P&P, Paid & Penalized

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HospitalCullman Regional Medical Center Estimated FY2026 net: −$100K×

Hospital record · FY2026CCN 010035

1Hospital

Cullman Regional Medical Center

2Location

Cullman, AL (Alabama’s hospitals on the map and in the table) 35058

Cullman County

3Type

Not a teaching hospital · 115 beds · Government · Rural · Rural referral center · Sole community hospital

4Care Compare stars

2 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

−0.0208

As CMS reports it

6Payment reduction

No cut
CMS’s value: No

7Estimated cut

$0
A cut would have been $257K, likely $199⁠–⁠313K estimate

No cut

$0

from this program

For fiscal year 2026, CMS reports a Total HAC Score of −0.0208 for Cullman Regional Medical Center and a payment reduction decision of No.

A cut would have taken about $257K estimate 1% of about $25.7M, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year. Its score was 0.4007 under 0.3799, the lowest score CMS cut.

Likely range $199–313K

Its score was at or below CMS’s line, so this program did not cut its Medicare payments 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: −0.0208 This hospital −0.0208 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: −0.0208 This hospital −0.0208

Higher than 51% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Never cut in 11 years

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

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 PSI 90 down to the national median (0.9623) would lower the score the most: by 0.1369, to −0.1577. Try it in the what-if

Figure 1. Of its 6 measures with a value, this hospital is above the national median on 4; PSI 90 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.

    added the most

    Patient safety and adverse events composite

    Worse than 78% 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 value1.0800

    Z-score0.6389

    Part of score+0.1065

  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

    Better than 69% of the other 2,181 hospitals

    CMS value0.364

    Z-score−0.5621

    Part of score−0.0937

  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 69% of the other 2,354 hospitals

    CMS value0.685

    Z-score0.3326

    Part of score+0.0554

  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 71% of the other 2,269 hospitals

    CMS value0.475

    Z-score−0.6428

    Part of score−0.1071

  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 60% 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 value0.415

    Z-score0.1447

    Part of score+0.0241

  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.

    MRSA bloodstream infections

    Worse than 53% of the other 2,067 hospitals

    CMS value0.680

    Z-score−0.0361

    Part of score−0.0060

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 901.08000.96230.6389+0.1065Worse than 78% of the other 2,808 hospitals
CLABSI0.3640.559−0.5621−0.0937Better than 69% of the other 2,181 hospitals
CAUTI0.6850.4890.3326+0.0554Worse than 69% of the other 2,354 hospitals
SSI0.4750.795−0.6428−0.1071Better than 71% of the other 2,269 hospitals
CDI0.4150.3460.1447+0.0241Worse than 60% of the other 2,766 hospitals
MRSA0.6800.641−0.0361−0.0060Worse than 53% 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.

(0.6389PSI 90−0.5621CLABSI+0.3326CAUTI−0.6428SSI+0.1447CDI−0.0361MRSA)÷6measures=−0.0208Total HAC Score

Added from the rounded z‑scores CMS published, the parts make −0.0208; CMS reports −0.0208. The small difference is rounding.

This hospital’s score is 0.4007 below 0.3799, the lowest score CMS marked Yes. (This site recomputes.)

Figure 2. The parts add up to −0.0208, below CMS’s line.
1% cut PSI 90: z‑score 0.6389 divided by 6 = +0.1065PSI 90+0.1065 CLABSI: z‑score −0.5621 divided by 6 = −0.0937CLABSI−0.0937 CAUTI: z‑score 0.3326 divided by 6 = +0.0554CAUTI+0.0554 SSI: z‑score −0.6428 divided by 6 = −0.1071SSI−0.1071 CDI: z‑score 0.1447 divided by 6 = +0.0241CDI+0.0241 MRSA: z‑score −0.0361 divided by 6 = −0.0060MRSA−0.0060 Total HAC Score: −0.0208Score−0.0208 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.10.00.10.20.30.4 1% cut PSI 90: z‑score 0.6389 divided by 6 = +0.1065PSI 90+0.1065 CLABSI: z‑score −0.5621 divided by 6 = −0.0937CLABSI−0.0937 CAUTI: z‑score 0.3326 divided by 6 = +0.0554CAUTI+0.0554 SSI: z‑score −0.6428 divided by 6 = −0.1071SSI−0.1071 CDI: z‑score 0.1447 divided by 6 = +0.0241CDI+0.0241 MRSA: z‑score −0.0361 divided by 6 = −0.0060MRSA−0.0060 Total HAC Score: −0.0208Score−0.0208 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.10.00.10.20.30.4

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 900.6389+0.10650.1065
CLABSI−0.5621−0.09370.0128
CAUTI0.3326+0.05540.0682
SSI−0.6428−0.1071−0.0389
CDI0.1447+0.0241−0.0148
MRSA−0.0361−0.0060−0.0208
Total HAC Score−0.0208
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, 0.4007 under the lowest score CMS cut, costs it nothing; 0.4007 higher, the cut would have been about $257K by this site’s estimate, the same as at CMS’s highest score, 2.3133.
CMS’s line $0 at any score up to 0.3792 $257K at any score from 0.3799 $0at any score up to 0.3792 $257K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 CMS’s highest score 2.3133 This hospital: −0.0208 This hospital −0.0208 CMS’s line $0 at any score up to 0.3792 $257K at any score from 0.3799 $0at any score up to 0.3792 $257Kat 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: −0.0208 This hospital −0.0208

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−$256,728
This hospital−0.0208$0
CMS’s highest score2.3133−$256,728

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.

($25,772,624payment−$23,615readmissions−$76,233value-based)×1%the cut=$256,728at stake

$256,728at stake÷2,323traditional Medicare stays=$111per traditional Medicare stay

Figure 4. No HAC cut this year; 1% of the hospital’s whole inpatient payment would have been about $257K by this site’s estimate. The readmissions and value-based adjustments, on the base alone, came to −$24K and −$76K.

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays
DRG payments at the federal rates the base $18,165,134
Many low-income patients (disproportionate share) $217,800
Outliers: unusually costly stays $83,560
Sole community hospital rate difference $5,906,897
Capital: buildings and equipment $1,399,233
Total, before the three programs $25,772,624
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9987 − 1) −$23,615
Value-based purchasing (HVBP) base × (0.9958 − 1) −$76,233
After these two $25,672,776
HAC Reduction Program no cut; 1% would have been $256,728 $0
Net of the three programs likely −$116K to −$80K −$99,848

Not paid to this hospital: a Medicare-dependent hospital add-on, teaching payments, a low-volume adjustment, and uncompensated care payments.

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)$18,165,134
Many low-income patients (disproportionate share)$217,800
Outliers: unusually costly stays$83,560
Sole community hospital rate difference$5,906,897
Capital: buildings and equipment$1,399,233
Total, before the three programs$25,772,624
Readmissions (HRRP) (base × (0.9987 − 1))−$23,615
Value-based purchasing (HVBP) (base × (0.9958 − 1))−$76,233
After these two$25,672,776
HAC Reduction Program (no cut; 1% would have been $256,728)$0
Net of the three programs (likely −$116K to −$80K)−$99,848

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 Score−0.0208same
Payment reduction decisionNosame
Payment cut0%same
Estimated HAC cut estimate$0same

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 −0.0208 and a payment reduction decision of No.

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.

How much cushion?

Staying at or under CMS’s line keeps about $257K out of this program’s cut, this site estimates: a score a hair over would cost all of it.

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

MeasureHighest value that keeps No
PSI 90any value: every PSI 90 value past the cap (1.3482) scores the same
CLABSIup to 1.398
CAUTIany value: every CAUTI value past the cap (1.537) scores the same
SSIup to 1.876
CDIany value: every CDI value past the cap (0.944) scores the same
MRSAany value: every MRSA value past the cap (1.762) scores the same

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 1.0800 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 0.364 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.685 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 0.475 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.415 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 0.680 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

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Figure 5. PSI 90 added the most to this hospital’s Total HAC Score of −0.0208 among its measured results: +0.1065.
  • PSI 90 +0.1065
  • CLABSI −0.0937
  • CAUTI +0.0554
  • SSI −0.1071
  • CDI +0.0241
  • MRSA −0.0060

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 900.6389+0.1065same
CLABSI−0.5621−0.0937same
CAUTI0.3326+0.0554same
SSI−0.6428−0.1071same
CDI0.1447+0.0241same
MRSA−0.0361−0.0060same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/010035/

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.

Figure 6. CMS made a decision on this hospital in 11 years and never cut it.
highest middle lowest z‑scoresequal weights no scores FY2015: score 2.0250, higher than 6% of scores; not cutFY2016: score 2.5000, higher than 7% of scores; not cutFY2017: score 3.5500, higher than 19% of scores; not cutFY2018: score −0.3800, higher than 26% of scores; not cutFY2019: score −0.4891, higher than 21% of scores; not cutFY2020: score −0.3961, higher than 25% of scores; not cutFY2021: score −0.6173, higher than 14% of scores; not cutFY2022: score −0.6117, higher than 15% of scores; not cutFY2024: score −0.4951, higher than 20% of scores; not cutFY2025: score −0.4413, higher than 22% of scores; not cutFY2026: score −0.0208, higher than 51% of scores; not cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 2.0250, higher than 6% of scores; not cutFY2016: score 2.5000, higher than 7% of scores; not cutFY2017: score 3.5500, higher than 19% of scores; not cutFY2018: score −0.3800, higher than 26% of scores; not cutFY2019: score −0.4891, higher than 21% of scores; not cutFY2020: score −0.3961, higher than 25% of scores; not cutFY2021: score −0.6173, higher than 14% of scores; not cutFY2022: score −0.6117, higher than 15% of scores; not cutFY2024: score −0.4951, higher than 20% of scores; not cutFY2025: score −0.4413, higher than 22% of scores; not cutFY2026: score −0.0208, higher than 51% of scores; not 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
FY20152.02506.0%not cut
FY20162.50007.5%not cut
FY20173.550019.9%not cut
FY2018−0.380026.6%not cut
FY2019−0.489121.7%not cut
FY2020−0.396125.0%not cut
FY2021−0.617314.9%not cut
FY2022−0.611715.1%not cut
FY2023no decision
FY2024−0.495120.1%not cut
FY2025−0.441322.5%not cut
FY2026−0.020851.6%not 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 0.43 → 0.82 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 0.434CLABSI, 2018: 0.000CLABSI, 2019: 0.000CLABSI, 2021: 1.149CLABSI, 2022: 0.000CLABSI, 2023: 0.000CLABSI, 2024: 0.824 CAUTI 0.71 → 0.44 1 0 ’18’21’24 CAUTI, 2017: 0.712CAUTI, 2018: 0.535CAUTI, 2019: 0.558CAUTI, 2021: 1.733CAUTI, 2022: 1.032CAUTI, 2023: 0.880CAUTI, 2024: 0.441 SSI, colon 0.86 → 0.00 1 0 ’18’21’24 SSI, colon, 2017: 0.859SSI, colon, 2018: 0.498SSI, colon, 2019: 0.820SSI, colon, 2021: 0.000SSI, colon, 2022: 1.339SSI, colon, 2023: 1.078SSI, colon, 2024: 0.000 MRSA 0.00 → 1.45 1 0 ’18’21’24 MRSA, 2017: 0.000MRSA, 2018: 0.605MRSA, 2019: 0.726MRSA, 2021: 1.287MRSA, 2022: 0.000MRSA, 2023: 0.000MRSA, 2024: 1.452 C. diff 0.63 → 0.44 1 0 ’18’21’24 C. diff, 2017: 0.634C. diff, 2018: 0.194C. diff, 2019: 0.070C. diff, 2021: 0.453C. diff, 2022: 0.295C. diff, 2023: 0.391C. diff, 2024: 0.438 CLABSI 0.43 → 0.82 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 0.434CLABSI, 2018: 0.000CLABSI, 2019: 0.000CLABSI, 2021: 1.149CLABSI, 2022: 0.000CLABSI, 2023: 0.000CLABSI, 2024: 0.824 CAUTI 0.71 → 0.44 1 0 ’18’20’22’24 CAUTI, 2017: 0.712CAUTI, 2018: 0.535CAUTI, 2019: 0.558CAUTI, 2021: 1.733CAUTI, 2022: 1.032CAUTI, 2023: 0.880CAUTI, 2024: 0.441 SSI, colon 0.86 → 0.00 1 0 ’18’20’22’24 SSI, colon, 2017: 0.859SSI, colon, 2018: 0.498SSI, colon, 2019: 0.820SSI, colon, 2021: 0.000SSI, colon, 2022: 1.339SSI, colon, 2023: 1.078SSI, colon, 2024: 0.000 MRSA 0.00 → 1.45 1 0 ’18’20’22’24 MRSA, 2017: 0.000MRSA, 2018: 0.605MRSA, 2019: 0.726MRSA, 2021: 1.287MRSA, 2022: 0.000MRSA, 2023: 0.000MRSA, 2024: 1.452 C. diff 0.63 → 0.44 1 0 ’18’20’22’24 C. diff, 2017: 0.634C. diff, 2018: 0.194C. diff, 2019: 0.070C. diff, 2021: 0.453C. diff, 2022: 0.295C. diff, 2023: 0.391C. diff, 2024: 0.438

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
20170.4340.7120.8590.0000.634
20180.0000.5350.4980.6050.194
20190.0000.5580.8200.7260.070
20211.1491.7330.0001.2870.453
20220.0001.0321.3390.0000.295
20230.0000.8801.0780.0000.391
20240.8240.4410.0001.4520.438

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 41% of the other 67 scored there.

Figure 8. Its score is above the middle in 4 of the 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: −0.0208 This hospital −0.0208 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: −0.0208 This hospital −0.0208

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%−0.045351%
South region1,17426322%−0.105655%
Alabama682943%0.256141%
Not teaching1,56338925%−0.105355%
100 to 299 beds1,19327523%−0.073253%
Government40114035%0.160239%
Rural61919632%0.022947%
This hospital−0.0208
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 2 of the 8 nearest hospitals; the closest is 29 miles away.
5 mi10 mi25 mi8. Lakeland Community Hospital, Haleyville: score −1.4622, not cut, 43 miles87. Athens Limestone Hospital, Athens: score −0.6097, not cut, 43 miles76. St. Vincent's East, Birmingham: score −0.0474, not cut, 43 miles65. Huntsville Hospital, Huntsville: score 0.9199, cut, 39 miles54. Marshall Medical Centers, Boaz: score 0.6065, cut, 37 miles43. Crestwood Medical Center, Huntsville: score 0.3156, not cut, 37 miles32. Walker Baptist Medical Center, Jasper: score 0.0658, not cut, 35 miles21. Decatur Morgan Hospital - Decatur Campus, Decatur: score −0.6520, not cut, 29 miles1This hospital: Cullman Regional Medical Center

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

Show table
HospitalMilesScoreDecision
Decatur Morgan Hospital - Decatur Campus, Decatur, AL29−0.6520not cut
Walker Baptist Medical Center, Jasper, AL350.0658not cut
Crestwood Medical Center, Huntsville, AL370.3156not cut
Marshall Medical Centers, Boaz, AL370.6065cut
Huntsville Hospital, Huntsville, AL390.9199cut
St. Vincent's East, Birmingham, AL43−0.0474not cut
Athens Limestone Hospital, Athens, AL43−0.6097not cut
Lakeland Community Hospital, Haleyville, AL43−1.4622not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Decatur Morgan Hospital - Decatur CampusDecatur, AL29−0.6520No cut$0Above the national median on 1 of 6 measures
2Walker Baptist Medical CenterJasper, AL350.0658No cut$0Above the national median on 3 of 6 measures
3Crestwood Medical CenterHuntsville, AL370.3156No cut$0Above the national median on 2 of 6 measures
4Marshall Medical CentersBoaz, AL370.60651% cut$148KAbove the national median on 5 of 6 measures
5Huntsville HospitalHuntsville, AL390.91991% cut$1.6MAbove the national median on 5 of 6 measures
6St. Vincent's EastBirmingham, AL43−0.0474No cut$0Above the national median on 4 of 6 measures
7Athens Limestone HospitalAthens, AL43−0.6097No cut$0Above the national median on 2 of 6 measures
8Lakeland Community HospitalHaleyville, AL43−1.4622No cut$0Above the national median on 0 of 1 measures

Download all hospitals’ data (CSV) · Data dictionary · CMS’s dataset page

How the program works, and how to find another hospital

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. Cullman Regional Medical Center, Cullman, AL: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/010035/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.