P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalAdventHealth Littleton Estimated FY2026 net: −$214K×

Hospital record · FY2026CCN 060113

1Hospital

AdventHealth Littleton

2Location

Littleton, CO (Colorado’s hospitals on the map and in the table) 80122

Arapahoe County

3Type

Not a teaching hospital · 231 beds · Nonprofit · Urban

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

0.2391

As CMS reports it

6Payment reduction

No cut
CMS’s value: No

7Estimated cut

$0
A cut would have been $372K, likely $283⁠–⁠467K estimate

No cut

$0

from this program

For fiscal year 2026, CMS reports a Total HAC Score of 0.2391 for AdventHealth Littleton and a payment reduction decision of No.

A cut would have taken about $372K estimate 1% of about $37.2M, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year. Its score was 0.1408 under 0.3799, the lowest score CMS cut.

Likely range $283–467K

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: 0.2391 This hospital 0.2391 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: 0.2391 This hospital 0.2391

Higher than 67% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Cut in 2 of 11 years

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

Where the score came from

CMS scored this hospital on all 6 measures. On every measure a lower value is better. Each row puts the hospital among every hospital with a value: the gray columns are those hospitals, the tall tick is the national median, and the hatched ends score the same as CMS’s floor or cap.

Bringing CAUTI down to the national median (0.489) would lower the score the most: by 0.4210, to −0.1819. Try it in the what-if

Figure 1. Of its 6 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 79% 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 value1.0861

    Z-score0.6816

    Part of score+0.1136

  2. CLABSI (what it counts)

    Bloodstream infections tied to a central line, a tube often placed in a large vein in the neck, chest or groin. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Central line–associated bloodstream infections

    Better than 82% of the other 2,181 hospitals

    CMS value0.172

    Z-score−1.0075

    Part of score−0.1679

  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 95% of the other 2,354 hospitals

    CMS value1.585

    Z-score2.3863

    Part of score+0.3977

  4. SSI (what it counts)

    Deep infections at the site of colon surgery or an abdominal hysterectomy, within a month of the operation, pooled into one measure. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Surgical site infections after colon surgery or abdominal hysterectomy

    Better than 50% of the other 2,269 hospitals

    CMS value0.782

    Z-score−0.1169

    Part of score−0.0195

  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 54% 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 value0.317

    Z-score−0.2347

    Part of score−0.0391

  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

    Better than 56% of the other 2,067 hospitals

    CMS value0.566

    Z-score−0.2744

    Part of score−0.0457

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 901.08610.96230.6816+0.1136Worse than 79% of the other 2,808 hospitals
CLABSI0.1720.559−1.0075−0.1679Better than 82% of the other 2,181 hospitals
CAUTI1.5850.4892.3863+0.3977Worse than 95% of the other 2,354 hospitals
SSI0.7820.795−0.1169−0.0195Better than 50% of the other 2,269 hospitals
CDI0.3170.346−0.2347−0.0391Better than 54% of the other 2,766 hospitals
MRSA0.5660.641−0.2744−0.0457Better than 56% of the other 2,067 hospitals

How the parts add up

CMS adds the z‑scores and divides by the number of measures scored, so each measure counts the same. Each bar below is one z‑score divided by 6; a bar right of zero raised the score and one left of zero lowered it.

(0.6816PSI 90−1.0075CLABSI+2.3863CAUTI−0.1169SSI−0.2347CDI−0.2744MRSA)÷6measures=0.2391Total HAC Score

This hospital’s score is 0.1408 below 0.3799, the lowest score CMS marked Yes. (This site recomputes.)

Figure 2. The parts add up to 0.2391, below CMS’s line.
1% cut PSI 90: z‑score 0.6816 divided by 6 = +0.1136PSI 90+0.1136 CLABSI: z‑score −1.0075 divided by 6 = −0.1679CLABSI−0.1679 CAUTI: z‑score 2.3863 divided by 6 = +0.3977CAUTI+0.3977 SSI: z‑score −0.1169 divided by 6 = −0.0195SSI−0.0195 CDI: z‑score −0.2347 divided by 6 = −0.0391CDI−0.0391 MRSA: z‑score −0.2744 divided by 6 = −0.0457MRSA−0.0457 Total HAC Score: 0.2391Score0.2391 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.10.00.10.20.30.4 1% cut PSI 90: z‑score 0.6816 divided by 6 = +0.1136PSI 90+0.1136 CLABSI: z‑score −1.0075 divided by 6 = −0.1679CLABSI−0.1679 CAUTI: z‑score 2.3863 divided by 6 = +0.3977CAUTI+0.3977 SSI: z‑score −0.1169 divided by 6 = −0.0195SSI−0.0195 CDI: z‑score −0.2347 divided by 6 = −0.0391CDI−0.0391 MRSA: z‑score −0.2744 divided by 6 = −0.0457MRSA−0.0457 Total HAC Score: 0.2391Score0.2391 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.10.00.10.20.30.4

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

Show table
MeasureZ-scorePart of the scoreRunning total
PSI 900.6816+0.11360.1136
CLABSI−1.0075−0.1679−0.0543
CAUTI2.3863+0.39770.3434
SSI−0.1169−0.01950.3239
CDI−0.2347−0.03910.2848
MRSA−0.2744−0.04570.2391
Total HAC Score0.2391
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, 0.1408 under the lowest score CMS cut, costs it nothing; 0.1408 higher, the cut would have been about $372K 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 $372K at any score from 0.3799 $0at any score up to 0.3792 $372K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 CMS’s highest score 2.3133 This hospital: 0.2391 This hospital 0.2391 CMS’s line $0 at any score up to 0.3792 $372K at any score from 0.3799 $0at any score up to 0.3792 $372Kat 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: 0.2391 This hospital 0.2391

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−$371,884
This hospital0.2391$0
CMS’s highest score2.3133−$371,884

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.

($37,402,715payment−$132,616readmissions−$81,703value-based)×1%the cut=$371,884at stake

$371,884at stake÷2,213traditional Medicare stays=$168per traditional Medicare stay

Figure 4. No HAC cut this year; 1% of the hospital’s whole inpatient payment would have been about $372K by this site’s estimate. The readmissions and value-based adjustments, on the base alone, came to −$133K and −$82K.

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays
DRG payments at the federal rates the base $31,575,259
Many low-income patients (disproportionate share) $378,587
Outliers: unusually costly stays $1,251,012
Capital: buildings and equipment $2,662,945
Uncompensated care $1,534,912
Total, before the three programs $37,402,715
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9958 − 1) −$132,616
Value-based purchasing (HVBP) base × (0.9974 − 1) −$81,703
After these two $37,188,396
HAC Reduction Program no cut; 1% would have been $371,884 $0
Net of the three programs likely −$252K to −$173K −$214,319

Not paid to this hospital: a Medicare-dependent hospital add-on, teaching payments, 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)$31,575,259
Many low-income patients (disproportionate share)$378,587
Outliers: unusually costly stays$1,251,012
Capital: buildings and equipment$2,662,945
Uncompensated care$1,534,912
Total, before the three programs$37,402,715
Readmissions (HRRP) (base × (0.9958 − 1))−$132,616
Value-based purchasing (HVBP) (base × (0.9974 − 1))−$81,703
After these two$37,188,396
HAC Reduction Program (no cut; 1% would have been $371,884)$0
Net of the three programs (likely −$252K to −$173K)−$214,319

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 Score0.2391same
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 0.2391 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 $372K 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 1.2064
CLABSIup to 0.534
CAUTIany value: every CAUTI value past the cap (1.537) scores the same
SSIup to 1.272
CDIup to 0.534
MRSAup to 0.968

Each measure weighs 1 ÷ 6 of the score.

Measure values

SIR 1.0 = as many infections as predicted · Lower is better

On each track the tick is the national median; shaded values score the same as the floor or cap, as this site fits them to CMS’s values.

CMS 1.0861 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 0.172 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 1.585 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 0.782 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.317 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 0.566 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

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

Stays in your browser; never sent.

Figure 5. CAUTI added the most to this hospital’s Total HAC Score of 0.2391 among its measured results: +0.3977.
  • PSI 90 +0.1136
  • CLABSI −0.1679
  • CAUTI +0.3977
  • SSI −0.0195
  • CDI −0.0391
  • MRSA −0.0457

A measure adds its z‑score divided by 6, the number of measures scored. Bars right of the center line raise the score. Hatched: assigned by CMS.

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

Show table
MeasureZ-scorePart of the scoreHypothetical
PSI 900.6816+0.1136same
CLABSI−1.0075−0.1679same
CAUTI2.3863+0.3977same
SSI−0.1169−0.0195same
CDI−0.2347−0.0391same
MRSA−0.2744−0.0457same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/060113/

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 2 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 7.6750, higher than 85% of scores; cutFY2016: score 6.2500, higher than 64% of scores; not cutFY2017: score 6.5300, higher than 75% of scores; not cutFY2018: score 0.1335, higher than 62% of scores; not cutFY2019: score 0.3611, higher than 75% of scores; cutFY2020: score 0.1830, higher than 66% of scores; not cutFY2021: score 0.0718, higher than 58% of scores; not cutFY2022: score 0.1861, higher than 68% of scores; not cutFY2024: score 0.2863, higher than 70% of scores; not cutFY2025: score −0.0310, higher than 50% of scores; not cutFY2026: score 0.2391, higher than 67% of scores; not cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 7.6750, higher than 85% of scores; cutFY2016: score 6.2500, higher than 64% of scores; not cutFY2017: score 6.5300, higher than 75% of scores; not cutFY2018: score 0.1335, higher than 62% of scores; not cutFY2019: score 0.3611, higher than 75% of scores; cutFY2020: score 0.1830, higher than 66% of scores; not cutFY2021: score 0.0718, higher than 58% of scores; not cutFY2022: score 0.1861, higher than 68% of scores; not cutFY2024: score 0.2863, higher than 70% of scores; not cutFY2025: score −0.0310, higher than 50% of scores; not cutFY2026: score 0.2391, higher than 67% 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
FY20157.675085.5%cut
FY20166.250064.4%not cut
FY20176.530075.0%not cut
FY20180.133562.6%not cut
FY20190.361175.7%cut
FY20200.183066.3%not cut
FY20210.071858.2%not cut
FY20220.186168.2%not cut
FY2023no decision
FY20240.286370.6%not cut
FY2025−0.031050.0%not cut
FY20260.239167.4%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. 2 of its 6 infection measures ended lower than they started.
CLABSI 1.74 → 0.36 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 1.742CLABSI, 2018: 0.372CLABSI, 2019: 0.682CLABSI, 2021: 1.064CLABSI, 2022: 1.824CLABSI, 2023: 0.000CLABSI, 2024: 0.363 CAUTI 0.58 → 2.29 1 0 ’18’21’24 CAUTI, 2017: 0.578CAUTI, 2018: 0.582CAUTI, 2019: 0.273CAUTI, 2021: 0.488CAUTI, 2022: 0.788CAUTI, 2023: 0.871CAUTI, 2024: 2.290 SSI, colon 0.41 → 0.49 1 0 ’18’21’24 SSI, colon, 2017: 0.412SSI, colon, 2018: 0.000SSI, colon, 2019: 0.433SSI, colon, 2021: 0.328SSI, colon, 2022: 0.823SSI, colon, 2023: 1.469SSI, colon, 2024: 0.494 SSI, hysterectomy 0.33 → 0.56 1 0 ’18’21’24 SSI, hysterectomy, 2017: 0.329SSI, hysterectomy, 2018: 0.429SSI, hysterectomy, 2019: 0.556 MRSA 0.00 → 0.59 1 0 ’18’21’24 MRSA, 2017: 0.000MRSA, 2018: 0.588MRSA, 2019: 0.492MRSA, 2021: 0.450MRSA, 2022: 1.505MRSA, 2023: 0.546MRSA, 2024: 0.587 C. diff 0.97 → 0.34 1 0 ’18’21’24 C. diff, 2017: 0.973C. diff, 2018: 0.966C. diff, 2019: 1.242C. diff, 2021: 0.757C. diff, 2022: 0.485C. diff, 2023: 0.296C. diff, 2024: 0.338 CLABSI 1.74 → 0.36 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 1.742CLABSI, 2018: 0.372CLABSI, 2019: 0.682CLABSI, 2021: 1.064CLABSI, 2022: 1.824CLABSI, 2023: 0.000CLABSI, 2024: 0.363 CAUTI 0.58 → 2.29 1 0 ’18’20’22’24 CAUTI, 2017: 0.578CAUTI, 2018: 0.582CAUTI, 2019: 0.273CAUTI, 2021: 0.488CAUTI, 2022: 0.788CAUTI, 2023: 0.871CAUTI, 2024: 2.290 SSI, colon 0.41 → 0.49 1 0 ’18’20’22’24 SSI, colon, 2017: 0.412SSI, colon, 2018: 0.000SSI, colon, 2019: 0.433SSI, colon, 2021: 0.328SSI, colon, 2022: 0.823SSI, colon, 2023: 1.469SSI, colon, 2024: 0.494 SSI, hysterectomy 0.33 → 0.56 1 0 ’18’20’22’24 SSI, hysterectomy, 2017: 0.329SSI, hysterectomy, 2018: 0.429SSI, hysterectomy, 2019: 0.556 MRSA 0.00 → 0.59 1 0 ’18’20’22’24 MRSA, 2017: 0.000MRSA, 2018: 0.588MRSA, 2019: 0.492MRSA, 2021: 0.450MRSA, 2022: 1.505MRSA, 2023: 0.546MRSA, 2024: 0.587 C. diff 0.97 → 0.34 1 0 ’18’20’22’24 C. diff, 2017: 0.973C. diff, 2018: 0.966C. diff, 2019: 1.242C. diff, 2021: 0.757C. diff, 2022: 0.485C. diff, 2023: 0.296C. diff, 2024: 0.338

Source: CMS Care Compare, healthcare-associated infections by hospital, calendar years 2017 to 2024 (Provider Data Catalog archives; the oldest year through the Internet Archive’s copy).

Show table
Calendar yearCLABSICAUTISSI, colonSSI, hysterectomyMRSAC. diff
20171.7420.5780.4120.3290.0000.973
20180.3720.5820.0000.4290.5880.966
20190.6820.2730.4330.5560.4921.242
20211.0640.4880.3280.4500.757
20221.8240.7880.8231.5050.485
20230.0000.8711.4690.5460.296
20240.3632.2900.4940.5870.338

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 Colorado, its score is higher than 77% of the other 48 scored there.

In Denver-Aurora-Centennial, CO area, its score is higher than 84% of the other 19 scored there.

Figure 8. Its score is above the middle in all 8 groups it belongs to; the share cut runs from 5% (Denver-Aurora-Centennial, CO area) to 26% (West region).
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 Colorado: CMS cut 7 of 49 (14%); middle score −0.1239Colorado 49 hospitals14% cut Denver-Aurora-Centennial, CO area: CMS cut 1 of 20 (5%); middle score −0.1082Denver-Aurora-Centennial, CO area20 hospitals5% 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 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: 0.2391 This hospital 0.2391 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 Colorado: CMS cut 7 of 49 (14%); middle score −0.1239Colorado49 hospitals14% cut Denver-Aurora-Centennial, CO area: CMS cut 1 of 20 (5%); middle score −0.1082Denver-Aurora-Centennial, CO area20 hospitals5% 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 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: 0.2391 This hospital 0.2391

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%−0.045367%
West region59315726%−0.030265%
Colorado49714%−0.123977%
Denver-Aurora-Centennial, CO area2015%−0.108284%
Not teaching1,56338925%−0.105369%
100 to 299 beds1,19327523%−0.073268%
Nonprofit1,83047826%−0.013466%
Urban2,24151023%−0.057469%
This hospital0.2391
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 1 of the 8 nearest hospitals; the closest is 2 miles away.
5 mi10 mi8. The Medical Center of Aurora & South Hospital, Aurora: score 0.5599, cut, 11 miles87. HCA Healthone Rose, Denver: score −0.7646, not cut, 11 miles76. Saint Joseph Hospital, Denver: score −0.0708, not cut, 11 miles65. Denver Health & Hospital Authority, Denver: score 0.3659, not cut, 10 miles54. Sky Ridge Medical Center, Lone Tree: score 0.1607, not cut, 7 miles43. AdventHealth Porter, Denver: score −0.4066, not cut, 6 miles32. HCA-Healthone dba Swedish Medical Center, Englewood: score −0.4831, not cut, 5 miles21. UCHealth Highlands Ranch Hospital, Highlands Ranch: score −0.5996, not cut, 2 miles1This hospital: AdventHealth Littleton

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

Show table
HospitalMilesScoreDecision
UCHealth Highlands Ranch Hospital, Highlands Ranch, CO2−0.5996not cut
HCA-Healthone dba Swedish Medical Center, Englewood, CO5−0.4831not cut
AdventHealth Porter, Denver, CO6−0.4066not cut
Sky Ridge Medical Center, Lone Tree, CO70.1607not cut
Denver Health & Hospital Authority, Denver, CO100.3659not cut
Saint Joseph Hospital, Denver, CO11−0.0708not cut
HCA Healthone Rose, Denver, CO11−0.7646not cut
The Medical Center of Aurora & South Hospital, Aurora, CO110.5599cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1UCHealth Highlands Ranch HospitalHighlands Ranch, CO2−0.5996No cut$0Above the national median on 1 of 6 measures
2HCA-Healthone dba Swedish Medical CenterEnglewood, CO5−0.4831No cut$0Above the national median on 2 of 6 measures
3AdventHealth PorterDenver, CO6−0.4066No cut$0Above the national median on 1 of 6 measures
4Sky Ridge Medical CenterLone Tree, CO70.1607No cut$0Above the national median on 3 of 6 measures
5Denver Health & Hospital AuthorityDenver, CO100.3659No cut$0Above the national median on 6 of 6 measures
6Saint Joseph HospitalDenver, CO11−0.0708No cut$0Above the national median on 4 of 6 measures
7HCA Healthone RoseDenver, CO11−0.7646No cut$0Above the national median on 0 of 6 measures
8The Medical Center of Aurora & South HospitalAurora, CO110.55991% cut$507KAbove the national median on 4 of 6 measures

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

How the program works, and how to find another hospital

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

Cite this page

Paid & Penalized. AdventHealth Littleton, Littleton, CO: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/060113/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.