to a central line, a tube often placed in a large vein in the neck, chest or groin. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Central line–associated bloodstream infections

    Worse than 72% of the other 2,181 hospitals

    CMS value0.830

    Z-score0.5189

    Part of score+0.0865

  3. CAUTI (what it counts)

    Urinary tract infections that start from a urinary catheter, a tube that drains the bladder. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Catheter-associated urinary tract infections

    Worse than 89% of the other 2,354 hospitals

    CMS value1.119

    Z-score1.3787

    Part of score+0.2298

  4. SSI (what it counts)

    Deep infections at the site of colon surgery or an abdominal hysterectomy, within a month of the operation, pooled into one measure. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Surgical site infections after colon surgery or abdominal hysterectomy

    Better than 86% of the other 2,269 hospitals

    CMS value0.165

    Z-score−1.1738

    Part of score−0.1956

  5. CDI (what it counts)

    C. diff infections, which cause diarrhea and inflammation of the colon, found by a lab test and starting in the hospital. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Clostridioides difficile (C. diff) infections

    Worse than 79% of the other 2,766 hospitals

    estimate

    This site recomputes this measure’s z‑score from CMS’s published value. The recompute can differ from CMS’s z‑score by up to 0.0071. How this site estimates

    CMS value0.581

    Z-score0.7875

    Part of score+0.1313

  6. MRSA (what it counts)

    Bloodstream infections with MRSA, a germ that resists several antibiotics, found by a lab test and starting in the hospital. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    added the most

    MRSA bloodstream infections

    Worse than 97% of the other 2,067 hospitals

    CMS value2.077

    Z-score2.2251

    Part of score+0.3708

Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 900.97450.9623−0.0973−0.0162Worse than 56% of the other 2,808 hospitals
CLABSI0.8300.5590.5189+0.0865Worse than 72% of the other 2,181 hospitals
CAUTI1.1190.4891.3787+0.2298Worse than 89% of the other 2,354 hospitals
SSI0.1650.795−1.1738−0.1956Better than 86% of the other 2,269 hospitals
CDI0.5810.3460.7875+0.1313Worse than 79% of the other 2,766 hospitals
MRSA2.0770.6412.2251+0.3708Worse than 97% of the other 2,067 hospitals

How the parts add up

CMS adds the z‑scores and divides by the number of measures scored, so each measure counts the same. Each bar below is one z‑score divided by 6; a bar right of zero raised the score and one left of zero lowered it.

(−0.0973PSI 90+0.5189CLABSI+1.3787CAUTI−1.1738SSI+0.7875CDI+2.2251MRSA)÷6measures=0.6065Total HAC Score

This hospital’s score is 0.2273 above 0.3792, the highest score CMS marked No. (This site recomputes.)

Figure 2. The parts add up to 0.6065, above CMS’s line.
1% cut PSI 90: z‑score −0.0973 divided by 6 = −0.0162PSI 90−0.0162 CLABSI: z‑score 0.5189 divided by 6 = +0.0865CLABSI+0.0865 CAUTI: z‑score 1.3787 divided by 6 = +0.2298CAUTI+0.2298 SSI: z‑score −1.1738 divided by 6 = −0.1956SSI−0.1956 CDI: z‑score 0.7875 divided by 6 = +0.1313CDI+0.1313 MRSA: z‑score 2.2251 divided by 6 = +0.3708MRSA+0.3708 Total HAC Score: 0.6065Score0.6065 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.20.40.6 1% cut PSI 90: z‑score −0.0973 divided by 6 = −0.0162PSI 90−0.0162 CLABSI: z‑score 0.5189 divided by 6 = +0.0865CLABSI+0.0865 CAUTI: z‑score 1.3787 divided by 6 = +0.2298CAUTI+0.2298 SSI: z‑score −1.1738 divided by 6 = −0.1956SSI−0.1956 CDI: z‑score 0.7875 divided by 6 = +0.1313CDI+0.1313 MRSA: z‑score 2.2251 divided by 6 = +0.3708MRSA+0.3708 Total HAC Score: 0.6065Score0.6065 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.20.40.6

This site recomputes · Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
MeasureZ-scorePart of the scoreRunning total
PSI 90−0.0973−0.0162−0.0162
CLABSI0.5189+0.08650.0703
CAUTI1.3787+0.22980.3001
SSI−1.1738−0.19560.1045
CDI0.7875+0.13130.2358
MRSA2.2251+0.37080.6066
Total HAC Score0.6065
CMS’s line0.37920.3799

The money is a cliff

This program’s cut doesn’t grow with the score. Over CMS’s line, CMS cuts 1% of what traditional Medicare pays a hospital for inpatient stays that year; at or under the line, this program cuts nothing.

The chart draws what the cut would be for this hospital at any Total HAC Score, from this site’s estimate of its payments, with its own score marked.

Figure 3. The cut is a cliff, not a slope: this hospital’s score, 0.2273 over the highest score CMS didn’t cut, costs it about $148K by this site’s estimate, and at CMS’s highest score, 2.3133, the cut would be the same.
CMS’s line $0 at any score up to 0.3792 $148K at any score from 0.3799 $0at any score up to 0.3792 $148K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 This hospital: 0.6065 This hospital 0.6065 CMS’s line $0 at any score up to 0.3792 $148K at any score from 0.3799 $0at any score up to 0.3792 $148Kat any score from 0.3799 −1.0−0.50.00.51.01.52.0 CMS’s highest score: 2.3133 CMS’s highest score 2.3133 This hospital: 0.6065 This hospital 0.6065

Under the axis, every Total HAC Score CMS published: 306 of the 2,929 scored within 0.1 of CMS’s line, on one side or the other.

Estimate · Source: this site’s arithmetic on CMS’s FY2026 IPPS final rule files (the impact file, the rate tables and the value-based factors), its FY2026 HRRP supplemental file and HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
ScoreTotal HAC ScoreEstimated HAC cut (whole dollars)
Any score up to 0.37920.3792$0
Any score from 0.37990.3799−$147,633
This hospital0.6065−$147,633
CMS’s highest score2.3133−$147,633

The money, line by line

This site estimates what traditional Medicare pays the hospital for a year of inpatient stays, from CMS’s FY2026 payment files, then applies Medicare’s three hospital quality programs: the readmissions and value-based adjustments to the base payment, and the HAC cut last, as the law sets.

The readmissions and value-based programs adjust only the base payment: the DRG rates times the hospital’s cases, and a Medicare-dependent hospital’s add-on. The HAC cut comes last and takes 1% of everything left, teaching, low-income-patient, outlier, capital and uncompensated care payments included.

($14,827,849payment−$5,311readmissions−$59,228value-based)×1%the cut=$147,633HAC cut

$147,633HAC cut÷1,267traditional Medicare stays=$117per traditional Medicare stay

Figure 4. This site estimates the HAC cut at $148K: 1% of the hospital’s whole inpatient payment, taken last. The readmissions and value-based adjustments, on the base alone, came to −$5K and −$59K.

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays
DRG payments at the federal rates the base $10,622,293
Many low-income patients (disproportionate share) $406,834
Outliers: unusually costly stays $18,058
Capital: buildings and equipment $803,397
Uncompensated care $2,977,267
Total, before the three programs $14,827,849
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9995 − 1) −$5,311
Value-based purchasing (HVBP) base × (0.9944 − 1) −$59,228
After these two $14,763,310
HAC Reduction Program 1% of everything above; likely $112⁠–⁠186K −$147,633
Net of the three programs likely −$249K to −$171K −$212,172

Not paid to this hospital: a Medicare-dependent hospital add-on, teaching payments, a sole community hospital rate difference, and a low-volume adjustment.

Whole dollars, so every line adds up; the estimate is not that precise. Each likely range spans the middle 80% of the misses this site’s estimate made for similar hospitals (or for a wider group, where there were too few) when it was checked against their FY2024 cost reports: one year’s check, not a promise of how often a hospital’s actual figure lands inside.

Estimate · Source: this site’s arithmetic on CMS’s FY2026 IPPS final rule files (the impact file, the rate tables and the value-based factors), its FY2026 HRRP supplemental file and HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
LineAmount (whole dollars)
DRG payments at the federal rates (the base)$10,622,293
Many low-income patients (disproportionate share)$406,834
Outliers: unusually costly stays$18,058
Capital: buildings and equipment$803,397
Uncompensated care$2,977,267
Total, before the three programs$14,827,849
Readmissions (HRRP) (base × (0.9995 − 1))−$5,311
Value-based purchasing (HVBP) (base × (0.9944 − 1))−$59,228
After these two$14,763,310
HAC Reduction Program (1% of everything above; likely $112–186K)−$147,633
Net of the three programs (likely −$249K to −$171K)−$212,172

What if a measure were different?

Change a measure’s value to see how this site recomputes the Total HAC Score, the payment reduction decision and, by its estimate, the money, starting from CMS’s values. The money doesn’t slide with the score: it drops off a cliff at CMS’s line.

The what-if needs JavaScript. Without it, the values below stay as they are.

Show table
CMS reportsHypothetical
Total HAC Score0.6065same
Payment reduction decisionYessame
Payment cut1%same
Estimated HAC cut estimate$148Ksame

CMS’s line: between 0.3792 and 0.3799

The faint ticks are CMS’s line in earlier years under the same formula, from about 0.300 (FY2022) to about 0.375 (FY2024). The line moves every year, so a hospital can cross it without changing anything.

CMS reports a Total HAC Score of 0.6065 and a payment reduction decision of Yes.

A what-if shows the formula’s arithmetic, not what a hospital could realistically change or how. CMS’s real result also depends on other hospitals.

What would it take?

Getting under CMS’s line would keep about $148K, this site estimates: the whole cut, however far under the score lands.

From CMS’s values, one measure at a time, with every other measure held at CMS’s value.

MeasureValue that would read No
PSI 900.7790 or lower
CLABSI0.242 or lower
CAUTI0.553 or lower
SSInot possible with this measure alone
CDI0.228 or lower
MRSA1.109 or lower

Each measure weighs 1 ÷ 6 of the score.

Measure values

SIR 1.0 = as many infections as predicted · Lower is better

On each track the tick is the national median; shaded values score the same as the floor or cap, as this site fits them to CMS’s values.

CMS 0.9745 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 0.830 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 1.119 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 0.165 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.581 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 2.077 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

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Figure 5. MRSA added the most to this hospital’s Total HAC Score of 0.6065 among its measured results: +0.3708.
  • PSI 90 −0.0162
  • CLABSI +0.0865
  • CAUTI +0.2298
  • SSI −0.1956
  • CDI +0.1313
  • MRSA +0.3708

A measure adds its z‑score divided by 6, the number of measures scored. Bars right of the center line raise the score. Hatched: assigned by CMS.

This site recomputes · Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
MeasureZ-scorePart of the scoreHypothetical
PSI 90−0.0973−0.0162same
CLABSI0.5189+0.0865same
CAUTI1.3787+0.2298same
SSI−1.1738−0.1956same
CDI0.7875+0.1313same
MRSA2.2251+0.3708same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/010005/

Among hospitals with a Yes or No payment decision, CMS cut those with a published Total HAC Score of 0.3799 or higher and none at 0.3792 or lower. Maryland’s hospitals are scored but not subject to the reduction.

Held fixed: every other hospital’s results, CMS’s line, and each measure’s mean, spread, floor and cap as this site fits them to CMS’s published values.

Year by year

Where this hospital’s score fell among every hospital’s, each year CMS published one. A score near the top is among the highest; the shaded band is where CMS cut. Places compare across years even where CMS changed how it builds the score.

Its longest run: cut 3 years in a row.

Figure 6. CMS cut this hospital in 6 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 1.6500, higher than 2% of scores; not cutFY2016: score 4.7500, higher than 33% of scores; not cutFY2017: score 5.3400, higher than 48% of scores; not cutFY2018: score −0.1596, higher than 39% of scores; not cutFY2019: score 0.0454, higher than 55% of scores; not cutFY2020: score 0.6132, higher than 86% of scores; cutFY2021: score 0.5547, higher than 85% of scores; cutFY2022: score 0.4440, higher than 81% of scores; cutFY2024: score 0.4781, higher than 79% of scores; cutFY2025: score 0.6475, higher than 86% of scores; cutFY2026: score 0.6065, higher than 84% of scores; cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 1.6500, higher than 2% of scores; not cutFY2016: score 4.7500, higher than 33% of scores; not cutFY2017: score 5.3400, higher than 48% of scores; not cutFY2018: score −0.1596, higher than 39% of scores; not cutFY2019: score 0.0454, higher than 55% of scores; not cutFY2020: score 0.6132, higher than 86% of scores; cutFY2021: score 0.5547, higher than 85% of scores; cutFY2022: score 0.4440, higher than 81% of scores; cutFY2024: score 0.4781, higher than 79% of scores; cutFY2025: score 0.6475, higher than 86% of scores; cutFY2026: score 0.6065, higher than 84% of scores; cut 151617181920212223242526

● Red: a year CMS cut it ○ Hollow: a year it didn’t

This site recomputes · Source: CMS, HACRP hospital files for fiscal years 2015 to 2026 (Provider Data Catalog, its archives and, for the oldest years, the Internet Archive’s copies), and CMS’s cut lists for FY2015 and FY2016.

Show table
Fiscal yearTotal HAC ScoreHigher than this share of scoresPayment reduction
FY20151.65002.6%not cut
FY20164.750033.4%not cut
FY20175.340048.9%not cut
FY2018−0.159639.7%not cut
FY20190.045455.6%not cut
FY20200.613286.6%cut
FY20210.554785.0%cut
FY20220.444081.4%cut
FY2023no decision
FY20240.478179.4%cut
FY20250.647586.7%cut
FY20260.606584.0%cut

Its infections, year by year

This hospital’s infection rate against prediction for each calendar year Care Compare published one, on each measure with at least two years of results (black), over the nation’s middle hospital (gray). Below the dashed line at one, fewer infections than predicted. Each year is measured against the same fixed baseline, not against other hospitals, so unlike the score they can all improve at once.

Figure 7. 3 of its 5 infection measures ended lower than they started.
CLABSI 0.69 → 0.73 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 0.688CLABSI, 2018: 4.164CLABSI, 2019: 0.000CLABSI, 2021: 3.311CLABSI, 2022: 2.349CLABSI, 2023: 0.964CLABSI, 2024: 0.728 CAUTI 0.53 → 1.00 1 0 ’18’21’24 CAUTI, 2017: 0.526CAUTI, 2018: 0.914CAUTI, 2019: 1.073CAUTI, 2021: 2.350CAUTI, 2022: 0.664CAUTI, 2023: 1.226CAUTI, 2024: 1.003 SSI, colon 1.71 → 0.44 1 0 ’18’21’24 SSI, colon, 2017: 1.708SSI, colon, 2018: 0.000SSI, colon, 2019: 0.508SSI, colon, 2021: 0.400SSI, colon, 2022: 1.733SSI, colon, 2023: 0.000SSI, colon, 2024: 0.436 MRSA 2.04 → 1.59 1 0 ’18’21’24 MRSA, 2017: 2.041MRSA, 2018: 2.193MRSA, 2019: 1.938MRSA, 2021: 0.000MRSA, 2022: 0.531MRSA, 2023: 2.452MRSA, 2024: 1.590 C. diff 0.78 → 0.53 1 0 ’18’21’24 C. diff, 2017: 0.777C. diff, 2018: 0.227C. diff, 2019: 0.565C. diff, 2021: 0.860C. diff, 2022: 0.487C. diff, 2023: 0.631C. diff, 2024: 0.530 CLABSI 0.69 → 0.73 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 0.688CLABSI, 2018: 4.164CLABSI, 2019: 0.000CLABSI, 2021: 3.311CLABSI, 2022: 2.349CLABSI, 2023: 0.964CLABSI, 2024: 0.728 CAUTI 0.53 → 1.00 1 0 ’18’20’22’24 CAUTI, 2017: 0.526CAUTI, 2018: 0.914CAUTI, 2019: 1.073CAUTI, 2021: 2.350CAUTI, 2022: 0.664CAUTI, 2023: 1.226CAUTI, 2024: 1.003 SSI, colon 1.71 → 0.44 1 0 ’18’20’22’24 SSI, colon, 2017: 1.708SSI, colon, 2018: 0.000SSI, colon, 2019: 0.508SSI, colon, 2021: 0.400SSI, colon, 2022: 1.733SSI, colon, 2023: 0.000SSI, colon, 2024: 0.436 MRSA 2.04 → 1.59 1 0 ’18’20’22’24 MRSA, 2017: 2.041MRSA, 2018: 2.193MRSA, 2019: 1.938MRSA, 2021: 0.000MRSA, 2022: 0.531MRSA, 2023: 2.452MRSA, 2024: 1.590 C. diff 0.78 → 0.53 1 0 ’18’20’22’24 C. diff, 2017: 0.777C. diff, 2018: 0.227C. diff, 2019: 0.565C. diff, 2021: 0.860C. diff, 2022: 0.487C. diff, 2023: 0.631C. diff, 2024: 0.530

Source: CMS Care Compare, healthcare-associated infections by hospital, calendar years 2017 to 2024 (Provider Data Catalog archives; the oldest year through the Internet Archive’s copy).

Show table
Calendar yearCLABSICAUTISSI, colonMRSAC. diff
20170.6880.5261.7082.0410.777
20184.1640.9140.0002.1930.227
20190.0001.0730.5081.9380.565
20213.3112.3500.4000.0000.860
20222.3490.6641.7330.5310.487
20230.9641.2260.0002.4520.631
20240.7281.0030.4361.5900.530

Among hospitals like it

Each row is a group this hospital belongs to, drawn from every hospital in it with a payment decision. Red columns are hospitals past CMS’s line, the ones CMS cut; the short tick is the group’s middle score.

In Alabama, its score is higher than 65% of the other 67 scored there.

Figure 8. Its score is above the middle in all 7 groups it belongs to; the share cut runs from 22% (South region) to 43% (Alabama).
All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals 2,886 hospitals25% cut South region: CMS cut 263 of 1,174 (22%); middle score −0.1056South region 1,174 hospitals22% cut Alabama: CMS cut 29 of 68 (43%); middle score 0.2561Alabama 68 hospitals43% cut Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching 1,563 hospitals25% cut 100 to 299 beds: CMS cut 275 of 1,193 (23%); middle score −0.0732100 to 299 beds 1,193 hospitals23% cut Government: CMS cut 140 of 401 (35%); middle score 0.1602Government 401 hospitals35% cut Rural: CMS cut 196 of 619 (32%); middle score 0.0229Rural 619 hospitals32% cut CMS’s line: between 0.3792 and 0.3799 CMS’s line −1012 This hospital: 0.6065 This hospital 0.6065 All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals2,886 hospitals25% cut South region: CMS cut 263 of 1,174 (22%); middle score −0.1056South region1,174 hospitals22% cut Alabama: CMS cut 29 of 68 (43%); middle score 0.2561Alabama68 hospitals43% cut Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching1,563 hospitals25% cut 100 to 299 beds: CMS cut 275 of 1,193 (23%); middle score −0.0732100 to 299 beds1,193 hospitals23% cut Government: CMS cut 140 of 401 (35%); middle score 0.1602Government401 hospitals35% cut Rural: CMS cut 196 of 619 (32%); middle score 0.0229Rural619 hospitals32% cut CMS’s line: between 0.3792 and 0.3799 CMS’s line −1.5−1.0−0.50.00.51.01.52.0 This hospital: 0.6065 This hospital 0.6065

Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
GroupWith a decisionHospitals cutShare cutMiddle scoreHospital higher than
All hospitals2,88671825%−0.045384%
South region1,17426322%−0.105685%
Alabama682943%0.256165%
Not teaching1,56338925%−0.105383%
100 to 299 beds1,19327523%−0.073286%
Government40114035%0.160275%
Rural61919632%0.022977%
This hospital0.6065
CMS’s line0.37920.3799

The nearest hospitals

The 8 closest hospitals with a Total HAC Score, in a straight line. The squares are each hospital’s measures in order: filled, above the national median; open, at or below it; hatched, assigned by CMS; blank, not scored.

Figure 9. CMS cut 4 of the 8 nearest hospitals; the closest is 17 miles away.
5 mi10 mi25 mi8. Huntsville Hospital, Huntsville: score 0.9199, cut, 42 miles87. Crestwood Medical Center, Huntsville: score 0.3156, not cut, 40 miles76. Cullman Regional Medical Center, Cullman: score −0.0208, not cut, 37 miles65. Highlands Medical Center, Scottsboro: score 0.5781, cut, 31 miles54. Floyd Cherokee Medical Center, Centre: score −1.4622, not cut, 29 miles43. Dekalb Regional Medical Center, Fort Payne: score 0.5478, cut, 28 miles32. Gadsden Regional Medical Center, Gadsden: score 0.6323, cut, 18 miles21. Riverview Regional Medical Center, Gadsden: score −0.5664, not cut, 17 miles1This hospital: Marshall Medical Centers

Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
HospitalMilesScoreDecision
Riverview Regional Medical Center, Gadsden, AL17−0.5664not cut
Gadsden Regional Medical Center, Gadsden, AL180.6323cut
Dekalb Regional Medical Center, Fort Payne, AL280.5478cut
Floyd Cherokee Medical Center, Centre, AL29−1.4622not cut
Highlands Medical Center, Scottsboro, AL310.5781cut
Cullman Regional Medical Center, Cullman, AL37−0.0208not cut
Crestwood Medical Center, Huntsville, AL400.3156not cut
Huntsville Hospital, Huntsville, AL420.9199cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Riverview Regional Medical CenterGadsden, AL17−0.5664No cut$0Above the national median on 1 of 6 measures
2Gadsden Regional Medical CenterGadsden, AL180.63231% cut$219KAbove the national median on 3 of 6 measures
3Dekalb Regional Medical CenterFort Payne, AL280.54781% cut$65KAbove the national median on 4 of 4 measures
4Floyd Cherokee Medical CenterCentre, AL29−1.4622No cut$0Above the national median on 0 of 1 measures
5Highlands Medical CenterScottsboro, AL310.57811% cut$59KAbove the national median on 3 of 3 measures
6Cullman Regional Medical CenterCullman, AL37−0.0208No cut$0Above the national median on 4 of 6 measures
7Crestwood Medical CenterHuntsville, AL400.3156No cut$0Above the national median on 2 of 6 measures
8Huntsville HospitalHuntsville, AL420.91991% cut$1.6MAbove the national median on 5 of 6 measures

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A penalty reflects how CMS’s formula scored relative performance; it is not a verdict on the quality of care.

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Paid & Penalized. Marshall Medical Centers, Boaz, AL: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/010005/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.