Hospital record · FY2026CCN 150097

1Hospital

Major Hospital

2Location

Shelbyville, IN (Indiana’s hospitals on the map and in the table) 46176

Shelby County

3Type

Not a teaching hospital · 51 beds · Government · Urban

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

0.0144

As CMS reports it

6Payment reduction

No cut

CMS’s value: No

7Estimated cut

A cut would have been $91K, likely $67⁠–⁠113K estimate

No cut

from this program

For fiscal year 2026, CMS reports a Total HAC Score of 0.0144 for Major Hospital and a payment reduction decision of No.

A cut would have taken about $91K estimate 1% of about $9.1M, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year. Its score was 0.3655 under 0.3799, the lowest score CMS cut.

Likely range $67–113K

Its score was at or below CMS’s line, so this program did not cut its Medicare payments for the year. The score compares hospitals with each other; it is not a grade of the quality of care.

CMS cut scores of 0.3799 and above.

Each year CMS cuts the hospitals with the highest quarter of scores, those above the 75th percentile, so the line moves with other hospitals’ scores.

Higher than 53% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Cut in 1 of 11 years

15No
16No
17No
18No
19No
20No
21No
22Cut
23—
24No
25No
26No

Where the score came from

CMS scored this hospital on 5 of the 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 0.4530, to −0.4386. Try it in the what-if

Figure 1. Of its 5 measures with a value, this hospital is above the national median on 2; CDI added the most to its score.

This hospital
National median
Scores the same as CMS’s floor or cap

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 69% 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 value0.9125

Z-score−0.5307

Part of score−0.1061
CLABSI (what it counts)
Bloodstream infections tied to a central line, a tube often placed in a large vein in the neck, chest or groin. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.
Central line–associated bloodstream infections
Better than 86% of the other 2,181 hospitals

CMS value0.000

Z-score−1.4065

Part of score−0.2813
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 58% of the other 2,354 hospitals

CMS value0.580

Z-score0.0795

Part of score+0.0159
SSI (what it counts)
Deep infections at the site of colon surgery or an abdominal hysterectomy, within a month of the operation, pooled into one measure. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.
Surgical site infections after colon surgery or abdominal hysterectomy
Better than 54% of the other 2,269 hospitals

CMS value0.726

Z-score−0.2128

Part of score−0.0426
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+0.4285
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
Not scored on this measure
CMS footnote 13: Results cannot be calculated for this reporting period.
CMS footnote 5: Results are not available for this reporting period.

CMS valueno value published

Z-scoreno value published

Part of scoreno value published

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

Show table

Measure	CMS value	National median	Z-score	Part of the score	Among hospitals
PSI 90	0.9125	0.9623	−0.5307	−0.1061	Better than 69% of the other 2,808 hospitals
CLABSI	0.000	0.559	−1.4065	−0.2813	Better than 86% of the other 2,181 hospitals
CAUTI	0.580	0.489	0.0795	+0.0159	Worse than 58% of the other 2,354 hospitals
SSI	0.726	0.795	−0.2128	−0.0426	Better than 54% of the other 2,269 hospitals
CDI	0.931	0.346	2.1427	+0.4285	Worse than 94% of the other 2,766 hospitals
MRSA	no value published	0.641	no value published	no value published	Not scored on this measure

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 5; a bar right of zero raised the score and one left of zero lowered it.

(−0.5307PSI 90−1.4065CLABSI+0.0795CAUTI−0.2128SSI+2.1427CDI)÷5measures=0.0144Total HAC Score

This hospital’s score is 0.3655 below 0.3799, the lowest score CMS marked Yes. (This site recomputes.)

Figure 2. The parts add up to 0.0144, below CMS’s line.

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

Show table

Measure	Z-score	Part of the score	Running total
PSI 90	−0.5307	−0.1061	−0.1061
CLABSI	−1.4065	−0.2813	−0.3874
CAUTI	0.0795	+0.0159	−0.3715
SSI	−0.2128	−0.0426	−0.4141
CDI	2.1427	+0.4285	0.0144
Total HAC Score			0.0144
CMS’s line		0.3792	0.3799

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, 0.3655 under the lowest score CMS cut, costs it nothing; 0.3655 higher, the cut would have been about $91K by this site’s estimate, the same as at CMS’s highest score, 2.3133.

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

Score	Total HAC Score	Estimated HAC cut (whole dollars)
Any score up to 0.3792	0.3792	$0
Any score from 0.3799	0.3799	−$90,844
This hospital	0.0144	$0
CMS’s highest score	2.3133	−$90,844

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.

($9,069,801payment−$12,088readmissions+$26,680value-based)×1%the cut=$90,844at stake

$90,844at stake÷633traditional Medicare stays=$144per traditional Medicare stay

Figure 4. No HAC cut this year; 1% of the hospital’s whole inpatient payment would have been about $91K by this site’s estimate. The readmissions and value-based adjustments, on the base alone, came to −$12K and +$27K.

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays
DRG payments at the federal rates the base	$6,362,332
Many low-income patients (disproportionate share)	$190,870
Outliers: unusually costly stays	$33,211
Low-volume adjustment	$883,728
Capital: buildings and equipment	$496,683
Uncompensated care	$1,102,977
Total, before the three programs	$9,069,801
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9981 − 1)	−$12,088
Value-based purchasing (HVBP) base × (1.0042 − 1)	+$26,680
After these two	$9,084,393
HAC Reduction Program no cut; 1% would have been $90,844	$0
Net of the three programs likely $11⁠–⁠19K	+$14,592

Not paid to this hospital: a Medicare-dependent hospital add-on, teaching payments, and a sole community hospital rate difference.

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.

Show table

Line	Amount (whole dollars)
DRG payments at the federal rates (the base)	$6,362,332
Many low-income patients (disproportionate share)	$190,870
Outliers: unusually costly stays	$33,211
Low-volume adjustment	$883,728
Capital: buildings and equipment	$496,683
Uncompensated care	$1,102,977
Total, before the three programs	$9,069,801
Readmissions (HRRP) (base × (0.9981 − 1))	−$12,088
Value-based purchasing (HVBP) (base × (1.0042 − 1))	+$26,680
After these two	$9,084,393
HAC Reduction Program (no cut; 1% would have been $90,844)	$0
Net of the three programs (likely $11–19K)	+$14,592

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.

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	CMS reports	Hypothetical
Total HAC Score	0.0144	same
Payment reduction decision	No	same
Payment cut	0%	same
Estimated HAC cut estimate	$0	same

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 0.0144 and a payment reduction decision of No.

A what-if shows the formula’s arithmetic, not what a hospital could realistically change or how. CMS’s real result also depends on other hospitals.

How much cushion?

Staying at or under CMS’s line keeps about $91K out of this program’s cut, this site estimates: a score a hair over would cost all of it.

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

Measure	Highest value that keeps No
PSI 90	up to 1.1736
CLABSI	up to 0.786
CAUTI	up to 1.336
SSI	up to 1.790
CDI	any value: every CDI value past the cap (0.944) scores the same

Each measure weighs 1 ÷ 5 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.

Patient safety and adverse events composite PSI 90

PSI 90 value

CMS 0.9125 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1396

Central line–associated bloodstream infections CLABSI

CLABSI value

CMS 0.000 · median 0.559 · cap 1.572 · each 0.1 = 0.0464

Catheter-associated urinary tract infections CAUTI

CAUTI value

CMS 0.580 · median 0.489 · cap 1.537 · each 0.1 = 0.0482

Surgical site infections after colon surgery or abdominal hysterectomy SSI

SSI value

CMS 0.726 · median 0.795 · cap 2.118 · each 0.1 = 0.0343

Clostridioides difficile (C. diff) infections CDI

CDI value

CMS 0.931 · median 0.346 · cap 0.944 · each 0.1 = 0.0774

Have your NHSN predicted counts? (optional, stays in your browser)

Stays in your browser; never sent.

Optional: your NHSN predicted infections for CLABSI, January 1, 2023 to December 31, 2024

Optional: your NHSN predicted infections for CAUTI, January 1, 2023 to December 31, 2024

Optional: your NHSN predicted infections for SSI, January 1, 2023 to December 31, 2024

Optional: your NHSN predicted infections for CDI, January 1, 2023 to December 31, 2024

Figure 5. CDI added the most to this hospital’s Total HAC Score of 0.0144 among its measured results: +0.4285.

PSI 90 −0.1061
CLABSI −0.2813
CAUTI +0.0159
SSI −0.0426
CDI +0.4285

A measure adds its z‑score divided by 5, 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

Measure	Z-score	Part of the score	Hypothetical
PSI 90	−0.5307	−0.1061	same
CLABSI	−1.4065	−0.2813	same
CAUTI	0.0795	+0.0159	same
SSI	−0.2128	−0.0426	same
CDI	2.1427	+0.4285	same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/150097/

Among hospitals with a Yes or No payment decision, CMS cut those with a published Total HAC Score of 0.3799 or higher and none at 0.3792 or lower. Maryland’s hospitals are scored but not subject to the reduction.

Held fixed: every other hospital’s results, CMS’s line, and each measure’s mean, spread, floor and cap as this site fits them to CMS’s published values.

Year by year

Where this hospital’s score fell among every hospital’s, each year CMS published one. A score near the top is among the highest; the shaded band is where CMS cut. Places compare across years even where CMS changed how it builds the score.

Figure 6. CMS cut this hospital in 1 of the 11 years it made a decision.

● 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 year	Total HAC Score	Higher than this share of scores	Payment reduction
FY2015	1.3500	1.6%	not cut
FY2016	3.5000	16.7%	not cut
FY2017	4.7625	38.0%	not cut
FY2018	−0.5923	17.2%	not cut
FY2019	0.0036	52.5%	not cut
FY2020	−0.1626	39.5%	not cut
FY2021	−0.2243	35.7%	not cut
FY2022	0.9036	93.5%	cut
FY2023			no decision
FY2024	0.3365	72.9%	not cut
FY2025	−0.3762	26.3%	not cut
FY2026	0.0144	53.7%	not cut

Its infections, year by year

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

Figure 7. 1 of its 2 infection measures ended lower than they started.

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).

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Calendar year	CAUTI	C. diff
2017		1.009
2018		1.011
2019		1.415
2021	0.735	0.970
2022	0.931	0.687
2023		0.993
2024		0.876

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 65% of the other 79 scored there.

In Indianapolis-Carmel-Greenwood, IN area, its score is higher than 69% of the other 23 scored there.

Figure 8. Its score is above the middle in 7 of the 8 groups it belongs to; the share cut runs from 13% (Indiana) to 35% (Government).

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

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Group	With a decision	Hospitals cut	Share cut	Middle score	Hospital higher than
All hospitals	2,886	718	25%	−0.0453	53%
Midwest region	683	174	25%	−0.0268	52%
Indiana	80	10	13%	−0.1841	65%
Indianapolis-Carmel-Greenwood, IN area	24	3	13%	−0.1841	69%
Not teaching	1,563	389	25%	−0.1053	57%
Fewer than 100 beds	805	225	28%	−0.1154	56%
Government	401	140	35%	0.1602	41%
Urban	2,241	510	23%	−0.0574	55%
This hospital				0.0144
CMS’s line				0.3792	0.3799

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 2 of the 8 nearest hospitals; the closest is 15 miles away.

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

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Hospital	Miles	Score	Decision
Hancock Regional Hospital, Greenfield, IN	15	−0.7005	not cut
Johnson Memorial Hospital, Franklin, IN	17	−0.5943	not cut
Franciscan Health Indianapolis, Indianapolis, IN	17	0.4604	cut
Community Hospital South, Inc., Indianapolis, IN	19	−0.6203	not cut
Community Hospital East, Indianapolis, IN	22	−0.5251	not cut
Columbus Regional Hospital, Columbus, IN	24	0.0380	not cut
Indiana University Health, Indianapolis, IN	26	0.1903	not cut
Eskenazi Health, Indianapolis, IN	26	0.4509	cut

#	Hospital	Miles	Score	Decision	Est. cut ($, modeled)	Measures
1	Hancock Regional HospitalGreenfield, IN	15	−0.7005	No cut	$0	Above the national median on 1 of 5 measures
2	Johnson Memorial HospitalFranklin, IN	17	−0.5943	No cut	$0	Above the national median on 0 of 4 measures
3	Franciscan Health IndianapolisIndianapolis, IN	17	0.4604	1% cut	$1.1M	Above the national median on 5 of 6 measures
4	Community Hospital South, Inc.Indianapolis, IN	19	−0.6203	No cut	$0	Above the national median on 1 of 6 measures
5	Community Hospital EastIndianapolis, IN	22	−0.5251	No cut	$0	Above the national median on 1 of 6 measures
6	Columbus Regional HospitalColumbus, IN	24	0.0380	No cut	$0	Above the national median on 3 of 6 measures
7	Indiana University HealthIndianapolis, IN	26	0.1903	No cut	$0	Above the national median on 5 of 6 measures
8	Eskenazi HealthIndianapolis, IN	26	0.4509	1% cut	$523K	Above the national median on 3 of 6 measures

Download all hospitals’ data (CSV) · Data dictionary · CMS’s dataset page

CMS’s footnotes on this page

13: Results cannot be calculated for this reporting period.
5: Results are not available for this reporting period.

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. Major Hospital, Shelbyville, IN: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/150097/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.