P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalNorth Mississippi Health Services - South Marion Estimated FY2026 net: −$26K×

Hospital record · FY2026CCN 010086

1Hospital

North Mississippi Health Services - South Marion

2Location

Winfield, AL (Alabama’s hospitals on the map and in the table) 35594

Marion County

3Type

Not a teaching hospital · 71 beds · For-profit · Rural · Medicare-dependent hospital

4Care Compare stars

4 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

0.5965

As CMS reports it

6Payment reduction

1% cut
CMS’s value: Yes

7Estimated cut

Likely $18⁠–⁠29K; about $110 per traditional Medicare stay

Cut 1%

$26K

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

For fiscal year 2026, CMS reports a Total HAC Score of 0.5965 for North Mississippi Health Services - South Marion and a payment reduction decision of Yes.

That is 1% of about $2.6M, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year: about $110 per traditional Medicare stay.

Likely range $18–29K

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: 0.5965 This hospital 0.5965 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: 0.5965 This hospital 0.5965

Higher than 83% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Cut in 4 of 11 years

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

Where the score came from

CMS scored this hospital on 2 of the 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 CDI down to the national median (0.346) would lower the score the most: by 0.7376, to −0.1411. That change alone would put the score under CMS’s line. Try it in the what-if

Figure 1. Of its 2 measures with a value, this hospital is above the national median on 2; CDI 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 51% 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 value0.9656

    Z-score−0.1598

    Part of score−0.0799

  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

    Not scored on this measure

    CMS footnote 13: Results cannot be calculated for this reporting period.

    CMS footnote 5: Results are not available for this reporting period.

    CMS valueno value published

    Z-scoreno value published

    Part of scoreno value published

  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

    Not scored on this measure

    CMS footnote 13: Results cannot be calculated for this reporting period.

    CMS footnote 5: Results are not available for this reporting period.

    CMS valueno value published

    Z-scoreno value published

    Part of scoreno value published

  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

    Not scored on this measure

    CMS footnote 13: Results cannot be calculated for this reporting period.

    CMS footnote 5: Results are not available for this reporting period.

    CMS valueno value published

    Z-scoreno value published

    Part of scoreno value published

  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.

    added the most

    Clostridioides difficile (C. diff) infections

    Worse than 88% 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 value0.727

    Z-score1.3528

    Part of score+0.6764

  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

    Not scored on this measure

    CMS footnote 13: Results cannot be calculated for this reporting period.

    CMS footnote 5: Results are not available for this reporting period.

    CMS valueno value published

    Z-scoreno value published

    Part of scoreno value published

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 900.96560.9623−0.1598−0.0799Worse than 51% of the other 2,808 hospitals
CLABSIno value published0.559no value publishedno value publishedNot scored on this measure
CAUTIno value published0.489no value publishedno value publishedNot scored on this measure
SSIno value published0.795no value publishedno value publishedNot scored on this measure
CDI0.7270.3461.3528+0.6764Worse than 88% of the other 2,766 hospitals
MRSAno value published0.641no value publishedno value publishedNot scored on this measure

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 2; a bar right of zero raised the score and one left of zero lowered it.

(−0.1598PSI 90+1.3528CDI)÷2measures=0.5965Total HAC Score

This hospital’s score is 0.2173 above 0.3792, the highest score CMS marked No. (This site recomputes.)

Figure 2. The parts add up to 0.5965, above CMS’s line.
1% cut PSI 90: z‑score −0.1598 divided by 2 = −0.0799PSI 90−0.0799 CDI: z‑score 1.3528 divided by 2 = +0.6764CDI+0.6764 Total HAC Score: 0.5965Score0.5965 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.20.00.20.40.6 1% cut PSI 90: z‑score −0.1598 divided by 2 = −0.0799PSI 90−0.0799 CDI: z‑score 1.3528 divided by 2 = +0.6764CDI+0.6764 Total HAC Score: 0.5965Score0.5965 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.20.00.20.40.6

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 90−0.1598−0.0799−0.0799
CDI1.3528+0.67640.5965
Total HAC Score0.5965
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, 0.2173 over the highest score CMS didn’t cut, costs it about $26K 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 $26K at any score from 0.3799 $0at any score up to 0.3792 $26K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 This hospital: 0.5965 This hospital 0.5965 CMS’s line $0 at any score up to 0.3792 $26K at any score from 0.3799 $0at any score up to 0.3792 $26Kat 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: 0.5965 This hospital 0.5965

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−$25,535
This hospital0.5965−$25,535
CMS’s highest score2.3133−$25,535

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.

($2,554,258payment−$800readmissions+$0value-based)×1%the cut=$25,535HAC cut

$25,535HAC cut÷233traditional Medicare stays=$110per traditional Medicare stay

Figure 4. This site estimates the HAC cut at $26K: 1% of the hospital’s whole inpatient payment, taken last. The readmissions and value-based adjustments, on the base alone, came to −$800 and $0.

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays
DRG payments at the federal rates the base $1,599,845
Many low-income patients (disproportionate share) $28,797
Low-volume adjustment $465,791
Capital: buildings and equipment $120,447
Uncompensated care $339,378
Total, before the three programs $2,554,258
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9995 − 1) −$800
Value-based purchasing (HVBP) not in CMS’s value-based factors: no adjustment $0
After these two $2,553,458
HAC Reduction Program 1% of everything above; likely $18⁠–⁠29K −$25,535
Net of the three programs likely −$28K to −$18K −$26,335

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

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)$1,599,845
Many low-income patients (disproportionate share)$28,797
Low-volume adjustment$465,791
Capital: buildings and equipment$120,447
Uncompensated care$339,378
Total, before the three programs$2,554,258
Readmissions (HRRP) (base × (0.9995 − 1))−$800
Value-based purchasing (HVBP) (not in CMS’s value-based factors: no adjustment)$0
After these two$2,553,458
HAC Reduction Program (1% of everything above; likely $18–29K)−$25,535
Net of the three programs (likely −$28K to −$18K)−$26,335

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 Score0.5965same
Payment reduction decisionYessame
Payment cut1%same
Estimated HAC cut estimate$26Ksame

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 0.5965 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 $26K, 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 900.9032 or lower
CDI0.614 or lower

Each measure weighs 1 ÷ 2 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 0.9656 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.3491

CMS 0.727 · median 0.346 · cap 0.944 · each 0.1 = 0.1936

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Figure 5. CDI added the most to this hospital’s Total HAC Score of 0.5965 among its measured results: +0.6764.
  • PSI 90 −0.0799
  • CDI +0.6764

A measure adds its z‑score divided by 2, 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 90−0.1598−0.0799same
CDI1.3528+0.6764same

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 cut this hospital in 4 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 4.0000, higher than 25% of scores; not cutFY2016: score 8.5000, higher than 93% of scores; cutFY2017: score 3.0000, higher than 14% of scores; not cutFY2018: score 0.5769, higher than 84% of scores; cutFY2019: score −0.4785, higher than 22% of scores; not cutFY2020: score −1.1525, higher than 3% of scores; not cutFY2021: score −0.1723, higher than 39% of scores; not cutFY2022: score 0.6967, higher than 89% of scores; cutFY2024: score −0.2172, higher than 36% of scores; not cutFY2025: score 0.0405, higher than 55% of scores; not cutFY2026: score 0.5965, higher than 83% of scores; cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 4.0000, higher than 25% of scores; not cutFY2016: score 8.5000, higher than 93% of scores; cutFY2017: score 3.0000, higher than 14% of scores; not cutFY2018: score 0.5769, higher than 84% of scores; cutFY2019: score −0.4785, higher than 22% of scores; not cutFY2020: score −1.1525, higher than 3% of scores; not cutFY2021: score −0.1723, higher than 39% of scores; not cutFY2022: score 0.6967, higher than 89% of scores; cutFY2024: score −0.2172, higher than 36% of scores; not cutFY2025: score 0.0405, higher than 55% of scores; not cutFY2026: score 0.5965, higher than 83% 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
FY20154.000025.0%not cut
FY20168.500093.7%cut
FY20173.000014.8%not cut
FY20180.576984.7%cut
FY2019−0.478522.0%not cut
FY2020−1.15253.0%not cut
FY2021−0.172339.3%not cut
FY20220.696789.1%cut
FY2023no decision
FY2024−0.217236.9%not cut
FY20250.040555.1%not cut
FY20260.596583.7%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. 0 of its 1 infection measures ended lower than they started.
C. diff 0.00 → 1.05 1as predicted 0 ’18’21’24 Nation’s middle C. diff, 2017: 0.000C. diff, 2018: 0.000C. diff, 2019: 1.048 C. diff 0.00 → 1.05 1as predicted 0 ’18’20’22’24 Nation’s middle C. diff, 2017: 0.000C. diff, 2018: 0.000C. diff, 2019: 1.048

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 yearC. diff
20170.000
20180.000
20191.048
2021
2022
2023
2024

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 64% 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 15% (For-profit) 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 Fewer than 100 beds: CMS cut 225 of 805 (28%); middle score −0.1154Fewer than 100 beds 805 hospitals28% cut For-profit: CMS cut 98 of 651 (15%); middle score −0.2590For-profit 651 hospitals15% 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: 0.5965 This hospital 0.5965 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 Fewer than 100 beds: CMS cut 225 of 805 (28%); middle score −0.1154Fewer than 100 beds805 hospitals28% cut For-profit: CMS cut 98 of 651 (15%); middle score −0.2590For-profit651 hospitals15% 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: 0.5965 This hospital 0.5965

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%−0.045383%
South region1,17426322%−0.105684%
Alabama682943%0.256164%
Not teaching1,56338925%−0.105382%
Fewer than 100 beds80522528%−0.115477%
For-profit6519815%−0.259090%
Rural61919632%0.022976%
This hospital0.5965
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 15 miles away.
10 mi25 mi50 mi8. DCH Regional Medical Center, Tuscaloosa: score 0.4111, cut, 53 miles87. Clay County Medical Corporation, West Point: score 0.2053, not cut, 53 miles76. BMH-Golden Triangle, Columbus: score 0.3324, not cut, 45 miles65. Russellville Hospital, Russellville: score −0.9330, not cut, 42 miles54. North Mississippi Medical Center-Gilmore Amory, Amory: score 0.0360, not cut, 37 miles43. Walker Baptist Medical Center, Jasper: score 0.0658, not cut, 34 miles32. Lakeland Community Hospital, Haleyville: score −1.4622, not cut, 26 miles21. Fayette Medical Center, Fayette: score 2.1931, cut, 15 miles1This hospital: North Mississippi Health Services - South Marion

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

Show table
HospitalMilesScoreDecision
Fayette Medical Center, Fayette, AL152.1931cut
Lakeland Community Hospital, Haleyville, AL26−1.4622not cut
Walker Baptist Medical Center, Jasper, AL340.0658not cut
North Mississippi Medical Center-Gilmore Amory, Amory, MS370.0360not cut
Russellville Hospital, Russellville, AL42−0.9330not cut
BMH-Golden Triangle, Columbus, MS450.3324not cut
Clay County Medical Corporation, West Point, MS530.2053not cut
DCH Regional Medical Center, Tuscaloosa, AL530.4111cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Fayette Medical CenterFayette, AL152.19311% cut$32KAbove the national median on 1 of 1 measures
2Lakeland Community HospitalHaleyville, AL26−1.4622No cut$0Above the national median on 0 of 1 measures
3Walker Baptist Medical CenterJasper, AL340.0658No cut$0Above the national median on 3 of 6 measures
4North Mississippi Medical Center-Gilmore AmoryAmory, MS370.0360No cut$0Above the national median on 3 of 4 measures
5Russellville HospitalRussellville, AL42−0.9330No cut$0Above the national median on 1 of 3 measures
6BMH-Golden TriangleColumbus, MS450.3324No cut$0Above the national median on 3 of 6 measures
7Clay County Medical CorporationWest Point, MS530.2053No cut$0Above the national median on 1 of 2 measures
8DCH Regional Medical CenterTuscaloosa, AL530.41111% cut$824KAbove the national median on 3 of 6 measures

CMS’s footnotes on this page

13
Results cannot be calculated for this reporting period.
5
Results are not available for this reporting period.

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

Cite this page

Paid & Penalized. North Mississippi Health Services - South Marion, Winfield, AL: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/010086/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.