P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalShands Jacksonville Estimated FY2026 net: −$6K×

Hospital record · FY2026CCN 100001

1Hospital

Shands Jacksonville

2Location

Jacksonville, FL (Florida’s hospitals on the map and in the table) 32209

Duval County

3Type

Major teaching · 715 beds · Nonprofit · Urban · Rural referral center

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

0.1609

As CMS reports it

6Payment reduction

No cut
CMS’s value: No

7Estimated cut

$0
A cut would have been $1.2M, likely $994K⁠–⁠$1.3M estimate

No cut

$0

from this program

For fiscal year 2026, CMS reports a Total HAC Score of 0.1609 for Shands Jacksonville and a payment reduction decision of No.

A cut would have taken about $1.2M estimate 1% of about $122M, 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 0.2190 under 0.3799, the lowest score CMS cut.

Likely range $994K–$1.3M

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: 0.1609 This hospital 0.1609 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: 0.1609 This hospital 0.1609

Higher than 62% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Cut in 10 of 11 years

  1. 15Cut
  2. 16Cut
  3. 17Cut
  4. 18Cut
  5. 19Cut
  6. 20Cut
  7. 21Cut
  8. 22Cut
  9. 23—
  10. 24Cut
  11. 25Cut
  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 MRSA down to the national median (0.641) would lower the score the most: by 0.1310, to 0.0299. Try it in the what-if

Figure 1. Of its 6 measures with a value, this hospital is above the national median on 5; MRSA 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 72% 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 value1.0395

    Z-score0.3565

    Part of score+0.0594

  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

    Worse than 59% of the other 2,181 hospitals

    CMS value0.664

    Z-score0.1339

    Part of score+0.0223

  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

    Worse than 62% of the other 2,354 hospitals

    CMS value0.610

    Z-score0.1518

    Part of score+0.0253

  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 63% of the other 2,269 hospitals

    CMS value0.605

    Z-score−0.4201

    Part of score−0.0700

  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

    Worse than 57% 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 value0.397

    Z-score0.0750

    Part of score+0.0125

  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.

    added the most

    MRSA bloodstream infections

    Worse than 77% of the other 2,067 hospitals

    CMS value1.017

    Z-score0.6682

    Part of score+0.1114

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 901.03950.96230.3565+0.0594Worse than 72% of the other 2,808 hospitals
CLABSI0.6640.5590.1339+0.0223Worse than 59% of the other 2,181 hospitals
CAUTI0.6100.4890.1518+0.0253Worse than 62% of the other 2,354 hospitals
SSI0.6050.795−0.4201−0.0700Better than 63% of the other 2,269 hospitals
CDI0.3970.3460.0750+0.0125Worse than 57% of the other 2,766 hospitals
MRSA1.0170.6410.6682+0.1114Worse than 77% 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.

(0.3565PSI 90+0.1339CLABSI+0.1518CAUTI−0.4201SSI+0.0750CDI+0.6682MRSA)÷6measures=0.1609Total HAC Score

This hospital’s score is 0.2190 below 0.3799, the lowest score CMS marked Yes. (This site recomputes.)

Figure 2. The parts add up to 0.1609, below CMS’s line.
1% cut PSI 90: z‑score 0.3565 divided by 6 = +0.0594PSI 90+0.0594 CLABSI: z‑score 0.1339 divided by 6 = +0.0223CLABSI+0.0223 CAUTI: z‑score 0.1518 divided by 6 = +0.0253CAUTI+0.0253 SSI: z‑score −0.4201 divided by 6 = −0.0700SSI−0.0700 CDI: z‑score 0.0750 divided by 6 = +0.0125CDI+0.0125 MRSA: z‑score 0.6682 divided by 6 = +0.1114MRSA+0.1114 Total HAC Score: 0.1609Score0.1609 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.10.20.30.4 1% cut PSI 90: z‑score 0.3565 divided by 6 = +0.0594PSI 90+0.0594 CLABSI: z‑score 0.1339 divided by 6 = +0.0223CLABSI+0.0223 CAUTI: z‑score 0.1518 divided by 6 = +0.0253CAUTI+0.0253 SSI: z‑score −0.4201 divided by 6 = −0.0700SSI−0.0700 CDI: z‑score 0.0750 divided by 6 = +0.0125CDI+0.0125 MRSA: z‑score 0.6682 divided by 6 = +0.1114MRSA+0.1114 Total HAC Score: 0.1609Score0.1609 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.10.20.30.4

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 900.3565+0.05940.0594
CLABSI0.1339+0.02230.0817
CAUTI0.1518+0.02530.1070
SSI−0.4201−0.07000.0370
CDI0.0750+0.01250.0495
MRSA0.6682+0.11140.1609
Total HAC Score0.1609
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, 0.2190 under the lowest score CMS cut, costs it nothing; 0.2190 higher, the cut would have been about $1.2M 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 $1.2M at any score from 0.3799 $0at any score up to 0.3792 $1.2M at any score from 0.3799 −1012 CMS’s highest score: 2.3133 CMS’s highest score 2.3133 This hospital: 0.1609 This hospital 0.1609 CMS’s line $0 at any score up to 0.3792 $1.2M at any score from 0.3799 $0at any score up to 0.3792 $1.2Mat 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: 0.1609 This hospital 0.1609

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−$1,220,365
This hospital0.1609$0
CMS’s highest score2.3133−$1,220,365

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.

($92,797,830payment+$29,244,785teaching, MA stays−$53,903readmissions+$47,796value-based)×1%the cut=$1,220,365at stake

$1,220,365at stake÷3,837traditional Medicare stays=$318per traditional Medicare stay

Figure 4. No HAC cut this year; 1% of the hospital’s whole inpatient payment would have been about $1.2M by this site’s estimate. The readmissions and value-based adjustments, on the base alone, came to −$54K and +$48K.

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 $49,002,813
Teaching (indirect medical education) $17,395,999
Teaching on Medicare Advantage stays $29,244,785
Many low-income patients (disproportionate share) $2,732,397
Outliers: unusually costly stays $1,688,637
Capital: buildings and equipment $5,147,940
Uncompensated care $16,830,044
Total, before the three programs $122,042,615
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9989 − 1) −$53,903
Value-based purchasing (HVBP) base × (1.0010 − 1) +$47,796
After these two $122,036,508
HAC Reduction Program no cut; 1% would have been $1,220,365 $0
Net of the three programs likely −$7K to −$5K −$6,107

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)$49,002,813
Teaching (indirect medical education)$17,395,999
Teaching on Medicare Advantage stays$29,244,785
Many low-income patients (disproportionate share)$2,732,397
Outliers: unusually costly stays$1,688,637
Capital: buildings and equipment$5,147,940
Uncompensated care$16,830,044
Total, before the three programs$122,042,615
Readmissions (HRRP) (base × (0.9989 − 1))−$53,903
Value-based purchasing (HVBP) (base × (1.0010 − 1))+$47,796
After these two$122,036,508
HAC Reduction Program (no cut; 1% would have been $1,220,365)$0
Net of the three programs (likely −$7K to −$5K)−$6,107

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 Score0.1609same
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 0.1609 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 $1.2M 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 1.2270
CLABSIup to 1.228
CAUTIup to 1.153
SSIup to 1.369
CDIup to 0.735
MRSAup to 1.643

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 1.0395 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 0.664 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.610 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 0.605 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.397 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 1.017 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

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Figure 5. MRSA added the most to this hospital’s Total HAC Score of 0.1609 among its measured results: +0.1114.
  • PSI 90 +0.0594
  • CLABSI +0.0223
  • CAUTI +0.0253
  • SSI −0.0700
  • CDI +0.0125
  • MRSA +0.1114

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 900.3565+0.0594same
CLABSI0.1339+0.0223same
CAUTI0.1518+0.0253same
SSI−0.4201−0.0700same
CDI0.0750+0.0125same
MRSA0.6682+0.1114same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/100001/

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 8 years in a row.

Figure 6. CMS cut this hospital in 10 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 9.0250, higher than 97% of scores; cutFY2016: score 10.0000, higher than 99% of scores; cutFY2017: score 9.6600, higher than 99% of scores; cutFY2018: score 1.2676, higher than 96% of scores; cutFY2019: score 1.1722, higher than 95% of scores; cutFY2020: score 0.9442, higher than 94% of scores; cutFY2021: score 0.9063, higher than 94% of scores; cutFY2022: score 0.8855, higher than 93% of scores; cutFY2024: score 0.4528, higher than 78% of scores; cutFY2025: score 0.4858, higher than 80% of scores; cutFY2026: score 0.1609, higher than 62% of scores; not cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 9.0250, higher than 97% of scores; cutFY2016: score 10.0000, higher than 99% of scores; cutFY2017: score 9.6600, higher than 99% of scores; cutFY2018: score 1.2676, higher than 96% of scores; cutFY2019: score 1.1722, higher than 95% of scores; cutFY2020: score 0.9442, higher than 94% of scores; cutFY2021: score 0.9063, higher than 94% of scores; cutFY2022: score 0.8855, higher than 93% of scores; cutFY2024: score 0.4528, higher than 78% of scores; cutFY2025: score 0.4858, higher than 80% of scores; cutFY2026: score 0.1609, higher than 62% 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
FY20159.025097.2%cut
FY201610.000099.6%cut
FY20179.660099.2%cut
FY20181.267696.4%cut
FY20191.172295.9%cut
FY20200.944294.8%cut
FY20210.906394.3%cut
FY20220.885593.2%cut
FY2023no decision
FY20240.452878.4%cut
FY20250.485880.7%cut
FY20260.160962.4%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. 6 of its 6 infection measures ended lower than they started.
CLABSI 1.84 → 0.57 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 1.845CLABSI, 2018: 1.277CLABSI, 2019: 1.832CLABSI, 2021: 1.726CLABSI, 2022: 1.108CLABSI, 2023: 0.760CLABSI, 2024: 0.569 CAUTI 1.85 → 0.56 1 0 ’18’21’24 CAUTI, 2017: 1.849CAUTI, 2018: 1.279CAUTI, 2019: 1.044CAUTI, 2021: 1.231CAUTI, 2022: 0.666CAUTI, 2023: 0.666CAUTI, 2024: 0.557 SSI, colon 2.10 → 0.54 1 0 ’18’21’24 SSI, colon, 2017: 2.095SSI, colon, 2018: 1.486SSI, colon, 2019: 2.446SSI, colon, 2021: 0.969SSI, colon, 2022: 0.848SSI, colon, 2023: 0.778SSI, colon, 2024: 0.535 SSI, hysterectomy 0.62 → 0.00 1 0 ’18’21’24 SSI, hysterectomy, 2017: 0.623SSI, hysterectomy, 2018: 0.709SSI, hysterectomy, 2019: 3.286SSI, hysterectomy, 2021: 0.000SSI, hysterectomy, 2022: 0.821SSI, hysterectomy, 2023: 0.885SSI, hysterectomy, 2024: 0.000 MRSA 1.28 → 0.66 1 0 ’18’21’24 MRSA, 2017: 1.277MRSA, 2018: 1.028MRSA, 2019: 0.803MRSA, 2021: 2.485MRSA, 2022: 1.923MRSA, 2023: 1.366MRSA, 2024: 0.661 C. diff 0.81 → 0.38 1 0 ’18’21’24 C. diff, 2017: 0.811C. diff, 2018: 0.893C. diff, 2019: 0.826C. diff, 2021: 0.526C. diff, 2022: 0.432C. diff, 2023: 0.415C. diff, 2024: 0.381 CLABSI 1.84 → 0.57 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 1.845CLABSI, 2018: 1.277CLABSI, 2019: 1.832CLABSI, 2021: 1.726CLABSI, 2022: 1.108CLABSI, 2023: 0.760CLABSI, 2024: 0.569 CAUTI 1.85 → 0.56 1 0 ’18’20’22’24 CAUTI, 2017: 1.849CAUTI, 2018: 1.279CAUTI, 2019: 1.044CAUTI, 2021: 1.231CAUTI, 2022: 0.666CAUTI, 2023: 0.666CAUTI, 2024: 0.557 SSI, colon 2.10 → 0.54 1 0 ’18’20’22’24 SSI, colon, 2017: 2.095SSI, colon, 2018: 1.486SSI, colon, 2019: 2.446SSI, colon, 2021: 0.969SSI, colon, 2022: 0.848SSI, colon, 2023: 0.778SSI, colon, 2024: 0.535 SSI, hysterectomy 0.62 → 0.00 1 0 ’18’20’22’24 SSI, hysterectomy, 2017: 0.623SSI, hysterectomy, 2018: 0.709SSI, hysterectomy, 2019: 3.286SSI, hysterectomy, 2021: 0.000SSI, hysterectomy, 2022: 0.821SSI, hysterectomy, 2023: 0.885SSI, hysterectomy, 2024: 0.000 MRSA 1.28 → 0.66 1 0 ’18’20’22’24 MRSA, 2017: 1.277MRSA, 2018: 1.028MRSA, 2019: 0.803MRSA, 2021: 2.485MRSA, 2022: 1.923MRSA, 2023: 1.366MRSA, 2024: 0.661 C. diff 0.81 → 0.38 1 0 ’18’20’22’24 C. diff, 2017: 0.811C. diff, 2018: 0.893C. diff, 2019: 0.826C. diff, 2021: 0.526C. diff, 2022: 0.432C. diff, 2023: 0.415C. diff, 2024: 0.381

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
20171.8451.8492.0950.6231.2770.811
20181.2771.2791.4860.7091.0280.893
20191.8321.0442.4463.2860.8030.826
20211.7261.2310.9690.0002.4850.526
20221.1080.6660.8480.8211.9230.432
20230.7600.6660.7780.8851.3660.415
20240.5690.5570.5350.0000.6610.381

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 Florida, its score is higher than 79% of the other 164 scored there.

In Jacksonville, FL area, its score is higher than 91% of the other 12 scored there.

Figure 8. Its score is above the middle in 7 of the 8 groups it belongs to; the share cut runs from 0% (Jacksonville, FL area) to 32% (Major teaching).
All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals 2,886 hospitals25% cut South region: CMS cut 263 of 1,174 (22%); middle score −0.1056South region 1,174 hospitals22% cut Florida: CMS cut 18 of 165 (11%); middle score −0.1935Florida 165 hospitals11% cut Jacksonville, FL area: CMS cut 0 of 13 (0%); middle score −0.2826Jacksonville, FL area 13 hospitals0% cut Major teaching: CMS cut 136 of 424 (32%); middle score 0.1780Major teaching 424 hospitals32% cut 500 beds and up: CMS cut 105 of 365 (29%); middle score 0.1323500 beds and up 365 hospitals29% 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: 0.1609 This hospital 0.1609 All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals2,886 hospitals25% cut South region: CMS cut 263 of 1,174 (22%); middle score −0.1056South region1,174 hospitals22% cut Florida: CMS cut 18 of 165 (11%); middle score −0.1935Florida165 hospitals11% cut Jacksonville, FL area: CMS cut 0 of 13 (0%); middle score −0.2826Jacksonville, FL area13 hospitals0% cut Major teaching: CMS cut 136 of 424 (32%); middle score 0.1780Major teaching424 hospitals32% cut 500 beds and up: CMS cut 105 of 365 (29%); middle score 0.1323500 beds and up365 hospitals29% 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: 0.1609 This hospital 0.1609

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%−0.045362%
South region1,17426322%−0.105665%
Florida1651811%−0.193579%
Jacksonville, FL area1300%−0.282691%
Major teaching42413632%0.178048%
500 beds and up36510529%0.132352%
Nonprofit1,83047826%−0.013461%
Urban2,24151023%−0.057464%
This hospital0.1609
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 none of the 8 nearest hospitals; the closest is 2 miles away.
5 mi10 mi8. Ascension St Vincent's St Johns County, St. Johns: score −0.8982, not cut, 19 miles87. Baptist Medical Center Beaches, Jacksonville Beach: score −0.4650, not cut, 17 miles76. Mayo Clinic, Jacksonville: score −0.2826, not cut, 15 miles65. HCA Florida Orange Park Hospital, Orange Park: score −0.0022, not cut, 13 miles54. Ascension St Vincent's Southside, Jacksonville: score −0.4089, not cut, 8 miles43. HCA Florida Memorial Hospital, Jacksonville: score −0.1935, not cut, 6 miles32. Ascension St Vincent's Riverside, Jacksonville: score −0.1440, not cut, 2 miles21. Baptist Health Medical Center - Jacksonville, Jacksonville: score 0.2499, not cut, 2 miles1This hospital: Shands Jacksonville

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

Show table
HospitalMilesScoreDecision
Baptist Health Medical Center - Jacksonville, Jacksonville, FL20.2499not cut
Ascension St Vincent's Riverside, Jacksonville, FL2−0.1440not cut
HCA Florida Memorial Hospital, Jacksonville, FL6−0.1935not cut
Ascension St Vincent's Southside, Jacksonville, FL8−0.4089not cut
HCA Florida Orange Park Hospital, Orange Park, FL13−0.0022not cut
Mayo Clinic, Jacksonville, FL15−0.2826not cut
Baptist Medical Center Beaches, Jacksonville Beach, FL17−0.4650not cut
Ascension St Vincent's St Johns County, St. Johns, FL19−0.8982not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Baptist Health Medical Center - JacksonvilleJacksonville, FL20.2499No cut$0Above the national median on 4 of 6 measures
2Ascension St Vincent's RiversideJacksonville, FL2−0.1440No cut$0Above the national median on 2 of 6 measures
3HCA Florida Memorial HospitalJacksonville, FL6−0.1935No cut$0Above the national median on 2 of 6 measures
4Ascension St Vincent's SouthsideJacksonville, FL8−0.4089No cut$0Above the national median on 1 of 6 measures
5HCA Florida Orange Park HospitalOrange Park, FL13−0.0022No cut$0Above the national median on 4 of 6 measures
6Mayo ClinicJacksonville, FL15−0.2826No cut$0Above the national median on 1 of 6 measures
7Baptist Medical Center BeachesJacksonville Beach, FL17−0.4650No cut$0Above the national median on 2 of 6 measures
8Ascension St Vincent's St Johns CountySt. Johns, FL19−0.8982No cut$0Above the national median on 0 of 2 measures

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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. Shands Jacksonville, Jacksonville, FL: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/100001/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.