P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalAdventist Health Delano Estimated FY2026 net: +$59K×

Hospital record · FY2026CCN 050608

1Hospital

Adventist Health Delano

2Location

Delano, CA (California’s hospitals on the map and in the table) 93215

Kern County

3Type

Not a teaching hospital · 156 beds · For-profit · Urban

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

0.3669

As CMS reports it

6Payment reduction

No cut
CMS’s value: No

7Estimated cut

$0
A cut would have been $76K, likely $58⁠–⁠96K estimate

No cut

$0

from this program

For fiscal year 2026, CMS reports a Total HAC Score of 0.3669 for Adventist Health Delano and a payment reduction decision of No.

A cut would have taken about $76K estimate 1% of about $7.6M, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year. Its score was 0.0130 under 0.3799, the lowest score CMS cut.

Likely range $58–96K

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: 0.3669 This hospital 0.3669 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: 0.3669 This hospital 0.3669

Higher than 74% 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. 25Cut
  12. 26No

Where the score came from

CMS scored this hospital on 3 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 CAUTI down to the national median (0.489) would lower the score the most: by 0.8156, to −0.4487. Try it in the what-if

Figure 1. Of its 3 measures with a value, this hospital is above the national median on 2; CAUTI 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 69% 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 value1.0251

    Z-score0.2559

    Part of score+0.0853

  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.

    added the most

    Catheter-associated urinary tract infections

    Worse than 94% of the other 2,354 hospitals

    CMS value1.504

    Z-score2.3068

    Part of score+0.7689

  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.

    Clostridioides difficile (C. diff) infections

    Better than 91% 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 value0.000

    Z-score−1.4622

    Part of score−0.4874

  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 901.02510.96230.2559+0.0853Worse than 69% of the other 2,808 hospitals
CLABSIno value published0.559no value publishedno value publishedNot scored on this measure
CAUTI1.5040.4892.3068+0.7689Worse than 94% of the other 2,354 hospitals
SSIno value published0.795no value publishedno value publishedNot scored on this measure
CDI0.0000.346−1.4622−0.4874Better than 91% 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 3; a bar right of zero raised the score and one left of zero lowered it.

(0.2559PSI 90+2.3068CAUTI−1.4622CDI)÷3measures=0.3669Total HAC Score

Added from the rounded z‑scores CMS published, the parts make 0.3668; CMS reports 0.3669. The small difference is rounding.

This hospital’s score is 0.0130 below 0.3799, the lowest score CMS marked Yes. (This site recomputes.)

Figure 2. The parts add up to 0.3669, below CMS’s line.
1% cut PSI 90: z‑score 0.2559 divided by 3 = +0.0853PSI 90+0.0853 CAUTI: z‑score 2.3068 divided by 3 = +0.7689CAUTI+0.7689 CDI: z‑score −1.4622 divided by 3 = −0.4874CDI−0.4874 Total HAC Score: 0.3669Score0.3669 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.20.40.60.81.0 1% cut PSI 90: z‑score 0.2559 divided by 3 = +0.0853PSI 90+0.0853 CAUTI: z‑score 2.3068 divided by 3 = +0.7689CAUTI+0.7689 CDI: z‑score −1.4622 divided by 3 = −0.4874CDI−0.4874 Total HAC Score: 0.3669Score0.3669 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.20.40.60.81.0

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

Show table
MeasureZ-scorePart of the scoreRunning total
PSI 900.2559+0.08530.0853
CAUTI2.3068+0.76890.8542
CDI−1.4622−0.48740.3668
Total HAC Score0.3669
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, 0.0130 under the lowest score CMS cut, costs it nothing; 0.0130 higher, the cut would have been about $76K 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 $76K at any score from 0.3799 $0at any score up to 0.3792 $76K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 CMS’s highest score 2.3133 This hospital: 0.3669 This hospital 0.3669 CMS’s line $0 at any score up to 0.3792 $76K at any score from 0.3799 $0at any score up to 0.3792 $76Kat 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: 0.3669 This hospital 0.3669

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−$76,406
This hospital0.3669$0
CMS’s highest score2.3133−$76,406

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.

($7,581,463payment−$12,334readmissions+$71,437value-based)×1%the cut=$76,406at stake

$76,406at stake÷364traditional Medicare stays=$210per traditional Medicare stay

Figure 4. No HAC cut this year; 1% of the hospital’s whole inpatient payment would have been about $76K by this site’s estimate. The readmissions and value-based adjustments, on the base alone, came to −$12K and +$71K.

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays
DRG payments at the federal rates the base $4,933,463
Many low-income patients (disproportionate share) $651,710
Outliers: unusually costly stays $163,051
Low-volume adjustment $896,854
Capital: buildings and equipment $458,171
Uncompensated care $478,214
Total, before the three programs $7,581,463
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9975 − 1) −$12,334
Value-based purchasing (HVBP) base × (1.0145 − 1) +$71,437
After these two $7,640,566
HAC Reduction Program no cut; 1% would have been $76,406 $0
Net of the three programs likely $48⁠–⁠69K +$59,103

Not paid to this hospital: a Medicare-dependent hospital add-on, teaching 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)$4,933,463
Many low-income patients (disproportionate share)$651,710
Outliers: unusually costly stays$163,051
Low-volume adjustment$896,854
Capital: buildings and equipment$458,171
Uncompensated care$478,214
Total, before the three programs$7,581,463
Readmissions (HRRP) (base × (0.9975 − 1))−$12,334
Value-based purchasing (HVBP) (base × (1.0145 − 1))+$71,437
After these two$7,640,566
HAC Reduction Program (no cut; 1% would have been $76,406)$0
Net of the three programs (likely $48–69K)+$59,103

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 Score0.3669same
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 0.3669 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 $76K 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 90up to 1.0303
CAUTIup to 1.519
CDIup to 0.009

Each measure weighs 1 ÷ 3 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 1.0251 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.2327

CMS 1.504 · median 0.489 · cap 1.537 · each 0.1 = 0.0804

CMS 0.000 · median 0.346 · cap 0.944 · each 0.1 = 0.1291

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Figure 5. CAUTI added the most to this hospital’s Total HAC Score of 0.3669 among its measured results: +0.7689.
  • PSI 90 +0.0853
  • CAUTI +0.7689
  • CDI −0.4874

A measure adds its z‑score divided by 3, 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 900.2559+0.0853same
CAUTI2.3068+0.7689same
CDI−1.4622−0.4874same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/050608/

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 2 years in a row.

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 4.1500, higher than 29% of scores; not cutFY2016: score 10.0000, higher than 99% of scores; cutFY2017: score 3.1750, higher than 16% of scores; not cutFY2018: score 0.2092, higher than 67% of scores; not cutFY2019: score −0.3484, higher than 27% of scores; not cutFY2020: score −1.1129, higher than 3% of scores; not cutFY2021: score −0.7116, higher than 12% of scores; not cutFY2022: score −0.1446, higher than 40% of scores; not cutFY2024: score 0.7922, higher than 88% of scores; cutFY2025: score 0.6082, higher than 85% of scores; cutFY2026: score 0.3669, higher than 74% of scores; not cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 4.1500, higher than 29% of scores; not cutFY2016: score 10.0000, higher than 99% of scores; cutFY2017: score 3.1750, higher than 16% of scores; not cutFY2018: score 0.2092, higher than 67% of scores; not cutFY2019: score −0.3484, higher than 27% of scores; not cutFY2020: score −1.1129, higher than 3% of scores; not cutFY2021: score −0.7116, higher than 12% of scores; not cutFY2022: score −0.1446, higher than 40% of scores; not cutFY2024: score 0.7922, higher than 88% of scores; cutFY2025: score 0.6082, higher than 85% of scores; cutFY2026: score 0.3669, higher than 74% 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
FY20154.150029.3%not cut
FY201610.000099.6%cut
FY20173.175016.2%not cut
FY20180.209267.1%not cut
FY2019−0.348427.9%not cut
FY2020−1.11293.6%not cut
FY2021−0.711612.0%not cut
FY2022−0.144640.8%not cut
FY2023no decision
FY20240.792288.7%cut
FY20250.608285.5%cut
FY20260.366974.3%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. 1 of its 3 infection measures ended lower than they started.
CLABSI 1.91 → 0.94 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2021: 1.906CLABSI, 2022: 0.943 CAUTI 0.00 → 0.88 1 0 ’18’21’24 CAUTI, 2017: 0.000CAUTI, 2019: 1.516CAUTI, 2021: 1.667CAUTI, 2022: 0.881 C. diff 0.00 → 0.00 1 0 ’18’21’24 C. diff, 2017: 0.000C. diff, 2018: 0.322C. diff, 2019: 0.000C. diff, 2021: 0.000C. diff, 2022: 0.613C. diff, 2023: 0.000C. diff, 2024: 0.000 CLABSI 1.91 → 0.94 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2021: 1.906CLABSI, 2022: 0.943 CAUTI 0.00 → 0.88 1 0 ’18’20’22’24 CAUTI, 2017: 0.000CAUTI, 2019: 1.516CAUTI, 2021: 1.667CAUTI, 2022: 0.881 C. diff 0.00 → 0.00 1 0 ’18’20’22’24 C. diff, 2017: 0.000C. diff, 2018: 0.322C. diff, 2019: 0.000C. diff, 2021: 0.000C. diff, 2022: 0.613C. diff, 2023: 0.000C. diff, 2024: 0.000

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 yearCLABSICAUTIC. diff
20170.0000.000
20180.322
20191.5160.000
20211.9061.6670.000
20220.9430.8810.613
20230.000
20240.000

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 71% of the other 276 scored there.

In Bakersfield-Delano, 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 0% (Bakersfield-Delano, CA area) to 27% (California).
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 Bakersfield-Delano, CA area: CMS cut 0 of 6 (0%); middle score −0.2472Bakersfield-Delano, CA area 6 hospitals0% 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 For-profit: CMS cut 98 of 651 (15%); middle score −0.2590For-profit 651 hospitals15% 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: 0.3669 This hospital 0.3669 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 Bakersfield-Delano, CA area: CMS cut 0 of 6 (0%); middle score −0.2472Bakersfield-Delano, CA area6 hospitals0% 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 For-profit: CMS cut 98 of 651 (15%); middle score −0.2590For-profit651 hospitals15% 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: 0.3669 This hospital 0.3669

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%−0.045374%
West region59315726%−0.030272%
California2777627%−0.021771%
Bakersfield-Delano, CA area600%−0.2472100%
Not teaching1,56338925%−0.105374%
100 to 299 beds1,19327523%−0.073275%
For-profit6519815%−0.259084%
Urban2,24151023%−0.057476%
This hospital0.3669
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 24 miles away.
5 mi10 mi25 mi8. Kern Medical Center, Bakersfield: score −0.1499, not cut, 30 miles87. Adventist Health Tulare, Tulare: score −0.4640, not cut, 30 miles76. Mercy Hospital, Bakersfield: score −0.1828, not cut, 29 miles65. Adventist Health Bakersfield, Bakersfield: score −0.4482, not cut, 29 miles54. Bakersfield Memorial Hospital, Bakersfield: score −0.3117, not cut, 29 miles43. Good Samaritan Hospital, LP, Bakersfield: score −0.5063, not cut, 27 miles32. Sierra View Medical Center, Porterville: score 0.5017, cut, 24 miles21. Porterville Developmental Center, Porterville: score 2.1717, cut, 24 miles1This hospital: Adventist Health Delano

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

Show table
HospitalMilesScoreDecision
Porterville Developmental Center, Porterville, CA242.1717cut
Sierra View Medical Center, Porterville, CA240.5017cut
Good Samaritan Hospital, LP, Bakersfield, CA27−0.5063not cut
Bakersfield Memorial Hospital, Bakersfield, CA29−0.3117not cut
Adventist Health Bakersfield, Bakersfield, CA29−0.4482not cut
Mercy Hospital, Bakersfield, CA29−0.1828not cut
Adventist Health Tulare, Tulare, CA30−0.4640not cut
Kern Medical Center, Bakersfield, CA30−0.1499not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Porterville Developmental CenterPorterville, CA242.17171% cut$220Above the national median on 1 of 1 measures
2Sierra View Medical CenterPorterville, CA240.50171% cut$255KAbove the national median on 3 of 6 measures
3Good Samaritan Hospital, LPBakersfield, CA27−0.5063No cut$0Above the national median on 1 of 2 measures
4Bakersfield Memorial HospitalBakersfield, CA29−0.3117No cut$0Above the national median on 3 of 6 measures
5Adventist Health BakersfieldBakersfield, CA29−0.4482No cut$0Above the national median on 1 of 6 measures
6Mercy HospitalBakersfield, CA29−0.1828No cut$0Above the national median on 3 of 6 measures
7Adventist Health TulareTulare, CA30−0.4640No cut$0Above the national median on 1 of 4 measures
8Kern Medical CenterBakersfield, CA30−0.1499No cut$0Above the national median on 2 of 6 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 Delano, Delano, CA: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/050608/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.