P&P, Paid & Penalized

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HospitalHCA Florida North Florida Hospital Estimated FY2026 net: −$692K×

Hospital record · FY2026CCN 100204

1Hospital

HCA Florida North Florida Hospital

2Location

Gainesville, FL (Florida’s hospitals on the map and in the table) 32605

Alachua County

3Type

Major teaching · 528 beds · For-profit · 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

−0.5968

As CMS reports it

6Payment reduction

No cut
CMS’s value: No

7Estimated cut

$0
A cut would have been $1.5M, likely $1.2⁠–⁠1.6M estimate

No cut

$0

from this program

For fiscal year 2026, CMS reports a Total HAC Score of −0.5968 for HCA Florida North Florida Hospital and a payment reduction decision of No.

A cut would have taken about $1.5M estimate 1% of about $150M, 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 0.9767 under 0.3799, the lowest score CMS cut.

Likely range $1.2–1.6M

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: −0.5968 This hospital −0.5968 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: −0.5968 This hospital −0.5968

Higher than 15% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Cut in 4 of 11 years

  1. 15No
  2. 16Cut
  3. 17Cut
  4. 18Cut
  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 SSI down to the national median (0.795) would lower the score the most: by 0.0423, to −0.6391. Try it in the what-if

Figure 1. Of its 6 measures with a value, this hospital is above the national median on 3; SSI 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 99% 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 value0.6557

    Z-score−1.4834

    Part of score−0.2472

  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 84% of the other 2,181 hospitals

    CMS value0.126

    Z-score−1.1142

    Part of score−0.1857

  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 51% of the other 2,354 hospitals

    CMS value0.503

    Z-score−0.1061

    Part of score−0.0177

  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.

    added the most

    Surgical site infections after colon surgery or abdominal hysterectomy

    Worse than 60% of the other 2,269 hospitals

    CMS value0.943

    Z-score0.1589

    Part of score+0.0265

  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 84% 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 value0.115

    Z-score−1.0169

    Part of score−0.1695

  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

    Worse than 54% of the other 2,067 hospitals

    CMS value0.688

    Z-score−0.0194

    Part of score−0.0032

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 900.65570.9623−1.4834−0.2472Better than 99% of the other 2,808 hospitals
CLABSI0.1260.559−1.1142−0.1857Better than 84% of the other 2,181 hospitals
CAUTI0.5030.489−0.1061−0.0177Worse than 51% of the other 2,354 hospitals
SSI0.9430.7950.1589+0.0265Worse than 60% of the other 2,269 hospitals
CDI0.1150.346−1.0169−0.1695Better than 84% of the other 2,766 hospitals
MRSA0.6880.641−0.0194−0.0032Worse than 54% 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.

(−1.4834PSI 90−1.1142CLABSI−0.1061CAUTI+0.1589SSI−1.0169CDI−0.0194MRSA)÷6measures=−0.5968Total HAC Score

Added from the rounded z‑scores CMS published, the parts make −0.5969; CMS reports −0.5968. The small difference is rounding.

This hospital’s score is 0.9767 below 0.3799, the lowest score CMS marked Yes. (This site recomputes.)

Figure 2. The parts add up to −0.5968, below CMS’s line.
1% cut PSI 90: z‑score −1.4834 divided by 6 = −0.2472PSI 90−0.2472 CLABSI: z‑score −1.1142 divided by 6 = −0.1857CLABSI−0.1857 CAUTI: z‑score −0.1061 divided by 6 = −0.0177CAUTI−0.0177 SSI: z‑score 0.1589 divided by 6 = +0.0265SSI+0.0265 CDI: z‑score −1.0169 divided by 6 = −0.1695CDI−0.1695 MRSA: z‑score −0.0194 divided by 6 = −0.0032MRSA−0.0032 Total HAC Score: −0.5968Score−0.5968 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 −1.4834 divided by 6 = −0.2472PSI 90−0.2472 CLABSI: z‑score −1.1142 divided by 6 = −0.1857CLABSI−0.1857 CAUTI: z‑score −0.1061 divided by 6 = −0.0177CAUTI−0.0177 SSI: z‑score 0.1589 divided by 6 = +0.0265SSI+0.0265 CDI: z‑score −1.0169 divided by 6 = −0.1695CDI−0.1695 MRSA: z‑score −0.0194 divided by 6 = −0.0032MRSA−0.0032 Total HAC Score: −0.5968Score−0.5968 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 90−1.4834−0.2472−0.2472
CLABSI−1.1142−0.1857−0.4329
CAUTI−0.1061−0.0177−0.4506
SSI0.1589+0.0265−0.4241
CDI−1.0169−0.1695−0.5936
MRSA−0.0194−0.0032−0.5968
Total HAC Score−0.5968
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, 0.9767 under the lowest score CMS cut, costs it nothing; 0.9767 higher, the cut would have been about $1.5M 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 $1.5M at any score from 0.3799 $0at any score up to 0.3792 $1.5M at any score from 0.3799 −1012 CMS’s highest score: 2.3133 CMS’s highest score 2.3133 This hospital: −0.5968 This hospital −0.5968 CMS’s line $0 at any score up to 0.3792 $1.5M at any score from 0.3799 $0at any score up to 0.3792 $1.5Mat 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: −0.5968 This hospital −0.5968

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−$1,502,048
This hospital−0.5968$0
CMS’s highest score2.3133−$1,502,048

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.

($134,527,036payment+$16,370,189teaching, MA stays−$197,814readmissions−$494,652value-based)×1%the cut=$1,502,048at stake

$1,502,048at stake÷7,963traditional Medicare stays=$189per traditional Medicare stay

Figure 4. No HAC cut this year; 1% of the hospital’s whole inpatient payment would have been about $1.5M by this site’s estimate. The readmissions and value-based adjustments, on the base alone, came to −$198K and −$495K.

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 $98,907,117
Teaching (indirect medical education) $17,038,729
Teaching on Medicare Advantage stays $16,370,189
Many low-income patients (disproportionate share) $2,922,705
Outliers: unusually costly stays $286,831
Capital: buildings and equipment $9,124,021
Uncompensated care $6,247,633
Total, before the three programs $150,897,225
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9980 − 1) −$197,814
Value-based purchasing (HVBP) base × (0.9950 − 1) −$494,652
After these two $150,204,759
HAC Reduction Program no cut; 1% would have been $1,502,048 $0
Net of the three programs likely −$758K to −$599K −$692,466

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)$98,907,117
Teaching (indirect medical education)$17,038,729
Teaching on Medicare Advantage stays$16,370,189
Many low-income patients (disproportionate share)$2,922,705
Outliers: unusually costly stays$286,831
Capital: buildings and equipment$9,124,021
Uncompensated care$6,247,633
Total, before the three programs$150,897,225
Readmissions (HRRP) (base × (0.9980 − 1))−$197,814
Value-based purchasing (HVBP) (base × (0.9950 − 1))−$494,652
After these two$150,204,759
HAC Reduction Program (no cut; 1% would have been $1,502,048)$0
Net of the three programs (likely −$758K to −$599K)−$692,466

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−0.5968same
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 −0.5968 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 $1.5M 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
CAUTIany value: every CAUTI value past the cap (1.537) scores the same
SSIany value: every SSI value past the cap (2.118) scores the same
CDIany value: every CDI value past the cap (0.944) scores the same
MRSAany value: every MRSA value past the cap (1.762) scores the same

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 0.6557 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 0.126 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.503 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 0.943 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.115 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 0.688 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

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Figure 5. SSI added the most to this hospital’s Total HAC Score of −0.5968 among its measured results: +0.0265.
  • PSI 90 −0.2472
  • CLABSI −0.1857
  • CAUTI −0.0177
  • SSI +0.0265
  • CDI −0.1695
  • MRSA −0.0032

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 90−1.4834−0.2472same
CLABSI−1.1142−0.1857same
CAUTI−0.1061−0.0177same
SSI0.1589+0.0265same
CDI−1.0169−0.1695same
MRSA−0.0194−0.0032same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/100204/

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 4 years in a row.

Figure 6. CMS cut this hospital in 4 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 6.5250, higher than 66% of scores; not cutFY2016: score 7.2500, higher than 81% of scores; cutFY2017: score 7.6300, higher than 91% of scores; cutFY2018: score 0.8258, higher than 91% of scores; cutFY2019: score 0.3431, higher than 74% of scores; cutFY2020: score −0.1109, higher than 43% of scores; not cutFY2021: score −0.2186, higher than 36% of scores; not cutFY2022: score −0.3209, higher than 29% of scores; not cutFY2024: score −0.7685, higher than 9% of scores; not cutFY2025: score −0.7199, higher than 11% of scores; not cutFY2026: score −0.5968, higher than 15% of scores; not cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 6.5250, higher than 66% of scores; not cutFY2016: score 7.2500, higher than 81% of scores; cutFY2017: score 7.6300, higher than 91% of scores; cutFY2018: score 0.8258, higher than 91% of scores; cutFY2019: score 0.3431, higher than 74% of scores; cutFY2020: score −0.1109, higher than 43% of scores; not cutFY2021: score −0.2186, higher than 36% of scores; not cutFY2022: score −0.3209, higher than 29% of scores; not cutFY2024: score −0.7685, higher than 9% of scores; not cutFY2025: score −0.7199, higher than 11% of scores; not cutFY2026: score −0.5968, higher than 15% 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
FY20156.525066.5%not cut
FY20167.250081.2%cut
FY20177.630091.0%cut
FY20180.825891.1%cut
FY20190.343174.7%cut
FY2020−0.110943.5%not cut
FY2021−0.218636.0%not cut
FY2022−0.320929.6%not cut
FY2023no decision
FY2024−0.76859.5%not cut
FY2025−0.719911.0%not cut
FY2026−0.596815.5%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. 4 of its 6 infection measures ended lower than they started.
CLABSI 1.59 → 0.24 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 1.588CLABSI, 2018: 0.809CLABSI, 2019: 0.564CLABSI, 2021: 0.424CLABSI, 2022: 0.420CLABSI, 2023: 0.000CLABSI, 2024: 0.241 CAUTI 1.18 → 0.44 1 0 ’18’21’24 CAUTI, 2017: 1.182CAUTI, 2018: 1.038CAUTI, 2019: 0.581CAUTI, 2021: 0.784CAUTI, 2022: 0.366CAUTI, 2023: 0.565CAUTI, 2024: 0.442 SSI, colon 0.28 → 0.83 1 0 ’18’21’24 SSI, colon, 2017: 0.277SSI, colon, 2018: 0.364SSI, colon, 2019: 0.630SSI, colon, 2021: 1.104SSI, colon, 2022: 0.685SSI, colon, 2023: 0.716SSI, colon, 2024: 0.826 SSI, hysterectomy 0.00 → 1.80 1 0 ’18’21’24 SSI, hysterectomy, 2017: 0.000SSI, hysterectomy, 2018: 0.000SSI, hysterectomy, 2019: 0.662SSI, hysterectomy, 2021: 1.702SSI, hysterectomy, 2022: 0.000SSI, hysterectomy, 2023: 2.357SSI, hysterectomy, 2024: 1.797 MRSA 0.84 → 0.48 1 0 ’18’21’24 MRSA, 2017: 0.838MRSA, 2018: 0.698MRSA, 2019: 0.742MRSA, 2021: 1.008MRSA, 2022: 0.593MRSA, 2023: 0.906MRSA, 2024: 0.484 C. diff 0.68 → 0.10 1 0 ’18’21’24 C. diff, 2017: 0.682C. diff, 2018: 0.779C. diff, 2019: 0.656C. diff, 2021: 0.174C. diff, 2022: 0.166C. diff, 2023: 0.130C. diff, 2024: 0.102 CLABSI 1.59 → 0.24 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 1.588CLABSI, 2018: 0.809CLABSI, 2019: 0.564CLABSI, 2021: 0.424CLABSI, 2022: 0.420CLABSI, 2023: 0.000CLABSI, 2024: 0.241 CAUTI 1.18 → 0.44 1 0 ’18’20’22’24 CAUTI, 2017: 1.182CAUTI, 2018: 1.038CAUTI, 2019: 0.581CAUTI, 2021: 0.784CAUTI, 2022: 0.366CAUTI, 2023: 0.565CAUTI, 2024: 0.442 SSI, colon 0.28 → 0.83 1 0 ’18’20’22’24 SSI, colon, 2017: 0.277SSI, colon, 2018: 0.364SSI, colon, 2019: 0.630SSI, colon, 2021: 1.104SSI, colon, 2022: 0.685SSI, colon, 2023: 0.716SSI, colon, 2024: 0.826 SSI, hysterectomy 0.00 → 1.80 1 0 ’18’20’22’24 SSI, hysterectomy, 2017: 0.000SSI, hysterectomy, 2018: 0.000SSI, hysterectomy, 2019: 0.662SSI, hysterectomy, 2021: 1.702SSI, hysterectomy, 2022: 0.000SSI, hysterectomy, 2023: 2.357SSI, hysterectomy, 2024: 1.797 MRSA 0.84 → 0.48 1 0 ’18’20’22’24 MRSA, 2017: 0.838MRSA, 2018: 0.698MRSA, 2019: 0.742MRSA, 2021: 1.008MRSA, 2022: 0.593MRSA, 2023: 0.906MRSA, 2024: 0.484 C. diff 0.68 → 0.10 1 0 ’18’20’22’24 C. diff, 2017: 0.682C. diff, 2018: 0.779C. diff, 2019: 0.656C. diff, 2021: 0.174C. diff, 2022: 0.166C. diff, 2023: 0.130C. diff, 2024: 0.102

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
20171.5881.1820.2770.0000.8380.682
20180.8091.0380.3640.0000.6980.779
20190.5640.5810.6300.6620.7420.656
20210.4240.7841.1041.7021.0080.174
20220.4200.3660.6850.0000.5930.166
20230.0000.5650.7162.3570.9060.130
20240.2410.4420.8261.7970.4840.102

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 17% of the other 164 scored there.

Figure 8. Its score is below the middle in all 7 groups it belongs to; the share cut runs from 11% (Florida) 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 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 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: −0.5968 This hospital −0.5968 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 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 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: −0.5968 This hospital −0.5968

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%−0.045315%
South region1,17426322%−0.105618%
Florida1651811%−0.193517%
Major teaching42413632%0.17806%
500 beds and up36510529%0.13233%
For-profit6519815%−0.259027%
Urban2,24151023%−0.057414%
This hospital−0.5968
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 4 miles away.
10 mi25 mi50 mi8. Tampa General Hospital Crystal River, Crystal River: score −0.4926, not cut, 51 miles87. Ed Fraser Memorial Hospital, Macclenny: score −1.4622, not cut, 47 miles76. HCA Florida Putnam Hospital, Palatka: score 0.3408, not cut, 43 miles65. Ascension St Vincent's Clay County, Middleburg: score −0.5465, not cut, 43 miles54. HCA Florida Lake City Hospital, Lake City: score −0.5611, not cut, 39 miles43. AdventHealth Ocala, Ocala: score −1.2350, not cut, 37 miles32. Marion Communtiy Hospital, Ocala: score −0.4425, not cut, 37 miles21. UF Health Shands Hospital, Gainesville: score −0.0648, not cut, 4 miles1This hospital: HCA Florida North Florida Hospital

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

Show table
HospitalMilesScoreDecision
UF Health Shands Hospital, Gainesville, FL4−0.0648not cut
Marion Communtiy Hospital, Ocala, FL37−0.4425not cut
AdventHealth Ocala, Ocala, FL37−1.2350not cut
HCA Florida Lake City Hospital, Lake City, FL39−0.5611not cut
Ascension St Vincent's Clay County, Middleburg, FL43−0.5465not cut
HCA Florida Putnam Hospital, Palatka, FL430.3408not cut
Ed Fraser Memorial Hospital, Macclenny, FL47−1.4622not cut
Tampa General Hospital Crystal River, Crystal River, FL51−0.4926not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1UF Health Shands HospitalGainesville, FL4−0.0648No cut$0Above the national median on 3 of 6 measures
2Marion Communtiy HospitalOcala, FL37−0.4425No cut$0Above the national median on 1 of 6 measures
3AdventHealth OcalaOcala, FL37−1.2350No cut$0Above the national median on 0 of 6 measures
4HCA Florida Lake City HospitalLake City, FL39−0.5611No cut$0Above the national median on 2 of 6 measures
5Ascension St Vincent's Clay CountyMiddleburg, FL43−0.5465No cut$0Above the national median on 1 of 6 measures
6HCA Florida Putnam HospitalPalatka, FL430.3408No cut$0Above the national median on 4 of 6 measures
7Ed Fraser Memorial HospitalMacclenny, FL47−1.4622No cut$0Above the national median on 0 of 1 measures
8Tampa General Hospital Crystal RiverCrystal River, FL51−0.4926No cut$0Above the national median on 2 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. HCA Florida North Florida Hospital, Gainesville, FL: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/100204/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.