P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalAdventist Health Tulare Estimated FY2026 net: −$2K×

Hospital record · FY2026CCN 050784

1Hospital

Adventist Health Tulare

2Location

Tulare, CA (California’s hospitals on the map and in the table) 93274

Tulare County

3Type

Minor teaching · 59 beds · Nonprofit · Urban

4Care Compare stars

3 of 5 stars

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

5Total HAC Score

−0.4640

As CMS reports it

6Payment reduction

No cut
CMS’s value: No

7Estimated cut

$0
A cut would have been $86K, likely $63⁠–⁠107K estimate

No cut

$0

from this program

For fiscal year 2026, CMS reports a Total HAC Score of −0.4640 for Adventist Health Tulare and a payment reduction decision of No.

A cut would have taken about $86K estimate 1% of about $8.6M, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year plus the teaching payments Medicare makes on its Medicare Advantage patients’ stays. Its score was 0.8439 under 0.3799, the lowest score CMS cut.

Likely range $63–107K

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.

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: −0.4640 This hospital −0.4640 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: −0.4640 This hospital −0.4640

Higher than 22% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Cut in 2 of 6 years

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

In FY2020, CMS reports a payment reduction decision for this hospital but no Total HAC Score.

Where the score came from

CMS scored this hospital on 4 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 CLABSI down to the national median (0.559) would lower the score the most: by 0.1015, to −0.5655. Try it in the what-if

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

    Better than 56% of the other 2,808 hospitals

    estimate

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

    CMS value0.9465

    Z-score−0.2930

    Part of score−0.0733

  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.

    added the most

    Central line–associated bloodstream infections

    Worse than 65% of the other 2,181 hospitals

    CMS value0.734

    Z-score0.2962

    Part of score+0.0741

  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

    Better than 85% of the other 2,354 hospitals

    CMS value0.000

    Z-score−1.3186

    Part of score−0.3297

  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 66% 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 value0.238

    Z-score−0.5406

    Part of score−0.1352

  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 900.94650.9623−0.2930−0.0733Better than 56% of the other 2,808 hospitals
CLABSI0.7340.5590.2962+0.0741Worse than 65% of the other 2,181 hospitals
CAUTI0.0000.489−1.3186−0.3297Better than 85% of the other 2,354 hospitals
SSIno value published0.795no value publishedno value publishedNot scored on this measure
CDI0.2380.346−0.5406−0.1352Better than 66% 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 4; a bar right of zero raised the score and one left of zero lowered it.

(−0.2930PSI 90+0.2962CLABSI−1.3186CAUTI−0.5406CDI)÷4measures=−0.4640Total HAC Score

Added from the rounded z‑scores CMS published, the parts make −0.4640; CMS reports −0.4640. The small difference is rounding.

This hospital’s score is 0.8439 below 0.3799, the lowest score CMS marked Yes. (This site recomputes.)

Figure 2. The parts add up to −0.4640, below CMS’s line.
1% cut PSI 90: z‑score −0.2930 divided by 4 = −0.0733PSI 90−0.0733 CLABSI: z‑score 0.2962 divided by 4 = +0.0741CLABSI+0.0741 CAUTI: z‑score −1.3186 divided by 4 = −0.3297CAUTI−0.3297 CDI: z‑score −0.5406 divided by 4 = −0.1352CDI−0.1352 Total HAC Score: −0.4640Score−0.4640 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.6−0.4−0.20.00.20.4 1% cut PSI 90: z‑score −0.2930 divided by 4 = −0.0733PSI 90−0.0733 CLABSI: z‑score 0.2962 divided by 4 = +0.0741CLABSI+0.0741 CAUTI: z‑score −1.3186 divided by 4 = −0.3297CAUTI−0.3297 CDI: z‑score −0.5406 divided by 4 = −0.1352CDI−0.1352 Total HAC Score: −0.4640Score−0.4640 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.6−0.4−0.20.00.20.4

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 90−0.2930−0.0733−0.0733
CLABSI0.2962+0.07410.0008
CAUTI−1.3186−0.3297−0.3289
CDI−0.5406−0.1352−0.4641
Total HAC Score−0.4640
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, and of the teaching payments Medicare makes on its Medicare Advantage stays; 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, 0.8439 under the lowest score CMS cut, costs it nothing; 0.8439 higher, the cut would have been about $86K 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 $86K at any score from 0.3799 $0at any score up to 0.3792 $86K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 CMS’s highest score 2.3133 This hospital: −0.4640 This hospital −0.4640 CMS’s line $0 at any score up to 0.3792 $86K at any score from 0.3799 $0at any score up to 0.3792 $86Kat 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: −0.4640 This hospital −0.4640

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−$86,425
This hospital−0.4640$0
CMS’s highest score2.3133−$86,425

The money, line by line

This site estimates what traditional Medicare pays the hospital for a year of inpatient stays, and the teaching payments Medicare makes on its Medicare Advantage patients’ 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.

($8,396,674payment+$248,045teaching, MA stays−$7,726readmissions+$5,540value-based)×1%the cut=$86,425at stake

$86,425at stake÷472traditional Medicare stays=$183per traditional Medicare stay

Figure 4. No HAC cut this year; 1% of the hospital’s whole inpatient payment would have been about $86K by this site’s estimate. The readmissions and value-based adjustments, on the base alone, came to −$8K and +$6K.

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays, and for teaching on Medicare Advantage stays
DRG payments at the federal rates the base $6,438,310
Teaching (indirect medical education) $397,372
Teaching on Medicare Advantage stays $248,045
Many low-income patients (disproportionate share) $193,149
Outliers: unusually costly stays $168,104
Capital: buildings and equipment $598,115
Uncompensated care $601,624
Total, before the three programs $8,644,719
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9988 − 1) −$7,726
Value-based purchasing (HVBP) base × (1.0009 − 1) +$5,540
After these two $8,642,533
HAC Reduction Program no cut; 1% would have been $86,425 $0
Net of the three programs likely −$3K to −$2K −$2,186

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

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

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

Show table
LineAmount (whole dollars)
DRG payments at the federal rates (the base)$6,438,310
Teaching (indirect medical education)$397,372
Teaching on Medicare Advantage stays$248,045
Many low-income patients (disproportionate share)$193,149
Outliers: unusually costly stays$168,104
Capital: buildings and equipment$598,115
Uncompensated care$601,624
Total, before the three programs$8,644,719
Readmissions (HRRP) (base × (0.9988 − 1))−$7,726
Value-based purchasing (HVBP) (base × (1.0009 − 1))+$5,540
After these two$8,642,533
HAC Reduction Program (no cut; 1% would have been $86,425)$0
Net of the three programs (likely −$3K to −$2K)−$2,186

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−0.4640same
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 −0.4640 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 $86K 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
CLABSIany value: every CLABSI value past the cap (1.572) scores the same
CAUTIup to 1.399
CDIany value: every CDI value past the cap (0.944) scores the same

Each measure weighs 1 ÷ 4 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 0.9465 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1745

CMS 0.734 · median 0.559 · cap 1.572 · each 0.1 = 0.0580

CMS 0.000 · median 0.489 · cap 1.537 · each 0.1 = 0.0603

CMS 0.238 · median 0.346 · cap 0.944 · each 0.1 = 0.0968

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

Stays in your browser; never sent.

Figure 5. CLABSI added the most to this hospital’s Total HAC Score of −0.4640 among its measured results: +0.0741.
  • PSI 90 −0.0733
  • CLABSI +0.0741
  • CAUTI −0.3297
  • CDI −0.1352

A measure adds its z‑score divided by 4, 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 90−0.2930−0.0733same
CLABSI0.2962+0.0741same
CAUTI−1.3186−0.3297same
CDI−0.5406−0.1352same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/050784/

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 2 of the 6 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2021: score 2.1396, higher than 99% of scores; cutFY2022: score 2.1656, higher than 99% of scores; cutFY2024: score −0.4057, higher than 25% of scores; not cutFY2025: score −0.0781, higher than 46% of scores; not cutFY2026: score −0.4640, higher than 22% of scores; not cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2021: score 2.1396, higher than 99% of scores; cutFY2022: score 2.1656, higher than 99% of scores; cutFY2024: score −0.4057, higher than 25% of scores; not cutFY2025: score −0.0781, higher than 46% of scores; not cutFY2026: score −0.4640, higher than 22% 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
FY2015no decision
FY2016no decision
FY2017no decision
FY2018no decision
FY2019no decision
FY2020N/Anot cut, with no score published
FY20212.139699.9%cut
FY20222.165699.8%cut
FY2023no decision
FY2024−0.405725.3%not cut
FY2025−0.078146.9%not cut
FY2026−0.464022.3%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 1 infection measures ended lower than they started.
C. diff 0.34 → 0.00 1as predicted 0 ’18’21’24 Nation’s middle C. diff, 2022: 0.341C. diff, 2023: 0.471C. diff, 2024: 0.000 C. diff 0.34 → 0.00 1as predicted 0 ’18’20’22’24 Nation’s middle C. diff, 2022: 0.341C. diff, 2023: 0.471C. 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 yearC. diff
2019
2021
20220.341
20230.471
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 21% of the other 276 scored there.

Figure 8. Its score is below the middle in all 7 groups it belongs to; the share cut runs from 21% (Minor teaching) to 28% (Fewer than 100 beds).
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 Minor teaching: CMS cut 181 of 873 (21%); middle score −0.0567Minor teaching 873 hospitals21% 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: −0.4640 This hospital −0.4640 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 Minor teaching: CMS cut 181 of 873 (21%); middle score −0.0567Minor teaching873 hospitals21% 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: −0.4640 This hospital −0.4640

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%−0.045322%
West region59315726%−0.030221%
California2777627%−0.021721%
Minor teaching87318121%−0.056718%
Fewer than 100 beds80522528%−0.115431%
Nonprofit1,83047826%−0.013418%
Urban2,24151023%−0.057421%
This hospital−0.4640
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 5 of the 8 nearest hospitals; the closest is 11 miles away.
5 mi10 mi25 mi8. Clovis Community Medical Center, Clovis: score 1.2885, cut, 48 miles87. Community Regional Medical Center, Fresno: score 0.9666, cut, 45 miles76. Adventist Health Reedley, Reedley: score 1.8601, cut, 30 miles65. Adventist Health Delano, Delano: score 0.3669, not cut, 30 miles54. Porterville Developmental Center, Porterville: score 2.1717, cut, 24 miles43. Sierra View Medical Center, Porterville: score 0.5017, cut, 21 miles32. Adventist Health Hanford, Hanford: score −0.4649, not cut, 16 miles21. Kaweah Health Medical Center, Visalia: score 0.0922, not cut, 11 miles1This hospital: Adventist Health Tulare

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

Show table
HospitalMilesScoreDecision
Kaweah Health Medical Center, Visalia, CA110.0922not cut
Adventist Health Hanford, Hanford, CA16−0.4649not cut
Sierra View Medical Center, Porterville, CA210.5017cut
Porterville Developmental Center, Porterville, CA242.1717cut
Adventist Health Delano, Delano, CA300.3669not cut
Adventist Health Reedley, Reedley, CA301.8601cut
Community Regional Medical Center, Fresno, CA450.9666cut
Clovis Community Medical Center, Clovis, CA481.2885cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Kaweah Health Medical CenterVisalia, CA110.0922No cut$0Above the national median on 4 of 6 measures
2Adventist Health HanfordHanford, CA16−0.4649No cut$0Above the national median on 2 of 6 measures
3Sierra View Medical CenterPorterville, CA210.50171% cut$255KAbove the national median on 3 of 6 measures
4Porterville Developmental CenterPorterville, CA242.17171% cut$220Above the national median on 1 of 1 measures
5Adventist Health DelanoDelano, CA300.3669No cut$0Above the national median on 2 of 3 measures
6Adventist Health ReedleyReedley, CA301.86011% cut$39KAbove the national median on 1 of 1 measures
7Community Regional Medical CenterFresno, CA450.96661% cut$1.6MAbove the national median on 6 of 6 measures
8Clovis Community Medical CenterClovis, CA481.28851% cut$955KAbove the national median on 6 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 Tulare, Tulare, CA: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/050784/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.