P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalAdventHealth Palm Coast Parkway Estimated FY2026 net: +$328K×

Hospital record · FY2026CCN 100363

1Hospital

AdventHealth Palm Coast Parkway

2Location

Palm Coast, FL (Florida’s hospitals on the map and in the table) 32137

Flagler County

3Type

Not a teaching hospital · 100 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

−1.3281

As CMS reports it

6Payment reduction

No cut
CMS’s value: No

7Estimated cut

$0
A cut would have been $190K, likely $145⁠–⁠239K estimate

No cut

$0

from this program

For fiscal year 2026, CMS reports a Total HAC Score of −1.3281 for AdventHealth Palm Coast Parkway and a payment reduction decision of No.

A cut would have taken about $190K estimate 1% of about $19.0M, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year. Its score was 1.7080 under 0.3799, the lowest score CMS cut.

Likely range $145–239K

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: −1.3281 This hospital −1.3281 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: −1.3281 This hospital −1.3281

Higher than 1% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Never cut in 2 years

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

In FY2025, CMS reports a payment reduction decision for this hospital but no Total HAC Score.

Where the score came from

CMS scored this hospital on 2 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.

None of the measures CMS scored it on is above the national median, so no single measure at the median would lower its score.

Figure 1. Of its 2 measures with a value, this hospital is above the national median on 0.
  • 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

    Not scored on this measure

    CMS footnote 5: Results are not available for this reporting period.

    CMS valueno value published

    Z-scoreno value published

    Part of scoreno value published

  2. CLABSI (what it counts)

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

    Central line–associated bloodstream infections

    Not scored on this measure

    CMS footnote 13: Results cannot be calculated for this reporting period.

    CMS footnote 5: Results are not available for this reporting period.

    CMS valueno value published

    Z-scoreno value published

    Part of scoreno value published

  3. CAUTI (what it counts)

    Urinary tract infections that start from a urinary catheter, a tube that drains the bladder. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Catheter-associated urinary tract 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

  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 88% 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 value0.068

    Z-score−1.1989

    Part of score−0.5995

  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 87% of the other 2,067 hospitals

    CMS value0.000

    Z-score−1.4573

    Part of score−0.7287

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 90no value published0.9623no value publishedno value publishedNot scored on this measure
CLABSIno value published0.559no value publishedno value publishedNot scored on this measure
CAUTIno value published0.489no value publishedno value publishedNot scored on this measure
SSIno value published0.795no value publishedno value publishedNot scored on this measure
CDI0.0680.346−1.1989−0.5995Better than 88% of the other 2,766 hospitals
MRSA0.0000.641−1.4573−0.7287Better than 87% 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 2; a bar right of zero raised the score and one left of zero lowered it.

(−1.1989CDI−1.4573MRSA)÷2measures=−1.3281Total HAC Score

Added from the rounded z‑scores CMS published, the parts make −1.3281; CMS reports −1.3281. The small difference is rounding.

This hospital’s score is 1.7080 below 0.3799, the lowest score CMS marked Yes. (This site recomputes.)

Figure 2. The parts add up to −1.3281, below CMS’s line.
1% cut CDI: z‑score −1.1989 divided by 2 = −0.5995CDI−0.5995 MRSA: z‑score −1.4573 divided by 2 = −0.7287MRSA−0.7287 Total HAC Score: −1.3281Score−1.3281 CMS’s line: between 0.3792 and 0.3799 CMS’s line −1.5−1.0−0.50.00.5 1% cut CDI: z‑score −1.1989 divided by 2 = −0.5995CDI−0.5995 MRSA: z‑score −1.4573 divided by 2 = −0.7287MRSA−0.7287 Total HAC Score: −1.3281Score−1.3281 CMS’s line: between 0.3792 and 0.3799 CMS’s line −1.5−1.0−0.50.00.5

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

Show table
MeasureZ-scorePart of the scoreRunning total
CDI−1.1989−0.5995−0.5995
MRSA−1.4573−0.7287−1.3282
Total HAC Score−1.3281
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, 1.7080 under the lowest score CMS cut, costs it nothing; 1.7080 higher, the cut would have been about $190K 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 $190K at any score from 0.3799 $0at any score up to 0.3792 $190K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 CMS’s highest score 2.3133 This hospital: −1.3281 This hospital −1.3281 CMS’s line $0 at any score up to 0.3792 $190K at any score from 0.3799 $0at any score up to 0.3792 $190Kat 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: −1.3281 This hospital −1.3281

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−$190,386
This hospital−1.3281$0
CMS’s highest score2.3133−$190,386

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.

($18,710,308payment−$39,584readmissions+$367,888value-based)×1%the cut=$190,386at stake

$190,386at stake÷1,755traditional Medicare stays=$108per traditional Medicare stay

Figure 4. No HAC cut this year; 1% of the hospital’s whole inpatient payment would have been about $190K by this site’s estimate. The readmissions and value-based adjustments, on the base alone, came to −$40K and +$368K.

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays
DRG payments at the federal rates the base $17,210,267
Outliers: unusually costly stays $123,398
Capital: buildings and equipment $1,376,643
Total, before the three programs $18,710,308
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9977 − 1) −$39,584
Value-based purchasing (HVBP) base × (1.0214 − 1) +$367,888
After these two $19,038,612
HAC Reduction Program no cut; 1% would have been $190,386 $0
Net of the three programs likely $264⁠–⁠386K +$328,304

Not paid to this hospital: a Medicare-dependent hospital add-on, teaching payments, low-income-patient payments, a sole community hospital rate difference, a low-volume adjustment, and uncompensated care payments.

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)$17,210,267
Outliers: unusually costly stays$123,398
Capital: buildings and equipment$1,376,643
Total, before the three programs$18,710,308
Readmissions (HRRP) (base × (0.9977 − 1))−$39,584
Value-based purchasing (HVBP) (base × (1.0214 − 1))+$367,888
After these two$19,038,612
HAC Reduction Program (no cut; 1% would have been $190,386)$0
Net of the three programs (likely $264–386K)+$328,304

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−1.3281same
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 −1.3281 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 $190K 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
CDIany value: every CDI value past the cap (0.944) scores the same
MRSAup to 1.633

Each measure weighs 1 ÷ 2 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 0.068 · median 0.346 · cap 0.944 · each 0.1 = 0.1936

CMS 0.000 · median 0.641 · cap 1.762 · each 0.1 = 0.1045

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Figure 5. Each bar is one measure’s part of this hospital’s Total HAC Score of −1.3281: its z‑score divided by 2, the number of measures scored.
  • CDI −0.5995
  • MRSA −0.7287

A measure adds its z‑score divided by 2, 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
CDI−1.1989−0.5995same
MRSA−1.4573−0.7287same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/100363/

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.

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 6. 0 of its 1 infection measures ended lower than they started.
C. diff 0.00 → 0.09 1as predicted 0 ’18’21’24 Nation’s middle C. diff, 2023: 0.000C. diff, 2024: 0.086 C. diff 0.00 → 0.09 1as predicted 0 ’18’20’22’24 Nation’s middle C. diff, 2023: 0.000C. diff, 2024: 0.086

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
20230.000
20240.086

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 0% of the other 164 scored there.

In Deltona-Daytona Beach-Ormond Beach, FL area, its score is higher than 0% of the other 7 scored there.

Figure 7. Its score is below the middle in all 8 groups it belongs to; the share cut runs from 11% (Florida) to 26% (Nonprofit).
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 Deltona-Daytona Beach-Ormond Beach, FL area: CMS cut 1 of 8 (13%); middle score −0.1030Deltona-Daytona Beach-Ormond Beach, FL area8 hospitals13% 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: −1.3281 This hospital −1.3281 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 Deltona-Daytona Beach-Ormond Beach, FL area: CMS cut 1 of 8 (13%); middle score −0.1030Deltona-Daytona Beach-Ormond Beach, FL area8 hospitals13% 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: −1.3281 This hospital −1.3281

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%−0.04531%
South region1,17426322%−0.10562%
Florida1651811%−0.19350%
Deltona-Daytona Beach-Ormond Beach, FL area8113%−0.10300%
Not teaching1,56338925%−0.10532%
100 to 299 beds1,19327523%−0.07320%
Nonprofit1,83047826%−0.01340%
Urban2,24151023%−0.05741%
This hospital−1.3281
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 8. CMS cut none of the 8 nearest hospitals; the closest is 6 miles away.
5 mi10 mi25 mi8. Ascension St Vincent's St Johns County, St. Johns: score −0.8982, not cut, 42 miles87. AdventHealth New Smyrna Beach, New Smyrna Beach: score −0.1297, not cut, 41 miles76. AdventHealth Deland, Deland: score −0.2920, not cut, 35 miles65. HCA Florida Putnam Hospital, Palatka: score 0.3408, not cut, 28 miles54. Halifax Health Medical Center, Daytona Beach: score 0.2831, not cut, 27 miles43. AdventHealth Daytona Beach, Daytona Beach: score −0.0763, not cut, 23 miles32. Flagler Hospital, Saint Augustine: score 0.0921, not cut, 22 miles21. AdventHealth Palm Coast, Palm Coast: score 0.1300, not cut, 6 miles1This hospital: AdventHealth Palm Coast Parkway

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

Show table
HospitalMilesScoreDecision
AdventHealth Palm Coast, Palm Coast, FL60.1300not cut
Flagler Hospital, Saint Augustine, FL220.0921not cut
AdventHealth Daytona Beach, Daytona Beach, FL23−0.0763not cut
Halifax Health Medical Center, Daytona Beach, FL270.2831not cut
HCA Florida Putnam Hospital, Palatka, FL280.3408not cut
AdventHealth Deland, Deland, FL35−0.2920not cut
AdventHealth New Smyrna Beach, New Smyrna Beach, FL41−0.1297not cut
Ascension St Vincent's St Johns County, St. Johns, FL42−0.8982not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1AdventHealth Palm CoastPalm Coast, FL60.1300No cut$0Above the national median on 2 of 6 measures
2Flagler HospitalSaint Augustine, FL220.0921No cut$0Above the national median on 3 of 6 measures
3AdventHealth Daytona BeachDaytona Beach, FL23−0.0763No cut$0Above the national median on 3 of 6 measures
4Halifax Health Medical CenterDaytona Beach, FL270.2831No cut$0Above the national median on 3 of 6 measures
5HCA Florida Putnam HospitalPalatka, FL280.3408No cut$0Above the national median on 4 of 6 measures
6AdventHealth DelandDeland, FL35−0.2920No cut$0Above the national median on 2 of 6 measures
7AdventHealth New Smyrna BeachNew Smyrna Beach, FL41−0.1297No cut$0Above the national median on 3 of 6 measures
8Ascension St Vincent's St Johns CountySt. Johns, FL42−0.8982No cut$0Above the national median on 0 of 2 measures

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

CMS’s footnotes on this page

5
Results are not available for this reporting period.
13
Results cannot be calculated 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. AdventHealth Palm Coast Parkway, Palm Coast, FL: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/100363/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.