P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalStraub Clinic and Hospital Estimated FY2026 net: −$432K×

Hospital record · FY2026CCN 120022

1Hospital

Straub Clinic and Hospital

2Location

Honolulu, HI (Hawaii’s hospitals on the map and in the table) 96813

Honolulu County

3Type

Minor teaching · 159 beds · For-profit · 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

0.5682

As CMS reports it

6Payment reduction

1% cut
CMS’s value: Yes

7Estimated cut

$500K estimate
Likely $381⁠–⁠629K; about $255 per traditional Medicare stay

Cut 1%

$500K

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

For fiscal year 2026, CMS reports a Total HAC Score of 0.5682 for Straub Clinic and Hospital and a payment reduction decision of Yes.

That is 1% of about $50.0M, 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 $255 per traditional Medicare stay.

Likely range $381–629K

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: 0.5682 This hospital 0.5682 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: 0.5682 This hospital 0.5682

Higher than 82% 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 SSI down to the national median (0.795) would lower the score the most: by 0.3777, to 0.1905. 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; 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 88% 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 value1.1719

    Z-score1.2807

    Part of score+0.2135

  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 78% of the other 2,181 hospitals

    CMS value0.928

    Z-score0.7463

    Part of score+0.1244

  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 69% of the other 2,354 hospitals

    CMS value0.684

    Z-score0.3302

    Part of score+0.0550

  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 value2.588

    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

    Worse than 53% 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 value0.372

    Z-score−0.0218

    Part of score−0.0036

  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 value0.172

    Z-score−1.0978

    Part of score−0.1830

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 901.17190.96231.2807+0.2135Worse than 88% of the other 2,808 hospitals
CLABSI0.9280.5590.7463+0.1244Worse than 78% of the other 2,181 hospitals
CAUTI0.6840.4890.3302+0.0550Worse than 69% of the other 2,354 hospitals
SSI2.5880.7952.1717+0.3620Worse than 98% of the other 2,269 hospitals
CDI0.3720.346−0.0218−0.0036Worse than 53% of the other 2,766 hospitals
MRSA0.1720.641−1.0978−0.1830Better 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.

(1.2807PSI 90+0.7463CLABSI+0.3302CAUTI+2.1717SSI−0.0218CDI−1.0978MRSA)÷6measures=0.5682Total HAC Score

This hospital’s score is 0.1890 above 0.3792, the highest score CMS marked No. (This site recomputes.)

Figure 2. The parts add up to 0.5682, above CMS’s line.
1% cut PSI 90: z‑score 1.2807 divided by 6 = +0.2135PSI 90+0.2135 CLABSI: z‑score 0.7463 divided by 6 = +0.1244CLABSI+0.1244 CAUTI: z‑score 0.3302 divided by 6 = +0.0550CAUTI+0.0550 SSI: z‑score 2.1717 divided by 6 = +0.3620SSI+0.3620 CDI: z‑score −0.0218 divided by 6 = −0.0036CDI−0.0036 MRSA: z‑score −1.0978 divided by 6 = −0.1830MRSA−0.1830 Total HAC Score: 0.5682Score0.5682 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.20.40.60.8 1% cut PSI 90: z‑score 1.2807 divided by 6 = +0.2135PSI 90+0.2135 CLABSI: z‑score 0.7463 divided by 6 = +0.1244CLABSI+0.1244 CAUTI: z‑score 0.3302 divided by 6 = +0.0550CAUTI+0.0550 SSI: z‑score 2.1717 divided by 6 = +0.3620SSI+0.3620 CDI: z‑score −0.0218 divided by 6 = −0.0036CDI−0.0036 MRSA: z‑score −1.0978 divided by 6 = −0.1830MRSA−0.1830 Total HAC Score: 0.5682Score0.5682 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 901.2807+0.21350.2135
CLABSI0.7463+0.12440.3379
CAUTI0.3302+0.05500.3929
SSI2.1717+0.36200.7549
CDI−0.0218−0.00360.7513
MRSA−1.0978−0.18300.5683
Total HAC Score0.5682
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, 0.1890 over the highest score CMS didn’t cut, costs it about $500K 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 $500K at any score from 0.3799 $0at any score up to 0.3792 $500K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 This hospital: 0.5682 This hospital 0.5682 CMS’s line $0 at any score up to 0.3792 $500K at any score from 0.3799 $0at any score up to 0.3792 $500Kat 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: 0.5682 This hospital 0.5682

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−$500,170
This hospital0.5682−$500,170
CMS’s highest score2.3133−$500,170

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.

($48,417,253payment+$1,531,967teaching, MA stays−$50,542readmissions+$118,353value-based)×1%the cut=$500,170HAC cut

$500,170HAC cut÷1,959traditional Medicare stays=$255per traditional Medicare stay

Figure 4. This site estimates the HAC cut at $500K: 1% of the hospital’s whole inpatient payment, taken last. The readmissions and value-based adjustments, on the base alone, came to −$51K and +$118K.

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 $38,878,799
Teaching (indirect medical education) $1,202,132
Teaching on Medicare Advantage stays $1,531,967
Many low-income patients (disproportionate share) $1,247,621
Outliers: unusually costly stays $2,842,040
Capital: buildings and equipment $3,321,086
Uncompensated care $925,575
Total, before the three programs $49,949,220
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9987 − 1) −$50,542
Value-based purchasing (HVBP) base × (1.0030 − 1) +$118,353
After these two $50,017,031
HAC Reduction Program 1% of everything above; likely $381⁠–⁠629K −$500,170
Net of the three programs likely −$508K to −$348K −$432,359

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)$38,878,799
Teaching (indirect medical education)$1,202,132
Teaching on Medicare Advantage stays$1,531,967
Many low-income patients (disproportionate share)$1,247,621
Outliers: unusually costly stays$2,842,040
Capital: buildings and equipment$3,321,086
Uncompensated care$925,575
Total, before the three programs$49,949,220
Readmissions (HRRP) (base × (0.9987 − 1))−$50,542
Value-based purchasing (HVBP) (base × (1.0030 − 1))+$118,353
After these two$50,017,031
HAC Reduction Program (1% of everything above; likely $381–629K)−$500,170
Net of the three programs (likely −$508K to −$348K)−$432,359

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 Score0.5682same
Payment reduction decisionYessame
Payment cut1%same
Estimated HAC cut estimate$500Ksame

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 0.5682 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 $500K, 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 901.0093 or lower
CLABSI0.439 or lower
CAUTI0.213 or lower
SSI1.455 or lower
CDI0.079 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 1.1719 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 0.928 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.684 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 2.588 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.372 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 0.172 · 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 0.5682 among its measured results: +0.3620.
  • PSI 90 +0.2135
  • CLABSI +0.1244
  • CAUTI +0.0550
  • SSI +0.3620
  • CDI −0.0036
  • MRSA −0.1830

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 901.2807+0.2135same
CLABSI0.7463+0.1244same
CAUTI0.3302+0.0550same
SSI2.1717+0.3620same
CDI−0.0218−0.0036same
MRSA−1.0978−0.1830same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/120022/

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 3.2750, higher than 16% of scores; not cutFY2016: score 4.2500, higher than 27% of scores; not cutFY2017: score 4.0400, higher than 26% of scores; not cutFY2018: score −0.5547, higher than 19% of scores; not cutFY2019: score −0.1282, higher than 42% of scores; not cutFY2020: score −0.4507, higher than 22% of scores; not cutFY2021: score −0.9748, higher than 5% of scores; not cutFY2022: score −0.7179, higher than 11% of scores; not cutFY2024: score 0.1325, higher than 62% of scores; not cutFY2025: score 0.4007, higher than 77% of scores; cutFY2026: score 0.5682, higher than 82% of scores; cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 3.2750, higher than 16% of scores; not cutFY2016: score 4.2500, higher than 27% of scores; not cutFY2017: score 4.0400, higher than 26% of scores; not cutFY2018: score −0.5547, higher than 19% of scores; not cutFY2019: score −0.1282, higher than 42% of scores; not cutFY2020: score −0.4507, higher than 22% of scores; not cutFY2021: score −0.9748, higher than 5% of scores; not cutFY2022: score −0.7179, higher than 11% of scores; not cutFY2024: score 0.1325, higher than 62% of scores; not cutFY2025: score 0.4007, higher than 77% of scores; cutFY2026: score 0.5682, higher than 82% 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
FY20153.275016.3%not cut
FY20164.250027.2%not cut
FY20174.040026.4%not cut
FY2018−0.554719.0%not cut
FY2019−0.128242.1%not cut
FY2020−0.450722.2%not cut
FY2021−0.97485.4%not cut
FY2022−0.717911.6%not cut
FY2023no decision
FY20240.132562.0%not cut
FY20250.400777.0%cut
FY20260.568282.7%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 0.39 → 0.77 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 0.393CLABSI, 2018: 0.000CLABSI, 2019: 0.000CLABSI, 2021: 0.277CLABSI, 2022: 0.901CLABSI, 2023: 1.087CLABSI, 2024: 0.771 CAUTI 1.43 → 0.60 1 0 ’18’21’24 CAUTI, 2017: 1.430CAUTI, 2018: 0.309CAUTI, 2019: 0.000CAUTI, 2021: 0.588CAUTI, 2022: 0.362CAUTI, 2023: 0.759CAUTI, 2024: 0.605 SSI, colon 1.03 → 2.66 1 0 ’18’21’24 SSI, colon, 2017: 1.031SSI, colon, 2018: 0.769SSI, colon, 2019: 0.000SSI, colon, 2021: 1.440SSI, colon, 2022: 1.679SSI, colon, 2023: 2.271SSI, colon, 2024: 2.657 MRSA 1.20 → 0.35 1 0 ’18’21’24 MRSA, 2017: 1.198MRSA, 2018: 0.000MRSA, 2019: 1.170MRSA, 2021: 0.844MRSA, 2022: 0.972MRSA, 2023: 0.000MRSA, 2024: 0.349 C. diff 0.93 → 0.23 1 0 ’18’21’24 C. diff, 2017: 0.927C. diff, 2018: 0.071C. diff, 2019: 0.613C. diff, 2021: 0.645C. diff, 2022: 0.700C. diff, 2023: 0.482C. diff, 2024: 0.232 CLABSI 0.39 → 0.77 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 0.393CLABSI, 2018: 0.000CLABSI, 2019: 0.000CLABSI, 2021: 0.277CLABSI, 2022: 0.901CLABSI, 2023: 1.087CLABSI, 2024: 0.771 CAUTI 1.43 → 0.60 1 0 ’18’20’22’24 CAUTI, 2017: 1.430CAUTI, 2018: 0.309CAUTI, 2019: 0.000CAUTI, 2021: 0.588CAUTI, 2022: 0.362CAUTI, 2023: 0.759CAUTI, 2024: 0.605 SSI, colon 1.03 → 2.66 1 0 ’18’20’22’24 SSI, colon, 2017: 1.031SSI, colon, 2018: 0.769SSI, colon, 2019: 0.000SSI, colon, 2021: 1.440SSI, colon, 2022: 1.679SSI, colon, 2023: 2.271SSI, colon, 2024: 2.657 MRSA 1.20 → 0.35 1 0 ’18’20’22’24 MRSA, 2017: 1.198MRSA, 2018: 0.000MRSA, 2019: 1.170MRSA, 2021: 0.844MRSA, 2022: 0.972MRSA, 2023: 0.000MRSA, 2024: 0.349 C. diff 0.93 → 0.23 1 0 ’18’20’22’24 C. diff, 2017: 0.927C. diff, 2018: 0.071C. diff, 2019: 0.613C. diff, 2021: 0.645C. diff, 2022: 0.700C. diff, 2023: 0.482C. diff, 2024: 0.232

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
20170.3931.4301.0311.1980.927
20180.0000.3090.7690.0000.071
20190.0000.0000.0001.1700.613
20210.2770.5881.4400.8440.645
20220.9010.3621.6790.9720.700
20231.0870.7592.2710.0000.482
20240.7710.6052.6570.3490.232

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 60% of the other 10 scored there.

In Urban Honolulu, HI area, its score is higher than 60% 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 15% (For-profit) 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 For-profit: CMS cut 98 of 651 (15%); middle score −0.2590For-profit 651 hospitals15% cut Urban: CMS cut 510 of 2,241 (23%); middle score −0.0574Urban 2,241 hospitals23% cut CMS’s line: between 0.3792 and 0.3799 CMS’s line −1012 This hospital: 0.5682 This hospital 0.5682 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 For-profit: CMS cut 98 of 651 (15%); middle score −0.2590For-profit651 hospitals15% cut Urban: CMS cut 510 of 2,241 (23%); middle score −0.0574Urban2,241 hospitals23% cut CMS’s line: between 0.3792 and 0.3799 CMS’s line −1.5−1.0−0.50.00.51.01.52.0 This hospital: 0.5682 This hospital 0.5682

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%−0.045382%
West region59315726%−0.030283%
Hawaii11764%0.461960%
Urban Honolulu, HI area6350%0.222860%
Minor teaching87318121%−0.056787%
100 to 299 beds1,19327523%−0.073284%
For-profit6519815%−0.259090%
Urban2,24151023%−0.057485%
This hospital0.5682
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 less than a mile away.
25 mi50 mi100 mi8. North Hawaii Community Hospital, Inc, Kamuela: score 1.7593, cut, 160 miles87. Wilcox Memorial Hospital, Lihue: score 0.4478, cut, 111 miles76. Maui Memorial Medical Center, Wailuku: score 1.1743, cut, 92 miles65. Adventist Health Castle, Kailua: score −0.8533, not cut, 8 miles54. Pali Momi Medical Center, Aiea: score −0.2614, not cut, 8 miles43. Kaiser Foundation Hospital, Honolulu: score 0.6129, cut, 5 miles32. Kuakini Medical Center, Honolulu: score −0.1226, not cut, about a mile21. The Queens Medical Center, Honolulu: score 0.8684, cut, less than a mile1This hospital: Straub Clinic and Hospital

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

Show table
HospitalMilesScoreDecision
The Queens Medical Center, Honolulu, HIunder 10.8684cut
Kuakini Medical Center, Honolulu, HI1−0.1226not cut
Kaiser Foundation Hospital, Honolulu, HI50.6129cut
Pali Momi Medical Center, Aiea, HI8−0.2614not cut
Adventist Health Castle, Kailua, HI8−0.8533not cut
Maui Memorial Medical Center, Wailuku, HI921.1743cut
Wilcox Memorial Hospital, Lihue, HI1110.4478cut
North Hawaii Community Hospital, Inc, Kamuela, HI1601.7593cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1The Queens Medical CenterHonolulu, HIunder 10.86841% cut$1.5MAbove the national median on 5 of 6 measures
2Kuakini Medical CenterHonolulu, HI1−0.1226No cut$0Above the national median on 3 of 6 measures
3Kaiser Foundation HospitalHonolulu, HI50.61291% cut$114KAbove the national median on 5 of 6 measures
4Pali Momi Medical CenterAiea, HI8−0.2614No cut$0Above the national median on 3 of 6 measures
5Adventist Health CastleKailua, HI8−0.8533No cut$0Above the national median on 0 of 6 measures
6Maui Memorial Medical CenterWailuku, HI921.17431% cut$396KAbove the national median on 6 of 6 measures
7Wilcox Memorial HospitalLihue, HI1110.44781% cut$137KAbove the national median on 4 of 6 measures
8North Hawaii Community Hospital, IncKamuela, HI1601.75931% 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. Straub Clinic and Hospital, Honolulu, HI: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/120022/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.