P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalAdventist Health Castle Estimated FY2026 net: +$317K×

Hospital record · FY2026CCN 120006

1Hospital

Adventist Health Castle

2Location

Kailua, HI (Hawaii’s hospitals on the map and in the table) 96734

Honolulu County

3Type

Not a teaching hospital · 160 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

−0.8533

As CMS reports it

6Payment reduction

No cut
CMS’s value: No

7Estimated cut

$0
A cut would have been $241K, likely $183⁠–⁠303K estimate

No cut

$0

from this program

For fiscal year 2026, CMS reports a Total HAC Score of −0.8533 for Adventist Health Castle and a payment reduction decision of No.

A cut would have taken about $241K estimate 1% of about $24.1M, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year. Its score was 1.2332 under 0.3799, the lowest score CMS cut.

Likely range $183–303K

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: −0.8533 This hospital −0.8533 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: −0.8533 This hospital −0.8533

Higher than 6% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Never cut in 11 years

  1. 15No
  2. 16No
  3. 17No
  4. 18No
  5. 19No
  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.

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 6 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

    Better than 92% 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 value0.8068

    Z-score−1.2684

    Part of score−0.2114

  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 68% of the other 2,181 hospitals

    CMS value0.379

    Z-score−0.5273

    Part of score−0.0879

  3. CAUTI (what it counts)

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

    Catheter-associated urinary tract infections

    Better than 81% of the other 2,354 hospitals

    CMS value0.152

    Z-score−0.9522

    Part of score−0.1587

  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 79% of the other 2,269 hospitals

    CMS value0.341

    Z-score−0.8723

    Part of score−0.1454

  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 76% 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 value0.174

    Z-score−0.7884

    Part of score−0.1314

  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 75% of the other 2,067 hospitals

    CMS value0.357

    Z-score−0.7112

    Part of score−0.1185

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 900.80680.9623−1.2684−0.2114Better than 92% of the other 2,808 hospitals
CLABSI0.3790.559−0.5273−0.0879Better than 68% of the other 2,181 hospitals
CAUTI0.1520.489−0.9522−0.1587Better than 81% of the other 2,354 hospitals
SSI0.3410.795−0.8723−0.1454Better than 79% of the other 2,269 hospitals
CDI0.1740.346−0.7884−0.1314Better than 76% of the other 2,766 hospitals
MRSA0.3570.641−0.7112−0.1185Better than 75% 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.

(−1.2684PSI 90−0.5273CLABSI−0.9522CAUTI−0.8723SSI−0.7884CDI−0.7112MRSA)÷6measures=−0.8533Total HAC Score

Added from the rounded z‑scores CMS published, the parts make −0.8533; CMS reports −0.8533. The small difference is rounding.

This hospital’s score is 1.2332 below 0.3799, the lowest score CMS marked Yes. (This site recomputes.)

Figure 2. The parts add up to −0.8533, below CMS’s line.
1% cut PSI 90: z‑score −1.2684 divided by 6 = −0.2114PSI 90−0.2114 CLABSI: z‑score −0.5273 divided by 6 = −0.0879CLABSI−0.0879 CAUTI: z‑score −0.9522 divided by 6 = −0.1587CAUTI−0.1587 SSI: z‑score −0.8723 divided by 6 = −0.1454SSI−0.1454 CDI: z‑score −0.7884 divided by 6 = −0.1314CDI−0.1314 MRSA: z‑score −0.7112 divided by 6 = −0.1185MRSA−0.1185 Total HAC Score: −0.8533Score−0.8533 CMS’s line: between 0.3792 and 0.3799 CMS’s line −1.0−0.50.00.5 1% cut PSI 90: z‑score −1.2684 divided by 6 = −0.2114PSI 90−0.2114 CLABSI: z‑score −0.5273 divided by 6 = −0.0879CLABSI−0.0879 CAUTI: z‑score −0.9522 divided by 6 = −0.1587CAUTI−0.1587 SSI: z‑score −0.8723 divided by 6 = −0.1454SSI−0.1454 CDI: z‑score −0.7884 divided by 6 = −0.1314CDI−0.1314 MRSA: z‑score −0.7112 divided by 6 = −0.1185MRSA−0.1185 Total HAC Score: −0.8533Score−0.8533 CMS’s line: between 0.3792 and 0.3799 CMS’s line −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
PSI 90−1.2684−0.2114−0.2114
CLABSI−0.5273−0.0879−0.2993
CAUTI−0.9522−0.1587−0.4580
SSI−0.8723−0.1454−0.6034
CDI−0.7884−0.1314−0.7348
MRSA−0.7112−0.1185−0.8533
Total HAC Score−0.8533
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, 1.2332 under the lowest score CMS cut, costs it nothing; 1.2332 higher, the cut would have been about $241K 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 $241K at any score from 0.3799 $0at any score up to 0.3792 $241K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 CMS’s highest score 2.3133 This hospital: −0.8533 This hospital −0.8533 CMS’s line $0 at any score up to 0.3792 $241K at any score from 0.3799 $0at any score up to 0.3792 $241Kat 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: −0.8533 This hospital −0.8533

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−$240,712
This hospital−0.8533$0
CMS’s highest score2.3133−$240,712

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.

($23,754,235payment−$8,171readmissions+$325,126value-based)×1%the cut=$240,712at stake

$240,712at stake÷1,356traditional Medicare stays=$178per traditional Medicare stay

Figure 4. No HAC cut this year; 1% of the hospital’s whole inpatient payment would have been about $241K by this site’s estimate. The readmissions and value-based adjustments, on the base alone, came to −$8K and +$325K.

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays
DRG payments at the federal rates the base $20,426,707
Many low-income patients (disproportionate share) $722,084
Outliers: unusually costly stays $421,403
Capital: buildings and equipment $1,713,540
Uncompensated care $470,501
Total, before the three programs $23,754,235
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9996 − 1) −$8,171
Value-based purchasing (HVBP) base × (1.0159 − 1) +$325,126
After these two $24,071,190
HAC Reduction Program no cut; 1% would have been $240,712 $0
Net of the three programs likely $255⁠–⁠373K +$316,955

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)$20,426,707
Many low-income patients (disproportionate share)$722,084
Outliers: unusually costly stays$421,403
Capital: buildings and equipment$1,713,540
Uncompensated care$470,501
Total, before the three programs$23,754,235
Readmissions (HRRP) (base × (0.9996 − 1))−$8,171
Value-based purchasing (HVBP) (base × (1.0159 − 1))+$325,126
After these two$24,071,190
HAC Reduction Program (no cut; 1% would have been $240,712)$0
Net of the three programs (likely $255–373K)+$316,955

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−0.8533same
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 −0.8533 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 $241K 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 0.8068 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 0.379 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.152 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 0.341 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.174 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 0.357 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

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Figure 5. Each bar is one measure’s part of this hospital’s Total HAC Score of −0.8533: its z‑score divided by 6, the number of measures scored.
  • PSI 90 −0.2114
  • CLABSI −0.0879
  • CAUTI −0.1587
  • SSI −0.1454
  • CDI −0.1314
  • MRSA −0.1185

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 90−1.2684−0.2114same
CLABSI−0.5273−0.0879same
CAUTI−0.9522−0.1587same
SSI−0.8723−0.1454same
CDI−0.7884−0.1314same
MRSA−0.7112−0.1185same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/120006/

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 made a decision on this hospital in 11 years and never cut it.
highest middle lowest z‑scoresequal weights no scores FY2015: score 4.4500, higher than 33% of scores; not cutFY2016: score 4.0000, higher than 22% of scores; not cutFY2017: score 4.4300, higher than 32% of scores; not cutFY2018: score −0.8237, higher than 11% of scores; not cutFY2019: score −0.9924, higher than 8% of scores; not cutFY2020: score −0.5234, higher than 18% of scores; not cutFY2021: score −0.2486, higher than 34% of scores; not cutFY2022: score −0.3022, higher than 31% of scores; not cutFY2024: score −0.5540, higher than 16% of scores; not cutFY2025: score −0.6840, higher than 12% of scores; not cutFY2026: score −0.8533, higher than 6% of scores; not cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 4.4500, higher than 33% of scores; not cutFY2016: score 4.0000, higher than 22% of scores; not cutFY2017: score 4.4300, higher than 32% of scores; not cutFY2018: score −0.8237, higher than 11% of scores; not cutFY2019: score −0.9924, higher than 8% of scores; not cutFY2020: score −0.5234, higher than 18% of scores; not cutFY2021: score −0.2486, higher than 34% of scores; not cutFY2022: score −0.3022, higher than 31% of scores; not cutFY2024: score −0.5540, higher than 16% of scores; not cutFY2025: score −0.6840, higher than 12% of scores; not cutFY2026: score −0.8533, higher than 6% 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
FY20154.450033.7%not cut
FY20164.000022.1%not cut
FY20174.430032.4%not cut
FY2018−0.823711.2%not cut
FY2019−0.99248.8%not cut
FY2020−0.523418.9%not cut
FY2021−0.248634.0%not cut
FY2022−0.302231.0%not cut
FY2023no decision
FY2024−0.554016.5%not cut
FY2025−0.684012.3%not cut
FY2026−0.85336.8%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. 3 of its 5 infection measures ended lower than they started.
CLABSI 0.25 → 0.00 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 0.248CLABSI, 2018: 0.513CLABSI, 2019: 0.612CLABSI, 2021: 0.626CLABSI, 2022: 0.000CLABSI, 2023: 0.685CLABSI, 2024: 0.000 CAUTI 0.00 → 0.00 1 0 ’18’21’24 CAUTI, 2017: 0.000CAUTI, 2018: 0.275CAUTI, 2019: 0.655CAUTI, 2021: 0.983CAUTI, 2022: 0.000CAUTI, 2023: 0.262CAUTI, 2024: 0.000 SSI, colon 0.00 → 0.60 1 0 ’18’21’24 SSI, colon, 2017: 0.000SSI, colon, 2019: 0.000SSI, colon, 2021: 0.998SSI, colon, 2022: 0.917SSI, colon, 2023: 0.000SSI, colon, 2024: 0.603 MRSA 0.68 → 0.00 1 0 ’18’21’24 MRSA, 2017: 0.684MRSA, 2018: 0.855MRSA, 2019: 0.790MRSA, 2021: 0.000MRSA, 2022: 0.752MRSA, 2023: 0.838MRSA, 2024: 0.000 C. diff 0.46 → 0.11 1 0 ’18’21’24 C. diff, 2017: 0.462C. diff, 2018: 0.606C. diff, 2019: 0.212C. diff, 2021: 0.084C. diff, 2022: 0.096C. diff, 2023: 0.243C. diff, 2024: 0.111 CLABSI 0.25 → 0.00 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 0.248CLABSI, 2018: 0.513CLABSI, 2019: 0.612CLABSI, 2021: 0.626CLABSI, 2022: 0.000CLABSI, 2023: 0.685CLABSI, 2024: 0.000 CAUTI 0.00 → 0.00 1 0 ’18’20’22’24 CAUTI, 2017: 0.000CAUTI, 2018: 0.275CAUTI, 2019: 0.655CAUTI, 2021: 0.983CAUTI, 2022: 0.000CAUTI, 2023: 0.262CAUTI, 2024: 0.000 SSI, colon 0.00 → 0.60 1 0 ’18’20’22’24 SSI, colon, 2017: 0.000SSI, colon, 2019: 0.000SSI, colon, 2021: 0.998SSI, colon, 2022: 0.917SSI, colon, 2023: 0.000SSI, colon, 2024: 0.603 MRSA 0.68 → 0.00 1 0 ’18’20’22’24 MRSA, 2017: 0.684MRSA, 2018: 0.855MRSA, 2019: 0.790MRSA, 2021: 0.000MRSA, 2022: 0.752MRSA, 2023: 0.838MRSA, 2024: 0.000 C. diff 0.46 → 0.11 1 0 ’18’20’22’24 C. diff, 2017: 0.462C. diff, 2018: 0.606C. diff, 2019: 0.212C. diff, 2021: 0.084C. diff, 2022: 0.096C. diff, 2023: 0.243C. diff, 2024: 0.111

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, colonMRSAC. diff
20170.2480.0000.0000.6840.462
20180.5130.2750.8550.606
20190.6120.6550.0000.7900.212
20210.6260.9830.9980.0000.084
20220.0000.0000.9170.7520.096
20230.6850.2620.0000.8380.243
20240.0000.0000.6030.0000.111

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 Hawaii, its score is higher than 0% of the other 10 scored there.

In Urban Honolulu, HI area, its score is higher than 0% of the other 5 scored there.

Figure 8. Its score is below the middle in all 8 groups it belongs to; the share cut runs from 23% (Urban) to 64% (Hawaii).
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 Hawaii: CMS cut 7 of 11 (64%); middle score 0.4619Hawaii 11 hospitals64% cut Urban Honolulu, HI area: CMS cut 3 of 6 (50%); middle score 0.2228Urban Honolulu, HI area 6 hospitals50% 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: −0.8533 This hospital −0.8533 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 Hawaii: CMS cut 7 of 11 (64%); middle score 0.4619Hawaii11 hospitals64% cut Urban Honolulu, HI area: CMS cut 3 of 6 (50%); middle score 0.2228Urban Honolulu, HI area6 hospitals50% 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: −0.8533 This hospital −0.8533

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%−0.04536%
West region59315726%−0.03026%
Hawaii11764%0.46190%
Urban Honolulu, HI area6350%0.22280%
Not teaching1,56338925%−0.10539%
100 to 299 beds1,19327523%−0.07326%
Nonprofit1,83047826%−0.01344%
Urban2,24151023%−0.05746%
This hospital−0.8533
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 6 of the 8 nearest hospitals; the closest is 8 miles away.
25 mi50 mi100 mi8. North Hawaii Community Hospital, Inc, Kamuela: score 1.7593, cut, 158 miles87. Wilcox Memorial Hospital, Lihue: score 0.4478, cut, 114 miles76. Maui Memorial Medical Center, Wailuku: score 1.1743, cut, 89 miles65. Pali Momi Medical Center, Aiea: score −0.2614, not cut, 12 miles54. Kaiser Foundation Hospital, Honolulu: score 0.6129, cut, 9 miles43. Straub Clinic and Hospital, Honolulu: score 0.5682, cut, 8 miles32. The Queens Medical Center, Honolulu: score 0.8684, cut, 8 miles21. Kuakini Medical Center, Honolulu: score −0.1226, not cut, 8 miles1This hospital: Adventist Health Castle

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

Show table
HospitalMilesScoreDecision
Kuakini Medical Center, Honolulu, HI8−0.1226not cut
The Queens Medical Center, Honolulu, HI80.8684cut
Straub Clinic and Hospital, Honolulu, HI80.5682cut
Kaiser Foundation Hospital, Honolulu, HI90.6129cut
Pali Momi Medical Center, Aiea, HI12−0.2614not cut
Maui Memorial Medical Center, Wailuku, HI891.1743cut
Wilcox Memorial Hospital, Lihue, HI1140.4478cut
North Hawaii Community Hospital, Inc, Kamuela, HI1581.7593cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Kuakini Medical CenterHonolulu, HI8−0.1226No cut$0Above the national median on 3 of 6 measures
2The Queens Medical CenterHonolulu, HI80.86841% cut$1.5MAbove the national median on 5 of 6 measures
3Straub Clinic and HospitalHonolulu, HI80.56821% cut$500KAbove the national median on 5 of 6 measures
4Kaiser Foundation HospitalHonolulu, HI90.61291% cut$114KAbove the national median on 5 of 6 measures
5Pali Momi Medical CenterAiea, HI12−0.2614No cut$0Above the national median on 3 of 6 measures
6Maui Memorial Medical CenterWailuku, HI891.17431% cut$396KAbove the national median on 6 of 6 measures
7Wilcox Memorial HospitalLihue, HI1140.44781% cut$137KAbove the national median on 4 of 6 measures
8North Hawaii Community Hospital, IncKamuela, HI1581.75931% cut$61KAbove the national median on 4 of 5 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. Adventist Health Castle, Kailua, HI: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/120006/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.