P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalGoshen Hospital Estimated FY2026 net: −$213K×

Hospital record · FY2026CCN 150026

1Hospital

Goshen Hospital

2Location

Goshen, IN (Indiana’s hospitals on the map and in the table) 46526

Elkhart County

3Type

Not a teaching hospital · 123 beds · Nonprofit · Urban

4Care Compare stars

3 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

0.7900

As CMS reports it

6Payment reduction

1% cut
CMS’s value: Yes

7Estimated cut

$158K estimate
Likely $120⁠–⁠199K; about $135 per traditional Medicare stay

Cut 1%

$158K

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

For fiscal year 2026, CMS reports a Total HAC Score of 0.7900 for Goshen Hospital and a payment reduction decision of Yes.

That is 1% of about $15.8M, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year: about $135 per traditional Medicare stay.

Likely range $120–199K

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: 0.7900 This hospital 0.7900 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: 0.7900 This hospital 0.7900

Higher than 89% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Cut in 5 of 11 years

  1. 15No
  2. 16No
  3. 17No
  4. 18Cut
  5. 19Cut
  6. 20Cut
  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 CLABSI down to the national median (0.559) would lower the score the most: by 0.3917, to 0.3983. Try it in the what-if

Figure 1. Of its 6 measures with a value, this hospital is above the national median on 4; CLABSI 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

    Better than 55% 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 value0.9499

    Z-score−0.2692

    Part of score−0.0449

  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.

    added the most

    Central line–associated bloodstream infections

    Worse than 97% of the other 2,181 hospitals

    CMS value1.964

    Z-score2.2402

    Part of score+0.3734

  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 90% of the other 2,354 hospitals

    CMS value1.196

    Z-score1.5644

    Part of score+0.2607

  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 79% of the other 2,269 hospitals

    CMS value1.317

    Z-score0.7996

    Part of score+0.1333

  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 75% 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 value0.532

    Z-score0.5978

    Part of score+0.0996

  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 53% of the other 2,067 hospitals

    CMS value0.605

    Z-score−0.1929

    Part of score−0.0322

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 900.94990.9623−0.2692−0.0449Better than 55% of the other 2,808 hospitals
CLABSI1.9640.5592.2402+0.3734Worse than 97% of the other 2,181 hospitals
CAUTI1.1960.4891.5644+0.2607Worse than 90% of the other 2,354 hospitals
SSI1.3170.7950.7996+0.1333Worse than 79% of the other 2,269 hospitals
CDI0.5320.3460.5978+0.0996Worse than 75% of the other 2,766 hospitals
MRSA0.6050.641−0.1929−0.0322Better than 53% 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.

(−0.2692PSI 90+2.2402CLABSI+1.5644CAUTI+0.7996SSI+0.5978CDI−0.1929MRSA)÷6measures=0.7900Total HAC Score

This hospital’s score is 0.4108 above 0.3792, the highest score CMS marked No. (This site recomputes.)

Figure 2. The parts add up to 0.7900, above CMS’s line.
1% cut PSI 90: z‑score −0.2692 divided by 6 = −0.0449PSI 90−0.0449 CLABSI: z‑score 2.2402 divided by 6 = +0.3734CLABSI+0.3734 CAUTI: z‑score 1.5644 divided by 6 = +0.2607CAUTI+0.2607 SSI: z‑score 0.7996 divided by 6 = +0.1333SSI+0.1333 CDI: z‑score 0.5978 divided by 6 = +0.0996CDI+0.0996 MRSA: z‑score −0.1929 divided by 6 = −0.0322MRSA−0.0322 Total HAC Score: 0.7900Score0.7900 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.20.40.60.8 1% cut PSI 90: z‑score −0.2692 divided by 6 = −0.0449PSI 90−0.0449 CLABSI: z‑score 2.2402 divided by 6 = +0.3734CLABSI+0.3734 CAUTI: z‑score 1.5644 divided by 6 = +0.2607CAUTI+0.2607 SSI: z‑score 0.7996 divided by 6 = +0.1333SSI+0.1333 CDI: z‑score 0.5978 divided by 6 = +0.0996CDI+0.0996 MRSA: z‑score −0.1929 divided by 6 = −0.0322MRSA−0.0322 Total HAC Score: 0.7900Score0.7900 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 90−0.2692−0.0449−0.0449
CLABSI2.2402+0.37340.3285
CAUTI1.5644+0.26070.5892
SSI0.7996+0.13330.7225
CDI0.5978+0.09960.8221
MRSA−0.1929−0.03220.7899
Total HAC Score0.7900
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, 0.4108 over the highest score CMS didn’t cut, costs it about $158K 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 $158K at any score from 0.3799 $0at any score up to 0.3792 $158K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 This hospital: 0.7900 This hospital 0.7900 CMS’s line $0 at any score up to 0.3792 $158K at any score from 0.3799 $0at any score up to 0.3792 $158Kat 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: 0.7900 This hospital 0.7900

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−$158,095
This hospital0.7900−$158,095
CMS’s highest score2.3133−$158,095

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.

($15,864,533payment−$14,108readmissions−$40,927value-based)×1%the cut=$158,095HAC cut

$158,095HAC cut÷1,174traditional Medicare stays=$135per traditional Medicare stay

Figure 4. This site estimates the HAC cut at $158K: 1% of the hospital’s whole inpatient payment, taken last. The readmissions and value-based adjustments, on the base alone, came to −$14K and −$41K.

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays
DRG payments at the federal rates the base $12,825,903
Many low-income patients (disproportionate share) $263,701
Outliers: unusually costly stays $156,220
Capital: buildings and equipment $1,052,944
Uncompensated care $1,565,765
Total, before the three programs $15,864,533
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9989 − 1) −$14,108
Value-based purchasing (HVBP) base × (0.9968 − 1) −$40,927
After these two $15,809,498
HAC Reduction Program 1% of everything above; likely $120⁠–⁠199K −$158,095
Net of the three programs likely −$251K to −$172K −$213,130

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)$12,825,903
Many low-income patients (disproportionate share)$263,701
Outliers: unusually costly stays$156,220
Capital: buildings and equipment$1,052,944
Uncompensated care$1,565,765
Total, before the three programs$15,864,533
Readmissions (HRRP) (base × (0.9989 − 1))−$14,108
Value-based purchasing (HVBP) (base × (0.9968 − 1))−$40,927
After these two$15,809,498
HAC Reduction Program (1% of everything above; likely $120–199K)−$158,095
Net of the three programs (likely −$251K to −$172K)−$213,130

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 Score0.7900same
Payment reduction decisionYessame
Payment cut1%same
Estimated HAC cut estimate$158Ksame

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 0.7900 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 $158K, 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 90not possible with this measure alone
CLABSI0.509 or lower
CAUTI0.173 or lower
SSInot possible with this measure alone
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 0.9499 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 1.964 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 1.196 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 1.317 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.532 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 0.605 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

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Figure 5. CLABSI added the most to this hospital’s Total HAC Score of 0.7900 among its measured results: +0.3734.
  • PSI 90 −0.0449
  • CLABSI +0.3734
  • CAUTI +0.2607
  • SSI +0.1333
  • CDI +0.0996
  • MRSA −0.0322

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 90−0.2692−0.0449same
CLABSI2.2402+0.3734same
CAUTI1.5644+0.2607same
SSI0.7996+0.1333same
CDI0.5978+0.0996same
MRSA−0.1929−0.0322same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/150026/

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 5 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 4.7750, higher than 37% of scores; not cutFY2016: score 6.7500, higher than 72% of scores; not cutFY2017: score 5.7200, higher than 56% of scores; not cutFY2018: score 0.8222, higher than 91% of scores; cutFY2019: score 0.6102, higher than 85% of scores; cutFY2020: score 0.3829, higher than 77% of scores; cutFY2021: score 0.1784, higher than 66% of scores; not cutFY2022: score 0.2470, higher than 71% of scores; not cutFY2024: score −0.0081, higher than 52% of scores; not cutFY2025: score 0.4559, higher than 79% of scores; cutFY2026: score 0.7900, higher than 89% of scores; cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 4.7750, higher than 37% of scores; not cutFY2016: score 6.7500, higher than 72% of scores; not cutFY2017: score 5.7200, higher than 56% of scores; not cutFY2018: score 0.8222, higher than 91% of scores; cutFY2019: score 0.6102, higher than 85% of scores; cutFY2020: score 0.3829, higher than 77% of scores; cutFY2021: score 0.1784, higher than 66% of scores; not cutFY2022: score 0.2470, higher than 71% of scores; not cutFY2024: score −0.0081, higher than 52% of scores; not cutFY2025: score 0.4559, higher than 79% of scores; cutFY2026: score 0.7900, higher than 89% 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
FY20154.775037.6%not cut
FY20166.750072.4%not cut
FY20175.720056.5%not cut
FY20180.822291.0%cut
FY20190.610285.7%cut
FY20200.382977.8%cut
FY20210.178466.6%not cut
FY20220.247071.8%not cut
FY2023no decision
FY2024−0.008152.3%not cut
FY20250.455979.6%cut
FY20260.790089.7%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 6 infection measures ended lower than they started.
CLABSI 0.00 → 0.00 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 0.000CLABSI, 2018: 0.000CLABSI, 2019: 0.513CLABSI, 2021: 0.416CLABSI, 2022: 0.823CLABSI, 2023: 3.584CLABSI, 2024: 0.000 CAUTI 0.34 → 0.89 1 0 ’18’21’24 CAUTI, 2017: 0.339CAUTI, 2018: 0.000CAUTI, 2019: 0.896CAUTI, 2021: 0.375CAUTI, 2022: 0.929CAUTI, 2023: 1.444CAUTI, 2024: 0.890 SSI, colon 2.05 → 1.10 1 0 ’18’21’24 SSI, colon, 2017: 2.046SSI, colon, 2018: 2.177SSI, colon, 2019: 1.684SSI, colon, 2021: 1.142SSI, colon, 2022: 0.681SSI, colon, 2023: 1.325SSI, colon, 2024: 1.103 SSI, hysterectomy 0.79 → 0.97 1 0 ’18’21’24 SSI, hysterectomy, 2017: 0.790SSI, hysterectomy, 2018: 0.961SSI, hysterectomy, 2019: 4.516SSI, hysterectomy, 2021: 0.861SSI, hysterectomy, 2022: 0.967 MRSA 0.92 → 0.00 1 0 ’18’21’24 MRSA, 2017: 0.915MRSA, 2018: 1.464MRSA, 2019: 0.766MRSA, 2021: 0.938MRSA, 2022: 0.000 C. diff 1.60 → 0.62 1 0 ’18’21’24 C. diff, 2017: 1.605C. diff, 2018: 0.751C. diff, 2019: 0.586C. diff, 2021: 0.795C. diff, 2022: 1.056C. diff, 2023: 0.442C. diff, 2024: 0.621 CLABSI 0.00 → 0.00 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 0.000CLABSI, 2018: 0.000CLABSI, 2019: 0.513CLABSI, 2021: 0.416CLABSI, 2022: 0.823CLABSI, 2023: 3.584CLABSI, 2024: 0.000 CAUTI 0.34 → 0.89 1 0 ’18’20’22’24 CAUTI, 2017: 0.339CAUTI, 2018: 0.000CAUTI, 2019: 0.896CAUTI, 2021: 0.375CAUTI, 2022: 0.929CAUTI, 2023: 1.444CAUTI, 2024: 0.890 SSI, colon 2.05 → 1.10 1 0 ’18’20’22’24 SSI, colon, 2017: 2.046SSI, colon, 2018: 2.177SSI, colon, 2019: 1.684SSI, colon, 2021: 1.142SSI, colon, 2022: 0.681SSI, colon, 2023: 1.325SSI, colon, 2024: 1.103 SSI, hysterectomy 0.79 → 0.97 1 0 ’18’20’22’24 SSI, hysterectomy, 2017: 0.790SSI, hysterectomy, 2018: 0.961SSI, hysterectomy, 2019: 4.516SSI, hysterectomy, 2021: 0.861SSI, hysterectomy, 2022: 0.967 MRSA 0.92 → 0.00 1 0 ’18’20’22’24 MRSA, 2017: 0.915MRSA, 2018: 1.464MRSA, 2019: 0.766MRSA, 2021: 0.938MRSA, 2022: 0.000 C. diff 1.60 → 0.62 1 0 ’18’20’22’24 C. diff, 2017: 1.605C. diff, 2018: 0.751C. diff, 2019: 0.586C. diff, 2021: 0.795C. diff, 2022: 1.056C. diff, 2023: 0.442C. diff, 2024: 0.621

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
20170.0000.3392.0460.7900.9151.605
20180.0000.0002.1770.9611.4640.751
20190.5130.8961.6844.5160.7660.586
20210.4160.3751.1420.8610.9380.795
20220.8230.9290.6810.9670.0001.056
20233.5841.4441.3250.442
20240.0000.8901.1030.621

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 Indiana, its score is higher than 97% of the other 79 scored there.

Figure 8. Its score is above the middle in all 7 groups it belongs to; the share cut runs from 13% (Indiana) to 26% (Nonprofit).
All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals 2,886 hospitals25% cut Midwest region: CMS cut 174 of 683 (25%); middle score −0.0268Midwest region 683 hospitals25% cut Indiana: CMS cut 10 of 80 (13%); middle score −0.1841Indiana 80 hospitals13% cut Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching 1,563 hospitals25% cut 100 to 299 beds: CMS cut 275 of 1,193 (23%); middle score −0.0732100 to 299 beds 1,193 hospitals23% cut Nonprofit: CMS cut 478 of 1,830 (26%); middle score −0.0134Nonprofit 1,830 hospitals26% cut Urban: CMS cut 510 of 2,241 (23%); middle score −0.0574Urban 2,241 hospitals23% cut CMS’s line: between 0.3792 and 0.3799 CMS’s line −1012 This hospital: 0.7900 This hospital 0.7900 All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals2,886 hospitals25% cut Midwest region: CMS cut 174 of 683 (25%); middle score −0.0268Midwest region683 hospitals25% cut Indiana: CMS cut 10 of 80 (13%); middle score −0.1841Indiana80 hospitals13% cut Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching1,563 hospitals25% cut 100 to 299 beds: CMS cut 275 of 1,193 (23%); middle score −0.0732100 to 299 beds1,193 hospitals23% cut Nonprofit: CMS cut 478 of 1,830 (26%); middle score −0.0134Nonprofit1,830 hospitals26% cut Urban: CMS cut 510 of 2,241 (23%); middle score −0.0574Urban2,241 hospitals23% cut CMS’s line: between 0.3792 and 0.3799 CMS’s line −1.5−1.0−0.50.00.51.01.52.0 This hospital: 0.7900 This hospital 0.7900

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%−0.045389%
Midwest region68317425%−0.026890%
Indiana801013%−0.184197%
Not teaching1,56338925%−0.105387%
100 to 299 beds1,19327523%−0.073292%
Nonprofit1,83047826%−0.013490%
Urban2,24151023%−0.057491%
This hospital0.7900
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 none of the 8 nearest hospitals; the closest is 13 miles away.
5 mi10 mi25 mi8. Saint Joseph Regional Medical Center - Plymouth, Plymouth: score 0.0743, not cut, 31 miles87. Parkview Noble Hospital, Kendallville: score −0.7580, not cut, 29 miles76. Three Rivers Health, Three Rivers: score −0.7893, not cut, 27 miles65. Memorial Hospital of South Bend, South Bend: score 0.2730, not cut, 23 miles54. Kosciusko Community Hospital, Warsaw: score −0.4882, not cut, 22 miles43. Unity Physicians Hospital, Mishawaka: score −0.1896, not cut, 20 miles32. Saint Joseph Regional Medical Center, Mishawaka: score −0.2685, not cut, 19 miles21. Elkhart General Hospital, Elkhart: score −0.1478, not cut, 13 miles1This hospital: Goshen Hospital

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

Show table
HospitalMilesScoreDecision
Elkhart General Hospital, Elkhart, IN13−0.1478not cut
Saint Joseph Regional Medical Center, Mishawaka, IN19−0.2685not cut
Unity Physicians Hospital, Mishawaka, IN20−0.1896not cut
Kosciusko Community Hospital, Warsaw, IN22−0.4882not cut
Memorial Hospital of South Bend, South Bend, IN230.2730not cut
Three Rivers Health, Three Rivers, MI27−0.7893not cut
Parkview Noble Hospital, Kendallville, IN29−0.7580not cut
Saint Joseph Regional Medical Center - Plymouth, Plymouth, IN310.0743not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Elkhart General HospitalElkhart, IN13−0.1478No cut$0Above the national median on 2 of 6 measures
2Saint Joseph Regional Medical CenterMishawaka, IN19−0.2685No cut$0Above the national median on 1 of 6 measures
3Unity Physicians HospitalMishawaka, IN20−0.1896No cut$0Above the national median on 0 of 1 measures
4Kosciusko Community HospitalWarsaw, IN22−0.4882No cut$0Above the national median on 1 of 4 measures
5Memorial Hospital of South BendSouth Bend, IN230.2730No cut$0Above the national median on 3 of 6 measures
6Three Rivers HealthThree Rivers, MI27−0.7893No cut$0Above the national median on 1 of 2 measures
7Parkview Noble HospitalKendallville, IN29−0.7580No cut$0Above the national median on 1 of 2 measures
8Saint Joseph Regional Medical Center - PlymouthPlymouth, IN310.0743No cut$0Above the national median on 2 of 2 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. Goshen Hospital, Goshen, IN: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/150026/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.