P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalKaiser Foundation Hospital Estimated FY2026 net: +$12K×

Hospital record · FY2026CCN 120011

1Hospital

Kaiser Foundation Hospital

2Location

Honolulu, HI (Hawaii’s hospitals on the map and in the table) 96819

Honolulu County

3Type

Minor teaching · 250 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

0.6129

As CMS reports it

6Payment reduction

1% cut
CMS’s value: Yes

7Estimated cut

$114K estimate
Likely $87⁠–⁠144K; about $245 per traditional Medicare stay

Cut 1%

$114K

cut from its FY2026 Medicare inpatient payments, this site estimates estimate

For fiscal year 2026, CMS reports a Total HAC Score of 0.6129 for Kaiser Foundation Hospital and a payment reduction decision of Yes.

That is 1% of about $11.4M, 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: about $245 per traditional Medicare stay.

Likely range $87–144K

Its score was above CMS’s line, so CMS cut its Medicare inpatient payments by 1% 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: 0.6129 This hospital 0.6129 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: 0.6129 This hospital 0.6129

Higher than 84% of the other 2,928 scores CMS published (higher is worse).

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

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

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 CDI down to the national median (0.346) would lower the score the most: by 0.3775, to 0.2354. That change alone would put the score under CMS’s line. Try it in the what-if

Figure 1. Of its 6 measures with a value, this hospital is above the national median on 5; CDI 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 66% 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 value1.0040

    Z-score0.1082

    Part of score+0.0180

  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 70% of the other 2,181 hospitals

    CMS value0.794

    Z-score0.4354

    Part of score+0.0726

  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 83% of the other 2,354 hospitals

    CMS value0.929

    Z-score0.9207

    Part of score+0.1535

  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

    Worse than 86% of the other 2,269 hospitals

    CMS value1.564

    Z-score1.2227

    Part of score+0.2038

  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.

    added the most

    Clostridioides difficile (C. diff) infections

    Worse than 94% 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 value0.931

    Z-score2.1427

    Part of score+0.3571

  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 86% of the other 2,067 hospitals

    CMS value0.146

    Z-score−1.1521

    Part of score−0.1920

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 901.00400.96230.1082+0.0180Worse than 66% of the other 2,808 hospitals
CLABSI0.7940.5590.4354+0.0726Worse than 70% of the other 2,181 hospitals
CAUTI0.9290.4890.9207+0.1535Worse than 83% of the other 2,354 hospitals
SSI1.5640.7951.2227+0.2038Worse than 86% of the other 2,269 hospitals
CDI0.9310.3462.1427+0.3571Worse than 94% of the other 2,766 hospitals
MRSA0.1460.641−1.1521−0.1920Better than 86% 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.

(0.1082PSI 90+0.4354CLABSI+0.9207CAUTI+1.2227SSI+2.1427CDI−1.1521MRSA)÷6measures=0.6129Total HAC Score

This hospital’s score is 0.2337 above 0.3792, the highest score CMS marked No. (This site recomputes.)

Figure 2. The parts add up to 0.6129, above CMS’s line.
1% cut PSI 90: z‑score 0.1082 divided by 6 = +0.0180PSI 90+0.0180 CLABSI: z‑score 0.4354 divided by 6 = +0.0726CLABSI+0.0726 CAUTI: z‑score 0.9207 divided by 6 = +0.1535CAUTI+0.1535 SSI: z‑score 1.2227 divided by 6 = +0.2038SSI+0.2038 CDI: z‑score 2.1427 divided by 6 = +0.3571CDI+0.3571 MRSA: z‑score −1.1521 divided by 6 = −0.1920MRSA−0.1920 Total HAC Score: 0.6129Score0.6129 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.20.40.60.8 1% cut PSI 90: z‑score 0.1082 divided by 6 = +0.0180PSI 90+0.0180 CLABSI: z‑score 0.4354 divided by 6 = +0.0726CLABSI+0.0726 CAUTI: z‑score 0.9207 divided by 6 = +0.1535CAUTI+0.1535 SSI: z‑score 1.2227 divided by 6 = +0.2038SSI+0.2038 CDI: z‑score 2.1427 divided by 6 = +0.3571CDI+0.3571 MRSA: z‑score −1.1521 divided by 6 = −0.1920MRSA−0.1920 Total HAC Score: 0.6129Score0.6129 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.20.40.60.8

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 900.1082+0.01800.0180
CLABSI0.4354+0.07260.0906
CAUTI0.9207+0.15350.2441
SSI1.2227+0.20380.4479
CDI2.1427+0.35710.8050
MRSA−1.1521−0.19200.6130
Total HAC Score0.6129
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, 0.2337 over the highest score CMS didn’t cut, costs it about $114K by this site’s estimate, and at CMS’s highest score, 2.3133, the cut would be the same.
CMS’s line $0 at any score up to 0.3792 $114K at any score from 0.3799 $0at any score up to 0.3792 $114K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 This hospital: 0.6129 This hospital 0.6129 CMS’s line $0 at any score up to 0.3792 $114K at any score from 0.3799 $0at any score up to 0.3792 $114Kat 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: 0.6129 This hospital 0.6129

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−$114,371
This hospital0.6129−$114,371
CMS’s highest score2.3133−$114,371

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.

($10,365,560payment+$945,637teaching, MA stays−$8,461readmissions+$134,357value-based)×1%the cut=$114,371HAC cut

$114,371HAC cut÷466traditional Medicare stays=$245per traditional Medicare stay

Figure 4. This site estimates the HAC cut at $114K: 1% of the hospital’s whole inpatient payment, taken last. The readmissions and value-based adjustments, on the base alone, came to −$8K and +$134K.

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 $7,691,468
Teaching (indirect medical education) $113,065
Teaching on Medicare Advantage stays $945,637
Many low-income patients (disproportionate share) $134,447
Outliers: unusually costly stays $1,033,503
Capital: buildings and equipment $644,904
Uncompensated care $748,173
Total, before the three programs $11,311,197
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9989 − 1) −$8,461
Value-based purchasing (HVBP) base × (1.0175 − 1) +$134,357
After these two $11,437,093
HAC Reduction Program 1% of everything above; likely $87⁠–⁠144K −$114,371
Net of the three programs likely $9⁠–⁠14K +$11,525

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)$7,691,468
Teaching (indirect medical education)$113,065
Teaching on Medicare Advantage stays$945,637
Many low-income patients (disproportionate share)$134,447
Outliers: unusually costly stays$1,033,503
Capital: buildings and equipment$644,904
Uncompensated care$748,173
Total, before the three programs$11,311,197
Readmissions (HRRP) (base × (0.9989 − 1))−$8,461
Value-based purchasing (HVBP) (base × (1.0175 − 1))+$134,357
After these two$11,437,093
HAC Reduction Program (1% of everything above; likely $87–144K)−$114,371
Net of the three programs (likely $9–14K)+$11,525

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 Score0.6129same
Payment reduction decisionYessame
Payment cut1%same
Estimated HAC cut estimate$114Ksame

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 0.6129 and a payment reduction decision of Yes.

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.

What would it take?

Getting under CMS’s line would keep about $114K, this site estimates: the whole cut, however far under the score lands.

From CMS’s values, one measure at a time, with every other measure held at CMS’s value.

MeasureValue that would read No
PSI 900.8030 or lower
CLABSI0.189 or lower
CAUTI0.347 or lower
SSI0.745 or lower
CDI0.568 or lower
MRSAnot possible with this measure alone

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 1.0040 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 0.794 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.929 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 1.564 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.931 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 0.146 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

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Figure 5. CDI added the most to this hospital’s Total HAC Score of 0.6129 among its measured results: +0.3571.
  • PSI 90 +0.0180
  • CLABSI +0.0726
  • CAUTI +0.1535
  • SSI +0.2038
  • CDI +0.3571
  • MRSA −0.1920

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 900.1082+0.0180same
CLABSI0.4354+0.0726same
CAUTI0.9207+0.1535same
SSI1.2227+0.2038same
CDI2.1427+0.3571same
MRSA−1.1521−0.1920same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/120011/

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 2 years in a row.

Figure 6. CMS cut this hospital in 2 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 3.3750, higher than 18% of scores; not cutFY2016: score 5.5000, higher than 48% of scores; not cutFY2017: score 5.9400, higher than 61% of scores; not cutFY2018: score −0.4054, higher than 25% of scores; not cutFY2019: score −0.1738, higher than 39% of scores; not cutFY2020: score 0.2011, higher than 67% of scores; not cutFY2021: score 0.2457, higher than 70% of scores; not cutFY2022: score 0.0372, higher than 56% of scores; not cutFY2024: score 0.2505, higher than 68% of scores; not cutFY2025: score 0.6063, higher than 85% of scores; cutFY2026: score 0.6129, higher than 84% of scores; cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 3.3750, higher than 18% of scores; not cutFY2016: score 5.5000, higher than 48% of scores; not cutFY2017: score 5.9400, higher than 61% of scores; not cutFY2018: score −0.4054, higher than 25% of scores; not cutFY2019: score −0.1738, higher than 39% of scores; not cutFY2020: score 0.2011, higher than 67% of scores; not cutFY2021: score 0.2457, higher than 70% of scores; not cutFY2022: score 0.0372, higher than 56% of scores; not cutFY2024: score 0.2505, higher than 68% of scores; not cutFY2025: score 0.6063, higher than 85% of scores; cutFY2026: score 0.6129, higher than 84% of scores; 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
FY20153.375018.2%not cut
FY20165.500048.7%not cut
FY20175.940061.9%not cut
FY2018−0.405425.1%not cut
FY2019−0.173839.3%not cut
FY20200.201167.9%not cut
FY20210.245770.1%not cut
FY20220.037256.0%not cut
FY2023no decision
FY20240.250568.6%not cut
FY20250.606385.4%cut
FY20260.612984.1%cut

Its infections, year by year

This hospital’s infection rate against prediction for each calendar year Care Compare published one, on each measure with at least two years of results (black), over the nation’s middle hospital (gray). Below the dashed line at one, fewer infections than predicted. Each year is measured against the same fixed baseline, not against other hospitals, so unlike the score they can all improve at once.

Figure 7. 2 of its 6 infection measures ended lower than they started.
CLABSI 0.18 → 0.90 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 0.184CLABSI, 2018: 0.624CLABSI, 2019: 0.471CLABSI, 2021: 0.844CLABSI, 2022: 0.877CLABSI, 2023: 0.696CLABSI, 2024: 0.900 CAUTI 0.58 → 0.65 1 0 ’18’21’24 CAUTI, 2017: 0.577CAUTI, 2018: 1.100CAUTI, 2019: 0.817CAUTI, 2021: 1.555CAUTI, 2022: 1.509CAUTI, 2023: 1.222CAUTI, 2024: 0.654 SSI, colon 0.54 → 0.65 1 0 ’18’21’24 SSI, colon, 2017: 0.542SSI, colon, 2018: 1.456SSI, colon, 2019: 0.000SSI, colon, 2021: 0.603SSI, colon, 2022: 1.598SSI, colon, 2023: 1.869SSI, colon, 2024: 0.649 SSI, hysterectomy 0.00 → 0.97 1 0 ’18’21’24 SSI, hysterectomy, 2018: 0.000SSI, hysterectomy, 2019: 0.000SSI, hysterectomy, 2022: 0.969 MRSA 1.23 → 0.28 1 0 ’18’21’24 MRSA, 2017: 1.231MRSA, 2018: 1.445MRSA, 2019: 0.866MRSA, 2021: 0.454MRSA, 2022: 0.271MRSA, 2023: 0.000MRSA, 2024: 0.282 C. diff 1.31 → 0.87 1 0 ’18’21’24 C. diff, 2017: 1.308C. diff, 2018: 0.987C. diff, 2019: 1.091C. diff, 2021: 1.389C. diff, 2022: 0.793C. diff, 2023: 0.984C. diff, 2024: 0.873 CLABSI 0.18 → 0.90 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 0.184CLABSI, 2018: 0.624CLABSI, 2019: 0.471CLABSI, 2021: 0.844CLABSI, 2022: 0.877CLABSI, 2023: 0.696CLABSI, 2024: 0.900 CAUTI 0.58 → 0.65 1 0 ’18’20’22’24 CAUTI, 2017: 0.577CAUTI, 2018: 1.100CAUTI, 2019: 0.817CAUTI, 2021: 1.555CAUTI, 2022: 1.509CAUTI, 2023: 1.222CAUTI, 2024: 0.654 SSI, colon 0.54 → 0.65 1 0 ’18’20’22’24 SSI, colon, 2017: 0.542SSI, colon, 2018: 1.456SSI, colon, 2019: 0.000SSI, colon, 2021: 0.603SSI, colon, 2022: 1.598SSI, colon, 2023: 1.869SSI, colon, 2024: 0.649 SSI, hysterectomy 0.00 → 0.97 1 0 ’18’20’22’24 SSI, hysterectomy, 2018: 0.000SSI, hysterectomy, 2019: 0.000SSI, hysterectomy, 2022: 0.969 MRSA 1.23 → 0.28 1 0 ’18’20’22’24 MRSA, 2017: 1.231MRSA, 2018: 1.445MRSA, 2019: 0.866MRSA, 2021: 0.454MRSA, 2022: 0.271MRSA, 2023: 0.000MRSA, 2024: 0.282 C. diff 1.31 → 0.87 1 0 ’18’20’22’24 C. diff, 2017: 1.308C. diff, 2018: 0.987C. diff, 2019: 1.091C. diff, 2021: 1.389C. diff, 2022: 0.793C. diff, 2023: 0.984C. diff, 2024: 0.873

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
20170.1840.5770.5421.2311.308
20180.6241.1001.4560.0001.4450.987
20190.4710.8170.0000.0000.8661.091
20210.8441.5550.6030.4541.389
20220.8771.5091.5980.9690.2710.793
20230.6961.2221.8690.0000.984
20240.9000.6540.6490.2820.873

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 70% of the other 10 scored there.

In Urban Honolulu, HI area, its score is higher than 80% of the other 5 scored there.

Figure 8. Its score is above the middle in all 8 groups it belongs to; the share cut runs from 21% (Minor teaching) 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 Minor teaching: CMS cut 181 of 873 (21%); middle score −0.0567Minor teaching 873 hospitals21% 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: 0.6129 This hospital 0.6129 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 Minor teaching: CMS cut 181 of 873 (21%); middle score −0.0567Minor teaching873 hospitals21% 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: 0.6129 This hospital 0.6129

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%−0.045384%
West region59315726%−0.030284%
Hawaii11764%0.461970%
Urban Honolulu, HI area6350%0.222880%
Minor teaching87318121%−0.056788%
100 to 299 beds1,19327523%−0.073286%
Nonprofit1,83047826%−0.013483%
Urban2,24151023%−0.057486%
This hospital0.6129
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 5 of the 8 nearest hospitals; the closest is 3 miles away.
25 mi50 mi100 mi8. North Hawaii Community Hospital, Inc, Kamuela: score 1.7593, cut, 165 miles87. Wilcox Memorial Hospital, Lihue: score 0.4478, cut, 106 miles76. Maui Memorial Medical Center, Wailuku: score 1.1743, cut, 97 miles65. Adventist Health Castle, Kailua: score −0.8533, not cut, 9 miles54. Straub Clinic and Hospital, Honolulu: score 0.5682, cut, 5 miles43. The Queens Medical Center, Honolulu: score 0.8684, cut, 5 miles32. Kuakini Medical Center, Honolulu: score −0.1226, not cut, 4 miles21. Pali Momi Medical Center, Aiea: score −0.2614, not cut, 3 miles1This hospital: Kaiser Foundation Hospital

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

Show table
HospitalMilesScoreDecision
Pali Momi Medical Center, Aiea, HI3−0.2614not cut
Kuakini Medical Center, Honolulu, HI4−0.1226not cut
The Queens Medical Center, Honolulu, HI50.8684cut
Straub Clinic and Hospital, Honolulu, HI50.5682cut
Adventist Health Castle, Kailua, HI9−0.8533not cut
Maui Memorial Medical Center, Wailuku, HI971.1743cut
Wilcox Memorial Hospital, Lihue, HI1060.4478cut
North Hawaii Community Hospital, Inc, Kamuela, HI1651.7593cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Pali Momi Medical CenterAiea, HI3−0.2614No cut$0Above the national median on 3 of 6 measures
2Kuakini Medical CenterHonolulu, HI4−0.1226No cut$0Above the national median on 3 of 6 measures
3The Queens Medical CenterHonolulu, HI50.86841% cut$1.5MAbove the national median on 5 of 6 measures
4Straub Clinic and HospitalHonolulu, HI50.56821% cut$500KAbove the national median on 5 of 6 measures
5Adventist Health CastleKailua, HI9−0.8533No cut$0Above the national median on 0 of 6 measures
6Maui Memorial Medical CenterWailuku, HI971.17431% cut$396KAbove the national median on 6 of 6 measures
7Wilcox Memorial HospitalLihue, HI1060.44781% cut$137KAbove the national median on 4 of 6 measures
8North Hawaii Community Hospital, IncKamuela, HI1651.75931% 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. Kaiser Foundation Hospital, Honolulu, HI: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/120011/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.