P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalWilcox Memorial Hospital Estimated FY2026 net: −$135K×

Hospital record · FY2026CCN 120014

1Hospital

Wilcox Memorial Hospital

2Location

Lihue, HI (Hawaii’s hospitals on the map and in the table) 96766

Kauai County

3Type

Not a teaching hospital · 71 beds · Government · Rural · Sole community hospital

4Care Compare stars

2 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

0.4478

As CMS reports it

6Payment reduction

1% cut
CMS’s value: Yes

7Estimated cut

$137K estimate
Likely $98⁠–⁠154K; about $208 per traditional Medicare stay

Cut 1%

$137K

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

For fiscal year 2026, CMS reports a Total HAC Score of 0.4478 for Wilcox Memorial Hospital and a payment reduction decision of Yes.

That is 1% of about $13.7M, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year: about $208 per traditional Medicare stay.

Likely range $98–154K

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: 0.4478 This hospital 0.4478 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: 0.4478 This hospital 0.4478

Higher than 77% 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. 16No
  3. 17No
  4. 18Cut
  5. 19No
  6. 20No
  7. 21No
  8. 22No
  9. 23—
  10. 24Cut
  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 SSI down to the national median (0.795) would lower the score the most: by 0.3777, to 0.0701. 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 4; 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

    Worse than 72% of the other 2,808 hospitals

    estimate

    This site recomputes this measure’s z‑score from CMS’s published value. The recompute can differ from CMS’s z‑score by up to 0.0021. How this site estimates

    CMS value1.0417

    Z-score0.3714

    Part of score+0.0619

  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 87% of the other 2,181 hospitals

    CMS value1.110

    Z-score1.1685

    Part of score+0.1948

  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 92% of the other 2,354 hospitals

    CMS value1.333

    Z-score1.8946

    Part of score+0.3158

  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 98% of the other 2,269 hospitals

    CMS value2.865

    Z-score2.1717

    Part of score+0.3620

  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 91% 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 value0.000

    Z-score−1.4622

    Part of score−0.2437

  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−0.2429

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 901.04170.96230.3714+0.0619Worse than 72% of the other 2,808 hospitals
CLABSI1.1100.5591.1685+0.1948Worse than 87% of the other 2,181 hospitals
CAUTI1.3330.4891.8946+0.3158Worse than 92% of the other 2,354 hospitals
SSI2.8650.7952.1717+0.3620Worse than 98% of the other 2,269 hospitals
CDI0.0000.346−1.4622−0.2437Better than 91% of the other 2,766 hospitals
MRSA0.0000.641−1.4573−0.2429Better 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 6; a bar right of zero raised the score and one left of zero lowered it.

(0.3714PSI 90+1.1685CLABSI+1.8946CAUTI+2.1717SSI−1.4622CDI−1.4573MRSA)÷6measures=0.4478Total HAC Score

This hospital’s score is 0.0686 above 0.3792, the highest score CMS marked No. (This site recomputes.)

Figure 2. The parts add up to 0.4478, above CMS’s line.
1% cut PSI 90: z‑score 0.3714 divided by 6 = +0.0619PSI 90+0.0619 CLABSI: z‑score 1.1685 divided by 6 = +0.1948CLABSI+0.1948 CAUTI: z‑score 1.8946 divided by 6 = +0.3158CAUTI+0.3158 SSI: z‑score 2.1717 divided by 6 = +0.3620SSI+0.3620 CDI: z‑score −1.4622 divided by 6 = −0.2437CDI−0.2437 MRSA: z‑score −1.4573 divided by 6 = −0.2429MRSA−0.2429 Total HAC Score: 0.4478Score0.4478 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.20.40.60.81.0 1% cut PSI 90: z‑score 0.3714 divided by 6 = +0.0619PSI 90+0.0619 CLABSI: z‑score 1.1685 divided by 6 = +0.1948CLABSI+0.1948 CAUTI: z‑score 1.8946 divided by 6 = +0.3158CAUTI+0.3158 SSI: z‑score 2.1717 divided by 6 = +0.3620SSI+0.3620 CDI: z‑score −1.4622 divided by 6 = −0.2437CDI−0.2437 MRSA: z‑score −1.4573 divided by 6 = −0.2429MRSA−0.2429 Total HAC Score: 0.4478Score0.4478 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.20.40.60.81.0

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 900.3714+0.06190.0619
CLABSI1.1685+0.19480.2567
CAUTI1.8946+0.31580.5725
SSI2.1717+0.36200.9345
CDI−1.4622−0.24370.6908
MRSA−1.4573−0.24290.4479
Total HAC Score0.4478
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, 0.0686 over the highest score CMS didn’t cut, costs it about $137K 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 $137K at any score from 0.3799 $0at any score up to 0.3792 $137K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 This hospital: 0.4478 This hospital 0.4478 CMS’s line $0 at any score up to 0.3792 $137K at any score from 0.3799 $0at any score up to 0.3792 $137Kat 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: 0.4478 This hospital 0.4478

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−$136,924
This hospital0.4478−$136,924
CMS’s highest score2.3133−$136,924

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.

($13,690,390payment−$68,628readmissions+$70,668value-based)×1%the cut=$136,924HAC cut

$136,924HAC cut÷657traditional Medicare stays=$208per traditional Medicare stay

Figure 4. This site estimates the HAC cut at $137K: 1% of the hospital’s whole inpatient payment, taken last. The readmissions and value-based adjustments, on the base alone, came to −$69K and +$71K.

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays
DRG payments at the federal rates the base $8,912,723
Many low-income patients (disproportionate share) $267,382
Outliers: unusually costly stays $56,685
Sole community hospital rate difference $3,238,092
Low-volume adjustment $517,915
Capital: buildings and equipment $697,593
Total, before the three programs $13,690,390
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9923 − 1) −$68,628
Value-based purchasing (HVBP) base × (1.0079 − 1) +$70,668
After these two $13,692,430
HAC Reduction Program 1% of everything above; likely $98⁠–⁠154K −$136,924
Net of the three programs likely −$143K to −$94K −$134,884

Not paid to this hospital: a Medicare-dependent hospital add-on, teaching payments, 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)$8,912,723
Many low-income patients (disproportionate share)$267,382
Outliers: unusually costly stays$56,685
Sole community hospital rate difference$3,238,092
Low-volume adjustment$517,915
Capital: buildings and equipment$697,593
Total, before the three programs$13,690,390
Readmissions (HRRP) (base × (0.9923 − 1))−$68,628
Value-based purchasing (HVBP) (base × (1.0079 − 1))+$70,668
After these two$13,692,430
HAC Reduction Program (1% of everything above; likely $98–154K)−$136,924
Net of the three programs (likely −$143K to −$94K)−$134,884

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 Score0.4478same
Payment reduction decisionYessame
Payment cut1%same
Estimated HAC cut estimate$137Ksame

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 0.4478 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 $137K, 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 900.9826 or lower
CLABSI0.932 or lower
CAUTI1.162 or lower
SSI1.877 or lower
CDInot possible with this measure alone
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 1.0417 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 1.110 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 1.333 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 2.865 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.000 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 0.000 · 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 0.4478 among its measured results: +0.3620.
  • PSI 90 +0.0619
  • CLABSI +0.1948
  • CAUTI +0.3158
  • SSI +0.3620
  • CDI −0.2437
  • MRSA −0.2429

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 900.3714+0.0619same
CLABSI1.1685+0.1948same
CAUTI1.8946+0.3158same
SSI2.1717+0.3620same
CDI−1.4622−0.2437same
MRSA−1.4573−0.2429same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/120014/

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 3 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 4.2750, higher than 30% of scores; not cutFY2016: score 5.5000, higher than 48% of scores; not cutFY2017: score 4.8700, higher than 39% of scores; not cutFY2018: score 0.3845, higher than 76% of scores; cutFY2019: score 0.1589, higher than 64% of scores; not cutFY2020: score 0.1712, higher than 65% of scores; not cutFY2021: score 0.2074, higher than 68% of scores; not cutFY2022: score 0.0993, higher than 62% of scores; not cutFY2024: score 0.8543, higher than 90% of scores; cutFY2025: score 0.6040, higher than 85% of scores; cutFY2026: score 0.4478, higher than 77% of scores; cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 4.2750, higher than 30% of scores; not cutFY2016: score 5.5000, higher than 48% of scores; not cutFY2017: score 4.8700, higher than 39% of scores; not cutFY2018: score 0.3845, higher than 76% of scores; cutFY2019: score 0.1589, higher than 64% of scores; not cutFY2020: score 0.1712, higher than 65% of scores; not cutFY2021: score 0.2074, higher than 68% of scores; not cutFY2022: score 0.0993, higher than 62% of scores; not cutFY2024: score 0.8543, higher than 90% of scores; cutFY2025: score 0.6040, higher than 85% of scores; cutFY2026: score 0.4478, higher than 77% 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
FY20154.275030.4%not cut
FY20165.500048.7%not cut
FY20174.870039.1%not cut
FY20180.384576.7%cut
FY20190.158964.3%not cut
FY20200.171265.4%not cut
FY20210.207468.1%not cut
FY20220.099362.5%not cut
FY2023no decision
FY20240.854390.2%cut
FY20250.604085.3%cut
FY20260.447877.9%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 4 infection measures ended lower than they started.
CLABSI 0.00 → 1.37 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 0.000CLABSI, 2018: 0.000CLABSI, 2019: 1.394CLABSI, 2021: 0.734CLABSI, 2022: 0.852CLABSI, 2023: 0.803CLABSI, 2024: 1.373 CAUTI 2.55 → 1.69 1 0 ’18’21’24 CAUTI, 2017: 2.547CAUTI, 2018: 2.627CAUTI, 2019: 0.706CAUTI, 2021: 1.691CAUTI, 2022: 2.287CAUTI, 2023: 0.935CAUTI, 2024: 1.693 SSI, colon 1.57 → 1.31 1 0 ’18’21’24 SSI, colon, 2017: 1.567SSI, colon, 2021: 1.306 C. diff 0.81 → 0.00 1 0 ’18’21’24 C. diff, 2017: 0.814C. diff, 2018: 0.796C. diff, 2019: 0.287C. diff, 2021: 0.585C. diff, 2022: 1.386C. diff, 2023: 0.000C. diff, 2024: 0.000 CLABSI 0.00 → 1.37 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 0.000CLABSI, 2018: 0.000CLABSI, 2019: 1.394CLABSI, 2021: 0.734CLABSI, 2022: 0.852CLABSI, 2023: 0.803CLABSI, 2024: 1.373 CAUTI 2.55 → 1.69 1 0 ’18’20’22’24 CAUTI, 2017: 2.547CAUTI, 2018: 2.627CAUTI, 2019: 0.706CAUTI, 2021: 1.691CAUTI, 2022: 2.287CAUTI, 2023: 0.935CAUTI, 2024: 1.693 SSI, colon 1.57 → 1.31 1 0 ’18’20’22’24 SSI, colon, 2017: 1.567SSI, colon, 2021: 1.306 C. diff 0.81 → 0.00 1 0 ’18’20’22’24 C. diff, 2017: 0.814C. diff, 2018: 0.796C. diff, 2019: 0.287C. diff, 2021: 0.585C. diff, 2022: 1.386C. diff, 2023: 0.000C. diff, 2024: 0.000

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, colonC. diff
20170.0002.5471.5670.814
20180.0002.6270.796
20191.3940.7060.287
20210.7341.6911.3060.585
20220.8522.2871.386
20230.8030.9350.000
20241.3731.6930.000

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 40% of the other 10 scored there.

Figure 8. Its score is above the middle in 6 of the 7 groups it belongs to; the share cut runs from 25% (All hospitals) 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 Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching 1,563 hospitals25% cut Fewer than 100 beds: CMS cut 225 of 805 (28%); middle score −0.1154Fewer than 100 beds 805 hospitals28% cut Government: CMS cut 140 of 401 (35%); middle score 0.1602Government 401 hospitals35% cut Rural: CMS cut 196 of 619 (32%); middle score 0.0229Rural 619 hospitals32% cut CMS’s line: between 0.3792 and 0.3799 CMS’s line −1012 This hospital: 0.4478 This hospital 0.4478 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 Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching1,563 hospitals25% cut Fewer than 100 beds: CMS cut 225 of 805 (28%); middle score −0.1154Fewer than 100 beds805 hospitals28% cut Government: CMS cut 140 of 401 (35%); middle score 0.1602Government401 hospitals35% cut Rural: CMS cut 196 of 619 (32%); middle score 0.0229Rural619 hospitals32% 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: 0.4478 This hospital 0.4478

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%−0.045377%
West region59315726%−0.030277%
Hawaii11764%0.461940%
Not teaching1,56338925%−0.105378%
Fewer than 100 beds80522528%−0.115474%
Government40114035%0.160268%
Rural61919632%0.022971%
This hospital0.4478
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 104 miles away.
50 mi100 mi250 mi8. North Hawaii Community Hospital, Inc, Kamuela: score 1.7593, cut, 271 miles87. Maui Memorial Medical Center, Wailuku: score 1.1743, cut, 203 miles76. Adventist Health Castle, Kailua: score −0.8533, not cut, 114 miles65. Straub Clinic and Hospital, Honolulu: score 0.5682, cut, 111 miles54. The Queens Medical Center, Honolulu: score 0.8684, cut, 111 miles43. Kuakini Medical Center, Honolulu: score −0.1226, not cut, 110 miles32. Kaiser Foundation Hospital, Honolulu: score 0.6129, cut, 106 miles21. Pali Momi Medical Center, Aiea: score −0.2614, not cut, 104 miles1This hospital: Wilcox Memorial Hospital

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

Show table
HospitalMilesScoreDecision
Pali Momi Medical Center, Aiea, HI104−0.2614not cut
Kaiser Foundation Hospital, Honolulu, HI1060.6129cut
Kuakini Medical Center, Honolulu, HI110−0.1226not cut
The Queens Medical Center, Honolulu, HI1110.8684cut
Straub Clinic and Hospital, Honolulu, HI1110.5682cut
Adventist Health Castle, Kailua, HI114−0.8533not cut
Maui Memorial Medical Center, Wailuku, HI2031.1743cut
North Hawaii Community Hospital, Inc, Kamuela, HI2711.7593cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Pali Momi Medical CenterAiea, HI104−0.2614No cut$0Above the national median on 3 of 6 measures
2Kaiser Foundation HospitalHonolulu, HI1060.61291% cut$114KAbove the national median on 5 of 6 measures
3Kuakini Medical CenterHonolulu, HI110−0.1226No cut$0Above the national median on 3 of 6 measures
4The Queens Medical CenterHonolulu, HI1110.86841% cut$1.5MAbove the national median on 5 of 6 measures
5Straub Clinic and HospitalHonolulu, HI1110.56821% cut$500KAbove the national median on 5 of 6 measures
6Adventist Health CastleKailua, HI114−0.8533No cut$0Above the national median on 0 of 6 measures
7Maui Memorial Medical CenterWailuku, HI2031.17431% cut$396KAbove the national median on 6 of 6 measures
8North Hawaii Community Hospital, IncKamuela, HI2711.75931% cut$61KAbove the national median on 4 of 5 measures

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A penalty reflects how CMS’s formula scored relative performance; it is not a verdict on the quality of care.

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Paid & Penalized. Wilcox Memorial Hospital, Lihue, HI: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/120014/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.