P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalAdventist Health Reedley Estimated FY2026 net: −$39K×

Hospital record · FY2026CCN 050192

1Hospital

Adventist Health Reedley

2Location

Reedley, CA (California’s hospitals on the map and in the table) 93654

Fresno County

3Type

Major teaching · 49 beds · Nonprofit · Urban

4Care Compare stars

Not Available

Overall rating, CMS Care Compare data of July 22, 2026
CMS footnote 16: There are too few measures or measure groups reported to calculate a star rating or measure group score.
Open on Care Compare (opens in a new tab)

5Total HAC Score

1.8601

As CMS reports it

6Payment reduction

1% cut
CMS’s value: Yes

7Estimated cut

$39K estimate
Likely $28⁠–⁠48K; about $403 per traditional Medicare stay

Cut 1%

$39K

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

For fiscal year 2026, CMS reports a Total HAC Score of 1.8601 for Adventist Health Reedley and a payment reduction decision of Yes.

That is 1% of about $3.9M, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year: about $403 per traditional Medicare stay.

Likely range $28–48K

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 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: 1.8601 This hospital 1.8601 lowest −1.4728 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: 1.8601 This hospital 1.8601

Higher than 98% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Cut in 3 of 11 years

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

CMS scored this hospital on a single measure, so that measure alone set its Total HAC Score.

Where the score came from

CMS scored this hospital on 1 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 1.9825, to −0.1224. That change alone would put the score under CMS’s line. Try it in the what-if

Figure 1. This hospital has a published value for one measure, CDI, and it is above the national median.
  • 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

    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

  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 92% 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 value0.858

    Z-score1.8601

    Part of score+1.8601

  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 90no value published0.9623no value publishedno value publishedNot scored on this measure
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
CDI0.8580.3461.8601+1.8601Worse than 92% 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 1; a bar right of zero raised the score and one left of zero lowered it.

(1.8601CDI)÷1measures=1.8601Total HAC Score

This hospital’s score is 1.4809 above 0.3792, the highest score CMS marked No. (This site recomputes.)

Figure 2. The parts add up to 1.8601, above CMS’s line.
1% cut CDI: z‑score 1.8601 divided by 1 = +1.8601CDI+1.8601 Total HAC Score: 1.8601Score1.8601 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.51.01.52.0 1% cut CDI: z‑score 1.8601 divided by 1 = +1.8601CDI+1.8601 Total HAC Score: 1.8601Score1.8601 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.51.01.52.0

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

Show table
MeasureZ-scorePart of the scoreRunning total
CDI1.8601+1.86011.8601
Total HAC Score1.8601
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, 1.4809 over the highest score CMS didn’t cut, costs it about $39K 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 $39K at any score from 0.3799 $0at any score up to 0.3792 $39K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 This hospital: 1.8601 This hospital 1.8601 CMS’s line $0 at any score up to 0.3792 $39K at any score from 0.3799 $0at any score up to 0.3792 $39Kat any score from 0.3799 −1.0−0.50.00.51.01.52.0 CMS’s highest score: 2.3133 This hospital: 1.8601 This hospital 1.8601

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−$38,687
This hospital1.8601−$38,687
CMS’s highest score2.3133−$38,687

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.

($3,868,664payment+$0readmissions+$0value-based)×1%the cut=$38,687HAC cut

$38,687HAC cut÷96traditional Medicare stays=$403per traditional Medicare stay

Figure 4. This site estimates the HAC cut at $39K: 1% of the hospital’s whole inpatient payment, taken last. The readmissions and value-based adjustments, on the base alone, came to $0 and $0.

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays
DRG payments at the federal rates the base $1,020,996
Teaching (indirect medical education) $80,883
Many low-income patients (disproportionate share) $30,630
Low-volume adjustment $580,636
Capital: buildings and equipment $96,114
Uncompensated care $2,059,405
Total, before the three programs $3,868,664
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (1.0000 − 1) $0
Value-based purchasing (HVBP) not in CMS’s value-based factors: no adjustment $0
After these two $3,868,664
HAC Reduction Program 1% of everything above; likely $28⁠–⁠48K −$38,687
Net of the three programs likely −$49K to −$28K −$38,687

Not paid to this hospital: a Medicare-dependent hospital add-on, teaching payments on Medicare Advantage stays, 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)$1,020,996
Teaching (indirect medical education)$80,883
Many low-income patients (disproportionate share)$30,630
Low-volume adjustment$580,636
Capital: buildings and equipment$96,114
Uncompensated care$2,059,405
Total, before the three programs$3,868,664
Readmissions (HRRP) (base × (1.0000 − 1))$0
Value-based purchasing (HVBP) (not in CMS’s value-based factors: no adjustment)$0
After these two$3,868,664
HAC Reduction Program (1% of everything above; likely $28–48K)−$38,687
Net of the three programs (likely −$49K to −$28K)−$38,687

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 Score1.8601same
Payment reduction decisionYessame
Payment cut1%same
Estimated HAC cut estimate$39Ksame

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 1.8601 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 $39K, 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
CDI0.475 or lower

Each measure weighs 1 ÷ 1 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 0.858 · median 0.346 · cap 0.944 · each 0.1 = 0.3872

Have your NHSN predicted counts? (optional, stays in your browser)

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Figure 5. CDI added the most to this hospital’s Total HAC Score of 1.8601 among its measured results: +1.8601.
  • CDI +1.8601

A measure adds its z‑score divided by 1, 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
CDI1.8601+1.8601same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/050192/

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 3 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 7.0000, higher than 73% of scores; not cutFY2016: score 7.0000, higher than 76% of scores; cutFY2017: score 2.6000, higher than 11% of scores; not cutFY2018: score −1.6701, higher than 1% of scores; not cutFY2019: score −1.6425, higher than 1% of scores; not cutFY2020: score −1.0050, higher than 6% of scores; not cutFY2021: score −0.9817, higher than 5% of scores; not cutFY2022: score −0.8247, higher than 8% of scores; not cutFY2024: score 0.7151, higher than 86% of scores; cutFY2025: score −0.1942, higher than 38% of scores; not cutFY2026: score 1.8601, higher than 98% of scores; cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 7.0000, higher than 73% of scores; not cutFY2016: score 7.0000, higher than 76% of scores; cutFY2017: score 2.6000, higher than 11% of scores; not cutFY2018: score −1.6701, higher than 1% of scores; not cutFY2019: score −1.6425, higher than 1% of scores; not cutFY2020: score −1.0050, higher than 6% of scores; not cutFY2021: score −0.9817, higher than 5% of scores; not cutFY2022: score −0.8247, higher than 8% of scores; not cutFY2024: score 0.7151, higher than 86% of scores; cutFY2025: score −0.1942, higher than 38% of scores; not cutFY2026: score 1.8601, higher than 98% 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
FY20157.000073.6%not cut
FY20167.000076.6%cut
FY20172.600011.8%not cut
FY2018−1.67011.8%not cut
FY2019−1.64251.6%not cut
FY2020−1.00506.0%not cut
FY2021−0.98175.3%not cut
FY2022−0.82478.1%not cut
FY2023no decision
FY20240.715186.8%cut
FY2025−0.194238.6%not cut
FY20261.860198.6%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 → 0.92 1as predicted 0 ’18’21’24 Nation’s middle C. diff, 2017: 0.000C. diff, 2018: 0.000C. diff, 2019: 0.000C. diff, 2021: 0.841C. diff, 2022: 0.711C. diff, 2023: 0.804C. diff, 2024: 0.920 C. diff 0.00 → 0.92 1as predicted 0 ’18’20’22’24 Nation’s middle C. diff, 2017: 0.000C. diff, 2018: 0.000C. diff, 2019: 0.000C. diff, 2021: 0.841C. diff, 2022: 0.711C. diff, 2023: 0.804C. diff, 2024: 0.920

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
20190.000
20210.841
20220.711
20230.804
20240.920

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 California, its score is higher than 99% of the other 276 scored there.

In Fresno, CA area, its score is higher than 100% of the other 5 scored there.

Figure 8. Its score is above the middle in all 8 groups it belongs to; the share cut runs from 23% (Urban) to 83% (Fresno, CA area).
All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals 2,886 hospitals25% cut West region: CMS cut 157 of 593 (26%); middle score −0.0302West region 593 hospitals26% cut California: CMS cut 76 of 277 (27%); middle score −0.0217California 277 hospitals27% cut Fresno, CA area: CMS cut 5 of 6 (83%); middle score 0.7208Fresno, CA area 6 hospitals83% cut Major teaching: CMS cut 136 of 424 (32%); middle score 0.1780Major teaching 424 hospitals32% cut Fewer than 100 beds: CMS cut 225 of 805 (28%); middle score −0.1154Fewer than 100 beds 805 hospitals28% cut Nonprofit: CMS cut 478 of 1,830 (26%); middle score −0.0134Nonprofit 1,830 hospitals26% cut Urban: CMS cut 510 of 2,241 (23%); middle score −0.0574Urban 2,241 hospitals23% cut CMS’s line: between 0.3792 and 0.3799 CMS’s line −1012 This hospital: 1.8601 This hospital 1.8601 All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals2,886 hospitals25% cut West region: CMS cut 157 of 593 (26%); middle score −0.0302West region593 hospitals26% cut California: CMS cut 76 of 277 (27%); middle score −0.0217California277 hospitals27% cut Fresno, CA area: CMS cut 5 of 6 (83%); middle score 0.7208Fresno, CA area6 hospitals83% cut Major teaching: CMS cut 136 of 424 (32%); middle score 0.1780Major teaching424 hospitals32% cut Fewer than 100 beds: CMS cut 225 of 805 (28%); middle score −0.1154Fewer than 100 beds805 hospitals28% cut Nonprofit: CMS cut 478 of 1,830 (26%); middle score −0.0134Nonprofit1,830 hospitals26% cut Urban: CMS cut 510 of 2,241 (23%); middle score −0.0574Urban2,241 hospitals23% 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: 1.8601 This hospital 1.8601

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%−0.045398%
West region59315726%−0.030298%
California2777627%−0.021799%
Fresno, CA area6583%0.7208100%
Major teaching42413632%0.1780100%
Fewer than 100 beds80522528%−0.115495%
Nonprofit1,83047826%−0.013499%
Urban2,24151023%−0.057499%
This hospital1.8601
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 20 miles away.
5 mi10 mi25 mi8. Adventist Health Tulare, Tulare: score −0.4640, not cut, 30 miles87. Kaiser Foundation Hospital - Fresno, Fresno: score 0.4749, cut, 24 miles76. Adventist Health Hanford, Hanford: score −0.4649, not cut, 24 miles65. Fresno Surgical Hospital, Fresno: score −1.1900, not cut, 24 miles54. Saint Agnes Medical Center, Fresno: score 0.4306, cut, 23 miles43. Kaweah Health Medical Center, Visalia: score 0.0922, not cut, 21 miles32. Community Regional Medical Center, Fresno: score 0.9666, cut, 21 miles21. Clovis Community Medical Center, Clovis: score 1.2885, cut, 20 miles1This hospital: Adventist Health Reedley

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

Show table
HospitalMilesScoreDecision
Clovis Community Medical Center, Clovis, CA201.2885cut
Community Regional Medical Center, Fresno, CA210.9666cut
Kaweah Health Medical Center, Visalia, CA210.0922not cut
Saint Agnes Medical Center, Fresno, CA230.4306cut
Fresno Surgical Hospital, Fresno, CA24−1.1900not cut
Adventist Health Hanford, Hanford, CA24−0.4649not cut
Kaiser Foundation Hospital - Fresno, Fresno, CA240.4749cut
Adventist Health Tulare, Tulare, CA30−0.4640not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Clovis Community Medical CenterClovis, CA201.28851% cut$955KAbove the national median on 6 of 6 measures
2Community Regional Medical CenterFresno, CA210.96661% cut$1.6MAbove the national median on 6 of 6 measures
3Kaweah Health Medical CenterVisalia, CA210.0922No cut$0Above the national median on 4 of 6 measures
4Saint Agnes Medical CenterFresno, CA230.43061% cut$1.3MAbove the national median on 6 of 6 measures
5Fresno Surgical HospitalFresno, CA24−1.1900No cut$0Above the national median on 0 of 1 measures
6Adventist Health HanfordHanford, CA24−0.4649No cut$0Above the national median on 2 of 6 measures
7Kaiser Foundation Hospital - FresnoFresno, CA240.47491% cut$36KAbove the national median on 4 of 6 measures
8Adventist Health TulareTulare, CA30−0.4640No cut$0Above the national median on 1 of 4 measures

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

CMS’s footnotes on this page

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

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.

Cite this page

Paid & Penalized. Adventist Health Reedley, Reedley, CA: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/050192/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.